WO2023236057A1 - Electric snare - Google Patents

Electric snare Download PDF

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Publication number
WO2023236057A1
WO2023236057A1 PCT/CN2022/097441 CN2022097441W WO2023236057A1 WO 2023236057 A1 WO2023236057 A1 WO 2023236057A1 CN 2022097441 W CN2022097441 W CN 2022097441W WO 2023236057 A1 WO2023236057 A1 WO 2023236057A1
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WO
WIPO (PCT)
Prior art keywords
loop
wire
sheath
electric
electrode
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PCT/CN2022/097441
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French (fr)
Chinese (zh)
Inventor
严航
蔡大峰
孔凡斌
陈晨
邱筱赛
刘向飞
Original Assignee
上海诺英医疗器械有限公司
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Application filed by 上海诺英医疗器械有限公司 filed Critical 上海诺英医疗器械有限公司
Priority to PCT/CN2022/097441 priority Critical patent/WO2023236057A1/en
Publication of WO2023236057A1 publication Critical patent/WO2023236057A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current

Definitions

  • the invention relates to the technical field of medical devices, and in particular to an electric snare used for endoscopic surgical resection of lesions.
  • Cikon patent document CN215018830U discloses a bipolar electric snare, which includes a core rod, a slip ring, a first electrode, a second electrode, an outer tube and a snare.
  • the slip ring is sleeved on the outside of the core rod, and the core rod is provided with sequential connections inside.
  • the traction steel wire booster tube and the insulated inner tube are equipped with traction steel wires.
  • the insulated inner tube is covered with an outer tube.
  • the end of the outer tube is provided with a metal end cap.
  • the traction steel wire passes through the metal
  • the end cap is connected to the snare, the first electrode is fixed on the slip ring and connected to the traction steel wire booster tube, the second electrode is fixed on the end of the core rod and connected to the outer tube, the first electrode and the second electrode are both connected to
  • the external high-frequency equipment is connected.
  • the bipolar poles in this device are fixed on the operating handle. By turning on the power of the high-frequency equipment and applying external force, the snare moves into the insulated inner tube, which can achieve the effect of removing diseased tissue and eliminate the problem of easy alignment of the negative plate. It solves the problem of burns on the human body, has a simple structure and reliable performance.
  • Chinese patent document CN105286991A discloses an electric snare, which includes a control handle and a flexible sheath connected in sequence.
  • a control steel wire is passed through the flexible sheath, and one end of the control steel wire is connected to a sliding handle provided on the control handle.
  • the electrodes are connected, and the other end is provided with a ferrule with a guide head and extends to the distal end of the flexible sheath; the flexible sheath is also provided with a control cable, one end of which passes through the side of the control handle, and the other end One end is connected to the guide head of the ferrule.
  • the electric snare of the present invention has the advantages of simple structure and easy control of the direction of the snare opening, and is suitable for removing polyps or tumors that grow along the axial direction of the pipeline.
  • Chinese patent document CN211094659U discloses a medical electric snare, which includes a tubular handle, a flexible sheath, a ferrule, an anchor head and a synchronous drive assembly.
  • the end of the flexible sheath is fixedly connected to the front end of the tubular handle.
  • the ferrule is connected to the synchronous drive component through a first traction rope
  • the anchor head is connected to the synchronous drive component through a second traction rope
  • the tubular handle is provided with a high-frequency electric plug
  • the first traction rope Connected to the high-frequency electric plug, the first traction rope and the second traction rope move synchronously and reversely within the flexible sheath under the driving of the synchronous driving assembly.
  • the medical electric snare can use a synchronous drive component to drive the snare and anchor head to move toward each other at the same speed, thereby enabling polyps to be recovered directly after polyp removal.
  • Cikon patent document CN215018830U discloses a bipolar electric snare.
  • the bipolar electric snare is fixed on the operating handle. By turning on the power supply of the high-frequency equipment and applying external force, the snare moves into the insulated inner tube, which can achieve the effect of removing diseased tissue and eliminate It eliminates the problem that the negative plate easily causes burns to the human body, and has a simple structure and reliable performance.
  • the loop electrode of the existing bipolar plasma electric snare is designed with an ordinary stainless steel tube. During the operation, there is a risk that the loop electrode will not be in sufficient contact with the tissue, thus failing to stimulate the plasma.
  • the purpose of the present invention is to overcome the shortcomings of the prior art by using a snare wire as a transmitting electrode and a loop electrode to form a bipolar plasma electric snare, so that the output energy is low-frequency plasma energy, and there is no need to attach a negative electrode to the patient during surgery. plate, the current will directly reach the return electrode through the snare wire to form a loop, without flowing through the human body, and there is no risk of arc burns.
  • the present invention provides an electric snare, which includes an electrical joint assembly, a traction rope, a snare wire, a loop electrode, a loop wire, a fixing screw, a drum spring and a loop connecting rod that are electrically connected in sequence.
  • the loop electrode The head has a certain curvature; it also includes a sheath assembly with a two-layer nesting structure, and the circuit wire is sandwiched between the two-layer nesting structure of the sheath assembly.
  • the head of the return electrode is spherical.
  • the sheath assembly includes a concentric two-layer structure of an outer sheath tube and an inner sheath tube, and the outer sheath tube clamps the loop wire between the two-layer structures through heat shrinkage.
  • the traction rope is arranged along the axis of the outer sheath, and the space between the inner wall of the inner sheath and the traction rope constitutes a launch chamber.
  • the inner diameter of the return electrode is smaller than the outer diameter of the inner sheath.
  • the inner sheath is reduced in diameter by extrusion and then inserted into the inner cavity of the return electrode to be fixed, forming a limit at the reduced diameter position. point, and the limiting point is adapted to block the connecting tube used to connect the snare wire and the traction rope from moving toward the mouth of the inner sheath.
  • the return electrode and the outer sheath are nested and connected through an inverted tooth-shaped structure.
  • the rear end of the inner sheath is connected to a front rod, and a perfusion chamber interface is radially provided on the outer wall of the front rod.
  • the perfusion chamber interface extends inward and is connected to the perfusion chamber.
  • the perfusion chamber Communicated with the inner sheath.
  • the fixing screw is rotatably embedded in the end sleeve, and the front rod and the fixing screw are fixed as one body.
  • one end of the loop connecting rod is sleeved with a fixed drum spring and is close to the inner wall of the end sleeve.
  • the elastic drum-shaped outer wall of the drum spring is in close contact with the fixing screw, and the two are suitable for relative rotation. .
  • an insulating tube is nested in the inner hole of the fixing screw, and the loop wire is squeezed between the fixing screw and the insulating tube.
  • a step hole is provided at the end of the threaded hole for connecting the fixing screw at the rear end of the front rod.
  • a sealing gasket is tightly fitted inside the step hole, and the fixing screw is coated with thread glue.
  • a plastic gasket is provided between the sealing gasket and the fixing screw.
  • circuit connecting rod and the drum spring are connected by soldering.
  • the electrical connector assembly includes a first electrical connector and a second electrical connector, the first electrical connector is electrically connected to the loop connecting rod, and the second electrical connector is electrically connected to the traction rope;
  • the first electrical connector is a spring pin, so that the circuit connecting rod is adapted to maintain an electrical connection with the first electrical connector during sliding back and forth.
  • end surface of the spring pin in contact with the circuit connecting rod is a flat surface.
  • loop electrode and the loop wire are laser welded.
  • the snare wire as the transmitting electrode and the return electrode form a bipolar plasma electric snare.
  • the output energy is low-frequency plasma energy. There is no need to attach a negative plate to the patient during surgery.
  • the current will directly reach the return electrode through the snare wire to form a loop. It does not flow through the human body and there is no risk of arc burns.
  • the energy excited during surgery is low-frequency plasma energy, which causes low thermal damage to tissues and will not deepen with the increase of surgical time, making the surgical process safer.
  • the loop electrode has a certain curvature, which will play a guiding role during the insertion of the endoscope, making the bending smoother. At the same time, this design can make the loop electrode more fully in contact with the tissue, and can well stimulate the plasma.
  • Figure 1 is a schematic structural diagram of an embodiment of the present invention
  • Figure 2 is a schematic structural diagram of the head of an electric snare in one embodiment of the present invention
  • Figure 3 is a schematic structural diagram of the handle end of the electric snare in one embodiment of the present invention.
  • Figure 4 is a partial enlarged view of the lower half of Figure 3;
  • Figure 5 is a schematic cross-sectional view of the sheath in one embodiment of the present invention.
  • Figure 6 is a schematic structural diagram of a loop electrode in one embodiment of the present invention.
  • Figure 7 is a schematic structural diagram of a drum spring in one embodiment of the present invention.
  • Figure 8 is a schematic structural diagram of a spring pin in one embodiment of the present invention.
  • 1-trap wire (emitting electrode); 2-loop electrode; 2-1 inverted teeth; 3-outer sheath; 4-front rod; 4-1-perfusion chamber interface; 5-end sleeve; 6-electrical connector assembly ; 6-1-The first electrical connector (spring Pin); 6-2-The second electrical connector (Pin); 7-Handle; 8-Inner sheath; 8-1 Reducing position; 8-2 Limit Position; 9-connecting tube; 10-loop wire; 11-traction rope; 12-sealing gasket; 13-fixing screw; 14-insulating tube; 15-drum spring; 16-loop connecting rod; 17-launch chamber (water outlet) cavity).
  • one embodiment of the electric snare of the present invention includes an electrical connector assembly 6, a traction rope 11, a snare wire 1, a loop electrode 2, a loop wire 10, a fixing screw 13, and a drum that are electrically connected in sequence.
  • Spring 15 and loop connecting rod 16 the head of the loop electrode 2 has a certain curvature; it also includes a sheath assembly with a two-layer nesting structure, and the loop wire 10 is sandwiched between the two layers of the sheath assembly. between structures.
  • the snare wire 1 as the transmitting electrode and the return electrode 2 are used to form a bipolar plasma snare.
  • the current flows from the electrical connector assembly 6 through the traction rope 11, the snare wire 1, the diseased tissue, the return electrode 2, and The loop wire 10, fixing screw 13, drum spring 15 and loop connecting rod 16 then return to the electrical connector assembly 6 to form a loop.
  • the output energy is low-frequency plasma energy. No risk of arc burns.
  • the energy excited during surgery is low-frequency plasma energy, which causes low thermal damage to tissues and will not deepen with the increase of surgical time, making the surgical process safer.
  • the head of the return electrode 2 Since the head of the return electrode 2 has a certain curvature, it will play a guiding role during the insertion of the endoscope, thereby making the bending smoother. At the same time, this design can make the return electrode 2 more fully in contact with the diseased tissue, forming a good current conduction effect.
  • the head of the return electrode 2 is spherical.
  • the spherical structure is more rounded and smooth while maintaining a constant arc, which reduces the resistance during the insertion of the endoscope, and has a larger contact area with the diseased tissue, that is, the conductive area is larger and the resistance is smaller. It is easier to ignite plasma, which reduces the risk of insufficient contact between the loop electrode and the tissue during the operation, thus failing to ignite plasma.
  • the current bipolar plasma electric snare loop electrode is designed with an ordinary stainless steel tube.
  • the sheath assembly includes a concentric two-layer structure of an outer sheath 3 and an inner sheath 8.
  • the outer sheath 3 shrinks the loop wire through heat shrinkage. 10 is clamped between the two layers.
  • the sheath assembly is designed with a double-layer tube structure, so that the snare wire 1 serving as the cutter head is always in the center position.
  • the snare wire is eccentric when it extends, resulting in the existence of the endoscopic field of view. A certain deviation makes the doctor's experience less effective than having a clearer view during surgery.
  • the outer sheath 3 is a heat-shrinkable tube, which realizes the insulation between the loop and the launch branch, and ensures that the launch chamber 17 has enough space to work while the overall outer diameter of the sheath assembly will not be too large.
  • the traction rope 11 is arranged along the axis of the outer sheath 3, and the space between the inner wall of the inner sheath 8 and the traction rope 11 constitutes Launch chamber 17.
  • the traction rope 11 is located at the center of the outer sheath 3. Since the head end of the traction rope 11 is connected to the snare wire 1, this ensures that the snare wire 1 is located in the center and expands the surgical field of view.
  • This structure can also maximize the cross-sectional area of the emission chamber 17, so that the water output is large and slow, making the physiological saline and the snare wire 1 more fully in contact, ensuring continuous plasma excitation, and avoiding the plasma of current bipolar plasma electric snares.
  • the medium saline flows out from the non-launch chamber, which may cause intraoperative risks due to insufficient contact between the saline and the snare wire.
  • the inner diameter of the return electrode 2 is smaller than the outer diameter of the inner sheath 8 , and the inner sheath 8 is reduced in diameter by extrusion and then inserted into the return electrode 2
  • the inner cavity is fixed, and a limit point 8-2 is formed at the reducing position 8-1.
  • the limit point 8-2 is suitable for blocking the direction of the connecting pipe 9 used to connect the snare wire 1 and the traction rope 11.
  • the mouth direction of the inner sheath 8 moves.
  • the limit point 8-2 can block and limit the movement of the snare wire 1 to the left, so that the snare wire 1 will not protrude excessively from the inner sheath 8, which is precisely defined.
  • the length of the snare wire 1 entering the lesion is conducive to accurately adjusting its entry length according to surgical needs to achieve better surgical results. It also solves the problem that the current connecting tube between the snare wire and the traction rope may extend out of the sheath, thus This causes problems such as lags during retrieval and inability to retract smoothly.
  • the loop electrode 2 and the outer sheath 3 are nested and connected through an inverted tooth-shaped structure.
  • a large friction force will be generated between the inverted teeth and the sheath, thereby ensuring the connection strength and reducing the current problems caused by the loop electrode and the outer sheath 3.
  • the sheaths are bonded together, which takes a long time to cure.
  • the sheaths are made of PTFE, which has the risk of falling off due to the non-stick surface.
  • the rear end of the inner sheath 8 is connected to a front rod 4, and a perfusion chamber interface 4-1 is radially provided on the outer wall of the front rod 4.
  • the cavity interface 4-1 extends inward and is connected to the perfusion cavity, and the perfusion cavity is connected to the inner sheath 8.
  • the perfusion chamber interface 4-1 is connected to the bagged physiological saline through an infusion set.
  • the physiological saline reaches the snare wire 1 through the inner sheath 8, and then flows out from the root of the snare wire 1, stimulating the plasma effect and simultaneously treating the snare.
  • the wire 1 is tightened, and the snare wire 1 contacts the lesion tissue to realize the cutting of the lesion tissue.
  • the fixing screw 13 is rotatably embedded in the end sleeve 5 , and the front rod 4 and the fixing screw 13 are fixed as one body.
  • the fixing screw 13 after the fixing screw 13 is connected to the front rod 4 to form a whole, there will be no axial displacement relative to the end sleeve 5 and the entire handle 7, but it can perform 360° axial rotation, making it more convenient during surgery.
  • the angle can be adjusted accurately to snare the target tissue, which improves the convenience of the doctor's surgery, thereby improving the efficiency of the surgery. It overcomes the problem that the current bipolar electric snare cannot rotate 360° and requires high professionalism of the operator. defect.
  • one end of the loop connecting rod 16 is sleeved with a fixed drum spring 15 and then closely adheres to the inner wall of the end sleeve 5.
  • the elastic drum-shaped outer wall of the drum spring 15 is in contact with the said drum spring 15.
  • the fixing screw 13 is in close contact and is suitable for relative rotation.
  • the drum spring 15 is elastically designed to ensure that the fixing screw 13 and the drum spring 15 are always in an electrically connected state when the front rod 4 rotates, and at the same time, it does not interfere with the rotation.
  • an insulating tube 14 is nested in the inner hole of the fixing screw 13 , and the circuit wire 10 is squeezed between the fixing screw 13 and the insulating tube 14 .
  • electrical conduction between the loop wire 10 and the fixing screw 13 is achieved, while ensuring the insulation effect between the transmitting branch and the loop.
  • the rear end of the front rod 4 is provided with a step hole at the end of the threaded hole for connecting the fixing screw 13, and a sealing gasket 12 is tightly fitted inside the step hole.
  • the fixing screws 13 are coated with thread glue.
  • the sealing gasket 12 can improve the sealing effect, and the thread glue can improve the tightness.
  • a plastic gasket is provided between the sealing gasket 12 and the fixing screw 13 .
  • the plastic gasket can prevent the sealing gasket 12 from being greatly deformed during the pushing and pulling process, thereby ensuring its sealing performance.
  • the circuit connecting rod 16 and the drum spring 15 are connected by soldering.
  • the drum spring 15 can be made of brass, and soldering can ensure its connection strength and good electrical conductivity.
  • the electrical connector assembly 6 includes a first electrical connector 6-1 and a second electrical connector 6-2.
  • the first electrical connector 6-1 The second electrical connector 6-2 is electrically connected to the loop connecting rod 16, and the second electrical connector 6-2 is electrically connected to the traction rope 11; the first electrical connector 6-1 is a spring pin, so that the loop connecting rod 16 is suitable for
  • the electrical connection with the first electrical connector 6-1 is maintained during the sliding process back and forth.
  • the spring pin of the first electrical connector 6-1 can be made of brass and can be elastically expanded and contracted to ensure that the spring pin is always in contact with the loop connecting rod 16, thereby ensuring good electrical conductivity and not being fixed.
  • the type connection also allows the loop connecting rod 16 to slide forward and backward while maintaining electrical performance, so as to facilitate the release and retraction of the snare wire 1.
  • the end surface of the spring pin that contacts the loop connecting rod 16 is flat.
  • the contact between the flat surface of the end surface of the spring pin and the cylindrical surface of the loop connecting rod 16 is a line contact, which improves the conductive stability compared to point contact.
  • the return electrode 2 and the return wire 10 are laser welded.
  • laser welding can ensure that the loop electrode 2 and the loop wire 10 are always in a conductive state, overcoming the current risk of poor contact that exists between the loop electrode and the loop wire through extrusion to form conduction.
  • the usage process is as follows:
  • One end of the accessory connection line is connected to the electrical connector assembly 6, and the other end is connected to the plasma RF therapy device to obtain energy; when the snare wire 1 is passed through the handle 7 to take the lesion tissue and tighten it (while tightening, step on the cutting pedal) to output energy.
  • the current will flow from the second electrical connector 6-2 to the snare wire 1 via the traction rope 11, and then return to the first via the loop electrode 2, the loop wire 10, the fixing screw 13, the drum spring 15 and the loop connecting rod 16 after flowing through the diseased tissue.
  • the electrical connector 6-1 forms a current loop.
  • the physiological saline will enter through the perfusion chamber interface 4-1, reach the snare wire 1 through the inner tube 8, and then flow out from the root of the snare wire 1, stimulating the plasma effect and retracting the snare wire 1 at the same time. Tight to achieve cutting of the diseased tissue.
  • the tip of the snare wire 1 can be placed in a position just exposing the outer sheath 3. This can make the loop electrode 2 more fully in contact with the target tissue during coagulation, thereby achieving rapid and effective treatment. Coagulation reduces patient risk while improving surgical efficiency.
  • the handle 7 can be rotated to obtain an optimal angle.

Abstract

Disclosed is an electric snare, comprising an electric connector assembly, a traction cord, a snare wire, a loop electrode, a loop wire, a fixing screw, a drum spring, and a loop connecting rod, which are electrically connected in sequence. The head of the loop electrode has a certain radian. Further comprised are a sheath tube assembly having two layers of nested structure, the loop wire being arranged between the two layers of nested structures of the sheath tube assembly. The present invention utilizes the loop electrode and the snare wire serving as a transmitting electrode to form a dual-pole plasma electric snare. The energy outputted is low-frequency plasma energy. Thus, no negative pole plate is necessary to be attached to the body of a patient during surgery, the current can directly reach the loop electrode by means of the snare wire so as to form a loop without flowing through the human body, thereby removing the risk of arc burns.

Description

一种电圈套器An electric snare 技术领域Technical field
本发明涉及医疗器械技术领域,具体涉及一种电圈套器,用于内窥镜下手术切除病灶。The invention relates to the technical field of medical devices, and in particular to an electric snare used for endoscopic surgical resection of lesions.
背景技术Background technique
市场上现有的电圈套器多为高频单极设计,插入内窥镜进行手术时需要在人体的皮肤上贴上负极板形成回路,手术过程中高频能量依次通过病变组织、人体肌层组织到达负极板,会对人体造成一定的伤害,且圈除后病变部位会有一定的焦痂现象产生。部分电圈套器无360°旋转功能。Most of the existing electric snares on the market are high-frequency monopolar designs. When inserting an endoscope for surgery, a negative plate needs to be attached to the human skin to form a circuit. During the surgery, the high-frequency energy passes through the diseased tissue and human muscle tissue in sequence. When it reaches the negative plate, it will cause certain damage to the human body, and there will be a certain amount of eschar at the lesion after removal. Some electric snares do not have a 360° rotation function.
中国专利文献CN215018830U公开了一种双极电圈套器,包括芯杆、滑环、第一电极、第二电极、外管及圈套,滑环套设在芯杆外部,芯杆内部设置有依次连接的牵引钢丝助推管和绝缘内管,牵引钢丝助推管和绝缘内管内设有牵引钢丝,绝缘内管外部套设有外管,外管端部设置有金属端帽,牵引钢丝穿过金属端帽与圈套相连,第一电极固定于滑环上,且与牵引钢丝助推管相连,第二电极固定设置在芯杆端部,且与外管相连,第一电极与第二电极均与外部高频设备相连,本装置中双极固定在操作手柄上,通过接通高频设备电源并施加外力,使得圈套向绝缘内管内运动,可以达到切除病变组织的效果,消除了负极板易对人体产生灼伤的问题,结构简单且性能可靠。Chinese patent document CN215018830U discloses a bipolar electric snare, which includes a core rod, a slip ring, a first electrode, a second electrode, an outer tube and a snare. The slip ring is sleeved on the outside of the core rod, and the core rod is provided with sequential connections inside. The traction steel wire booster tube and the insulated inner tube are equipped with traction steel wires. The insulated inner tube is covered with an outer tube. The end of the outer tube is provided with a metal end cap. The traction steel wire passes through the metal The end cap is connected to the snare, the first electrode is fixed on the slip ring and connected to the traction steel wire booster tube, the second electrode is fixed on the end of the core rod and connected to the outer tube, the first electrode and the second electrode are both connected to The external high-frequency equipment is connected. The bipolar poles in this device are fixed on the operating handle. By turning on the power of the high-frequency equipment and applying external force, the snare moves into the insulated inner tube, which can achieve the effect of removing diseased tissue and eliminate the problem of easy alignment of the negative plate. It solves the problem of burns on the human body, has a simple structure and reliable performance.
中国专利文献CN105286991A公开了一种电圈套器,包括依次连接的控制手柄和柔性鞘管,所述柔性鞘管中穿设有控制钢丝,该控制钢丝的一头与设在控制手柄的滑柄上的电极相连,另一头设有一具有引导头的套圈并延伸至柔性鞘管的远端;所述柔性鞘管中还穿设有一根控制索,该控制索的一头由控制手柄侧面穿出,另一头连接在套圈的引导头上。本发明所述的电圈套器具有结构简单,套圈开口方向易于控制的优点,适用于切除沿管道轴向生长 的息肉或肿瘤。Chinese patent document CN105286991A discloses an electric snare, which includes a control handle and a flexible sheath connected in sequence. A control steel wire is passed through the flexible sheath, and one end of the control steel wire is connected to a sliding handle provided on the control handle. The electrodes are connected, and the other end is provided with a ferrule with a guide head and extends to the distal end of the flexible sheath; the flexible sheath is also provided with a control cable, one end of which passes through the side of the control handle, and the other end One end is connected to the guide head of the ferrule. The electric snare of the present invention has the advantages of simple structure and easy control of the direction of the snare opening, and is suitable for removing polyps or tumors that grow along the axial direction of the pipeline.
中国专利文献CN211094659U公开了一种医用电圈套器,包括管状手柄、柔性鞘管、套圈、锚头和同步驱动组件,所述柔性鞘管的末端与所述管状手柄的前端固定连接,所述套圈通过第一牵引绳与所述同步驱动组件连接,所述锚头通过第二牵引绳与所述同步驱动组件连接,所述管状手柄上设有高频电插头,所述第一牵引绳与所述高频电插头连接,所述第一牵引绳和第二牵引绳在所述同步驱动组件的驱动下在所述柔性鞘管内同步反向运动。该医用电圈套器能利用同步驱动组件带动套圈和锚头以相同的速度相向运行,从而能实现息肉切除后直接将息肉回收。Chinese patent document CN211094659U discloses a medical electric snare, which includes a tubular handle, a flexible sheath, a ferrule, an anchor head and a synchronous drive assembly. The end of the flexible sheath is fixedly connected to the front end of the tubular handle. The ferrule is connected to the synchronous drive component through a first traction rope, the anchor head is connected to the synchronous drive component through a second traction rope, the tubular handle is provided with a high-frequency electric plug, and the first traction rope Connected to the high-frequency electric plug, the first traction rope and the second traction rope move synchronously and reversely within the flexible sheath under the driving of the synchronous driving assembly. The medical electric snare can use a synchronous drive component to drive the snare and anchor head to move toward each other at the same speed, thereby enabling polyps to be recovered directly after polyp removal.
中国专利文献CN215018830U公开了一种双极电圈套器,双极固定在操作手柄上,通过接通高频设备电源并施加外力,使得圈套向绝缘内管内运动,可以达到切除病变组织的效果,消除了负极板易对人体产生灼伤的问题,结构简单且性能可靠。Chinese patent document CN215018830U discloses a bipolar electric snare. The bipolar electric snare is fixed on the operating handle. By turning on the power supply of the high-frequency equipment and applying external force, the snare moves into the insulated inner tube, which can achieve the effect of removing diseased tissue and eliminate It eliminates the problem that the negative plate easily causes burns to the human body, and has a simple structure and reliable performance.
上述三种电圈套器均有各自的特点,但是均为高频设计,无法避免温度过高造成的误伤问题。且CN215018830U所述的电圈套器的回路电极是直接套在鞘管外侧,可能会致使回路电极与病变组织接触不充分。The above three types of electric snares all have their own characteristics, but they are all high-frequency designs and cannot avoid accidental injury problems caused by excessive temperatures. Moreover, the return electrode of the electric snare described in CN215018830U is directly placed on the outside of the sheath, which may result in insufficient contact between the return electrode and the diseased tissue.
综上,现有电圈套器主要存在如下缺点:In summary, existing electric snares mainly have the following shortcomings:
1.常规高频电圈套器均为单极设计,输出的能量均为高频能量,手术时需要在患者裸露的皮肤上贴负极板,电流会流经人体到达负极板,有电弧烧伤的风险。高频能量不仅作用于组织表层,同时会渗透到组织下层,热损伤较大,术后恢复较慢。1. Conventional high-frequency electric snares are all unipolar in design, and the energy output is high-frequency energy. During surgery, a negative electrode plate needs to be attached to the patient's exposed skin. The current will flow through the human body and reach the negative electrode plate, causing the risk of arc burns. . High-frequency energy not only acts on the surface of the tissue, but also penetrates into the lower layers of the tissue, causing greater thermal damage and slower postoperative recovery.
2.现有双极等离子电圈套器回路电极为普通不锈钢管设计,手术过程中存在回路电极与组织接触不充分,从而无法激发等离子的风险。2. The loop electrode of the existing bipolar plasma electric snare is designed with an ordinary stainless steel tube. During the operation, there is a risk that the loop electrode will not be in sufficient contact with the tissue, thus failing to stimulate the plasma.
发明内容Contents of the invention
本发明的目的是为克服现有技术所存在的缺陷,采用作为发射电极的圈套丝和回路电极构成双极等离子电圈套器,使输出的能量为低频等离子能量,手术时无需在患者身上贴负极板,电流会经由圈套丝直接到达回路电极形成回路,不流经人体,无电弧烧伤风险。The purpose of the present invention is to overcome the shortcomings of the prior art by using a snare wire as a transmitting electrode and a loop electrode to form a bipolar plasma electric snare, so that the output energy is low-frequency plasma energy, and there is no need to attach a negative electrode to the patient during surgery. plate, the current will directly reach the return electrode through the snare wire to form a loop, without flowing through the human body, and there is no risk of arc burns.
为实现上述发明目的,本发明提供一种电圈套器,包括依次电连接的电接头组件、牵引绳、圈套丝、回路电极、回路丝、固定螺丝、鼓簧和回路连接杆,所述回路电极的头部具有一定弧度;还包括具有两层嵌套结构的鞘管组件,所述回路丝夹于所述鞘管组件的两层嵌套结构之间。In order to achieve the above object, the present invention provides an electric snare, which includes an electrical joint assembly, a traction rope, a snare wire, a loop electrode, a loop wire, a fixing screw, a drum spring and a loop connecting rod that are electrically connected in sequence. The loop electrode The head has a certain curvature; it also includes a sheath assembly with a two-layer nesting structure, and the circuit wire is sandwiched between the two-layer nesting structure of the sheath assembly.
进一步地,所述回路电极的头部为球形。Further, the head of the return electrode is spherical.
进一步地,所述鞘管组件包括同心的外层鞘管和内层鞘管两层结构,所述外层鞘管通过热缩将所述回路丝夹紧在所述两层结构之间。Further, the sheath assembly includes a concentric two-layer structure of an outer sheath tube and an inner sheath tube, and the outer sheath tube clamps the loop wire between the two-layer structures through heat shrinkage.
进一步地,所述牵引绳沿所述外层鞘管的轴心设置,所述内层鞘管的内壁与所述牵引绳之间的空间构成发射腔。Further, the traction rope is arranged along the axis of the outer sheath, and the space between the inner wall of the inner sheath and the traction rope constitutes a launch chamber.
进一步地,所述回路电极的内径小于所述内层鞘管的外径,所述内层鞘管通过挤压变径后插入所述回路电极的内腔固定,在变径位置处形成限位点,所述限位点适于阻挡用于连接所述圈套丝与牵引绳的连接管向所述内层鞘管的口部方向移动。Further, the inner diameter of the return electrode is smaller than the outer diameter of the inner sheath. The inner sheath is reduced in diameter by extrusion and then inserted into the inner cavity of the return electrode to be fixed, forming a limit at the reduced diameter position. point, and the limiting point is adapted to block the connecting tube used to connect the snare wire and the traction rope from moving toward the mouth of the inner sheath.
进一步地,所述回路电极与所述外层鞘管之间通过倒齿形结构嵌套连接。Further, the return electrode and the outer sheath are nested and connected through an inverted tooth-shaped structure.
进一步地,所述内层鞘管的后端连接有前杆,所述前杆的外壁上径向设有灌注腔接口,所述灌注腔接口向内延伸并连通至灌注腔,所述灌注腔与所述内层鞘管相连通。Further, the rear end of the inner sheath is connected to a front rod, and a perfusion chamber interface is radially provided on the outer wall of the front rod. The perfusion chamber interface extends inward and is connected to the perfusion chamber. The perfusion chamber Communicated with the inner sheath.
进一步地,所述固定螺丝可转动地嵌于端套内,所述前杆与所述固定螺丝固定为一体。Further, the fixing screw is rotatably embedded in the end sleeve, and the front rod and the fixing screw are fixed as one body.
进一步地,所述回路连接杆的一端套设固定鼓簧后紧贴所述端套的内壁,所述鼓簧的弹性鼓状外壁与所述固定螺丝紧密接触,二者之间适于相对转动。Further, one end of the loop connecting rod is sleeved with a fixed drum spring and is close to the inner wall of the end sleeve. The elastic drum-shaped outer wall of the drum spring is in close contact with the fixing screw, and the two are suitable for relative rotation. .
进一步地,所述固定螺丝的内孔中嵌套有绝缘管,所述回路丝挤压在所述固定螺丝与绝缘管之间。Further, an insulating tube is nested in the inner hole of the fixing screw, and the loop wire is squeezed between the fixing screw and the insulating tube.
进一步地,所述前杆的后端用于连接所述固定螺丝的螺纹孔末端设有台阶孔,所述台阶孔内紧配有密封垫,所述固定螺丝上涂覆有螺纹胶。Further, a step hole is provided at the end of the threaded hole for connecting the fixing screw at the rear end of the front rod. A sealing gasket is tightly fitted inside the step hole, and the fixing screw is coated with thread glue.
进一步地,所述密封垫与所述固定螺丝之间设有塑料垫片。Further, a plastic gasket is provided between the sealing gasket and the fixing screw.
进一步地,所述回路连接杆与所述鼓簧之间通过锡焊连接。Further, the circuit connecting rod and the drum spring are connected by soldering.
进一步地,所述电接头组件包括第一电接头和第二电接头,所述第一电接头与回路连接杆所述电连接,所述第二电接头与所述牵引绳电连接;所述第一电接头为弹簧针,以使所述回路连接杆适于在前后滑动过程中保持与所述第一电接头的电连接。Further, the electrical connector assembly includes a first electrical connector and a second electrical connector, the first electrical connector is electrically connected to the loop connecting rod, and the second electrical connector is electrically connected to the traction rope; The first electrical connector is a spring pin, so that the circuit connecting rod is adapted to maintain an electrical connection with the first electrical connector during sliding back and forth.
进一步地,所述弹簧针与所述回路连接杆接触的端面为平面。Further, the end surface of the spring pin in contact with the circuit connecting rod is a flat surface.
进一步地,所述回路电极与所述回路丝之间激光焊接。Further, the loop electrode and the loop wire are laser welded.
与现有技术相比,本发明的有益效果在于:Compared with the prior art, the beneficial effects of the present invention are:
1.作为发射电极的圈套丝和回路电极构成双极等离子电圈套器,输出的能量为低频等离子能量,手术时无需在患者身上贴负极板,电流会经由圈套丝直接到达回路电极从而形成回路,不流经人体,无电弧烧伤风险。在进行手术时激发的能量为低频等离子能量,能量对组织的热损伤低,且不会随手术时间的增加而加深,手术过程更为安全。1. The snare wire as the transmitting electrode and the return electrode form a bipolar plasma electric snare. The output energy is low-frequency plasma energy. There is no need to attach a negative plate to the patient during surgery. The current will directly reach the return electrode through the snare wire to form a loop. It does not flow through the human body and there is no risk of arc burns. The energy excited during surgery is low-frequency plasma energy, which causes low thermal damage to tissues and will not deepen with the increase of surgical time, making the surgical process safer.
2.回路电极具有一定的弧度,在插入内镜的过程中会起到导向作用,从而使其过弯更顺畅,同时该设计可使回路电极与组织接触更加充分,可很好地激发等离子。2. The loop electrode has a certain curvature, which will play a guiding role during the insertion of the endoscope, making the bending smoother. At the same time, this design can make the loop electrode more fully in contact with the tissue, and can well stimulate the plasma.
附图说明Description of the drawings
图1为本发明一个实施例的结构示意图;Figure 1 is a schematic structural diagram of an embodiment of the present invention;
图2为本发明一个实施例中电圈套器头部的结构示意图;Figure 2 is a schematic structural diagram of the head of an electric snare in one embodiment of the present invention;
图3为本发明一个实施例中电圈套器手柄端的结构示意图;Figure 3 is a schematic structural diagram of the handle end of the electric snare in one embodiment of the present invention;
图4为图3中下半部的局部放大图;Figure 4 is a partial enlarged view of the lower half of Figure 3;
图5为本发明一个实施例中鞘管的横截面示意图;Figure 5 is a schematic cross-sectional view of the sheath in one embodiment of the present invention;
图6为本发明一个实施例中回路电极的结构示意图;Figure 6 is a schematic structural diagram of a loop electrode in one embodiment of the present invention;
图7为本发明一个实施例中鼓簧的结构示意图;Figure 7 is a schematic structural diagram of a drum spring in one embodiment of the present invention;
图8为本发明一个实施例中弹簧Pin针的结构示意图。Figure 8 is a schematic structural diagram of a spring pin in one embodiment of the present invention.
图中:In the picture:
1-圈套丝(发射电极);2-回路电极;2-1倒齿;3-外层鞘管;4-前杆;4-1-灌注腔接口;5-端套;6-电接头组件;6-1-第一电接头(弹簧Pin针);6-2-第二电接头(Pin针);7-手柄;8-内层鞘管;8-1变径位置;8-2限位点;9-连接管;10-回路丝;11-牵引绳;12-密封垫;13-固定螺丝;14-绝缘管;15-鼓簧;16-回路连接杆;17-发射腔(出水腔)。1-trap wire (emitting electrode); 2-loop electrode; 2-1 inverted teeth; 3-outer sheath; 4-front rod; 4-1-perfusion chamber interface; 5-end sleeve; 6-electrical connector assembly ; 6-1-The first electrical connector (spring Pin); 6-2-The second electrical connector (Pin); 7-Handle; 8-Inner sheath; 8-1 Reducing position; 8-2 Limit Position; 9-connecting tube; 10-loop wire; 11-traction rope; 12-sealing gasket; 13-fixing screw; 14-insulating tube; 15-drum spring; 16-loop connecting rod; 17-launch chamber (water outlet) cavity).
具体实施方式Detailed ways
以下结合附图通过特定的具体实例说明本发明的实施方式,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,本说明书中的各项细节也可以基于不同观点与应用,在没有背离本发明的精神下进行各种修饰或改变。The following describes the embodiments of the present invention through specific examples in conjunction with the accompanying drawings. Those skilled in the art can easily understand other advantages and effects of the present invention from the content disclosed in this specification. The present invention can also be implemented or applied through other different specific embodiments. Various details in this specification can also be modified or changed in various ways based on different viewpoints and applications without departing from the spirit of the present invention.
需要说明的是,本文中提及的方位词,如上、下、左、右、前、中、后、底、顶、内、外等,均是指图中所示的方位。这是为了描述方便,并不作为对本发明的任何限定。It should be noted that the directional words mentioned in this article, such as up, down, left, right, front, middle, back, bottom, top, inside, outside, etc., all refer to the directions shown in the figure. This is for convenience of description and is not intended to limit the invention in any way.
如图1-图8所示,本发明电圈套器的一个实施例,包括依次电连接的电接头组件6、牵引绳11、圈套丝1、回路电极2、回路丝10、固定螺丝13、鼓簧15和回路连接杆16,所述回路电极2的头部具有一定弧度;还包括具有 两层嵌套结构的鞘管组件,所述回路丝10夹于所述鞘管组件的两层嵌套结构之间。As shown in Figures 1 to 8, one embodiment of the electric snare of the present invention includes an electrical connector assembly 6, a traction rope 11, a snare wire 1, a loop electrode 2, a loop wire 10, a fixing screw 13, and a drum that are electrically connected in sequence. Spring 15 and loop connecting rod 16, the head of the loop electrode 2 has a certain curvature; it also includes a sheath assembly with a two-layer nesting structure, and the loop wire 10 is sandwiched between the two layers of the sheath assembly. between structures.
本实施例中,采用作为发射电极的圈套丝1和回路电极2构成双极等离子圈套器,电流从电接头组件6依次流经牵引绳11、所述圈套丝1、病变组织、回路电极2、回路丝10、固定螺丝13、鼓簧15和回路连接杆16后返回至电接头组件6形成回路,手术时无需在患者身上贴负极板,电流不流经人体,输出的能量为低频等离子能量,无电弧烧伤风险。在进行手术时激发的能量为低频等离子能量,能量对组织的热损伤低,且不会随手术时间的增加而加深,手术过程更为安全。由于回路电极2的头部具有一定弧度,在插入内镜的过程中会起到导向作用,从而使其过弯更顺畅,同时该设计可使回路电极2与病变组织的接触更加充分,形成良好的电流导通效果。In this embodiment, the snare wire 1 as the transmitting electrode and the return electrode 2 are used to form a bipolar plasma snare. The current flows from the electrical connector assembly 6 through the traction rope 11, the snare wire 1, the diseased tissue, the return electrode 2, and The loop wire 10, fixing screw 13, drum spring 15 and loop connecting rod 16 then return to the electrical connector assembly 6 to form a loop. There is no need to attach a negative plate to the patient during surgery, the current does not flow through the human body, and the output energy is low-frequency plasma energy. No risk of arc burns. The energy excited during surgery is low-frequency plasma energy, which causes low thermal damage to tissues and will not deepen with the increase of surgical time, making the surgical process safer. Since the head of the return electrode 2 has a certain curvature, it will play a guiding role during the insertion of the endoscope, thereby making the bending smoother. At the same time, this design can make the return electrode 2 more fully in contact with the diseased tissue, forming a good current conduction effect.
在一个实施例中,所述回路电极2的头部为球形。本实施例中,球形结构在保证恒定弧度的情况下更为圆润光滑,减小插入内镜过程中的阻力,且与病变组织的接触面积更大,也即导电面积更大,电阻更小,更易激发等离子,降低了目前双极等离子电圈套器回路电极为普通不锈钢管设计,手术过程中存在回路电极与组织接触不充分,从而无法激发等离子的风险。In one embodiment, the head of the return electrode 2 is spherical. In this embodiment, the spherical structure is more rounded and smooth while maintaining a constant arc, which reduces the resistance during the insertion of the endoscope, and has a larger contact area with the diseased tissue, that is, the conductive area is larger and the resistance is smaller. It is easier to ignite plasma, which reduces the risk of insufficient contact between the loop electrode and the tissue during the operation, thus failing to ignite plasma. The current bipolar plasma electric snare loop electrode is designed with an ordinary stainless steel tube.
在一个实施例中,如图5所示,所述鞘管组件包括同心的外层鞘管3和内层鞘管8两层结构,所述外层鞘管3通过热缩将所述回路丝10夹紧在所述两层结构之间。本实施例中,鞘管组件为双层管结构设计,使充当刀头的圈套丝1始终处于居中位置,与采用双腔鞘管时圈套丝伸出时为偏心,从而导致内镜下视野存在一定的偏差,使医生的体验效果较差相比,手术时视野更加清晰。外层鞘管3为热缩管,实现回路与发射支路的绝缘,并在鞘管组件整体的外径不会过大的同时,保证了发射腔17具有足够的空间进行工作。In one embodiment, as shown in Figure 5, the sheath assembly includes a concentric two-layer structure of an outer sheath 3 and an inner sheath 8. The outer sheath 3 shrinks the loop wire through heat shrinkage. 10 is clamped between the two layers. In this embodiment, the sheath assembly is designed with a double-layer tube structure, so that the snare wire 1 serving as the cutter head is always in the center position. When the double-lumen sheath is used, the snare wire is eccentric when it extends, resulting in the existence of the endoscopic field of view. A certain deviation makes the doctor's experience less effective than having a clearer view during surgery. The outer sheath 3 is a heat-shrinkable tube, which realizes the insulation between the loop and the launch branch, and ensures that the launch chamber 17 has enough space to work while the overall outer diameter of the sheath assembly will not be too large.
在一个实施例中,如图5所示,所述牵引绳11沿所述外层鞘管3的轴心设置,所述内层鞘管8的内壁与所述牵引绳11之间的空间构成发射腔17。本 实施例中,牵引绳11位于外层鞘管3的中心,由于牵引绳11的头端是与圈套丝1连接的,这样可确保圈套丝1位于中心位置,可扩大手术视野。这种结构还可使发射腔17的截面积最大化,则出水量大且出水缓,使生理盐水与圈套丝1接触更加充分,可保证等离子持续激发,避免目前双极等离子电圈套器的等离子介质生理盐水从非发射腔流出,由于盐水与圈套丝接触不充分而造成的术中隐患。In one embodiment, as shown in Figure 5, the traction rope 11 is arranged along the axis of the outer sheath 3, and the space between the inner wall of the inner sheath 8 and the traction rope 11 constitutes Launch chamber 17. In this embodiment, the traction rope 11 is located at the center of the outer sheath 3. Since the head end of the traction rope 11 is connected to the snare wire 1, this ensures that the snare wire 1 is located in the center and expands the surgical field of view. This structure can also maximize the cross-sectional area of the emission chamber 17, so that the water output is large and slow, making the physiological saline and the snare wire 1 more fully in contact, ensuring continuous plasma excitation, and avoiding the plasma of current bipolar plasma electric snares. The medium saline flows out from the non-launch chamber, which may cause intraoperative risks due to insufficient contact between the saline and the snare wire.
在一个实施例中,如图6所示,所述回路电极2的内径小于所述内层鞘管8的外径,所述内层鞘管8通过挤压变径后插入所述回路电极2的内腔固定,在变径位置8-1处形成限位点8-2,所述限位点8-2适于阻挡用于连接所述圈套丝1与牵引绳11的连接管9向所述内层鞘管8的口部方向移动。本实施例中,限位点8-2可对圈套丝1向左移动起到阻挡和限位的效果,使圈套丝1不会从内层鞘管8中过度伸出,也就精确限定了圈套丝1进入病灶部位的长度,有利于根据手术需要精准调节其进入长度,达到更好的手术效果,同时也解决了目前圈套丝与牵引绳之间的连接管可能会伸出鞘管,从而造成在收回时出现卡顿,不能顺利收回的问题。In one embodiment, as shown in FIG. 6 , the inner diameter of the return electrode 2 is smaller than the outer diameter of the inner sheath 8 , and the inner sheath 8 is reduced in diameter by extrusion and then inserted into the return electrode 2 The inner cavity is fixed, and a limit point 8-2 is formed at the reducing position 8-1. The limit point 8-2 is suitable for blocking the direction of the connecting pipe 9 used to connect the snare wire 1 and the traction rope 11. The mouth direction of the inner sheath 8 moves. In this embodiment, the limit point 8-2 can block and limit the movement of the snare wire 1 to the left, so that the snare wire 1 will not protrude excessively from the inner sheath 8, which is precisely defined. The length of the snare wire 1 entering the lesion is conducive to accurately adjusting its entry length according to surgical needs to achieve better surgical results. It also solves the problem that the current connecting tube between the snare wire and the traction rope may extend out of the sheath, thus This causes problems such as lags during retrieval and inability to retract smoothly.
在一个实施例中,如图6所示,所述回路电极2与所述外层鞘管3之间通过倒齿形结构嵌套连接。本实施例中,回路电极2的与所述外层鞘管3在进行拉拔时倒齿与鞘管之间会产生较大的摩擦力,从而保证其连接强度,降低了目前由于回路电极与鞘管之间为粘接工艺,固化时间较长,同时鞘管材质为PTFE,具有表面不粘性所导致的脱落风险。In one embodiment, as shown in FIG. 6 , the loop electrode 2 and the outer sheath 3 are nested and connected through an inverted tooth-shaped structure. In this embodiment, when the loop electrode 2 and the outer sheath 3 are pulled out, a large friction force will be generated between the inverted teeth and the sheath, thereby ensuring the connection strength and reducing the current problems caused by the loop electrode and the outer sheath 3. The sheaths are bonded together, which takes a long time to cure. At the same time, the sheaths are made of PTFE, which has the risk of falling off due to the non-stick surface.
在一个实施例中,如图3所示,所述内层鞘管8的后端连接有前杆4,所述前杆4的外壁上径向设有灌注腔接口4-1,所述灌注腔接口4-1向内延伸并连通至灌注腔,所述灌注腔与所述内层鞘管8相连通。本实施例中,灌注腔接口4-1通过输液器与袋装生理盐水连接,生理盐水经由内层鞘管8到达圈套丝1,然后从圈套丝1的根部流出,激发等离子效果,同时对圈套丝1进行 收紧,圈套丝1与病灶组织接触,实现病灶组织的切割。In one embodiment, as shown in Figure 3, the rear end of the inner sheath 8 is connected to a front rod 4, and a perfusion chamber interface 4-1 is radially provided on the outer wall of the front rod 4. The cavity interface 4-1 extends inward and is connected to the perfusion cavity, and the perfusion cavity is connected to the inner sheath 8. In this embodiment, the perfusion chamber interface 4-1 is connected to the bagged physiological saline through an infusion set. The physiological saline reaches the snare wire 1 through the inner sheath 8, and then flows out from the root of the snare wire 1, stimulating the plasma effect and simultaneously treating the snare. The wire 1 is tightened, and the snare wire 1 contacts the lesion tissue to realize the cutting of the lesion tissue.
在一个实施例中,如图4所示,所述固定螺丝13可转动地嵌于端套5内,所述前杆4与所述固定螺丝13固定为一体。本实施例中,固定螺丝13与前杆4连接形成一个整体后,相对于端套5和整个手柄7不会发生轴向位移,但是可以进行360°轴向旋转,从而可以在手术时更加方便地调整角度以便对目标组织进行套取,提升了医生手术的便捷性,进而提高了手术的效率,克服了目前双极电圈套器不能进行360°旋转,对操作者的专业性要求较高的缺陷。In one embodiment, as shown in FIG. 4 , the fixing screw 13 is rotatably embedded in the end sleeve 5 , and the front rod 4 and the fixing screw 13 are fixed as one body. In this embodiment, after the fixing screw 13 is connected to the front rod 4 to form a whole, there will be no axial displacement relative to the end sleeve 5 and the entire handle 7, but it can perform 360° axial rotation, making it more convenient during surgery. The angle can be adjusted accurately to snare the target tissue, which improves the convenience of the doctor's surgery, thereby improving the efficiency of the surgery. It overcomes the problem that the current bipolar electric snare cannot rotate 360° and requires high professionalism of the operator. defect.
在一个实施例中,如图4所示,所述回路连接杆16的一端套设固定鼓簧15后紧贴所述端套5的内壁,所述鼓簧15的弹性鼓状外壁与所述固定螺丝13紧密接触,二者之间适于相对转动。本实施例中,鼓簧15为弹性设计,从而保证固定螺丝13与鼓簧15在随着前杆4进行旋转时始终处于电接通的状态,同时也不干扰旋转进行。In one embodiment, as shown in Figure 4, one end of the loop connecting rod 16 is sleeved with a fixed drum spring 15 and then closely adheres to the inner wall of the end sleeve 5. The elastic drum-shaped outer wall of the drum spring 15 is in contact with the said drum spring 15. The fixing screw 13 is in close contact and is suitable for relative rotation. In this embodiment, the drum spring 15 is elastically designed to ensure that the fixing screw 13 and the drum spring 15 are always in an electrically connected state when the front rod 4 rotates, and at the same time, it does not interfere with the rotation.
在一个实施例中,如图4所示,所述固定螺丝13的内孔中嵌套有绝缘管14,所述回路丝10挤压在所述固定螺丝13与绝缘管14之间。本实施例中,实现回路丝10与固定螺丝13的电导通,同时保证了发射支路与回路之间的绝缘效果。In one embodiment, as shown in FIG. 4 , an insulating tube 14 is nested in the inner hole of the fixing screw 13 , and the circuit wire 10 is squeezed between the fixing screw 13 and the insulating tube 14 . In this embodiment, electrical conduction between the loop wire 10 and the fixing screw 13 is achieved, while ensuring the insulation effect between the transmitting branch and the loop.
在一个实施例中,如图4所示,所述前杆4的后端用于连接所述固定螺丝13的螺纹孔末端设有台阶孔,所述台阶孔内紧配有密封垫12,所述固定螺丝13上涂覆有螺纹胶。本实施例中,密封垫12可提高密封效果,螺纹胶可提升紧固性。In one embodiment, as shown in Figure 4, the rear end of the front rod 4 is provided with a step hole at the end of the threaded hole for connecting the fixing screw 13, and a sealing gasket 12 is tightly fitted inside the step hole. The fixing screws 13 are coated with thread glue. In this embodiment, the sealing gasket 12 can improve the sealing effect, and the thread glue can improve the tightness.
在一个实施例中,如图4所示,所述密封垫12与所述固定螺丝13之间设有塑料垫片。本实施例中,塑料垫片可防止推拉过程中密封垫12发生较大的变形,从而保证其密封性。In one embodiment, as shown in FIG. 4 , a plastic gasket is provided between the sealing gasket 12 and the fixing screw 13 . In this embodiment, the plastic gasket can prevent the sealing gasket 12 from being greatly deformed during the pushing and pulling process, thereby ensuring its sealing performance.
在一个实施例中,所述回路连接杆16与所述鼓簧15之间通过锡焊连接。 本实施例中,鼓簧15可采用黄铜材质,锡焊可保证其连接强度,电导通性良好。In one embodiment, the circuit connecting rod 16 and the drum spring 15 are connected by soldering. In this embodiment, the drum spring 15 can be made of brass, and soldering can ensure its connection strength and good electrical conductivity.
在一个实施例中,如图1、图3和图8所示,所述电接头组件6包括第一电接头6-1和第二电接头6-2,所述第一电接头6-1与回路连接杆16所述电连接,所述第二电接头6-2与所述牵引绳11电连接;所述第一电接头6-1为弹簧针,以使所述回路连接杆16适于在前后滑动过程中保持与所述第一电接头6-1的电连接。本实施例中,第一电接头6-1的弹簧针的材质可为黄铜,可进行弹性伸缩,保证弹簧针与回路连接杆16始终保持接触,从而保证具备良好的导电性能,而非固定式连接也令回路连接杆16在维持电性能的同时进行前后滑动,方便实现圈套丝1的释放与收回。In one embodiment, as shown in Figures 1, 3 and 8, the electrical connector assembly 6 includes a first electrical connector 6-1 and a second electrical connector 6-2. The first electrical connector 6-1 The second electrical connector 6-2 is electrically connected to the loop connecting rod 16, and the second electrical connector 6-2 is electrically connected to the traction rope 11; the first electrical connector 6-1 is a spring pin, so that the loop connecting rod 16 is suitable for The electrical connection with the first electrical connector 6-1 is maintained during the sliding process back and forth. In this embodiment, the spring pin of the first electrical connector 6-1 can be made of brass and can be elastically expanded and contracted to ensure that the spring pin is always in contact with the loop connecting rod 16, thereby ensuring good electrical conductivity and not being fixed. The type connection also allows the loop connecting rod 16 to slide forward and backward while maintaining electrical performance, so as to facilitate the release and retraction of the snare wire 1.
在一个实施例中,如图8所示,所述弹簧针与所述回路连接杆16接触的端面为平面。本实施例中,弹簧针的端面的平面与回路连接杆16的圆柱面之间的接触为线接触,相对于点接触提升导电稳定性。In one embodiment, as shown in FIG. 8 , the end surface of the spring pin that contacts the loop connecting rod 16 is flat. In this embodiment, the contact between the flat surface of the end surface of the spring pin and the cylindrical surface of the loop connecting rod 16 is a line contact, which improves the conductive stability compared to point contact.
在一个实施例中,所述回路电极2与所述回路丝10之间激光焊接。本实施例中,激光焊接可保证回路电极2与回路丝10之间始终处于导通状态,克服了目前回路电极与回路丝之间通过挤压形成导通所存在的接触不良的风险。In one embodiment, the return electrode 2 and the return wire 10 are laser welded. In this embodiment, laser welding can ensure that the loop electrode 2 and the loop wire 10 are always in a conductive state, overcoming the current risk of poor contact that exists between the loop electrode and the loop wire through extrusion to form conduction.
在一个实施例中,使用过程如下:In one embodiment, the usage process is as follows:
附件连接线的一端与电接头组件6连接,另一端连接至等离子射频治疗仪获取能量;当圈套丝1通过手柄7套取病灶组织并收紧后(收紧的同时踩切割脚踏)输出能量,电流会从第二电接头6-2经由牵引绳11到圈套丝1,流经病变组织后经由回路电极2、回路丝10、固定螺丝13、鼓簧15和回路连接杆16返回到第一电接头6-1形成电流回路,同时生理盐水会通过灌注腔接口4-1进入,经由内管8到达圈套丝1,然后从圈套丝1根部流出,激发等离子效果,同时对圈套丝1进行收紧,实现病灶组织的切割。圈套丝1取完病 灶组织并收回后,可使圈套丝1的尖端处于刚好露出外侧鞘管3的位置,这样可在凝血时使回路电极2与目标组织的接触更加充分,从而实现快速有效的凝血,降低了患者风险的同时提高了手术的效率。在手术时,如果由于套圈方向角度的问题造成套取较为困难时,可以对手柄7进行旋转,从而得到一个最佳的角度。One end of the accessory connection line is connected to the electrical connector assembly 6, and the other end is connected to the plasma RF therapy device to obtain energy; when the snare wire 1 is passed through the handle 7 to take the lesion tissue and tighten it (while tightening, step on the cutting pedal) to output energy. , the current will flow from the second electrical connector 6-2 to the snare wire 1 via the traction rope 11, and then return to the first via the loop electrode 2, the loop wire 10, the fixing screw 13, the drum spring 15 and the loop connecting rod 16 after flowing through the diseased tissue. The electrical connector 6-1 forms a current loop. At the same time, the physiological saline will enter through the perfusion chamber interface 4-1, reach the snare wire 1 through the inner tube 8, and then flow out from the root of the snare wire 1, stimulating the plasma effect and retracting the snare wire 1 at the same time. Tight to achieve cutting of the diseased tissue. After the snare wire 1 has taken out the lesion tissue and retracted, the tip of the snare wire 1 can be placed in a position just exposing the outer sheath 3. This can make the loop electrode 2 more fully in contact with the target tissue during coagulation, thereby achieving rapid and effective treatment. Coagulation reduces patient risk while improving surgical efficiency. During the operation, if it is difficult to pull the ferrule due to the direction and angle of the ferrule, the handle 7 can be rotated to obtain an optimal angle.
以上所述仅为本发明的较佳实施例,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above are only preferred embodiments of the present invention and are not intended to limit the present invention. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles of the present invention shall be included in the protection of the present invention. within the range.

Claims (16)

  1. 一种电圈套器,其特征在于,包括依次电连接的电接头组件、牵引绳、圈套丝、回路电极、回路丝、固定螺丝、鼓簧和回路连接杆,所述回路电极的头部具有一定弧度;还包括具有两层嵌套结构的鞘管组件,所述回路丝夹于所述鞘管组件的两层嵌套结构之间。An electric snare, which is characterized in that it includes an electrical joint assembly, a traction rope, a snare wire, a loop electrode, a loop wire, a fixing screw, a drum spring and a loop connecting rod that are electrically connected in sequence. The head of the loop electrode has a certain Radian; also includes a sheath assembly having a two-layer nesting structure, and the loop wire is sandwiched between the two-layer nesting structure of the sheath assembly.
  2. 根据权利要求1所述的电圈套器,其特征在于,所述回路电极的头部为球形。The electric snare according to claim 1, characterized in that the head of the return electrode is spherical.
  3. 根据权利要求1所述的电圈套器,其特征在于,所述鞘管组件包括同心的外层鞘管和内层鞘管两层结构,所述外层鞘管通过热缩将所述回路丝夹紧在所述两层结构之间。The electric snare according to claim 1, characterized in that the sheath assembly includes a concentric two-layer structure of an outer sheath and an inner sheath, and the outer sheath shrinks the loop wire through heat shrinkage. Clamped between the two layers.
  4. 根据权利要求3所述的电圈套器,其特征在于,所述牵引绳沿所述外层鞘管的轴心设置,所述内层鞘管的内壁与所述牵引绳之间的空间构成发射腔。The electric snare according to claim 3, characterized in that the traction rope is arranged along the axis of the outer sheath, and the space between the inner wall of the inner sheath and the traction rope forms a launch cavity.
  5. 根据权利要求3所述的电圈套器,其特征在于,所述回路电极的内径小于所述内层鞘管的外径,所述内层鞘管通过挤压变径后插入所述回路电极的内腔固定,在变径位置处形成限位点,所述限位点适于阻挡用于连接所述圈套丝与牵引绳的连接管向所述内层鞘管的口部方向移动。The electric snare according to claim 3, characterized in that the inner diameter of the return electrode is smaller than the outer diameter of the inner sheath, and the inner sheath is inserted into the return electrode after being reduced in diameter by extrusion. The inner cavity is fixed, and a limit point is formed at the diameter reduction position. The limit point is suitable for blocking the connecting tube used to connect the snare wire and the traction rope from moving toward the mouth of the inner sheath.
  6. 根据权利要求3所述的电圈套器,其特征在于,所述回路电极与所述外层鞘管之间通过倒齿形结构嵌套连接。The electric snare according to claim 3, characterized in that the loop electrode and the outer sheath are nested and connected through an inverted tooth-shaped structure.
  7. 根据权利要求3所述的电圈套器,其特征在于,所述内层鞘管的后端连接有前杆,所述前杆的外壁上径向设有灌注腔接口,所述灌注腔接口向内延伸并连通至灌注腔,所述灌注腔与所述内层鞘管相连通。The electric snare according to claim 3, characterized in that the rear end of the inner sheath is connected to a front rod, and a perfusion chamber interface is radially provided on the outer wall of the front rod, and the perfusion chamber interface faces Extends inward and is connected to the perfusion chamber, and the perfusion chamber is connected with the inner sheath.
  8. 根据权利要求7所述的电圈套器,其特征在于,所述固定螺丝可转动地嵌于端套内,所述前杆与所述固定螺丝固定为一体。The electric snare according to claim 7, characterized in that the fixing screw is rotatably embedded in the end sleeve, and the front rod and the fixing screw are fixed as one body.
  9. 根据权利要求8所述的电圈套器,其特征在于,所述回路连接杆的一端套设固定鼓簧后紧贴所述端套的内壁,所述鼓簧的弹性鼓状外壁与所述固 定螺丝紧密接触,二者之间适于相对转动。The electric snare according to claim 8, characterized in that, one end of the circuit connecting rod is sleeved with a fixed drum spring and closely adheres to the inner wall of the end sleeve, and the elastic drum-shaped outer wall of the drum spring is in contact with the fixed drum spring. The screws are in close contact and are suitable for relative rotation.
  10. 根据权利要求8所述的电圈套器,其特征在于,所述固定螺丝的内孔中嵌套有绝缘管,所述回路丝挤压在所述固定螺丝与绝缘管之间。The electric snare according to claim 8, characterized in that an insulating tube is nested in the inner hole of the fixing screw, and the circuit wire is squeezed between the fixing screw and the insulating tube.
  11. 根据权利要求7所述的电圈套器,其特征在于,所述前杆的后端用于连接所述固定螺丝的螺纹孔末端设有台阶孔,所述台阶孔内紧配有密封垫,所述固定螺丝上涂覆有螺纹胶。The electric snare according to claim 7, characterized in that the rear end of the front rod is provided with a stepped hole at the end of the threaded hole for connecting the fixing screw, and a sealing gasket is tightly fitted inside the stepped hole. The fixing screws are coated with thread glue.
  12. 根据权利要求11所述的电圈套器,其特征在于,所述密封垫与所述固定螺丝之间设有塑料垫片。The electric snare according to claim 11, characterized in that a plastic gasket is provided between the sealing gasket and the fixing screw.
  13. 根据权利要求9所述的电圈套器,其特征在于,所述回路连接杆与所述鼓簧之间通过锡焊连接。The electric snare according to claim 9, characterized in that the circuit connecting rod and the drum spring are connected by soldering.
  14. 根据权利要求1所述的电圈套器,其特征在于,所述电接头组件包括第一电接头和第二电接头,所述第一电接头与回路连接杆所述电连接,所述第二电接头与所述牵引绳电连接;所述第一电接头为弹簧针,以使所述回路连接杆适于在前后滑动过程中保持与所述第一电接头的电连接。The electric snare according to claim 1, wherein the electrical connector assembly includes a first electrical connector and a second electrical connector, the first electrical connector is electrically connected to the loop connecting rod, and the second electrical connector is electrically connected to the circuit connecting rod. The electrical connector is electrically connected to the traction rope; the first electrical connector is a spring pin, so that the loop connecting rod is adapted to maintain an electrical connection with the first electrical connector during sliding forward and backward.
  15. 根据权利要求14所述的电圈套器,其特征在于,所述弹簧针与所述回路连接杆接触的端面为平面。The electric snare according to claim 14, characterized in that the end surface of the spring pin in contact with the circuit connecting rod is flat.
  16. 根据权利要求13所述的电圈套器,其特征在于,所述回路电极与所述回路丝之间激光焊接。The electric snare according to claim 13, characterized in that the loop electrode and the loop wire are laser welded.
PCT/CN2022/097441 2022-06-07 2022-06-07 Electric snare WO2023236057A1 (en)

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4311143A (en) * 1978-10-12 1982-01-19 Olympus Optical Co., Ltd. Apparatus for resecting tissue inside the body cavity utilizing high-frequency currents
US20130110090A1 (en) * 2011-10-31 2013-05-02 Boston Scientific Scimed, Inc. Rotatable medical device
CN204049837U (en) * 2014-08-12 2014-12-31 杭州安杰思医学科技有限公司 Medical electric snare
CN107693113A (en) * 2017-10-27 2018-02-16 上海诺英医疗器械有限公司 A kind of low-temperature plasma snare knife surgery systems and method
CN109907817A (en) * 2018-10-27 2019-06-21 上海诺英医疗器械有限公司 A kind of low-temperature plasma snare knife surgical apparatus
CN112168333A (en) * 2020-09-21 2021-01-05 扬州发特利医疗器械科技有限公司 Bipolar electric snare
CN215018830U (en) * 2020-09-21 2021-12-07 扬州发特利医疗器械科技有限公司 Bipolar electric snare

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4311143A (en) * 1978-10-12 1982-01-19 Olympus Optical Co., Ltd. Apparatus for resecting tissue inside the body cavity utilizing high-frequency currents
US20130110090A1 (en) * 2011-10-31 2013-05-02 Boston Scientific Scimed, Inc. Rotatable medical device
CN204049837U (en) * 2014-08-12 2014-12-31 杭州安杰思医学科技有限公司 Medical electric snare
CN107693113A (en) * 2017-10-27 2018-02-16 上海诺英医疗器械有限公司 A kind of low-temperature plasma snare knife surgery systems and method
CN109907817A (en) * 2018-10-27 2019-06-21 上海诺英医疗器械有限公司 A kind of low-temperature plasma snare knife surgical apparatus
CN112168333A (en) * 2020-09-21 2021-01-05 扬州发特利医疗器械科技有限公司 Bipolar electric snare
CN215018830U (en) * 2020-09-21 2021-12-07 扬州发特利医疗器械科技有限公司 Bipolar electric snare

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