Electric coagulation hemostat for scab scraping electric coagulation head and hepatobiliary surgeryTechnical Field
The invention relates to the technical field of medical auxiliary instruments, in particular to an electric coagulation hemostat for scab scraping electric coagulation head and hepatobiliary surgery.
Background
In clinical hepatobiliary surgery, hemostasis is required to be performed on a wound immediately after a surgical knife is used for cutting a section of the patient, and under normal conditions, bleeding caused by small blood vessel damage can stop within a few minutes, which is called physiological hemostasis. The conventional hemostasis method for the hepatobiliary surgery is an electric coagulation hemostasis method, and the electrocoagulation hemostasis method has the advantages of simplicity in operation, time saving, economy and the like when the surgical field is large, but a large amount of smoke is generated in the operation of the electric coagulation hemostasis method, the operation field is blurred due to the smoke when the surgical field is small, the operation time is prolonged, and the conventional hemostat for the hepatobiliary surgery cannot be quickly replaced and suitable for different operation fields according to different operation fields. In addition, when the electric coagulation hemostasis probe is adopted, a plurality of scabs are often adhered to the electric coagulation hemostasis probe, the hemostat in the prior art has no scab erasing structure, the use is inconvenient, and the hemostasis effect of the electric coagulation hemostasis probe can be influenced by the adhesion of the scabs on the electric coagulation hemostasis probe.
Disclosure of Invention
The invention aims to solve the technical problems and provide an electric coagulation hemostat for scab scraping electric coagulation head and hepatobiliary surgery.
In order to solve the technical problems, the invention adopts the technical scheme that: the utility model provides a scrape scab electricity congeals head, includes electricity congeals stick and reducing head, and the big footpath end of reducing head is provided with connects portion soon, and the footpath end port department of reducing head articulates and is provided with two scab boards of scraping, scrapes the scab board and can only rotate to reducing head inside, and two one ends of scraping the relative scab board are provided with and dodge the hole, and under the initial condition, two scrape the scab board and be in coplanar state, seal the path end port of reducing head, the electricity congeals the stick and passes two through-hole settings of dodging the hole constitution.
As a further optimization of the scab scraping electrocoagulation head of the invention: the inner wall of the small-diameter end of the reducing head is provided with an avoiding groove, and the scab scraping plate is hinged in the avoiding groove of the reducing head through a pin shaft.
As a further optimization of the scab scraping electrocoagulation head of the invention: and the inner wall of the reducing head is provided with a return spring at the inner side of the scab scraping plate hinge shaft, the return spring does not deform in an initial state, and the two scab scraping plates are positioned on the same plane.
As a further optimization of the scab scraping electrocoagulation head of the invention: the edge of the avoiding hole of the scab scraping plate is provided with an inward-arranged cutting edge.
An electro-coagulation hemostat for hepatobiliary surgery: scrape scab electricity congeals head including insulating outer tube, conducting rod and the aforesaid, scrape scab electricity congeals head and connect the portion setting at the head end of insulating outer tube soon through it, the conducting rod is worn to establish in insulating outer tube, and the head end of conducting rod is connected with the electricity congeals stick of electricity congeals head, and the tail end and the power of conducting rod are connected, and the conducting rod can move along the axis in insulating outer tube, and then drives the electricity congeals stick and stretch out or retract inside the reducing head.
The electro-coagulation hemostat for hepatobiliary surgery is further optimized as follows: the movement of the conducting rod is controlled through the control assembly, the control assembly comprises a connecting rod and a control panel, a long-strip-shaped through hole is formed in the side wall of the tail end of the insulating outer sleeve along the length direction of the connecting rod, the connecting rod penetrates through the through hole, one end of the connecting rod is fixedly connected with the conducting rod, the other end of the connecting rod is connected with the control panel, and a recovery spring is arranged between the tail end of the conducting rod and the insulating.
The electro-coagulation hemostat for hepatobiliary surgery is further optimized as follows: the device comprises two control components which are symmetrically arranged, and the control panel is an arc-shaped plate which is suitable for the outer wall of an insulating outer sleeve.
The electro-coagulation hemostat for hepatobiliary surgery is further optimized as follows: the multifunctional head comprises an annular body, a sound source piece and a suction head, wherein the sound source piece and the suction head are arranged on the annular body, the sound frequency of the sound source piece is 2-3kHz, and the suction head is connected with a negative pressure suction source through a pipeline.
The electro-coagulation hemostat for hepatobiliary surgery is further optimized as follows: the adjustable control assembly comprises a base, a rotary seat and a button, the base is fixedly arranged on the outer wall of the insulating outer sleeve, a circular groove is formed in the upper end face of the base, the rotary seat is rotatably embedded in the circular groove of the base, the rotary seat comprises an upper seat body and a lower seat body, the upper seat body and the lower seat body can rotate relatively, the button is arranged on the upper seat body, three metal elastic insertion rods are arranged on the lower end face of the button, one metal elastic insertion rod is located at the center of the button, the other two metal elastic insertion rods are symmetrically arranged on two sides of the metal elastic insertion rod, an electrocoagulation conducting assembly, a sound source conducting assembly and a suction conducting assembly are arranged in the lower seat body, and the electrocoagulation conducting assembly, the sound source conducting assembly and the suction conducting assembly respectively comprise a first contact rod and a second contact rod which are arranged oppositely, the opposite ends of the first contact bar and the second contact bar form a conduction position, and the three metal elastic insertion rods are correspondingly arranged above the conduction positions of the three conduction assemblies respectively.
Advantageous effects
The scab scraping electric coagulation head has a scab scraping function, when a control plate is upwards pulled to drive an electric coagulation rod to retract into a reducing head when the electric coagulation rod is adhered with a scab in the process of electric coagulation hemostasis operation, the scab scraping plate can rotate inwards when the electric coagulation rod passes through a through hole, so the scab cannot be scraped in the retracting process, after the electric coagulation rod is completely retracted into the reducing head, the control plate is loosened, a guide rod moves to an initial position under the action of a restoring spring to drive the electric coagulation rod to extend out of the reducing head, and in the process of extending out the reducing head, the scab scraping plate cannot rotate outwards, so the scab adhered to the electric coagulation rod is scraped by a blade at the edge of the through hole and is stored in an internal cavity of the reducing head, the whole scab scraping process is very quick, and the control plate needs to be pulled and loosened, the scraped scab can not fall into the body of the patient;
the electrocoagulation hemostat for the hepatobiliary surgery is provided with the sound source part, the sound source part emits sound waves with the frequency of 2-3kHz when the electrocoagulation operation is carried out, smoke generated in the electrocoagulation operation process is agglomerated at the beginning of the occurrence through the agglomeration mechanism of the sound waves, the scale of the formed smoke is reduced, the large-range diffusion of the smoke is avoided, and the smoke is favorably sucked away at the beginning of the formed smoke;
thirdly, the electrocoagulation hemostat for hepatobiliary surgery of the invention is designed with a skillful adjustable control assembly, different electrocoagulation operation modes in the hemostasis process can be switched through the assembly, the electrocoagulation operation modes are divided into two modes according to different operation environment requirements, namely a single electrocoagulation mode and an electrocoagulation + suction mode, the single electrocoagulation mode does not need to suck smoke, the conduction positions of a sound source conduction assembly and a suction conduction assembly can be corresponding to or staggered with a metal elastic inserted bar on a button by rotating a lower base body of a rotating base in the adjustable control assembly, when the conduction positions of the sound source conduction assembly and the suction conduction assembly are staggered with a metal elastic inserted bar on the button, the button is pressed, the sound source conduction assembly and the suction conduction assembly are not conducted, at the moment, the sound source piece and a suction head do not work, the single electrocoagulation mode is realized, when the conduction positions of the sound source conduction assembly and the suction conduction assembly correspond to the metal elastic inserted bar on the button, and the button is pressed to conduct the sound source conducting assembly and the suction conducting assembly, and at the moment, the electrocoagulation, the sound source piece and the suction head work simultaneously, so that an electrocoagulation and suction mode is realized.
Drawings
FIG. 1 is a schematic diagram of the internal structure of a scab scraping electrocoagulation head (without a return spring);
FIG. 2 is a schematic diagram of the internal structure of the scab scraping electrocoagulation head (with a return spring);
FIG. 3 is a schematic diagram of the internal structure of the scab scraping electrocoagulation head (scab scraping plate in a turned state);
FIG. 4 is a schematic diagram of a scab scraping plate in the scab scraping electrocoagulation head;
FIG. 5 is a schematic diagram of the construction of the conductive rod in the electrocoagulation hemostat;
FIG. 6 is a schematic view showing the connection relationship between the electrocoagulation head and the insulating outer sleeve in the electrocoagulation device;
FIG. 7 is a schematic diagram of the internal structure of the electrocoagulation device (initial state);
FIG. 8 is a schematic diagram of the internal structure of the electro-coagulation hemostat (retracted state);
FIG. 9 is a schematic diagram of the internal structure of the electro-coagulation hemostat (with scab retracted state);
FIG. 10 is a schematic view of the internal structure of the electrocoagulation device (eschar-scraping state);
FIG. 11 is a schematic view of the internal structure of the lower housing of the adjustable manipulation assembly of the electrocoagulation device;
FIG. 12 is a schematic diagram of the internal structure of an adjustable manipulation assembly (electrocoagulation + smoke abatement mode) in the electrocoagulation hemostat;
FIG. 13 is a schematic diagram of the internal structure of an adjustable manipulation assembly (electrocoagulation mode) in the electrocoagulation device;
FIG. 14 is a schematic partial structure of the head end of an electrocoagulation device (with multifunctional head);
the labels in the figure are: 1. the electric coagulation rod comprises an electriccoagulation rod body 2, a reducinghead 3, ascab scraping plate 4, areset spring 5, an insulatingouter sleeve pipe 6, a conductingrod 7, acontrol assembly 8, amultifunctional head 9, anadjustable control assembly 10, afirst contact rod 11, a second contact rod 3-1, a avoiding hole 7-1, a connecting rod 7-2, a control plate 7-3, a recovery spring 8-1, an annular body 8-2, a sound source piece 8-3, a suction head 9-1, a base 9-2, a rotary seat 9-3, a button 9-4, an upper seat body 9-5, a lower seat body 9-6 and a metal elastic inserted rod.
Detailed Description
The technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention.
Example 1
As shown in the figure: a scab scraping electrocoagulation head comprises anelectrocoagulation rod 1 and a reducinghead 2. The reducinghead 2 is of a cylindrical structure, a screwing part is arranged at the large-diameter end of the reducinghead 2, threads are arranged on the outer wall of the screwing part, twoscab scraping plates 3 are hinged to the small-diameter end of the reducinghead 2, thescab scraping plates 3 can only rotate towards the inside of the reducinghead 2, avoiding holes 3-1 are formed in the opposite ends of the twoscab scraping plates 3, the twoscab scraping plates 3 are in the same plane state in an initial state, the small-diameter end of the reducinghead 2 is sealed, and theelectrocoagulation rod 1 penetrates through a through hole formed by the two avoiding holes 3-1.
Theelectrocoagulation rod 1 and the reducinghead 2 are in a mutually separated relation and do not have a direct connection relation, the twoscab scraping plates 3 are equivalent to a 'door' arranged at the small-diameter end port of the reducinghead 2, in a normal state, the twoscab scraping plates 3 are always in the same plane state, namely, the small-diameter end port of the reducinghead 2 is sealed, the avoiding hole 3-1 is equivalent to a hole formed in the 'door', and theelectrocoagulation rod 1 penetrates through the hole.
In order to realize the purpose that thescab scraping plate 3 can only rotate towards the inside of the reducinghead 2, the following structures are specially designed: the inner wall of the small-diameter end of the reducinghead 2 is provided with an avoiding groove, and thescab scraping plate 3 is hinged in the avoiding groove of the reducinghead 2 through a pin shaft. The structure can ensure that thescab scraping plate 3 can be blocked by the side edge of the avoiding groove when trying to rotate towards the outer part of the reducinghead 2, thereby achieving the purpose of only one-way patent,
in order to enable thescab scraping plate 3 to have a driving force for restoring to an initial position after rotating, areturn spring 4 is arranged on the inner wall of the reducinghead 2 and positioned on the inner side of a hinge shaft of thescab scraping plate 3, thereturn spring 4 is not deformed in an initial state, the twoscab scraping plates 3 are positioned on the same plane, thereturn spring 4 is compressed after thescab scraping plates 3 rotate inwards under the action of external force, and thescab scraping plates 3 quickly return to the initial position under the action of thereturn spring 4 after the external force applied to thescab scraping plates 3 disappears.
Besides the return spring, it can be realized by providing a torsion spring at the hinge shaft.
In order to facilitate the removal of blood scabs adhered on theelectrocoagulation rod 1, the edge of the avoiding hole 3-1 of thescab scraping plate 3 is provided with an inward arranged knife edge. When theelectrocoagulation rod 1 extends out of the reducinghead 2, the edge of the avoidance hole 3-1 scrapes the blood scab off theelectrocoagulation rod 1.
The structural principle of the scab scraping electrocoagulation head of the embodiment is as follows: the scab scraping electrocoagulation head of the embodiment is matched with other parts of an electrocoagulation device for use, before the use, an electrocoagulation rod and a conducting rod are required to be fixed together, the fixing mode can adopt any structural form of screwing, clamping and the like in the prior art, then a variable diameter head is screwed on the electrocoagulation device, in the process of electrocoagulation hemostasis operation, when the electrocoagulation rod is adhered with scabs, the electrocoagulation rod is driven to retract into the variable diameter head by upwards pulling a control plate, at the moment, the scab scraping plate can rotate inwards when the electrocoagulation rod passes through a through hole due to the adhesion of the scab on the electrocoagulation rod, therefore, the scab can not be scraped in the retracting process, after the electrocoagulation rod is completely retracted into the variable diameter head, the control plate is loosened, under the action of a restoring spring, a guide rod moves to an initial position to drive the electrocoagulation rod to extend out the variable diameter head, and in the process of extending out of the scab scraping plate, the variable diameter head can not rotate outwards, therefore, in the process of passing through the through hole, the scab adhered to the electrocoagulation rod is scraped by the blade at the edge of the through hole and is stored in the inner cavity of the reducing head, the whole scab scraping process is very quick, the control plate needs to be lifted and loosened, and the scraped scab cannot fall into the body of a patient.
Example 2
As shown in the figure: the utility model provides a hepatobiliary surgery is with electric coagulation haemostat, scrape scab electricity congeals head in insulatingouter tube 5, conductingrod 6 and theembodiment 1, scrape scab electricity congeals the head and set up at the head end of insulatingouter tube 5 through its portion of connecing soon, conductingrod 6 wears to establish in insulatingouter tube 5, the head end of conductingrod 6 is connected withelectricity congeals stick 1 of electricity congeals head, the tail end and the power of conductingrod 6 are connected, conductingrod 6 can remove along the axis in insulatingouter tube 5, and then it stretches out or retracts inside reducinghead 2 to driveelectricity congeals stick 1.
How to realize the movement control of the conductingrod 6 can be realized in many structural forms in the prior art, and the following specific structure is given in the present embodiment, but it should be noted that the structure is not limited to this structure.
The movement of the conductingrod 6 is controlled through thecontrol component 7, thecontrol component 7 comprises an insulating ring 7-4, a connecting rod 7-1 and a control panel 7-2, a long-strip-shaped through hole is formed in the side wall of the tail end of the insulatingouter sleeve 5 along the length direction of the insulating outer sleeve, an annular groove is formed in the position, corresponding to the long-strip-shaped through hole, of the conductingrod 6, the insulating ring 7-4 is sleeved in the annular groove, the connecting rod 7-1 penetrates through the long-strip-shaped through hole, one end of the connecting rod is fixedly connected with the insulating ring 7-4 of the conductingrod 6, the other end of the connecting rod is connected with the control.
The control plate 7-2 is moved manually, the conductingrod 6 is driven to perform axial displacement under the action of the connecting rod 7-1, specifically, the control plate 7-2 is lifted, the conductingrod 6 moves towards the tail of the insulatingouter sleeve 5 in the lifting process to drive theelectrocoagulation rod 1 to retract into the reducer head, and after the control plate 7-2 is loosened, the conductingrod 6 is restored to the initial position under the action of the restoring spring 7-3.
The connecting rod 7-1 does not need to be made of insulating materials, the structure is mainly convenient for later processing and manufacturing, and the played structure is not greatly different from the structure.
Two control assemblies can be symmetrically arranged, and the control plate 7-2 is an arc-shaped plate which is suitable for the outer wall of the insulatingouter sleeve 5, so that the appearance of the whole device is relatively harmonious, and the occupied space is smaller.
The head end of the insulatingouter sleeve 5 is further sleeved with amultifunctional head 8, themultifunctional head 8 comprises an annular body 8-1, a sound source part 8-2 and a suction head 8-3, the sound source part 8-2 and the suction head 8-3 are arranged on the annular body 8-1, the sound production frequency of the sound source part 8-2 is 2-3kHz, and the suction head 8-3 is connected with a negative pressure suction source through a pipeline.
Themultifunctional head 8 is an auxiliary accessory for increasing the function of the hemostat, the sound source part is used for emitting sound waves with the frequency of 2-3kHz when the electrocoagulation operation is carried out, and smoke generated in the electrocoagulation operation process is agglomerated at the beginning of appearance through the agglomeration mechanism of the sound waves, so that the formation scale of the smoke is reduced, the large-range diffusion of the smoke is avoided, and the smoke is favorably sucked away at the beginning of the formation of the smoke.
Due to the different surgical conditions, it is not necessary to perform a smoke purge for each hemostasis operation, and when a smoke purge is not required, the sound source element 8-2 and the suction head 8-3 are not necessary to work. And the operation of the suction head can affect the pneumoperitoneum effect of the patient. Thus, the suction head 8-3 is not activated when not needed.
In order to adapt to different use environments, the hemostat of the embodiment designs two modes, namely a single electrocoagulation mode and an electrocoagulation + suction mode, wherein the single electrocoagulation mode does not need to suck smoke.
In this embodiment, the switching and control of the two modes are specifically realized through the following structure: the switching and control of two modes of single-electrocoagulation operation, electrocoagulation operation and smoke abatement operation are realized through an adjustable control assembly 9, the adjustable control assembly 9 comprises a base 9-1, a rotary seat 9-2 and a button 9-3, the base 9-1 is fixedly arranged on the outer wall of an insulating outer sleeve 5, the upper end surface of the base 9-1 is provided with a circular groove, the rotary seat 9-2 is rotatably embedded in the circular groove of the base 9-1, the rotary seat 9-2 is composed of an upper seat body 9-4 and a lower seat body 9-5, the upper seat body 9-4 and the lower seat body 9-5 can relatively rotate, the button 9-3 is arranged on the upper seat body 9-4, the lower end surface of the button 9-3 is provided with three metal elastic insertion rods 9-6, one metal elastic insertion rod 9-6 is positioned at the center position of the button 9-3, the other two metal elastic insertion rods 9-6 are symmetrically arranged at two sides of the metal elastic insertion rod 9-6, an electrocoagulation conducting assembly, a sound source conducting assembly and an attraction conducting assembly are arranged in the lower seat body 9-5, the electrocoagulation conducting assembly, the sound source conducting assembly and the attraction conducting assembly respectively comprise a first contact rod 10 and a second contact rod 11 which are oppositely arranged, a conducting position is formed between opposite ends of the first contact rod 10 and the second contact rod 11, and the three metal elastic insertion rods 9-6 are respectively and correspondingly arranged above the conducting positions of the three conducting assemblies.
The metal elastic insertion rod 9-6 is a common part in the field of connectors, can play a role in conducting, and is of an elastic telescopic structure, and when conducting, the elastic telescopic structure can be tightly abutted against the contact rod.
Thefirst contact bar 10 and thesecond contact bar 11 of the electrocoagulation conducting assembly are respectively connected with a circuit of an electrocoagulation power supply system, and the conduction of the electrocoagulation power supply system can be realized through the conduction of the two contact bars, namely, an electrocoagulation power supply circuit is cut off through thefirst contact bar 10 and thesecond contact bar 11, when the two contact bars are conducted, the conduction of the power supply circuit is realized, and the connection of thefirst contact bar 10 and thesecond contact bar 11 with the circuit of the electrocoagulation power supply system does not belong to the innovation point of the invention, so the detailed description is not given.
Thefirst feeler lever 10 and thesecond feeler lever 11 of the sound source conduction assembly are respectively connected with the circuit of the sound source power supply system, the conduction of the sound source power supply system can be realized through the conduction of the two feeler levers, and the connection of thefirst feeler lever 10 and thesecond feeler lever 11 with the circuit of the sound source power supply system does not belong to the innovation point of the invention, so the detailed description is not needed.
Thefirst feeler lever 10 and thesecond feeler lever 11 of the attraction conduction assembly are respectively connected with the line of the attraction power supply system, and the conduction of the attraction power supply system can be realized through the conduction of the two feeler levers, and the connection of thefirst feeler lever 10 and thesecond feeler lever 11 with the line of the attraction power supply system does not belong to the innovation point of the invention, so the detailed description is not needed.
The foregoing description of specific embodiments of the present invention has been presented. It is to be understood that the present invention is not limited to the specific embodiments described above, and that various changes and modifications may be made by one skilled in the art within the scope of the appended claims without departing from the spirit of the invention.