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CN115944375A - Bipolar instrument with plasma ablation and blood coagulation functions - Google Patents

Bipolar instrument with plasma ablation and blood coagulation functions
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Publication number
CN115944375A
CN115944375ACN202211624358.2ACN202211624358ACN115944375ACN 115944375 ACN115944375 ACN 115944375ACN 202211624358 ACN202211624358 ACN 202211624358ACN 115944375 ACN115944375 ACN 115944375A
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handle
tube
plug
electrode
ceramic
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隋龙
胡伟九
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Obstetrics and Gynecology Hospital of Fudan University
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Obstetrics and Gynecology Hospital of Fudan University
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Abstract

Translated fromChinese

本发明涉及一种具有等离子消融与凝血功能的双极器械,所述的双极器械从上到下依次包括插头、连接线、手柄、棒体以及电极,所述手柄的一端设置有连接线,且所述的手柄通过连接线与所述的插头相接,所述手柄的另一端还设置有棒体,所述的棒体还包括有不锈钢管,所述棒体中的不锈钢与连接线、插头的一极相连,所述棒体中的电极与连接线、插头的另一极相连,两极通过插头连接高频能量设备形成双极电路;其优点表现在:本发明结构简单,操作方便,通过高频电流电离生理盐水产生低温等离子体,利用低温等离子将人体组织汽化消融和凝血止血,降低了手术的风险性,缩短了手术时间,减小了术者的工作强度。

Figure 202211624358

The present invention relates to a bipolar instrument with plasma ablation and blood coagulation functions. The bipolar instrument includes a plug, a connecting line, a handle, a rod body and an electrode from top to bottom. One end of the handle is provided with a connecting line. And the handle is connected to the plug through the connecting wire, the other end of the handle is also provided with a rod, the rod also includes a stainless steel tube, the stainless steel in the rod is connected to the connecting wire, One pole of the plug is connected, the electrode in the rod body is connected with the connecting wire and the other pole of the plug, and the two poles are connected to high-frequency energy equipment through the plug to form a bipolar circuit; its advantages are as follows: the present invention is simple in structure, easy to operate, The high-frequency current ionizes normal saline to generate low-temperature plasma, and uses low-temperature plasma to vaporize and ablate human tissue and coagulate blood to stop bleeding, which reduces the risk of surgery, shortens the operation time, and reduces the work intensity of the operator.

Figure 202211624358

Description

Translated fromChinese
一种具有等离子消融与凝血功能的双极器械A bipolar device with plasma ablation and coagulation functions

技术领域technical field

本发明涉及医疗器械技术领域,具体地说,是一种具有等离子消融与凝血功能的双极器械。The invention relates to the technical field of medical devices, in particular to a bipolar device with plasma ablation and blood coagulation functions.

背景技术Background technique

电凝棒使用的种类较多,其主要应用于临床的医疗机构,如在腹腔镜以及胆道下以及在子宫纵隔分离、子宫肌瘤消融、膀胱肿瘤消融等手术过程中,常常需要用到电凝棒,其工作原理多为使用高频电流的热效应来消融和凝固组织,且这类器械都为单极器械,使用过程中组织热损伤以及碳化严重。There are many types of electric coagulation rods, which are mainly used in clinical medical institutions, such as laparoscopy and biliary tract, as well as in uterine mediastinum separation, uterine fibroid ablation, bladder tumor ablation, etc., often need to use electrocoagulation The working principle of rods is mostly to use the thermal effect of high-frequency current to ablate and coagulate tissues, and these devices are all unipolar devices, which cause serious tissue thermal damage and carbonization during use.

中国专利申请:CN208769980U公开了一种电凝棒,包括电凝棒本体、导线、套管、调节阀、导管,套管套在电凝棒本体上,电凝棒本体的前端从套管的前端伸出,电凝棒本体的前端连接有电凝头;调节阀安装在套管的后部,调节阀将套管截成两段,调节阀包括转动阀片、固定阀片,转动阀片为圆环形,转动阀片的外侧连接有操作柄,转动阀片开设有轴向的通孔a;固定阀片为圆环形,固定阀片开设有轴向的通孔b;固定阀片有两块,两块固定阀片分别位于转动阀片的两侧,固定阀片与套管固定连接,转动阀片与固定阀片紧密贴合;导管与套管的后端连通。该装置可根据术者意愿,及时有效地吸引术中产生的烟渍,提高手术效率,降低了患者的出血风险。Chinese patent application: CN208769980U discloses a kind of electrocoagulation rod, comprises electrocoagulation rod body, lead wire, bushing, regulating valve, catheter, and casing sleeve is on the electrocoagulation rod body, and the front end of electrocoagulation rod body is from the front end of sleeve pipe The front end of the electrocoagulation rod body is connected with an electrocoagulation head; the regulating valve is installed at the rear of the casing, and the regulating valve cuts the casing into two sections. The regulating valve includes a rotating valve piece and a fixed valve piece. The rotating valve piece is The outer side of the rotating valve plate is connected with an operating handle, and the rotating valve plate is provided with an axial through hole a; the fixed valve plate is circular, and the fixed valve plate is provided with an axial through hole b; the fixed valve plate has an Two pieces, two fixed valve pieces are respectively located on both sides of the rotating valve piece, the fixed valve piece is fixedly connected with the casing, the rotating valve piece is closely attached to the fixed valve piece; the conduit communicates with the rear end of the casing. The device can timely and effectively absorb the smoke stains generated during the operation according to the operator's wishes, improve the operation efficiency, and reduce the bleeding risk of the patient.

中国专利申请:CN202537660U公开了一种胆道软性电凝棒,专用于微创腹腔镜人体胆道手术中的胆道内止血。该胆道软性电凝棒,包括电棒座、电棒杆、手柄、封帽和电源插座,其结构特点在于:还包括绝缘套,所述的电棒杆和绝缘套采用软性材质制作;所述的电棒座与电棒杆的一端固定电连接,电棒杆的另一端与电源插座固定电连接;绝缘套套装在电棒杆外,两者固定在手柄上;穿过电源插座的封帽与手柄固定。该装置结构合理紧凑、止血效果好、使用方便安全。Chinese patent application: CN202537660U discloses a soft electric coagulation stick for the biliary tract, which is specially used for hemostasis in the biliary tract in minimally invasive laparoscopic human biliary tract surgery. The flexible electrocoagulation rod for biliary tract includes an electric rod base, an electric rod rod, a handle, a sealing cap and a power socket, and its structural feature is that it also includes an insulating sleeve, and the electric rod rod and the insulating sleeve are made of soft materials; The electric rod holder is fixedly electrically connected with one end of the electric rod, and the other end of the electric rod is fixedly electrically connected with the power socket; the insulating sleeve is set on the outside of the electric rod, and both are fixed on the handle; The device has the advantages of reasonable and compact structure, good hemostasis effect, convenient and safe use.

在上述的两种装置中的电凝棒均为单极电极,其工作原理为高频电流的热效应,热效应相比于等离子效应,热效应的组织热损伤以及碳化更严重,对人体损伤较大,并且单极电极在工作的时候需要接入负极板,会有负极板脱落灼伤组织的风险,同时单极电极与负极板之间的电流路径很长,对人体的安全性有所影响。The electrocoagulation rods in the above two devices are all unipolar electrodes, and their working principle is the thermal effect of high-frequency current. Compared with the plasma effect, the thermal effect causes more serious tissue thermal damage and carbonization, which is more harmful to the human body. Moreover, the unipolar electrode needs to be connected to the negative plate when it is working, and there is a risk that the negative plate will fall off and burn the tissue. At the same time, the current path between the unipolar electrode and the negative plate is very long, which affects the safety of the human body.

所以综上所述,现亟需要一种能够使用过程中通过人体自然腔道进入人体体腔,工作的时候无需负极板接入,使高频电流只在电凝棒头部附近流动,且凝血利用的是等离子功能,进而可在手术过程中组织热损伤以及碳化少,双极电路更安全,术后患者恢复快的具有等离子消融与凝血功能的双极器械,但是关于这种新型的具有等离子消融与凝血功能的双极器械,目前还未见报道。So to sum up, there is an urgent need for a device that can enter the body cavity through the natural cavity of the human body during use, and does not need to be connected to the negative plate when working, so that the high-frequency current can only flow near the head of the electrocoagulation rod, and the blood coagulation can be used The most important thing is the plasma function, which can reduce tissue thermal damage and carbonization during the operation, the bipolar circuit is safer, and the postoperative patient recovers quickly. The bipolar device with plasma ablation and coagulation function, but about this new type of plasma ablation device Bipolar devices with coagulation function have not been reported so far.

发明内容Contents of the invention

本发明的目的是利用高频电流电离生理盐水产生低温等离子体,并利用低温等离子将人体组织汽化消融和凝血止血,从而来降低手术的风险性,其具体提供一种具有等离子消融与凝血功能的双极器械。The purpose of the present invention is to use high-frequency current to ionize physiological saline to generate low-temperature plasma, and use low-temperature plasma to vaporize and ablate human tissue and coagulate to stop bleeding, thereby reducing the risk of surgery. It specifically provides a plasma ablation and coagulation function. Bipolar devices.

为实现上述目的,本发明采取的技术方案是:For realizing above-mentioned object, the technical scheme that the present invention takes is:

一种具有等离子消融与凝血功能的双极器械,所述的电凝棒从上到下依次包括插头、连接线、手柄、棒体以及电极,所述手柄的一端设置有连接线,且所述的手柄通过连接线与所述的插头相接,所述手柄的另一端还设置有棒体,所述的棒体还包括有不锈钢管,所述的不锈钢管的一端与手柄可拆卸式连接,所述不锈钢管的另一端内设置有陶瓷管,所述的陶瓷管与不锈钢固定连接,所述陶瓷管的另一端位于不锈钢管的外部,所述电极的一端位于所述的陶瓷管外,所述电极的另一端依次贯穿陶瓷管和不锈钢管并通过连接线与插头连接,所述电极依次贯穿陶瓷管和不锈钢管的部分套设有绝缘管,所述的电极通过绝缘管分别与陶瓷管和不锈钢管连接,所述不锈钢管外还套设有热缩管,所述的热缩管与不锈钢管固定连接。A bipolar instrument with plasma ablation and blood coagulation functions, the electrocoagulation rod includes a plug, a connecting wire, a handle, a rod body and an electrode from top to bottom, one end of the handle is provided with a connecting wire, and the The handle of the handle is connected to the plug through a connecting wire, and the other end of the handle is also provided with a rod body, and the rod body also includes a stainless steel tube, and one end of the stainless steel tube is detachably connected to the handle, The other end of the stainless steel tube is provided with a ceramic tube, the ceramic tube is fixedly connected to the stainless steel, the other end of the ceramic tube is located outside the stainless steel tube, and one end of the electrode is located outside the ceramic tube. The other end of the electrode runs through the ceramic tube and the stainless steel tube in turn and is connected to the plug through a connecting wire. The part of the electrode that runs through the ceramic tube and the stainless steel tube in turn is provided with an insulating tube, and the electrode is respectively connected to the ceramic tube and the stainless steel tube through the insulating tube. The stainless steel tube is connected, and the stainless steel tube is also covered with a heat-shrinkable tube, and the heat-shrinkable tube is fixedly connected with the stainless steel tube.

在上述所述的具有等离子消融与凝血功能的双极器械中,作为一个优选方案,所述棒体中的不锈钢与连接线、插头的一极相连,其所述棒体中的电极与连接线、插头的另一极相连,且两极通过插头连接高频能量设备形成双极电路。In the above-mentioned bipolar instrument with plasma ablation and coagulation functions, as a preferred solution, the stainless steel in the rod body is connected to the connection wire and one pole of the plug, and the electrodes in the rod body are connected to the connection wire , The other pole of the plug is connected, and the two poles are connected to high-frequency energy equipment through the plug to form a bipolar circuit.

在上述所述的具有等离子消融与凝血功能的双极器械中,作为一个优选方案,所述的电极由金属丝构成,所述金属丝的一端位于陶瓷管外且呈螺旋状分布形成螺旋电凝头,所述金属丝的另一端位于绝缘管内且依次贯穿陶瓷管和不锈钢管通过连接线与插头电性连接。In the above-mentioned bipolar instrument with plasma ablation and coagulation functions, as a preferred solution, the electrode is composed of a metal wire, and one end of the metal wire is located outside the ceramic tube and is distributed in a spiral shape to form a helical electrocoagulation The other end of the metal wire is located in the insulating tube and runs through the ceramic tube and the stainless steel tube in turn and is electrically connected to the plug through a connecting wire.

在上述所述的具有等离子消融与凝血功能的双极器械中,作为一个优选方案,所述热缩管的一端靠近陶瓷管,所述热缩管的另一端远离陶瓷管,所述热缩管远离陶瓷管的一端外侧壁上套设有连接螺杆,所述的热缩管与连接螺杆固定连接,所述热缩管通过连接螺杆与手柄的端部螺纹连接。In the above-mentioned bipolar instrument with plasma ablation and coagulation functions, as a preferred solution, one end of the heat-shrinkable tube is close to the ceramic tube, and the other end of the heat-shrinkable tube is far away from the ceramic tube, and the heat-shrinkable tube A connecting screw is sheathed on the outer wall of the end away from the ceramic tube, and the heat-shrinkable tube is fixedly connected with the connecting screw, and the heat-shrinkable tube is threadedly connected with the end of the handle through the connecting screw.

在上述所述的具有等离子消融与凝血功能的双极器械中,作为一个优选方案,所述的棒体的最大直径设计为1.6mm。In the aforementioned bipolar instrument with plasma ablation and coagulation functions, as a preferred solution, the maximum diameter of the rod body is designed to be 1.6mm.

在上述所述的具有等离子消融与凝血功能的双极器械中,作为一个优选方案,所述两极相隔距离为2.2-2.8mm。In the aforementioned bipolar instrument with plasma ablation and coagulation functions, as a preferred solution, the distance between the two poles is 2.2-2.8 mm.

在上述所述的具有等离子消融与凝血功能的双极器械中,作为一个优选方案,所述的手柄呈圆柱体结构,且在所述的手柄上还设置有防滑纹。In the aforementioned bipolar instrument with plasma ablation and blood coagulation functions, as a preferred solution, the handle has a cylindrical structure, and anti-slip lines are also provided on the handle.

本发明优点在于:The present invention has the advantage that:

1、本发明结构简单,使用便捷,整体可操作性强,其过程中采用以等离子体为载体、以盐水为介质的新型微创手术模式,且等子体热损伤小,通过盐水为介质将热量带走,降低了手术的风险性。1. The present invention is simple in structure, convenient to use, and strong in overall operability. In the process, a new type of minimally invasive surgery mode using plasma as the carrier and saline as the medium is adopted, and the plasma is less thermally damaged. The heat is taken away, reducing the risk of surgery.

2、本发明在使用过程中可通过人体自然腔道进入人体体腔,且工作的时候无需在进行负极板接入,对应的高频电流只在电凝棒头部附近流动,从而使在手术过程中对组织热损伤较小以及碳化少,术后患者恢复效果较快;2. The present invention can enter the body cavity of the human body through the natural orifice of the human body during use, and does not need to be connected to the negative plate when working, and the corresponding high-frequency current only flows near the head of the electrocoagulation rod, so that it can be used during the operation. Less thermal damage to tissue and less carbonization in the middle, the recovery effect of patients is faster after surgery;

3、本发明中采用的双极电路设计更加安全稳定,且相比单极设计需要负极板通过人体导通电路的回路距离短,从而减小了电流回路长导致的热损伤;3. The bipolar circuit design adopted in the present invention is safer and more stable, and compared with the unipolar design, the loop distance of the negative plate passing through the human body to conduct the circuit is shorter, thereby reducing the thermal damage caused by the long current loop;

4、本发明中所述电极头部采用螺旋型设计,加大了电极头外表面积,从而提升了电极工作面积,螺旋型设计更有利于不规则高低不平组织的处理,此形状设计提高的手术质量,同时缩短了手术时间,减小了术者的工作强度。4. The electrode head described in the present invention adopts a spiral design, which increases the outer surface area of the electrode head, thereby increasing the working area of the electrode. The spiral design is more conducive to the treatment of irregular and uneven tissues. This shape design improves the operation Quality, while shortening the operation time, reducing the operator's work intensity.

附图说明Description of drawings

附图1是本发明中所述具有等离子消融与凝血功能的双极器械的结构示意图。Accompanying drawing 1 is the structure schematic diagram of the bipolar device with plasma ablation and blood coagulation function described in the present invention.

附图2是本发明中所述具有等离子消融与凝血功能的双极器械的主视图。Accompanyingdrawing 2 is the front view of the bipolar instrument with plasma ablation and coagulation function described in the present invention.

附图3是本发明中所述具有等离子消融与凝血功能的双极器械上手柄的剖视图。Accompanyingdrawing 3 is the cross-sectional view of the handle on the bipolar instrument with plasma ablation and coagulation functions described in the present invention.

附图4是本发明中图3中B处的结构放大图。Accompanyingdrawing 4 is the structural enlarged view of place B in Fig. 3 in the present invention.

具体实施方式Detailed ways

下面结合具体实施方式,进一步阐述本发明。应理解,这些实施例仅用于说明本发明而不用于限制本发明的范围。此外应理解,在阅读了本发明记载的内容之后,本领域技术人员可以对本发明作各种改动或修改,这些等价形式同样落于本申请所附权利要求书所限定的范围。The present invention will be further described below in combination with specific embodiments. It should be understood that these examples are only used to illustrate the present invention and are not intended to limit the scope of the present invention. In addition, it should be understood that after reading the contents of the present invention, those skilled in the art can make various changes or modifications to the present invention, and these equivalent forms also fall within the scope defined by the appended claims of the present application.

附图中涉及的附图标记和组成部分如下所示:The reference signs and components involved in the accompanying drawings are as follows:

1.手柄1.handle2.插头2.Plug3.连接线3. Connectingline4.棒体4.Rod body5.电极5. Electrodes6.不锈钢管6.Stainless steel pipe7.陶瓷管7.Ceramic tube8.绝缘管8. Insulation tube9.热缩管9. Heat shrinktubing10.螺旋电凝头10.Spiral coagulation head11.连接螺杆11. Connecting screw12.防滑纹12. Anti-skid pattern

实施例Example

请参见附图1-4所示,附图1是本发明中所述具有等离子消融与凝血功能的双极器械的结构示意图。附图2是本发明中所述具有等离子消融与凝血功能的双极器械的主视图。附图3是本发明中所述具有等离子消融与凝血功能的双极器械上手柄的剖视图。附图4是本发明中图3中B处的结构放大图。Please refer to Figures 1-4, Figure 1 is a schematic structural view of a bipolar device with plasma ablation and coagulation functions according to the present invention. Accompanying drawing 2 is the front view of the bipolar instrument with plasma ablation and coagulation function described in the present invention. Accompanying drawing 3 is the cross-sectional view of the handle on the bipolar instrument with plasma ablation and coagulation functions described in the present invention. Accompanying drawing 4 is the structural enlarged view of place B in Fig. 3 in the present invention.

本装置主要是在医疗机构中使用,与宫腔镜、膀胱镜配合,用于在生理盐水下对人体组织进行等离子凝固止血和汽化消融,其具体的应用手术有子宫纵隔分离、子宫肌瘤消融、膀胱肿瘤消融等,其工作原理为:高频手术设备向该产品头部的两极之间施加高频电流,高频电流电离生理盐水产生低温等离子体,利用低温等离子将人体组织汽化消融和凝血止血,整个过程无需负极板,进而能够使手术过程中组织热损伤较小以及碳化少,提高术后患者的恢复效果;其主要为一种具有等离子消融与凝血功能的双极器械,如图1、图2和图3所示,所述的电凝棒从上到下依次包括插头2、连接线3、手柄1、棒体4以及电极5,所述手柄1的一端设置有连接线3,且所述的手柄1通过连接线3与所述的插头2相接,所述手柄1的另一端还设置有棒体4,所述棒体4中的不锈钢6与连接线3、插头2的一极相连,其所述棒体4中的电极5与连接线3、插头2的另一极相连,且两极通过插头连接高频能量设备形成双极电路。This device is mainly used in medical institutions. It cooperates with hysteroscope and cystoscope to perform plasma coagulation hemostasis and vaporization ablation on human tissue under normal saline. Its specific applications include uterine mediastinum separation and uterine fibroid ablation , bladder tumor ablation, etc., its working principle is: high-frequency surgical equipment applies high-frequency current between the two poles of the head of the product, high-frequency current ionizes normal saline to generate low-temperature plasma, and uses low-temperature plasma to vaporize and ablate human tissue and coagulate blood Hemostasis, the whole process does not need a negative plate, which can make the tissue less thermal damage and carbonization during the operation, and improve the recovery effect of postoperative patients; it is mainly a bipolar device with plasma ablation and coagulation functions, as shown in Figure 1 , as shown in Fig. 2 and Fig. 3, the described electrocoagulation rod comprisesplug 2,connection wire 3, handle 1,rod body 4 andelectrode 5 from top to bottom in turn, and one end of thehandle 1 is provided withconnection wire 3, And thehandle 1 is connected to theplug 2 through the connectingwire 3, and the other end of thehandle 1 is also provided with arod 4, the stainless steel 6 in therod 4 is connected to the connectingwire 3 and theplug 2. One pole is connected, and theelectrode 5 in therod body 4 is connected with the connectingwire 3 and the other pole of theplug 2, and the two poles are connected to high-frequency energy equipment through the plug to form a bipolar circuit.

如图4所示,所述的棒4体还包括有不锈钢管5,所述的不锈钢管5的一端与手柄1可拆卸式连接,所述不锈钢管5的另一端内设置有陶瓷管7,所述的陶瓷管7与不锈钢6固定连接,所述陶瓷管7的另一端位于不锈钢管6的外部,所述电极5的一端位于所述的陶瓷管7外,所述电极5的另一端依次贯穿陶瓷管7和不锈钢管6并通过连接线3与插头2连接,所述电极5依次贯穿陶瓷管7和不锈钢管6的部分套设有绝缘管8,所述的电极5通过绝缘管8分别与陶瓷管7和不锈钢管6连接,所述不锈钢管6外还套设有热缩管9,所述的热缩管9与不锈钢管6固定连接。As shown in Figure 4, therod 4 body also includes astainless steel tube 5, one end of thestainless steel tube 5 is detachably connected to thehandle 1, and the other end of thestainless steel tube 5 is provided with aceramic tube 7, Theceramic tube 7 is fixedly connected to the stainless steel tube 6, the other end of theceramic tube 7 is located outside the stainless steel tube 6, one end of theelectrode 5 is located outside theceramic tube 7, and the other end of theelectrode 5 is in turn Through theceramic tube 7 and the stainless steel tube 6 and connected to theplug 2 through the connectingwire 3, the part of theelectrode 5 passing through theceramic tube 7 and the stainless steel tube 6 in turn is provided with an insulatingtube 8, and theelectrodes 5 are respectively connected through the insulatingtube 8. It is connected with theceramic tube 7 and the stainless steel tube 6, and the stainless steel tube 6 is also covered with a heat-shrinkable tube 9, and the heat-shrinkable tube 9 is fixedly connected with the stainless steel tube 6.

如图4所示,在本实施例中,优选所述的电极5由金属丝构成,所述金属丝的一端位于陶瓷管7外且呈螺旋状分布形成螺旋电凝头10,所述金属丝的另一端位于绝缘管8内且依次贯穿陶瓷管7和不锈钢管6通过连接线3与插头2电性连接;其电极头采用螺旋型设计,加大了电极头外表面积,从而提升了电极工作面积,螺旋型设计更有利于不规则高低不平组织的处理,此形状设计提高的手术质量,同时缩短了手术时间,减小了术者的工作强度。As shown in Figure 4, in this embodiment, preferably theelectrode 5 is made of a metal wire, one end of the metal wire is located outside theceramic tube 7 and is distributed in a spiral shape to form aspiral electrocoagulation head 10, and the metal wire The other end is located in the insulatingtube 8 and runs through theceramic tube 7 and stainless steel tube 6 in turn and is electrically connected to theplug 2 through the connectingwire 3; the electrode head adopts a spiral design, which increases the outer surface area of the electrode head, thereby improving the electrode work. The spiral design is more conducive to the treatment of irregular and uneven tissues. This shape design improves the operation quality, shortens the operation time, and reduces the work intensity of the operator.

如图3和图4所示,在本实施例中,优选所述热缩管9的一端靠近陶瓷管7,所述热缩管7的另一端远离陶瓷管7,所述热缩管9远离陶瓷管7的一端外侧壁上套设有连接螺杆11,所述的热缩管9与连接螺杆11固定连接,所述热缩管9通过连接螺杆11与手柄1的端部螺纹连接。其操作时,所述的插头2与高频设备插座连接,使得主电极5带电并传导至螺旋电凝头10上;负电极带电传导至不锈钢管6头上,主、负电极通过陶瓷管7进行隔离,同时通过所述的绝缘管8、热缩管9、手柄1与人体隔离;医务人员通过手握手柄1将棒体4通过人体通道进入到人体组织内,高频设备为电极5与不锈钢管6在盐水为介质下提供能量使电路导通,激发电极5附近的盐水产生等离子体,从而对病变组织进行处理工作。As shown in Figures 3 and 4, in this embodiment, preferably, one end of the heat shrinkable tube 9 is close to theceramic tube 7, the other end of the heatshrinkable tube 7 is far away from theceramic tube 7, and the heat shrinkable tube 9 is far away from theceramic tube 7. A connectingscrew 11 is sheathed on the outer wall of one end of theceramic tube 7 , and the heat-shrinkable tube 9 is fixedly connected with the connectingscrew 11 , and the heat-shrinkable tube 9 is threadedly connected with the end of thehandle 1 through the connectingscrew 11 . During its operation, theplug 2 is connected to the high-frequency equipment socket, so that themain electrode 5 is charged and conducted to thespiral electrocoagulation head 10; the negative electrode is charged and conducted to the head of the stainless steel tube 6, and the main and negative electrodes pass through theceramic tube 7 Isolate, and at the same time isolate from the human body through the insulatingtube 8, the heat shrinkable tube 9, and thehandle 1; the medical staff will hold thehandle 1 to enter therod 4 into the human tissue through the human body channel, and the high-frequency equipment is theelectrode 5 and the The stainless steel tube 6 provides energy under the medium of saline to conduct the circuit, and excites the saline near theelectrode 5 to generate plasma, thereby treating the diseased tissue.

在本实施例中,优选所述的棒体的最大直径设计为1.6mm,该设置可适用于超微通道,可在极小的通道中进行手术,对人体损伤小。In this embodiment, preferably, the maximum diameter of the rod body is designed to be 1.6 mm, which is suitable for ultra-micro channels, and can perform operations in extremely small channels with little damage to the human body.

在本实施例中,优选所述两极相隔距离为2.2-2.8mm,本装置采用双极电路设计,其一极设在电极5,另一级设在不锈钢管6头部,两极相隔距离仅为2.5mm左右,对应的电流通过回路距离就为2.5mm左右,相比单极设计需要负极板通过人体导通电路的回路距离短,从而减小了电流回路长导致的热损伤。In this embodiment, the preferred distance between the two poles is 2.2-2.8 mm. The device adopts a bipolar circuit design, one pole is located at theelectrode 5, and the other is located at the head of the stainless steel tube 6. The distance between the two poles is only About 2.5mm, the corresponding current loop distance is about 2.5mm. Compared with the unipolar design, the loop distance that the negative plate needs to pass through the human body to conduct the circuit is shorter, thereby reducing the thermal damage caused by the long current loop.

在本实施例中,优选所述的手柄1呈圆柱体结构,且在所述的手柄1上还设置有防滑纹12。该设置能够增加与操作者手掌面的接触面积,增加了摩擦力,避免了不必要的滑脱,提高使用的安全性和稳定性。In this embodiment, preferably, thehandle 1 has a cylindrical structure, and thehandle 1 is also provided with anti-skid lines 12 . This setting can increase the contact area with the palm surface of the operator, increase the frictional force, avoid unnecessary slippage, and improve the safety and stability of use.

本发明的使用方法:在操作时,现将对应的插头与高频设备插座连接,使得主电极带电并传导至螺旋电凝头上;负电极带电传导至不锈钢管头上,主、负电极通过陶瓷管隔离,同时通过绝缘管、热缩管、手柄与人体隔离;医务人员通过手握手柄将棒体通过人体通道进入到人体组织内,期间高频设备为电极与不锈钢管在盐水为介质下提供能量使电路导通,激发电极附近的盐水产生等离子体对病变组织进行处理。The use method of the present invention: during operation, connect the corresponding plug to the socket of the high-frequency equipment, so that the main electrode is charged and conducted to the spiral electrocoagulation head; the negative electrode is charged and transferred to the stainless steel tube head, and the main and negative electrodes pass through The ceramic tube is isolated, and at the same time, it is isolated from the human body through insulating tubes, heat-shrinkable tubes, and handles; medical personnel hold the handles and enter the rod body through the human body channel into the human tissue. Provide energy to conduct the circuit, and stimulate the saline near the electrode to generate plasma to treat the diseased tissue.

需要说明的是:本发明结构简单,使用便捷,整体可操作性强,其过程中采用以等离子体为载体、以盐水为介质的新型微创手术模式,且等子体热损伤小,通过盐水为介质将热量带走,降低了手术的风险性;同时在使用过程中可通过人体自然腔道进入人体体腔,且工作的时候无需在进行负极板接入,对应的高频电流只在电凝棒头部附近流动,从而使在手术过程中对组织热损伤较小以及碳化少,术后患者恢复效果较快;其次本装置中采用的双极电路设计更加安全稳定,且相比单极设计需要负极板通过人体导通电路的回路距离短,从而减小了电流回路长导致的热损伤;且电极头采用螺旋型设计,加大了电极头外表面积,从而提升了电极工作面积,螺旋型设计更有利于不规则高低不平组织的处理,此形状设计提高的手术质量,同时缩短了手术时间,减小了术者的工作强度;同时本申请已作出实物并应用于临床,且在临床中均有很好的效果,利于广泛推广和使用。It should be noted that the present invention is simple in structure, convenient to use, and strong in overall operability. During the process, a new type of minimally invasive surgery mode using plasma as a carrier and saline as a medium is adopted, and the plasma is less thermally damaged. The heat is taken away by the medium, which reduces the risk of surgery; at the same time, it can enter the body cavity through the natural cavity of the human body during use, and there is no need to connect the negative plate when working, and the corresponding high-frequency current is only used in electrocoagulation. Flow near the head of the rod, so that the tissue thermal damage and carbonization are less during the operation, and the patient recovers faster after the operation; secondly, the bipolar circuit design used in this device is safer and more stable, and compared with the monopolar design It is necessary for the negative plate to pass through the human body to conduct the circuit with a short distance, thereby reducing the thermal damage caused by the long current circuit; and the electrode head adopts a spiral design, which increases the outer area of the electrode head, thereby increasing the working area of the electrode. The design is more conducive to the treatment of irregular and uneven tissues. This shape design improves the quality of surgery, shortens the operation time, and reduces the work intensity of the operator; Both have very good effects and are conducive to widespread popularization and use.

以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员,在不脱离本发明原理的前提下,还可以做出若干改进和补充,这些改进和补充也应视为本发明的保护范围。The above is only a preferred embodiment of the present invention, it should be pointed out that for those of ordinary skill in the art, without departing from the principle of the present invention, some improvements and supplements can also be made, and these improvements and supplements should also be considered Be the protection scope of the present invention.

Claims (7)

1. The utility model provides a bipolar apparatus with plasma ablation and blood coagulation function, its characterized in that, electricity congeal excellent from the top down include plug, connecting wire, handle, barred body and electrode in proper order, the one end of handle be provided with the connecting wire, just the handle pass through the connecting wire with the plug meet, the other end of handle still is provided with the barred body, the barred body still including nonrust steel pipe, the one end and the detachable connection of handle of nonrust steel pipe, be provided with ceramic pipe in the other end of nonrust steel pipe, ceramic pipe and nonrust steel fixed connection, the other end of ceramic pipe is located the outside of nonrust steel pipe, the one end of electrode is located the ceramic pipe outside, the other end of electrode runs through ceramic pipe and nonrust steel pipe in proper order and is connected with the plug through the connecting wire, the partial cover that the electrode runs through ceramic pipe and nonrust steel pipe in proper order is equipped with the insulating tube, the electrode pass through the insulating tube and be connected with ceramic pipe and nonrust steel pipe respectively, the nonrust steel pipe outside still cover is equipped with the pyrocondensation pipe, pyrocondensation pipe and nonrust steel pipe fixed connection.
CN202211624358.2A2022-12-162022-12-16Bipolar instrument with plasma ablation and blood coagulation functionsPendingCN115944375A (en)

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