CN109674530A - The solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar - Google Patents
The solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar Download PDFInfo
- Publication number
- CN109674530A CN109674530A CN201910157802.6A CN201910157802A CN109674530A CN 109674530 A CN109674530 A CN 109674530A CN 201910157802 A CN201910157802 A CN 201910157802A CN 109674530 A CN109674530 A CN 109674530A
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- Prior art keywords
- myomata
- solidifying
- electric heating
- cutting
- bar
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- 206010028980 Neoplasm Diseases 0.000 title claims abstract description 61
- 238000005485 electric heating Methods 0.000 title claims abstract description 27
- 238000012546 transfer Methods 0.000 title claims abstract description 22
- 239000002184 metal Substances 0.000 claims abstract description 12
- 229910052751 metal Inorganic materials 0.000 claims abstract description 12
- 238000009413 insulation Methods 0.000 claims abstract description 11
- 239000004020 conductor Substances 0.000 claims description 2
- 239000000203 mixture Substances 0.000 claims description 2
- 230000000694 effects Effects 0.000 abstract description 7
- 238000007711 solidification Methods 0.000 abstract description 3
- 230000008023 solidification Effects 0.000 abstract description 3
- 238000003780 insertion Methods 0.000 description 7
- 230000037431 insertion Effects 0.000 description 7
- BVPWJMCABCPUQY-UHFFFAOYSA-N 4-amino-5-chloro-2-methoxy-N-[1-(phenylmethyl)-4-piperidinyl]benzamide Chemical compound COC1=CC(N)=C(Cl)C=C1C(=O)NC1CCN(CC=2C=CC=CC=2)CC1 BVPWJMCABCPUQY-UHFFFAOYSA-N 0.000 description 6
- 238000002357 laparoscopic surgery Methods 0.000 description 5
- 210000004027 cell Anatomy 0.000 description 4
- 230000006378 damage Effects 0.000 description 4
- 206010028851 Necrosis Diseases 0.000 description 3
- 241001074085 Scophthalmus aquosus Species 0.000 description 3
- 210000000683 abdominal cavity Anatomy 0.000 description 3
- 230000000740 bleeding effect Effects 0.000 description 3
- 230000003902 lesion Effects 0.000 description 3
- 230000000659 thermocoagulation Effects 0.000 description 3
- 210000004881 tumor cell Anatomy 0.000 description 3
- 238000009792 diffusion process Methods 0.000 description 2
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 2
- 239000010931 gold Substances 0.000 description 2
- 229910052737 gold Inorganic materials 0.000 description 2
- 238000007912 intraperitoneal administration Methods 0.000 description 2
- 230000003685 thermal hair damage Effects 0.000 description 2
- 208000008636 Neoplastic Processes Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 230000001413 cellular effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 208000021760 high fever Diseases 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000009545 invasion Effects 0.000 description 1
- 238000002350 laparotomy Methods 0.000 description 1
- 201000010260 leiomyoma Diseases 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 230000001613 neoplastic effect Effects 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00589—Coagulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of solidifying myomatas of cutting of electric heating for preventing tumour spread transfer to bore crow bar, it is characterized in that being provided with augers, metal ripping bar, insulation tube, torque runner, fixed handle, electrode socket, electrode connecting line, electrode generator, floor push, human contact's plate.When augers spiral puncture enters tumor tissues, floor push connects electrode generator, current loop is formed between augers and human contact's plate, augers is embedded in tumor tissues position and generates thermal energy, therefore its Tumors tissue contacted is cauterized solidification and loses biological growth activity.
Description
Technical field
The present invention relates to a kind of surgical instruments of laparoscopic surgery.
Background technique
Tradtional laparotomy wound is big, and laparoscopic surgery is widely applied in recent years, and wound is small, restores fast, laparoscopic surgery
It is that the operation carried out by the small wound of stomach wall several " keyholes " often needs at present when rejecting tumour in laparoscopic surgery
It to be recommended using myomata brill crow bar and agitate tumour, to assist rejecting tumour, since the spiral bit structure that myomata bores crow bar must
Tumor tissues need to be punctured, therefore necessarily cause tissue damage, are especially needed in art repeatedly, the insertion tumour of multiple location, as
Tissue is baited with " tooth ", generated tumour clast tissue or cell can be attached to myomata and bore on crow bar, can also adhere to
In tumor lesion, therefore can be flowed into the tumour clast or cellular invasion that the bleeding and its flushing at neoplastic lesion position are taken away
Abdominopelvic cavity, discrepancy or knub position variation of crow bar etc. can also be bored with myomata causes tumor tissue cell to be scattered in abdominal cavity
It is interior, even micro tumour clast or tumour cell all have growth activity, therefore and the important original as tumor recurrence
Cause, seriously jeopardizes the life of patient, seriously violate tumor operation operation should follow without tumor principle.But at present in abdominal cavity
Solid tumour is rejected under mirror, if lacking the auxiliary that myomata bores crow bar, surgical procedure is extremely difficult, and real category is done something against one's will.
Such as under laparoscope " fibroid " rejecting art, U.S. FDA is in publication safety warning in 2014, wherein receiving this operation
In the patient for the treatment of, just there is 1 patient that the intraperitoneal of malignant tumour occurs in about 352 patients and sends out Implantation matastasis, it is clear that
Problem is very serious, it is therefore desirable to reason is found from many aspects, it is now recognized that wherein the crushing of tumour is taken out and tumour
Myomata, which bores the tumour clast etc. that crow bar penetration damage generates, in art is all the major reason of diffusion transfer, so being directed to the above reason
Necessary measure is taken, is prevented trouble before it happens as far as possible, the safety of patient is ensured, is of great significance.
Summary of the invention
The invention discloses a kind of solidifying myomatas of cutting of electric heating for preventing tumour spread transfer to bore crow bar, it is characterized in that being provided with spiral shell
Rotary drill, insulation tube, torque runner, fixed handle, electrode socket, electrode connecting line, electrode generator, is ridden metal ripping bar
Switch, human contact's plate.When augers spiral puncture enters tumor tissues, floor push connects electrode generator, spiral
Current loop is formed between drill bit and human contact's plate, augers is embedded in tumor tissues position and generates thermal energy, therefore it is connect
The Tumors tissue of touching is cauterized solidification and loses biological growth activity.
The present invention adopts the following technical scheme that in order to solve the technical problem
1, a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that being provided with augers, metal sled
Bar, insulation tube, torque runner, fixed handle, electrode socket, electrode connecting line, electrode generator, floor push, human contact
Plate.
2, a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that augers is metallic conduction
Helicoidal structure.
3, a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that metal ripping bar is metallic conduction
Rod-like structure, be integrated with augers.
4, a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that electrode socket is fixedly connected with gold
Belong to ripping bar, socket can be inserted into electrode connecting line and connect with electrode generator.
5, a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that insulation tube is non-conducting material
The round tube shape structure of composition, fully wrapped around metal ripping bar, and connect with fixed handle.
6, a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that torque runner connects insulation tube
With metal ripping bar, rotation drives augers.
7, a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that electrode socket is embedded in fixed hand
Handle is connect with metal ripping bar, and socket can be inserted into electrode connecting line and connect with electrode generator.
8, a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that floor push starting electrode hair
After raw device, electric current passes through electrode connecting line, electrode socket, metal ripping bar, the electric conductivity due to tissue, so in auger
Current loop is formed between head and human contact's plate.
9, a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that insulation tube, fixed handle have
There is insulation protection, when floor push starting electrode generator, and forms electric current between augers and human contact's plate
Behind circuit, augers insertion tumor tissues position generate thermal energy, therefore its Tumors tissue contacted be cauterized it is solidifying
Gu and losing biological growth activity.
After adopting the above technical scheme, compared with prior art, having the advantage that
The present invention can be continued succession and be swollen using myomata brill crow bar insertion in laparoscopic surgery excision or rejecting neoplastic process
Tumor ensures that drawing agitates the basic auxiliary operation step of tumour, and so as to the smooth Rapid Implementation of operation, but traditional myomata is bored
The augers of crow bar can not generate thermal damage when being embedded in tumor tissues, since myomata of the invention bores the auger of crow bar
Head has thermocoagulation effect, during augers is embedded in, agitates and pull tumor tissues, using high-frequency electrical or other
Mode generates high fever in the part of the augers of insertion tumour, so that local tumor tissues coagulation necrosis around it be lost
Remove growth activity, include be attached to myomata bore crow bar augers surface tumour clast and tumour cell it is also hot
Coagulation necrosis;Simultaneously as piercing the solidification of chimeric tumor lesion local organization, the solidifying of damage local vascular is also included
Gu so that the bleeding that tumour pierces chimeric wound location is reduced or avoided, and tumor group is swept along in caused bleeding therefrom
Knit a possibility that cell flowing is diffused into abdominopelvic cavity.Therefore, the myomata with thermocoagulation function of the invention is bored crow bar and is significantly mentioned
High operation safety, auxiliary uses when cutting off or rejecting tumour augers insertion agitate and pull link and effectively keep away
Tumour diffusion transfer is exempted from.
Detailed description of the invention
The solidifying myomata of cutting of Fig. 1 electric heating bores crow bar structural schematic diagram
Specific embodiment
Crow bar is bored under the microscope, by the solidifying myomata of cutting of abdomen wall puncture sheath merging electric heating in abdominal cavity, and patient holds fixed handle
(1), solidifying augers (2) piercing tumor tissues (4) surface cut myomata and bore crow bar of electric heating is continued into rotation torque intraperitoneal
By augers (2), deeply rotation is pierced into tumor tissues (4) runner (3), and floor push (5) powers at this time, electrode hair
The energy that raw device (6) generate passes through electrode connecting line (7) and electrode socket (8), is transmitted to the solidifying gold cut myomata and bore crow bar of electric heating
Belong to ripping bar (9) and augers (2), due to the protective action of insulation tube (10), the solidifying other positions cut myomata and bore crow bar of electric heating
Thermal damage is not generated, but between the solidifying augers (2) and human contact's plate (11) for cutting myomata brill crow bar of electric heating, due to swollen
Electric conductivity that tumor tissue (4) and human body have and form current loop, therefore in the solidifying auger cut myomata and bore crow bar of electric heating
Head (2) locally generates thermal energy, coagulates and is cut around at augers (2) insertion that myomata bores crow bar in the electric heating in tumor tissues (4)
The tissue and blood vessel of contact are by thermocoagulation necrosis, so that the tumour cell of damage location at augers (2) insertion be made to lose
Growth activity, the tumor tissues clast effectively to fall off caused by prevention augers (2) damage or cell send out transfer.
Only preferred embodiments of the present invention will be described for above-described embodiment, not limits the scope of the invention
Fixed, the equivalent transformation done under the premise of not departing from design spirit essence of the present invention to the present invention or modification should all be covered
Within protection scope of the present invention.
Claims (6)
1. a kind of solidifying myomata of cutting of the electric heating for preventing tumour spread transfer bores crow bar, it is characterized in that being provided with augers, metal sled
Bar, insulation tube, torque runner, fixed handle, electrode socket, electrode connecting line, electrode generator, floor push, human contact
Plate.
2. the solidifying myomata of cutting of a kind of electric heating for preventing tumour spread transfer according to claim 1 bores crow bar, it is characterized in that spiral shell
Rotary drill is the helicoidal structure of metallic conduction.
3. the solidifying myomata of cutting of a kind of electric heating for preventing tumour spread transfer according to claim 1 bores crow bar, it is characterized in that golden
Belong to the rod-like structure that ripping bar is metallic conduction, is integrated with augers.
4. the solidifying myomata of cutting of a kind of electric heating for preventing tumour spread transfer according to claim 1 bores crow bar, it is characterized in that turning round
Square runner connects insulation tube and metal ripping bar, and rotation drives augers.
5. the solidifying myomata of cutting of a kind of electric heating for preventing tumour spread transfer according to claim 1 bores crow bar, it is characterized in that electric
Pole socket is embedded in fixed handle, connect with metal ripping bar, and socket can be inserted into electrode connecting line and connect with electrode generator.
6. a kind of solidifying myomata of cutting of electric heating for preventing tumour spread transfer according to claim 1 bores crow bar, insulation tube is non-
The round tube shape structure of conductive material composition, fully wrapped around metal ripping bar, and connect with fixed handle.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201910157802.6A CN109674530A (en) | 2019-03-02 | 2019-03-02 | The solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201910157802.6A CN109674530A (en) | 2019-03-02 | 2019-03-02 | The solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar |
Publications (1)
Publication Number | Publication Date |
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CN109674530A true CN109674530A (en) | 2019-04-26 |
Family
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CN201910157802.6A Withdrawn CN109674530A (en) | 2019-03-02 | 2019-03-02 | The solidifying myomata of cutting of electric heating for preventing tumour spread transfer bores crow bar |
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Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH1024049A (en) * | 1996-04-04 | 1998-01-27 | Valleylab Inc | Device for electric surgical operation |
US5979453A (en) * | 1995-11-09 | 1999-11-09 | Femrx, Inc. | Needle myolysis system for uterine fibriods |
CN2836739Y (en) * | 2005-06-10 | 2006-11-15 | 广东威尔医学科技股份有限公司 | Microwave thermocoagulation therapeutic instrument for tumor |
US20080269772A1 (en) * | 2007-04-30 | 2008-10-30 | Joong Sub Choi | Apparatus for fixing myoma during performing laparoscopic myomectomy |
CN202270064U (en) * | 2011-03-10 | 2012-06-13 | 杜运生 | Multifunctional minimally-invasive small incision operation apparatus |
JP2013172783A (en) * | 2012-02-24 | 2013-09-05 | Admetech:Kk | Heater for living body |
US20150073224A1 (en) * | 2013-09-11 | 2015-03-12 | Covidien Lp | System for myomectomy and morcellation |
CN204562291U (en) * | 2015-03-25 | 2015-08-19 | 杭州市第一人民医院 | Hysteromyoma bores |
-
2019
- 2019-03-02 CN CN201910157802.6A patent/CN109674530A/en not_active Withdrawn
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5979453A (en) * | 1995-11-09 | 1999-11-09 | Femrx, Inc. | Needle myolysis system for uterine fibriods |
JPH1024049A (en) * | 1996-04-04 | 1998-01-27 | Valleylab Inc | Device for electric surgical operation |
CN2836739Y (en) * | 2005-06-10 | 2006-11-15 | 广东威尔医学科技股份有限公司 | Microwave thermocoagulation therapeutic instrument for tumor |
US20080269772A1 (en) * | 2007-04-30 | 2008-10-30 | Joong Sub Choi | Apparatus for fixing myoma during performing laparoscopic myomectomy |
CN202270064U (en) * | 2011-03-10 | 2012-06-13 | 杜运生 | Multifunctional minimally-invasive small incision operation apparatus |
JP2013172783A (en) * | 2012-02-24 | 2013-09-05 | Admetech:Kk | Heater for living body |
US20150073224A1 (en) * | 2013-09-11 | 2015-03-12 | Covidien Lp | System for myomectomy and morcellation |
CN204562291U (en) * | 2015-03-25 | 2015-08-19 | 杭州市第一人民医院 | Hysteromyoma bores |
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Application publication date: 20190426 |