CN109953819A - A kind of multipole Inferior turbinate hypertrophy conduit - Google Patents
A kind of multipole Inferior turbinate hypertrophy conduit Download PDFInfo
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- CN109953819A CN109953819A CN201711420530.1A CN201711420530A CN109953819A CN 109953819 A CN109953819 A CN 109953819A CN 201711420530 A CN201711420530 A CN 201711420530A CN 109953819 A CN109953819 A CN 109953819A
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- electrode
- free end
- head end
- multipole
- distal ports
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- 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
- 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
- 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
- A61B2018/00577—Ablation
- A61B2018/00583—Coblation, i.e. ablation using a cold plasma
-
- 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
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
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- 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 present invention relates to ablation device field, especially a kind of multipole Inferior turbinate hypertrophy conduit comprising: have the tube body of distal ports, the distal ports have free end；Electrode, the electrode are set on the free end of the distal ports；Control handle, the distal ports are installed on the control handle and can be controlled by the control handle and are bent；It is provided with plasma on the free end and generates medium delivery outlet；The electrode includes: head end electrode, and the head end number of electrodes is set to the free end for more than two and mutually insulated, and centered on the axis of the distal ports, the head end electrode is arranged towards more than two directions；Ring electrode, around distal ports at least one week the free end is arranged in the ring electrode, and be located at the rear of the head end electrode, goal of the invention of the invention be to provide a kind of Collation surgery direction is controllable, reduce health tissues near target tissue damage multipole Inferior turbinate hypertrophy conduit.
Description
Technical field
The present invention relates to ablation device field, especially a kind of multipole Inferior turbinate hypertrophy conduit.
Background technique
Under electric field action, the particle of the difference electrical property inside substance will receive contrary electric field force, when electric field foot
When enough strong, positive and negative particle can not just gather together, and ionic state can be transformed into the ion of free movement, substance eventually by becoming, this
Kind conversion can convert at normal temperature, become low-temperature plasma
The working principle of Collation surgery art, i.e., with the production of specific 100kHz ultra low frequency electric energy exciting media (Nacl)
Raw plasma, within the temperature range of 40~70 DEG C, the sound wave generated by " plasma " interrupts target tissue molecular link, will
Protein and other Direct Pyrolysis is at O2, CO2, N2Equal gases, to complete in the form of " minimally invasive " to ablation of tissue.
Under 100kHz low frequency consistent electric field, particle can then obtain the longer acceleration time, ultimately form with bigger kinetic energy
High speed charged particle (plasma), directly interrupt molecular link, this external cause frequency is low, greatly reduces compared with high frequency intermolecular
Friction heat production, make ablation completed at low temperature (the unlikely temperature for making cell degeneration), to realize Mild wound.
Under usual 100KHz low frequency consistent electric field, excitation one molecule Nacl (plasma generation medium) can generate 8 electronics
The kinetic energy of volt, and kinetic energy needed for interrupting a peptide bond is 4 electron-volts, and target tissue cell is made to disintegrate as unit of molecule,
The Tissue Lysis such as protein are made to be vaporized into H2、O2、CO2、N2With the low-molecular-weight gas such as methane, cutting is formed at low temperature and is disappeared
Melt effect, it is completely different that the surgical devices such as this and electric knife and laser, which carry out the working method of vaporising tissue by the high temperature of several Baidu,
's.
Currently, the position that Collation surgery art is used in this inclined human externals such as nasal cavity, tonsillotome is more, this feelings
Target tissue under condition is generally positioned in a part in the inner wall of the relatively large cavity in human body, using Collation surgery art,
Target tissue then is contacted with the part of the surface for the electrode tip for realizing Collation surgery, still, if target tissue is to be located at
The place of some narrow spaces of human body depths, when the electrode tip for realizing Collation surgery is extend at target tissue,
Around be all by tissue encapsulation, and when target tissue is only located at the tissue of electrode tip side, this be progress low temperature etc. from
Son ablation, then can destroy health tissues, cause irreversible damage to human body.
Summary of the invention
In view of the problems of the existing technology, goal of the invention of the invention is to provide a kind of Collation surgery direction
Controllably, the multipole Inferior turbinate hypertrophy conduit of the damage of the health tissues by target tissue is reduced.
To achieve the goals above, the technical solution adopted by the present invention are as follows:
A kind of multipole Inferior turbinate hypertrophy conduit comprising:
Has the tube body of distal ports, the distal ports have free end, and plasma is provided on the free end and generates Jie
Matter delivery outlet；
Electrode, the electrode are set on the free end of the distal ports；
Control handle, the tube body are installed on the control handle and can be controlled by the control handle and be bent；
The electrode includes:
Head end electrode, the head end number of electrodes is set to the free end for more than two and mutually insulated, with institute
Centered on the axis for stating distal ports, the head end electrode is arranged towards more than two directions；
The free end around distal ports at least one week is arranged in ring electrode, the ring electrode, and is located at the head end electricity
The rear of pole.
It is provided with plasma on the free end and generates medium delivery outlet, the free end output plasma can be made to generate
Medium (generally liquid), and the situation that this programme is targeted, target tissue (aura tissue) are some skies positioned at human body depths
Between narrow place (generally do not include intravascular, because the blood of flowing can wash away plasma and generate medium, but for special
Situation be also this programme can be used, such as the blood flow in temporary interruption target blood and the operation that carries out), when it is equal from
Son generates medium after plasma generation medium delivery outlet output, is all tissue, plasma around free end due to narrow space
Generating medium can be filled into around free end quickly, also include certainly target tissue site, just have between such target tissue and electrode
Plasma generates medium, meets the condition for carrying out Collation surgery.
And electrode is divided into head end electrode and ring electrode, head end electrode is two or more, can be with more than two head end electricity
It when pole touches target tissue simultaneously, discharges together, forms electric current in branch or whole target tissues, ultimately form stable frequency
Electric field, then separate section or the corresponding plasma of whole target tissues generate medium, generate plasma, plasma generation sound
Wave makes the Tissue Lysis such as protein be vaporized into H2、O2、CO2、N2With the low-molecular-weight gas such as methane, Inferior turbinate hypertrophy is realized, together
When, ring electrode and more than two head end electrodes match, for example ring electrode and head termination electrode cooperation are discharged, then may be used
It is separated with making the plasma between the head end electrode and target tissue generate medium by above-mentioned Inferior turbinate hypertrophy principle, the portion
Divide corresponding target tissue by Inferior turbinate hypertrophy, the controllability with Collation surgery direction is this, can pass through selection
Ring electrode and different one or more head end electrode cooperatings, the target tissue of Collation surgery free end side,
Reduce the damage of the health tissues by target tissue.
As a preferred solution of the present invention, the single head end electrode can individually discharge, some target tissue (diseases
Million tissues) it is not to fall ill always, the single head end electrode can individually discharge, and provide stimulation voltage, can be with
Target tissue is excited, is induced an illness, convenient for more accurately looking for target tissue.
As a preferred solution of the present invention, the ring electrode can individually discharge, and principle is for example above-mentioned, make stimulation voltage
Release range it is wider, it is more adaptable.
As a preferred solution of the present invention, the head end number of electrodes is two, and two head termination electrodes are distributed in free end
Two sides.
As a preferred solution of the present invention, two head end electrodes are symmetrically set centered on the axis of the distal ports
It sets, be more convenient for doctor's operation and judgement, because doctor (for example is marked according to the instrument of outside after ablation catheter insertion human body
Survey signal or 3D modeling etc.) judge the position of electrode and the position of target tissue, to be adjusted, two head ends
Electrode be symmetrical arranged, meet Collation surgery direction it is controllable in the case where, it is easier to help doctor carry out operation and
Judgement.
As a preferred solution of the present invention, the plasma generates medium delivery outlet for exporting Nacl solution, and Nacl is molten
Liquid is smaller to the injury of human body, for example there are many more microelements, such as K and Mg etc. in human body, if these elements inject people
It excessively will cause adverse effect in vivo, and Nacl is comparatively, the threshold value of amount human-acceptable is larger, we are usually infused
It is all i.e. our so-called physiological saline with Nacl solution, so, our plasma generates medium and uses Nacl solution, no
It only can satisfy us and carry out the condition of Collation surgery, also reduced the injury to human body to the greatest extent, while cost also phase
To lower, economic performance is more preferable.
As a preferred solution of the present invention, it is provided with temperature sensor in the free end, tissue when detecting ablation
Temperature, keep ablation controllable, improve safety.
As a preferred solution of the present invention, the temperature sensor is located in the head end electrode, examines to the temperature of tissue
It surveys more acurrate, keeps ablation more controllable, safety is higher.
The beneficial effects of the present invention are:
It is provided with plasma on the free end and generates medium delivery outlet, the free end output plasma can be made to generate
Medium (generally liquid), and the situation that this programme is targeted, target tissue are the ground of some narrow spaces positioned at human body depths
Side (it does not generally include intravascular, it, can but be also for special circumstances because the blood of flowing can wash away plasma and generate medium
The operation carried out with using the blood flow in this programme, such as temporary interruption target blood), when plasma generates medium
It is all tissue around free end due to narrow space, plasma generates medium very after plasma generation medium delivery outlet output
It can be filled into around free end fastly, also include certainly target tissue site, just there is plasma production between such target tissue and electrode
Raw medium, meets the condition for carrying out Collation surgery.
And electrode is divided into head end electrode and ring electrode, head end electrode is two or more, can be with more than two head end electricity
It when pole touches target tissue simultaneously, discharges together, forms electric current in branch or whole target tissues, ultimately form stable frequency
Electric field, then separate section or the corresponding plasma of whole target tissue generate medium, realize Inferior turbinate hypertrophy, meanwhile, ring electrode and
More than two head end electrodes match, for example ring electrode and head termination electrode cooperation are discharged, then can be by above-mentioned
Inferior turbinate hypertrophy principle make the plasma between the head end electrode and target tissue generate medium separated, the corresponding target in the part
Tissue is by Inferior turbinate hypertrophy, the controllability with Collation surgery direction, it is this then can by selection ring electrode and not
Same one or more head end electrode cooperatings, the target tissue of Collation surgery free end side reduce target tissue
The damage of other health tissues.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of distal ports of the invention；
Fig. 2 is the cross-sectional view of distal ports of the invention；
Fig. 3 is ablation schematic diagram of the invention；
Fig. 4 is structural schematic diagram of the invention；
Marked in the figure: 1- distal ports, 2- ring electrode, 21- ring electrode conducting wire, 3- electrode A, 31- electrode A conducting wire, 4- electrode
B, 41- electrode B conducting wire, 5- collets, 51- plasma generate medium delivery outlet, 6- temperature sensor, 7- target tissue, 8- manipulation
Handle, 15- plasma generate Media Interface Connector, 16- wire interface.
Specific embodiment
Below with reference to embodiment and specific embodiment, the present invention is described in further detail.But this should not be understood
For the scope of the above subject matter of the present invention is limited to the following embodiments, all technologies realized based on summary of the invention of the invention are equal
Belong to the scope of the present invention.
Embodiment 1
Such as Fig. 1,2 and 4, a kind of multipole Inferior turbinate hypertrophy conduit comprising:
Has the tube body of distal ports 1, the distal ports 1 have free end, and plasma generation is provided on the free end
Medium delivery outlet 51, the plasma generate medium delivery outlet 51 for exporting Nacl solution, i.e. plasma generation medium is
Nacl solution；
Electrode, the electrode are set on the free end of the distal ports 1, and temperature biography is provided in the free end
Sensor 6；
Control handle 8, the tube body are installed on the control handle 8 and can be controlled by the control handle 8 and be bent；
The electrode includes:
Head end electrode, the head end number of electrodes are set to the free end for more than two and mutually insulated and (pass through
Setting realizes insulation in the interelectrode collets 5 of head end, and the opening that the plasma generates medium delivery outlet 51 is arranged exhausted
The middle position of 5 distal end of edge block), centered on the axis of the distal ports 1, the head end electrode is towards more than two sides
To setting；
Ring electrode 2, the free end around distal ports 1 at least one week is arranged in the ring electrode 2, and is located at the head end
The rear of electrode.
In above-mentioned electrode, the single head end electrode can individually discharge, the ring electrode 2 can individually into
Row electric discharge.
Specifically, being provided with ring electrode conducting wire 21 in the distal ports 1 in the present embodiment, one end connects the ring electricity
Pole 2, for energizing and transmitting data, and the other end then connects the ablatograph that can be energized and be controlled to it, the head end
Number of electrodes is two, and two head termination electrodes are distributed in the two sides of free end, and two head end electrodes are with the distal ports 1
It is symmetrical arranged centered on axis, the temperature sensor 6 is located in the head end electrode, and two head termination electrodes are respectively electrode A 3
With electrode B 4, corresponding electrode A conducting wire 31 and electrode B conducting wire 41 are provided in the distal ports 1, one end is connected respectively
Electrode A 3 and electrode B 4, for energizing and transmitting data, and the other end then connects the ablation that can be energized and be controlled to it
Instrument, one end rounded corner of electrode A 3 and electrode B 4 outwardly are more preferable with tissue adhibition and prevent from scraping injured tissue, the control handle
One end of the relatively described distal ports is provided with plasma and generates Media Interface Connector 15 and wire interface 16 on 8, and the plasma generates
Media Interface Connector 15 passes through the pipeline being arranged in control handle 8 and is finally connected to plasma generation medium delivery outlet 51, institute
It states plasma and generates the plasma generation medium output source that Media Interface Connector 15 is used to connect outside, the wire interface 16 is by setting
Set connection line in control handle 8 finally respectively with electrode A conducting wire 31, electrode B conducting wire 41, ring electrode conducting wire 21 and temperature
It spends sensor 6 to connect, the wire interface 16 is for connecting the ablatograph.
2 quantity of ring electrode is one, positioned at the rear of the head end electrode, between electrode A 3 and electrode B 4, Huo Zhe electricity
Between pole A3 and ring electrode 2 or between electrode B 4 and ring electrode 2, granting stimulation can be carried out and (form corresponding " thorn between two electrodes
Swash " needed for electric current and voltage), treatment when carry out Induced by Stimulation disease, help find lesion tissue, after the completion of ablation, electricity
Between pole A3 and electrode B 4 perhaps between electrode A 3 and ring electrode 2 or between electrode B 4 and ring electrode 2, impedance detection (two can be carried out
Electric current and voltage needed for forming corresponding " impedance detection " between a electrode), to judge ablation effect and improve ablation peace
Quan Xing, impedance can reduce after normally melting successfully, but excessively ablation can be such that tissue impedance steeply rises, and thus can determine that ablation
Effect.
It, can meanwhile between electrode A 3 and electrode B 4 perhaps between electrode A 3 and ring electrode 2 or between electrode B 4 and ring electrode 2
Apply certain voltage, two interpolars is made to form 100kHz low frequency consistent electric field, 100kHz ultra low frequency electric energy excites dielectric Nacl
Solution generates plasma, and the sound wave that plasma generates interrupts target tissue molecular link, and protein and other is straight
It connects and is cracked into O2, CO2, N2Equal gases, to complete to melt (such as Fig. 3) to target tissue 7 with low temperature, minimally invasive form.
Claims (8)
1. a kind of multipole Inferior turbinate hypertrophy conduit comprising:
Has the tube body of distal ports, the distal ports have free end；
Electrode, the electrode are set on the free end of the distal ports；
It is characterized in that, further including control handle, the tube body is installed on the control handle and can be by the manipulation hand
Handle control bending；
It is provided with plasma on the free end and generates medium delivery outlet；
The electrode includes:
Head end electrode, the head end number of electrodes are set to the free end for more than two and mutually insulated, with described remote
Centered on the axis for holding section, the head end electrode is arranged towards more than two directions；
Ring electrode, the free end around distal ports at least one week is arranged in the ring electrode, and is located at the head end electrode
Rear.
2. a kind of multipole Inferior turbinate hypertrophy conduit according to claim 1, which is characterized in that the single head end electrode
It can individually discharge.
3. a kind of multipole Inferior turbinate hypertrophy conduit according to claim 1, which is characterized in that the ring electrode can be independent
It discharges.
4. a kind of multipole Inferior turbinate hypertrophy conduit according to claim 2 or 3, which is characterized in that the head end number of electrodes
Amount is two, and two head termination electrodes are distributed in the two sides of free end.
5. a kind of multipole Inferior turbinate hypertrophy conduit according to claim 4, which is characterized in that two head end electrodes with
It is symmetrical arranged centered on the axis of the distal ports.
6. a kind of multipole Inferior turbinate hypertrophy conduit according to claim 1, which is characterized in that the plasma generates medium
Delivery outlet is for exporting Nacl solution.
7. a kind of multipole Inferior turbinate hypertrophy conduit according to claim 1, which is characterized in that be provided in the free end
Temperature sensor.
8. a kind of multipole Inferior turbinate hypertrophy conduit according to claim 7, which is characterized in that the temperature sensor is located at
In the head end electrode.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711420530.1A CN109953819A (en) | 2017-12-25 | 2017-12-25 | A kind of multipole Inferior turbinate hypertrophy conduit |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711420530.1A CN109953819A (en) | 2017-12-25 | 2017-12-25 | A kind of multipole Inferior turbinate hypertrophy conduit |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109953819A true CN109953819A (en) | 2019-07-02 |
Family
ID=67020850
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711420530.1A Pending CN109953819A (en) | 2017-12-25 | 2017-12-25 | A kind of multipole Inferior turbinate hypertrophy conduit |
Country Status (1)
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Citations (8)
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| US20030028189A1 (en) * | 1998-08-11 | 2003-02-06 | Arthrocare Corporation | Systems and methods for electrosurgical tissue treatment |
| US6595990B1 (en) * | 1992-01-07 | 2003-07-22 | Arthrocare Corporation | Systems and methods for electrosurgical tissue revascularization |
| CN101243731A (en) * | 2005-07-08 | 2008-08-13 | 普拉斯马外科股份公司 | Plasma-generating device, plasma surgical device and use of plasma surgical device |
| CN201108496Y (en) * | 2007-12-11 | 2008-09-03 | 微创医疗器械(上海)有限公司 | Electric physiology electric pole conduit pipe and corresponding equipment thereof |
| CN101332120A (en) * | 2007-06-29 | 2008-12-31 | 韦伯斯特生物官能公司 | Ablation catheter with optically transparent electricity conductive tip |
| CN102525647A (en) * | 2010-12-24 | 2012-07-04 | 日本来富恩株式会社 | Electrode catheter |
| CN102596081A (en) * | 2009-11-02 | 2012-07-18 | 皇家飞利浦电子股份有限公司 | Radio frequency ablation catheter and magnetic resonance imaging system |
| WO2017149072A2 (en) * | 2016-03-04 | 2017-09-08 | Creo Medical Limited | Electrosurgical instrument having multiple treatment modalities |
-
2017
- 2017-12-25 CN CN201711420530.1A patent/CN109953819A/en active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6595990B1 (en) * | 1992-01-07 | 2003-07-22 | Arthrocare Corporation | Systems and methods for electrosurgical tissue revascularization |
| US20030028189A1 (en) * | 1998-08-11 | 2003-02-06 | Arthrocare Corporation | Systems and methods for electrosurgical tissue treatment |
| CN101243731A (en) * | 2005-07-08 | 2008-08-13 | 普拉斯马外科股份公司 | Plasma-generating device, plasma surgical device and use of plasma surgical device |
| CN101332120A (en) * | 2007-06-29 | 2008-12-31 | 韦伯斯特生物官能公司 | Ablation catheter with optically transparent electricity conductive tip |
| CN201108496Y (en) * | 2007-12-11 | 2008-09-03 | 微创医疗器械(上海)有限公司 | Electric physiology electric pole conduit pipe and corresponding equipment thereof |
| CN102596081A (en) * | 2009-11-02 | 2012-07-18 | 皇家飞利浦电子股份有限公司 | Radio frequency ablation catheter and magnetic resonance imaging system |
| CN102525647A (en) * | 2010-12-24 | 2012-07-04 | 日本来富恩株式会社 | Electrode catheter |
| WO2017149072A2 (en) * | 2016-03-04 | 2017-09-08 | Creo Medical Limited | Electrosurgical instrument having multiple treatment modalities |
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Application publication date: 20190702 |