WO2019006602A1 - Embout d'outil électrique multifonctionnel - Google Patents

Embout d'outil électrique multifonctionnel Download PDF

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Publication number
WO2019006602A1
WO2019006602A1 PCT/CN2017/091536 CN2017091536W WO2019006602A1 WO 2019006602 A1 WO2019006602 A1 WO 2019006602A1 CN 2017091536 W CN2017091536 W CN 2017091536W WO 2019006602 A1 WO2019006602 A1 WO 2019006602A1
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WO
WIPO (PCT)
Prior art keywords
cutter head
electric cutter
flat portion
hook portion
section
Prior art date
Application number
PCT/CN2017/091536
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English (en)
Chinese (zh)
Inventor
李爱华
Original Assignee
前海三雷斯医疗科技(深圳)有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 前海三雷斯医疗科技(深圳)有限公司 filed Critical 前海三雷斯医疗科技(深圳)有限公司
Priority to PCT/CN2017/091536 priority Critical patent/WO2019006602A1/fr
Priority to CN201790000107.3U priority patent/CN211325547U/zh
Publication of WO2019006602A1 publication Critical patent/WO2019006602A1/fr

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

Definitions

  • the utility model relates to a medical device, in particular to a multifunctional electric cutter head used in a surgical procedure.
  • High-frequency electrosurgical knives are increasingly used in a variety of endoscopic procedures, such as laparoscopic, prostatectomy, gastroscope, cystoscopy, hysteroscopy and other operations. Because the high-frequency electrosurgical knife can simultaneously cut and coagulate, it is widely used in the surgery that the mechanical scalpel is difficult to enter and implement (such as abdominal tube ligation, prostatic urethral tumor resection). The high-frequency electrosurgical prominence of coagulation makes it widely used in diffuse oozing sites such as liver, spleen, thyroid, breast, and lung surgery.
  • High-frequency electric knives have two main modes of operation: unipolar and bipolar.
  • unipolar mode a complete circuit is used to cut and solidify the tissue, which consists of a high frequency generator in the high frequency electrosurgical unit, patient plates, connecting wires, and electrodes.
  • current is passed through the patient through active leads and electrodes, and the patient plate and its leads are returned to the generator of the high frequency electrosurgical unit.
  • the heating effect of a high-frequency electrosurgical knife that can destroy a diseased tissue is not caused by a heated electrode or a cutter head, like an electric cautery. It concentrates the high current density of high currents and directly destroys the tissue at a point in contact with the tip of the effective electrode. Coagulation occurs when the temperature of a tissue or cell that is in contact with or adjacent to an effective electrode rises to the protein in the cell. This precise surgical effect is caused by the waveform, voltage, current, type of tissue, and electrode. The shape and size are determined.
  • the most common configuration of the commonly used electrosurgical cutters is the "hook” electric cutter head usually provided in the shape of "L” or “J”, which can manipulate and lift the structure (hook) before cauterization, thereby It is possible to clearly show the need for surgery; there is also a “shovel”-shaped electric cutter head with a wide surface to burn a larger tissue area or a larger source of bleeding.
  • most surgeons require complete replacement of the electric cutter head to access the anatomical cutting surface organs and blood vessels to treat localized blood vessel bleeding, large area condensation, bloodless separation, and oscillating tissue and adhesion.
  • the replacement of the electric cutter head during surgery is potentially dangerous, delaying the treatment of the bleeding site, and adding a large amount of additional costs.
  • the utility model provides a multifunctional electric cutter head.
  • a multi-function electric cutter head includes a needle tip portion, a flat portion and a hook portion, wherein the needle tip portion is located at the top end, and the flat portion is integrated with the hook portion.
  • the hook portion has the same width as the flat portion.
  • the flat portion has a circular cross section, one end is connected to the electric cutter head main body, and the other end is connected to the needle tip portion and the hook portion.
  • the hook portion has a J shape or an L shape; a cross section of the hook portion is parallel or perpendicular to a cross section of the flat portion.
  • the flat portion has a circular cross section.
  • the cross section of the hook portion is parallel or perpendicular to the cross section of the flat portion; the hook portion is J-shaped or L-shaped.
  • the flat portion is a curved ring.
  • the flat portion has a semicircular cross section, and the semicircular diameter is connected to the main body of the electric cutter head.
  • the multifunctional electric cutter head is coated with a perfluorooctanoic acid material.
  • the multi-function electric cutter head is provided with a driving device for driving the electric cutter head to expand and contract.
  • the utility model has the beneficial effects that the utility model provides a multifunctional electric cutter head, which can complete the functions of three separate electric cutter heads in the prior art during surgery, thereby eliminating the time for replacing the electric cutter head during the operation, and saving The cost.
  • FIG. 1 is a schematic view of a multi-function electric cutter head of the present invention, wherein a 1-needle tip portion, a 2-flat portion, and a 3-hook portion.
  • FIGS. 2 and 3 are schematic views of still another multifunctional electric cutter head of the present invention, wherein the 6-needle tip portion, the 4-flat portion, and the 5-hook portion.
  • FIGS. 4 and 5 are schematic views of still another multifunctional electric cutter head of the present invention, wherein a 9-needle tip portion, an 8-flat portion, and a 7-hook portion.
  • Figure 6 is a schematic view of a fourth multi-function electric cutter head of the present invention, wherein the 12-needle tip portion, the 10-flat portion and the 13-hook portion.
  • Electrosurgery has been widely used in modern surgery, and electrosurgery uses high-frequency current to cut tissue to achieve hemostasis.
  • the electrosurgical unit is a commonly used equipment for surgery. It combines cutting, separating and hemostasis to complete these separate operations at the same time, reducing the frequency of ligation or suturing to stop bleeding, which can greatly shorten the operation time.
  • the electrosurgical system uses high-frequency current to cut tissue and achieve hemostasis.
  • the electric knife can achieve the following functions during surgery: (1) Drying: low-power condensation does not require electro-optic; (2) cutting: discharge of electro-optic, cutting effect on the tissue; (3) solidification: electro-optic will not cut the tissue It can be used for hemostasis and charred tissue; (4) Mixed cutting: simultaneous cutting and hemostasis.
  • the commonly used electrosurgical structure consists of a high-frequency electronic generator, a high-frequency electrode plate, and a high-frequency electric knife head.
  • the old-fashioned electric knife also has a foot switch.
  • the high-frequency electron generator and electrode plate are prepared by the roving nurse before the operation begins.
  • the electrode plate has a hard plate and a soft plate. The soft plate is in close contact with the patient, and the resistance is 0. It is not easy to cause burns during use.
  • the application of soft plates; the regulation of the power level of high-frequency electronic generators is essential, and the power level is based on various surgical procedures, doctor's skills and electric cutter heads.
  • the general unipolar output the principle of high energy is: (1) low electrical energy, electrocoagulation for fine bleeding, hemostasis, separation of adhesions, anatomical separation of small and medium blood vessels; (2) medium electrical energy, large bleeding Electrocoagulation to stop bleeding, abdominal organs, tissue cutting, free; (3) high electrical energy, liver tissue cutting, cancer cell resection (such as radical mastectomy).
  • the setting of electric energy also needs to be set according to the personal experience of the surgeon.
  • the operator manipulates the high-frequency electric cutter head. There are two control switch buttons on the electric cutter head.
  • the upper main tube is electrocoagulated, and the lower main tube is electrically cut.
  • the electrocoagulation is mainly used for point-shaped hemostasis.
  • the blood vessel can be coagulated below 1 mm in diameter.
  • Control bleeding, electric cutting is mainly used to cut tissue and hemostasis function
  • the electrode of high-frequency electric knife head has length and length
  • long electrode is used for deep tissue operation
  • short electrode is used for shallow tissue operation.
  • the advantage of applying high-frequency electrosurgical knife is that it does not require a lot of ligation in the operation, cutting and hemostasis in one go, no foreign matter is left in the incision, the surgical field is clean and clear, and the operation is rapid, especially the long electrode is beneficial to the deep part (such as The operation of the pelvic cavity).
  • the utility model provides a multifunctional electric cutter head, which is provided with a "hook” electric cutter head and a “shovel” electric knife which are provided in the most common “L” or “J” shape of the electric cutter head of the commonly used high-frequency electric knife.
  • the heads are combined to prevent the doctor from wasting valuable time during the operation and avoiding wasted costs.
  • FIG. 1 it is a schematic diagram of a multifunctional electric cutter head of the present invention.
  • the multi-function electric cutter head includes a needle tip portion 1, a flat portion 2, and a hook portion 3.
  • the tip portion 1 is located at the extreme end of the electric cutter head, and is integrally connected to the hook portion 3 via the flat portion 2.
  • the hook portion 2 is the same width as the flat portion 3, thus forming a unitary body.
  • Needle tip 1 is used for electrocoagulation of small hemorrhage, separation of adhesion, anatomical separation of small and medium blood vessels; electrocoagulation for hemostasis of flat part 2, hemostasis of abdominal organs, tissue; and hook portion 3 in cauterization or Lift the tissue before cutting.
  • the structure of multiple functions is installed on a structure, so that the doctor can select the appropriate structure to apply to the affected part in the shortest time according to actual needs, such as bleeding site and bleeding size; during the operation, it can also be continuously needed according to the needs. Replace the structure used to prevent valuable time from being lost during surgery.
  • FIG. 2 it is a schematic diagram of still another multifunctional electric cutter head of the present invention.
  • the multi-function electric cutter head includes a needle tip portion 6, a flat portion 4, and a hook portion 5.
  • the flat portion 4 has a circular cross section, one end of which is connected to the electric cutter head main body, and the other end is connected to the needle tip portion 6 and the hook portion 5, and the hook portion 5 is a cross section and flat of the J-shaped hook portion 5.
  • the cross section of the portion 4 is parallel.
  • the tip portion 6, the flat portion 4, and the hook portion 5 have functions as described above.
  • the hook portion 5 is L-shaped
  • FIG. 2 is a schematic view of a multi-function electric cutter head of the same structure.
  • the difference is that the cross section of the hook portion 5 and the cross section of the flat portion 4 may be perpendicular.
  • the arrangement of the hook portion 5 and the needle tip portion 6 is not limited, and is at the other end of the flat portion 4 corresponding to the electric cutter head body.
  • FIG. 4 it is a schematic diagram of still another multifunctional electric cutter head of the present invention.
  • the multi-function electric cutter head includes a needle tip portion 9, a flat portion 8, and a hook portion 7.
  • the flat portion 8 has a circular cross section.
  • the cross section of the hook portion 7 is parallel to the cross section of the flat portion 8, which is J-shaped.
  • the hook portion is L-shaped.
  • FIG. 5 it is a schematic view of a multi-function electric cutter head having the same structure as that of FIG.
  • the flat portion 8 is a curved surface whose cross section of the hook portion 7 is perpendicular, and the arrangement of the hook portion 5 and the needle tip portion 6 is not limited at this time.
  • FIG. 6 it is a schematic diagram of a fourth multifunctional electric cutter head of the present invention.
  • the multi-function electric cutter head includes a needle tip portion 12, a flat portion 10, and a hook portion 13.
  • the tip portion 12 and the hook portion 13 are disposed on a central axis of the body of the electric cutter head, the flat portion 10 may be disposed on the left side or the right side of the center shaft, and the flat portion 10 has a semicircular cross section, the half The diameter of the circle is connected to the body of the electric cutter head.
  • the cross section of the flat portion 10 may also be other shapes, such as a square or a rectangle, which may be involved according to the user's preference or actual needs, and the present invention is not limited.
  • the multi-function electric cutter head can be coated with perfluorooctanoic acid material. It can be both anti-stick conductive and high temperature resistant.
  • the multi-function electric cutter head is provided with a driving device for driving the electric cutter head to expand and contract, and is used for deep tissue operation when stretched, for shallow tissue operation when shortened, and also saves time during surgery.

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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

Un embout d'outil électrique multifonctionnel est caractérisé en ce qu'il comprend une partie pointe d'aiguille (1, 6, 9, 12), une partie plate (2, 4, 8, 10), et une partie crochet (3, 5, 7, 13). La partie pointe d'aiguille (1, 6, 9, 12) est située au sommet et est reliée à la partie crochet (3, 5, 7, 13) dans son ensemble au moyen de la partie plate (2, 4, 8, 10). L'embout d'outil électrique multifonctionnel peut mettre en oeuvre des fonctions de trois types d'embouts d'outil électrique, ce qui permet d'éliminer le temps de remplacement d'embouts d'outil électrique dans une opération et de réduire les coûts.
PCT/CN2017/091536 2017-07-03 2017-07-03 Embout d'outil électrique multifonctionnel WO2019006602A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/CN2017/091536 WO2019006602A1 (fr) 2017-07-03 2017-07-03 Embout d'outil électrique multifonctionnel
CN201790000107.3U CN211325547U (zh) 2017-07-03 2017-07-03 一种多功能电刀头

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CN2017/091536 WO2019006602A1 (fr) 2017-07-03 2017-07-03 Embout d'outil électrique multifonctionnel

Publications (1)

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WO2019006602A1 true WO2019006602A1 (fr) 2019-01-10

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4545374A (en) * 1982-09-03 1985-10-08 Jacobson Robert E Method and instruments for performing a percutaneous lumbar diskectomy
CN2261233Y (zh) * 1996-05-07 1997-09-03 杨学斌 多用电刀柄
CN2506217Y (zh) * 2001-11-30 2002-08-21 赵建东 微波腺样体刮除器
CN202113164U (zh) * 2011-06-10 2012-01-18 陈曦 一种双极电切笔
CN104055572A (zh) * 2014-06-20 2014-09-24 杭州安杰思医学科技有限公司 一种组合电刀
CN204484303U (zh) * 2015-03-20 2015-07-22 田静静 一种高频电刀笔
CN204671201U (zh) * 2015-04-14 2015-09-30 中国人民解放军第二军医大学 一种内镜手术用具有伸缩功能的拉钩
CN105578978A (zh) * 2013-09-27 2016-05-11 奥林巴斯株式会社 探头单元、处理器具及处理***
CN205683122U (zh) * 2016-04-25 2016-11-16 李本玲 一种神经外科超声刀

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4545374A (en) * 1982-09-03 1985-10-08 Jacobson Robert E Method and instruments for performing a percutaneous lumbar diskectomy
CN2261233Y (zh) * 1996-05-07 1997-09-03 杨学斌 多用电刀柄
CN2506217Y (zh) * 2001-11-30 2002-08-21 赵建东 微波腺样体刮除器
CN202113164U (zh) * 2011-06-10 2012-01-18 陈曦 一种双极电切笔
CN105578978A (zh) * 2013-09-27 2016-05-11 奥林巴斯株式会社 探头单元、处理器具及处理***
CN104055572A (zh) * 2014-06-20 2014-09-24 杭州安杰思医学科技有限公司 一种组合电刀
CN204484303U (zh) * 2015-03-20 2015-07-22 田静静 一种高频电刀笔
CN204671201U (zh) * 2015-04-14 2015-09-30 中国人民解放军第二军医大学 一种内镜手术用具有伸缩功能的拉钩
CN205683122U (zh) * 2016-04-25 2016-11-16 李本玲 一种神经外科超声刀

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