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CN107693111A - A kind of low-temperature plasma incision knife surgical apparatus - Google Patents

A kind of low-temperature plasma incision knife surgical apparatus Download PDF

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Publication number
CN107693111A
CN107693111A CN201711018974.2A CN201711018974A CN107693111A CN 107693111 A CN107693111 A CN 107693111A CN 201711018974 A CN201711018974 A CN 201711018974A CN 107693111 A CN107693111 A CN 107693111A
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Prior art keywords
electrode
low
mode
incision knife
instruction
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Chinese (zh)
Inventor
严航
郑忠伟
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Shanghai Andaxin Medical Devices Co
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Shanghai Andaxin Medical Devices Co
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Priority to CN201711018974.2A priority Critical patent/CN107693111A/en
Publication of CN107693111A publication Critical patent/CN107693111A/en
Priority to CN201821749098.0U priority patent/CN210541799U/en
Pending legal-status Critical Current

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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
    • A61B18/1206—Generators 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
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00089—Thermal conductivity
    • A61B2018/00101—Thermal conductivity low, i.e. thermally insulating
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00107—Coatings on the energy applicator
    • 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
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00172—Connectors and adapters therefor
    • A61B2018/00178—Electrical connectors
    • 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
    • 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
    • A61B2018/00601—Cutting
    • 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
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00898—Alarms or notifications created in response to an abnormal condition
    • 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
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/126—Generators therefor characterised by the output polarity bipolar
    • 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
    • A61B2018/1412—Blade

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  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of low-temperature plasma incision knife surgical apparatus, the equipment includes：Liquid input block, in response to liquid input signal, to objective body at infusion fluid so as to forming the thin layer of conducting medium between emission electrode and loop electrode；Bipolar electrode socket connector, it is connected by high frequency connecting line with radio-frequency generator, for receiving the first input voltage caused by radio-frequency generator；Emission electrode, the first input voltage caused by radio-frequency generator is received via bipolar electrode socket connector, apply first voltage between emission electrode and loop electrode, so that conducting medium reaches the first temperature and promotes the conducting medium to be converted into plasmasphere, so as to excite conducting medium to produce plasma using electric energy, and cutting is vaporized to objective body based on the RF energy of plasma, loop electrode, imported with emission electrode by identical conduit and form galvanic circle in objective body.

Description

A kind of low-temperature plasma incision knife surgical apparatus
Technical field
The present invention relates to radio frequency arts, and more particularly, to a kind of low-temperature plasma incision knife surgical apparatus.
Background technology
High frequency cutting electric knife is a kind of electrosurgical unit for substituting mechanical operation knife to carry out tissue cutting.High frequency cuts electric knife Operation principle be when being contacted by high-frequency high-voltage current caused by active electrode tip with body to tissue heat, realize Separation and solidification to body tissue, so as to play the purpose of cutting and hemostasis.The peak value electricity of high frequency cutting electric knife coagulation pattern Pressure is big compared with TURP pattern, when high frequency electric is by the tissue of high impedance, can heat in the tissue, cause tissue to gasify or solidification, Good haemostatic effect is produced, but will also result in more obvious fire damage simultaneously.High frequency cutting electric knife moment stably may be up to More than 150 DEG C, the heating effect of the high frequency cutting electric knife of tissue can be cut, is not as caused by heating electrode or cutter head.It It is that the high frequency electric of high current density gathers together, directly destroys in the tissue being in contact with active electrode tip.When with When active electrode is in contact or the temperature of adjoining tissue or cell rises to the protein denaturation in cell, cutting is just produced And the effect of solidification.
The operating temperature of common high frequency cutting electric knife is typically 100~150 DEG C, and this operating temperature counterpart tissue still belongs to In high temperature, after histocyte is influenceed by this temperature, histone is denatured caused by cutting.Especially common high frequency cutting electricity After knife continuous firing certain time, fire damage can be caused to tissue.And histiocytic degeneration necrosis is one and gradually developed Process, common high frequency cutting electric knife occur that the swelling of art area, postoperative pain etc. react.
In actual environment, high frequency cutting electric knife applies the nipple for carrying out duodenum lesion in Gastroenterology dept. of hospital to cut hand During art, the complication of pancreatitis (death rate is high) is easily produced, because temperature has damage to tissue.High frequency cutting electric knife has Two electrodes, for an electrode paste with patient, another electrode is placed on cutter position, and sets electricity logical on handle Road.High-frequency emission temperature is up to 400-500 degree, and this temperature tissue good to periphery can accidentally injure, and then causes bleeding problems Caused probability is high, is easily damaged pathological tissue.In this case, doctor can not carry out pathological analysis, and whole to cutting into slices Reason causes trouble when effectively analyzing.
It is that ERCP is inserted to duodenum drop section through ERCP Retrograde cholangiopancreatography (ERCP), Appear the duodenofiberscope of ductus pancreaticus, the bile duct wall opening on the inside of enteric cavity, angiography catheter inserted through ERCP treatment duct, Insert pancreatic duct Common openings through nipple opening or successively respectively enter ductus pancreaticus, bile duct, inject contrast agent, under x-ray to ductus pancreaticus, The method that bile duct is checked.
It is the further development on the basis of diagnosis ERCP technology through Endoscopic Sphincterotomy of Duodenal Papilla Attached art (EST) That gets up is cut duodenofiberscope sphincter and choledochus end section using special high-frequency electrical incision knife under scope A kind for the treatment of technology.
Duodenofiberscope includes main nipple and additional teat, and main nipple is generally also known as duodenofiberscope or watt nipple. It is frequently located in descendant duodenum stage casing back madial wall, and away from stomach pylorus about at 10cm, form is in nipple type mostly.Described breast Head otomy is mainly all referring to the incision of main nipple.Under duodenum camera lens, the position of main nipple is generally all approximate at center 12 opening positions.Under the guiding of ERCP and the regulation of front end lift pincers device, doctor operates the insertion of apparatus high frequency incision knife Into nipple, lead to high-frequency electrical, realize the cutting and solidification of tissue.High-frequency emission temperature is up to 400-500 degree, and this temperature is to ten The good tissue in two duodenum 12 nipple peripheries can accidentally injure, and easily produce pancreatitis (death rate high), bleeding, the complication perforated etc., And then make it that probability caused by bleeding problems is high while is also easily damaged pathological tissue.In this case, doctor can not be carried out Pathological analysis, and to causing trouble during the effective analysis of section arrangement.
The content of the invention
According to an aspect of the present invention, there is provided a kind of low-temperature plasma incision knife surgical apparatus, the equipment include：
Liquid input block, in response to liquid input signal, to objective body at infusion fluid so as in emission electrode and returning The thin layer of conducting medium is formed between path electrode；
Bipolar electrode socket connector, it is connected with radio-frequency generator by high frequency connecting line, is occurred for receiving the high frequency First input voltage caused by device；
Emission electrode, the first input voltage caused by the radio-frequency generator is received via bipolar electrode socket connector, Apply first voltage between emission electrode and loop electrode so that the conducting medium reaches the first temperature and promoted described Conducting medium is converted into plasmasphere, so as to excite conducting medium to produce plasma using electric energy, and is based on plasma The RF energy of body is vaporized cutting to objective body,
Loop electrode, imported with the emission electrode by identical conduit and form conductive return in the objective body Road.
The bipolar electrode socket connector receives the second input voltage caused by the radio-frequency generator and by described in Second input voltage is transferred to emission electrode, applies second voltage between emission electrode and loop electrode, to cause objective body Second temperature is remained, so as to promote objective body to carry out ablation solidification.
The low-temperature plasma incision knife surgical apparatus also includes guidewire lumen, for seal wire to be inputted simultaneously along the guidewire lumen And the head end of the low-temperature plasma incision knife surgical apparatus is inserted to, to promote emission electrode and loop electrode to be placed in the mesh At standard type.
The low-temperature plasma incision knife surgical apparatus also includes fluid-through chamber, and list is inputted to liquid based on liquid input instruction Member inputs the liquid, wherein the liquid input block measures the current surplus of the liquid and will be described current remaining in real time Amount is sent to control unit, described control unit be based on the current surplus determine whether to generate the liquid input instruction and It is determined that the liquid input instruction is sent into liquid input block after generating the liquid input instruction.
The liquid input block passes through a kind of progress liquid input in following pattern：Titration mode and continuous liquid supply mould Formula, and the fluid-through chamber is to be located at the annular chamber outside loop electrode.
Part cladding for the top of the remote low-temperature plasma incision knife surgical apparatus of the emission electrode is exhausted Edge layer, the insulating barrier has been used to insulate and heat-insulated effect.
The infusion port of the liquid input block is between the emission electrode and loop electrode.
The low-temperature plasma incision knife surgical apparatus also includes pull bar, for making operator by providing branch pull bar Support force, and the low-temperature plasma incision knife surgical apparatus also includes outer tube, for providing external sheath function.
In an initial condition, the emission electrode and loop electrode are bonded each other, when the emission electrode and loop electrode After reaching at the objective body, the emission electrode is pulled by sliding block movement, to cause the emission electrode and loop electrode Form tortuous bow shape.
The scope of the first voltage is 100Vrms to 300Vrms, and the scope of the second voltage be 60Vrms extremely 80Vrms。
Preferably, the scope of the first voltage is 100Vrms to 300Vrms, and the scope of the second voltage is 60Vrms to 80Vrms.
Preferably, the scope of first temperature is 35 DEG C -40 DEG C, and the scope of the second temperature is 40 DEG C -70 DEG C.
The low-temperature plasma incision knife surgical apparatus detects sends alarm signal, institute after operation troubles to alarm unit Alarm unit is stated when receiving alarm signal, is shown and is alarmed by auditory tone cues, text prompt and/or indicator lamp；
The low-temperature plasma incision knife surgical apparatus is connected with foot-operated input equipment, and wherein user passes through to the pin The formula input equipment of stepping on is operable to the control instruction that generation is used to control low-temperature plasma incision knife surgical apparatus power output, Wherein described control instruction is two tuples<Pattern, power>.
The low-temperature plasma incision knife surgical apparatus is connected with display unit, and the display unit is used for real-time display institute State the running status of low-temperature plasma incision knife surgical apparatus.
Brief description of the drawings
By reference to the following drawings, the illustrative embodiments of the present invention can be more fully understood by：
Fig. 1 is the major part schematic diagram according to the plasma therapeutic apparatus of the preferred embodiment for the present invention；
Fig. 2 is the structural representation according to the plasma therapeutic apparatus of the preferred embodiment for the present invention；
Fig. 3 is the structural representation according to the low-temperature plasma incision knife surgery systems of the preferred embodiment for the present invention；
Fig. 4 is the flow chart according to the low-temperature plasma incision knife operation method of the preferred embodiment for the present invention；
Fig. 5 is the structural representation according to the low-temperature plasma incision knife surgical apparatus of the preferred embodiment for the present invention；With And
Fig. 6-8 is according to the partial enlargement of the low-temperature plasma incision knife surgical apparatus of the preferred embodiment for the present invention or cut Face schematic diagram.
Embodiment
The illustrative embodiments of the present invention are introduced with reference now to accompanying drawing, however, the present invention can use many different shapes Formula is implemented, and is not limited to embodiment described herein, there is provided these embodiments are to disclose at large and fully The present invention, and fully pass on the scope of the present invention to person of ordinary skill in the field.Show for what is be illustrated in the accompanying drawings Term in example property embodiment is not limitation of the invention.In the accompanying drawings, identical cells/elements are attached using identical Icon is remembered.
Unless otherwise indicated, term (including scientific and technical terminology) used herein has to person of ordinary skill in the field It is common to understand implication.Further it will be understood that the term limited with usually used dictionary, be appreciated that and its The linguistic context of association area has consistent implication, and is not construed as Utopian or overly formal meaning.
Fig. 1 is the functional schematic according to the plasma therapeutic apparatus 100 of the preferred embodiment for the present invention.Plasma therapeutic apparatus 100 can be used in cutting, ablation and the solidification and hemostasis of duodenofiberscope.In addition, plasma therapeutic apparatus 100 can also be used to Cutting, ablation, solidification and the hemostasis of soft tissue in the surgical operations such as joint, backbone, skin, ear nose larynx.The plasma of the application The usage time of therapeutic equipment 100 is to belong to brought into temporary contact within 24 hours, according to time of contact classification, according to contact people's volume property point Class belongs to outside access apparatus (with tissue/bone/dentine) and belongs to active medical according to the classification of medicine equipment architectural feature Apparatus.Annex bipolar operation electrode (incision knife) head of plasma therapeutic apparatus 100 belongs to disposable sterilized product.
Plasma therapeutic apparatus 100 uses bipolar scheme, and its working frequency is 110kHz.Plasma therapeutic apparatus 100 is logical Cross cutting, ablation, solidification and the hemostasis of soft tissue during plasma technology realization is performed the operation to ear nose larynx etc..During work, plasma is controlled Treat instrument 100 and conduction liquid is used as by physiological saline, a thin layer is formed when activating between emission electrode and loop electrode.When wait from When sub- therapeutic equipment 100 gives enough energy (voltage), physiological saline translates into the gas being made up of charged particle of energizing Body layer (plasmasphere).That is, plasma therapeutic apparatus 100 using energy excitation conducting medium (for example, physiological saline) produce etc. from Daughter, and interrupt tissue element key by the energy of plasma.The energy of plasma is by protein and other Direct Pyrolysis is into O2, CO2, N2Deng gas, so as to complete the vaporization cutting to tissue.When the work knife of article on plasma therapeutic equipment 100 For head when giving low-voltage, electric field is less than the thresholding requirement for producing plasmasphere and produces tissue resistance heat, so as to will organize into Row ablation solidification and hemostasis.
As shown in figure 1, the functional architecture of plasma therapeutic apparatus 100 includes：Primary control program, alarm unit, interface are single Member, output control unit, bipolar operation electrode (incision knife) interface, bipolar operation electrode (incision knife), floor push, foot control connect Mouth, dropping liquid control valve and dropping liquid control valve interface.Wherein, primary control program, alarm unit, boundary element, output control, bipolar Procedures electrode interface, foot control interface and dropping liquid control valve interface belong to the software section of plasma therapeutic apparatus 100.Plasma is controlled It is as shown in table 1 to treat the function introduction of the section components of instrument 100,
The function introduction of the section components of table 1
Preferably, floor push can control the mode of operation of plasma therapeutic apparatus 100.The work of plasma therapeutic apparatus 100 Operation mode is divided into cut mode and coagulation mode.The classification of waterproof of floor push is classification of waterproof standard IPX8, and rides and open Close and switched for electric pedal.
Preferably, the yellow pedal of floor push corresponds to cut mode, and the gear range of cut mode is 1 to 9 Shelves.That is, when trampling the yellow pedal of floor push, plasma therapeutic apparatus 100 enters cut mode.The gear of cut mode is adjusted Section mode is：Adjust in the state of cut mode by dark buttons on floor push (or manually on regulation host panel it is yellow Color button) it is adjusted.Cutting gear can be selected from any one shelves in 1 to 9 grade.Wherein, gear is higher, and output voltage is got over Greatly.In cut mode, 1 to 9 grade of output voltage is as shown in table 2：
Output gear in the cut mode of table 2
Preferably, the blue pedal of floor push corresponds to coagulation mode, and the gear range of coagulation mode is 1 to 5 Shelves.That is, when trampling the blue pedal of floor push, plasma therapeutic apparatus 100 enters coagulation mode.The gear of coagulation mode is adjusted Section mode is：(by the changeable cut mode of mode key and coagulation mode) by blue pedal in the state of adjusting to coagulation mode Upper dark buttons (or blue buttons above and below regulation host panel manually) are adjusted.During foot-operated dark buttons, blood coagulation gear can It is bigger from any one shelves in 1 to 5 grade, its middle gear more high output voltage to select.When needed in Clinical practice carry out blood coagulation When, depress blue pedal and carry out blood coagulation.In coagulation mode, 1 to 5 grade of output voltage is as shown in table 3：
Output gear in the coagulation mode of table 3
Preferably, foot control interface is used for the control instruction for receiving floor push, and the control instruction is transmitted into master Control program.Wherein, control instruction is two tuples<Pattern, power>.Pattern includes：Cut mode and coagulation mode.In blanking punch In formula, power includes 9 gears, and in coagulation mode, power includes 5 gears.
Preferably, primary control program is parsed to the control instruction and when the control instruction indicates first mode First mode instruction is generated, is calculated according to present impedance and the control instruction for the power output under first mode, by the One mode instruction and the first voltage associated with the power output under first mode instruction are sent to output control list Member.Wherein, initial present impedance is zero, i.e., when the start of plasma therapeutic apparatus 100 is operated, the present impedance of acquiescence is Zero.The primary control program is parsed to the control instruction and generates second when the control instruction indicates second mode Mode instruction, calculated according to present impedance and the control instruction for the power output under second mode, second mode is referred to Order and the second voltage associated with the power output under second mode instruction are sent to output control unit.Wherein institute Stating present impedance includes high impedance, middle impedance and Low ESR (0 impedance is Low ESR).Preferably, according to present impedance and described Control instruction calculates to be included for the power output under first mode：If present impedance is high impedance and the control instruction The 2nd grade under first mode is indicated, then the power output under first mode is arranged to the 4th grade；If present impedance is middle resistance The 2nd grade under anti-and described control instruction instruction first mode, then the power output under first mode is arranged to the 3rd grade； And if present impedance is the 2nd grade under Low ESR and control instruction instruction first mode, then by under first mode Power output be arranged to the 2nd grade.Preferably, calculated according to present impedance and the control instruction for defeated under second mode Going out power includes：If present impedance is the 2nd grade under high impedance and control instruction instruction second mode, by second Power output under pattern is arranged to the 4th grade；If present impedance is middle impedance and the control instruction indicates second mode Under the 2nd grade, then the power output under second mode is arranged to the 3rd grade；And if present impedance is Low ESR and institute The 2nd grade under control instruction instruction second mode is stated, then the power output under second mode is arranged to the 2nd grade.Preferably, when It is defeated using highest gear as reality when the power output being calculated exceedes the highest gear in first mode or second mode Go out power.
Preferably, output control unit is used to receive first mode instruction and first voltage instruction from the primary control program, And first mode instruction and first voltage instruction are transmitted to bipolar operation electrode interface, and from bipolar operation electrode The present impedance of interface target contact jaw and the present impedance is sent to the primary control program.And the output Control unit from the primary control program receive second mode instruction and second voltage instruction, and by the second mode instruction and Second voltage instruction is transmitted to bipolar operation electrode interface.
Preferably, bipolar operation electrode interface is used for the power instruction for receiving primary control program and indicates to send out by the power Bipolar operation electrode is given, and the real-time impedance of bipolar operation electrode is measured and passed through the real-time impedance defeated Go out control unit and pass to primary control program.
Preferably, bipolar operation electrode from the bipolar operation electrode interface first mode in response to instructing and first Voltage indicates, into first mode：Pass through emission electrode of the conducting medium at the target contact jaw of the bipolar operation electrode Circuit activation is carried out between loop electrode to form thin layer, applies first voltage between emission electrode and loop electrode, makes Obtain the conducting medium to reach the first temperature and be converted into plasmasphere, so as to excite conducting medium generation etc. using electric energy Gas ions, and cutting is vaporized to objective body based on the RF energy of plasma.In response to electric from the bipolar surgery Second instruction of pole interface and second voltage instruction, the bipolar operation electrode enter second mode：Apply second voltage So that the target contact jaw of the bipolar operation electrode is remained into second temperature, so as to which objective body is carried out into ablation solidification.
Preferably, alarm unit is used for when receiving alarm signal, passes through auditory tone cues, text prompt and/or instruction Lamp, which is shown, is alarmed.Alarm signal is sent to primary control program wherein after the bipolar operation electrode detects operation troubles, Alarm signal is sent to the alarm unit by the primary control program.
Preferably, boundary element, the running status for low-temperature plasma incision knife surgery systems described in real-time display.
Preferably, dropping liquid control valve is used for based on the conducting medium input instruction of the primary control program to bipolar operation electrode The conducting medium is inputted, wherein the bipolar operation electrode measures the current surplus of the conducting medium and by described in real time Current surplus is sent to primary control program, the primary control program be based on the current surplus determine whether to generate the conducting medium it is defeated Enter instruction and it is determined that the conducting medium input instruction is sent into dropping liquid control after generating the conducting medium input instruction Valve processed.Preferably, dropping liquid control valve interface is used to realize the two-way communication between dropping liquid control valve and primary control program.
Preferably, the emission electrode at bipolar operation electrode tip catheter, plasmasphere, loop electrode and target contact End forms loop.In cut mode, the operating temperature of bipolar operation electrode is 35 to 40 DEG C, and the work of conventional electrosurgical knife Temperature is 350 to 700 DEG C.The thermal break-through distance of bipolar operation electrode than conventional electrosurgical knife thermal break-through apart from small, wherein cutting Cut the thermal break-through distance that the thermal break-through distance in pattern is less than or equal in 150 microns and coagulation mode and be less than or equal to 200 Micron, and the thermal break-through of conventional electrosurgical knife distance is more than 9000 microns.
The operation principle of plasma therapeutic apparatus 100 is effect of plasma radiofrequency ablation at low temperature.Energy is produced using bipolar cutter head, by life Reason salt solution is converted into plasma thin layer, dissociates the molecular link that cell component is formed in target tissue, causes tissue coagulation downright bad, Form the effect of ablation or cutting.Due to working at relatively low temperature, electric knife is cut to week than the high frequency that tradition uses The fire damage of Selvage Stitch is minimized degree.It can reduce target volume in 35 DEG C or so operating temperatures, it is micro- in target tissue Vessel closure, cut off lesion.Its low temperature and tissue volume reduction Ablation characteristic, more common Single-pole electric knife is with more shortening post-operative recovery Time, mitigate the advantages of postoperative pain and reduction expenses of surgical treatment.Wherein, plasma therapeutic apparatus and common high frequency cutting electric knife Temperature it is more as shown in table 4：
Table 4
Cutter head environment temperature (refers to isolated experiment research tissue fire damage report to plasma therapeutic apparatus less than 70 DEG C at work Accuse), operating temperature is lower compared with traditional common high frequency cutting electric knife (100~150 DEG C of high temperature), although low temperature etc. The treatment temperature counterpart tissue of ion knife still falls within high temperature, after histocyte is influenceed by this temperature, equally occurs that electric knife is cut Cut and cause histone to be denatured, especially after certain time, can also cause fire damage to tissue.And histiocytic denaturation Necrosis is a process gradually developed, therefore some patientss row low-temperature plasma Post operation, its swelling of art area, postoperative pain etc. are anti- Electric knife response light should be cut unlike high frequency.Plasma therapeutic apparatus cuts the damage fire damage depth ratio of electric knife more such as with common high frequency Shown in table 5 below：
Table 5
Fire damage depth during cutting Fire damage depth during blood coagulation
Plasma therapeutic apparatus 150 microns of average value 200 microns of average value
High frequency cuts electric knife 1.23±0.24mm 1.37±0.26mm
Because each operating time is had differences so plasma therapeutic apparatus is in isolated experiment research tissue fire damage report In selected maximum operating time, cut by contrasting the plasma therapeutic apparatus of visible maximum operating time and the high frequency of normal use Electric knife heat waste depth.Therefore the heat waste depth of the plasma therapeutic apparatus of normal use should be less than high frequency cutting electric knife heat waste depth.
Fig. 2 is the major part schematic diagram according to the plasma therapeutic apparatus 200 of the preferred embodiment for the present invention.Such as Fig. 2 institutes Show, the major part of plasma therapeutic apparatus 200 includes：Bipolar operation electrode interface 201, dropping liquid control valve interface 202, trample out Close interface 203, display screen 204, mainboard 205, loudspeaker 206, front panel 207, trouble lamp 208, lower mould 209, upper mould 210, Power module 211, dropping liquid control valve 212 and fan 213.
Preferably, trample switch interface 203 and be used to receiving the instruction of floor push, floor push and can control etc. from The mode of operation of sub- therapeutic equipment 200.The mode of operation of plasma therapeutic apparatus 200 is divided into cut mode and coagulation mode.It is foot-operated to open The classification of waterproof of pass is classification of waterproof standard IPX8, and floor push switchs for electric pedal.
Preferably, the yellow pedal of floor push corresponds to cut mode, and the gear range of cut mode is 1 to 9 Shelves.That is, when trampling the yellow pedal of floor push, plasma therapeutic apparatus 200 enters cut mode.The gear of cut mode is adjusted Section mode is：Adjust in the state of cut mode by dark buttons on floor push (or manually on regulation host panel it is yellow Color button) it is adjusted.Cutting gear can be selected from any one shelves in 1 to 9 grade.Wherein, gear is higher, and output voltage is got over Greatly.
Preferably, the blue pedal of floor push corresponds to coagulation mode, and the gear range of coagulation mode is 1 to 5 Shelves.That is, when trampling the blue pedal of floor push, plasma therapeutic apparatus 200 enters coagulation mode.The gear of coagulation mode is adjusted Section mode is：(by the changeable cut mode of mode key and coagulation mode) by blue pedal in the state of adjusting to coagulation mode Upper dark buttons (or blue buttons above and below regulation host panel manually) are adjusted.During foot-operated dark buttons, blood coagulation gear can It is bigger from any one shelves in 1 to 5 grade, its middle gear more high output voltage to select.When needed in Clinical practice carry out blood coagulation When, depress blue pedal and carry out blood coagulation.
Preferably, the control instruction that switch interface 203 is used to receive floor push is trampled, and the control instruction is turned Issue primary control program.Wherein, control instruction is two tuples<Pattern, power>.Pattern includes：Cut mode and coagulation mode. In cut mode, power includes 9 gears, and in coagulation mode, power includes 5 gears.
Preferably, mainboard 205 is used to accommodate firmware, and primary control program is stored in the firmware.Wherein, primary control program is to described Control instruction is parsed and first mode instruction is generated when the control instruction indicates first mode, according to present impedance Calculated with the control instruction for the power output under first mode, by first mode instruct and with the first mode The associated first voltage instruction of power output be sent to output control unit.Wherein, initial present impedance is zero, that is, is existed When the start of plasma therapeutic apparatus 200 is operated, the present impedance of acquiescence is zero.The primary control program enters to the control instruction Row parsing and the generation second mode instruction when the control instruction indicates second mode, according to present impedance and the control Instruction calculate be used for second mode under power output, by second mode instruct and with the power output under the second mode Associated second voltage instruction is sent to output control unit.Wherein described present impedance includes high impedance, middle impedance and low Impedance (0 impedance is Low ESR).Preferably, calculated according to present impedance and the control instruction for the output under first mode Power includes：If present impedance is the 2nd grade under high impedance and control instruction instruction first mode, by the first mould Power output under formula is arranged to the 4th grade；If present impedance is middle impedance and the control instruction is indicated under first mode The 2nd grade, then the power output under first mode is arranged to the 3rd grade；And if present impedance is Low ESR and described The 2nd grade under control instruction instruction first mode, then the power output under first mode is arranged to the 2nd grade.Preferably, according to Present impedance and the control instruction calculate to be included for the power output under second mode：If present impedance be high impedance simultaneously And the 2nd grade under the control instruction instruction second mode, then the power output under second mode is arranged to the 4th grade；If Present impedance is the 2nd grade under middle impedance and control instruction instruction second mode, then by the output work under second mode Rate is arranged to the 3rd grade；And if present impedance is the 2nd grade under Low ESR and control instruction instruction second mode, The power output under second mode is then arranged to the 2nd grade.Preferably, when the power output being calculated exceedes first mode Or during highest gear in second mode, real output is used as using highest gear.
Preferably, output control unit (not shown in Fig. 2) be used for from the primary control program receive first mode instruction and First voltage is indicated, and first mode instruction and first voltage instruction are transmitted into bipolar operation electrode interface 201, with And receive the present impedance of target contact jaw from bipolar operation electrode interface 201 and the present impedance is sent to the master Control program.And the output control unit receives second mode instruction and second voltage instruction from the primary control program, and Second mode instruction and second voltage instruction are transmitted to bipolar operation electrode interface 201.
Preferably, bipolar operation electrode interface 201 is used for the power instruction for receiving primary control program and refers to the power Show and be sent to bipolar operation electrode, and the real-time impedance of bipolar operation electrode is measured and leads to the real-time impedance Cross output control unit and pass to primary control program.
Preferably, bipolar operation electrode (not shown) from the bipolar operation electrode interface 201 in response to receiving the One mode instruction and first voltage instruction, into first mode：Connect by target of the conducting medium in the bipolar operation electrode Circuit activation is carried out between emission electrode and loop electrode at contravention to form thin layer, between emission electrode and loop electrode Apply first voltage so that the conducting medium reaches the first temperature and is converted into plasmasphere, so as to swash using electric energy Send out conducting medium and produce plasma, and cutting is vaporized to objective body based on the RF energy of plasma.In response to The second instruction and second voltage instruction, the bipolar operation electrode received from the bipolar operation electrode interface 201 enters the Two modes：Apply second voltage so that the target contact jaw of the bipolar operation electrode is remained into second temperature, so as to by target Body carries out ablation solidification.
Preferably, trouble lamp 208 is used for when receiving alarm signal, is shown and is alarmed by indicator lamp.Its In after the bipolar operation electrode detects operation troubles to primary control program send alarm signal, the primary control program will alarm Signal is sent to the trouble lamp 208.Loudspeaker 206 are used for when receiving alarm signal, are alarmed by sound.Its In after the bipolar operation electrode detects operation troubles to primary control program send alarm signal, the primary control program will alarm Signal is sent to the loudspeaker 206.
Preferably, display screen 204 is used for the running status of low-temperature plasma incision knife surgery systems described in real-time display.
Preferably, dropping liquid control valve 212 is used for based on the conducting medium input instruction of the primary control program to bipolar surgery Electrode inputs the conducting medium, wherein the bipolar operation electrode measures the current surplus of the conducting medium and will in real time The current surplus is sent to primary control program, and the primary control program is based on the current surplus and determines whether to generate conductive Jie Matter input instruction and it is determined that the conducting medium input instruction is sent into drop after generating the conducting medium input instruction Hydraulic control valve 212.Preferably, dropping liquid control valve interface 202 is two-way between dropping liquid control valve 212 and primary control program for realizing Communication.
Preferably, the application uses double mode liquid outlet：1st, titration mode, i.e., a drop as the mode of infusion The supply of one drop；And 2, continuous supply model, i.e., the pattern of liquid flow without interruption.Bipolar operation electrode interface (incision knife Interface) it is connected by patch with Fig. 5 as described below bipolar electrode socket connector (incision knife joint), dropping liquid control valve connects Mouth passes through connecting tube and Fig. 5 fluid-through chamber and connected.Floor push mouth is connected by connecting line with external pedal, for controlling The supply and disconnection of energy and dropping liquid.When pedal is stepped on, energy and dropping liquid supply；When pedal unclamps, energy and drop Liquid disconnects.
Preferably, the emission electrode at bipolar operation electrode tip catheter, plasmasphere, loop electrode and target contact End forms loop.In cut mode, the operating temperature of bipolar operation electrode is 35 to 40 DEG C, and the work of conventional electrosurgical knife Temperature is 350 to 700 DEG C.The thermal break-through distance of bipolar operation electrode than conventional electrosurgical knife thermal break-through apart from small, wherein cutting Cut the thermal break-through distance that the thermal break-through distance in pattern is less than or equal in 150 microns and coagulation mode and be less than or equal to 200 Micron, and the thermal break-through of conventional electrosurgical knife distance is more than 9000 microns.
Preferably, upper mould 210 and lower mould 209 protect mainboard by way of combination.Fan 213 is used to radiate, and Power module 211 is used to provide electric power for plasma therapeutic apparatus 200.Front panel 207 is used to carrying out data showing and operational control.
Fig. 3 is the structural representation according to the low-temperature plasma incision knife surgery systems 300 of the preferred embodiment for the present invention. Low-temperature plasma incision knife surgery systems 300 can be used in cutting, ablation and the solidification and hemostasis of duodenofiberscope.In addition, Low-temperature plasma incision knife surgery systems 300 can also be used to soft tissue in the surgical operations such as joint, backbone, skin, ear nose larynx Cutting, ablation, solidification and hemostasis.The usage time of low-temperature plasma incision knife surgery systems 300 of the application be 24 hours with It is interior, belong to brought into temporary contact according to time of contact classification, belong to according to contact human body qualitative classification outside access apparatus (with tissue/ Bone/dentine) and according to medicine equipment architectural feature classification belong to active medical apparatus.
Low-temperature plasma incision knife surgery systems 300 use bipolar scheme, and its working frequency is 110kHz.Low temperature etc. Ion incision knife surgery systems 300 realize cutting, ablation, the solidification to soft tissue in the operation such as ear nose larynx by plasma technology With hemostasis.During work, low-temperature plasma incision knife surgery systems 300 are used as conduction liquid by physiological saline, activate emission electrode A thin layer is formed when between loop electrode.When low-temperature plasma incision knife surgery systems 300 give enough energy (electricity Pressure) when, physiological saline translates into a gas blanket being made up of charged particle of energizing (plasmasphere).That is, low-temperature plasma Incision knife surgery systems 300 using energy excitation conducting medium (for example, physiological saline) produce plasma, and by etc. from The energy of daughter interrupts tissue element key.The energy of plasma is by protein and other Direct Pyrolysis into O2, CO2, N2 Deng gas, so as to complete the vaporization cutting to tissue.When the work cutter head of article on plasma therapeutic equipment 100 gives low-voltage, electricity Field is less than the thresholding requirement for producing plasmasphere and produces tissue resistance heat, so that tissue is carried out into ablation solidification and hemostasis.
As shown in figure 3, low-temperature plasma incision knife surgery systems 300 include：Input block 301, control unit 302, connect Mouth unit 303, plasma cell 304, alarm unit 305, dropping liquid input block 306 and display unit 307.Preferably, it is defeated It is, for example, floor push to enter unit 301, and floor push can control the Working mould of low-temperature plasma incision knife surgery systems 300 Formula.The mode of operation of low-temperature plasma incision knife surgery systems 300 is divided into cut mode and coagulation mode.The waterproof of floor push Grade is classification of waterproof standard IPX8, and floor push switchs for electric pedal.
Preferably, the yellow pedal of floor push corresponds to cut mode, and the gear range of cut mode is 1 to 9 Shelves.That is, when trampling the yellow pedal of floor push, low-temperature plasma incision knife surgery systems 300 enter cut mode.Cutting The gear regulative mode of pattern is：Adjust in the state of cut mode by (or the regulation manually of dark buttons on floor push Yellow button on host panel) it is adjusted.Cutting gear can be selected from any one shelves in 1 to 9 grade.Wherein, gear is got over Height, output voltage are bigger.
Preferably, the blue pedal of floor push corresponds to coagulation mode, and the gear range of coagulation mode is 1 to 5 Shelves.That is, when trampling the blue pedal of floor push, low-temperature plasma incision knife surgery systems 300 enter coagulation mode.Blood coagulation The gear regulative mode of pattern is：(the changeable cut mode of mode key and blood coagulation mould are pressed in the state of adjusting to coagulation mode Formula) it is adjusted by dark buttons on blue pedal (or blue buttons above and below regulation host panel manually).Foot-operated dark buttons When, blood coagulation gear can select bigger from any one shelves in 1 to 5 grade, its middle gear more high output voltage.When in Clinical practice When needing to carry out blood coagulation, depress blue pedal and carry out blood coagulation.
Preferably, foot control interface is used for the control instruction for receiving floor push, and the control instruction is transmitted into master Control program.Wherein, control instruction is two tuples<Pattern, power>.Pattern includes：Cut mode and coagulation mode.In blanking punch In formula, power includes 9 gears, and in coagulation mode, power includes 5 gears.
Preferably, control unit 302 is parsed to the control instruction and when the control instruction indicates the first mould First mode instruction is generated during formula, is calculated according to present impedance and the control instruction for the power output under first mode, First mode instruction and the first voltage associated with the power output under first mode instruction are sent to interface list Member 303.Wherein, initial present impedance is zero, i.e., when the start of low-temperature plasma incision knife surgery systems 300 is operated, The present impedance of acquiescence is zero.Described control unit 302 is parsed to the control instruction and when the control instruction refers to Second mode instruction is generated when showing second mode, is calculated according to present impedance and the control instruction for defeated under second mode Go out power, second mode instruction and the second voltage associated with the power output under second mode instruction are sent to Interface unit 303.Wherein described present impedance includes high impedance, middle impedance and Low ESR (0 impedance is Low ESR).Preferably, Calculated according to present impedance and the control instruction includes for the power output under first mode：If present impedance is high resistant The 2nd grade under anti-and described control instruction instruction first mode, then the power output under first mode is arranged to the 4th grade； If present impedance is the 2nd grade under middle impedance and control instruction instruction first mode, will be defeated under first mode Go out power setting for the 3rd grade；And if present impedance is the 2 under Low ESR and control instruction instruction first mode Shelves, then be arranged to the 2nd grade by the power output under first mode.Preferably, calculated according to present impedance and the control instruction Include for the power output under second mode：If present impedance is high impedance and the control instruction indicates second mode Under the 2nd grade, then the power output under second mode is arranged to the 4th grade；If present impedance is middle impedance and the control The 2nd grade under system instruction instruction second mode, then the power output under second mode is arranged to the 3rd grade；It is and if current Impedance is the 2nd grade under Low ESR and control instruction instruction second mode, then sets the power output under second mode It is set to the 2nd grade.Preferably, when the power output being calculated exceedes the highest gear in first mode or second mode, Real output is used as using highest gear.
Preferably, interface unit 303 is used to receive first mode instruction from described control unit 302 and first voltage refers to Show, and first mode instruction and first voltage instruction are transmitted to plasma cell 304, and from plasma cell 304 receive the present impedance of target contact jaws and the present impedance are sent into described control unit 302.And described connect Mouth unit 303 receives second mode instruction and second voltage instruction from described control unit 302, and the second mode is referred to Order and second voltage instruction are transmitted to plasma cell 304.
Preferably, interface unit 303 is used for the power instruction of reception control unit 302 and indicates to send by the power Real-time impedance to plasma cell 304, and article on plasma unit 304 measures and by the real-time impedance by connecing Mouth unit 303 passes to control unit 302.
Preferably, plasma cell 304 from the plasma cell 304 in response to receiving first mode instruction and the first electricity Pressure instruction, into first mode：By emission electrode of the conducting medium at the target contact jaw of the plasma cell 304 and Circuit activation is carried out between loop electrode to form thin layer, applies first voltage between emission electrode and loop electrode so that The conducting medium reaches the first temperature and is converted into plasmasphere, so as to using electric energy excite conducting medium produce etc. from Daughter, and cutting is vaporized to objective body based on the RF energy of plasma.In response to from the plasma cell 304 The second instruction and second voltage instruction, the plasma cell 304 received enters second mode：Apply second voltage with by institute The target contact jaw for stating plasma cell 304 remains second temperature, so as to which objective body is carried out into ablation solidification.
Preferably, alarm unit 305 is used for when receiving alarm signal, by auditory tone cues, text prompt and/or refers to Show that lamp is shown to be alarmed.Send and alarm to control unit 302 wherein after the plasma cell 304 detects operation troubles Alarm signal is sent to the alarm unit 305 by signal, described control unit 302.
Preferably, dropping liquid input block 306 be used for based on the conducting medium input instruction of described control unit 302 to wait from Subelement 304 inputs the conducting medium, wherein the plasma cell 304 measures the current surplus of the conducting medium in real time And the current surplus is sent to control unit 302, described control unit 302 is based on the current surplus and determines whether to give birth to Into the conducting medium input instruction and it is determined that the conducting medium is inputted after generating the conducting medium input instruction Instruction is sent to dropping liquid input block 306.
Preferably, emission electrode, plasmasphere, loop electrode and the target at the tip catheter of plasma cell 304 connect Contravention forms loop.In cut mode, the operating temperature of plasma cell 304 is 35 to 40 DEG C, and conventional electrosurgical knife Operating temperature is 350 to 700 DEG C.The thermal break-through distance of plasma cell 304 than conventional electrosurgical knife thermal break-through apart from small, its The thermal break-through distance that thermal break-through distance in middle cut mode is less than or equal in 150 microns and coagulation mode is less than or equal to 200 microns, and the thermal break-through of conventional electrosurgical knife distance is more than 9000 microns.
Preferably, display unit 307, the operation shape for low-temperature plasma incision knife surgery systems described in real-time display State.The operation principle of low-temperature plasma incision knife surgery systems 300 is effect of plasma radiofrequency ablation at low temperature.Energy is produced using bipolar cutter head Amount, physiological saline is converted into plasma thin layer, dissociates the molecular link that cell component is formed in target tissue, cause tissue coagulation Property necrosis, formed ablation or cutting effect.Due to working at relatively low temperature, electricity is cut than the high frequency that tradition uses Knife is minimized degree to the fire damage of perienchyma.It can reduce target volume in 35 DEG C or so operating temperatures, target tissue In capilary closing, cut off lesion.Its low temperature and tissue volume reduction Ablation characteristic, more common Single-pole electric knife have more desmopyknosis Afterwards the advantages of recovery time, mitigation postoperative pain and reduction expenses of surgical treatment.Low-temperature plasma incision knife surgery systems 300 exist Less than 70 DEG C of cutter head environment temperature (referring to the report of isolated experiment research tissue fire damage) during work, it is and traditional common High frequency cutting electric knife (100~150 DEG C of high temperature) is lower compared to operating temperature, although the treatment temperature counterpart of low temperature-controlled plasma radio-frequency ablation Tissue still falls within high temperature, after histocyte is influenceed by this temperature, equally occurs that electric knife cutting causes histone to be denatured, especially It is after certain time, can also causes fire damage to tissue.And histiocytic degeneration necrosis is a mistake gradually developed Journey, therefore the reaction such as some patientss row low-temperature plasma Post operation, its swelling of art area, postoperative pain is unlike high frequency cutting electric knife reaction Gently.Because each operating time is had differences so plasma therapeutic apparatus is selected in isolated experiment research tissue fire damage report Maximum operating time, electric knife heat is cut by contrasting the plasma therapeutic apparatus of visible maximum operating time and the high frequency of normal use Damage depth.Therefore the heat waste depth of the plasma therapeutic apparatus of normal use should be less than high frequency cutting electric knife heat waste depth.
Fig. 4 is the flow chart according to the low-temperature plasma incision knife operation method 400 of the preferred embodiment for the present invention.Such as figure Shown in 4, method 400 is since step 401 place.In step 401, the control instruction that user inputs is received.
In step 402, the control instruction is parsed and generated when the control instruction indicates first mode First mode instructs, and is calculated according to present impedance and the control instruction for the power output under first mode.
In step 403, it is determined that the first voltage instruction associated with the power output under the first mode.
In step 404, first mode instruction and first voltage instruction are transmitted to plasma apparatus, and from described Plasma apparatus receives the present impedance of target contact jaw.
In step 405, indicated in response to receiving first mode instruction and first voltage, promote the plasma apparatus to enter Enter first mode：Entered by conducting medium between the emission electrode and loop electrode of the target contact jaw of the plasma cell Row Circuit activation applies first voltage to form thin layer between emission electrode and loop electrode so that the conducting medium reaches To the first temperature and plasmasphere is converted into, so as to excite conducting medium to produce plasma using electric energy, and is based on The RF energy of plasma is vaporized cutting to objective body；
Wherein described emission electrode, plasmasphere, loop electrode and target contact jaw form loop.
Also include parsing the control instruction and generate second when the control instruction indicates second mode Mode instruction, calculated according to present impedance and the control instruction for the power output under second mode, and determination and institute The associated second voltage of the power output under second mode is stated to indicate.Second mode instruction and second voltage instruction are turned Issue plasma apparatus.In response to from the second instruction and second voltage instruction is received, the plasma apparatus enters the second mould Formula：Apply second voltage so that the target contact jaw of the plasma apparatus is remained into second temperature, so as to which objective body be carried out Ablation solidification.
It is additionally included in when receiving alarm signal, is shown and reported by auditory tone cues, text prompt and/or indicator lamp It is alert；Alarm signal is wherein generated after operation troubles is detected.
Wherein user generates the control instruction by being operable to foot-operated input equipment, wherein the control refers to Make as two tuples<Pattern, power>.
Also include inputting the conducting medium to the plasma apparatus based on conducting medium input instruction, wherein described etc. Ion device measures the current surplus of the conducting medium and determines whether to lead described in generation based on the current surplus in real time Dielectric input instruction.The running status of plasma apparatus described in the real-time display of method 400.
Fig. 5 is the structural representation according to the low-temperature plasma incision knife surgical apparatus of the preferred embodiment for the present invention.Such as Shown in Fig. 5, low-temperature plasma incision knife surgical apparatus includes：Emission electrode (incision silk) 501, loop electrode (circle set) 502, pipe Sheath 503, guidewire lumen interface 504, injecting cavity interface 505, rod cap 506, cushion block 507, sliding block (band socket aperture) 508, socket Pin 509 and pull bar 510.Preferably, emission electrode (incision silk) 501 and loop electrode (circle set) 502 are imported by identical conduit And form galvanic circle in objective body.Emission electrode (incision silk) 501, receive the high frequency via socket Pin 509 and occur First input voltage caused by device, apply the first electricity between emission electrode (incision silk) 501 and loop electrode (circle set) 502 Pressure so that the conducting medium reaches the first temperature and promotes the conducting medium to be converted into plasmasphere, so as to utilize Electric energy excites conducting medium to produce plasma, and cutting is vaporized to objective body based on the RF energy of plasma. In an initial condition, emission electrode 501 and loop electrode 502 are linear to depend on substantially, to facilitate the front end of pipe sheath 503 to enter Enter human body.After specified location is reached, sliding block 508 is moved rearwards, and pulls emission electrode 501, makes emission electrode 501 and loop electricity Pole 502 forms tortuous bow shape.Insulating barrier (not shown in Fig. 5) coats emission electrode (incision silk) 501 wires, and the insulating barrier For serve insulation and it is heat-insulated.Pipe sheath, for providing external sheath function.Injecting cavity interface 505 is based on liquid input and referred to Make to liquid input block and input the liquid, wherein the liquid input block measures the current surplus of the liquid simultaneously in real time And the current surplus is sent to control unit, described control unit is based on the current surplus and determines whether to generate the liquid Body input instruction and it is determined that the liquid input instruction is sent into dropping liquid input after generating the liquid input instruction is single Member.Injecting cavity interface 505 is the annular chamber outside loop electrode wire.
Guidewire lumen interface 504 is used to input seal wire along the guidewire lumen and be inserted to the low-temperature plasma incision knife hand The head end of art equipment, to promote emission electrode 501 and loop electrode 502 to be placed at the objective body.Pull bar 510 is used to make behaviour Author pull bar 510 by providing support force.Socket Pin 509 is connected by high frequency connecting line with radio-frequency generator, is used for Receive the first input voltage caused by the radio-frequency generator.Socket Pin 509 is received caused by the radio-frequency generator Second input voltage and second input voltage is transferred to emission electrode, emission electrode 501 and loop electrode 502 it Between apply second voltage, to cause objective body to remain second temperature, so as to promote objective body to carry out ablation solidification.Liquid inputs Unit (not shown in Fig. 5), in response to liquid input signal, to objective body at infusion fluid so as in emission electrode and loop electricity The thin layer of conducting medium is formed between pole.Liquid input block passes through a kind of progress liquid input in following pattern：Titrate mould Formula and continuous liquid supply pattern.
Wherein, the material of emission electrode (incision silk) 501 is that stainless steel 304, the material of loop electrode (circle set) 502 are not Rust steel 304, the material of pipe sheath 503 are that polytetrafluoroethylene PTFE, the material of guidewire lumen interface 504 are acrylonitrile-butadiene-benzene second Alkene copolymer ABS, the material of injecting cavity interface 505 be ABS, the material of rod cap 506 be ABS, the material of cushion block 507 be ABS, The material of sliding block (with socket aperture) is that ABS, socket Pin material are that the material of stainless steel 304 and pull bar 510 is ABS.
As shown in figure 5, the length of loop electrode 502 can be any rational numerical value, such as 4 to 5 millimeters.Wherein, return The one end at the top of close pipe sheath 503 of path electrode 502 and the distance of emission electrode 501 and the junction of pipe sheath 503 can be appointed Anticipate rational numerical value, such as 2 to 3 millimeters.Wherein, delivery port (or being referred to as infusion port) is arranged on the close low temperature of loop electrode Between the side on the top of plasma incision knife surgical apparatus and the side of the uncoated insulating barrier of emission electrode, i.e. delivery port quilt It is arranged in the range of 2 to 3 millimeters shown in Fig. 5.
In an initial condition, emission electrode 501 and loop electrode 502 are linear to depend on substantially, to facilitate pipe sheath 503 Front end enter human body.After specified location is reached, sliding block 508 is moved rearwards, and is pulled emission electrode 501, is made emission electrode 501 Tortuous bow shape is formed with loop electrode 502.Sliding block 508 is at socket aperture, and socket Pin 509 is arranged in socket aperture.
Fig. 6-8 is according to the partial enlargement of the low-temperature plasma incision knife surgical apparatus of the preferred embodiment for the present invention or cut Face schematic diagram.Fig. 6 shows the close-up schematic view of bipolar electrode socket connector (incision knife joint) 600, including：Return Path electrode wire 601 and emission electrode wire (cutting silk wire) 602.Low-temperature plasma incision knife surgical apparatus can be used in ten Cutting, ablation and the solidification and hemostasis of two duodenum 12 nipples.In addition, low-temperature plasma incision knife surgical apparatus can also be used to close Cutting, ablation, solidification and the hemostasis of soft tissue in the surgical operations such as section, backbone, skin, ear nose larynx.Low temperature of the application etc. from Sub- incision knife surgical apparatus usage time is to belong to brought into temporary contact, according to contact people within 24 hours, according to time of contact classification Volume property classification belongs to outside access apparatus (with tissue/bone/dentine) and belonged to according to the classification of medicine equipment architectural feature Active medical apparatus.The annex bipolar operation electrode of low-temperature plasma incision knife surgical apparatus belongs to disposable sterilized product.
Low-temperature plasma incision knife surgical apparatus uses bipolar scheme, and its working frequency is 110kHz.Plasma is controlled Treat cutting, ablation, solidification and the hemostasis of soft tissue during instrument 100 is performed the operation by plasma technology realization to ear nose larynx etc..During work, Low-temperature plasma incision knife surgical apparatus is used as conduction liquid by physiological saline, activates shape when between emission electrode and loop electrode Into a thin layer.When plasma therapeutic apparatus gives enough energy (voltage), physiological saline translates into one by band of energizing The molecular gas blanket of electrochondria (plasmasphere).That is, low-temperature plasma incision knife surgical apparatus utilizes energy excitation conducting medium (for example, physiological saline) produces plasma, and interrupts tissue element key by the energy of plasma.The energy of plasma Amount is by protein and other Direct Pyrolysis into O2, CO2, N2Deng gas, so as to complete the vaporization cutting to tissue.When right When the work cutter head of low-temperature plasma incision knife surgical apparatus gives low-voltage, electric field is less than the thresholding requirement for producing plasmasphere And tissue resistance heat is produced, so as to which tissue is carried out into ablation solidification and hemostasis.
Fig. 7 shows the schematic cross-section along B-B, including：Loop electrode wire 701, emission electrode wire (are cut Silk wire) 702, guidewire lumen 703, fluid-through chamber 704 and emission electrode chamber 705.In more detail, Fig. 7 shows that loop electrode is led The profile 706 of line 701, including insulating barrier 707 and wire 708.Loop electrode wire needs insulating barrier, acts as insulation With heat-insulated effect, emission electrode wire (cutting silk wire) can be not provided with insulating barrier.
In addition, those skilled in the art is as needed, can also launch using emission electrode chamber 705 as fluid-through chamber When electrode cavity 705 is as fluid-through chamber, emission electrode wire (cutting silk wire) need to set insulating barrier.
Fig. 8 shows the schematic cross-section along C-C, (is cut including loop electrode wire 801 and emission electrode wire Silk wire) 802.
The present invention is described by reference to a small amount of embodiment.However, it is known in those skilled in the art, as What subsidiary Patent right requirement was limited, except the present invention other embodiments disclosed above equally fall the present invention's In the range of.
Normally, all terms used in the claims are all solved according to them in the usual implication of technical field Release, unless clearly being defined in addition wherein.All references " one/described/be somebody's turn to do [device, component etc.] " are all opened ground At least one example being construed in described device, component etc., unless otherwise expressly specified.Any method disclosed herein Step need not all be run with disclosed accurately order, unless explicitly stated otherwise.

Claims (10)

1. a kind of low-temperature plasma incision knife surgical apparatus, it is characterised in that the equipment includes：
Liquid input block, in response to liquid input signal, to objective body at infusion fluid so as in emission electrode and loop electricity The thin layer of conducting medium is formed between pole；
Bipolar electrode socket connector, it is connected by high frequency connecting line with radio-frequency generator, for receiving the radio-frequency generator institute Caused first input voltage；
Emission electrode, via the first input voltage caused by the bipolar electrode socket connector reception radio-frequency generator, sending out Apply first voltage between radio pole and loop electrode so that the conducting medium reaches the first temperature and promotes the conduction Medium is converted into plasmasphere, so as to excite conducting medium to produce plasma using electric energy, and based on plasma RF energy is vaporized cutting to objective body,
Loop electrode, imported with the emission electrode by identical conduit and form galvanic circle in the objective body.
2. low-temperature plasma incision knife surgical apparatus according to claim 1, it is characterised in that the bipolar electrode socket Joint receives the second input voltage caused by the radio-frequency generator and second input voltage is transferred into transmitting electricity Pole, apply second voltage between emission electrode and loop electrode, to cause objective body to remain second temperature, so as to promote mesh Standard type carries out ablation solidification.
3. low-temperature plasma incision knife surgical apparatus according to claim 1, it is characterised in that also including guidewire lumen, use In being inputted seal wire along the guidewire lumen and being inserted to the head end of the low-temperature plasma incision knife surgical apparatus, to promote to launch Electrode and loop electrode are placed at the objective body.
4. low-temperature plasma incision knife surgical apparatus according to claim 1, it is characterised in that also including fluid-through chamber, base The liquid is inputted to liquid input block in liquid input instruction, wherein the liquid input block measures the liquid in real time Current surplus and the current surplus is sent to control unit, described control unit be based on the current surplus and determine is It is no to generate the liquid input instruction and it is determined that sending the liquid input instruction after generating the liquid input instruction Liquid input block.
5. low-temperature plasma incision knife surgical apparatus according to claim 4, it is characterised in that the liquid input block Pass through a kind of progress liquid input in following pattern：Titration mode and continuous liquid supply pattern, and the fluid-through chamber is to be located at Annular chamber outside loop electrode.
6. low-temperature plasma incision knife surgical apparatus according to claim 3, it is characterised in that the emission electrode it is remote From a part of coated insulation layer on the top of the low-temperature plasma incision knife surgical apparatus, the insulating barrier be used for insulate and Heat-insulated effect.
7. low-temperature plasma incision knife surgical apparatus according to claim 6, it is characterised in that the liquid input block Infusion port between the emission electrode and loop electrode.
8. low-temperature plasma incision knife surgical apparatus according to claim 1, it is characterised in that the low-temperature plasma is cut Open surgery equipment also includes pull bar, for making operator by providing support force, and the low-temperature plasma pull bar Incision knife surgical apparatus also includes outer tube, for providing external sheath function.
9. low-temperature plasma incision knife surgical apparatus according to claim 1, it is characterised in that in an initial condition, institute State emission electrode and loop electrode is bonded each other, after the emission electrode and loop electrode are reached at the objective body, pass through Sliding block movement pulls the emission electrode, to cause the emission electrode and loop electrode to form tortuous bow shape.
10. low-temperature plasma incision knife surgical apparatus according to claim 1, it is characterised in that the first voltage Scope is 100Vrms to 300Vrms, and the scope of the second voltage is 60Vrms to 80Vrms.
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