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CN109350228A - A kind of multidirectional adjustable electric knife - Google Patents

A kind of multidirectional adjustable electric knife Download PDF

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Publication number
CN109350228A
CN109350228A CN201811490198.0A CN201811490198A CN109350228A CN 109350228 A CN109350228 A CN 109350228A CN 201811490198 A CN201811490198 A CN 201811490198A CN 109350228 A CN109350228 A CN 109350228A
Authority
CN
China
Prior art keywords
hose sections
guide line
electric knife
cutter head
hose
Prior art date
Legal status (The legal status 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 status listed.)
Withdrawn
Application number
CN201811490198.0A
Other languages
Chinese (zh)
Inventor
赵文俊
盛健
徐传友
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nanjing Fa Maite Development In Science And Technology Co Ltd
Original Assignee
Nanjing Fa Maite Development In Science And Technology Co Ltd
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 Nanjing Fa Maite Development In Science And Technology Co Ltd filed Critical Nanjing Fa Maite Development In Science And Technology Co Ltd
Priority to CN201811490198.0A priority Critical patent/CN109350228A/en
Publication of CN109350228A publication Critical patent/CN109350228A/en
Withdrawn legal-status Critical Current

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Classifications

    • 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
    • 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
    • A61B18/14Probes or electrodes therefor
    • 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
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607Coagulation and cutting with the same instrument
    • 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1412Blade

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of multidirectional adjustable electric knifes, including handle portion, hose sections, set on the cutter head portion of hose sections end, cutter head portion connection power supply;Varying pitch spring is arranged with outside hose sections, varying pitch spring includes the low-density spring section close to hose sections end and the high density spring section far from hose sections end;Two pairs of guide lines are equipped in hose sections, each guide line one end is individually fixed in the end of hose sections;Two control buttons that can be moved forward and backward along handle are set in handle portion, each pair of guide line is separately connected a control button after being pierced by hose sections, two pairs of guide lines in hose sections respectively intersect at hose sections central axis and be mutually perpendicular to by place plane, when each control button is mobile to different directions respectively, each guide line can be drawn respectively, and hose sections end is driven to be bent together with cutter head portion to different directions.Nearly knife head end hose of the invention can control electric knife direction and voluntarily cut, and make the reduction of surgical procedure difficulty, and can reduce operation risk.

Description

A kind of multidirectional adjustable electric knife
Technical field
The present invention relates to medical instruments field, specifically a kind of multidirectional adjustable electric knife.
Background technique
Endoscope was born over more than 50 years, experienced the stage from medical diagnosis on disease to disease treatment, to some digestive diseases Treat the largely effective and reliable preferred therapy for even becoming some diseases treatment.Recently as endoscopic biopsy art, EMR Gastral polyp and early cancer are controlled in the development of (endoscopic mucosal resection art), ESD (decollement under endoscopic mucosal) technology It treats, is increasingly becoming a kind of preferred diagnosis and treatment means.Key effect especially is played to the discovery, diagnosis and excision of early cancer.At present Some endoscopic special equipments are had been developed that, however, still seeming that grasp difficulty larger compared with other Endoscopic Treatment technologies.
EMR operating method includes following several at this stage: (1) polypectomy method: i.e. submucosal injections-excision method.The party Method is simple and convenient, and clinical application is most wide;(2) different size, Different Plane or inclined-plane hyaline cap method: are installed in interior camera end Transparent plastic cap carries out attraction excision to lesion;(3) looping and binding device method: scope head end installation set pricks device, the alignment of scope ligation device After the lesion to be cut off attracts, elastic tape entangles lesion and forms sub- base of a fruit sample polyp, then snare cutting includes rubber under elastic tape Lesion including apron;(4) it is layered excision method.
ESD operation method and step is complicated at this stage, and the operating time is long, and related instrument is more, and technical requirements are also higher. Operating procedure (1) label;(2) submucosal injections;(3) pre-slit surrounding mucosa;(4) lesion is removed;(5) Wound treatment.
The most commonly used is electric knifes is combined with high frequency electric generator to be operated by EMR, ESD at this stage, in this respect Shen Please disclosed CN101632603B endoscopically insertion surgical operating instrument, the tool has rotation tool adjuster, The rotation tool adjuster can make operator or assist operators easily from the attached of the operating head handle of endoscope The action of tool mechanism of the near position far-end of the flexible cable of turning tool clockwise or counterclockwise, solves tool The function that actuating mechanism rotation is adjusted, but in operative process, action of tool mechanism be still by lens control direction, Operation direction can not voluntarily be changed, when doing EMR, ESD movement cutting with electric knife, it is necessary to which bending rotates endoscope to realize electric knife Deflecting operation, it is not clear enough to often lead to surgical field of view in this way, and operation difficulty increases, careless slightly to easily cause perforation.
Summary of the invention
Goal of the invention: in order to overcome the deficiencies in the prior art, the present invention provides one kind can effective guarantee hose sections The curved multidirectional adjustable electric knife in front end.
Technical solution: in order to solve the above technical problems, the multidirectional adjustable electric knife of one kind of the invention, including handle portion, with The hose sections of handle portion connection, the cutter head portion set on hose sections end, cutter head portion connect power supply;Change is arranged with outside the hose sections Screw pitch spring, wherein varying pitch spring includes highly dense close to the low-density spring section of hose sections end and far from hose sections end Spend spring section;Two pairs of guide lines are equipped in hose sections, each guide line one end is individually fixed in the end of hose sections;In handle portion Two control buttons that can be moved forward and backward along handle are set, each pair of guide line is separately connected a control button after being pierced by hose sections, Two pairs of guide lines in hose sections respectively intersect at hose sections central axis and be mutually perpendicular to by place plane, each control When button is mobile to different directions respectively, each guide line can be drawn respectively, drive hose sections end together with cutter head portion to difference Direction bending.
Wherein, the length of the low-density spring section is greater than 0, less than the 1/2 of varying pitch spring as a whole length.
Preferably, eyelet strip is equipped in the handle portion, is provided with two pairs of threading holes on eyelet strip, two pairs of threading holes with It is symmetrical arranged in hose sections perpendicular to plane where a pair of of guide line of control button central axis for the plane of symmetry, two pairs of guide lines It is each passed through these two pair threading hole, and is connected on immediate control button.
Further, it is equipped with distributor plate in the handle portion, two pairs of separated time pearls, two pairs of separated time pearl difference are equipped on distributor plate Coplanar separated time pearl is each passed through with co-planar, each guide line where each pair of guide line.
Furthermore the rear and front end of the control button passes through spring respectively and is connected with handle portion inner wall.
Preferably, central axis of the plane where one pair of them guide line perpendicular to two control buttons in the hose sections Line, plane where another pair guide line are parallel to the central axis of two control buttons.
Furthermore the guide line is conductor and connect with cutter head portion that cutter head portion connects power supply by guide line.
Further, the distributor plate and at least one in eyelet strip are conductor, also set up in handle portion tail portion and power supply connects The distributor plate or eyelet strip of the electrode connect, electrode and conductive material connect, and are powered by guide line to cutter head portion.
Preferably, the varying pitch spring is coated with covered plastics layer.
The utility model has the advantages that the multidirectional adjustable electric knife of one kind of the invention, it is multiple to carry out EMR, ESD or other in interior arthroscopic diagnosis When miscellaneous operation, the camera lens of scope is allowed specially to take charge of overview function in operation, nearly knife head end hose can control electric knife direction simultaneously certainly Row cutting makes the reduction of surgical procedure difficulty, and can reduce operation risk;Secondly varying pitch spring of the invention can effective guarantee it is close Cutter head portion hose bending, electric knife cut direction is wrong caused by the bending of hose sections other parts caused by avoiding bracing wire from operating asks Topic;The distortion and its deformation of hose sections can be effectively prevented, it being capable of the significantly more efficient deformation for guaranteeing its head end.
Detailed description of the invention
Fig. 1 is the structural diagram of the present invention;
Fig. 2 is the structural schematic diagram of varying pitch spring in the present invention;
Fig. 3 is eyelet strip and threading hole distribution schematic diagram in the present invention;
Fig. 4 is middle separated time plate of the present invention and separated time pearl distribution schematic diagram;
Fig. 5 is the schematic cross-section of hose sections and varying pitch spring in the present invention;
Fig. 6 is the connection of hose sections guide line and direction of motion schematic diagram.
Specific embodiment
The present invention will be further explained with reference to the accompanying drawing.
The multidirectional adjustable electric knife of one kind as shown in Figures 1 to 5, including handle portion 1, the hose sections being connect with handle portion 1 2, it is connected to the cutter head portion 3 of 2 end of hose sections, cutter head portion 3 connects power supply, wherein hose sections 2 is solid hose or hollow soft It manages, in the present invention preferably solid hose.
It is installed with two pairs of guide lines 4 in hose sections 2, is parallel to each other between guide line 4, has in hose sections 1 and is guided for each item The hole that line 4 passes through.Hose sections end is fixed in each 4 one end of guide line, and contacts or connect cutter head portion 3 respectively;In handle portion 1 Being provided with coaxial two can connect respectively after being pierced by hose sections 2 along the control button 5 that handle portion moves back and forth, each pair of guide line 4 Connect a control button 5, two pairs of guide lines 4 in hose sections 2 respectively where plane intersect at 2 central axis of hose sections and It is mutually perpendicular to, when each control button 5 is mobile to different directions respectively, each guide line 4 can be drawn respectively, drive hose sections 2 Bending with dynamic cutter head portion 3 to turn to.Varying pitch spring 8 is arranged with outside hose sections 2, wherein varying pitch spring 8 includes close The high density spring section 802 of the low-density spring section 801 of hose sections end and separate hose sections end, low-density spring section 801 Length be greater than 0, less than the 1/2 of 8 entire length of varying pitch spring;Wherein varying pitch spring 8 is coated with covered plastics layer 10.Become spiral shell The distortion and its deformation of hose sections can be effectively prevented away from spring, it being capable of the significantly more efficient deformation for guaranteeing its head end.
Eyelet strip 6 is also equipped in handle portion 1, eyelet strip 6 is arranged perpendicular to the central axis of handle portion 1, in eyelet strip 6 On be provided with two pairs of threading holes 61, two pairs of threading holes 61 in hose sections 2 perpendicular to a pair of two 5 central axis of control button 4 place plane of guide line is symmetrical arranged for the plane of symmetry, and two pairs of guide lines 4 are each passed through these two pair threading hole 61, and are connected to most On close control button 5.The distributor plate 7 parallel with eyelet strip 6 is also set up in handle portion 1, opens two pairs points on distributor plate 7 Line pearl 701, respectively with each pair of 4 place co-planar of guide line, each guide line 4 is each passed through coplanar two pairs of separated time pearls 701 Separated time pearl 701.In hose sections 24 place plane of one pair of them guide line perpendicular to two control buttons 5 central axis, separately A pair of of 4 place plane of guide line is parallel to the central axis of control button 5.The rear and front end of control button 5 passes through spring 9 respectively It is connected with handle portion inner wall.
In order to power to cutter head portion 3, each 4 material of guide line is selected as conductor, cutter head portion 3 connects electricity by guide line 4 Source, also, at least one in distributor plate 7 and eyelet strip 6 is conductor, also installation connects to power supply on the tail portion of handle portion 1 Electrode 11, electrode 11 are connect with the distributor plate 7 of conductive material or eyelet strip 6, and are powered by guide line 4 to cutter head portion 3.
As shown in Figure 1, Figure 2 and Fig. 5 shown in, be between the guide line 4 in hose sections 2 it is arranged in parallel, guide line 4 is worn After hose sections 2 enters in handle portion 1 out, can not continue to keep relatively parallel state, and due to rotating disc 5 and guide line 4, That there are relative positions is poor for hose sections 2, so guide line 4 can not precisely effectively in the case where no eyelet strip 6 is with distributor plate 7 The curved direction of hose sections 2 and amplitude are controlled, and is provided with after distributor plate 7 and eyelet strip 6, four are respectively provided on two plates The absolutely fixed threading hole 61 in position thus passes through the guidance and fixation of threading hole 61, limits the displacement of guide line 4, energy So that guide line 4 is driven hose sections 2, precisely turns to.The torsion of hose sections can be effectively prevented with the setting of time-varying pitch spring Bent and its deformation, being capable of the significantly more efficient deformation for guaranteeing its head end.
In conjunction with attached drawing 6, application method of the invention is described further.
Cutter head portion 3 and hose sections 2 are transported to operative site by endoscope channel or other accessory channels to perform the operation, Hand-held handle portion 1 is operated, and by moving forward one of control button, is pulled and is connected or contact at the A in cutter head portion 3 Guide line 4, be bent hose sections 2 to the direction X+ with dynamic cutter head portion 3, be bent and restore after reset, similarly by moving backward this Control button pulls curved to the direction X- with dynamic cutter head portion 3 with connection at the B in cutter head portion 3 or the guide line 4 contacted, hose sections 2 Song is bent after reset and restores, this description is suitable for the bending in two direction X-direction axis X+, X- in the case of the control of single control button, Similarly increase a control button, by the guide line 4 for pulling respectively with connecting or contact at C, the D in cutter head portion 3, can control The bending in two direction Y direction axis Y+, Y- can be combined into X, in Y-axis plane by the mutual cooperation between control button Any bending angle, fixed angle and direction operation in the course of surgery, and be subject to endoscope channel or accessory channel come it is auxiliary Carry out moving operation is helped, reaches and preferably applies art effect.Performer in patient body-surface, incites somebody to action the negative plate docile of radio-frequency generator Another cable is connected to handle electrode 11, and when the tissue of the cutter head in cutter head portion 3 and patient contacts, performer can trample hair Raw device makes high-frequency current be conducted to cutter head portion 3 by the guide line 4 of the eyelet strip 6- conductor material of electrode 11- conductor material Metal ball shaped electric knife component, and then be transmitted in the tissue being in contact with it, and be made up of human body and negative plate and conducting wire One complete circuit, the high temperature of moment will be generated by applying art tissue, be allowed to that character changes or moment is gasified or heated Rotten, it is cutting or coagulation that this, which depends on generator mode selected by performer,.
The above is only a preferred embodiment of the present invention, it should be pointed out that: for the ordinary skill people of the art For member, various improvements and modifications may be made without departing from the principle of the present invention, these improvements and modifications are also answered It is considered as protection scope of the present invention.

Claims (9)

1. a kind of multidirectional adjustable electric knife, it is characterised in that: including handle portion, the hose sections connecting with handle portion, be set to hose The cutter head portion of portion end, cutter head portion connect power supply;It is arranged with varying pitch spring outside the hose sections, wherein varying pitch spring includes Low-density spring section close to hose sections end and the high density spring section far from hose sections end;Two pairs are equipped in hose sections Guide line, each guide line one end are individually fixed in the end of hose sections;Two are arranged in handle portion can be along handle back-and-forth motion Control button, each pair of guide line are separately connected a control button after being pierced by hose sections, and two in hose sections couple guide line is each Intersect at hose sections central axis and be mutually perpendicular to from place plane, when each control button is mobile to different directions respectively, Each guide line can be drawn respectively, and hose sections end is driven to be bent together with cutter head portion to different directions.
2. the multidirectional adjustable electric knife of one kind according to claim 1, it is characterised in that: the length of the low-density spring section Greater than 0, less than the 1/2 of varying pitch spring as a whole length.
3. the multidirectional adjustable electric knife of one kind according to claim 1, it is characterised in that: be equipped with threading in the handle portion Plate, is provided with two pairs of threading holes on eyelet strip, two pairs of threading holes in hose sections perpendicular to the one of control button central axis Plane where guide line is symmetrical arranged for the plane of symmetry, two pairs of guide lines are each passed through these two pair threading hole, and are connected to and most connect On close control button.
4. the multidirectional adjustable electric knife of one kind according to claim 1 or 3, it is characterised in that: be equipped with and divide in the handle portion Line plate, is equipped with two pairs of separated time pearls on distributor plate, two pairs of separated time pearls respectively with co-planar where each pair of guide line, each guide line It is each passed through coplanar separated time pearl.
5. the multidirectional adjustable electric knife of one kind according to claim 1, it is characterised in that: the rear and front end of the control button It is connected respectively by spring with handle portion inner wall.
6. the multidirectional adjustable electric knife of one kind according to claim 1, it is characterised in that: one pair of them are drawn in the hose sections Plane where conducting wire perpendicular to two control buttons central axis, plane where another pair guide line be parallel to two controls by The central axis of button.
7. the multidirectional adjustable electric knife of one kind according to claim 1, it is characterised in that: the guide line is conductor and and knife Head connection, cutter head portion connects power supply by guide line.
8. the multidirectional adjustable electric knife of one kind according to claim 7, it is characterised in that: in the distributor plate and eyelet strip extremely Few one is conductor, also sets up the electrode connected to power supply in handle portion tail portion, the distributor plate of electrode and conductive material or is worn The connection of line plate, and powered by guide line to cutter head portion.
9. the multidirectional adjustable electric knife of one kind according to claim 1, it is characterised in that: the varying pitch spring is coated with Covered plastics layer.
CN201811490198.0A 2018-12-06 2018-12-06 A kind of multidirectional adjustable electric knife Withdrawn CN109350228A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811490198.0A CN109350228A (en) 2018-12-06 2018-12-06 A kind of multidirectional adjustable electric knife

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811490198.0A CN109350228A (en) 2018-12-06 2018-12-06 A kind of multidirectional adjustable electric knife

Publications (1)

Publication Number Publication Date
CN109350228A true CN109350228A (en) 2019-02-19

Family

ID=65331522

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201811490198.0A Withdrawn CN109350228A (en) 2018-12-06 2018-12-06 A kind of multidirectional adjustable electric knife

Country Status (1)

Country Link
CN (1) CN109350228A (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113057566A (en) * 2021-05-06 2021-07-02 徐州市中心医院 A flexible endoscope with universal adjustment
WO2022253065A1 (en) * 2021-06-02 2022-12-08 上海生知医疗科技有限公司 Portable manual surgical robot

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113057566A (en) * 2021-05-06 2021-07-02 徐州市中心医院 A flexible endoscope with universal adjustment
WO2022253065A1 (en) * 2021-06-02 2022-12-08 上海生知医疗科技有限公司 Portable manual surgical robot

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Address after: No.57 Huayuan Avenue, economic development zone, Gaochun District, Nanjing City, Jiangsu Province

Applicant after: NANJING FMT MEDICAL Co.,Ltd.

Address before: 210032 the four layer of B block, Ding Ye Bai Tai biological building, No. 10, Spark Road, Nanjing high tech Industrial Development Zone, Jiangsu, China.

Applicant before: NANJING FMT MEDICAL Co.,Ltd.

WW01 Invention patent application withdrawn after publication
WW01 Invention patent application withdrawn after publication

Application publication date: 20190219