CN109758226B - Neural monitoring bipolar minimally invasive instrument - Google Patents
Neural monitoring bipolar minimally invasive instrument Download PDFInfo
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- CN109758226B CN109758226B CN201910216136.9A CN201910216136A CN109758226B CN 109758226 B CN109758226 B CN 109758226B CN 201910216136 A CN201910216136 A CN 201910216136A CN 109758226 B CN109758226 B CN 109758226B
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Abstract
The invention discloses a nerve monitoring bipolar minimally invasive instrument which comprises a bipolar control pedal, a nerve monitoring stimulation current control pedal and a six-core plug-in unit, wherein a first foot micro-motion control switch is arranged above the bipolar control pedal, a second foot micro-motion control switch is arranged above the bipolar control pedal on one side of the first foot micro-motion control switch, the nerve monitoring stimulation micro-motion control switch is arranged above the nerve monitoring stimulation current control pedal, and a first signal output lead and a second signal output lead are arranged above the nerve monitoring stimulation micro-motion control switch. The invention realizes nerve monitoring in the use process of the bipolar high-frequency energy instrument, and solves the problems that the traditional operation electrode nerve monitoring stimulation current and high-frequency energy output are difficult to coexist and the high-frequency electrocautery risk is caused by high-frequency energy overflow.
Description
Technical Field
The invention relates to the technical field of medical operation electrodes, in particular to a nerve monitoring bipolar minimally invasive instrument.
Background
In the thyroid surgery field, high-frequency energy and ultrasonic knife instruments are often used in the operation process, and the journal literature of related researches on damage of nerve tissues by energy overflow is often reported to be published, so that the operation risk is extremely high. Even if nerve monitoring instruments are used, the problems of nerve detection artifact, inaccurate detection and the like are likely to occur due to the fact that the change of the operation state is rapid, the wound surface of the operation part is complex, the waiting time caused by the replacement of the instruments is prolonged, and multiple psychological adverse factors of medical workers are likely to cause nerve tissue accidental injuries. The fusion of a simple bipolar high-frequency energy instrument and a nerve monitoring detection instrument can cause mutual influence of the bipolar high-frequency energy instrument and the nerve monitoring detection instrument, and the high-frequency energy can cause electric burn of nerve units during nerve monitoring and even damage of nerve monitoring equipment, so that the purposes of monitoring and operation cannot be achieved. The invention particularly relates to a nerve monitoring bipolar minimally invasive instrument.
However, the prior art has the following disadvantages:
1. The interaction of the bipolar high-frequency energy and the nerve monitoring stimulation current output can bring high-frequency energy electric burn during nerve monitoring, and even damage to nerve monitoring equipment caused by the high-frequency energy;
2. because of the large jaw design, the accidental electrocautery risk caused by high-frequency energy and ultrasonic knife energy overflowed in a large area, especially the capsule excision of thyroid tumor surgery, complicated recurrent laryngeal nerves, motor nerves such as superior laryngeal nerves and parathyroid glands are difficult to distinguish, and serious electric burns can be caused.
Disclosure of Invention
(One) solving the technical problems
Aiming at the defects of the prior art, the invention provides a nerve monitoring bipolar minimally invasive instrument, which realizes nerve monitoring in the use process of a bipolar high-frequency energy instrument and solves the problems that the nerve monitoring stimulation current and the high-frequency energy output of the traditional operation electrode are difficult to coexist and the high-frequency electrocautery risk caused by high-frequency energy overflow is avoided.
(II) technical scheme
In order to achieve the above purpose, the present invention provides the following technical solutions: the utility model provides a neural monitoring bipolar minimally invasive instrument, includes bipolar control footboard, nerve guardianship stimulation current control footboard and six core plugins, first pedal micro-motion control switch is installed to bipolar control footboard's top, second pedal micro-motion control switch is installed to bipolar control footboard top of first pedal micro-motion control switch one side, first wire and fourth wire are installed to first pedal micro-motion control switch's top, second wire and third wire are installed to second pedal micro-motion control switch's top, nerve guardianship stimulation micro-motion control switch is installed to nerve guardianship stimulation current control footboard's top, first signal output wire and second signal output wire are installed to nerve guardianship stimulation micro-motion control switch's top.
Preferably, bipolar plugs are mounted at the upper ends of the first lead and the second lead, and the middle ends of the first lead, the second lead and the first signal output lead pass through a concave connector in the six-core plug-in and are connected with the convex plug-in for output.
Preferably, bipolar plugs are mounted at the upper ends of the first lead and the second lead, and the middle ends of the first lead, the second lead and the first signal output lead pass through a concave connector in the six-core plug-in and are connected with the convex plug-in for output.
Preferably, the upper end parts of the third wire, the fourth wire and the second signal output wire are arranged inside the fixing seat, a first forceps sheet and a second forceps sheet are arranged on one side of the fixing seat, and symbol marks are arranged on the surface of the second forceps sheet.
Preferably, the second signal output wire, the third wire and the second tweezer sheet are connected in parallel and fixed in a welding way, the fourth wire and the first tweezer sheet are fixed in a welding way, and the first tweezer sheet and the second tweezer sheet are not conducted with each other.
Preferably, the forceps tip parts of the first forceps sheet and the second forceps sheet are composed of silver-copper alloy with rapid electric conduction and high hardness, and the forceps tip shape is one of a needle shape and a sharp knife shape.
(III) beneficial effects
The invention provides a nerve monitoring bipolar minimally invasive instrument, which has the following beneficial effects:
(1) The invention is provided with a first pedal micro-control switch, a second pedal micro-control switch, a nerve monitoring stimulation micro-control switch, a six-core plug-in, a bipolar control pedal and a nerve monitoring stimulation current control pedal, so that the invention is provided with a nerve monitoring bipolar micro-wound instrument which outputs nerve stimulation current and high-frequency energy into a whole, the alternate output of bipolar high-frequency energy and nerve detection is realized, the structure of the high-frequency energy instrument is provided with a nerve detection function, thereby effectively solving the problem of high-frequency energy influence generated during nerve monitoring, the first lead, the second lead and the first signal output lead are connected with the nerve monitoring stimulation micro-control switch through the six-core plug-in and then are respectively connected with external high-frequency energy equipment and nerve monitoring equipment, the energy output is controlled by the first pedal micro-control switch and the second pedal micro-control switch, the nerve monitoring stimulation micro-control switch controls the nerve stimulation current output, in the actual use, the bipolar control pedal and the nerve monitoring stimulation current control pedal control the starting and the disconnection of the first pedal micro-control switch, the second pedal micro-control switch and the nerve monitoring stimulation micro-control switch, the second forceps sheet is a nerve stimulation current output electrode, the surface of the electrode is provided with a special symbol mark, an operation unit is formed with an trachea cannula and a loop needle with a contact electrode in the operation process, the operation unit is connected to high-frequency energy equipment, the nerve monitoring equipment continuously keeps the ventilation of an anesthetized patient, simultaneously, the nerve return nerve is effectively stimulated through nerve stimulation current, the contact electrode and the loop needle of the trachea cannula are jointly determined through the nerve monitoring equipment, the mutual influence of bipolar high-frequency energy and nerve stimulation current output is avoided, and electric burn caused by high-frequency energy can be caused during nerve monitoring, and even nerve monitoring equipment is destroyed due to the high-frequency energy.
(2) According to the invention, by arranging the fixing seat, the first forceps sheet and the second forceps sheet, high-frequency energy is concentrated at an operation position between two electrodes in an operation process, a fine forceps tip formed by silver-copper alloy can be rapidly cut and finely separate soft tissues, large-area energy overflow is not prevented, the risk of accidental burning of motor nerves caused by the high-frequency energy is reduced, the safety of the operation is ensured, the operation effect and quality are improved, the problem of electric burning caused by excessive high-frequency energy is effectively solved, the fourth wire is welded and fixed with the first forceps sheet in a parallel mode, the first forceps sheet and the second forceps sheet are not conducted mutually, the high-frequency energy is limited between the first forceps sheet and the second forceps sheet, the risk of accidental burning of the motor nerves possibly caused by large-area flow of high-frequency current is prevented, the nerve soft tissues can be further created and invented by the energy instrument and the nerve monitoring control switch, the nerve stimulation position can be detected through the nerve stimulation control switch in the operation process, the safety of the nerve stimulation electrode is improved, the safety of the operation structure is ensured, the safety of the thyroid gland is improved, the operation structure is simple, and the operation is easy, and the operation quality is ensured, and the safety of the thyroid operation is achieved.
Drawings
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is an enlarged view of the structure at A of the present invention;
fig. 3 is an enlarged view of the structure at B of the present invention.
The reference numerals in the drawings are: 1.a bipolar plug; 2. a first wire; 3. a second wire; 4. a first signal output wire; 5. a third wire; 6. a fourth wire; 7. a second signal output wire; 8. a first forceps sheet; 9. a second forceps sheet; 10. symbol identification; 11.a first foot-operated micro-motion control switch; 12. a second foot micro-motion control switch; 13. a nerve monitoring stimulation micro-motion control switch; 14. bipolar control pedal; 15. a nerve monitoring stimulation current control pedal; 16. a male insert; 17. a six-core insert; 18. a female joint; 19. a fixing seat.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
As shown in fig. 1-3, the present invention provides a technical solution: a nerve monitoring bipolar minimally invasive instrument comprises a bipolar control pedal 14, a nerve monitoring stimulation current control pedal 15 and a six-core plug-in 17, wherein a first foot micro-motion control switch 11 is arranged above the bipolar control pedal 14, a second foot micro-motion control switch 12 is arranged above the bipolar control pedal 14 on one side of the first foot micro-motion control switch 11, a first lead 2 and a fourth lead 6 are arranged above the first foot micro-motion control switch 11, a second lead 3 and a third lead 5 are arranged above the second foot micro-motion control switch 12, a bipolar plug 1 is arranged at the upper ends of the first lead 2 and the second lead 3, the middle ends of the first lead 2, the second lead 3 and the first signal output lead 4 pass through a concave joint 18 in the six-core plug-in 17 to be connected with the convex plug-in 16 and then output, the upper ends of the first lead 2 and the second lead 3 are provided with the bipolar plug 1, the middle ends of the first lead 2, the second lead 3 and the first signal output lead 4 pass through the concave joint 18 in the six-core plug-in 17 to be connected with the convex plug-in 16 and then output, a nerve monitoring stimulation micro-control switch 13 is arranged above the nerve monitoring stimulation current control pedal 15, the first foot micro-control switch 11, the second foot micro-control switch 12 and the nerve monitoring stimulation micro-control switch 13 are of a waterproof design, the utility model effectively prevents the accidental excitation caused by liquid, the first signal output wire 4 and the second signal output wire 7 are arranged above the nerve monitoring stimulation micro-control switch 13, the first wire 2, the second wire 3, the first signal output wire 4, the third wire 5, the fourth wire 6 and the second signal output wire 7 are connected with the bipolar control pedal 14 and the nerve monitoring stimulation current control pedal 15 through the six-core plug-in unit 17, the foot switch is designed to be reused, other parts are designed to be disposable structures in order to keep the product contacted with human body in a sterile state, because the foot switch can be reused, the product use cost is reduced, the resource utilization efficiency is improved, the burden of a patient is lightened, the upper ends of a third lead 5, a fourth lead 6 and a second signal output lead 7 are arranged in a fixed seat 19, a first forceps sheet 8 and a second forceps sheet 9 are arranged on one side of the fixed seat 19, a symbol mark 10 is arranged on the surface of the second forceps sheet 9, the first lead 2, the second lead 3 and the first signal output lead 4 are connected with external high-frequency energy equipment and nerve monitoring equipment respectively through a six-core plug-in unit 17, then through a first foot micro control switch 11, a second foot micro control switch 12 and a nerve monitoring stimulation micro control switch 13, the energy output is controlled by the first foot micro control switch 11 and the second foot micro control switch 12, the nerve monitoring stimulation micro-control switch 13 controls the output of nerve stimulation current, in the actual use, the bipolar control pedal 14 and the nerve monitoring stimulation current control pedal 15 control the starting and the disconnection of the first foot micro-control switch 11, the second foot micro-control switch 12 and the nerve monitoring stimulation micro-control switch 13, the second forceps sheet 9 is a nerve stimulation current output pole, the pole surface is provided with a special symbol mark 10, an operation unit is formed with an tracheal cannula with a contact electrode and a loop needle in the operation process, the operation unit is respectively connected to high-frequency energy equipment, the nerve monitoring equipment continuously keeps the ventilation of an anesthetized patient and simultaneously effectively stimulates the laryngeal return nerve through the nerve stimulation current, the contact electrode and the loop needle of the tracheal intubation jointly determine the motor nerve position through nerve monitoring equipment, the second signal output lead 7 is connected with the third lead 5 in parallel with the second forceps sheet 9 and is welded and fixed, the fourth lead 6 is welded and fixed with the first forceps sheet 8, and the first forceps sheet 8 and the second forceps sheet 9 are not conducted with each other, so that high-frequency energy is limited between the first forceps sheet 8 and the second forceps sheet 9, accidental burning of nerves and tissues possibly caused by large-area current strings of high-frequency current is prevented, and the motor nerve position can be detected through nerve stimulation current by the micro switch in the operation process.
In use, in the invention, the first lead 2, the second lead 3 and the first signal output lead 4 are connected through the six-core plug-in unit 17 and then through the first foot micro-motion control switch 11, the second foot micro-motion control switch 12 and the nerve monitoring stimulation micro-motion control switch 13, and are respectively connected with external high-frequency energy equipment and nerve monitoring equipment, the energy output is controlled by the first foot micro-motion control switch 11 and the second foot micro-motion control switch 12, the nerve monitoring stimulation micro-motion control switch 13 controls the nerve stimulation current output, in actual use, the bipolar control pedal 14 and the nerve monitoring stimulation current control pedal 15 control the starting and the disconnection of the first foot micro-motion control switch 11, the second foot micro-motion control switch 12 and the nerve monitoring stimulation micro-motion control switch 13, the second forceps sheet 9 is a nerve stimulation current output electrode, the electrode surface is provided with a special symbol mark 10, in the operation process, the operation unit is respectively connected with an air tube cannula and a loop needle with a contact electrode, the nerve monitoring equipment is continuously kept by the nerve monitoring equipment, simultaneously, the nerve monitoring equipment can be controlled by the air tube through the air tube and the nerve monitoring current, the nerve monitoring current can be controlled by the position of the nerve monitoring electrode, and the nerve monitoring electrode is controlled by the nerve monitoring electrode, and the nerve stimulation current can be prevented from being accidentally burned through the high-frequency control wire through the nerve monitoring electrode, and the position of the nerve monitoring electrode, and the nerve monitoring electrode is controlled by the nerve monitoring electrode, and the nerve stimulation current can be simultaneously passed through the position through the nerve monitoring electrode, and the nerve has high frequency control channel has high frequency stimulation current.
In summary, the invention solves the problems of high-frequency energy influence generated during nerve monitoring and electrocautery risks caused by overflowed high-frequency energy by arranging the structures of the first pedal micro-motion control switch 11, the second pedal micro-motion control switch 12, the nerve monitoring stimulation micro-motion control switch 13, the six-core plug-in unit 17, the bipolar control pedal 14, the nerve monitoring stimulation current control pedal 15, the fixing seat 19, the first forceps sheet 8 and the second forceps sheet 9.
It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (6)
1. The utility model provides a bipolar minimally invasive instrument of nerve monitoring, includes bipolar control footboard (14), nerve guardianship stimulation current control footboard (15) and six core inserts (17), its characterized in that: a first pedal micro-motion control switch (11) is arranged above the bipolar control pedal (14), a second pedal micro-motion control switch (12) is arranged above the bipolar control pedal (14) on one side of the first pedal micro-motion control switch (11), a first lead (2) and a fourth lead (6) are arranged above the first pedal micro-motion control switch (11), a second lead (3) and a third lead (5) are arranged above the second pedal micro-motion control switch (12), a nerve monitoring stimulation micro-motion control switch (13) is arranged above the nerve monitoring stimulation current control pedal (15), and a first signal output lead (4) and a second signal output lead (7) are arranged above the nerve monitoring stimulation micro-motion control switch (13);
When the nerve monitoring bipolar minimally invasive instrument is used, the first lead (2), the second lead (3) and the first signal output lead (4) are connected with external high-frequency energy equipment and nerve monitoring equipment respectively through the six-core plug-in (17) and the first pedal micro control switch (11), the second pedal micro control switch (12) and the nerve monitoring stimulation micro control switch (13), the energy output is controlled by the first pedal micro control switch (11) and the second pedal micro control switch (12), the nerve monitoring stimulation micro control switch (13) controls the nerve stimulation current output, and in actual use, the bipolar control pedal (14) and the nerve monitoring stimulation current control pedal (15) control the starting and the stopping of the first pedal micro control switch (11), the second pedal micro control switch (12) and the nerve monitoring stimulation micro control switch (13), the second forceps sheet (9) is a nerve stimulation current output electrode, the surface of the electrode is provided with a special symbol mark (10), an operation unit is formed with an trachea cannula and a loop needle with contact electrodes in the operation process, the operation unit is respectively connected to high-frequency energy equipment, the nerve monitoring equipment continuously keeps the ventilation of an anesthetized patient, simultaneously effectively stimulates the recurrent nerve through nerve stimulation current, the contact electrodes and the loop needle of the trachea cannula jointly determine the position of the motor nerve through the nerve monitoring equipment, the high-frequency energy is limited between the first forceps sheet (8) and the second forceps sheet (9), the nerve tissue can be prevented from being accidentally burned due to the large-area flow of the high-frequency current, the micro control switch (13) is stimulated by nerve monitoring in the operation process, and the electrode can detect the position of the motor nerve through the nerve stimulation current at all times.
2. The nerve monitoring bipolar minimally invasive instrument of claim 1 wherein: the bipolar plug (1) is installed at the upper end parts of the first lead (2) and the second lead (3), and the middle ends of the first lead (2), the second lead (3) and the first signal output lead (4) penetrate through a concave connector (18) in the six-core plug-in (17) to be connected with the convex plug-in (16) and then output.
3. The nerve monitoring bipolar minimally invasive instrument of claim 1 wherein: the middle ends of the third lead (5), the fourth lead (6) and the second signal output lead (7) penetrate through a concave connector (18) in the six-core plug-in (17) to be connected with the convex plug-in (16) and then output.
4. The nerve monitoring bipolar minimally invasive instrument of claim 1 wherein: the upper end parts of the third lead (5), the fourth lead (6) and the second signal output lead (7) are arranged inside the fixing seat (19), a first forceps sheet (8) and a second forceps sheet (9) are arranged on one side of the fixing seat (19), and a symbol mark (10) is arranged on the surface of the second forceps sheet (9).
5. The nerve monitoring bipolar minimally invasive instrument of claim 4 wherein: the second signal output lead (7) is connected with the third lead (5) in parallel with the second forceps sheet (9) and is welded and fixed, the fourth lead (6) is welded and fixed with the first forceps sheet (8), and the first forceps sheet (8) and the second forceps sheet (9) are not conducted with each other.
6. The nerve monitoring bipolar minimally invasive instrument of claim 5 wherein: the first forceps sheet (8) and the second forceps sheet (9) are composed of silver-copper alloy with rapid electric conduction and high hardness, and the forceps tip is one of a needle tip shape and a sharp knife shape.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910216136.9A CN109758226B (en) | 2019-03-21 | 2019-03-21 | Neural monitoring bipolar minimally invasive instrument |
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| CN201910216136.9A CN109758226B (en) | 2019-03-21 | 2019-03-21 | Neural monitoring bipolar minimally invasive instrument |
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| CN109758226B true CN109758226B (en) | 2024-05-31 |
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Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112472282A (en) * | 2021-01-12 | 2021-03-12 | 江苏百宁盈创医疗科技有限公司 | Bipolar electric coagulation forceps with nerve stimulation function |
| CN112914741B (en) * | 2021-01-28 | 2023-02-28 | 浙江大学 | Neuroprotective Probes for Electrical Energy Device Manipulation |
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