CN110522509A - A multi-functional scissor-type high-frequency electric knife that can reduce thermal damage - Google Patents
A multi-functional scissor-type high-frequency electric knife that can reduce thermal damage Download PDFInfo
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- 230000003685 thermal hair damage Effects 0.000 title claims description 12
- 239000010410 layer Substances 0.000 claims abstract description 10
- 239000006223 plastic coating Substances 0.000 claims abstract description 7
- 241000405070 Percophidae Species 0.000 claims abstract description 5
- 238000001746 injection moulding Methods 0.000 claims description 6
- 229910010293 ceramic material Inorganic materials 0.000 claims description 4
- 238000005452 bending Methods 0.000 claims description 3
- 238000005345 coagulation Methods 0.000 abstract description 7
- 230000015271 coagulation Effects 0.000 abstract description 7
- 230000000694 effects Effects 0.000 abstract description 6
- 230000006378 damage Effects 0.000 abstract description 5
- 238000010586 diagram Methods 0.000 description 4
- 238000009792 diffusion process Methods 0.000 description 4
- 238000009413 insulation Methods 0.000 description 4
- 230000023597 hemostasis Effects 0.000 description 3
- 229920000642 polymer Polymers 0.000 description 3
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 238000009297 electrocoagulation Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
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- 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
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Abstract
本发明公开了一种可减少热损伤的多功能剪式高频电刀,包括左手柄和右手柄,下连杆与上连杆通过转轴连接,在上、下连杆的前端分别设有上、下钳口,左手柄包括左手柄上盖和左手柄下盖,在左手柄下盖上固定有触碰式开关和下连杆,挡钩上的圆柱固定在下连杆上的圆孔内,挡片分别与挡钩和下连杆连接,弹簧两端分别与下连杆和扳机挡板连接,扳机挡片分别与扳机和摆杆连接,摆杆与刀片连接,上钳口由上连杆的前端、塑料包胶层及上电极片组成,下钳口由下连杆的前端、塑料包胶层及下电极片组成,上钳口与下钳口组合成鸭嘴型,在上钳口下端设有绝缘凸点。本发明结构简单、设计合理,提高了组织的凝固效果,缩短手术时间。
The invention discloses a multifunctional scissor-type high-frequency electric knife capable of reducing heat damage, which comprises a left handle and a right handle, a lower connecting rod and an upper connecting rod are connected through a rotating shaft, and upper and lower connecting rods are respectively provided with an upper , the lower jaw, the left handle includes the upper cover of the left handle and the lower cover of the left handle, the touch switch and the lower connecting rod are fixed on the lower cover of the left handle, the cylinder on the retaining hook is fixed in the round hole on the lower connecting rod, The stoppers are respectively connected with the catch hook and the lower link, the two ends of the spring are respectively connected with the lower link and the trigger baffle, the trigger stoppers are respectively connected with the trigger and the pendulum, the pendulum is connected with the blade, and the upper jaw is formed by the upper link. The front end, the plastic coating layer and the upper electrode piece are composed. The lower jaw is composed of the front end of the lower connecting rod, the plastic coating layer and the lower electrode piece. The upper jaw and the lower jaw are combined into a duckbill shape. The lower end is provided with insulating bumps. The invention has simple structure and reasonable design, improves the coagulation effect of tissues and shortens operation time.
Description
技术领域technical field
本发明涉及高频电刀,具体的说是一种可减少热损伤的多功能剪式高频电刀。The invention relates to a high-frequency electric knife, in particular to a multifunctional scissor-type high-frequency electric knife that can reduce heat damage.
背景技术Background technique
高频电刀是一种取代机械手术刀进行组织切割的电外科器械。它通过有效电极尖端产生的高频高压电流与肌体接触时对组织进行加热,实现对肌体组织的分离和凝固,从而起到切割和止血的目的。因其切割极为迅速、止血效果好,同时能使伤口边自动消毒,可大大缩短手术时间,减少患者失血量,从而降低并发症,目前高频电刀已基本取代了机械手术刀。但是,高频电刀一般在使用过程中热扩散较快,易造成周边组织的热损伤,且会降低目标组织的凝固效果,延长手术时间。A high-frequency electrosurgical device is an electrosurgical instrument that replaces a mechanical scalpel for tissue cutting. It heats the tissue when the high-frequency and high-voltage current generated by the effective electrode tip contacts the body, and realizes the separation and coagulation of the body tissue, thereby achieving the purpose of cutting and hemostasis. Because of its extremely fast cutting, good hemostasis effect, and automatic disinfection of the wound side, it can greatly shorten the operation time, reduce the blood loss of patients, and thereby reduce complications. At present, the high-frequency electric knife has basically replaced the mechanical scalpel. However, the high-frequency electrosurgical knife generally has a fast thermal diffusion during use, which can easily cause thermal damage to surrounding tissues, reduce the coagulation effect of the target tissue, and prolong the operation time.
发明内容Contents of the invention
为了解决上述问题,本发明提供了一种能够减少热损伤、有效缩短手术时间的高频电刀。In order to solve the above problems, the present invention provides a high-frequency electric knife capable of reducing thermal damage and effectively shortening operation time.
为了达到上述目的,本发明是通过以下技术方案来实现的:In order to achieve the above object, the present invention is achieved through the following technical solutions:
本发明是一种可减少热损伤的多功能剪式高频电刀,包括左手柄和右手柄,左手柄上的下连杆与右手柄上的上连杆通过转轴固定连接,在上连杆前端设置有上钳口,在下连杆前端设置有下钳口,右手柄包括右手柄上盖和右手柄下盖,上连杆固定在右手柄和左手柄之间,左手柄包括左手柄上盖和左手柄下盖,在左手柄下盖上固定有触碰式开关和下连杆,挡钩上的圆柱固定在下连杆上的圆孔内,挡片分别与挡钩和下连杆连接,弹簧一端固定在下连杆上,其另一端固定在扳机上的扳机挡板上,扳机挡片分别与扳机和摆杆连接,摆杆与刀片连接,上连杆前端、塑料包胶层及上电极片通过注塑工艺连接在一起形成上钳口,上电极片通过其端部的上电极片折弯弹片与上连杆前端过盈接触连接,下连杆前端、塑料包胶层及下电极片通过注塑工艺紧密连接在一起形成下钳口,上钳口与下钳口组合成鸭嘴型,且在上钳口下端设置有向下凸起的绝缘凸点。The present invention is a multifunctional scissor-type high-frequency electric knife capable of reducing heat damage, comprising a left handle and a right handle, the lower link on the left handle is fixedly connected to the upper link on the right handle through a rotating shaft, and the upper link There is an upper jaw at the front end, and a lower jaw at the front end of the lower link. The right handle includes the upper cover of the right handle and the lower cover of the right handle. The upper link is fixed between the right handle and the left handle. The left handle includes the upper cover of the left handle. and the lower cover of the left handle, the touch switch and the lower link are fixed on the lower cover of the left handle. One end of the spring is fixed on the lower connecting rod, and the other end is fixed on the trigger baffle on the trigger. The trigger baffle is respectively connected with the trigger and the swing rod, and the swing rod is connected with the blade. The front end of the upper connecting rod, the plastic coating layer and the upper electrode The pieces are connected together by injection molding process to form the upper jaw, the upper electrode piece is connected with the front end of the upper connecting rod through interference contact with the front end of the upper connecting rod through the bending elastic piece of the upper electrode piece at the end, and the front end of the lower connecting rod, the plastic coating layer and the lower electrode piece pass through The injection molding process is closely connected to form the lower jaw, and the upper jaw and the lower jaw are combined into a duckbill shape, and an insulating bump protruding downward is provided at the lower end of the upper jaw.
本发明的进一步改进在于:绝缘凸点采用陶瓷材料制成。A further improvement of the present invention lies in that the insulating bumps are made of ceramic materials.
本发明的进一步改进在于:触碰式开关的引脚与外部线缆焊接,触碰式开关通过引线分别与上连杆和下电极片焊接连接。The further improvement of the present invention lies in that the pins of the touch switch are welded to the external cable, and the touch switch is respectively welded and connected to the upper connecting rod and the lower electrode sheet through lead wires.
本发明的进一步改进在于:在左手柄下盖上设置有十字柱,十字柱穿过下连杆上的固定孔将下连杆固定在左手柄下盖上。A further improvement of the present invention is that: a cross post is arranged on the lower cover of the left handle, and the cross post passes through the fixing hole on the lower link to fix the lower link on the lower cover of the left handle.
本发明的进一步改进在于:在上钳口的上表面中间位置和下钳口的下表面的中间位置均设置有刀槽。A further improvement of the present invention lies in that a knife groove is provided at the middle position of the upper surface of the upper jaw and the middle position of the lower surface of the lower jaw.
本发明的进一步改进在于:右手柄上盖和右手柄下盖焊接在一起。The further improvement of the present invention is that: the upper cover of the right handle and the lower cover of the right handle are welded together.
本发明的进一步改进在于:左手柄上盖和左手柄下盖焊接在一起。The further improvement of the present invention is that: the upper cover of the left handle and the lower cover of the left handle are welded together.
本发明的有益效果是:塑料包胶层为高分子塑料制成,上钳口和下钳口均采用高分子塑料包胶层包裹在上连杆和下连杆外侧,能够有效降低上钳口和下钳口的热扩散,使得上下钳口的外围表面温度始终处于较低状态,从而减小外围组织的热损伤,且高分子塑料方便加工成型,无需二次加工,缩短加工时间。上钳口与下钳口组合成鸭嘴型,且侧面为弧形,方便实现组织撬取分离。绝缘凸点采用陶瓷材料制成,不仅能够确保其强度与硬度,同时还能进一步提高对组织的抓持力,在上钳口和下钳口处于闭合状态时,绝缘凸点使上电极片与下电极片之间保持一定的安全距离,避免两极之间的短路导通而失效,且可使得组织的凝闭一致性得到有效保障。The beneficial effect of the present invention is that: the plastic covering layer is made of polymer plastic, and the upper jaw and the lower jaw are wrapped on the outside of the upper connecting rod and the lower connecting rod with the polymer plastic covering layer, which can effectively reduce the And the thermal diffusion of the lower jaw keeps the temperature of the peripheral surface of the upper and lower jaws always in a low state, thereby reducing the thermal damage of the peripheral tissue, and the polymer plastic is easy to process and shape, no secondary processing is required, and the processing time is shortened. The combination of the upper jaw and the lower jaw forms a duckbill shape, and the sides are arc-shaped, which facilitates the prying and separation of tissues. The insulating bump is made of ceramic material, which not only ensures its strength and hardness, but also further improves the gripping force on the tissue. When the upper jaw and the lower jaw are in the closed state, the insulating bump makes the upper electrode piece and the lower jaw Keep a certain safe distance between the lower electrodes to avoid short-circuit conduction between the two electrodes and cause failure, and can effectively ensure the consistency of tissue coagulation.
本发明结构简单、设计合理,能够避免由于热扩散导致周边组织导出热损伤,进一步提高了组织的凝固效果,缩短手术时间,提高手术的成功率。The invention has a simple structure and a reasonable design, can avoid heat damage from surrounding tissues caused by thermal diffusion, further improves the coagulation effect of tissues, shortens operation time, and improves the success rate of operations.
附图说明Description of drawings
图1是本发明结构示意图。Fig. 1 is a schematic diagram of the structure of the present invention.
图2是图1中部分剖视图。Fig. 2 is a partial sectional view of Fig. 1 .
图3是图1中部分放大图。Fig. 3 is a partially enlarged view of Fig. 1 .
图4是本发明侧视图。Fig. 4 is a side view of the present invention.
图5是图4中部分截面示意图。FIG. 5 is a partial cross-sectional schematic diagram in FIG. 4 .
图6是去掉左手柄上盖后的内部结构图。Figure 6 is the internal structure diagram after removing the upper cover of the left handle.
图7是去掉挡钩后的内部结构示意图。Fig. 7 is a schematic diagram of the internal structure after removing the retaining hook.
图8是本发明立体图。Fig. 8 is a perspective view of the present invention.
其中:1-左手柄,101-左手柄上盖,102-左手柄下盖,2-右手柄,3-下连杆,4-上连杆,5-上钳口,6-触碰式开关,7-挡钩,8-弹簧,9-扳机,901-扳机挡板,10-摆杆,11-刀片,12-上电极片,13-塑料包胶层,14-下电极片,15-绝缘凸点,16-刀槽,17-上电极片折弯弹片,18-下钳口,19-挡片,20-上连杆前端,21-下连杆前端,22-十字柱。Among them: 1- left handle, 101- upper cover of left handle, 102- lower cover of left handle, 2- right handle, 3- lower connecting rod, 4- upper connecting rod, 5- upper jaw, 6- touch switch , 7-hook, 8-spring, 9-trigger, 901-trigger baffle, 10-swing rod, 11-blade, 12-upper electrode, 13-plastic coating, 14-lower electrode, 15- Insulation protruding point, 16-knife groove, 17-bending shrapnel of upper electrode sheet, 18-lower jaw, 19-block piece, 20-front end of upper connecting rod, 21-front end of lower connecting rod, 22-cross column.
具体实施方式Detailed ways
为了加强对本发明的理解,下面将结合实施例和附图对本发明进行详细描述,该实施例仅用于解释本发明,并不对本发明的保护范围构成限定。In order to enhance the understanding of the present invention, the present invention will be described in detail below in conjunction with the embodiments and accompanying drawings. The embodiments are only used to explain the present invention and do not limit the protection scope of the present invention.
如图1-8所示,本发明是一种可减少热损伤的多功能剪式高频电刀,包括左手柄1和右手柄2,左手柄1上的下连杆3与右手柄上的上连杆4通过转轴固定连接,在上连杆4前端设置有上钳口5,在下连杆3前端设置有下钳口18,右手柄2包括右手柄上盖和右手柄下盖,上连杆4固定在右手柄和左手柄之间,且右手柄上盖和右手柄下盖通过超声焊接在一起,左手柄1包括左手柄上盖101和左手柄下盖102,座手柄上盖101与左手柄下盖102也是通过超声焊接在一起的,在左手柄下盖102上固定有触碰式开关6和下连杆3,在左手柄下盖102上设置有十字柱22,十字柱22穿过下连杆3上的固定孔将下连杆3固定在左手柄下盖102上,挡钩7上的圆柱固定在下连杆3上的圆孔内,挡片19分别与挡钩7和下连杆3连接,下连杆3与扳机挡板901通过弹簧8连接,在下连杆和扳机挡板901上均设置有固定孔,弹簧8的两端钩住两个固定孔,弹簧8不易脱离,同时还可以拆卸,扳机挡片901分别与扳机9和摆杆10连接,摆杆10与刀片11连接,刀片装配在下连杆3上的装配槽内,在上钳口5的上表面中间位置和下钳口18的下表面的中间位置均设置有刀槽16,通过摆杆10带动刀片在装配槽和刀槽16内移动,上连杆前端20、塑料包胶层13及上电极片12通过注塑工艺连接在一起形成上钳口5,上电极片12通过其端部的上电极片折弯弹片17与上连杆前端20过盈接触连接,能够保障电气连接的可靠性,上连杆前端20设置在上连杆5前端,且与上连杆5一体成型,下连杆前端21设置在下连杆3的前端,且与下连杆3一体成型,下连杆前端21、塑料包胶层13及下电极片14通过注塑工艺紧密连接在一起形成下钳口18,上钳口5与下钳口18组合成鸭嘴型,且在上钳口5下端设置有向下凸起的绝缘凸点15,在上连杆4的前端设置有装配槽,绝缘凸起15一部分固定在该装配槽内,绝缘凸起的下端穿过塑料包胶层和上电极片向下凸出,绝缘凸点15采用绝缘的陶瓷材料制成,其硬度和强度较高,且可以提升组织的抓持力,向下凸起能够起到在上钳口5与下钳口18闭合时使上电极片12和下电极片14保持一定的距离,避免上电极片12与下电极片14发生短路而失效,可使得组织的凝闭一致性得到有效保障。As shown in Figures 1-8, the present invention is a multifunctional scissor-type high-frequency electric knife that can reduce thermal damage, including a left handle 1 and a right handle 2, a lower link 3 on the left handle 1 and a lower link on the right handle. Upper connecting rod 4 is fixedly connected by a rotating shaft, upper jaw 5 is provided at the front end of upper connecting rod 4, lower jaw 18 is provided at the front end of lower connecting rod 3, right handle 2 includes right handle upper cover and right handle lower cover, upper connecting rod The rod 4 is fixed between the right handle and the left handle, and the upper cover of the right handle and the lower cover of the right handle are welded together by ultrasonic waves. The left handle lower cover 102 is also welded together by ultrasonic, the touch switch 6 and the lower connecting rod 3 are fixed on the left handle lower cover 102, the left handle lower cover 102 is provided with a cross post 22, and the cross post 22 passes through Through the fixing hole on the lower connecting rod 3, the lower connecting rod 3 is fixed on the lower cover 102 of the left handle, the cylinder on the retaining hook 7 is fixed in the round hole on the lower connecting rod 3, and the retaining piece 19 is connected with the retaining hook 7 and the lower retaining rod 3 respectively. The connecting rod 3 is connected, and the lower connecting rod 3 is connected with the trigger baffle 901 through a spring 8. Both the lower connecting rod and the trigger baffle 901 are provided with fixing holes. , and can also be disassembled at the same time, the trigger block 901 is respectively connected with the trigger 9 and the swing rod 10, the swing rod 10 is connected with the blade 11, and the blade is assembled in the assembly groove on the lower link 3, at the middle position of the upper surface of the upper jaw 5 and the middle position of the lower surface of the lower jaw 18 are provided with a knife groove 16, and the swing rod 10 drives the blade to move in the assembly groove and the knife groove 16. Connected together by injection molding process to form the upper jaw 5, the upper electrode piece 12 is connected with the front end 20 of the upper connecting rod through the interference contact connection of the upper electrode piece bent elastic piece 17 at its end, which can ensure the reliability of the electrical connection, and the upper connecting rod The front end 20 is arranged on the front end of the upper connecting rod 5 and integrally formed with the upper connecting rod 5. The front end 21 of the lower connecting rod is arranged on the front end of the lower connecting rod 3 and is integrally formed with the lower connecting rod 3. The front end 21 of the lower connecting rod is covered with plastic The layer 13 and the lower electrode piece 14 are closely connected together by injection molding process to form the lower jaw 18, the upper jaw 5 and the lower jaw 18 are combined into a duckbill shape, and the lower end of the upper jaw 5 is provided with a downwardly protruding insulation The bump 15 is provided with an assembly groove at the front end of the upper connecting rod 4, and a part of the insulation projection 15 is fixed in the assembly groove. The lower end of the insulation projection protrudes downward through the plastic coating layer and the upper electrode sheet. The point 15 is made of insulating ceramic material, which has high hardness and strength, and can improve the gripping force of the tissue. The downward protrusion can make the upper electrode sheet 12 when the upper jaw 5 and the lower jaw 18 are closed. Keep a certain distance from the lower electrode sheet 14 to avoid short circuit failure between the upper electrode sheet 12 and the lower electrode sheet 14, so that the coagulation consistency of the tissue can be effectively guaranteed.
在具体工作时需要配合高频发生器,应用高频的大功率正玄波,当需要手术的人体组织处于上钳口5与下钳口18之间时,左手柄1与右手柄2在医生的握持作用力下,触碰式开关6受力后实现电气导通,且挡钩7受力使得挡片19实现摆动,挡片19上的挡片凸台让位空间于扳机挡片,扳机9呈自由状态,可实现向左扳动,高频电流在上电极片12与下电极片14之间释放,从而在电凝之间的人体组织产生热效应,其深部呈放射状传播,相关组织变成浅棕色小焦痂,以凝固血液中蛋白质,从而达到止血效果,不会形成明显的电弧。其作用范围只限于上钳口与下钳口之间,不需用极板。电凝后推动扳机9向左运动,扳机9带动扳机挡片901、摆杆10、刀片11向右运动,刀片11在刀槽16内向右运动实现组织切割,此时弹簧8处于压缩状态,松开扳机9时,在弹簧8作用下,刀片11在扳机挡片901、摆杆10带动下,恢复到原始位置。In the specific work, it is necessary to cooperate with a high-frequency generator and apply a high-frequency high-power sine wave. When the human tissue to be operated is between the upper jaw 5 and the lower jaw 18, the left handle 1 and the right handle 2 are placed between the doctor Under the holding force, the touch switch 6 realizes electrical conduction after being stressed, and the catch hook 7 is forced to make the catch 19 swing, and the catch boss on the catch 19 gives way to the trigger catch. The trigger 9 is in a free state and can be pulled to the left. The high-frequency current is released between the upper electrode sheet 12 and the lower electrode sheet 14, thereby generating a thermal effect on the human tissue between the electrocoagulation, and its deep part spreads radially. It turns into a small light brown eschar to coagulate the protein in the blood, so as to achieve hemostasis without forming obvious arc. Its range of action is limited to between the upper jaw and the lower jaw, without the use of pole plates. Push the trigger 9 to move to the left after electrocoagulation, the trigger 9 drives the trigger block 901, the swing rod 10, and the blade 11 to move to the right, and the blade 11 moves to the right in the knife groove 16 to realize tissue cutting. At this time, the spring 8 is in a compressed state, loose When the trigger 9 is opened, under the action of the spring 8, the blade 11 returns to the original position under the drive of the trigger block 901 and the fork 10.
本发明结构简单、设计合理,能够避免由于热扩散导致周边组织导出热损伤,进一步提高了组织的凝固效果,缩短手术时间,提高手术的成功率。The invention has a simple structure and a reasonable design, can avoid heat damage from surrounding tissues caused by thermal diffusion, further improves the coagulation effect of tissues, shortens operation time, and improves the success rate of operations.
Claims (7)
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