CN112075986A - Hand-held hot melting knife - Google Patents
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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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- 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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- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
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- 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
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Abstract
本发明属于医疗器具技术领域,具体涉及一种手持式热熔刀,其包括具有内置电源的枪把型壳体,所述壳体的前端安装有刀柄,所述刀柄的端部设置有热熔刀头,所述壳体上转动安装有调节滚轮;所述热熔刀头包括上刀头和下刀头,所述下刀头上设置有微型发热装置,所述微型发热装置与所述内置电源通过导线连接形成热熔回路,所述热熔回路上串接有电流强弱调节装置和温度保护装置。本发明无需高频电源发生器与连接线,使用方便;手术时电流不经过人体,只从刀头上的微型发热装置内部经过,对于使用心脏起搏器的患者无任何影响,更无需使用负极板;并且可以通过控制电阻大小精确限制电流使其产生定量的热能,热损伤相对较小。
The invention belongs to the technical field of medical appliances, and in particular relates to a hand-held hot-melt knife, which comprises a gun-handle-type casing with a built-in power supply, a knife handle is installed at the front end of the casing, and an end of the knife handle is provided with A hot-melt cutter head, an adjusting roller is rotatably installed on the housing; the hot-melt cutter head includes an upper cutter head and a lower cutter head, and a micro heating device is arranged on the lower cutter head, and the micro heating device is connected with the The built-in power supply is connected by wires to form a hot-melt circuit, and a current strength adjustment device and a temperature protection device are connected in series on the hot-melt circuit. The invention does not need a high-frequency power generator and a connecting wire, and is easy to use; the current does not pass through the human body during the operation, but only passes through the inside of the micro heating device on the knife head, which has no effect on patients using cardiac pacemakers, and does not need to use a negative electrode. And the current can be accurately limited by controlling the size of the resistance to generate quantitative heat energy, and the thermal damage is relatively small.
Description
技术领域technical field
本发明属于医疗器具技术领域,具体涉及一种手持式热熔刀。The invention belongs to the technical field of medical appliances, and in particular relates to a hand-held hot-melt knife.
背景技术Background technique
目前的切割止血手术设备主要分为两类:一类采用机械能实现切割止血效果,其中的代表为超声刀;另一类采用高频电流通过组织发热产生切割止血的效果,其中的代表如双极凝切刀、单极电钩、单极电刀等。利用这两类原理创造的手术机械各有利弊。The current cutting and hemostasis surgical equipment is mainly divided into two categories: one uses mechanical energy to achieve the effect of cutting hemostasis, the representative of which is the ultrasonic knife; the other uses high-frequency current to generate the effect of cutting hemostasis through tissue heating, the representative of which is bipolar Coagulation knife, monopolar electric hook, monopolar electric knife, etc. Surgical machines created using these two types of principles have their own advantages and disadvantages.
目前市场的使用情况是:对于时间长、难度大的大手术,双极凝切刀和超声刀使用相对较多,时间短、难度小的小手术,单极电钩、单极电刀等使用相对较多。The current market usage is: for long-term and difficult major operations, bipolar coagulation cutter and ultrasonic knife are used relatively more, while for minor operations with short time and less difficulty, monopolar electric hook and monopolar electric knife are used. relatively more.
超声刀的缺陷:Disadvantages of Ultrasonic Knife:
1)切割步骤多(三个步骤:闭合、激发、复位)、切割速度慢。1) There are many cutting steps (three steps: closing, excitation, reset), and the cutting speed is slow.
2)机械振动有组织飞溅,特别是肿瘤组织有飞溅种植肿瘤组织的风险。2) Mechanical vibration causes tissue splashing, especially tumor tissue has the risk of splashing and planting tumor tissue.
3)易损坏,钳头在碰到坚硬的材料或组织(比如骨头后抓持钳等)时,容易断裂。3) Easy to damage, when the forceps head touches hard materials or tissues (such as grasping forceps behind bones, etc.), it is easy to break.
4)结构复杂,成本高。4) The structure is complex and the cost is high.
5)止血效果不佳。5) The hemostatic effect is not good.
6)肝组织切割过程中凝不住血。6) Blood cannot be clotted during liver tissue cutting.
7)需要高频电源发生器。7) A high frequency power generator is required.
单极电钩、电刀的缺陷:Defects of monopolar electric hook and electric knife:
1)发热量大,周边组织容易热损伤。1) The heat generation is large, and the surrounding tissues are easily damaged by heat.
2)不适用腔镜手术。2) Laparoscopic surgery is not applicable.
3)需要使用负极板,同时负极板有热灼伤风险。3) Negative plates are required, and there is a risk of thermal burns on the negative plates.
4)需要高频电源发生器。4) A high frequency power generator is required.
双极凝切刀的缺陷:Disadvantages of Bipolar Condensing Knife:
1)部分术式中难以造口或需要一定手法技巧。1) Some surgical procedures are difficult to stoma or require certain manipulation skills.
2)无法使用背切手法切割。2) It is not possible to use the back cutting technique to cut.
3)使用过程中烟雾稍大,影响视野。3) The smoke is slightly larger during use, which affects the vision.
4)使用过程中刀头存在一定粘连情况。4) There is a certain adhesion of the cutter head during use.
5)需要高频电源发生器。5) A high frequency power generator is required.
发明内容SUMMARY OF THE INVENTION
为了解决上述技术问题,本发明的目的在于提供一种无需高频电源发生器与连接线、操控使用方便、同时适用腔镜手术和开放式手术的手持式热熔刀。In order to solve the above technical problems, the purpose of the present invention is to provide a hand-held hot melt knife that does not require a high-frequency power generator and connecting wires, is easy to operate and use, and is suitable for both endoscopic surgery and open surgery.
为实现上述技术目的,本发明采用以下的技术方案:手持式热熔刀,包括具有内置电源的枪把型壳体,所述壳体的前端安装有刀柄,所述刀柄的端部设置有可张开与闭合的热熔刀头,所述壳体上转动安装有调节滚轮,所述调节滚轮控制所述刀柄及热熔刀头的旋转,所述壳体上还铰接有扳机,所述扳机控制所述热熔刀头的张口大小;In order to achieve the above technical purpose, the present invention adopts the following technical scheme: a hand-held hot-melt knife, comprising a gun-grip-type casing with a built-in power supply, a handle is installed at the front end of the casing, and the end of the handle is provided with There is a hot-melt cutter head that can be opened and closed, an adjusting roller is rotatably installed on the casing, and the adjusting roller controls the rotation of the handle and the hot-melt cutter head, and a trigger is also hinged on the casing. the trigger controls the opening size of the hot-melt cutter head;
所述热熔刀头包括上刀头和下刀头,所述下刀头上设置有微型发热装置,所述微型发热装置与所述内置电源通过导线连接形成热熔回路,所述热熔回路上串接有电流强弱调节装置和温度保护装置。The hot-melt cutter head includes an upper cutter head and a lower cutter head, and a micro heating device is arranged on the lower cutter head. A current strength adjustment device and a temperature protection device are connected in series.
作为优选的技术方案,所述上刀头上设置有防粘连压条。As a preferred technical solution, the upper cutter head is provided with an anti-adhesion bead.
作为优选的技术方案,所述电流强弱调节装置包括并联设置的第一电阻和第二电阻,所述第一电阻和第二电阻的阻值大小不同;所述第一电阻串联有第一控制按钮,所述第二电阻串联有第二控制按钮。As a preferred technical solution, the current intensity adjustment device includes a first resistor and a second resistor arranged in parallel, and the resistance values of the first resistor and the second resistor are different; the first resistor is connected in series with a first control button, the second resistor is connected in series with a second control button.
作为优选的技术方案,所述第一控制按钮和第二控制按钮均设置于所述扳机的上部。As a preferred technical solution, both the first control button and the second control button are arranged on the upper part of the trigger.
由于采用上述技术方案,本发明具有至少以下有益效果:Due to adopting the above-mentioned technical scheme, the present invention has at least the following beneficial effects:
(1)本发明采用便携式电源,将电源装配在手柄中,无需高频电源发生器与连接线,使用方便,同时适用腔镜手术和开放式手术。(1) The present invention adopts a portable power supply, and the power supply is assembled in the handle, without the need for a high-frequency power generator and a connecting wire, which is convenient to use, and is suitable for both endoscopic surgery and open surgery.
(2)手术时电流不经过人体,只从刀头上的微型发热装置内部经过,对于使用心脏起搏器的患者无任何影响,更无需使用负极板,降低风险,同时节约成本。(2) During the operation, the current does not pass through the human body, but only passes through the micro heating device on the knife head, which has no effect on patients using cardiac pacemakers, and no need to use negative plates, which reduces risks and saves costs.
(3)采用手持式设计,配合滚轮及扳机,不仅操作简单,且可以做到双极凝切刀无法或难以做到的造口、背切等手法。(3) The hand-held design, combined with the roller and the trigger, is not only easy to operate, but also can perform stoma, back-cut and other techniques that cannot or are difficult to do with the bipolar coagulation cutter.
(4)使用过程中由于可以通过控制电阻大小精确限制电流使其产生定量的热能,所以热损伤相对较小。工作过程中产生的烟雾较小,不影响视野。(4) During use, since the current can be accurately limited by controlling the size of the resistance to generate quantitative heat energy, the thermal damage is relatively small. The smoke generated during the work is small and does not affect the vision.
(5)刀头部位有防粘连材料,可以有效减小粘连组织情况。边切边凝效果良好,可用于肝类手术。(5) There is anti-adhesion material on the cutter head, which can effectively reduce the adhesion of tissue. The effect of coagulation while cutting is good, and it can be used for liver surgery.
附图说明Description of drawings
以下附图仅旨在于对本发明做示意性说明和解释,并不限定本发明的范围。其中:The following drawings are only intended to illustrate and explain the present invention schematically, and do not limit the scope of the present invention. in:
图1是本发明实施例的结构示意图;1 is a schematic structural diagram of an embodiment of the present invention;
图2是热熔刀头张开时的状态示意图;Fig. 2 is the state schematic diagram when the hot melt cutter head is opened;
图3是热熔刀头闭合时的状态示意图;Fig. 3 is the state schematic diagram when the hot melt cutter head is closed;
图4是本发明实施例的控制原理图;Fig. 4 is the control principle diagram of the embodiment of the present invention;
图5是本发明实施例的使用状态参考图。FIG. 5 is a use state reference diagram of an embodiment of the present invention.
具体实施方式Detailed ways
下面结合附图和实施例,进一步阐述本发明。在下面的详细描述中,只通过说明的方式描述了本发明的某些示范性实施例。毋庸置疑,本领域的普通技术人员可以认识到,在不偏离本发明的精神和范围的情况下,可以用各种不同的方式对所描述的实施例进行修正。因此,附图和描述在本质上是说明性的,而不是用于限制权利要求的保护范围。The present invention will be further described below with reference to the accompanying drawings and embodiments. In the following detailed description, certain exemplary embodiments of the present invention have been described by way of illustration only. Needless to say, as those skilled in the art would realize, the described embodiments may be modified in various different ways, all without departing from the spirit and scope of the present invention. Accordingly, the drawings and description are illustrative in nature and are not intended to limit the scope of protection of the claims.
实施例Example
如图1所示,手持式热熔刀,包括具有内置电源的枪把型壳体1,所述壳体1具有握持部,即手柄11,所述壳体1的前端安装有细长的刀柄2,所述刀柄2的端部设置有可张开与闭合的热熔刀头3,所述壳体1上转动安装有调节滚轮4,所述调节滚轮4控制所述刀柄2及热熔刀头3的旋转,所述壳体1上还铰接有扳机5,所述扳机5通过拉线控制所述热熔刀头3的张口大小;采用手持式设计,配合调节滚轮及扳机,不仅操作简单,且可以做到双极凝切刀无法或难以做到的造口、背切等手法。As shown in FIG. 1 , the hand-held hot-melt knife includes a gun-grip-
参考图2至图5,所述热熔刀头3包括上刀头31和下刀头32,所述下刀头32上设置有微型发热装置33(如导热丝等),手术时电流不经过人体,只从刀头上的微型发热装置33内部经过,对于使用心脏起搏器的患者无任何影响,更无需使用负极板,降低风险,同时节约成本;所述上刀头上设置有防粘连压条34,可以有效减小粘连组织情况,边切边凝效果良好,可用于肝类手术。所述微型发热装置33与内置电源6通过导线连接形成热熔回路,所述热熔回路上串接有电流强弱调节装置7和温度保护装置8。采用便携式内置电源,将电源装配在手柄中,无需高频电源发生器与连接线,操作使用方便,既可以适用于腔镜手术,也可以适用于开放式手术。2 to 5 , the hot-
其中,所述电流强弱调节装置7包括并联设置的第一电阻71和第二电阻72,所述第一电阻71串联有第一控制按钮73,所述第二电阻72串联有第二控制按钮74,所述第一电阻71和第二电阻72的阻值大小不同,若第一电阻71为大电阻、第二电阻72为小电阻,则第一控制按钮73为小功率按钮,第二控制按钮74为大功率按钮。所述第一控制按钮73和第二控制按钮74均设置于所述扳机5的上部,便于手术过程中灵活控制。这样,在使用过程中可以通过控制电阻大小精确限制电流使其产生定量的热能,所以热损伤相对较小。工作过程中产生的烟雾较小,不影响视野。The current
参考图4,本发明的工作原理如下:激发大功率按钮(第二控制按钮74),电流由内置电源6、小电阻(第二电阻72)、温度保护装置8传到微型发热装置33,使其产生电流热效应,熔断组织,若温度保护装置8检测刀头温度超过设定值,会断开电路保护器械。激发小功率按钮(第一控制按钮73),电流由内置电源6、大电阻(第一电阻71)、温度保护装置8传到微型发热装置33,使其产生电流热效应,组织凝血,若温度保护装置8检测刀头温度超过设定值,会断开电路保护器械。4, the working principle of the present invention is as follows: the high-power button (the second control button 74) is activated, and the current is transmitted to the
以上所述仅为本发明示意性的具体实施方式,并非用以限定本发明的范围。任何本领域内的技术人员,在不脱离本发明的构思和原则的前提下所作出的等同变化与修改,均应属于本发明保护的范围。The above descriptions are only exemplary embodiments of the present invention, and are not intended to limit the scope of the present invention. Equivalent changes and modifications made by any person skilled in the art without departing from the concept and principles of the present invention shall fall within the protection scope of the present invention.
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