A kind of ultrasonic surgical blade
Technical field
The utility model relates to a kind of medicine equipment, is a kind of for operating ultrasonic surgical blade specifically, is particularly useful for open thyroidectomy.
Background technology
In recent years, along with the development of medical science and technology, ultrasonic surgical blade slowly enters into the visual field of people.Because ultrasonic surgical blade integrates separation, cuts and hemostasis three zones, without the need to frequently changing operating theater instruments in art, while shortening operating time, also reduce operation risk, thus be widely used in various types of operation, especially open thyroidectomy.
As shown in Figure 1, the ultrasonic surgical blade used in open thyroidectomy now all comprises in scissors-like handle 2, and the tip of handle 2 has cutter head, tail end has finger ring 1; Described cutter head is divided into stationary knife head 4 and dynamic cutter head 3, and the two coordinates in bending in the same way; Described dynamic cutter head 3 is made up of metal material, and has the conduit that can be connected with supersonic generator in the handle unit of its correspondence; Described stationary knife head 4 has the plastic support plate for support dynamic cutter head 3, plastic support plate has deep-slotted chip breaker, the shape of this deep-slotted chip breaker and dynamic cutter head 3 matches, and when two cutter heads are closed, the Lower Half of dynamic cutter head 3 is positioned at the deep-slotted chip breaker of stationary knife head 4 plastic support plate completely.This ultrasonic surgical blade is the new generation product (ultrasound knife FOCUS) released in 2008 for open thyroidectomy by Johnson Co., and it is meticulous that it has operation, more nimbly and freely, and the features such as hemostasis cutting effect is better.This kind of ultrasonic surgical blade carries out mechanical oscillation by metal dynamic cutter head with the supersonic frequency of 55.5kHz, mechanical energy is applied to human body tissue to be cut, in-house hydrone is vaporized, albumen hydrogen bond rupture and protein structure restructuring, cell disruption, tissue are cut open, the blood vessel of below 5mm can be closed in theory simultaneously, carried out solidifying to blood vessel closed while cut-out tissue, to save time and reliable.
But, in open thyroidectomy, during this ultrasonic surgical blade work, the local temperature of its dynamic cutter head can reach 50 ~ 100 DEG C, to the vital tissue around thyroid gland and structure as recurrent nerve, superior laryngeal nerve, parathyroid gland and tracheae, neck vagina vasorum etc. easily produce fire damage so that generating portion or irreversible damage, degree of its damage along with ultrasonic surgical blade and these tissues, structure spacing reduce and the working time prolongation and progressively increase the weight of, solidifying liquid heat of cutting place conducts also possible injured nerve simultaneously.Therefore, in the urgent need to improving this kind of ultrasonic surgical blade, the fire damage rate produced when reducing its work, thus surrounding normal during ultrasonic cutter head work and even important organizing are protected.
Utility model content
Problem to be solved in the utility model is to provide a kind of ultrasonic surgical blade; adopt this ultrasonic surgical blade to carry out operation, particularly open thyroidectomy, the heat transfer of cutter head can be reduced; thus the tissue of human body, structure and nerve are protected, make them not easily produce damage.
For solving the problem, take following technical scheme:
Ultrasonic surgical blade of the present utility model comprises in scissors-like handle, and there is cutter head the front end of handle, tail end has finger ring.Described cutter head is divided into stationary knife head and dynamic cutter head, and the two coordinates in bending in the same way.Described dynamic cutter head is made up of metal material, and has the conduit that can be connected with supersonic generator in the handle unit of its correspondence.Described stationary knife head has the plastic support plate for support dynamic cutter head, plastic support plate has deep-slotted chip breaker, the shape of this deep-slotted chip breaker and dynamic cutter head matches, and when two cutter heads are closed, the Lower Half of dynamic cutter head is positioned at the deep-slotted chip breaker of stationary knife head plastic support plate completely.Be characterized in described dynamic cutter head there is the guard shield longitudinally arranged along it, between the inner surface of guard shield and dynamic cutter head, have gap.
Further improvement of the utility model scheme is that described guard shield, the length of plastic support plate and outer width are all equal, and when two cutter heads close, the lower surface of guard shield and the upper surface of plastic support plate are fitted completely.The binding face between guard shield and plastic support plate can be improved so to greatest extent, namely increase contact surface when performing the operation between cutter head position and required cut-out tissue, reduce the risk that clamp loosens, comes off.
Take such scheme, have the following advantages:
Owing to the dynamic cutter head be made of metal of ultrasonic surgical blade of the present utility model there being the guard shield longitudinally arranged along it, gap is had between the inner surface of this guard shield and dynamic cutter head, therefore when the supersonic frequency this dynamic cutter head being applied to 55.5kHz makes it carry out mechanical oscillation, the localized hyperthermia of dynamic cutter head can be blocked in this guard shield completely, make it not easily spread, thus dynamic cutter head can be reduced in art to the damage of tissue, structure and nerve.Report that ultrasonic surgical blade can cause the temporary paralysis of recurrent nerve apart within recurrent nerve 3mm, suggestion distance more than recurrent nerve 5mm, now patient also may abandon ultrasound knife for the sake of security and adopt traditional modus operandi, and adopts ultrasonic surgical blade of the present utility model that so-called ultrasound knife forbidden zone can be made to become less.In addition, when utilizing ultrasonic surgical blade clamp bulk tissue, the tissue in distally easily when cutting off not yet fully because clamp is more loose or hand shaking causes coming off, hemorrhage, and the guard shield in ultrasonic surgical blade of the present utility model on dynamic cutter head can increase contact surface when cutter head and required cut-out are organized in clamp, thus clamp can be reduced come off, organize hemorrhage risk.
Accompanying drawing explanation
Fig. 1 is the overall structure schematic diagram of traditional ultrasonic surgical blade;
Fig. 2 is the structural representation of ultrasonic surgical blade of the present utility model;
Fig. 3 is the close-up schematic view (in figure, guard shield partly cuts open) of A point in Fig. 2.
Detailed description of the invention
Below in conjunction with accompanying drawing, the utility model is described in further detail.
As shown in Figure 2 and Figure 3, ultrasonic surgical blade of the present utility model comprises handle 2, and this handle 2 is made up of two handle units, and two handle units are intersection hinge-like near the position of front end, the front end of two handle units all has cutter head, tail end all to have finger ring 1, makes this handle 2 entirety in scissor-shaped.Described cutter head is divided into stationary knife head 4 and dynamic cutter head 3, and they lay respectively at the front end of two handle units, and stationary knife head 4 and dynamic cutter head 3 coordinate in bending in the same way, and the center line of two cutter heads is positioned at the plane vertical with two handle unit cross facets.Described dynamic cutter head 3 is made up of metal material, and in a tubular form, and there is the conduit that can be connected with supersonic generator the posterior segment of the handle unit of its correspondence in this handle unit.Described stationary knife head 4 there is the plastic support plate 6 for support dynamic cutter head 3, plastic support plate 6 there is deep-slotted chip breaker 7, this deep-slotted chip breaker 7 matches with the shape of dynamic cutter head 3, and when two cutter heads are closed, the Lower Half of dynamic cutter head 3 is positioned at the deep-slotted chip breaker 7 of stationary knife head 4 plastic support plate 6 completely.Described dynamic cutter head 3 there is the guard shield 5 longitudinally arranged along it, between the inner surface of guard shield 5 and dynamic cutter head 3, have gap.Length and the outer width of described guard shield 5, plastic support plate 6 are all equal, and when two cutter heads close, the lower surface of guard shield 5 and the upper surface of plastic support plate 6 are fitted completely.
During use, the handle unit tail end of the out splice going splice of supersonic generator from dynamic cutter head 3 correspondence is inserted, be connected with the conduit in this handle unit, open switch, dynamic cutter head 3 will do dither, this ultrasonic surgical blade just can carry out cutting operation to tissue, the heat produced when the guard shield 5 on dynamic cutter head 3 can completely cut off dynamic cutter head 3 dither.