Electric coagulation forceps and electric coagulation equipment
Technical Field
The utility model relates to the field of electric coagulation cutting, in particular to electric coagulation forceps and electric coagulation equipment.
Background
The electric coagulation device is a surgical instrument which is conventionally used under an endoscope and is mainly used for polypectomy, biopsy sampling and vascular thermal coagulation under the endoscope. Conventional electrocoagulation devices, such as the one disclosed in patent CN 103750901A, are prone to misburning other tissue during operation because the forceps heads are mostly completely exposed. Although some electrocoagulation devices provide an insulating cap at the head end of the head to reduce the exposure of the electrode, this also results in cutting only with small lateral areas, where tissue is difficult to access, and inconvenient cutting operations.
Disclosure of utility model
The utility model aims to provide novel electric coagulation forceps and electric coagulation equipment.
In order to achieve the above purpose, the utility model adopts the following technical scheme:
An electric coagulation forceps comprises a first forceps member and a second forceps member which are rotatably connected through a first rotating shaft, wherein the first forceps member and the second forceps member can rotate relatively to open or close, the first forceps member comprises a first forceps member main body part and a blocking part positioned at the far end of the first forceps member main body part, the blocking part extends towards the direction close to the second forceps member and protrudes out of the first forceps member main body part, the periphery of the blocking part is insulated, the bottom of the first forceps member main body part is provided with a first conductive area capable of conducting electric energy, the periphery area of the first forceps member main body part except for the first conductive area is an insulating area, and the first forceps member main body part and the blocking part form a containing space;
The second forceps member comprises a second forceps member main body part and a second conductive area which is positioned at the far end of the second forceps member main body part and can conduct electric energy, the second conductive area is in a spherical crown shape, a third conductive area which is opposite to the first conductive area and can conduct electric energy is arranged on the upper portion of the second forceps member main body part, the peripheral area of the second forceps member main body part except the third conductive area is an insulating area, and when the electric coagulation forceps are in a closed state, the second forceps member main body part and the second conductive area are positioned in the accommodating space.
The utility model prevents other tissues from being burned by misoperation through the design of the insulating area, has better safety, can help an operator to mark focus tissues firstly by utilizing the area in operation and then clamp the focus tissues by virtue of the arrangement of the spherical-crown-shaped second conductive area, thereby being capable of accurately positioning, reducing thermal injury and avoiding medical accidents caused by exceeding the cutting range, and simultaneously, the operator can open the focus tissues or cut and electrically coagulate tissues by utilizing the area in the use process, thereby being convenient to operate.
Preferably, the second conductive region is hemispherical.
Preferably, the distal end width and height of the second forceps member body portion gradually decrease in a proximal-to-distal direction, and the maximum outer diameter of the second conductive region is less than or equal to the minimum width and minimum height of the distal end of the second forceps member body portion. The distal end of the body portion of the second forceps member is positioned to further facilitate opening of the focal tissue by the operator.
Preferably, the distal ends of the first and second forceps member body portions are curved in the left-right direction and the degree of curvature is uniform. Compared with the traditional straight forceps member, the bending arrangement of the main body part of the forceps member is more beneficial to passing through a narrow area in operation.
Further preferably, the first forceps member body portion includes a first forceps member first section, a first forceps member second section, and a first forceps member third section, the first forceps member first section and the first forceps member third section being straight sections, the first forceps member second section being arcuate sections and being located between the first forceps member first section and the first forceps member third section;
The second forceps member main body part includes second forceps member first segmentation, second forceps member second segmentation and second forceps member third segmentation, second forceps member first segmentation with second forceps member third segmentation is straight section, second forceps member second segmentation is the arc section and is located between second forceps member first segmentation and the second forceps member third segmentation, the radian of second forceps member second segmentation with the radian of first forceps member second segmentation equals.
Preferably, the first conductive region protrudes from a bottom surface of the first forceps member body portion, and the third conductive region protrudes from an upper surface of the second forceps member body portion. When the electric coagulation forceps are in a closed state, a gap or mutual contact is formed between the first conductive area and the third conductive area, and the electric coagulation forceps are specifically designed according to actual requirements.
Further preferably, the first conductive region is located in a middle region of the first forceps member body portion and extends in a direction consistent with the first forceps member body portion, and the third conductive region is located in a middle region of the second forceps member body portion and extends in a direction consistent with the second forceps member body portion.
A second object of the present utility model is to provide an electrocoagulation device comprising a handle,
A tube assembly extending from the handle,
And the electric coagulation forceps are connected to the distal end of the pipe assembly, are controlled by the handle and can be opened or closed.
Preferably, the handle comprises a handle body, a sliding block arranged on the handle body in a sliding manner along the axial direction of the handle body, and a pull rope arranged in the pipe assembly, one end of the pull rope is connected to the sliding block, the other end of the pull rope is connected to the first forceps member and the second forceps member, when the sliding block is operated to slide, the first forceps member and the second forceps member can relatively rotate under the driving of the pull rope, and the handle body is provided with a conductive connector, and the conductive connector is contacted with the pipe assembly or the pull rope and is used for electrifying the electric coagulation forceps.
Preferably, the electrocoagulation device further comprises a first connecting rod, one end of which is rotationally connected with the proximal end part of the first forceps member through a second rotating shaft, and a second connecting rod, one end of which is rotationally connected with the proximal end part of the second forceps member through a third rotating shaft, the other ends of the first connecting rod and the second connecting rod are rotationally connected with the other end of the inhaul cable through a fourth rotating shaft, and the second rotating shaft and the third rotating shaft are located in an area between the first rotating shaft and the fourth rotating shaft.
Due to the application of the technical scheme, compared with the prior art, the utility model has the following advantages:
the spherical crown-shaped second conductive area is arranged, so that an operator can be helped to mark focus tissues firstly by using the area in an operation and then clamp the focus tissues, thereby being capable of accurately positioning, reducing thermal damage, avoiding medical accidents caused by exceeding a cutting range, and simultaneously, the operator can open the focus tissues or cut open and electrically coagulate tissues by using the area in the use process, and the operation is convenient;
By the design of the insulation area, other tissues are prevented from being burned by misoperation, and safety is improved.
Drawings
FIG. 1 is a schematic view showing the construction of an electrocoagulation apparatus in embodiment 1;
FIG. 2 is an enlarged cross-sectional view of portion A of FIG. 1;
FIG. 3 is an enlarged cross-sectional view of portion B of FIG. 1;
FIG. 4 is a schematic view showing the structure of an electric coagulation forceps in embodiment 1 at an angle in a closed state;
FIG. 5 is a schematic view showing the structure of an electric coagulation forceps according to embodiment 1 at another angle in a closed state;
Fig. 6 is a schematic structural view of a second forceps member in embodiment 1;
fig. 7 is a schematic view of the structure of the second forceps member in embodiment 1 at another angle;
Fig. 8 is a top view of a second tweezer member in embodiment 1;
Fig. 9 is a schematic structural view of a first tweezer member in embodiment 1;
Fig. 10 is a schematic view of the structure of the first tweezer member of embodiment 1 at another angle;
Fig. 11 is a top view of a first tweezer member in embodiment 1;
The electric coagulation forceps comprise a 1, an electric coagulation forceps, a 11, a first forceps member main body part, a 111, a first forceps member first section, a 112, a first forceps member second section, a 113, a first forceps member third section, a 114, a first conductive area, a 12, a blocking part, a 13, a second forceps member main body part, a 131, a second forceps member first section, a 132, a second forceps member second section, a 133, a second forceps member third section, a 134, a third conductive area, a 14, a second conductive area, a 15 and a first rotating shaft;
2. Tube assembly, 21, outer tube, 22, spring tube;
3. 31, conductive connector;
4. A slide block;
5. The cable, 51, the first connecting rod, 52, the second connecting rod, 53, the second rotating shaft, 54, the third rotating shaft, 55, the fourth rotating shaft;
y, left-right direction.
Detailed Description
The utility model will be further described with reference to examples of embodiments shown in the drawings.
Hereinafter, only certain exemplary embodiments are briefly described. As will be recognized by those of skill in the pertinent art, the described embodiments may be modified in numerous different ways without departing from the spirit or scope of the embodiments of the present utility model. Accordingly, the drawings and description are to be regarded as illustrative in nature and not as restrictive.
In describing embodiments of the present utility model, it should be understood that the terms "distal", "proximal", and the like, as indicated by the orientation or positional relationship, are defined in terms of the orientation of the electrocoagulation device in use, wherein the side proximal to the operator is the proximal end and the side distal to the operator is the distal end. It is merely for convenience in describing and simplifying the description of embodiments of the present utility model and does not indicate or imply that the devices or elements referred to must have a particular orientation, be constructed and operate in a particular orientation, and therefore should not be construed as limiting the embodiments of the present utility model.
Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. In the description of the embodiments of the present utility model, the meaning of "plurality" is two or more, unless explicitly defined otherwise.
In embodiments of the utility model, unless expressly stated or limited otherwise, a first feature "above" or "below" a second feature may include both the first and second features being in direct contact, or may include both the first and second features not being in direct contact but being in contact with each other through additional features therebetween. Moreover, a first feature being "above," "over" and "on" a second feature includes the first feature being directly above and obliquely above the second feature, or simply indicating that the first feature is higher in level than the second feature. The first feature being "under", "below" and "beneath" the second feature includes the first feature being directly under and obliquely below the second feature, or simply means that the first feature is less level than the second feature.
The following disclosure provides many different implementations, or examples, for implementing different configurations of embodiments of the utility model. In order to simplify the disclosure of embodiments of the present utility model, components and arrangements of specific examples are described below. Of course, they are merely examples and are not intended to limit embodiments of the present utility model. Furthermore, embodiments of the present utility model may repeat reference numerals and/or letters in the various examples, which are for the purpose of brevity and clarity, and which do not themselves indicate the relationship between the various embodiments and/or arrangements discussed.
Example 1
An electric coagulation device, as shown in figure 1, comprises a handle, a tube assembly 2 extending from the handle and electric coagulation forceps 1, wherein the electric coagulation forceps 1 are connected to the distal end of the tube assembly 2, and the electric coagulation forceps 1 can be opened or closed under the control of the handle.
Specifically, as shown in fig. 2, 4 and 5, the electric coagulation forceps 1 includes a first forceps member and a second forceps member rotatably connected by a first rotation shaft 15, and by rotating the first forceps member and the second forceps member relative to each other, a closed state (shown in fig. 4 and 5) in which distal ends of the first forceps member and the second forceps member are close to each other or an open state (shown in fig. 2) in which distal ends are far from each other can be achieved.
More specifically, as shown in fig. 9 to 11, the first forceps member includes a first forceps member main body portion 11 and a blocking portion 12. The bottom of the first forceps member body portion 11 has a first conductive region 114 capable of conducting electrical energy, and preferably the first conductive region 114 protrudes from the bottom surface of the first forceps member body portion 11 and is located in the middle region of the first forceps member body portion 11, and the extending direction of the first conductive region 114 coincides with the first forceps member body portion 11. The outer peripheral region of the first forceps member main body portion 11 excluding the first conductive region 114 is an insulating region. The blocking portion 12 is located at the distal end of the first forceps member main body portion 11, the blocking portion 12 extends toward the direction approaching the second forceps member and protrudes out of the first forceps member main body portion 11, the outer periphery of the blocking portion 12 is insulated, and the blocking portion 12 and the first forceps member main body portion 11 form a containing space. The provision of the insulating portion renders the outer periphery of the first tweezer member body portion 11 non-conductive, thereby avoiding mishandling of burns of other tissue.
As shown in fig. 6 to 8, the second tweezer member includes a second tweezer member body portion 13 and a second conductive region 14 capable of conducting electrical energy. The upper portion of the second forceps member body portion 13 has a third conductive region 134 disposed opposite the first conductive region 114 and capable of conducting electrical energy, preferably, the third conductive region 134 protrudes from the upper surface of the second forceps member body portion 13 and is located in the middle region of the second forceps member body portion 13, and the third conductive region 134 extends in the same direction as the second forceps member body portion 13. The outer peripheral region of the second forceps member main body portion 13 excluding the third conductive region 134 is an insulating region. When the electric coagulation forceps 1 are in the closed state, the second forceps member main body portion 13 and the second conductive region 14 are located in the accommodating space. When the electric coagulation forceps 1 is in a closed state, the second conductive area 14 at the far end cannot be contacted with the tissue due to the blocking of the blocking part 12, so that the tissue cannot be burned by mistake, and when marking, cutting or electric coagulation is needed, the electric coagulation forceps 1 is opened to expose the second conductive area 14, so that the safety is better.
A second conductive region 14 is located distally of the second tweezer member body portion 13, the second conductive region 14 being in the shape of a spherical cap, preferably hemispherical. The hemispherical second conductive area 14 can help an operator to mark focal tissues firstly by using the area in operation and then clamp the focal tissues, so that the focal tissues can be accurately positioned, thermal damage is reduced, medical accidents caused by exceeding a cutting range can be avoided, and meanwhile, the focal tissues or cut and electrically coagulated tissues can be opened by using the area in the use process of the operator, so that the operation is convenient. Further, to facilitate operator opening of the focal tissue, the distal end width and height of the second forceps member body section 13 gradually decreases in a proximal-to-distal direction, and the maximum outer diameter of the second conductive region 14 is less than or equal to the minimum width and minimum height of the distal end of the second forceps member body section 13.
The traditional forceps member is straight, and is difficult to enter a narrow area, and the inventor is more beneficial to passing through the narrow area in operation through the bending arrangement of the main body part of the forceps member. Specifically, the distal ends of the first forceps member main body portion 11 and the second forceps member main body portion 13 are bent in the left-right direction y and the degree of bending is uniform.
More specifically, the first forceps member main body portion 11 includes a first forceps member first section 111, a first forceps member second section 112, and a first forceps member third section 113, the first forceps member first section 111 and the first forceps member third section 113 are straight sections, the first forceps member second section 112 is an arc section and is located between the first forceps member first section 111 and the first forceps member third section 113, and the arrangement of the arc section radian may be according to practical requirements, the present application is not limited in particular. The second forceps member body portion 13 includes a second forceps member first section 131, a second forceps member second section 132, and a second forceps member third section 133, the second forceps member first section 131 and the second forceps member third section 133 being straight sections, the second forceps member second section 132 being arcuate sections and being located between the second forceps member first section 131 and the second forceps member third section 133, the arc of the second forceps member second section 132 being equal to the arc of the first forceps member second section 112.
The preferred embodiments of the handle, tube assembly 2 are discussed below by way of example, and reference is also made to the prior art for specific construction of the handle and tube assembly 2.
Referring to fig. 1 to 3, the handle includes a handle body 3, a slider 4 slidably provided on the handle body 3 in an axial direction of the handle body 3, and a pulling cable 5 provided in the tube assembly 2, one end of the pulling cable 5 is connected to the slider 4, and the other end is connected to the first and second forceps members through first and second links 51 and 52, respectively. Specifically, one end of the first connecting rod 51 is rotatably connected to the proximal end of the first forceps member through a second rotating shaft 53, the other end is rotatably connected to the pulling rope 5 through a fourth rotating shaft 55, one end of the second connecting rod 52 is rotatably connected to the proximal end of the second forceps member through a third rotating shaft 54, and the other end is rotatably connected to the pulling rope 5 through a fourth rotating shaft 55. When the operation slide block 4 slides, the first connecting rod 51 and the second connecting rod 52 are driven by the inhaul cable 5 to rotate and drive the first electric coagulation forceps 1 and the second electric coagulation forceps 1 to rotate, so that the electric coagulation forceps 1 are switched between an open state and a closed state. The adjustment of the opening angle can be achieved by adjusting the sliding distance of the slider 4, and the present application is not particularly limited with respect to the opening angle.
The guy cable 5 has a certain rigidity, and can push the first connecting rod 51 and the second connecting rod 52 under the driving of the sliding block 4, so as to drive the first forceps member and the second forceps member to rotate to open, or can pull the first connecting rod 51 and the second connecting rod 52 under the driving of the sliding block 4, so as to drive the first forceps member and the second forceps member to rotate to close. As a preferred example, the cable 5 may be a stainless steel wire.
The tube assembly 2 includes an outer tube 21 and a spring tube 22 disposed within the outer tube 21 and coaxial with the outer tube 21. The distal end of the outer tube 21 is connected with the electric coagulation forceps 1, the proximal end is inserted into the handle body 3 to be fixedly connected with the handle body 3, the handle body 3 is provided with a conductive joint 31, and the conductive joint 31 is contacted with the outer tube 21 for electrifying the electric coagulation forceps 1.
The electrocoagulation device has at least the following advantages:
(1) The electric coagulation device can provide two working modes, namely an operator can mark focal tissues by utilizing the second conductive area 14 positioned at the far end firstly in operation and then implement a clamping function to achieve the effects of cutting and coagulation, so that the electric coagulation device can be positioned accurately and thermal damage is reduced, and the electric coagulation device has a high-frequency cutting function and can achieve the effects of cutting and coagulation by utilizing the second conductive area 14 to instantly burn contacted tissues.
(2) Through the design of the insulation area, the energy is more concentrated, the cutting is faster, the damage to surrounding tissues is smaller, meanwhile, other tissues are prevented from being burned by misoperation, and the safety is better.
(3) Unlike the conventional straight electric coagulation forceps 1, the electric coagulation forceps 1 in the electric coagulation device are of a bent structure, and are more beneficial to passing through a narrow area in operation.
The above embodiments are provided to illustrate the technical concept and features of the present utility model and are intended to enable those skilled in the art to understand the content of the present utility model and implement the same, and are not intended to limit the scope of the present utility model. All equivalent changes or modifications made in accordance with the spirit of the present utility model should be construed to be included in the scope of the present utility model.