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CN116725650A - A low-temperature plasma surgery system and plasma electrode - Google Patents

A low-temperature plasma surgery system and plasma electrode Download PDF

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Publication number
CN116725650A
CN116725650A CN202310610240.2A CN202310610240A CN116725650A CN 116725650 A CN116725650 A CN 116725650A CN 202310610240 A CN202310610240 A CN 202310610240A CN 116725650 A CN116725650 A CN 116725650A
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plasma
low
signal
electrode
handle
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林海永
黄军
陈畅
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Yunyi Star Shanghai Technology Co ltd
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Yunyi Star Shanghai Technology Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • A61B2018/00583Coblation, i.e. ablation using a cold plasma
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00964Features of probes

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明公开了一种低温等离子手术系统及等离子电极,包括手柄,所述手柄的第一端连接有连接有线缆和抽吸水管,所述抽吸水管在远离所述手柄的一端连接有水管接头,通过设置低温等离子手术系统,低温等离子手术系统内部具有实时时钟和等离子电极插入识别功能,检测到等离子电极插入之后,先读取等离子电极内部存储的使用信息,然后判断是否为重复使用的器械,若是重复使用的则通过触摸屏提示,并且禁止其他操作,直到该等离子电极被拔掉,而且以上设计可以保证本发明一次性等离子电极无法重复使用,避免了消毒不彻底造成交叉感染和器件老化造成手术事故,同时保证本发明低温等离子手术系统的低温手术效果,减少周围组织的热损伤。

The invention discloses a low-temperature plasma surgery system and a plasma electrode, which include a handle. The first end of the handle is connected with a cable and a suction water pipe. The suction water pipe is connected with a water pipe at one end away from the handle. Connector, by setting up a low-temperature plasma surgery system, the low-temperature plasma surgery system has a real-time clock and plasma electrode insertion recognition function. After detecting the insertion of the plasma electrode, it first reads the usage information stored inside the plasma electrode, and then determines whether it is a reused instrument. , if it is reused, it will be prompted through the touch screen, and other operations will be prohibited until the plasma electrode is unplugged. Moreover, the above design can ensure that the disposable plasma electrode of the present invention cannot be reused, avoiding cross-infection and device aging caused by incomplete disinfection. Surgical accidents, while ensuring the low-temperature surgical effect of the low-temperature plasma surgical system of the present invention and reducing thermal damage to surrounding tissues.

Description

一种低温等离子手术系统及等离子电极A low-temperature plasma surgery system and plasma electrode

技术领域Technical field

本发明属于低温等离子手术技术方向,具体涉及一种低温等离子手术系统及等离子电极。The invention belongs to the technical direction of low-temperature plasma surgery, and specifically relates to a low-temperature plasma surgery system and a plasma electrode.

背景技术Background technique

低温等离子手术系统能够以40-70°左右的低温对病灶组织进行切割、凝血和消融,从而避免对周围组织造成损伤,所以广泛应用在耳鼻喉科和骨科。为了确保安全性,预防交叉感染,等离子电极基本设计为一次性使用的。但是有些医院为了节省成本会消毒后重复使用,这种做法有以下几种危害:第一,不能确保消毒灭菌的可靠性,有一定的风险造成交叉感染;第二,一次性使用的器械设计上没有过多的考虑使用寿命和老化问题,所以多次消毒和使用之后,会造成连接处开胶,密封性不好,甚至零部件在手术中脱落;第三,等离子电极不耐高温,所用消毒方法多为环氧乙烷气体灭菌。而环氧乙烷消毒排出的气体对环境和接触者是有危害的,尽量避免使用。The low-temperature plasma surgical system can cut, coagulate and ablate the diseased tissue at a low temperature of about 40-70°, thereby avoiding damage to surrounding tissues, so it is widely used in otolaryngology and orthopedics. In order to ensure safety and prevent cross-infection, plasma electrodes are basically designed for single use. However, in order to save costs, some hospitals will reuse them after disinfection. This practice has the following hazards: first, it cannot ensure the reliability of disinfection and sterilization, and there is a certain risk of cross-infection; second, the design of disposable instruments There is not much consideration of service life and aging issues, so after repeated disinfection and use, the joints will become glued, the sealing will be poor, and even parts will fall off during the operation; thirdly, the plasma electrode is not resistant to high temperatures, and the disinfection used The method is mostly ethylene oxide gas sterilization. The gas emitted by ethylene oxide disinfection is harmful to the environment and contacts, so avoid using it as much as possible.

目前市面上的一次性等离子电极在与低温等离子手术系统配合使用的时候,基本上是即插即用,或者带有插入电极识别和参数自动匹配的功能。除了在包装以及说明书上强调是一次性使用,无法从功能上完全避免重复使用的可能性。The disposable plasma electrodes currently on the market are basically plug-and-play when used with low-temperature plasma surgical systems, or have the function of inserting electrode recognition and automatic parameter matching. In addition to emphasizing single use on the packaging and instructions, the possibility of reuse cannot be completely avoided functionally.

发明内容Contents of the invention

本发明的目的在于针对现有的装置一种低温等离子手术系统及等离子电极,以解决上述背景技术中提出的问题。The purpose of the present invention is to address the existing low-temperature plasma surgery system and plasma electrode to solve the problems raised in the above background technology.

为了解决上述技术问题,本发明提供如下技术方案:一种低温等离子电极,包括手柄,所述手柄的第一端连接有连接有线缆和抽吸水管,所述抽吸水管在远离所述手柄的一端连接有水管接头,所述线缆在远离所述手柄的一端连接有插头,所述插头内设置有七根金属针,所述手柄的第二端连接有刀头,所述手柄外壁的周侧设置有切割手控按键和凝血手控按键;In order to solve the above technical problems, the present invention provides the following technical solution: a low-temperature plasma electrode, including a handle, the first end of the handle is connected with a cable and a suction water pipe, and the suction water pipe is located away from the handle One end of the cable is connected to a water pipe joint, the end of the cable away from the handle is connected to a plug, seven metal needles are provided in the plug, the second end of the handle is connected to a knife head, and the outer wall of the handle is There are manual cutting buttons and coagulation manual buttons on the peripheral side;

其中,所述刀头包括输出电极、连接在所述手柄第一端的不锈钢外管,所述不锈钢外管为中空状结构,所述输出电极可以是半柱状、片状或者突出的半球状,所述不锈钢外管中空部的平行方向上设置有内部水管,所述内部水管连接所述刀头的出水孔并和所述手柄第二端的抽吸水管,所述线缆伸入所述不锈钢外管的一端和所述输出电极连接,所述输出电极和所述不锈钢外管之间设置有陶瓷座,所述陶瓷座和所述不锈钢外管之间连接有端帽,所述不锈钢外管外壁的周侧套设有绝缘热缩套管。Wherein, the cutter head includes an output electrode and a stainless steel outer tube connected to the first end of the handle. The stainless steel outer tube has a hollow structure. The output electrode can be semi-cylindrical, flaky or protruding hemispherical. An internal water pipe is provided in the parallel direction of the hollow part of the stainless steel outer pipe. The internal water pipe is connected to the water outlet of the cutter head and to the suction water pipe at the second end of the handle. The cable extends into the stainless steel outer pipe. One end of the tube is connected to the output electrode. A ceramic seat is provided between the output electrode and the stainless steel outer tube. An end cap is connected between the ceramic seat and the stainless steel outer tube. The outer wall of the stainless steel outer tube The circumferential side sleeve is equipped with an insulating heat shrink sleeve.

本发明进一步说明,所述金属针包括呈环形排序连接在所述插头内壁的第一低压电源端、串行通信中的发送信号线、接收信号线、第二低压电源端、信号屏蔽端、等离子电离能量输出端、等离子电离能量返回端、所述插头外壁的周侧设置有插头定位标志。The invention further explains that the metal needle includes a first low-voltage power supply terminal connected in an annular order to the inner wall of the plug, a sending signal line in serial communication, a receiving signal line, a second low-voltage power supply terminal, a signal shielding terminal, a plasma The ionization energy output end, the plasma ionization energy return end, and the peripheral side of the outer wall of the plug are provided with plug positioning marks.

本发明进一步说明,所述线缆内部设置有导线组和两根功率线,所述导线组包括两根串口信号线和两根低压电源,两根所述串口信号线和两根所述低压电源的内部均设置有导体,所述线缆的外层设置有硅胶绝缘层,所述导线组的外侧由内至外依次包裹有镀铝箔屏蔽层和镀锡铜编织网屏蔽层,两根所述串口信号线和两根所述低压电源外壁均包裹有铁氟龙绝缘层。The invention further explains that the cable is provided with a conductor set and two power lines inside, the conductor set includes two serial port signal lines and two low-voltage power supplies, and the two serial port signal lines and the two low-voltage power supplies are Conductors are provided inside, the outer layer of the cable is provided with a silicone insulation layer, and the outside of the conductor group is wrapped with an aluminum foil shielding layer and a tinned copper braided mesh shielding layer from the inside to the outside. The outer walls of the serial port signal line and the two low-voltage power supplies are wrapped with Teflon insulation.

4.一种低温等离子手术系统,包括由电源模块、等离子发生器、控制模块、人机交互模块输出模块组成的低温等离子手术系统、等离子电极及其位于所述手柄内的信号处理板、和所述低温等离子手术系统信号连接的脚踏开关,所述电源模块负责提供低温等离子手术系统所需的直流电能,所述等离子发生器负责产生用于电离介质的特定波形和频率的交流电能,所述人机交互模块用于信息的输入输出和声音提示,所述输出模块通过所述低温等离子手术系统的输出接口与所述等离子电极相连,将用于电离的交流电能传输到所述等离子电极前端,同时与所述等离子电极中的所述信号处理板通信连接,所述等离子电极负责将低频率射频能量转换电解液产生的等离子体薄层施加在手术操作区域进行凝固和切割,所述脚踏开关通过无线通信将传输切割信号、凝血启动信号,电池欠压信号以及脚踏上电粘连故障信号发送到所述低温等离子手术系统。4. A low-temperature plasma surgery system, including a low-temperature plasma surgery system composed of a power module, a plasma generator, a control module, a human-computer interaction module output module, a plasma electrode and a signal processing board located in the handle, and The foot switch for the signal connection of the low-temperature plasma surgery system, the power module is responsible for providing the DC power required by the low-temperature plasma surgery system, the plasma generator is responsible for generating AC power with a specific waveform and frequency for ionizing the medium, the The human-computer interaction module is used for input and output of information and sound prompts. The output module is connected to the plasma electrode through the output interface of the low-temperature plasma surgery system and transmits AC power for ionization to the front end of the plasma electrode. At the same time, it is connected to the signal processing board in the plasma electrode. The plasma electrode is responsible for applying the plasma thin layer generated by low-frequency radio frequency energy conversion electrolyte to the surgical operation area for coagulation and cutting. The foot switch The cutting signal, coagulation start signal, battery undervoltage signal and pedal electrical adhesion fault signal are sent to the low-temperature plasma surgery system through wireless communication.

本发明进一步说明,所述控制模块包括微处理器、控制电路和检测电路,所述微处理器、所述控制电路和所述检测电路与所述电源模块相连用于控制所述电源模块能量的输出,所述微处理器、所述控制电路和所述检测电路与等离子发生器相连控制输出交流电能的波形和频率,所述微处理器、所述控制电路和所述检测电路与所述人机交互模块相连负责设定和显示信号的传输,所述微处理器、所述控制电路和所述检测电路与所述输出模块相连负责所述等离子电极信号的采集。The invention further explains that the control module includes a microprocessor, a control circuit and a detection circuit, and the microprocessor, the control circuit and the detection circuit are connected to the power module for controlling the energy of the power module. Output, the microprocessor, the control circuit and the detection circuit are connected to the plasma generator to control the waveform and frequency of the output AC power, the microprocessor, the control circuit and the detection circuit are connected to the human The computer interaction module is connected to be responsible for the transmission of setting and display signals, and the microprocessor, the control circuit and the detection circuit are connected to the output module and is responsible for collecting the plasma electrode signal.

本发明进一步说明,所述信号处理板包括启动信号检测电路、主机通信电路、数据存储电路、温度信号处理电路、温度传感器和微处理器,所述温度传感器测温范围为-200-260℃,温度信号处理电路将所述热电偶的模拟信号转换为数字信号再通过串行外设接口总线的方式传给所述微处理器,所述启动信号检测电路用于检测所述等离子电极处的切割和凝血启动按键然后再通过输入端口传给所述控制模块的所述微处理器,所述数据存储电路用于存储等离子电极的使用信息,所述主机通信电路通过所述等离子电极的所述插头与所述低温等离子手术系统相连,并采用异步串行通信方式传输数据。The invention further explains that the signal processing board includes a startup signal detection circuit, a host communication circuit, a data storage circuit, a temperature signal processing circuit, a temperature sensor and a microprocessor. The temperature sensor has a temperature measurement range of -200-260°C. The temperature signal processing circuit converts the analog signal of the thermocouple into a digital signal and then transmits it to the microprocessor through the serial peripheral interface bus. The startup signal detection circuit is used to detect the cutting at the plasma electrode. and the coagulation start button are then transmitted to the microprocessor of the control module through the input port. The data storage circuit is used to store the usage information of the plasma electrode. The host communication circuit passes through the plug of the plasma electrode. It is connected to the low-temperature plasma surgery system and uses asynchronous serial communication to transmit data.

本发明进一步说明,所述主机通信电路将数据存储电路所储存的数据传输到所述低温等离子手术系统,以供所述低温等离子手术系统判断所述等离子电极是否为重复使用的器械。The present invention further states that the host communication circuit transmits the data stored in the data storage circuit to the low-temperature plasma surgery system, so that the low-temperature plasma surgery system can determine whether the plasma electrode is a reusable instrument.

本发明进一步说明,所述控制模块根据启动所述信号检测电路所发生的信号控制所述输出模块根据指令选取对应电极信号的工作模式。The invention further explains that the control module controls the output module to select the working mode of the corresponding electrode signal according to the instruction according to the signal generated by activating the signal detection circuit.

本发明进一步说明,所述低温等离子手术系统包括壳体,所述壳体的一侧的第一边缘处设置有显示触摸屏,所述壳体的一侧的第二边缘处设置有等离子手术电极插座和有线脚踏开关插座,所述壳体上方的弧度处设置有电源开关。The invention further explains that the low-temperature plasma surgery system includes a housing, a display touch screen is provided at the first edge on one side of the housing, and a plasma surgery electrode socket is provided on the second edge on one side of the housing. and a wired foot switch socket, and a power switch is provided at the arc above the housing.

本发明进一步说明,所述脚踏开关包括连接壳,所述连接壳的上方设置有两个凹口,两个所述凹口内分别活动配合有切割脚控踏板和凝血脚控踏板,所述连接壳的上方设置有信号发射天线。The invention further explains that the foot switch includes a connection shell, and two notches are provided above the connection shell, and a cutting foot control pedal and a coagulation foot control pedal are movable inside the two notches. A signal transmitting antenna is provided above the shell.

与现有技术相比,本发明所达到的有益效果是:Compared with the prior art, the beneficial effects achieved by the present invention are:

本发明通过设置低温等离子手术系统,低温等离子手术系统内部具有实时时钟和等离子电极插入识别功能,检测到等离子电极插入之后,先读取等离子电极内部存储的使用信息,然后判断是否为重复使用的器械,若是重复使用的则通过触摸屏提示,并且禁止其他操作,直到该等离子电极被拔掉,而且以上设计可以保证本发明一次性等离子电极无法重复使用,避免了消毒不彻底造成交叉感染和器件老化造成手术事故,同时保证本发明低温等离子手术系统的低温手术效果,减少周围组织的热损伤。The present invention sets up a low-temperature plasma surgery system. The low-temperature plasma surgery system has a real-time clock and a plasma electrode insertion identification function inside. After detecting the insertion of the plasma electrode, it first reads the usage information stored inside the plasma electrode, and then determines whether it is a reused instrument. , if it is reused, it will be prompted through the touch screen, and other operations will be prohibited until the plasma electrode is unplugged. Moreover, the above design can ensure that the disposable plasma electrode of the present invention cannot be reused, avoiding cross-infection and device aging caused by incomplete disinfection. Surgical accidents, while ensuring the low-temperature surgical effect of the low-temperature plasma surgical system of the present invention and reducing thermal damage to surrounding tissues.

附图说明Description of drawings

附图用来提供对本发明的进一步理解,并且构成说明书的一部分,与本发明的实施例一起用于解释本发明,并不构成对本发明的限制。在附图中:The drawings are used to provide a further understanding of the present invention and constitute a part of the specification. They are used to explain the present invention together with the embodiments of the present invention and do not constitute a limitation of the present invention. In the attached picture:

图1为本发明中的低温等离子手术系统及等离子电极的分解示意图;Figure 1 is an exploded schematic diagram of the low-temperature plasma surgery system and plasma electrode in the present invention;

图2为本发明中的低温等离子手术系统原理结构图;Figure 2 is a schematic structural diagram of the low-temperature plasma surgery system in the present invention;

图3为本发明中的插头一端立体结构示意图;Figure 3 is a schematic three-dimensional structural diagram of one end of the plug in the present invention;

图4为本发明中的刀头剖面处结构示意图;Figure 4 is a schematic structural diagram of the cutter head in the present invention;

图5为本发明中的等离子电极中信号处理板的原理结构图;Figure 5 is a schematic structural diagram of the signal processing board in the plasma electrode of the present invention;

图6为本发明中的为中线缆内部剖面结构示意图。Figure 6 is a schematic diagram of the internal cross-sectional structure of the central cable in the present invention.

图中:10、低温等离子手术系统;11、等离子手术电极插座;12、有线脚踏开关插座;13、显示触摸屏;14、电源开关;20、脚踏开关;21、切割脚控踏板;22、凝血脚控踏板;23、信号发射天线;30、等离子电极;31、刀头;311、输出电极;312、陶瓷座;313、端帽;314、不锈钢外管;315、内部水管;316、绝缘热缩套管;317、热电偶;32、手柄;33、切割手控按键;34、凝血手控按键;35、抽吸水管;36、水管接头;37、线缆;371、导体;372、铁氟龙绝缘层;373、铝箔屏蔽层;374、镀锡铜编织网屏蔽层;375、硅胶绝缘层;38、插头;381、第一低压电源端;382、发送信号线;383、接收信号线;384、第二低压电源端;385、信号屏蔽端;386、等离子电离能量输出端;387、等离子电离能量返回端;388、插头定位标志。In the picture: 10. Low-temperature plasma surgery system; 11. Plasma surgery electrode socket; 12. Wired foot switch socket; 13. Display touch screen; 14. Power switch; 20. Foot switch; 21. Cutting foot control pedal; 22. Coagulation foot control pedal; 23. Signal transmitting antenna; 30. Plasma electrode; 31. Cutting head; 311. Output electrode; 312. Ceramic seat; 313. End cap; 314. Stainless steel outer tube; 315. Internal water pipe; 316. Insulation Heat shrinkable sleeve; 317, thermocouple; 32, handle; 33, cutting manual button; 34, coagulation manual button; 35, suction water pipe; 36, water pipe joint; 37, cable; 371, conductor; 372, Teflon insulation layer; 373, aluminum foil shielding layer; 374, tinned copper braided mesh shielding layer; 375, silicone insulation layer; 38, plug; 381, first low-voltage power supply terminal; 382, sending signal line; 383, receiving signal line; 384. Second low-voltage power supply terminal; 385. Signal shielding terminal; 386. Plasma ionization energy output terminal; 387. Plasma ionization energy return terminal; 388. Plug positioning mark.

具体实施方式Detailed ways

以下结合较佳实施例及其附图对本发明技术方案作进一步非限制性的详细说明。显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solution of the present invention will be described in further non-limiting detail in conjunction with the preferred embodiments and the accompanying drawings. Obviously, the described embodiments are only some of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts fall within the scope of protection of the present invention.

请参阅图1-6,本发明提供技术方案:一种低温等离子电极,包括手柄32,手柄32的第一端连接有连接有线缆37和抽吸水管35,抽吸水管35在远离手柄32的一端连接有水管接头36,线缆37在远离手柄32的一端连接有插头38,插头38内设置有七根金属针,手柄32的第二端连接有刀头31,手柄32外壁的周侧设置有切割手控按键33和凝血手控按键34,具体的,靠近刀头31端的按键用于触发低温等离子手术系统10切割启动信号,远离刀头31端的按键用于触发低温等离子手术系统10凝血启动信号,通过两个不同的按键可以控制等离子电极30的工作模式;Please refer to Figures 1-6. The present invention provides a technical solution: a low-temperature plasma electrode, including a handle 32. The first end of the handle 32 is connected with a cable 37 and a suction water pipe 35. The suction water pipe 35 is located away from the handle 32. One end of the cable 37 is connected to a water pipe joint 36, and the cable 37 is connected to a plug 38 at the end away from the handle 32. Seven metal needles are provided in the plug 38. The second end of the handle 32 is connected to a cutter head 31, and the peripheral side of the outer wall of the handle 32 There are a cutting manual control button 33 and a coagulation manual control button 34. Specifically, the button close to the end of the cutter head 31 is used to trigger the cutting start signal of the low-temperature plasma surgery system 10, and the button far away from the end 31 of the cutter head is used to trigger the coagulation of the low-temperature plasma surgery system 10. The start signal can control the working mode of the plasma electrode 30 through two different buttons;

其中,刀头31包括输出电极311、连接在手柄32第一端的不锈钢外管314,不锈钢外管314与手柄32一端连接并紧密固定,作为刀头31的结构支撑,同时还通过线缆37和插头38与低温等离子手术系统10相连,作为能量的返回端,输出电极311作为能量的输出端,由于输出电极311直接与组织接触,所以选用生物相容性良好的钛合金材质,不锈钢外管314为中空状结构,输出电极311可以是半柱状、片状或者突出的半球状,不锈钢外管314中空部的平行方向上设置有内部水管315,内部水管315连接刀头31的出水孔并和手柄32第二端的抽吸水管35,内部水管315用于保持人体内的生理盐水的循环和废液及组织残余的排出,同时能够降低刀头31的温度,线缆37伸入不锈钢外管314的一端和输出电极311连接,输出电极311和不锈钢外管314之间设置有陶瓷座312,陶瓷座312作为输出电极311的固定载体并与不锈钢外管314隔离,陶瓷座312的后方设置有热电偶317,热电偶317固定在陶瓷座312后面,陶瓷耐高温,而且具有很好的绝缘性,可以将热电偶317、输出电极311和不锈钢外管314相互绝缘,而且还能很好的感知刀头31周围生理盐水的温度,陶瓷座312和不锈钢外管314之间连接有端帽313,不锈钢外管314外壁的周侧套设有绝缘热缩套管316。Among them, the cutter head 31 includes an output electrode 311 and a stainless steel outer tube 314 connected to the first end of the handle 32. The stainless steel outer tube 314 is connected and tightly fixed to one end of the handle 32 as a structural support for the cutter head 31, and also through a cable 37 The plug 38 is connected to the low-temperature plasma surgery system 10 as the return end of the energy, and the output electrode 311 serves as the output end of the energy. Since the output electrode 311 is in direct contact with the tissue, it is made of titanium alloy with good biocompatibility and a stainless steel outer tube. 314 is a hollow structure. The output electrode 311 can be semi-cylindrical, flaky or protruding hemispherical. An internal water pipe 315 is provided in the parallel direction of the hollow part of the stainless steel outer pipe 314. The internal water pipe 315 is connected to the water outlet of the cutter head 31 and The suction water pipe 35 at the second end of the handle 32 and the internal water pipe 315 are used to maintain the circulation of physiological saline in the human body and the discharge of waste fluid and tissue residues, and at the same time reduce the temperature of the cutter head 31. The cable 37 extends into the stainless steel outer tube 314 One end of the electrode 311 is connected to the output electrode 311. A ceramic seat 312 is provided between the output electrode 311 and the stainless steel outer tube 314. The ceramic seat 312 serves as a fixed carrier for the output electrode 311 and is isolated from the stainless steel outer tube 314. A thermoelectric heater is provided behind the ceramic seat 312. Thermocouple 317, the thermocouple 317 is fixed behind the ceramic seat 312. The ceramic is resistant to high temperatures and has good insulation. It can insulate the thermocouple 317, the output electrode 311 and the stainless steel outer tube 314 from each other, and can also sense the knife very well. The temperature of the physiological saline around the head 31 is adjusted. An end cap 313 is connected between the ceramic seat 312 and the stainless steel outer tube 314. An insulating heat shrink sleeve 316 is set around the outer wall of the stainless steel outer tube 314.

本发明进一步说明,所述金属针包括呈环形排序连接在所述插头38内壁的第一低压电源端381、串行通信中的发送信号线382、接收信号线383、第二低压电源端384、信号屏蔽端385、等离子电离能量输出端386、等离子电离能量返回端387、所述插头38外壁的周侧设置有插头定位标志388。The present invention further explains that the metal needle includes a first low-voltage power terminal 381 connected to the inner wall of the plug 38 in an annular order, a sending signal line 382 in serial communication, a receiving signal line 383, a second low-voltage power terminal 384, The signal shielding end 385, the plasma ionization energy output end 386, the plasma ionization energy return end 387, and the plug positioning mark 388 are provided on the peripheral side of the outer wall of the plug 38.

本发明进一步说明,所述线缆37内部设置有导线组和两根功率线,导线组包括两根串口信号线和两根低压电源,两根串口信号线和两根低压电源的内部均设置有导体371,线缆37的外层设置有硅胶绝缘层375,硅胶绝缘层375,具有抗拉耐折、防油防水和防火阻燃的效果,导线组的外侧由内至外依次包裹有镀铝箔屏蔽层373和镀锡铜编织网屏蔽层374,通过镀铝箔屏蔽层373和镀锡铜编织网屏蔽层374的设置使导线组的抗干扰性强屏蔽效果好,两根串口信号线和两根低压电源外壁均包裹有铁氟龙绝缘层372,等离子电极30中的线缆37为多芯屏蔽电缆,可以保证系统温度传输的可靠性,而且两根高压大电流的功率线放在屏蔽层外面可以较少对内部低压信号线的干扰。The present invention further explains that the cable 37 is provided with a conductor set and two power lines inside. The conductor set includes two serial port signal lines and two low-voltage power supplies. The two serial port signal lines and the two low-voltage power supplies are both provided with a conductor set inside. The conductor 371 and the outer layer of the cable 37 are provided with a silicone insulation layer 375. The silicone insulation layer 375 has the effects of tensile and folding resistance, oil and water resistance, and fire and flame retardancy. The outside of the conductor group is wrapped with aluminum foil in sequence from the inside to the outside. The shielding layer 373 and the tinned copper braided mesh shielding layer 374, through the settings of the aluminum foil shielding layer 373 and the tinned copper braided mesh shielding layer 374, make the wire group have strong anti-interference and good shielding effect. Two serial port signal lines and two The outer wall of the low-voltage power supply is wrapped with a Teflon insulation layer 372. The cable 37 in the plasma electrode 30 is a multi-core shielded cable, which can ensure the reliability of system temperature transmission, and two high-voltage and high-current power lines are placed outside the shielding layer. Can cause less interference to internal low-voltage signal lines.

一种低温等离子手术系统10及等离子电极30,包括由电源模块、等离子发生器、控制模块、人机交互模块输出模块组成的低温等离子手术系统10、等离子电极30及其位于所述手柄32内的信号处理板、和低温等离子手术系统10信号连接的脚踏开关20,电源模块负责提供低温等离子手术系统10所需的直流电能,等离子发生器负责产生用于电离介质的特定波形和频率的交流电能,人机交互模块用于信息的输入输出和声音提示,输出模块通过低温等离子手术系统10的输出接口与等离子电极30相连,将用于电离的交流电能传输到等离子电极30前端,同时与等离子电极30中的信号处理板通信连接,等离子电极30负责将低频率射频能量转换电解液产生的等离子体薄层施加在手术操作区域进行凝固和切割,脚踏开关20通过无线通信将传输切割信号、凝血启动信号,电池欠压信号以及脚踏上电粘连故障信号发送到低温等离子手术系统10,脚踏开关20通过2.5G射频信号与低温等离子手术系统10进行无线通信,人机交互模块为现有技术中的触摸屏和扬声器。A low-temperature plasma surgery system 10 and a plasma electrode 30, including a low-temperature plasma surgery system 10 composed of a power module, a plasma generator, a control module, and a human-computer interaction module output module, a plasma electrode 30 and a device located in the handle 32 The signal processing board and the foot switch 20 are connected to the signal of the low-temperature plasma surgery system 10. The power module is responsible for providing the DC power required by the low-temperature plasma surgery system 10. The plasma generator is responsible for generating AC power with a specific waveform and frequency for ionizing the medium. , the human-computer interaction module is used for information input and output and sound prompts. The output module is connected to the plasma electrode 30 through the output interface of the low-temperature plasma surgery system 10, and transmits the AC power used for ionization to the front end of the plasma electrode 30, and at the same time communicates with the plasma electrode The signal processing board in 30 is connected for communication. The plasma electrode 30 is responsible for applying the plasma thin layer generated by low-frequency radio frequency energy conversion electrolyte to the surgical operation area for coagulation and cutting. The foot switch 20 transmits the cutting signal and coagulation signal through wireless communication. The start signal, battery undervoltage signal and foot pedal electrical adhesion fault signal are sent to the cryogenic plasma surgery system 10. The foot switch 20 communicates wirelessly with the cryogenic plasma surgery system 10 through 2.5G radio frequency signals. The human-computer interaction module is an existing technology. Touch screen and speakers in.

本发明进一步说明,控制模块包括微处理器、控制电路和检测电路,微处理器、控制电路和检测电路与电源模块相连用于控制电源模块能量的输出,微处理器、控制电路和检测电路与等离子发生器相连控制输出交流电能的波形和频率,微处理器、控制电路和检测电路与人机交互模块相连负责设定和显示信号的传输,微处理器、控制电路和检测电路与输出模块相连负责等离子电极30信号的采集。The invention further explains that the control module includes a microprocessor, a control circuit and a detection circuit. The microprocessor, the control circuit and the detection circuit are connected to the power module for controlling the energy output of the power module. The microprocessor, the control circuit and the detection circuit are connected to the power module. The plasma generator is connected to control the waveform and frequency of the output AC power. The microprocessor, control circuit and detection circuit are connected to the human-computer interaction module and are responsible for setting and displaying signal transmission. The microprocessor, control circuit and detection circuit are connected to the output module. Responsible for the collection of signals from the plasma electrode 30.

本发明进一步说明,信号处理板包括启动信号检测电路、主机通信电路、数据存储电路、温度信号处理电路、温度传感器和微处理器,温度传感器为K热电偶317(镍铬-镍硅),测温范围为-200-260℃,温度信号处理电路将热电偶317的模拟信号转换为数字信号再通过串行外设接口总线的方式传给微处理器,启动信号检测电路用于检测等离子电极30处的切割和凝血启动按键然后再通过输入端口传给控制模块的微处理器,数据存储电路用于存储等离子电极30的使用信息,主机通信电路通过等离子电极30的插头38与低温等离子手术系统10相连,并采用异步串行通信方式传输数据。The invention further explains that the signal processing board includes a startup signal detection circuit, a host communication circuit, a data storage circuit, a temperature signal processing circuit, a temperature sensor and a microprocessor. The temperature sensor is a K thermocouple 317 (nickel chromium-nickel silicon). The temperature range is -200-260°C. The temperature signal processing circuit converts the analog signal of the thermocouple 317 into a digital signal and then transmits it to the microprocessor through the serial peripheral interface bus. The startup signal detection circuit is used to detect the plasma electrode 30 The cutting and coagulation start button is then transmitted to the microprocessor of the control module through the input port. The data storage circuit is used to store the usage information of the plasma electrode 30. The host communication circuit communicates with the low-temperature plasma surgery system 10 through the plug 38 of the plasma electrode 30. connected and transmit data using asynchronous serial communication.

本发明进一步说明,主机通信电路将数据存储电路所储存的数据传输到低温等离子手术系统10,以供低温等离子手术系统10判断等离子电极30是否为重复使用的器械,若是重复使用的则通过触摸屏提示,并且禁止其他操作,直到该等离子电极30被拔掉,由此杜绝了一次性器械的二次使用;The present invention further explains that the host communication circuit transmits the data stored in the data storage circuit to the low-temperature plasma surgery system 10, so that the low-temperature plasma surgery system 10 can determine whether the plasma electrode 30 is a reused instrument. If it is a reused instrument, it will prompt through the touch screen. , and other operations are prohibited until the plasma electrode 30 is unplugged, thereby eliminating the secondary use of disposable instruments;

低温等离子手术系统10判定一次性等离子电极30为重复使用的逻辑为;The logic for the low-temperature plasma surgery system 10 to determine that the disposable plasma electrode 30 is reusable is;

第一、低温等离子手术系统10调取等离子电极30所储存的数据,发现等离子电极30累计使用时长超过4小时,等离子电极30在手术中使用的时间一般就是几十分钟,很少有超过一小时的手术,所以4小时的时间设定足够一次手术使用了;First, the low-temperature plasma surgery system 10 retrieves the data stored in the plasma electrode 30 and finds that the cumulative usage time of the plasma electrode 30 exceeds 4 hours. The usage time of the plasma electrode 30 during surgery is generally tens of minutes and rarely exceeds one hour. surgery, so the time setting of 4 hours is enough for one operation;

第二、插入低温等离子手术系统10的时间距离上次插入时间间隔超过24小时,在实际手术中因为要用到不同类型的等离子电极30,所以会有多次插拔更换的操作,所以允许多次插入,但是距离上次插入时间间隔不能超过24小时。Second, the time interval between the insertion of the low-temperature plasma surgical system 10 and the last insertion time exceeds 24 hours. In the actual operation, because different types of plasma electrodes 30 are used, there will be multiple insertion and removal operations, so multiple insertion and removal operations are allowed. insertion, but the time interval from the last insertion cannot exceed 24 hours.

本发明进一步说明,控制模块根据启动信号检测电路所发生的信号控制输出模块根据指令选取对应电极信号的工作模式,工作模式包括切割模式和凝血模式,通过将切割模式和凝血模式的自由切换,便于医生在手术中根据需要选择不同的模式,完成不同的手术,实现了手术需要射频能量和低温等离子能量的两种不同能量的可选方案,满足多个科室的手术需求。The invention further explains that the control module controls the output module to select the working mode corresponding to the electrode signal according to the instruction according to the signal generated by the start signal detection circuit. The working mode includes the cutting mode and the coagulation mode. By freely switching the cutting mode and the coagulation mode, it is convenient to Doctors can choose different modes according to their needs during surgery to complete different operations, realizing two different energy options for surgeries requiring radiofrequency energy and low-temperature plasma energy, meeting the surgical needs of multiple departments.

本发明进一步说明,低温等离子手术系统10包括壳体,壳体的一侧的第一边缘处设置有显示触摸屏13,壳体的一侧的第二边缘处设置有等离子手术电极插座11和有线脚踏开关插座12,壳体上方的弧度处设置有电源开关14。The present invention further explains that the low-temperature plasma surgery system 10 includes a casing, a display touch screen 13 is provided at the first edge on one side of the casing, and a plasma surgery electrode socket 11 and a wired pin are provided on the second edge on one side of the casing. Step on the switch socket 12, and a power switch 14 is provided at the arc above the housing.

本发明进一步说明,所述脚踏开关20包括连接壳,连接壳的上方设置有两个凹口,两个凹口内分别活动配合有切割脚控踏板21和凝血脚控踏板22,连接壳的上方设置有信号发射天线23,通过人员踩踏切割脚控踏板21和凝血脚控踏板22可以用于对等离子电极30的切割模式或者凝血模式进行切换,而信号发射天线23将所需要切换的模式信号,发射到低温等离子手术系统10,使低温等离子手术系统10根据指令选取对应电极信号的工作模式。The invention further explains that the foot switch 20 includes a connecting shell. Two notches are provided on the upper part of the connecting shell. A cutting foot control pedal 21 and a coagulation foot control pedal 22 are respectively movably fitted in the two notches. The upper part of the connecting shell is A signal transmitting antenna 23 is provided. The cutting foot control pedal 21 and the coagulation foot control pedal 22 can be used to switch the cutting mode or the coagulation mode of the plasma electrode 30 by a person stepping on it, and the signal transmitting antenna 23 signals the mode that needs to be switched. It is transmitted to the low-temperature plasma surgery system 10 so that the low-temperature plasma surgery system 10 selects the working mode corresponding to the electrode signal according to the instructions.

最后需要指出的是:以上实施例仅用以说明本发明的技术方案,而非对其限制。尽管参照前述实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的精神和范围。Finally, it should be pointed out that the above embodiments are only used to illustrate the technical solution of the present invention, but not to limit it. Although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that they can still make modifications to the technical solutions recorded in the foregoing embodiments, or make equivalent substitutions for some of the technical features and these modifications Or substitution does not make the essence of the corresponding technical solution deviate from the spirit and scope of the technical solution of each embodiment of the present invention.

Claims (10)

1. A low temperature plasma electrode comprising a handle (32), characterized in that: the novel blood coagulation hand control device is characterized in that a cable (37) and a suction water pipe (35) are connected to the first end of the handle (32), a water pipe connector (36) is connected to one end, far away from the handle (32), of the suction water pipe (35), a plug (38) is connected to one end, far away from the handle (32), of the cable (37), seven metal needles are arranged in the plug (38), a cutter head (31) is connected to the second end of the handle (32), and a cutting hand control key (33) and a blood coagulation hand control key (34) are arranged on the periphery of the outer wall of the handle (32);
the tool bit (31) comprises an output electrode (311), a stainless steel outer tube (314) connected with the first end of the handle (32), the stainless steel outer tube (314) is of a hollow structure, the output electrode (311) can be of a semi-columnar shape, a sheet shape or a protruding semi-sphere shape, an inner water tube (315) is arranged on the parallel direction of the hollow part of the stainless steel outer tube (314), the inner water tube (315) is connected with a water outlet hole of the tool bit (31) and a suction water tube (35) at the second end of the handle (32), a cable (37) stretches into one end of the stainless steel outer tube (314) and is connected with the output electrode (311), a ceramic seat (312) is arranged between the output electrode (311) and the stainless steel outer tube (314), an end cap (313) is connected between the ceramic seat (312) and the stainless steel outer tube (314), and an insulating heat shrinkage sleeve (316) is sleeved on the periphery of the outer wall of the stainless steel outer tube (314).
2. A low temperature plasma electrode according to claim 1, wherein: the metal needle comprises a first low-voltage power end (381), a transmitting signal wire (382), a receiving signal wire (383), a second low-voltage power end (384), a signal shielding end (385), a plasma ionization energy output end (386), a plasma ionization energy return end (387) which are connected to the inner wall of the plug (38) in an annular sequence, and a plug positioning mark (388) is arranged on the periphery of the outer wall of the plug (38).
3. A low temperature plasma electrode according to claim 2, wherein: the cable (37) is internally provided with a wire group and two power wires, the wire group comprises two serial port signal wires and two low-voltage power supplies, the serial port signal wires and the two low-voltage power supplies are internally provided with conductors (371), the outer layer of the cable (37) is provided with a silica gel insulating layer (375), the outer side of the wire group is sequentially wrapped with an aluminum foil shielding layer (373) and a tin-plated copper woven mesh shielding layer (374) from inside to outside, and the serial port signal wires and the two low-voltage power supplies are both wrapped with a teflon insulating layer (372).
4. The utility model provides a low temperature plasma operation system, includes low temperature plasma operation system (10) that comprises power module, plasma generator, control module, man-machine interaction module output module, plasma electrode (30) and be located signal processing board in handle (32), with foot switch (20) of low temperature plasma operation system (10) signal connection, its characterized in that: the power module is responsible for providing direct current electric energy required by the low-temperature plasma operation system (10), the plasma generator is responsible for generating alternating current electric energy with specific waveforms and frequencies for ionization mediums, the man-machine interaction module is used for inputting and outputting information and prompting sound, the output module is connected with the plasma electrode (30) through an output interface of the low-temperature plasma operation system (10), the alternating current electric energy for ionization is transmitted to the front end of the plasma electrode (30) and is simultaneously in communication connection with the signal processing board in the plasma electrode (30), the plasma electrode (30) is responsible for applying a plasma thin layer generated by low-frequency radio frequency energy conversion electrolyte to an operation area for solidification and cutting, and the foot switch (20) is used for transmitting a cutting signal, a coagulation start signal, a battery under-voltage signal and a foot-pedal electric adhesion fault signal to the low-temperature plasma operation system (10) through wireless communication.
5. The cryoplasma surgical system of claim 4, wherein: the control module comprises a microprocessor, a control circuit and a detection circuit, wherein the microprocessor, the control circuit and the detection circuit are connected with the power module and used for controlling the output of the energy of the power module, the microprocessor, the control circuit and the detection circuit are connected with the plasma generator and used for controlling the waveform and the frequency of the output alternating current electric energy, the microprocessor, the control circuit and the detection circuit are connected with the man-machine interaction module and are responsible for setting and transmitting display signals, and the microprocessor, the control circuit and the detection circuit are connected with the output module and are responsible for collecting signals of the plasma electrode (30).
6. The cryoplasma surgical system of claim 5, wherein: the signal processing board comprises a starting signal detection circuit, a host communication circuit, a data storage circuit, a temperature signal processing circuit, a temperature sensor and a microprocessor, wherein the temperature measuring range of the temperature sensor is-200-260 ℃, the temperature signal processing circuit converts an analog signal of a thermocouple (317) into a digital signal and transmits the digital signal to the microprocessor through a serial peripheral interface bus, the starting signal detection circuit is used for detecting a cutting and coagulation starting key at the plasma electrode (30) and then transmits the cutting and coagulation starting key to the microprocessor of the control module through an input port, the data storage circuit is used for storing use information of the plasma electrode (30), and the host communication circuit is connected with the low-temperature plasma operation system (10) through a plug (38) of the plasma electrode (30) and transmits data through an asynchronous serial communication mode.
7. The cryoplasma surgical system of claim 6, wherein: the host communication circuit transmits the data stored by the data storage circuit to the low-temperature plasma operation system (10) so that the low-temperature plasma operation system (10) can judge whether the plasma electrode (30) is a reusable instrument or not.
8. The cryoplasma surgical system of claim 7, wherein: the control module controls the output module to select the working mode of the corresponding electrode signal according to the instruction according to the signal generated by starting the signal detection circuit.
9. The cryoplasma surgical system of claim 8, wherein: the low-temperature plasma surgery system (10) comprises a shell, a display touch screen (13) is arranged at a first edge of one side of the shell, a plasma surgery electrode socket (11) and a wired foot switch socket (12) are arranged at a second edge of one side of the shell, and a power switch (14) is arranged at the radian position above the shell.
10. The cryogenic plasma surgical system of claim 9, wherein: the foot switch (20) comprises a connecting shell, two notches are formed in the upper portion of the connecting shell, a cutting foot control pedal (21) and a coagulation foot control pedal (22) are movably matched in the two notches respectively, and a signal transmitting antenna (23) is arranged in the upper portion of the connecting shell.
CN202310610240.2A 2023-05-26 2023-05-26 A low-temperature plasma surgery system and plasma electrode Pending CN116725650A (en)

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