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CN201026234Y - Wire bipolar coagulator - Google Patents

Wire bipolar coagulator Download PDF

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Publication number
CN201026234Y
CN201026234Y CNU200720147988XU CN200720147988U CN201026234Y CN 201026234 Y CN201026234 Y CN 201026234Y CN U200720147988X U CNU200720147988X U CN U200720147988XU CN 200720147988 U CN200720147988 U CN 200720147988U CN 201026234 Y CN201026234 Y CN 201026234Y
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China
Prior art keywords
electrode
electrocoagulation
cover
head
forceps
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Expired - Fee Related
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CNU200720147988XU
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Chinese (zh)
Inventor
高志强
冯国栋
彭培宏
亓放
吕威
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Abstract

本实用新型涉及一种线式双极电凝器,包括一对电凝头(1),其中,所述每个电凝头(1)均由电极头(2)、电极套(5)和钳头套(3)组成,所述电极头(2)的背面膨大套在所述电极套(5)内,所述电极套(5)的背面膨大成所述钳头套(3)。使电凝头(1)套在现行的各种咬钳的钳头上,深入术腔进行各种部位的电凝止血。本实用新型的线式双极电凝器可与各种形状的咬钳相配合,适合于鼻颅底中各种位置的电凝止血,结构简单,成本低廉,为一次性使用,使用方便。

The utility model relates to a line type bipolar electrocoagulator, comprising a pair of electrocoagulation heads (1), wherein each electrocoagulation head (1) is composed of an electrode head (2), an electrode sleeve (5) and The pliers cover (3) is formed, the back of the electrode tip (2) expands to fit in the electrode cover (5), and the back of the electrode cover (5) expands to form the pliers cover (3). The electrocoagulation head (1) is set on the heads of various existing forceps, and goes deep into the operation cavity to perform electrocoagulation and hemostasis at various parts. The linear bipolar electrocoagulator of the utility model can be matched with clamps of various shapes, and is suitable for electrocoagulation and hemostasis at various positions in the nasal skull base. The utility model has the advantages of simple structure, low cost, disposable use and convenient use.

Description

线式双极电凝器 Wire bipolar coagulator

技术领域technical field

本实用新型涉及一种用于鼻内镜手术的医疗器械,尤其涉及一种线式双极电凝器。The utility model relates to a medical instrument for nasal endoscopic surgery, in particular to a line type bipolar electric coagulator.

背景技术Background technique

经鼻内窥镜手术是鼻科手术的里程碑,经过近70年的发展,鼻内镜手术的手术适应症不断扩大,手术禁区被不断打破,对于鼻腔鼻窦内肿瘤及颅底病变的处理,鼻内窥镜技术已经开始显示出它的优势,这同时也对其他手术器械提出了更高的要求,其中以手术咬钳发展最为完善,各种形状的咬钳基本能满足手术的需要,而止血的方法目前仅限于压迫或在棉片里添加肾上腺素等血管收缩剂。临床上常用的双极电凝器为镊式,在鼻颅底手术的深在狭小的区域里,由于镊式双极电凝器两臂后端较粗,所以插入鼻腔后阻挡视野;另外,由于镊式双极电凝器两臂的活动常常受到鼻腔固有结构的影响,很难为鼻腔、鼻颅底手术提供帮助。单极电凝由于创伤较大常常不被选择。近年来在腹腔镜手术和神经外科手术发展了双极电凝钳,将导线置于滑动杆内,通过拉动滑动杆收紧双极电凝钳的两齿进行电凝,其为直状,在收紧双极电凝钳的两齿的时候,手要配合向前移动,在鼻颅底狭小脆弱的术腔里,操作要求较高,而且其形状单一,夹持力度较小,所以不能适用于鼻颅底手术多变的角度和刚度较强而且受限的空间,由于鼻颅底手术术区狭小,不同部位的术区需要不同形状的手术器械来处理,目前,临床上缺少一种能够处理不同部位出血的双极电凝器。Transnasal endoscopic surgery is a milestone in rhinology surgery. After nearly 70 years of development, the surgical indications of nasal endoscopic surgery have been continuously expanded, and the restricted area of surgery has been continuously broken. For the treatment of nasal sinus tumors and skull base lesions, nasal Endoscopic technology has begun to show its advantages, which also put forward higher requirements for other surgical instruments. Among them, the development of surgical forceps is the most perfect, and various shapes of forceps can basically meet the needs of surgery, while hemostasis The current methods are limited to compressing or adding vasoconstrictors such as epinephrine to cotton pads. The bipolar coagulator commonly used clinically is forceps type. In the deep and narrow area of nasal skull base surgery, because the rear ends of the two arms of the forceps type bipolar coagulator are thicker, it blocks the field of view after being inserted into the nasal cavity; in addition, Because the activities of the two arms of the forceps bipolar coagulator are often affected by the inherent structure of the nasal cavity, it is difficult to provide assistance for nasal cavity and nasal skull base surgery. Unipolar coagulation is often not an option due to greater trauma. In recent years, bipolar coagulation forceps have been developed in laparoscopic surgery and neurosurgery. The wire is placed in the sliding rod, and the two teeth of the bipolar coagulation forceps are tightened by pulling the sliding rod to perform electrocoagulation. When tightening the two teeth of the bipolar coagulation forceps, the hand should move forward in coordination. In the narrow and fragile operation cavity of the nasal and skull base, the operation requirements are relatively high, and its shape is single and the clamping force is weak, so it is not applicable Due to the variable angle and strong rigidity of the nasal skull base surgery and the limited space, due to the narrow surgical area of the nasal skull base, surgical instruments of different shapes are required for different parts of the surgical area. At present, there is a lack of a clinically Bipolar coagulator for treating bleeding from different sites.

实用新型内容Utility model content

鉴于以上问题,本实用新型的主要目的是提供一种随手术咬钳配合使用的线式双极电凝器。In view of the above problems, the main purpose of this utility model is to provide a line type bipolar electrocoagulator used in conjunction with surgical forceps.

为此,本实用新型提供了一种线式双极电凝器,包括一对电凝头,其中,所述每个电凝头均由电极头、电极套和钳头套组成,所述电极头的背面膨大套在所述电极套内,所述电极套的背面膨大成所述钳头套。For this reason, the utility model provides a kind of line type bipolar electrocoagulator, comprises a pair of electrocoagulation head, wherein, described each electrocoagulation head all is made up of electrode head, electrode sleeve and clamp head cover, and described electrode head The back of the electrode cover is expanded into the electrode cover, and the back of the electrode cover is expanded into the clamp head cover.

优选地,所述电极头的前端向前突出。Preferably, the front end of the electrode head protrudes forward.

优选地,所述电极头与所述电极套的后壁之间垫有陶瓷片。Preferably, a ceramic sheet is placed between the electrode head and the rear wall of the electrode sleeve.

优选地,所述钳头套为口袋状,开口在后方。Preferably, the pliers head cover is in the shape of a pocket with an opening at the rear.

优选地,在所述钳头套的后壁内行走有导线。Preferably, wires run in the rear wall of the pliers cover.

根据本实用新型的线式双极电凝器可与各种形状的咬钳相配合,适合于鼻颅底中各种位置的电凝止血,并且结构简单,成本低廉,为一次性使用,使用方便。According to the utility model, the linear bipolar electrocoagulator can be matched with various shapes of pliers, and is suitable for electrocoagulation and hemostasis in various positions in the nasal skull base, and has a simple structure and low cost, and is disposable. convenient.

附图说明Description of drawings

参照附图,从以下作为例子但不用于限制本实用新型目的的描述中,根据本实用新型的线式双极电凝器的特征和优点将变得更加明显,其中:With reference to the accompanying drawings, the features and advantages of the linear bipolar electrocoagulator according to the present invention will become more apparent from the following description, which is used as an example but not intended to limit the purpose of the present invention, wherein:

图1为本实用新型线式双极电凝器的总体示意图;Fig. 1 is the overall schematic diagram of the utility model line type bipolar electrocoagulator;

图2为图1所示线式双极电凝器的电凝头的放大剖视图;Fig. 2 is the enlarged sectional view of the electrocoagulation head of the line type bipolar electrocoagulator shown in Fig. 1;

图3为图1所示线式双极电凝器的电凝头的立体示意图;Fig. 3 is the three-dimensional schematic view of the electrocoagulation head of the linear bipolar electrocoagulator shown in Fig. 1;

图4示意性地示出了根据本实用新型的线式双极电凝器的第一种实施方式;Fig. 4 schematically shows the first embodiment of the line type bipolar electrocoagulator according to the present invention;

图5示意性地示出了根据本实用新型的线式双极电凝器的第二种实施方式。Fig. 5 schematically shows a second embodiment of the line-type bipolar coagulator according to the present invention.

具体实施方式Detailed ways

如图1所示,根据本实用新型的线式双极电凝器由一对电凝头1和导线6组成,电源插头7使电凝头1及导线6与双极电凝器的主机相连。电凝头1由电极头2、电极套5和钳头套3组成,电极头2的背面略膨大,套在电极套5内。电极套5的背面膨大成口袋状为钳头套3,钳头套3开口在后方,导线6走行在钳头套3的后壁4内。电极套5和钳头套3的材质为医用高分子材料。As shown in Figure 1, the line type bipolar electrocoagulator according to the utility model is composed of a pair of electrocoagulation heads 1 and wires 6, and a power plug 7 connects the electrocoagulation head 1 and the wires 6 to the host of the bipolar electrocoagulator . The electrocoagulation head 1 is composed of an electrode head 2, an electrode cover 5 and a forceps cover 3. The back side of the electrode cover 5 expands into a pocket shape and becomes the clamp cover 3, the opening of the clamp cover 3 is at the rear, and the wire 6 runs in the rear wall 4 of the clamp cover 3. The material of the electrode cover 5 and the clamp head cover 3 is a medical polymer material.

如图2所示,电极头2的前端向前突出,背面膨大套在电极套5内,电极头2与电极套5的后壁之间垫有陶瓷片8。As shown in FIG. 2 , the front end of the electrode head 2 protrudes forward, and the back is swollen to fit inside the electrode sleeve 5 , and a ceramic sheet 8 is placed between the electrode head 2 and the rear wall of the electrode sleeve 5 .

如图3所示,电极头2的前端向前突出,背面膨大套在电极套5内,电极套5的背面膨大成口袋状为钳头套3,钳头套3开口在后方,导线6走行在钳头套3的后壁4内。As shown in Figure 3, the front end of the electrode head 2 protrudes forward, and the back is enlarged to be covered in the electrode cover 5. The back of the electrode cover 5 is expanded into a pocket shape to form a clamp cover 3, the clamp cover 3 opens at the rear, and the wire 6 runs in the clamp Inside the rear wall 4 of the headgear 3.

如图4所示,当线式双极电凝器应用于普通咬钳时,将钳头套3套在咬钳的钳头17上,通过电源插头7接双极电凝器的主机,收紧活动手柄15和固定手柄14,通过关节13和关节12的作用推动活动杆11相对于固定杆16向前移动。通过关节10和关节9的作用,可推动一个钳头17向另一个钳头17运动闭合,使两个电极头2通过中间的组织形成回路,进行电凝止血。As shown in Figure 4, when the line type bipolar coagulator is applied to common pliers, put the pliers cover 3 on the pliers 17, connect the main unit of the bipolar coagulator through the power plug 7, and tighten The movable handle 15 and the fixed handle 14 push the movable rod 11 to move forward relative to the fixed rod 16 through the action of the joint 13 and the joint 12 . Through the action of the joint 10 and the joint 9, one forceps head 17 can be pushed to move and close to the other forceps head 17, so that the two electrode heads 2 can pass through the middle tissue to form a loop for electrocoagulation and hemostasis.

如图5所示,当咬钳的活动杆11和固定杆16为管状时,导线6走行在管腔里,可制作成双极电凝钳,这种结构更为紧凑,但是不能与各种咬钳配合,只能适用于特定的手术部位。其余同图4。As shown in Figure 5, when the movable rod 11 and the fixed rod 16 of the pliers are tubular, the wire 6 runs in the lumen and can be made into a bipolar electrocoagulation forceps. This structure is more compact, but it cannot be used with various The bite forceps fit and can only be applied to specific surgical sites. The rest are the same as in Figure 4.

下面说明本实用新型的具体工作情况。The concrete work situation of the present utility model is described below.

术中需要止血时,将钳头套3分别套在相应的咬钳的两个钳头上,两个电极头2相对,由于钳头套材质为医用高分子材料,有一定弹性,可使其在咬钳头上固定可靠。将咬钳深入术腔,将电极头2夹持要电凝的组织后咬紧,开动双极电凝开关,进行电凝。电凝结束后,可取下钳头套,咬钳可继续作为手术器械进行手术。本实用新型的线式双极电凝器可与各种形状的咬钳相配合。When hemostasis is needed during the operation, the forceps head cover 3 is placed on the two forceps heads of the corresponding bite forceps respectively, and the two electrode heads 2 are opposite. Since the forceps head cover is made of medical polymer material, it has certain elasticity, which can make it bite Reliable fixation on the pliers. Deepen the forceps into the operation cavity, clamp the electrode head 2 to the tissue to be electrocoagulated, and then tighten it, and turn on the bipolar electrocoagulation switch to perform electrocoagulation. After the electrocoagulation is finished, the forceps head cover can be removed, and the bite forceps can continue to operate as a surgical instrument. The wire type bipolar electrocoagulator of the utility model can be matched with various shapes of pliers.

手术结束时,从咬钳上取下线式双极电凝器,按医疗垃圾处理即可。At the end of the operation, remove the wire-type bipolar coagulator from the bite forceps and dispose of it as medical waste.

尽管这里已经描述了本实用新型的优选实施方式,但是对于所属技术领域的技术人员来说,在不偏离本实用新型的精神和范围之下,能在结构和部件关系上做出各种变化,而不脱离由以下权利要求书所限定的本实用新型的保护范围。Although the preferred embodiment of the present invention has been described here, those skilled in the art can make various changes in the structure and component relationship without departing from the spirit and scope of the present invention. Without departing from the scope of protection of the present invention defined by the following claims.

Claims (6)

1. thread type double-pole electrocoagulator, comprise a pair of electriocoagulator (1), it is characterized in that: described each electriocoagulator (1) is formed by electrode tip (2), electrode sleeve (5) and binding clip cover (3), the back side of described electrode tip (2) is expanded and is enclosed within the described electrode sleeve (5), and described binding clip cover (3) is expanded at the back side of described electrode sleeve (5).
2. thread type double-pole electrocoagulator according to claim 1 is characterized in that: the front end of described electrode tip (2) is outstanding forward.
3. thread type double-pole electrocoagulator according to claim 1 and 2 is characterized in that: be lined with potsherd (8) between the rear wall of described electrode tip (2) and described electrode sleeve (5).
4. thread type double-pole electrocoagulator according to claim 1 and 2 is characterized in that: described binding clip cover (3) opening is at the rear of electrode sleeve (5).
5. thread type double-pole electrocoagulator according to claim 1 and 2 is characterized in that: walking has lead (6) in the rear wall (4) of described binding clip cover (3).
6. thread type double-pole electrocoagulator according to claim 1 and 2 is characterized in that: described binding clip cover (3) is a pocket-like.
CNU200720147988XU 2007-04-29 2007-04-29 Wire bipolar coagulator Expired - Fee Related CN201026234Y (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102018569A (en) * 2009-09-18 2011-04-20 王剑火 Electric-coagulation hemostatic device
CN101292898B (en) * 2007-04-29 2012-09-05 中国医学科学院北京协和医院 Thread type double-pole electrocoagulator

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101292898B (en) * 2007-04-29 2012-09-05 中国医学科学院北京协和医院 Thread type double-pole electrocoagulator
CN102018569A (en) * 2009-09-18 2011-04-20 王剑火 Electric-coagulation hemostatic device

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Granted publication date: 20080227

Termination date: 20140429