CN102895029A - Medical bipolar surgical electrode and manufacturing method thereof - Google Patents

Medical bipolar surgical electrode and manufacturing method thereof Download PDF

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Publication number
CN102895029A
CN102895029A CN2012103990502A CN201210399050A CN102895029A CN 102895029 A CN102895029 A CN 102895029A CN 2012103990502 A CN2012103990502 A CN 2012103990502A CN 201210399050 A CN201210399050 A CN 201210399050A CN 102895029 A CN102895029 A CN 102895029A
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China
Prior art keywords
contact
electrode
knife
point
bipolar electrode
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CN2012103990502A
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Chinese (zh)
Inventor
尤铭德
刘式晋
黄梦桃
刘峥
白雪
尤若辰
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CHINAMERICA UNITED TECHNOLOGY (BEIJING) Co Ltd
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CHINAMERICA UNITED TECHNOLOGY (BEIJING) Co Ltd
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Priority to CN2012103990502A priority Critical patent/CN102895029A/en
Publication of CN102895029A publication Critical patent/CN102895029A/en
Pending legal-status Critical Current

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Abstract

The invention provides a medical bipolar surgical electrode and a manufacturing method thereof. An electrode knife head is provided with contact isolation insulation columns; a knife tip of the electrode is provided with an excitation contact made of metal guide wires; the surface of an electrode knife bar is insulated; a metal tube is arranged in the electrode knife bar; the bare part of the metal tube, which is exposed at the working end of the knife head and is insulated in surface, serves as a backflow contact; and the electrode is provided with a priming system which consists of a water injection catheter, an electrode inner water filling pipe and an electrode tip water filling nozzle, or is provided with a drainage system which consists of an electrode tip suction opening, an electrode inner drainage tube and a drainage catheter, or is provided with both the priming system and the drainage system. Physiological saline can be guided to a to-be-treated part from a saline bag (bottle), or tissue fragments and the saline are guided to a waste liquid bottle of a vacuum extractor from the to-be-treated part. The surgical electrode has multiple functions of tissue dissecting, tissue drying, tissue ablation, blood coagulation and saline infusion or/and the functions of the vacuum extractor, and is especially suitable for open and microendoscopic complicated surgical procedures.

Description

A kind of medical bipolar surgery electrode and method
Affiliated technical field
The present invention relates to a kind of medical operation electrode and manufacture method, especially can in operation, carry out anatomic tissue, or tissue is dry, or ablation of tissue, or the bipolar electrode of low temperature blood coagulation.
Background technology
At present, in known procedures electrode, excite contact and the backflow contact of a class electrode are separated from each other, needle-like excite the contact focus, the backflow contact of lamellar (electrode slice) is attached to patient, is referred to as monopolar electrode on the medical speciality.Another kind of electrode is to provide simultaneously in work end to excite contact and current reflux contact, is referred to as bipolar electrode on the medical speciality.Therefore electric field has more advantage in safety not by human body during bipolar electrode work.
In the bipolar electrode field, be used for tweezer shape electrode---the bipolar tweezer of blood coagulation, there has been the use of last 100 years historical.Another kind of will excite contact and backflow contact to be arranged on the cutter head of a knife bar, and anatomic tissue, drying will be provided simultaneously, melt the bipolar electrode with blood coagulation, and owing to its distinctive safety and efficiently, begin more to be paid attention to.Because actual medical is used comparatively complicated and various, in different field of surgery, the version requirement of electrode is not quite similar, thereby the electrode form that more corresponds to actual needs need to be arranged.
Bipolar electrode cuts in saline and the solidifying effect of heat in order to improve, and the contact form and the electrode form that need design to be more suitable for are to satisfy the needs of the needs of daily operative treatment, especially open surgery and Microendoscopic complicated operation.
Perfusion and drainage channel are set outside the electrode knife bar not only take up space, the restriction range of operation, and hinder the patient visual field.Therefore need to provide perfusion and drainage system for electrode.
Summary of the invention
In order to adapt to medical operating to the actual requirement of ambipolar procedures electrode, be convenient to simultaneously processing, the invention provides a kind of medical bipolar electrode, normal saline can be directed to therapentic part from bag of saline (bottle), or abandon the liquid bottle from therapentic part with what tissue debris and saline were directed to vacuum extractor, procedures electrode possesses simultaneously anatomic tissue, drying, melts, blood coagulation, perfusion saline be or/and multiple functions such as suction pumps, and the complicated operation that especially is fit to open and Microendoscopic operates.
The technical solution adopted for the present invention to solve the technical problems is:
At electrode knife head one or more contact isolated insulation posts are set, one or more metal contact are set on each insulated column; On the point of a knife of electrode, be provided with at least one and excite contact by what wire guide was made; The insulation of electrode knife bar appearance is provided with a metal tube at least in the electrode knife bar, metal tube exposes the appearance insulation in the cutter head working end exposed part serves as a backflow contact; The filling system that water injection pipe and electrode tip water filling port form in electrode arranges by water injection conduit, electrode; Or drainage system by electrode tip attracts mouthful, electrode inner drainage tube and drainage catheter form is set; Or above-mentioned perfusion and drainage system be set simultaneously.
The water injection conduit of electrode is connected with drainage catheter with infusion apparatus joint and is connected with attractive device connector; The outer cone joint of the specification of infusion apparatus joint and medical Transfusion device is supporting, the specification of attractive device connector and the connecting pipe matched of Medical vacuum extractor.
When the needs water filling, bag of saline (bottle) links to each other with the infusion connector of electrode by medical Transfusion device, saline under action of gravitation, the electrode infusion apparatus joint of flowing through, water injection conduit enters electrode knife bar water-injecting cavity, flows out from the cutter head water filling port; At needs during with the electrode drain, the saline at cutter head position, tissue debris and smog attract mouthful via cutter head under the effect of negative pressure, the electrode inner drainage tube, and drainage catheter and attractive device connector are abandoned the liquid bottle to vacuum extractor;
According to the direction of operating of knife bar and cutter head in the different operation plans, the cutter head water filling port can be arranged on top (point of a knife far-end) side of point of a knife, or below (point of a knife near-end) side, or simultaneously in both sides up and down, or is arranged on a week of point of a knife.
Cutter head contact isolated insulation post is arranged on the front end of metal tube in the electrode knife bar, and the insulant of insulated column can be resin, plastics, silicone rubber or pottery, or the combination of these several insulant.The metal tube front end face is parallel with the front surface of insulated column on it is set, and the suitable creep age distance of being separated by.
Cutter head attracts on mouthful front surface of the contact isolated insulation post that is arranged at point of a knife, it is shaped as circle (on the inclined-plane time for oval), the position is in the center of the front surface of insulated column, and point of a knife contact installing hole is arranged on the periphery that attracts mouthful, and the contact installing hole is one or several.
Cutter head attracts mouth also can be offset to center deflection point of a knife one side of insulated column front surface, and point of a knife contact installing hole is arranged on the offside that the insulated column front surface attracts mouthful, and the contact installing hole is one or several.
Cutter head attracts mouthful and can also for semicircle (on the inclined-plane time be half elliptic), attract mouthful circular arc on one side towards the point of a knife direction; Attract mouthful insulated column surface of flat mouth one side that the contact installing hole is set, the contact installing hole is one or several.
The point of a knife contact can be to comprise one or more circulus contacts of being made by wire guide, and the part seal wire of contact covers and attracts mouth.Except the ring-type contact, the insulated column surface can also arrange the seal wire contact of strip.The cross section of contact seal wire is circular, oval, square, rectangle or round rectangle.
Each circulus seal wire contact can be that the circular arc-shaped metal bar forms, or the combination of the bonding jumper of the ring of circular arc and rectilinear(-al) and bar, or straight line broken line quoit, or circular arc adds fold-line-shaped bonding jumper composition; The ring-type contact can be the open loop structure form, also can be the closed-loop structure form.
Adapt to dissimilar operation, two or more above-mentioned ring-type seal wire contacts can be set up in parallel on contact isolated insulation post frontal plane.Also can be inside and outside nested mode is arranged on the contact isolated insulation post frontal plane.Placing the seal wire in the outer shroud contact, can be vertical bar contact form.
Adapt to dissimilar operation, all can not in a plane, also can be in the middle of the same contact plane at the contact of being made by wire guide on the point of a knife.When contact is in same plane, can be arranged in parallel between the front surface of contact plane and contact isolated insulation post, comprise and can lie prostrate on the insulated column front surface by note; The contact plane can also separate in the point of a knife direction with the front surface of insulated column, forms one less than 90 ° angle δ between contact plane and insulated column front surface.
Adapt to different type of surgery, the front surface of welding tip contact isolated insulation post can be axially vertical with welding tip, also can with the sagittal plane shape of welding tip α in an angle.
Adapt to different operations, welding tip and electrode knife bar can arrange a bent angle β.
Adapt to the requirement of endoscopic surgery, the electrode knife bar is arranging a bent angle θ reverse with the point of a knife direction near the handle place.
Adapt to the requirement of endoscopic surgery, the electrode knife bar arrange near the place, working end one with point of a knife direction bent angle λ in the same way.
The invention has the beneficial effects as follows, make the bipolar surgery electrode be more suitable for different operating actual needs.Especially open surgery and endoscopic surgery improve operation efficient, increase operation safety, and the protection patient is healthy, control to greatest extent and reduce the pair damage of therapeutic process.
Description of drawings
The present invention is further described below in conjunction with drawings and Examples.
Fig. 1 is the schematic side view of bipolar electrode of the present invention.
Fig. 2 is the schematic side view of point of a knife embodiment cutter head working end, an inclined-plane.
Fig. 3 is the schematic side view of point of a knife embodiment cutter head working end, a plane.
Fig. 4 is the cutter head front view that a center round mouth attracts the embodiment of mouth.
Fig. 5 is the cutter head front view that deflection point of a knife one a side round mouth attracts the embodiment of mouth.
Fig. 6 is the cutter head front view that deflection point of a knife one lateral semi-circle type attracts the embodiment of mouth.
Fig. 7 is that a water filling port is at the cutter head front view of point of a knife periphery embodiment.
Fig. 8 is the simultaneously cutter head front view of both sides embodiment about point of a knife of a water filling port.
Fig. 9 is the cutter head front view that one two ring-type seal wire contacts are set up in parallel embodiment on point of a knife.
Figure 10 is the inside and outside nested cutter head front views that are arranged at embodiment on the point of a knife of one two ring-type seal wire contacts.
Figure 11 is in the ring-type seal wire contact arranged side by side, the schematic diagram of the embodiment that each contact is multi-form.
Figure 12 is the schematic diagram of multi-form inside and outside nested ring-type contact embodiment.
Figure 13 is the schematic diagram of multi-form contact cross section embodiment
Figure 14 be one with the schematic side view of the procedures electrode embodiment of a plurality of bent angles
The specific embodiment
Bipolar electrode among Fig. 1 is by electrode knife bar 1, electrode handle 2, and the plug 31 of electrode cable 3 and RF power supply forms; Be provided with cutting 21, heat solidifying 22 and voltage-regulation 23 fingers on the handle and press button; In the electrode flood pattern can be set, can link to each other with bag of saline with transfusion device by water injection conduit 33; In the electrode drainage system can also be set, link to each other with the adapter of vacuum extractor by drainage catheter 35; The angle beta that a suitable operation is arranged between cutter head operative end surface and the knife bar.
Among Fig. 2 embodiment, welding tip contact seal wire 4 forms a plane, between the front surface of contact 4 planes and contact isolated insulation post 5 an angle δ is arranged; Between the front surface of contact isolated insulation post 5 and the sagittal plane of working end an angle α is arranged also; Contact isolated insulation post 5 is arranged on the front end of metal tube 6, and the front end face of metal tube 6 is parallel with 5 front surface.
Among Fig. 3 embodiment, welding tip contact seal wire electrode 4 planes and note parallel with the front surface of contact isolated insulation post 5 volt 5 and the surface on; 5 front surface and welding tip over glaze are to vertical.7 is electrode stem appearance insulating barrier.
Among Fig. 4 embodiment, circular (at the inclined-plane point of a knife for oval) cutter head attracts mouthfuls 81 front surface centers that are positioned at contact isolated insulation post 5, and insulated column 5 is arranged at the front end of metal tube 6, and the contact installation site 51 on the insulated column 5 is positioned at and attracts mouthfuls 81 periphery.Cutter head water filling port 60 is positioned at the below (near-end) of point of a knife.
Among Fig. 5 embodiment, circular (being ellipse at the inclined-plane point of a knife) cutter head attracts mouth 81 to be offset to a side of the front surface deflection point of a knife of contact isolated insulation post 5, and contact installation site 51 is positioned at the offside that attracts mouth 81.
Among Fig. 6 embodiment, semicircle (be half elliptic at the inclined-plane point of a knife) on one side cutter head attracts mouthful 81 circular arcs to be positioned at a side of the front surface deflection point of a knife of contact isolated insulation post 5, contact installation site 51 is positioned at a side that attracts mouth 81 straight flanges.
Among Fig. 7 embodiment, cutter head water filling port 60 is positioned at a week of point of a knife.The part seal wire that is arranged at the contact 4 on the insulated column 5 has covered cutter head and has attracted mouth 81.
Among Fig. 8 embodiment, cutter head water filling port 60 is positioned at top (far-end of cutter head) and below (near-end of cutter head) of point of a knife simultaneously.
Among Fig. 9 embodiment, wire guide contact 4 is comprised of two ring- type contact 4a and 4b, and two contacts are set up in parallel on isolated insulation post 5 front surfaces in same plane.The part seal wire of contact 4a and 4b covers cutter head and attracts mouth 81.Be positioned at cutter head water filling port 60 under the electrode appearance insulation 7 around one week of cutter head.
Among Figure 10 embodiment, wire guide contact 4 is comprised of two ring- type contact 4a and 4b, two contacts in same plane, nested being arranged on isolated insulation post 5 front surfaces.The seal wire of contact 4b covers cutter head and attracts mouth 81.Cutter head water filling port 60 is positioned at the below of cutter head.
Figure 11 is the multi-form embodiment of the contact metal seal wire 4a (or 4b) that is set up in parallel among Fig. 9 embodiment.The ring-type contact includes but not limited to these seal wire contact forms.
Figure 12 is the contact metal seal wire 4a of nested setting among Figure 10 embodiment and the multi-form embodiment of 4b.The ring-type contact includes but not limited to these seal wire contact forms.
Figure 13 is the different cross section form of contact 4 wire guides.
Among Figure 14 embodiment, electrode knife bar 1 has a bent angle θ reverse with the point of a knife direction near the position of handle 3.Have near the position of welding tip one with point of a knife bent angle λ in the same way.

Claims (18)

1. a medical bipolar electrode is characterized in that electrode knife head is provided with one or more contact isolated insulation posts, and insulated column is provided with one or more contacts; Have at least one to excite contact by what wire guide was made on the point of a knife of electrode; The insulation of electrode knife bar appearance wherein arranges a metal tube at least, and metal tube exposes the part of appearance insulation and serves as a backflow contact in the working end; Electrode is provided with the filling system that is comprised of water injection pipe in water injection conduit, the electrode and electrode tip water filling port; Or be provided with drainage system by electrode tip attracts mouthful, electrode inner drainage tube and drainage catheter form; Or be provided with simultaneously above-mentioned perfusion and drainage system.
2. described bipolar electrode according to claim 1 is characterized in that the cutter head water filling port is arranged on the top of point of a knife (point of a knife far-end) side, or below (point of a knife near-end) side, or simultaneously in both sides up and down, or in week of point of a knife.
3. described bipolar electrode according to claim 1 is characterized in that cutter head contact isolated insulation post is arranged at the front end of metal tube in the electrode stem, and the insulant of insulated column is resin, plastics, silicone rubber or pottery, or the combination of above several insulant.
4. described bipolar electrode according to claim 3, it is characterized in that cutter head attracts mouth to be arranged on the contact isolated insulation post of point of a knife, it is shaped as circle (on the inclined-plane time for oval), the position is in the center of the front surface of insulated column, point of a knife contact installing hole is arranged on the periphery that attracts mouthful, and the contact installing hole is one or several.
5. described bipolar electrode according to claim 3, it is characterized in that cutter head attracts mouth to be arranged on the contact isolated insulation post of point of a knife, it is shaped as circle (on the inclined-plane time for oval), the position is from center deflection point of a knife one side direction of the front surface of insulated column, point of a knife contact installing hole is arranged on the offside that the insulated column front surface attracts mouthful, and the contact installing hole is one or several.
6. described bipolar electrode according to claim 3, it is characterized in that cutter head attracts mouth to be arranged on the contact isolated insulation post of point of a knife, it is shaped as semicircle (on the inclined-plane time be half elliptic), attract one side of mouthful circular arc to be positioned at point of a knife one side direction, attract mouthful straight flange one a side insulated column surface that point of a knife contact installing hole is set, the contact installing hole is one or several.
7. described bipolar electrode according to claim 1 is characterized in that the point of a knife contact comprises one or more circulus contacts of being made by wire guide, and part contact seal wire covers and attracts mouthful.Except the ring-type contact, can also be provided with the strip contact.
8. described bipolar electrode according to claim 7, the cross section that it is characterized in that the contact seal wire is circular, oval, square, rectangle or round rectangle.
9. described bipolar electrode according to claim 7, the tinsel that it is characterized in that each circulus seal wire is that the circular arc seal wire forms, or be the combination of ring and the bar of circular arc and rectilinear(-al), or straight line broken line guide chase ring, or circular arc adds fold-line-shaped seal wire composition; The ring-type contact is open loop or closed-loop structure form.
10. described bipolar electrode according to claim 9 is characterized in that plural ring-type seal wire contact is set up in parallel on contact isolated insulation post frontal plane.
11. described bipolar electrode is characterized in that inside and outside nested being arranged on the contact isolated insulation post frontal plane of plural ring-type seal wire contact according to claim 9.Placing the seal wire within the outer shroud contact, can be vertical bar contact form.
12. described bipolar electrode is characterized in that all in the middle of the contact of being made by wire guide on the point of a knife is in same contact plane according to claim 7, and is parallel between the front surface of contact plane and contact isolated insulation post.
13. described bipolar electrode is characterized in that all in the middle of the contact of being made by wire guide on the point of a knife is in same contact plane, are provided with an angle δ between the front surface of contact plane and contact isolated insulation post according to claim 7.
14. described bipolar electrode is characterized in that the front surface of welding tip contact isolated insulation post is axially vertical with welding tip according to claim 1.
15. described bipolar electrode is characterized in that the front surface of welding tip contact isolated insulation post and the sagittal plane of welding tip are provided with an angle α according to claim 1.
16. described bipolar electrode is characterized in that welding tip and electrode knife bar have a bent angle β according to claim 1.
17. described bipolar electrode is characterized in that the electrode knife bar is having a bent angle θ reverse with the point of a knife direction near the handle place according to claim 16.
18. described bipolar electrode according to claim 17, it is characterized in that the electrode knife bar have near the place, working end one with point of a knife direction bent angle λ in the same way.
CN2012103990502A 2012-10-19 2012-10-19 Medical bipolar surgical electrode and manufacturing method thereof Pending CN102895029A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107928785A (en) * 2017-10-18 2018-04-20 南昌华安众辉健康科技有限公司 A kind of ceramics procedures electrode and preparation method thereof

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1586421A (en) * 2004-07-24 2005-03-02 罗中明 Electric needle capable of flushing and sucking
CN101190146A (en) * 2006-11-21 2008-06-04 李楚森 Cardiac intervention ablation catheter
CN101516286A (en) * 2006-07-28 2009-08-26 特偲芙医药公司 Ablation apparatus and system to limit nerve conduction
US20110118542A1 (en) * 2009-08-05 2011-05-19 Cucin Robert L Method of and apparatus for treating abdominal obesity, metabolic syndrome and type ii diabetes mellitus in human patients
US20120035539A1 (en) * 2010-08-04 2012-02-09 Tegg Troy T Magnetically guided catheters
CN202426645U (en) * 2011-12-09 2012-09-12 方润医疗器械科技(上海)有限公司 Low-temperature plasma electrode for cervical vertebra ablation
CN203195762U (en) * 2012-10-19 2013-09-18 中美联合技术(北京)有限公司 Medical double-pole surgical electrode

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1586421A (en) * 2004-07-24 2005-03-02 罗中明 Electric needle capable of flushing and sucking
CN101516286A (en) * 2006-07-28 2009-08-26 特偲芙医药公司 Ablation apparatus and system to limit nerve conduction
CN101190146A (en) * 2006-11-21 2008-06-04 李楚森 Cardiac intervention ablation catheter
US20110118542A1 (en) * 2009-08-05 2011-05-19 Cucin Robert L Method of and apparatus for treating abdominal obesity, metabolic syndrome and type ii diabetes mellitus in human patients
US20120035539A1 (en) * 2010-08-04 2012-02-09 Tegg Troy T Magnetically guided catheters
CN202426645U (en) * 2011-12-09 2012-09-12 方润医疗器械科技(上海)有限公司 Low-temperature plasma electrode for cervical vertebra ablation
CN203195762U (en) * 2012-10-19 2013-09-18 中美联合技术(北京)有限公司 Medical double-pole surgical electrode

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107928785A (en) * 2017-10-18 2018-04-20 南昌华安众辉健康科技有限公司 A kind of ceramics procedures electrode and preparation method thereof

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Application publication date: 20130130