CN105232145A - Improved plasma resectoscope - Google Patents

Improved plasma resectoscope Download PDF

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Publication number
CN105232145A
CN105232145A CN201510795529.1A CN201510795529A CN105232145A CN 105232145 A CN105232145 A CN 105232145A CN 201510795529 A CN201510795529 A CN 201510795529A CN 105232145 A CN105232145 A CN 105232145A
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China
Prior art keywords
electrode
hole
improvement according
technique mirror
bipolar
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CN201510795529.1A
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Chinese (zh)
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CN105232145B (en
Inventor
孙良俊
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Nanjing Yigao Medical Technology Co ltd
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NANJING ECO MICROWAVE SYSTEM Co Ltd
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Abstract

The invention discloses an improved plasma resectoscope comprising a cutting electrode and a loop electrode, wherein an insulation sleeve is arranged between the cutting electrode and the loop electrode; an endoscope mechanism is arranged at the outer side of the insulation sleeve; the cutting electrode comprises a base, a discharge point is arranged in the center of the base, and a metal ring is arranged at the outer side of the discharge point and is fixed on the base by virtue of a bracket; the loop electrode comprises a first electrode and a second electrode which are concentrically sleeved together, the second electrode is positioned at the inner side of the first electrode, and the length of the second electrode is less than that of the first electrode; and the endoscope mechanism comprises a seal housing, a camera is arranged at the bottom of the seal housing, a lens group is arranged above the camera, a light-permeable cover is arranged above the lens group, and a baffle is arranged at the edge of the light-permeable cover. The improved plasma resectoscope disclosed by the invention can overcome defects of the prior art, improve the operation efficiency, and reduce interference to visual operative field during operation.

Description

A kind of bipolar plasmakinetic technique mirror of improvement
Technical field
The present invention relates to a kind of urological surgery apparatus, especially a kind of bipolar plasmakinetic technique mirror of improvement.
Background technology
Bipolar plasmakinetic technique mirror is to prostate and the most effective treatment means of tumor of bladder TURP.The problem that the resectoscope of past routine is maximum is exactly easily form patient's water intoxication, and haemostatic effect is poor, requires surgeon to perform the operation and controls to complete in 1 hour.Compare with conventional TURP, plasma Bipolar electrocautery does flushing liquor with normal saline, avoids the generation of dilutional hyponatremia, substantially occurs without TURS.And intraoperative hemorrhage is few, post-operative recovery is fast.Chinese invention patent CN102429723B discloses a kind of safe transurethral bladder neoplasm electric cutting ring, improves the safety of operation.But existing resectoscope can cause the interference of surgical field of view in operation process.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of bipolar plasmakinetic technique mirror of improvement, can solve the deficiencies in the prior art, improves procedure efficiency, reduces the interference to surgical field of view in operation process.
For solving the problems of the technologies described above, the technical solution used in the present invention is as follows.
A kind of bipolar plasmakinetic technique mirror of improvement, comprise cutting electrode and loop electrode, insulation sleeve is provided with between cutting electrode and loop electrode, the arranged outside of insulation sleeve has endoscope mechanism, described cutting electrode comprises pedestal, base central is provided with discharge tip, and the arranged outside of discharge tip has becket, and becket is fixed on pedestal by support; Described loop electrode comprises the first electrode and second electrode of socket with one heart, and the second electrode is positioned at the inner side of the first electrode, and the length of the second electrode is less than the length of the first electrode; Endoscope mechanism comprises seal casinghousing, and the bottom of seal casinghousing is provided with photographic head, is provided with battery of lens above photographic head, is provided with euphotic cover above battery of lens, and the edge of euphotic cover is provided with baffle plate.
As preferably, described discharge tip top is provided with groove, and the edge of groove is provided with the guiding gutter be connected with pedestal.
As preferably, the top of described metal needle is provided with arc convex portion, when metal needle rotates, and the arc convex portion selective contact on adjacent metal pin.
As preferably, the top of described metal needle is provided with arc convex portion, when metal needle rotates, and the arc convex portion selective contact on adjacent metal pin.
As preferably, between described first electrode and the second electrode, be provided with empire silk stratum reticulare.
As preferably, the top of described first electrode is provided with endless metal cover, and endless metal cover surface is provided with several circular holes, is provided with insulating barrier in circular hole, interts and be fixed with tinsel in insulating barrier.
As preferably, the top of described second electrode is provided with endless metal frame, and the cross section of endless metal frame is in the shape of the letter V, and the top of endless metal frame is provided with metallic plate, and metallic plate is provided with third through-hole.
As preferably, the side of described baffle plate is provided with the first through hole, the first through hole is provided with the second through hole, and the second through hole is obliquely installed inside baffle plate, and the angle of the second through hole and euphotic cover is 72 °.
As preferably, inside described baffle plate, the junction of light-passing board is provided with flange shape minute surface.
The beneficial effect adopting technique scheme to bring is: the present invention is by optimizing structure and the mounting means of TURP mechanism and endoscope mechanism, optimize the molding effect of plasma, improve procedure efficiency, in operation process, achieve the quick removing for hydrops of performing the operation in endoscopic visual simultaneously.Discharge tip complexed metal ring can form a uniform column electric field, coordinates with the first electrode and the second electrode simultaneously, makes plasma form a stable banded structure, improves cutting speed, reduce blood excessive.Simultaneously in the process of band shaped plasma cutting, hydrops is outwards constantly discharged by the first through hole and the second through hole, thus improves surgical field of view.
Accompanying drawing explanation
Fig. 1 is the structure chart of the present invention's detailed description of the invention.
Fig. 2 is the structure chart of cutting electrode in the present invention's detailed description of the invention.
Fig. 3 is the structure chart of metal needle in the present invention's detailed description of the invention.
Fig. 4 is the structure chart of loop electrode in the present invention's detailed description of the invention.
Fig. 5 is the structure chart of endoscope mechanism in the present invention's detailed description of the invention.
Fig. 6 is the structure chart of battery of lens in the present invention's detailed description of the invention.
In figure: 1, cutting electrode; 2, loop electrode; 3, insulation sleeve; 4, endoscope mechanism; 5, pedestal; 6, discharge tip; 7, becket; 8, support; 9, the first electrode; 10, the second electrode; 11, seal casinghousing; 12, photographic head; 13, battery of lens; 14, euphotic cover; 15, baffle plate; 16, groove; 17, guiding gutter; 18, metal needle; 19, bearing; 20, arc convex portion; 21, the first through hole; 22, the second through hole; 23, flange shape minute surface; 24, empire silk stratum reticulare; 25, endless metal cover; 26, circular hole; 27, insulating barrier; 28, tinsel; 29, endless metal frame; 30, metallic plate; 31, third through-hole; 32, the first convex lens; 33, the second convex lens; 34, the first concavees lens; 35, slide rail; 36, balladeur train; 37, slide block.
Detailed description of the invention
With reference to Fig. 1-6, the present invention's detailed description of the invention comprises cutting electrode 1 and loop electrode 2, insulation sleeve 3 is provided with between cutting electrode 1 and loop electrode 2, the arranged outside of insulation sleeve 3 has endoscope mechanism 4, described cutting electrode 1 comprises pedestal 5, pedestal 5 center is provided with discharge tip 6, and the arranged outside of discharge tip 6 has becket 7, and becket 7 is fixed on pedestal 5 by support 8; Described loop electrode 2 comprises the inner side that the first electrode 9 of with one heart socket and the second electrode 10, second electrode 10 are positioned at the first electrode 9, and the length of the second electrode 10 is less than the length of the first electrode 9; Endoscope mechanism 4 comprises seal casinghousing 11, and the bottom of seal casinghousing 11 is provided with photographic head 12, is provided with battery of lens 13 above photographic head 12, is provided with euphotic cover 14 above battery of lens 13, and the edge of euphotic cover 14 is provided with baffle plate 15.Discharge tip 6 top is provided with groove 16, and the edge of groove 16 is provided with the guiding gutter 17 be connected with pedestal 5.Be provided with several metal needles 18 in guiding gutter 17, the end of metal needle 18 is rotatably connected by bearing 19 with guiding gutter 17.The top of metal needle 18 is provided with arc convex portion 20, when metal needle 18 rotates, and arc convex portion 20 selective contact on adjacent metal pin 18.Empire silk stratum reticulare 24 is provided with between first electrode 9 and the second electrode 10.The top of the first electrode 9 is provided with endless metal cover 25, and endless metal overlaps 25 surfaces and is provided with several circular holes 26, is provided with insulating barrier 27 in circular hole 26, interts and be fixed with tinsel 28 in insulating barrier 27.The top of the second electrode 10 is provided with endless metal frame 29, and the cross section of endless metal frame 29 is in the shape of the letter V, and the top of endless metal frame 29 is provided with metallic plate 30, metallic plate 30 is provided with third through-hole 31.The side of baffle plate 15 is provided with and the first through hole 21, first through hole 21 is provided with the second through hole 22, second through hole 22 is obliquely installed inside baffle plate 15, and the second through hole 22 is 72 ° with the angle of euphotic cover 14.Inside baffle plate 15, the junction of light-passing board 14 is provided with flange shape minute surface 23.
In addition, battery of lens 13 comprises the first convex lens 32, second convex lens 33 and the first concavees lens 33, first concavees lens 33 between the first convex lens 32 and the second convex lens 33, and the first convex lens 32 is positioned near euphotic cover 14 side.First convex lens 32, second convex lens 33 and the first concavees lens 33 are rotatably provided on slide block 37, and slide block 37 is slidably arranged on balladeur train 36, and balladeur train 36 is slidably arranged on slide rail 35.By regulating the horizontal range of three lens and axial angle, the visual field of endoscope can be made to remain on one the most clearly in region.
By carrying out clinical trial to resectoscope provided by the invention, compared with existing resectoscope, can procedure efficiency be significantly improved and reduce the generation of postoperative hemorrhage disease.By 100 example operations, the experimental data meansigma methods of summary is as follows:
Prostate excision single time Postoperative hemorrhage rate
The present invention 2.5h 3‰
Prior art 3h 1%
More than show and describe ultimate principle of the present invention and principal character and advantage of the present invention.The technical staff of the industry should understand; the present invention is not restricted to the described embodiments; what describe in above-described embodiment and description just illustrates principle of the present invention; without departing from the spirit and scope of the present invention; the present invention also has various changes and modifications, and these changes and improvements all fall in the claimed scope of the invention.Application claims protection domain is defined by appending claims and equivalent thereof.

Claims (9)

1. the bipolar plasmakinetic technique mirror improved, comprise cutting electrode (1) and loop electrode (2), insulation sleeve (3) is provided with between cutting electrode (1) and loop electrode (2), the arranged outside of insulation sleeve (3) has endoscope mechanism (4), it is characterized in that: described cutting electrode (1) comprises pedestal (5), pedestal (5) center is provided with discharge tip (6), the arranged outside of discharge tip (6) has becket (7), and becket (7) is fixed on pedestal (5) by support (8); Described loop electrode (2) comprises the first electrode (9) and second electrode (10) of socket with one heart, and the second electrode (10) is positioned at the inner side of the first electrode (9), and the length of the second electrode (10) is less than the length of the first electrode (9); Endoscope mechanism (4) comprises seal casinghousing (11), the bottom of seal casinghousing (11) is provided with photographic head (12), photographic head (12) top is provided with battery of lens (13), and battery of lens (13) top is provided with euphotic cover (14), and the edge of euphotic cover (14) is provided with baffle plate (15).
2. the bipolar plasmakinetic technique mirror of improvement according to claim 1, is characterized in that: described discharge tip (6) top is provided with groove (16), and the edge of groove (16) is provided with the guiding gutter (17) be connected with pedestal (5).
3. the bipolar plasmakinetic technique mirror of improvement according to claim 2, is characterized in that: be provided with several metal needles (18) in described guiding gutter (17), and the end of metal needle (18) is rotatably connected by bearing (19) with guiding gutter (17).
4. the bipolar plasmakinetic technique mirror of improvement according to claim 3, it is characterized in that: the top of described metal needle (18) is provided with arc convex portion (20), when metal needle (18) rotates, arc convex portion (20) selective contact on adjacent metal pin (18).
5. the bipolar plasmakinetic technique mirror of improvement according to claim 1, is characterized in that: be provided with empire silk stratum reticulare (24) between described first electrode (9) and the second electrode (10).
6. the bipolar plasmakinetic technique mirror of improvement according to claim 5, it is characterized in that: the top of described first electrode (9) is provided with endless metal cover (25), endless metal cover (25) surface is provided with several circular holes (26), be provided with insulating barrier (27) in circular hole (26), intert in insulating barrier (27) and be fixed with tinsel (28).
7. the bipolar plasmakinetic technique mirror of improvement according to claim 5, it is characterized in that: the top of described second electrode (10) is provided with endless metal frame (29), the cross section of endless metal frame (29) is in the shape of the letter V, the top of endless metal frame (29) is provided with metallic plate (30), metallic plate (30) is provided with third through-hole (31).
8. the bipolar plasmakinetic technique mirror of improvement according to claim 1, it is characterized in that: the side of described baffle plate (15) is provided with the first through hole (21), first through hole (21) is provided with the second through hole (22), second through hole (22) is obliquely installed towards baffle plate (15) inner side, and the second through hole (22) is 72 ° with the angle of euphotic cover (14).
9. the bipolar plasmakinetic technique mirror of improvement according to claim 1, is characterized in that: described baffle plate (15) inner side is provided with flange shape minute surface (23) with the junction of light-passing board (14).
CN201510795529.1A 2015-11-18 2015-11-18 Improved plasma resectoscope Active CN105232145B (en)

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CN105232145B CN105232145B (en) 2017-05-17

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106667572A (en) * 2017-01-04 2017-05-17 电子科技大学 Plasma beam diameter adjustable plasma gas scalpel

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5582610A (en) * 1994-09-30 1996-12-10 Circon Corporation Grooved slider electrode for a resectoscope
CN201899560U (en) * 2010-12-22 2011-07-20 方润医疗器械科技(上海)有限公司 Low temperature electrode device for soft tissue ablation
CN202723980U (en) * 2012-08-16 2013-02-13 珠海市司迈科技有限公司 Rod-shaped cutting electrode of resectoscope
WO2014026470A1 (en) * 2012-08-16 2014-02-20 珠海市司迈科技有限公司 Bipolar electrode for resectoscope

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5582610A (en) * 1994-09-30 1996-12-10 Circon Corporation Grooved slider electrode for a resectoscope
CN201899560U (en) * 2010-12-22 2011-07-20 方润医疗器械科技(上海)有限公司 Low temperature electrode device for soft tissue ablation
CN202723980U (en) * 2012-08-16 2013-02-13 珠海市司迈科技有限公司 Rod-shaped cutting electrode of resectoscope
WO2014026470A1 (en) * 2012-08-16 2014-02-20 珠海市司迈科技有限公司 Bipolar electrode for resectoscope

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106667572A (en) * 2017-01-04 2017-05-17 电子科技大学 Plasma beam diameter adjustable plasma gas scalpel
CN106667572B (en) * 2017-01-04 2019-06-21 电子科技大学 A kind of adjustable plasma gas scalpel of plasma beam diameter

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Address after: The third and fourth floors of J5, Nanjing University of Technology Industrial Park, No. 15, Wanshou Road, Pukou Economic Development Zone, Nanjing, Jiangsu 210000

Patentee after: Nanjing Yigao Medical Technology Co.,Ltd.

Address before: The third and fourth floors of J5, Nanjing University of Technology Industrial Park, No. 15, Wanshou Road, Pukou Economic Development Zone, Nanjing, Jiangsu 210000

Patentee before: NANJING ECO MICROWAVE SYSTEM Co.,Ltd.