WO2014012355A1 - Laser tourniquet - Google Patents

Laser tourniquet Download PDF

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Publication number
WO2014012355A1
WO2014012355A1 PCT/CN2013/000851 CN2013000851W WO2014012355A1 WO 2014012355 A1 WO2014012355 A1 WO 2014012355A1 CN 2013000851 W CN2013000851 W CN 2013000851W WO 2014012355 A1 WO2014012355 A1 WO 2014012355A1
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WO
WIPO (PCT)
Prior art keywords
laser
metal
tourniquet
spherical head
action
Prior art date
Application number
PCT/CN2013/000851
Other languages
French (fr)
Chinese (zh)
Inventor
杨涛
龚永光
Original Assignee
Yang Tao
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Yang Tao filed Critical Yang Tao
Publication of WO2014012355A1 publication Critical patent/WO2014012355A1/en

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Classifications

    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/28Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for heating a thermal probe or absorber

Definitions

  • the utility model relates to a medical device, in particular to a laser hemostatic device.
  • Li >i ⁇ i ( ⁇ H. i -'IT ⁇ j / 1 ⁇ ⁇ . ⁇ v ⁇ K f pjy y glandular hyperplasia, bladder tumor, urethral stricture, etc.) is the best surgical method, but due to laser projection
  • the area of action of the tissue is limited, the position of the best point of action and the direction of action of the laser are difficult to accurately grasp, and the lack of oppression of the hemorrhagic tissue leads to poor hemostatic effect of the laser on large blood vessel hemorrhage and large area tissue hemorrhage. It is also one of the key problems that urgently need to be solved by transurethral laser surgery. However, there is no effective solution at home and abroad.
  • a further technical solution of the machine of the present invention is that the metal hemostat comprises a spherical head, and the spherical head can be snapped onto the optical fiber.
  • the metal hemostatic device comprises a spherical head, and further comprises an outer tube segment connected thereto, which can be sleeved on the optical fiber.
  • a further technical solution of the utility model is that the metal hemostatic device is mounted on the optical fiber through a buckle or a heat shrinkable tube.
  • the utility model with the above technical solution has the following beneficial effects: We completely change the hemostatic mode of the laser, convert the laser energy into heat energy through a metal ball fixed at the end of the laser fiber, and directly contact and compress the bleeding tissue through the metal ball.
  • the hemostasis function is realized, thereby completely avoiding the shortcomings of the action area of the laser hemostasis in the past, the position of the optimal action point and the direction of action of the laser are difficult to accurately grasp, and the lack of oppression of the target tissue, etc., and we have successfully solved
  • the problem of fixing the hemostatic device makes it easy to use.
  • FIG. 1 is a schematic structural view of Embodiment 1 of the utility model
  • Embodiment 2 is a schematic structural view of Embodiment 2 of the utility model
  • Figure 3 is a schematic structural view of Embodiment 3 of the utility model
  • Embodiment 4 is a schematic view showing a pre-assembled structure of Embodiment 2;
  • Figure 5 is a schematic structural view of the embodiment 2 after being assembled
  • the laser hemostat is placed at the end of the fiber, and the laser hemostat is fixed to the tip of the fiber by heat shrink tubing or other mechanical connection.
  • a metal hemostat 1 is attached to the end of the fiber 3.
  • Embodiment 1 Referring to Figure 1, Embodiment 1:
  • the metal hemostat 1 comprises a spherical head, and the spherical head can be snapped onto the optical fiber 3.
  • the metal hemostat 1 is mounted on the optical fiber 3 via a snap 2 or a heat shrinkable tube.
  • the embodiment and the metal hemostat 1 comprise a spherical head and further comprise an outer tube segment connected thereto for sleeving on the optical fiber 3.
  • Embodiment 3 The difference between Embodiment 3 and Embodiment 2 is that the shape and outer diameter of the outer tube section are inconsistent.
  • the three figures reflect an embodiment of the installation.
  • the mechanism of the present invention is that the direct conduction of energy of the laser is converted into heat on the coagulation head. Operating temperature is between 120 ° C and 200 ° C.
  • Material Temperature resistant 1000. Above C, corrosion-resistant metal, preferably stainless steel or titanium alloy.

Abstract

A laser tourniquet. A metal tourniquet (1) is installed at the end portion of a laser fiber. The metal tourniquet is installed on the fiber (3) through a fastener (2) or heat-shrinkable tubing. The metal tourniquet comprises a spherical head. The metal spherical head can convert laser energy into thermal energy, and the metal spherical head directly contacts and presses bleeding tissue to achieve a bleeding control function, thereby avoiding disadvantages in earlier laser bleeding control such as a small action area, difficulties in finding the position of an optimal action point and in selecting an action direction of laser accurately, and lack of compressed action on the target tissue. It is proved through many times of test that the tourniquet has a desirable effect in bleeding control and is convenient to use.

Description

说 明 书 激光止血器  Description book laser hemostatic device
技术领域  Technical field
本实用新型涉及医疗器械, 尤其涉及激光止血器。  The utility model relates to a medical device, in particular to a laser hemostatic device.
背景技术 Background technique
Li >i 疋 i (^H. i -'I T ^ j / 1 τ Λ. Ρν v ^ K f pjy y 腺增生症、 膀胱肿瘤、 尿道狭窄等)的最佳手术方法, 但由于激光投 照在组织的作用面积有限,最佳作用点的位置和激光的作用方向均难 以准确把握, 再加上对出血组织缺乏压迫作用, 导致激光对大血管出 血和大面积组织出血的止血效果不佳,这也是目前经尿道激光手术急 需解决的关键问题之一, 但目前国内外对此均缺乏有效的解决手段。  Li >i 疋i (^H. i -'IT ^ j / 1 τ Λ. Ρν v ^ K f pjy y glandular hyperplasia, bladder tumor, urethral stricture, etc.) is the best surgical method, but due to laser projection The area of action of the tissue is limited, the position of the best point of action and the direction of action of the laser are difficult to accurately grasp, and the lack of oppression of the hemorrhagic tissue leads to poor hemostatic effect of the laser on large blood vessel hemorrhage and large area tissue hemorrhage. It is also one of the key problems that urgently need to be solved by transurethral laser surgery. However, there is no effective solution at home and abroad.
实用新型内容 光类手术过程中激光止血困难的问题。  SUMMARY OF THE INVENTION The problem of laser hemostasis during light surgery.
为了达到如上目的, 本实用新型釆取如下技术方案: 光纤端部安
Figure imgf000002_0001
In order to achieve the above purpose, the present invention adopts the following technical solutions:
Figure imgf000002_0001
本实用新型机进一步技术方案在于, 所述金属止血器包含球形 头, 球形头可卡接在光纤上。  A further technical solution of the machine of the present invention is that the metal hemostat comprises a spherical head, and the spherical head can be snapped onto the optical fiber.
本实用新型机进一步技术方案在于, 所述金属止血器包含球形 头, 还包含与之相连的外管段, 可套接在光纤上。  According to a further technical solution of the present invention, the metal hemostatic device comprises a spherical head, and further comprises an outer tube segment connected thereto, which can be sleeved on the optical fiber.
本实用新型机进一步技术方案在于,所述金属止血器通过卡扣或 者热缩管安装在光纤上。 说 明 书 A further technical solution of the utility model is that the metal hemostatic device is mounted on the optical fiber through a buckle or a heat shrinkable tube. Instruction manual
釆用如上技术方案的本实用新型, 具有如下有益效果: 我们彻底 改变激光的止血模式,通过固定在激光光纤头端的一个金属球将激光 能转换为热能, 并通过金属球直接接触并压迫出血组织实现止血功 能, 从而完全避免了过去激光止血存在的作用面积过小、 最佳作用点 的位置和激光的作用方向均难以准确把握,及缺乏对目标组织的压迫 作用等缺点, 同时我们也成功解决了该止血器的固定问题,使得其使 用简便快速。  The utility model with the above technical solution has the following beneficial effects: We completely change the hemostatic mode of the laser, convert the laser energy into heat energy through a metal ball fixed at the end of the laser fiber, and directly contact and compress the bleeding tissue through the metal ball. The hemostasis function is realized, thereby completely avoiding the shortcomings of the action area of the laser hemostasis in the past, the position of the optimal action point and the direction of action of the laser are difficult to accurately grasp, and the lack of oppression of the target tissue, etc., and we have successfully solved The problem of fixing the hemostatic device makes it easy to use.
经过试验证实, 该止血器止血效果满意、 效果确切且使用简便, 彻底解决了目前激光止血效果不佳的问题。 。  It has been proved by experiments that the hemostasis effect of the hemostatic device is satisfactory, the effect is exact and the use is simple, and the problem of poor laser hemostasis is solved. .
附图说明  DRAWINGS
为了进一步说明本实用新型, 下面结合附图进一步进行说明: 图 1为实用新型的实施例 1结构示意图;  In order to further illustrate the present invention, the following is further described with reference to the accompanying drawings: FIG. 1 is a schematic structural view of Embodiment 1 of the utility model;
图 2为实用新型的实施例 2结构示意图;  2 is a schematic structural view of Embodiment 2 of the utility model;
图 3为实用新型的实施例 3结构示意图;  Figure 3 is a schematic structural view of Embodiment 3 of the utility model;
图 4为实施例 2的预装结构示意图;  4 is a schematic view showing a pre-assembled structure of Embodiment 2;
图 5为实施例 2装好后的结构示意图;  Figure 5 is a schematic structural view of the embodiment 2 after being assembled;
其中: 1.金属止血器; 2.卡扣; 3.光纤。  Among them: 1. Metal hemostat; 2. Buckle; 3. Fiber.
具体实施方式  detailed description
下面结合附图对本实用新型的实施例进行说明,实施例不构成对 本实用新型的限制:  The embodiments of the present invention are described below with reference to the accompanying drawings, which do not constitute a limitation of the present invention:
将激光止血器安插在光纤头端, 用热缩管或其他机械连接的方 法, 把激光止血器固定在光纤头端。 说 明 书 The laser hemostat is placed at the end of the fiber, and the laser hemostat is fixed to the tip of the fiber by heat shrink tubing or other mechanical connection. Instruction manual
光纤 3端部安装有金属止血器 1。  A metal hemostat 1 is attached to the end of the fiber 3.
结合图 1 , 实施例 1 :  Referring to Figure 1, Embodiment 1:
本实用新型机进一步技术方案在于,所述金属止血器 1包含球形 头, 球形头可卡接在光纤 3上。, 所述金属止血器 1通过卡扣 2或者 热缩管安装在光纤 3上。  A further technical solution of the machine of the present invention is that the metal hemostat 1 comprises a spherical head, and the spherical head can be snapped onto the optical fiber 3. The metal hemostat 1 is mounted on the optical fiber 3 via a snap 2 or a heat shrinkable tube.
结合图 2, 实施例 2:  Referring to Figure 2, Example 2:
实施例和所述金属止血器 1包含球形头,还包含与之相连的外管 段, 可套接在光纤 3上。  The embodiment and the metal hemostat 1 comprise a spherical head and further comprise an outer tube segment connected thereto for sleeving on the optical fiber 3.
结合图 3, 实施例 3:  Referring to Figure 3, Example 3:
实施例 3和实施例 2的区别在于外管段的形状和外径不一致。 结合图 2、 图 4、 图 5, 该三幅图反映了安装的一种实施方式。 本实用新型的机理是:激光的能量直接传导在凝血头上转换成热 能。 工作温度在 120° C - 200° C 间。 材料: 耐温 1000。 C以上, 耐腐蚀的金属, 以不锈钢、 钛合金为好。  The difference between Embodiment 3 and Embodiment 2 is that the shape and outer diameter of the outer tube section are inconsistent. Referring to Figures 2, 4, and 5, the three figures reflect an embodiment of the installation. The mechanism of the present invention is that the direct conduction of energy of the laser is converted into heat on the coagulation head. Operating temperature is between 120 ° C and 200 ° C. Material: Temperature resistant 1000. Above C, corrosion-resistant metal, preferably stainless steel or titanium alloy.
在手术中较大血管或动脉血管破损时即可使用。  It can be used when large blood vessels or arterial blood vessels are damaged during surgery.
可见, 无法穷举金属止血器 1的固定方式,但是类似的方式均在 本实用新型的保护范围内。  It can be seen that the fixing manner of the metal hemostat 1 cannot be exhausted, but a similar manner is within the protection scope of the present invention.
以上显示和描述了本实用新型的基本原理、主要特征和本实用新 型的优点。本领域的技术人员应该了解本实用新型不受上述实施例的 限制,上述实施例和说明书中描述的只是说明本实用新型的原理,在 不脱离本实用新型精神和范围的前提下,本实用新型还会有各种变化 和改进, 这些变化和改进都落入要求保护的范围内。  The basic principles, main features and advantages of the present invention are shown and described above. It should be understood by those skilled in the art that the present invention is not limited by the above-described embodiments, and that the present invention is described in the foregoing embodiments and the description of the present invention. The present invention is not limited by the spirit and scope of the present invention. There will be various changes and improvements that fall within the scope of protection.

Claims

权利 要求书 Claim
1.激光止血器,其特征在于,光纤(3)端部安装有金属止血器 (υ。 A laser hemostatic device characterized in that a metal hemostat is attached to an end of an optical fiber (3).
2.如权利要求 1所述的激光止血器,其特征在于, 所述金属止血 器(1)包含球形头, 球形头可卡接在光纤 (3 )上。  The laser hemostatic device according to claim 1, characterized in that the metal hemostat (1) comprises a spherical head, and the spherical head can be snapped onto the optical fiber (3).
3.如杈利要求 1所述的激光止血器,其特征在于, 所述金属止血 器(1)包含球形头,还包含与之相连的外管段, 可套接在光纤(3 )上。  3. The laser hemostatic device according to claim 1, wherein the metal hemostat (1) comprises a spherical head and further comprises an outer tube segment connected thereto, which can be sleeved on the optical fiber (3).
4.如权利要求 1所述的激光止血器,其特征在于, 所述金属止血 器 (1)通过卡扣 (2 )或者热缩管安装在光纤 (3 )上。  The laser hemostatic device according to claim 1, wherein the metal hemostat (1) is attached to the optical fiber (3) by a snap (2) or a heat shrinkable tube.
PCT/CN2013/000851 2012-07-17 2013-07-15 Laser tourniquet WO2014012355A1 (en)

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CN201220343844.2 2012-07-17
CN 201220343844 CN202740112U (en) 2012-07-17 2012-07-17 Laser hemostat

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018077870A1 (en) 2016-10-25 2018-05-03 Trinamix Gmbh Nfrared optical detector with integrated filter

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202740112U (en) * 2012-07-17 2013-02-20 龚永光 Laser hemostat
CN103536358A (en) * 2012-07-17 2014-01-29 杨涛 Laser bleeding stopping device

Citations (6)

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Publication number Priority date Publication date Assignee Title
US4693244A (en) * 1984-05-22 1987-09-15 Surgical Laser Technologies, Inc. Medical and surgical laser probe I
CN1041273A (en) * 1988-09-23 1990-04-18 忝觅里雷射系统有限公司 Heating duct with thermal boundary
WO1991000062A1 (en) * 1989-06-30 1991-01-10 S.L.T. Japan Co., Ltd. Laser guide probe
US5505725A (en) * 1990-10-30 1996-04-09 Cardiogenesis Corporation Shapeable optical fiber apparatus
CN202740112U (en) * 2012-07-17 2013-02-20 龚永光 Laser hemostat
CN203074861U (en) * 2013-01-22 2013-07-24 杨涛 Laser surgical equipment used for treating urinary system diseases

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4693244A (en) * 1984-05-22 1987-09-15 Surgical Laser Technologies, Inc. Medical and surgical laser probe I
CN1041273A (en) * 1988-09-23 1990-04-18 忝觅里雷射系统有限公司 Heating duct with thermal boundary
WO1991000062A1 (en) * 1989-06-30 1991-01-10 S.L.T. Japan Co., Ltd. Laser guide probe
US5505725A (en) * 1990-10-30 1996-04-09 Cardiogenesis Corporation Shapeable optical fiber apparatus
CN202740112U (en) * 2012-07-17 2013-02-20 龚永光 Laser hemostat
CN203074861U (en) * 2013-01-22 2013-07-24 杨涛 Laser surgical equipment used for treating urinary system diseases

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018077870A1 (en) 2016-10-25 2018-05-03 Trinamix Gmbh Nfrared optical detector with integrated filter

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