CN104887278B - Multifunctional handle for operation - Google Patents
Multifunctional handle for operation Download PDFInfo
- Publication number
- CN104887278B CN104887278B CN201510278861.0A CN201510278861A CN104887278B CN 104887278 B CN104887278 B CN 104887278B CN 201510278861 A CN201510278861 A CN 201510278861A CN 104887278 B CN104887278 B CN 104887278B
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- argon
- pipe
- suction
- knife
- guide pipe
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- XKRFYHLGVUSROY-UHFFFAOYSA-N Argon Chemical compound [Ar] XKRFYHLGVUSROY-UHFFFAOYSA-N 0.000 claims abstract description 333
- 229910052786 argon Inorganic materials 0.000 claims abstract description 167
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 146
- 230000005611 electricity Effects 0.000 claims abstract description 8
- 239000007789 gas Substances 0.000 claims description 68
- 239000011159 matrix material Substances 0.000 claims description 17
- 238000007789 sealing Methods 0.000 claims description 14
- 238000005086 pumping Methods 0.000 claims description 13
- 239000004020 conductor Substances 0.000 claims description 3
- 239000004744 fabric Substances 0.000 claims description 3
- 230000008676 import Effects 0.000 claims description 3
- 238000009434 installation Methods 0.000 claims 1
- DNHVXYDGZKWYNU-UHFFFAOYSA-N lead;hydrate Chemical compound O.[Pb] DNHVXYDGZKWYNU-UHFFFAOYSA-N 0.000 claims 1
- 108091006146 Channels Proteins 0.000 description 14
- 238000000034 method Methods 0.000 description 11
- 208000027418 Wounds and injury Diseases 0.000 description 8
- 102000010637 Aquaporins Human genes 0.000 description 7
- 108010063290 Aquaporins Proteins 0.000 description 6
- 230000006378 damage Effects 0.000 description 6
- 239000000463 material Substances 0.000 description 5
- 208000014674 injury Diseases 0.000 description 4
- 239000007921 spray Substances 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 230000005489 elastic deformation Effects 0.000 description 3
- 239000000203 mixture Substances 0.000 description 3
- 238000003032 molecular docking Methods 0.000 description 3
- 239000002912 waste gas Substances 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000023597 hemostasis Effects 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 206010019695 Hepatic neoplasm Diseases 0.000 description 1
- 208000008839 Kidney Neoplasms Diseases 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 229940030225 antihemorrhagics Drugs 0.000 description 1
- 238000003763 carbonization Methods 0.000 description 1
- 229910010293 ceramic material Inorganic materials 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000000416 exudates and transudate Anatomy 0.000 description 1
- 230000000025 haemostatic effect Effects 0.000 description 1
- 210000004247 hand Anatomy 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 208000014018 liver neoplasm Diseases 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 238000012856 packing Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3203—Fluid jet cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
-
- A61M1/0023—
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3203—Fluid jet cutting instruments
- A61B2017/32032—Fluid jet cutting instruments using cavitation of the fluid
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention provides a multifunctional handle for an operation. The handle comprises a base body, a water knife functional unit, a high-frequency electric cutter functional unit and an argon knife functional unit, wherein the water knife functional unit, the high-frequency electric cutter functional unit and the argon knife functional unit are installed on the base body. The water knife functional unit comprises an electricity and water channel pipe; the high-frequency electric cutter functional unit comprises a high-frequency electric cutter electrode; the argon knife functional unit comprises an argon output pipe and an argon knife electrode; the electricity and water channel pipe also serves as a high-frequency electric cutter electrode and an argon knife electrode; the electricity and water channel pipe is sleeved with the argon output pipe and is in clearance fit with the argon output pipe, and the argon output pipe can move relative to the electricity and water channel pipe in the axial direction of the electricity and water channel pipe. The multifunctional handle integrates functions of a water knife, a high-frequency electric cutter and an argon knife, can shorten time for switching different functional units during the operation, and is simple in structure and convenient to operate.
Description
Technical field
The present invention relates to a kind of operating theater instruments, specifically, are related to a kind of operation multifunctional handle.
Background technology
Clinical parenchymal viscera operation, such as to liver and kidney tumor excision and transplant operation, it is desirable to cut wound surface and be easy to differentiate, to the greatest extent
Amount reduces bleeding and energy quick-acting haemostatic powder, to keep visual area clear, and reduces unnecessary damage as far as possible, makes to be easy to extensive after operation in patients
It is multiple；For other wound surface there is also corresponding demand than larger operation.
The equipment for being clinically used for above-mentioned operation at present is generally included：
1）High frequency electric knife：Energy fly-cutting is simultaneously stopped blooding, but there is hot injury greatly, and active edge cannot because of tissue coagulation carbonization
Differentiate, the shortcoming of rear time lengthening；
2）Argon-gas knife：Rapid for facet hemostasis, hot injury is shallower with respect to electric knife, but presence cannot stop larger blood vessel
Bleeding, solidifying front is easily charred, the shortcoming of obscure boundary；
3）Ultrasound knife：Wound surface hot injury is little, it is easy to differentiate boundary, but exist cannot fly-cutting or separation, and consumptive material is high
Expensive shortcoming；
4）Water knife：Wound surface is separated quick and goes out insufficiency of blood without hot injury, can retain most minute blood vessels, but there is nothing
The shortcoming of method hemostasis.
And the requirement of above-mentioned operation generally requires together to be realized using various above-mentioned surgical apparatuses, but performing the operation
Surgical apparatuses are replaced as frequently as in journey, it is not only inconvenient, and operating time can be extended, increase operation risk, while increasing right
The damage of normal structure, time lengthening after making patient more.
The content of the invention
The main object of the present invention is to provide a kind of handss for being integrated with water knife function, high frequency electric knife function and argon-gas knife function
Art multifunctional handle, it is intended to shorten the time that operation process switches different function units.
It is a further object of the present invention to provide one kind is integrated with water knife function, high frequency electric knife function, argon-gas knife function and takes out
Inhale the operation multifunctional handle of function, it is intended to shorten the time for switching different function units in operation process.
In order to realize above-mentioned main purpose, the present invention provides a kind of multifunctional handle of operation, and it includes matrix and peace
It is mounted in water knife functional unit on the matrix, high frequency electric knife functional unit and argon-gas knife functional unit；Wherein, water knife functional unit
Including electric water passage pipe, electric water passage pipe includes electric water passage pipe leading section, electric water passage pipe location division and water knife water inlet interface,
Electric water passage pipe leading section is made of an electrically conducting material, and the port of export of electric water passage pipe leading section is water knife nozzle；High-frequency electrical slicing technique
Energy unit includes high frequency electric knife electrode；Argon-gas knife functional unit includes argon outlet tube and argon-gas knife electrode, argon outlet tube
The port of export is argon-gas knife nozzle；Electric water passage pipe leading section constitutes the high frequency electric knife electrode and argon-gas knife of high frequency electric knife functional unit
The argon-gas knife electrode of functional unit；Argon outlet tube is placed on outside electric water passage pipe and therewith gap coordinates, and argon outlet tube is relative
Electric water passage pipe can be along the axial movement of electric water passage pipe.
From above scheme, this multifunctional handle is integrated with water knife function, high frequency electric knife function and argon-gas knife function, just
In operator be directed to operation process in different phase need select different function units with carrying out fast and flexible, it is to avoid in art
In be replaced as frequently as surgical apparatuses；Surgical error can be efficiently reduced, shortens operating time, shorten patient's post-operative recovery time,
Improve operation safety.Additionally, electric water passage pipe functions simultaneously as the conduit of water knife, the electrode of argon-gas knife, and the electricity of high frequency electric knife
Pole, efficiently reduces the amount of parts of multifunctional handle, reduces its volume.
Specific scheme is that argon-gas knife functional unit also includes argon guide pipe, and the port of export of argon guide pipe is socketed on argon
It is tightly connected on the entrance point of gas outlet tube and therewith；Argon outlet tube in the presence of axial force, with respect to argon guide pipe edge
Axial movement；Argon guide pipe is placed on outside electric water passage pipe, and between argon guide pipe and electric water passage pipe ar gas passage, argon are provided with
Gas channel between outlet tube and electric water passage pipe is connected with ar gas passage；Argon guide pipe is fixedly connected with matrix, electric water
Channel location division is fixedly connected with matrix.It is easy to the operation of operator
In order to realize above-mentioned another object, the operation that the present invention is provided multifunctional handle also includes pumping function unit,
It include suction intake pipe and suction guide pipe, aspirate guide pipe entrance point be socketed on the port of export of suction intake pipe and with
Be tightly connected；In the presence of the axial axial force along its body, relative jam guide pipe is axially moveable suction intake pipe；
Outside argon outlet tube and therewith gap coordinates suction intake pipe box, and suction guide pipe is placed on outside argon guide pipe, and suction is oriented to
Suction channel is provided between pipe and argon guide pipe, the gas channel between suction intake pipe and argon outlet tube connects with suction channel
It is logical；Suction guide pipe is fixedly connected with matrix.
From above scheme, the multifunctional handle is being integrated with water knife function, high frequency electric knife function and argon-gas knife function
On the basis of, pumping function is also integrated with, it is easy to waste gas, bleeding, exudate, puss of operation generation etc. in operation process
Material, understands visual area, drops oligosaprobic probability.
Specific scheme is that pumping function unit also includes the other jointed tubular workpieces of suction and suction outlet, aspirates guide pipe
The port of export is connected by the other jointed tubular workpieces of suction with the entrance point of suction outlet；Argon-gas knife functional unit also includes the adapter of argon side
Part and argon input pipe；The entrance point of argon guide pipe is connected by argon side jointed tubular workpieces with the port of export of argon input pipe.Just
In being attached with external equipment by connection line, connection line is simple, is easy to connection line fault detect and maintenance.
More specifically scheme is that jointed tubular workpieces are a component for being formed with L-type air exhaust duct by suction, and suction guide pipe deviates from water
One end of knife nozzle is socketed on outside argon guide pipe and is sealedly and fixedly connected therewith, and on the side wall for aspirating guide pipe first is formed with
Lateral through aperture, the first side wall through hole constitutes the gas outlet of suction channel, and the other jointed tubular workpieces of suction are fixed on matrix, L-type air exhaust duct
Air inlet be connected with the outlet of the first side wall through hole, the port of export of the other jointed tubular workpieces of suction is socketed on the import of suction outlet
It is sealedly and fixedly connected on end and therewith；Argon side jointed tubular workpieces are a component for being formed with Z-type argon road, and argon side jointed tubular workpieces go out
The entrance point that mouthful end is socketed on argon guide pipe is outer and be sealedly and fixedly connected therewith, the gas outlet in Z-type argon road and ar gas passage
Air inlet be connected, the entrance point of argon side jointed tubular workpieces is socketed on the port of export of argon input pipe and seals therewith fixed company
Connect；Water knife water inlet interface through the port of export of argon side jointed tubular workpieces port and from the be formed on the side wall in Z-type argon road
Two lateral through aperture are stretched out outside the jointed tubular workpieces of argon side, and electric water passage pipe coordinates with the sealing of second sidewall through hole.
One preferred version is electric water passage pipe, argon outlet tube and suction intake pipe coaxial arrangement.Due to four kinds of functions
Unit for coaxial arrangement, its center to function of organization position is same point, is easy to operator to be operated.
Another preferred version be electric water passage pipe leading section be a cross section be rhombus elongated tubular, argon guide pipe
Entrance point is socketed on outside electric water passage pipe location division and connection fixed thereto, is formed with the lateral wall of electric water passage pipe location division
Axially disposed sidewall channels, sidewall channels constitute ar gas passage.Under conditions of identical cross-section, electric water can be effectively improved and led to
The structural strength in road.
Another preferred version is the control unit for also including being arranged on matrix, and control unit is used to control external equipment
By connection line to water knife function unit transportation High-Pressure Water, high-frequency electrical energy is conveyed to high frequency electric knife functional unit, and to argon
Air knife functional unit conveys argon and high-frequency electrical energy.Be easy to operator in use to the selection of each functional unit with
Switching.
Another preferred version is formed with the first outer lug boss on the lateral wall for the entrance point of argon outlet tube, argon is oriented to
The first inner shoulder table is formed with the medial wall of the port of export of pipe, the first inner shoulder table constitutes axle of first outer lug boss along argon outlet tube
To mobile spacing；The lateral wall of the port of export of suction intake pipe is provided with a position limiting slide block, aspirates shape on the side wall of guide pipe
The long through-hole that Cheng Youyi matches with position limiting slide block, the length direction of long through-hole along the axial arranged of suction guide pipe, lead by suction
The sealing plate for sealing the external port of above-mentioned long through-hole is provided with to the lateral wall of pipe；When the first inner shoulder table is against the first evagination
Platform, and position limiting slide block against long through-hole away from suction guide pipe the port of export one end on when, the spout of argon-gas knife nozzle with take out
The port of the entrance point of suction inlet pipe is coplanar, and the spout of water knife nozzle is located at the interior intracavity of argon-gas knife nozzle；When argon outlet tube
Entrance point be resisted against the one end of electric water passage pipe location division away from water knife water inlet interface, and position limiting slide block against long through-hole away from
When on one end of water knife nozzle, along water knife nozzle point to water knife water inlet interface direction, argon-gas knife nozzle be located at water knife nozzle with
Between the port of the entrance point of suction intake pipe.The multifunctional handle is easy to assembling, and is easy to operator rapidly and accurately to enter
The each functional unit of row switching.
Another preferred scheme is formed with the first outer lug boss on the lateral wall for the entrance point of argon outlet tube, and argon is led
The first inner shoulder table is formed with the medial wall of the port of export of pipe, the first inner shoulder table constitutes the first outer lug boss along argon outlet tube
What is moved axially is spacing；The lateral wall of the port of export of suction intake pipe is provided with a position limiting slide block, aspirates on the side wall of guide pipe
A long through-hole matched with position limiting slide block is formed with, the length direction of long through-hole is aspirated along the axial arranged of suction guide pipe
The lateral wall of guide pipe is provided with the sealing plate for sealing the external port of above-mentioned long through-hole；Formed on the side wall of the first inner shoulder table
Have be pressed with along between the lateral wall of its first annular groove circumferentially, first annular groove and argon outlet tube first elasticity it is close
Seal；It is formed with the side wall of the first outer lug boss along its second annular groove circumferentially, the second annular groove is led with argon
To pipe medial wall between be pressed with the second elastic seal ring；It is formed with along its circumferential cloth on the medial wall of the entrance point of suction guide pipe
The 3rd elastic seal ring is pressed between the lateral wall of the 3rd annular groove put, the 3rd annular groove and suction intake pipe.Many work(
Energy handle is easy to assembling, and is easy to the positioning between related pipe fitting to keep, and is conducive to being tightly connected between related pipe fitting.
Description of the drawings
Fig. 1 is the three-dimensional structure diagram of first embodiment of the invention；
Fig. 2 is A partial enlarged drawings in Fig. 1；
Fig. 3 is the profile of handle casing in first embodiment of the invention；
Fig. 4 is the front view of electric water passage pipe in first embodiment of the invention；
Fig. 5 is the B-B profiles of Fig. 4；
Fig. 6 is the C-C profiles of Fig. 4；
Fig. 7 is the axonometric chart of electric water passage pipe leading section in first embodiment of the invention；
Fig. 8 is the section of structure of first embodiment of the invention；
Fig. 9 is the first working state schematic representation of first embodiment of the invention；
Figure 10 is the second working state schematic representation of first embodiment of the invention；
Figure 11 is and the matching used three-casing structure schematic diagram of fourth embodiment of the invention；
Figure 12 is the structural representation of fifth embodiment of the invention.
Below in conjunction with drawings and Examples, the invention will be further described.
Specific embodiment
First embodiment
Referring to Fig. 1 to Fig. 8, operation multifunctional handle is by matrix and the control unit on the matrix, water slicing technique
Can unit, high frequency electric knife functional unit, argon-gas knife functional unit and pumping function unit composition.
Matrix is made up of handle casing 11 and Sleeve around pipe end 12, handle casing 11 by two salable foldings half shell group
Into handle casing 11 has inner chamber 111.Control unit, water knife functional unit, high frequency electric knife functional unit, argon-gas knife function list
Unit and pumping function unit are arranged in inner chamber 111, and the front end of inner chamber 111 is provided with the 3rd inner shoulder table 112, and middle part is provided with first
The inner shoulder table 114 of boss 113 and the 4th, the aft bulkhead of inner chamber 111 is provided with the aft bulkhead through hole 115 being engaged with Sleeve around pipe end 12.
The installing hole of three and ft connection is formed with the side wall of inner chamber 111, is respectively used to that operational and controlled key button 21,22 and 23 is installed.
Control unit is made up of operational and controlled key button 21,22,23, button circuit board 24 and connection line, and button circuit board 24 is consolidated
On the side wall of inner chamber 111.One end of part connection line is formed through the circuit hole 124 on Sleeve around pipe end 12 and sets with outside
The electrical interface of standby electrical connection, such as water knife pump, suction pump, the high-frequency electrical energy, argon delivery pump, the other end and button circuit board 24
Electrical connection, so as to the working condition of these external equipments can be controlled by operational and controlled key button.
Electric water passage pipe 3 constitutes the aquaporin of water knife functional unit, also constitutes the high frequency electric knife of high frequency electric knife functional unit
Electrode, its electric water passage pipe leading section 31, electric water passage pipe location division 32 and the water inlet of water knife by made by being conductive material connect
Mouth 33 is constituted, and the port of export of electric water passage pipe leading section 31 is water knife nozzle 311.One through the pipeline hole on Sleeve around pipe end 12
The port of export of 123 water pipe is socketed on outside water knife water inlet interface 33, the entrance point of water pipe and the outfan of external equipment water knife pump
Docking, so as to provide High-Pressure Water for water knife functional unit, and sprays from water knife nozzle 311.Electric water passage pipe 3 is used as high-frequency electrical
The high frequency electric knife electrode of knife functional unit, is electrically connected by the part connection line in control unit with key control panel 24, from
And the high-frequency electrical energy conveying feedwater knife nozzle 311 for realizing producing the external equipment high-frequency electrical energy.Electric water passage pipe leading section 31
For a cross section for rhombus elongated tubular, the electric discharge for being easy to high frequency electric knife functional unit cuts, elongated tubular be internally formed for
The aquaporin 321 of water conservancy diversion.Formed on the lateral wall of the part of the neighbouring electricity water passage pipe leading section 31 in electric water passage pipe location division 32
There are four sidewall channels 322, sidewall channels 322 constitute the ar gas passage between electric water passage pipe location division 32 and argon guide pipe 43, interior
Portion is formed with aquaporin 321.Electric water passage pipe 3 is made of stainless steel.
Argon-gas knife functional unit is by argon outlet tube 42, argon guide pipe 43, argon side jointed tubular workpieces 44, argon input pipe 45
And argon-gas knife electrode is constituted；Argon input pipe 45 is metal tube.The port of export of argon outlet tube 42 be argon-gas knife nozzle 41, argon
External screw thread is formed with the entrance point of knife nozzle 41 and, argon bonding with the medial wall of argon outlet tube 42 threaded connection blend compounds water
The port of export of gas guide pipe 43 is socketed on outside the entrance point of argon outlet tube 42 and is sealed by elastic seal ring 62 and 63
Connection, argon outlet tube 42 is axially moveable in the presence of its axial force with respect to argon guide pipe 43；Argon outlet tube
The first outer lug boss 421 is formed with the lateral wall of 42 entrance point, is formed with the medial wall of the port of export of argon guide pipe 43
First inner shoulder table 431, the first inner shoulder table 431 constitutes the first outer lug boss along the spacing of the axial movement of argon outlet tube 42；First
It is formed with the medial wall of inner shoulder table 431 along its first annular groove circumferentially, the first elastic seal ring 62 is placed in first
In annular groove, and elastic deformation is produced by the lateral wall extruding of first annular groove and argon outlet tube 42；First evagination
It is formed with the lateral wall of platform 421 along its second annular groove circumferentially, it is annular that the second elastic seal ring 63 is placed in second
In groove, and elastic deformation is produced by the medial wall extruding of the second annular groove and argon guide pipe 43.First elastic packing
The elastic seal ring 63 of circle 62 and second is silica gel sealing ring.The entrance point of argon guide pipe 43 and the outlet of argon input pipe 45
End is fixedly connected and is connected by argon side jointed tubular workpieces 44.Piece argon conduit through the pipeline hole 122 on Sleeve around pipe end 12
On the entrance point of port of export socket argon input pipe 45, the entrance point of argon conduit and the outfan of external equipment argon delivery pump
Docking, so as to provide argon for argon-gas knife functional unit, and sprays from argon-gas knife nozzle 41.Argon-gas knife nozzle 41 is by non-stick ceramic
Material is made, and both with high temperature resistant, and can improve its non-stick.Argon-gas knife electrode is electric water passage pipe 3.
Pumping function unit is by suction intake pipe 51, suction guide pipe 52, the other jointed tubular workpieces 53 of suction and suction outlet 54
Constitute, suction outlet 54 is metal tube.The entrance point of suction guide pipe 52 is socketed on outside the port of export of suction intake pipe 51, is taken out
A position limiting slide block 511 is bonded with the lateral wall of the port of export of suction inlet pipe 51, on the side wall for aspirating guide pipe 52 one is formed with
The long through-hole 64 matched with position limiting slide block 511, the length direction of long through-hole 64 is aspirated along the axial arranged of suction guide pipe 52
The sealing plate 55 of one piece of external port for sealing long through-hole 64 is bonded with the lateral wall of guide pipe 52.Suction guide pipe 52
It is formed with the medial wall of entrance point along its 3rd annular groove circumferentially, it is annular that the 3rd elastic seal ring 61 is placed in the 3rd
In groove, and elastic deformation is produced by the lateral wall extruding of the 3rd annular groove and suction intake pipe 51.Suction guide pipe 52
The port of export be fixedly connected and connect with outlet 54 is aspirated by the other jointed tubular workpieces 53 of suction.One through the pipe on Sleeve around pipe end 12
The entrance point of the suction catheter in road hole 121 is socketed on outside the port of export of suction outlet 54, the port of export and the outside of suction catheter
The entrance point docking of equipment suction pump, forms negative pressure in suction channel, so as to the entrance point for passing through suction intake pipe 51 will be useless
The materials such as gas are siphoned away.
Argon outlet tube 42 is placed on outside electric water passage pipe leading section 31 and therewith gap coordinates, and gap therebetween is constituted
Ar gas passage；The rear end of argon guide pipe 43 is socketed on outside electric water passage pipe location division 32 and is brought into close contact therewith, sidewall channels 322
Constitute ar gas passage between the two；Argon side jointed tubular workpieces 44 are a component for being formed with Z-type argon road, argon side jointed tubular workpieces 44
The port of export be socketed on argon guide pipe 43 entrance point it is outer and therewith bonding and be brought into close contact and seal, the outlet in Z-type argon road
Mouth is connected with the air inlet of ar gas passage, and the entrance point of argon side jointed tubular workpieces 44 is socketed on outside the port of export of argon input pipe 45
And therewith bonding and be sealedly and fixedly connected.Second sidewall is formed with Z-type argon road on the side wall corresponding with its gas outlet to lead to
Hole, water knife water inlet interface 33 sequentially passes through the gas outlet in Z-type argon road and second sidewall through hole and stretches out jointed tubular workpieces 44 by argon
Outward, carry out bonding between electric water passage pipe location division 33 and second sidewall through hole and be tightly connected.
Suction intake pipe 51 is placed on outside argon outlet tube 42 and therewith gap coordinates, and gap composition suction therebetween is logical
Road.Suction guide pipe 52 is placed on outside argon guide pipe 43, except adopting viscous between the lateral wall of rearward end and argon guide pipe 43
Connect outside being tightly connected, other parts are gap cooperation, gap therebetween constitutes suction channel.The import of suction guide pipe 52
The shaft shoulder on end is resisted against on the 3rd inner shoulder table 112, and rearward end is fixedly connected with the 4th inner shoulder table 114.The other jointed tubular workpieces 53 of suction
For a component for being formed with L-type air exhaust duct, on the side wall for aspirating guide pipe 52 the first side wall through hole, the first side wall through hole are formed with
The gas outlet of suction channel is constituted, the other jointed tubular workpieces 53 of suction are fixed on the medial wall of inner chamber 111 of handle casing 11, and L-type is taken out
The air inlet of air flue is close to the outlet of the first side wall through hole and is connected, and the port of export of the other jointed tubular workpieces 53 of suction is socketed on suction
Outside the entrance point of outlet 54 and therewith adhering and sealing is fixedly connected.
Referring to Fig. 9, suction intake pipe 51 is applied to point to the thrust or pulling force of suction guide pipe 52, can will aspirate guide pipe
Take in inner chamber 111 and be resisted against on the one end of long through-hole 64 away from water knife nozzle 311 up to position limiting slide block 511, suction intake pipe
51 entrance point is located at outside inner chamber 111, to pull out suction intake pipe 51 during follow-up use.Again to argon-gas knife nozzle 41
Apply the thrust or pulling force for pointing to inner chamber 111, the major part of argon outlet tube 42 can be taken in inner chamber 111, until argon is defeated
On the one end of the entrance point of outlet pipe 42 against electric aquaporin location division 32 away from water knife water inlet interface 33, now argon nozzle 41
Between the port of water knife nozzle 311 and the entrance point of suction intake pipe 51, i.e., water knife nozzle 311 stretches out the interior of argon nozzle 41
Outside chamber.Due to the elastic restoring force of the first elastic seal ring 62, the second elastic seal ring 63 and the first elastic seal ring 61
Supporting role, can effectively keep the relative position between suction intake pipe 51, argon guide pipe 43 and argon outlet tube 42 to close
System.In this case, can be performed the operation using water knife functional unit and high frequency electric knife functional unit, i.e., by manipulating button control
External equipment water knife pump sprays from water knife nozzle 311 and carries out high pressure waterjet to the conveying high-pressure current of water knife water inlet interface 33
And separate；Offer high-frequency electrical energy is carried out to electric water passage pipe 3 by manipulating the button control external equipment high-frequency electrical energy, so as to can
Cut and stopped blooding using high frequency electric knife function.
Referring to Figure 10, the pulling force away from inner chamber 111 is applied to argon-gas knife nozzle 41, make argon outlet tube 42 be drawn out inner chamber
111 up to the first outer lug boss 421 against the first inner shoulder table 521, and now, water knife nozzle 311 will omit indentation argon-gas knife nozzle 41
Manipulation button is pressed in interior intracavity, the port to water knife nozzle 311 apart from 0.5 millimeter to 1 millimeter of the port of argon-gas knife nozzle 41,
Argon stream is conveyed to the entrance point of argon input pipe 45 by external equipment, and while applies high-frequency electrical to electric water passage pipe 3
Can, ionization is carried out to the argon that argon knife gas jets 41 spray and forms argon plasma, so as to be cut using argon-gas knife function
Cut and stop blooding.
External equipment suction pump applies suction airstream to aspirating outlet 54, so as to produce negative pressure in suction channel, leads to
Cross suction intake pipe 51 to walk the suction of the materials such as waste gas, blood.Pumping function unit in this example can be in operation process always
In opening, when needing the materials such as suction blood, suction intake pipe 51 is pulled out, when need to only aspirate waste gas, can
Suction intake pipe 51 is withdrawn.Unlatching and closing of the outside manipulation button to suction pump can be led to be controlled, to pumping function
The working condition of unit is controlled.Also manipulation button can be set up on handle casing to enter the working condition of pumping function unit
Row control.When applying to suction intake pipe 51 away from the pulling force of inner chamber 111, suction intake pipe 51 will be drawn out inner chamber, until
Position limiting slide block 511 is resisted against on the one end of long through-hole 64 away from water knife water inlet interface 33, now, the entrance point of suction intake pipe 51
Port it is coplanar with the port of argon-gas knife nozzle 41.
Second embodiment
As the explanation to second embodiment of the invention, only pair illustrate with the difference of first embodiment below.
By the control unit being arranged on handle casing outside handle casing, its manipulation button is replaced as pedal,
In operation process by pedal apply pressure and control the working condition of each functional unit, can reduce handle volume and
Simplify its structure, while can prevent from pressing manipulation button by mistake and maloperation occur in operation process.
3rd embodiment
As the explanation to third embodiment of the invention, only pair illustrate with the difference of first embodiment below.
Pumping function unit is omitted, directly argon guide pipe is fixed on handle casing, its port of export is resisted against the 3rd
On inner shoulder table and connection fixed thereto, the suction tube that can be used alone in operation process carries out suction related substanceses.
Fourth embodiment
As the explanation to fourth embodiment of the invention, only pair illustrate with the difference of first embodiment below.
Omit the argon side jointed tubular workpieces in handle casing, argon input pipe, the other jointed tubular workpieces of suction and aspirate outlet.Using
Three sleeve pipes as shown in figure 11,8 by the entrance point of argon guide pipe, the port of export of suction guide pipe and water knife water inlet interface with it is outer
Portion's equipment is connected.Three sleeve pipes 8 are by first sleeve 81, the second sleeve pipe 82, support member 84 is constituted between the 3rd sleeve pipe 83 and layer pipe.
5th embodiment
As the explanation to fifth embodiment of the invention, only pair illustrate with the difference of 3rd embodiment below.
Argon outlet tube is an integral tube with argon guide pipe；Electric water passage pipe opposite handle shell can axially be moved along it
Dynamic is installed on handle casing.
Referring to Figure 12, argon side jointed tubular workpieces 944 are sealed on the medial wall of the through hole for coordinating with electric water passage pipe location division 932
It is formed with the fourth annular groove circumferentially of the electric water passage pipe in an edge, fourth annular groove and electric water passage pipe location division
The 4th elastic seal ring 964 is pressed between 932.On the medial wall in the axial hole on the first inner convex platform 9113 on handle casing 911
It is formed with the 5th annular groove circumferentially along electric water passage pipe, the 5th annular groove and electric water passage pipe location division 932
Between be pressed with the 5th elastic seal ring 965；A necking section 935, one end of plectrum 97 and constriction are formed with the rear end of electric aquaporin
Portion is fixedly connected, and the other end can move along the chute 9111 being formed on handle 911.Electric aquaporin is promoted by plectrum 97
Axial movement of the relative argon outlet tube of pipe along argon outlet tube.
Sixth embodiment
As the explanation to sixth embodiment of the invention, only pair illustrate with the difference of first embodiment below.
The cross section of electric water passage pipe leading section can also be triangular structure, be easy to the electric discharge of high frequency electric knife functional unit
Cutting.
Claims (9)
1. operation multifunctional handle, including matrix and installation water knife functional unit, high frequency electric knife function on the matrix
Unit and argon-gas knife functional unit；
It is characterized in that：
The water knife functional unit includes electric water passage pipe, and the electric water passage pipe includes that electric water passage pipe leading section, electric water lead to
Deferent location division and water knife water inlet interface, the electric water passage pipe leading section is made of an electrically conducting material, before the electric water passage pipe
The port of export of end is water knife nozzle；
The high frequency electric knife functional unit includes high frequency electric knife electrode；
The argon-gas knife functional unit includes argon outlet tube, argon guide pipe and argon-gas knife electrode, the argon outlet tube
The port of export is argon-gas knife nozzle；
The electric water passage pipe leading section constitutes the high frequency electric knife electrode and the argon-gas knife electrode；
The argon outlet tube is placed on outside the electric water passage pipe and therewith gap coordinates, the relatively described electricity of the argon outlet tube
Water passage pipe can be along the axial movement of the electric water passage pipe；
The port of export of the argon guide pipe is socketed on the entrance point of the argon outlet tube and is tightly connected therewith；
In the presence of axial force, relatively described argon guide pipe is axially moveable the argon outlet tube；
The argon guide pipe is placed on outside the electric water passage pipe, and between the argon guide pipe and the electric water passage pipe argon is provided with
Gas passage, the gas channel between the argon outlet tube and the electric water passage pipe is connected with the ar gas passage；
The argon guide pipe is fixedly connected with described matrix, and the electric water passage pipe location division is fixedly connected with described matrix.
2. multifunctional handle according to claim 1, it is characterised in that：
Also include pumping function unit；
The pumping function unit includes suction intake pipe and suction guide pipe, and the entrance point of the suction guide pipe is socketed on institute
State on the port of export of suction intake pipe and be tightly connected therewith；
In the presence of axial force, relatively described suction guide pipe is axially moveable the suction intake pipe；
Outside the argon outlet tube and therewith gap coordinates the suction intake pipe box, and the suction guide pipe is placed on the argon
Outside gas guide pipe, between the suction guide pipe and the argon guide pipe suction channel is provided with, the suction intake pipe with it is described
Gas channel between argon outlet tube is connected with the suction channel；
The suction guide pipe is fixedly connected with described matrix.
3. multifunctional handle according to claim 2, it is characterised in that：
The pumping function unit also includes the other jointed tubular workpieces of suction and suction outlet；
The port of export of the suction guide pipe is connected by suction side jointed tubular workpieces with the entrance point of the suction outlet；
The argon-gas knife functional unit also includes argon side jointed tubular workpieces and argon input pipe；
The entrance point of the argon guide pipe is connected by argon side jointed tubular workpieces with the port of export of the argon input pipe.
4. multifunctional handle according to claim 3, it is characterised in that：
Suction side jointed tubular workpieces are a component for being formed with L-type air exhaust duct, and the suction guide pipe deviates from the water knife nozzle
To be socketed on the argon guide pipe outer and be sealedly and fixedly connected therewith for one end, the is formed with the side wall of the suction guide pipe
One lateral through aperture, the first side wall through hole constitutes the gas outlet of the suction channel, and suction side jointed tubular workpieces are fixed on institute
State on matrix, the air inlet of the L-type air exhaust duct is connected with the outlet of the first side wall through hole, suction side jointed tubular workpieces
The port of export be socketed on it is described suction outlet entrance point on and be sealedly and fixedly connected therewith；
Argon side jointed tubular workpieces are a component for being formed with Z-type argon road, and the port of export of argon side jointed tubular workpieces is socketed on
It is sealedly and fixedly connected outside the entrance point of the argon guide pipe and therewith, the gas outlet in the Z-type argon road is logical with the argon
The air inlet in road is connected, and the entrance point of argon side jointed tubular workpieces is socketed on the port of export of the argon input pipe and therewith
It is sealedly and fixedly connected；
The water knife water inlet interface through the port of export of argon side jointed tubular workpieces port and from being formed at the Z-type argon road
Side wall on second sidewall through hole stretch out outside the jointed tubular workpieces of argon side, the electric water passage pipe and the second sidewall through hole
Sealing coordinates.
5. the multifunctional handle according to any one of claim 2 to 4, it is characterised in that：
The electric water passage pipe, the argon outlet tube and the suction intake pipe coaxial arrangement.
6. the multifunctional handle according to any one of claim 2 to 4, it is characterised in that：
The electric water passage pipe leading section is the elongated tubular that a cross section is rhombus, and the entrance point of the argon guide pipe is socketed on
Outside the electric water passage pipe location division and connection fixed thereto, it is formed with along axle on the lateral wall of the electric water passage pipe location division
To the sidewall channels of arrangement, the sidewall channels constitute the ar gas passage.
7. the multifunctional handle according to any one of Claims 1-4, it is characterised in that：
Also include control unit on the matrix is installed, described control unit is used to control external equipment by connection line
To the water knife function unit transportation High-Pressure Water, high-frequency electrical energy is conveyed to the high frequency electric knife functional unit, and to the argon
Air knife functional unit conveys argon and high-frequency electrical energy.
8. the multifunctional handle according to any one of claim 2 to 4, it is characterised in that：
The first outer lug boss is formed with the lateral wall of the entrance point of the argon outlet tube, the port of export of the argon guide pipe
The first inner shoulder table is formed with medial wall, first inner shoulder table constitutes axle of first outer lug boss along the argon outlet tube
To mobile spacing；
The lateral wall of the port of export of the suction intake pipe is provided with a position limiting slide block, is formed on the side wall of the suction guide pipe
There is a long through-hole matched with the position limiting slide block, the length direction of the long through-hole is along the axial cloth for aspirating guide pipe
Put, the lateral wall of the suction guide pipe is provided with the sealing plate of one piece of external port for sealing the long through-hole；
When first inner shoulder table is taken out against the long through-hole against first outer lug boss, and the position limiting slide block away from described
When on the one end for the port of export for inhaling guide pipe, the port of the spout of the argon-gas knife nozzle and the entrance point of the suction intake pipe
Coplanar, the spout of the water knife nozzle is located at the interior intracavity of the argon-gas knife nozzle；
When the entrance point of the argon outlet tube is resisted against the electric water passage pipe location division away from the water knife water inlet interface
When on one end, and the one end of the position limiting slide block against the long through-hole away from the water knife nozzle, refer to along the water knife nozzle
To the direction of the water knife water inlet interface, the argon-gas knife nozzle is located at the import of the water knife nozzle and the suction intake pipe
Between the port at end.
9. the multifunctional handle according to any one of claim 2 to 4, it is characterised in that：
The first outer lug boss is formed with the lateral wall of the entrance point of the argon outlet tube, the port of export of the argon guide pipe
The first inner shoulder table is formed with medial wall, first inner shoulder table constitutes axle of first outer lug boss along the argon outlet tube
To mobile spacing；
The lateral wall of the port of export of the suction intake pipe is provided with a position limiting slide block, is formed on the side wall of the suction guide pipe
There is a long through-hole matched with the position limiting slide block, the length direction of the long through-hole is along the axial cloth for aspirating guide pipe
Put, the lateral wall of the suction guide pipe is provided with the sealing plate of one piece of external port for sealing the long through-hole；
The first annular groove circumferentially along first inner shoulder table is formed with the side wall of first inner shoulder table, it is described
The first elastic seal ring is pressed between the lateral wall of first annular groove and the argon outlet tube；
The second annular groove circumferentially along first outer lug boss is formed with the side wall of first outer lug boss, it is described
The second elastic seal ring is pressed between the medial wall of the second annular groove and the argon guide pipe；
The 3rd ring circumferentially along the suction guide pipe is formed with the medial wall of the entrance point of the suction guide pipe
The 3rd elastic seal ring is pressed between the lateral wall of connected in star, the 3rd annular groove and the suction intake pipe.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510278861.0A CN104887278B (en) | 2015-05-27 | 2015-05-27 | Multifunctional handle for operation |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510278861.0A CN104887278B (en) | 2015-05-27 | 2015-05-27 | Multifunctional handle for operation |
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| CN104887278A CN104887278A (en) | 2015-09-09 |
| CN104887278B true CN104887278B (en) | 2017-04-26 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201510278861.0A Active CN104887278B (en) | 2015-05-27 | 2015-05-27 | Multifunctional handle for operation |
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Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106236247B (en) * | 2016-08-29 | 2020-03-31 | 重庆金山科技（集团）有限公司 | Telescopic knife pen |
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| CN1327377A (en) * | 1998-11-16 | 2001-12-19 | 伊恩·考斯麦斯库 | Multifunctional stretchable electronic surgical instrument and method thereof |
| CN1805716A (en) * | 2003-06-17 | 2006-07-19 | Kls马丁有限及两合公司 | Electrosurgical instrument for an endoscope or a catheter |
| CN201185964Y (en) * | 2007-12-29 | 2009-01-28 | 北京恒实基业科技有限公司 | Multifunctional short argon-gas knife pen |
| CN101983038A (en) * | 2008-04-03 | 2011-03-02 | 爱尔伯电子医疗设备公司 | Water jet surgical instrument |
| CN102458290A (en) * | 2009-04-16 | 2012-05-16 | 厄比电子医学有限责任公司 | Endoscopic surgical instrument |
| CN103156680A (en) * | 2011-12-14 | 2013-06-19 | 厄比电子医学有限责任公司 | Instrument for water jet surgery |
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| US7744595B2 (en) * | 2000-08-01 | 2010-06-29 | Arqos Surgical, Inc. | Voltage threshold ablation apparatus |
| US7628787B2 (en) * | 2004-02-03 | 2009-12-08 | Covidien Ag | Self contained, gas-enhanced surgical instrument |
| DE202005018601U1 (en) * | 2005-11-29 | 2006-04-13 | Human Med Ag | Surgical device for separating a biological structure by means of a liquid jet |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1327377A (en) * | 1998-11-16 | 2001-12-19 | 伊恩·考斯麦斯库 | Multifunctional stretchable electronic surgical instrument and method thereof |
| CN1805716A (en) * | 2003-06-17 | 2006-07-19 | Kls马丁有限及两合公司 | Electrosurgical instrument for an endoscope or a catheter |
| CN201185964Y (en) * | 2007-12-29 | 2009-01-28 | 北京恒实基业科技有限公司 | Multifunctional short argon-gas knife pen |
| CN101983038A (en) * | 2008-04-03 | 2011-03-02 | 爱尔伯电子医疗设备公司 | Water jet surgical instrument |
| CN102458290A (en) * | 2009-04-16 | 2012-05-16 | 厄比电子医学有限责任公司 | Endoscopic surgical instrument |
| CN103156680A (en) * | 2011-12-14 | 2013-06-19 | 厄比电子医学有限责任公司 | Instrument for water jet surgery |
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| CN104887278A (en) | 2015-09-09 |
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