The drainage system of bipolar surgery electrode
Affiliated technical field
This utility model relates to the drainage arrangement on a kind of medical operation electrode, especially can carry out anatomic tissue in operation, or tissue is dry, or ablation of tissue, or the drainage system of 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, and the contact that excites of needle-like contacts focus, and the backflow contact of lamellar (electrode slice) is attached on one's body the 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, the use history of last 100 years has been arranged.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 high efficiency, begin more to be paid attention to.Because actual medical is used comparatively complicated and various, in different field of surgery, the version of counter electrode requires to be not quite similar, thereby the electrode form that more corresponds to actual needs need be arranged.
For forming the good operation effect at the bipolar electrode cutter head, often need to its working end perfusion normal saline, make to excite between contact, tissue and backflow contact by saline to form the galvanic circle.Use in closed housing under the situation in the swollen chamber of normal saline, electrode is immersed in the saline and works, and for making the art open country under the sight glass clear, and in time discharges tissue debris, needs suction pump to cooperate cutter head work; In some cases, for reducing the surrounding tissue damage, need attract mouth will organize pull-up to cut again by cutter head and melt; Especially under endoscope, operate, do not allow too much apparatus admission passage, at this moment become extremely important at electrode combination discharge opeing suction device.
Drainage channel is set outside electrode stem not only takes up space, the restriction range of operation, and hinder the patient visual field.Often need be according to therapentic part bending operation knife bar in operation, drainage system not only can not damage because of knife bar is crooked, and in bending, also wants and can change with point of a knife, does not influence the use of electrode; Therefore need provide bent drainage system for electrode.
Summary of the invention
In order to adapt to medical operating attracts draining, aerofluxus and row's chip from therapentic part to ambipolar procedures electrode actual requirement, overcome electrode attraction system actual functional capability defective, be convenient to processing simultaneously, this utility model provides a kind of drainage arrangement of medical bipolar electrode, normal saline is abandoned the liquid bottle from the treatment part guidance to vacuum extractor, greatly improve the work effect of electrode, simplified operation technique, brought into play the therapeutical effect of procedures electrode to greatest extent.
The technical scheme that its technical problem that solves this utility model adopts is:
A kind of drainage system of medical bipolar surgery electrode, this system is arranged on the bipolar surgery electrode of being made up of electrode stem, electrode handle, electrode cable and attaching plug, is made up of pipeline, drainage duct, attractive device connector in cutter head attraction mouth, the electrode stem; The cutter head of system attracts mouth to be arranged on the front end of electrode stem; The electrode cutter head is provided with one or more contact isolated insulation posts, and contact isolated insulation post is provided with one or more contacts, wherein has at least one to excite contact, is connected with the contact lead of external insulation behind the contact; The insulation of electrode stem outer wall, containing metal pipe in the bar, metal tube is the backflow contact of electrode in the exposed part of cutter head portion, body is the backflow conductor; Be provided with drain pipe in the bar in the electrode stem, drain pipe is terminal in the bar is connected with drainage duct; Drainage duct is connected with attractive device connector on being located at electrode handle, or passes the outer attractive device connector of electrode handle and electrode handle and be connected; The adapter of attractive device connector and medical negative pressure suction device is supporting.
In this system, can use the part (multi-lumen tube structure) of the tube chamber of metal tube in the electrode stem or other bodys (single chamber or multi-cavity pipeline that the electrode stem radial supporter forms) or tube chamber as drain pipe in the bar of above-mentioned electrode; Also can in electrode stem, a water pipe be installed as drain pipe in the bar of electrode separately; This water pipe can with electrode stem in metal tube arranged side by side, also can be located in the tube chamber of electrode stem metal tube or other bodys.
Cutter head attracts mouth also can be located on the contact isolated insulation post, and the rear end of the cutter head of contact isolated insulation post attraction mouth is connected with drain pipe in the bar of electrode.
When attracting mouth to be located on the contact isolated insulation post cutter head, cutter head attracts mouth can be positioned at the center of contact isolated insulation post, at this moment contact installing hole or installation position will be located at periphery or the both sides that cutter head attracts mouth, it is circular that cutter head attracts a mouthful profile, attract open area for strengthening cutter head, can also be oval, semicircle, polygon or polygon arc.
Cutter head attracts mouth also can not be located at the center of contact isolated insulation post, and is provided in a side of the side of contact isolated insulation post, and contact or contact installation position are located at offside here; Comprise that cutter head attracts mouth to be positioned at the top (knife back to) of cutter head, contact or installation position are located at the below of cutter head; Perhaps cutter head attracts mouth to be positioned at the below of cutter head, and contact or installation position are located at the top; Cutter head attracts mouth can be circle, ellipse, semicircular arc, polygon or polygon circular arc.
Cutter head attracts to be provided with the strip lattice retaining that is made of contact before the mouth; Lattice retainings is one or several bar shaped or circular arc seal wire, with wall scroll, many, polygon frame, arc frame, multi sphere frame, multilamellar frame and grid configuration, covers cutter head and attracts mouthful.
In above-mentioned drainage system, if drainage duct is when passing the situation that electrode handle is outer with joint is connected, can flow regulator be installed at drainage duct, regulate the discharge capacity of attraction with this.The drainage duct device material is plastics or silicone rubber tube.
The bipolar electrode of above-mentioned drainage system is installed, can one radian be set at the electrode stem front end, so that patient's sight line is not subjected to blocking of electrode stem and electrode handle.
The beneficial effects of the utility model are to make the bipolar surgery electrode be more suitable for different operating actual needs.Simultaneously on electrode, can be at any time easily with waste liquid, waste gas and tissue debris from the point of a knife sucking-off, thereby the cleaning therapentic part improves operation efficient, increases operation safety, the pair damage of therapeutic process is controlled and reduced to protection patient health to greatest extent.
Description of drawings
Below in conjunction with drawings and Examples this utility model is further specified.
Fig. 1 is the sketch map of this utility model band drainage system electrode.
Fig. 2 is when the metal tube chamber is used as in the bar of electrode drain pipe in the electrode stem, the side-looking generalized section of cutter head.
Fig. 3 is the side-looking generalized section of electrode stem and electrode handle connecting portion among Fig. 2.
Fig. 4 is the side-looking generalized section of drain pipe embodiment cutter head arranged side by side in metal tube and the bar in the electrode stem.
Fig. 5 is the side-looking generalized section that drain pipe places embodiment cutter head in the metal tube in the bar of electrode.
Fig. 6 is that cutter head attracts mouth to be positioned at the side-looking generalized section of contact isolated insulation post middle part embodiment cutter head.
Fig. 7 is that cutter head attracts mouth to be positioned at the side-looking generalized section of contact isolated insulation post one side embodiment cutter head.
Fig. 8 is that cutter head attracts mouth to be positioned at the cutter head front view of contact isolated insulation post middle part embodiment.
Fig. 9 is that cutter head attracts mouth to be positioned at contact isolated insulation post one side---the cutter head front view of top embodiment.
Figure 10 is that cutter head attracts mouth to be positioned at contact isolated insulation post one side---the cutter head front view of below embodiment.
Figure 11 is that cutter head attracts mouth to be positioned at contact isolated insulation post one side, and it is the cutter head front view of semicircle embodiment that cutter head attracts mouth
The specific embodiment
Bipolar electrode among Fig. 1 is by electrode stem 1, electrode handle 2, and electrode cable 3 and attaching plug 31 are formed, and electrode handle is provided with and refers to press button cutting key 21, heat key 22 and voltage-regulation key 23 with fixed attention.Attractive device connector 36 enters electrode handle 2 by drainage duct 37; Electrode stem 1 is equipped with metal tube 6, and skin is made of outer layer insulation 7; The front end of metal tube 6 is provided with contact isolated insulation post 5, is provided with cutter head at the electrode cutter head and attracts mouth 81.
Fig. 2 is an embodiment of Fig. 1 drainage system, for the side of electrode stem 1 working end is cutd open sketch map.1 is electrode stem among the figure, and 7 is the outer layer insulation of electrode stem, and 4 for exciting contact, and it is installed on the contact isolated insulation post 5; Contact isolated insulation post is installed on the front end of metal tube 6, and the part that metal tube 6 exposes outer layer insulation 7 is used as the backflow contact of electrode; Excite the lead 41 of contact to be provided with wire insulation 51; Metal tube 6 is isolated by 7 pairs of external insulations of outer layer insulation; Metal tube 6 front end ports are used as cutter head and are attracted mouth 81, and tube chamber serves as drain pipe 82 in the bar.
Fig. 3 is the generalized section of electrode stem 1 and electrode handle 2 connecting portions among Fig. 2 embodiment.1 is electrode stem among the figure, and 7 is the outer layer insulation of electrode stem, excites contact lead 41 and outer wire insulation 51 thereof to pass electrode stem 1, draws from electrode stem 1 rear end, removes the live wire of connection electrode cable 3; Metal tube 6 passes electrode stem 1 and is connected with the ground wire 45 of electrode cable 3; The tube chamber of metal tube 6 serves as drain pipe 82 in the bar, and the end of drain pipe 82 links to each other with electrode drainage duct 37 in bar.
Fig. 4 is an embodiment of Fig. 1 drainage system, for the side of electrode stem 1 working end is cutd open sketch map.Wherein 4 for exciting contact, is connected with lead 41 and wire insulation 51 thereafter; Excite contact 4 to be installed on the contact isolated insulation post 5; 6 is metal tube in the electrode stem, and 7 is the outer layer insulation of electrode stem; The part that metal tube 6 exposes outer layer insulation 7 is the backflow contact; Arranged side by side with metal tube 6, be provided with a drain pipe 8, be used as drain pipe 82 in the bar, its front end port serves as cutter head and attracts mouth 81.
Fig. 5 is an embodiment of Fig. 1 drainage system, for the side of electrode stem 1 working end is cutd open sketch map.The difference of itself and Fig. 4 embodiment is: drain pipe 8 places the electrode stem middle tube body---in the tube chamber of metal tube 6.
Fig. 6 is an embodiment of Fig. 1 drainage system, for the side of electrode stem 1 working end is cutd open sketch map.The difference of itself and Fig. 5 embodiment is: cutter head attracts mouthfuls 81 to be located on the contact isolated insulation post 5, is positioned at the middle part of contact isolated insulation post; Contact isolated insulation post 5 is installed in the front port of metal tube 6; Cutter head attracts mouthful 81 rear ends to link to each other with drain pipe 8, forms drain pipe 82 in the bar jointly.This implements can to remove drain pipe 8 in illustration, with the tube chamber of metal tube 6 as drain pipe in the bar 82.
Fig. 7 is an embodiment of Fig. 1 drainage system, for the side of electrode stem 1 working end is cutd open sketch map.The difference of itself and Fig. 6 embodiment is: cutter head attracts mouthfuls 81 sides of being located at contact isolated insulation post 5.
Fig. 8 is the front view of Fig. 6 embodiment point of a knife.Wherein 4 (a, b, c, d, e, f) are electrode contact, and wherein at least one is for exciting contact, and metal tube 6 exposes the part of insulating barrier 7 and serves as the backflow contact; 81 for the cutter head that is positioned at contact isolated insulation post 5 middle parts attracts mouth, and its profile is circular, ovalize on the inclined-plane cutter head; Cutter head attracts mouthful 81 fronts to be provided with the anti-blocking lattice retaining of cutting that contact 4c constitutes.The 53rd, the mounting hole site of being unkitted contact.
Fig. 9 is the front view of the embodiment point of a knife of Fig. 7.The difference of itself and Fig. 8 is that cutter head attracts mouthfuls 81 sides that are positioned at contact isolated insulation post 5, is the top of cutter head among the figure, the contact installation position below.
Figure 10 is the front view of the embodiment point of a knife of Fig. 7.The difference of itself and Fig. 9 is that cutter head attracts mouthfuls 81 to be positioned at contact isolated insulation post 5 belows, and the contact installation position up.
Figure 11 is the front view of the embodiment point of a knife of Fig. 7.The difference of itself and Fig. 9 is that cutter head attracts mouthfuls 81 to be semicircular arc, excite contact 4 to attract mouthful with latticed formation cutter head before the anti-blocking lattice retaining of cutting.