CN116035692A - Electrode ablation device based on ganglion cyst - Google Patents
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- 208000003098 Ganglion Cysts Diseases 0.000 title claims abstract description 34
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Abstract
本申请公开了基于腱鞘囊肿的电极消融装置,属于医疗器械技术领域,一种基于腱鞘囊肿的电极消融装置,包括:穿刺管,构造有第一通道,其中一端形成有穿刺段,穿刺段置入至囊肿内;吸引管,构造第二通道;支撑件,构造有第三通道,穿刺管和吸引管分别置入至第三通道内,且第一通道和第二通道相互连通;电加热组件,设置在穿刺段上;供电装置,设置在支撑件上,并用于向电加热组件供电;其中,电加热组件包括用于释放和接收电流的第一导电件和第二导电件,穿刺管置入囊肿中,第一导电件和第二导电件释放和接收电流以加热囊肿的组织液。本申请的有益效果在于提供了一种针对腱鞘囊肿在具有良好治疗效果的基于腱鞘囊肿的电极消融装置。
The present application discloses an electrode ablation device based on a ganglion cyst, which belongs to the technical field of medical devices. An electrode ablation device based on a ganglion cyst includes: a puncture tube configured with a first channel, one end of which is formed with a puncture segment, and the puncture segment is inserted into the into the cyst; the suction tube constructs the second channel; the support member is constructed with a third channel, the puncture tube and the suction tube are placed into the third channel respectively, and the first channel and the second channel communicate with each other; the electric heating assembly, It is arranged on the puncture section; the power supply device is arranged on the support and is used to supply power to the electric heating assembly; wherein, the electric heating assembly includes a first conductive member and a second conductive member for releasing and receiving electric current, and the puncture tube is placed into In a cyst, the first conductive member and the second conductive member release and receive electric current to heat interstitial fluid of the cyst. The beneficial effect of the present application is to provide a ganglion cyst-based electrode ablation device which has a good therapeutic effect on the ganglion cyst.
Description
技术领域technical field
本申请涉及医疗器械领域,具体而言,涉及一种基于腱鞘囊肿的电极消融装置。The present application relates to the field of medical devices, in particular, to an electrode ablation device based on a ganglion cyst.
背景技术Background technique
腱鞘囊肿对于长期运动的人员来说,是一种很容易出现的病症,囊肿通常由囊壁和囊壁里面的组织液所组成。Ganglion cyst is a very common disease for long-term exercise personnel. The cyst is usually composed of cyst wall and interstitial fluid in the cyst wall.
目前,常用的治疗方法有两种,第一种是通过穿刺针,刺入到囊壁内之后,通过负压吸引的方式,将囊壁内的组织液吸出,囊肿内的组织液被吸出之后,患者的病症就会得到缓解。但是,这是这种治疗方式,复发性高,因为囊壁还具有生物活性,囊壁还能够主动运输囊壁外的组织液,将囊壁外的组织液吸入到囊壁内,因此在囊壁的穿刺部位愈合之后,囊壁还是会主动运输囊壁外的组织液,将囊壁外的组织液引入到囊壁内,从而导致囊肿复发。第二种,则是通过微创切除的方式,将囊肿直接切除,相较于第一种,该方案能够避免复发,但是手术风险大,容易对患者的关节造成不可逆的损伤。At present, there are two commonly used treatment methods. The first is to use a puncture needle to penetrate into the cyst wall, and then suck out the interstitial fluid in the cyst wall by means of negative pressure suction. After the interstitial fluid in the cyst is sucked out, the patient symptoms will be relieved. However, this type of treatment has a high recurrence rate, because the cyst wall is also biologically active, and the cyst wall can also actively transport the tissue fluid outside the cyst wall, and inhale the tissue fluid outside the cyst wall into the cyst wall. After the puncture site is healed, the cyst wall will still actively transport the interstitial fluid outside the cyst wall and introduce the interstitial fluid outside the cyst wall into the cyst wall, resulting in cyst recurrence. The second method is to directly remove the cyst through minimally invasive resection. Compared with the first method, this method can avoid recurrence, but the operation risk is high and it is easy to cause irreversible damage to the patient's joints.
综上所述,目前缺乏针对腱鞘囊肿在具有良好治疗效果和不容易复发的基础上,减少手术风险的基于腱鞘囊肿的电极消融装置。To sum up, there is currently a lack of electrode ablation devices based on ganglion cysts that can reduce surgical risks on the basis of good therapeutic effects and less recurrence of ganglion cysts.
发明内容Contents of the invention
本申请的内容部分用于以简要的形式介绍构思,这些构思将在后面的具体实施方式部分被详细描述。本申请的内容部分并不旨在标识要求保护的技术方案的关键特征或必要特征,也不旨在用于限制所要求的保护的技术方案的范围。The Summary section of this application serves to introduce concepts in a simplified form that are described in detail in the Detailed Description section that follows. The contents of this application are not intended to identify key features or essential features of the claimed technical solution, nor are they intended to be used to limit the scope of the claimed technical solution.
为了解决腱鞘囊肿治疗风险大、容易复发的问题,本申请的一些实施例提供了一种基于腱鞘囊肿的电极消融装置,包括:In order to solve the problem of high risk and easy recurrence of ganglion cyst treatment, some embodiments of the present application provide an electrode ablation device based on ganglion cyst, including:
穿刺管,构造有第一通道,其中一端形成有穿刺段,穿刺段置入至囊肿内;a puncture tube configured with a first channel, one end of which is formed with a puncture section, and the puncture section is inserted into the cyst;
吸引管,构造第二通道;Suction tube, constructing the second channel;
支撑件,穿刺管和吸引管分别与支撑件连接,且第一通道和第二通道相互连通;The support, the puncture tube and the suction tube are respectively connected to the support, and the first channel and the second channel communicate with each other;
电加热组件,设置在穿刺段上;The electric heating component is arranged on the puncture section;
供电装置,设置在支撑件上,并用于向电加热组件供电;The power supply device is arranged on the support and is used to supply power to the electric heating component;
其中,电加热组件包括用于释放和接收电流的第一导电件和第二导电件,穿刺管置入囊肿中,第一导电件和第二导电件释放和接收电流以加热囊肿的组织液。Wherein, the electric heating assembly includes a first conductive part and a second conductive part for releasing and receiving electric current, the puncture tube is placed in the cyst, and the first conductive part and the second conductive part release and receive electric current to heat the interstitial fluid of the cyst.
本申请所提供的腱鞘囊肿的电极消融装置在对腱鞘囊肿进行治疗时,将穿刺管刺入囊壁内,然后电加热组件启动,第一导电件和第二导电件向囊壁内的组织液释放电流,使得组织液发热,从而组织液被蒸发,囊壁内的压力增加,在囊壁内形成正压,将囊壁内的组织液通过吸引管排出;所以囊壁内一部分组织液被蒸发、一部分组织液排出体外,进而起到治疗腱鞘囊肿的目的;同时,囊壁会因为组织液被加热而出现蛋白质变性,由此囊壁将会失去生物活性,进而囊壁不能够具备主动运输的能力,由此本申请所提供的电极消融装置在使用时治疗效果好、治疗风险低并且不容易复发。The electrode ablation device for ganglion cyst provided by this application inserts the puncture tube into the cyst wall when treating the ganglion cyst, then the electric heating component is activated, and the first conductive element and the second conductive element are released to the interstitial fluid in the cyst wall The electric current makes the interstitial fluid heat, thus the interstitial fluid is evaporated, the pressure in the cyst wall increases, a positive pressure is formed in the cyst wall, and the interstitial fluid in the cyst wall is discharged through the suction tube; so a part of the interstitial fluid in the cyst wall is evaporated, and a part of the interstitial fluid is discharged from the body , and then play the purpose of treating ganglion cyst; at the same time, the protein denaturation will occur in the cyst wall due to the heating of interstitial fluid, thus the cyst wall will lose its biological activity, and then the cyst wall cannot have the ability of active transport, thus the present application The provided electrode ablation device has good treatment effect, low treatment risk and is not easy to relapse when used.
单独的第一导电件和第二导电件如果能够通电的话,供电装置在启动之后,电流会直接从第一导电件流向第二导电件,进而电流将会加热穿刺管的穿刺段,然后再通过热传导的方式传递给组织液,这种通过热传递的方式加热组织液,一方面加热时间长,另一方面因为囊壁太小,组织液难以形成对流,所以会导致穿刺段的温度过高,容易对正常的组织造成灼伤。If the separate first conductive part and the second conductive part can be energized, after the power supply device is started, the current will flow directly from the first conductive part to the second conductive part, and then the current will heat the puncture section of the puncture tube, and then pass through The way of heat conduction is transferred to the interstitial fluid. This way of heating the interstitial fluid through heat transfer, on the one hand, takes a long time to heat, and on the other hand, because the cyst wall is too small, it is difficult for the interstitial fluid to form convection, so the temperature of the puncture section will be too high, which is easy to normal tissue causing burns.
进一步的,单独的第一导电件和单独的第二导电件相互绝缘。Further, the single first conductive part and the single second conductive part are insulated from each other.
本申请通过将第一导电件和第二导电件为绝缘设置,所以在供电组件启动之后,第一导电件释放的电流需要经过组织液的传递之后再进入到第二导电件,不能够不通过组织液而直接到第二导电件,所以,在整个治疗过程中,产生热量的部分则是组织液,穿刺段本身是不会出现发热情况的;由此,保证了囊壁内组织液受热均匀、加热速率快,并且穿刺段的温度不会很高,不容易对正常的组织造成灼伤。In this application, the first conductive part and the second conductive part are insulated. Therefore, after the power supply component is started, the current released by the first conductive part needs to pass through the interstitial fluid and then enter the second conductive part. It cannot pass through the interstitial fluid. And it goes directly to the second conductive part, so during the whole treatment process, the part that generates heat is the tissue fluid, and the puncture section itself will not generate heat; thus, it ensures that the tissue fluid in the cyst wall is heated evenly and the heating rate is fast , and the temperature of the puncture section will not be very high, and it is not easy to cause burns to normal tissues.
进一步的,第一导电件部分裸露在穿刺管的外侧,以形成第一接触面;第二导电件部分裸露在穿刺管的外侧,以形成第二接触面,第一接触面和第二接触面的面积比为1:0.9~1.1。Further, the first conductive part is exposed on the outside of the puncture tube to form the first contact surface; the second conductive part is exposed on the outside of the puncture tube to form the second contact surface, the first contact surface and the second contact surface The area ratio is 1:0.9~1.1.
第一接触面和第二接触面的面积比基本相等,能够保证第一导电件和第二导电件与组织液接触的面积基本相同,使得电流释放端和电流输出端的电阻近似相等,避免在第一导电件或者第二导电件的部分产生过量的热。The area ratio of the first contact surface and the second contact surface is basically equal, which can ensure that the area of the first conductive member and the second conductive member in contact with the interstitial fluid is basically the same, so that the resistance of the current release end and the current output end are approximately equal, avoiding the first A portion of the conductive member or the second conductive member generates excessive heat.
腱鞘囊肿一般多高发于运动员这类会进行高强度训练的人员,所以在治疗过程中,需要尽量避免对患者正常组织的伤害,以避免增加患者的康复难度。而向患者施加交变电流,容易对患者的正常组织造成损伤,针对这一问题。Ganglion cysts generally occur more frequently in athletes who will undergo high-intensity training. Therefore, during the treatment process, it is necessary to avoid damage to the patient's normal tissues as much as possible to avoid increasing the difficulty of the patient's recovery. However, applying an alternating current to a patient can easily cause damage to the normal tissue of the patient, and this problem is aimed at.
进一步的,电流供应装置输送至第一导电件和第二导电件的电流为交变电流,其中电流的频率为100kHz~500kHz。Further, the current supplied by the current supply device to the first conductive member and the second conductive member is an alternating current, wherein the frequency of the current is 100kHz˜500kHz.
本申请利用囊壁内组织液的阻抗小于囊壁自身阻抗的特点,将电流的频率限制在上述的区间内。所以,在该交变电流的频率下,能够使得电流击穿囊壁内的组织液,在组织液内产生短路电流,而当囊壁内的组织液被蒸发殆尽之后,因为囊壁的阻抗太高,目前的电流无法击穿囊壁的阻抗,所以不会在人体的正常组织内产生电流,进而不会对人体的正常组织造成损害。同时,交流电的频率高于100kHz,能够使得交流电的频率高于超过人体肌肉反射弧时间的倒数,避免对交流电的频率太低,对于肌肉产生刺激。并且在组织液加热的过程中,组织液能够使得囊壁被加热,进而将囊壁的破坏程度控制在1~1.5mm。In the present application, the impedance of the interstitial fluid in the cyst wall is smaller than that of the cyst wall itself, and the frequency of the current is limited within the above range. Therefore, at the frequency of the alternating current, the current can break through the interstitial fluid in the cyst wall and generate a short-circuit current in the interstitial fluid. After the interstitial fluid in the cyst wall is evaporated, because the impedance of the cyst wall is too high, The current current cannot break down the impedance of the capsule wall, so no current will be generated in the normal tissues of the human body, and thus will not cause damage to the normal tissues of the human body. At the same time, the frequency of alternating current is higher than 100kHz, which can make the frequency of alternating current higher than the reciprocal of the reflex arc time of human muscle, so as to avoid the stimulation of muscles due to the low frequency of alternating current. In addition, during the heating of the interstitial fluid, the interstitial fluid can heat the cyst wall, thereby controlling the damage of the cyst wall to 1-1.5 mm.
进一步的,穿刺管包括与支撑件固定连接的内支撑管、与内支撑管固定连接的穿刺头、套设在内支撑管上的内绝缘管、套在内绝缘管上的导电管,导电管和穿刺头之间具有间距,内绝缘管为绝缘材料,第一导电件构造为穿刺头或设置在穿刺头上,第二导电件构造为导电管或者设置在导电管上。Further, the puncture tube includes an inner support tube fixedly connected to the support, a puncture head fixedly connected to the inner support tube, an inner insulating tube sleeved on the inner support tube, a conductive tube sleeved on the inner insulating tube, and the conductive tube There is a distance between the puncture head and the inner insulating tube, the inner insulating tube is made of insulating material, the first conductive part is configured as a puncture head or is arranged on the puncture head, and the second conductive part is configured as a conductive tube or is set on the conductive tube.
通过将内绝缘管设置为绝缘材料,只需要第一导电件和第二导电件之间存在间隙,就可以保证第一导电件和第二导电件的绝缘性,避免了在通电时,在穿刺管上产生多余的热。By setting the inner insulating tube as an insulating material, the insulation between the first conductive part and the second conductive part can be guaranteed only if there is a gap between the first conductive part and the second conductive part, and the puncture of the first conductive part and the second conductive part can be avoided. Excess heat is generated on the tube.
进一步的,内绝缘管上设有绝缘套,绝缘套一侧和穿刺头固定连接,另一侧导电管固定连接。Further, the inner insulating tube is provided with an insulating sleeve, one side of the insulating sleeve is fixedly connected to the puncture head, and the other side of the conductive tube is fixedly connected.
通过设置绝缘套,可以将内导电管套在内支撑管上,也不会因为向着穿刺头的方向滑动,就使得第一导电件和第二导电件直接接触,进一步保证了第一导电件和第二导电件的绝缘性,避免了在通电时,在穿刺管上产生多余的热。By setting the insulating sleeve, the inner conductive tube can be placed on the inner support tube, and the first conductive part and the second conductive part will not be in direct contact because of sliding toward the direction of the puncture head, which further ensures the first conductive part and the second conductive part. The insulation of the second conductive member prevents excess heat from being generated on the puncture tube when the power is applied.
进一步的,导电管上套设有外绝缘管,外绝缘管和导电管与穿刺头相对的一端具有间隙,以使得导电管部分裸露于穿刺管的外侧。Further, the conductive tube is sheathed with an outer insulating tube, and there is a gap between the outer insulating tube and the end of the conductive tube opposite to the puncture head, so that the conductive tube is partially exposed outside the puncture tube.
外绝缘管包裹了导电管,从而能够限制导电管的裸露面积和裸露位置,保证了第一导电件和第二导电件所设计的第一接触面和第二接触面的面积比在预定范围内。The outer insulating tube wraps the conductive tube, thereby limiting the exposed area and exposed position of the conductive tube, ensuring that the area ratio of the first contact surface and the second contact surface designed by the first conductive part and the second conductive part is within a predetermined range .
进一步的,供电装置包括第一导线、第二导线,第一导线连接至第一导电件,第二导线连接至第二导电件。Further, the power supply device includes a first wire and a second wire, the first wire is connected to the first conductive member, and the second wire is connected to the second conductive member.
进一步的,支撑件构造有第三通道,穿刺管和吸引管端部置入至第三通道内。Further, the support member is configured with a third channel, and the ends of the puncture tube and the suction tube are put into the third channel.
内绝缘管一端和穿刺头固定连接,另一端插入至第三通道内,并且内绝缘管和吸引管之间存在间隙,第一导线和内支撑管固定连接,第一导线和内支撑管连接的部分位于内绝缘管与吸引管之间的间隙部分;One end of the inner insulating tube is fixedly connected to the puncture head, the other end is inserted into the third channel, and there is a gap between the inner insulating tube and the suction tube, the first lead is fixedly connected to the inner support tube, and the first lead is connected to the inner support tube. partly located in the gap between the inner insulating tube and the suction tube;
外绝缘管插入至第三通道的一端与导电管的端部存在间隙,第二导线和导电管固定连接,第二导线和导电管连接的部分位于导电管在第三通道内存在部分的裸露面。There is a gap between the end of the outer insulating tube inserted into the third channel and the end of the conductive tube, the second wire is fixedly connected to the conductive tube, and the part where the second wire is connected to the conductive tube is located on the exposed surface of the conductive tube in the third channel .
本申请通过在支撑件上构造出第三通道,使得用于向第一导电件和第二导电件供电的线路均可以集成在支撑件上,保证穿刺管外壁的光滑性,避免对手术造成不利影响;同时,线路集成在支撑件内,可以对线路提供一定的保护。In this application, by constructing a third channel on the support, the lines for supplying power to the first conductive member and the second conductive member can be integrated on the support, ensuring the smoothness of the outer wall of the puncture tube and avoiding adverse effects on the operation At the same time, the circuit is integrated in the support, which can provide certain protection for the circuit.
综上所述,本申请的有益效果在于提供了一种针对腱鞘囊肿在具有良好治疗效果和不容易复发的基础上,减少手术风险的基于腱鞘囊肿的电极消融装置。To sum up, the beneficial effect of the present application is to provide a ganglion cyst-based electrode ablation device that has a good therapeutic effect and is not easy to recur, and reduces surgical risks for ganglion cysts.
附图说明Description of drawings
构成本申请的一部分的附图用来提供对本申请的进一步理解,使得本申请的其它特征、目的和优点变得更明显。本申请的示意性实施例附图及其说明用于解释本申请,并不构成对本申请的不当限定。The accompanying drawings, which constitute a part of this application, are included to provide a further understanding of the application and make other features, objects and advantages of the application apparent. The drawings and descriptions of the schematic embodiments of the application are used to explain the application, and do not constitute an improper limitation to the application.
另外,贯穿附图中,相同或相似的附图标记表示相同或相似的元素。应当理解附图是示意性的,元件和元素不一定按照比例绘制。In addition, the same or similar reference numerals denote the same or similar elements throughout the drawings. It should be understood that the drawings are schematic and elements and elements have not necessarily been drawn to scale.
在附图中:In the attached picture:
图1为本申请所提供的基于腱鞘囊肿的电极消融装置的平面图;Fig. 1 is the plane view of the electrode ablation device based on the ganglion cyst provided by the present application;
图2为支撑件、穿刺管、以及吸引管配合部分的剖视图;Fig. 2 is a cross-sectional view of the supporting part, the puncture tube, and the matching part of the suction tube;
图3为穿刺管穿刺段的结构示意图;Fig. 3 is a structural schematic diagram of the puncture section of the puncture tube;
图4为穿刺管穿刺段的结构示意图,标识了穿刺头附近的标记;Fig. 4 is a structural schematic diagram of the puncture section of the puncture tube, marking marks near the puncture head;
图5为穿刺管穿刺段的剖视图;Fig. 5 is a sectional view of the puncture section of the puncture tube;
图6为图5中A处放大图,示出了支撑件附近的结构;Figure 6 is an enlarged view of A in Figure 5, showing the structure near the support;
图7为穿刺管与支撑件连接的一端的剖视图;Fig. 7 is a cross-sectional view of one end of the puncture tube connected to the support;
图8为第一导线、第二导线连接部分的剖视图;Fig. 8 is a cross-sectional view of the connecting part of the first wire and the second wire;
图9为图8中局部区域的放大图。FIG. 9 is an enlarged view of a local area in FIG. 8 .
附图标记:Reference signs:
100、基于腱鞘囊肿的电极消融装置;100. Electrode ablation device based on ganglion cyst;
10、穿刺管;10a、第一通道;10b、穿刺段;10c、中轴线;10d、投影平面;10. Puncture tube; 10a, first channel; 10b, puncture section; 10c, central axis; 10d, projection plane;
11、内支撑管;111、穿刺头;111a、穿刺面;11, inner support tube; 111, puncture head; 111a, puncture surface;
12、内绝缘管;13、导电管;14、外绝缘管;15、绝缘套;12. Inner insulating tube; 13. Conductive tube; 14. Outer insulating tube; 15. Insulating sleeve;
20、吸引管;20a、第二通道;20. Suction tube; 20a, second channel;
30、支撑件;30a、第三通道;31、手持部;30. Support member; 30a, third channel; 31. Handpiece;
40、电加热组件;40. Electric heating components;
41、第一导电件;41a、第一接触面;41. The first conductive member; 41a, the first contact surface;
42、第二导电件;42a、第二接触面;42. The second conductive member; 42a, the second contact surface;
50、供电装置;51、电缆;52、插头;50. Power supply device; 51. Cable; 52. Plug;
53、电流控制组件;531、第一导线;532、第二导线;533、电流调控板;53. Current control component; 531. First wire; 532. Second wire; 533. Current control board;
具体实施方式Detailed ways
下面将参照附图更详细地描述本公开的实施例。虽然附图中显示了本公开的某些实施例,然而应当理解的是,本公开可以通过各种形式来实现,而且不应该被解释为限于这里阐述的实施例。相反,提供这些实施例是为了更加透彻和完整地理解本公开。应当理解的是,本公开的附图及实施例仅用于示例性作用,并非用于限制本公开的保护范围。Embodiments of the present disclosure will be described in more detail below with reference to the accompanying drawings. Although certain embodiments of the disclosure are shown in the drawings, it should be understood that the disclosure may be embodied in various forms and should not be construed as limited to the embodiments set forth herein. Rather, these examples are provided so that the understanding of this disclosure will be thorough and complete. It should be understood that the drawings and embodiments of the present disclosure are for exemplary purposes only, and are not intended to limit the protection scope of the present disclosure.
另外还需要说明的是,为了便于描述,附图中仅示出了与有关发明相关的部分。在不冲突的情况下,本公开中的实施例及实施例中的特征可以相互组合。It should also be noted that, for the convenience of description, only the parts related to the related invention are shown in the drawings. In the case of no conflict, the embodiments in the present disclosure and the features in the embodiments can be combined with each other.
下面将参考附图并结合实施例来详细说明本公开。The present disclosure will be described in detail below with reference to the accompanying drawings and embodiments.
参照图1和图2,基于腱鞘囊肿的电极消融装置100包括:支撑件30、穿刺管10、吸引管20、电加热组件40以及供电装置50。其中,穿刺管10构造有第一通道10a,穿刺管10的一端形成有穿刺段10b,穿刺段10b置入至囊肿内;吸引管20构造有第二通道20a,支撑件30分别与吸引管20和穿刺管10连接,并且第一通道10a和第二通道20a相互连通;电加热组件40设置在穿刺段10b,电加热组件40包括第一导电件41和第二导电件42,第一导电件41和第二导电件42用于释放和接收电流;供电装置50,设置在支撑件30上,用于向电加热组件40供电。Referring to FIG. 1 and FIG. 2 , an
当需要对腱鞘囊肿进行治疗时,穿刺管10的穿刺段10b刺入囊壁内,并和囊壁内的组织液接触,然后供电装置50给电加热组件40供电,进而第一导电件41释放电流,第二导电件42接收电流,电流从第一导电件41流入至囊壁内的组织液,然后再流入第二导电件42,使得囊泡内的组织液被加热,囊壁内的组织液部分被蒸发,进而囊壁内气压升高,一部分组织液通过穿刺管10、支撑件30、吸引管20流出,一部分组织液则被蒸发,而当囊泡内的所有组织液都处理完成之后,囊壁将会在加热的过程中,出现蛋白质变性,进而使得囊壁失去生物活性,从而囊壁外界的组织液不能够被囊壁通过主动运输的方式输送到囊壁内部,避免了囊肿的复发。When it is necessary to treat the ganglion cyst, the
单独的第一导电件41和单独的第二导电件42相互绝缘。The individual first
本申请通过第一导电件41和第二导电件42之间绝缘,使得第一导电件41和第二导电件42在工作过程中,不会产生从第一导电件41出发,不经过囊壁内组织液而直接到第二导电件42的电流,所以穿刺段10b并不会主动产热,产热的部分其实是囊泡内的组织液;如此,对于囊壁的破坏程度将更加可控。可以预见,如果本申请是对穿刺段10b进行加热,由穿刺段10b向组织液热辐射,再由组织液加热囊壁,则在使用时,一方面会因为囊破大小的不同,需要调整穿刺段10b的工作温度,另一方面需要随时关注囊泡内组织液的变化情况,需要在组织液全部排出时,例如停止手术,否则炙热的穿刺段在抽出囊肿时,很容易对正常组织造成不可逆的损害,在实际手术中非常不便,容易对正常组织造成伤害。In this application, the first
参考图3,第一导电件41部分裸露在穿刺管10的外侧,以形成第一接触面41a;第二导电件42部分裸露在穿刺管10的外侧,以形成第二接触面42a,第一接触面41a和第二接触面42a的面积比为1:0.9~1.1。Referring to Fig. 3, the first
第一接触面41a和第二接触面42a的面积比基本相等,能够保证第一导电件41和第二导电件42与组织液接触的面积基本相同,使得电流释放端和电流输出端的电阻近似相等,避免在第一导电件41或者第二导电件42的部分产生过量的热。The area ratio of the
更进一步的,电流供应装置输送至第一导电件41和第二导电件42的电流为交变电流,其中电流的频率为100k~500khz。Furthermore, the current supplied by the current supply device to the first
在该电流的频率下,能够适应大部分的腱鞘囊肿,当第一导电件41和第二导电件42在囊泡内释放交变电流时,只能够损坏厚度为1~1.5mm的组织,所以在保证了能够将囊壁破坏,使得囊壁不能够主动运输组织液的情况下,减少对于周围组织液的影响。At this current frequency, it can adapt to most ganglion cysts. When the first
并且,在该电流频率下,第一导电件41和第二导电件42之间的绝缘性好,能够避免电流除开通过囊泡内的组织液,由第一导电件41流入到第二导电件42之外,还通过穿刺管10由第一导电件41流入到第二导电件42,进而导致穿刺管10本身会产热。Moreover, at this current frequency, the insulation between the first
避免上述问题的原因如下:The reasons for avoiding the above problems are as follows:
(1)在该交变电流的频率下,能够使得电流击穿囊壁内的组织液,在组织液内产生短路电流,而当囊壁内的组织液被蒸发殆尽之后,因为囊壁的阻抗太高,目前的电流无法击穿囊壁的阻抗,所以不会在人体的正常组织内产生电流,进而不会对人体的正常组织造成损害。同时,交流电的频率高于100kHz,能够使得交流电的频率高于超过人体肌肉反射弧时间的倒数,避免对交流电的频率太低,对于肌肉产生刺激。并且在组织液加热的过程中,组织液能够使得囊壁被加热,进而将囊壁的破坏程度控制在1~1.5mm。(1) At the frequency of the alternating current, the current can break through the interstitial fluid in the cyst wall and generate a short-circuit current in the interstitial fluid. When the interstitial fluid in the cyst wall is evaporated, because the impedance of the cyst wall is too high , the current current cannot break down the impedance of the capsule wall, so no current will be generated in the normal tissues of the human body, and thus will not cause damage to the normal tissues of the human body. At the same time, the frequency of alternating current is higher than 100kHz, which can make the frequency of alternating current higher than the reciprocal of the reflex arc time of human muscle, so as to avoid the stimulation of muscles due to the low frequency of alternating current. In addition, during the heating of the interstitial fluid, the interstitial fluid can heat the cyst wall, thereby controlling the damage of the cyst wall to 1-1.5 mm.
(2)第一导电件41和第二导电件42之间虽然是绝缘的,但是随着电流频率的增加,第一导电件41和第二导电件42之间绝缘关系将会被打破,进而会导致在穿刺管10上形成从第一导电件41到第二导电件42的电流,从而使得穿刺管10自身也产热,一方面会影响产品性能,另一方面对于治疗也会造成不必要的麻烦。(2) Although there is insulation between the first
参考图4~5,穿刺管10包括与支撑件30固定连接的内支撑管11、套设在内支撑管11上的内绝缘管12、套在内绝缘管12上的导电管13,内支撑管11一端和支撑件30固定连接,另一端设有穿刺头111。导电管13和穿刺头111之间具有间距,内支撑管11为导电材料,内绝缘管12为绝缘材料,第一导电件41构造为穿刺头111或设置在穿刺头111上,第二导电件42构造为导电管13或者设置在导电管13上。Referring to Figures 4-5, the
参考图5,内绝缘管12上套设有绝缘套15,绝缘套15一侧和穿刺头111固定连接,另一侧导电管13固定连接。Referring to FIG. 5 , an insulating
参考图6,导电管13上套设有外绝缘管14,外绝缘管14和导电管13与穿刺头111相对的一端具有间隙,以使得导电管13部分裸露于穿刺管10的外侧。Referring to FIG. 6 , the
参考图8,进一步的,供电装置50包括第一导线531、第二导线532,第一导线531连接至第一导电件41,第二导线532连接至第二导电件42。Referring to FIG. 8 , further, the
下面结合具体方式,提供一个完整的实施例用于说明基于腱鞘囊肿的电极消融装置100。In the following, a complete embodiment is provided to illustrate the ganglion cyst-based
基于腱鞘囊肿的电极消融装置100包括支撑件30、穿刺管10、吸引管20、电加热组件40以及供电装置50。The
参考图1和图2,支撑件30被构造为手持部31,以使得医护人员可以通过手持部31抓取支撑件31,便于支撑件30的操作,支撑件30内构造有第三通道30a;穿刺管10构造有第一通道10a,吸引管20构造有第二通道20a,穿刺管10和吸引管20分别固定连接在支撑件30的两端,在本申请所提供的技术方案中,第三通道30a被构造为形成在支撑件30内的管状通道,吸引管20和穿刺管10的端部均置入至第三通道30a内,并且穿刺管10插入至吸引管20的第二通道20a内,并且穿刺管10插入至第二通道20a内的部分密封设置,以使得穿刺管10和吸引管20连通之后,相互密封。Referring to Fig. 1 and Fig. 2, the
在其余的实施方案中,还可以将穿刺管10和吸引管20均置入至第三通道30a内,穿刺管10和吸引管20分别与第三通道30a的内壁相互密封,以使得第三通道30a成为第一通道10a和第二通道20a连通的通路。In the remaining embodiments, both the
参考图1和图2、穿刺管10一端与支撑件30固定连接,另一端形成有穿刺段10b,电加热组件40设置在穿刺段10b上,电加热组件40包括第一导电件41和第二导电件42,第一导电件41和第二导电件42用于释放或者接收电流。1 and 2, one end of the
参考图1和图8,供电装置50设置在支撑件30上,用于给电加热组件40提供电源,在本实施例中,供电装置50包括电缆51、插头52以及电流控制组件53,电流控制组件53集成在支撑件30上,电缆51与电流控制组件53连接,插头52设置在电缆端部用于接入电源。Referring to Fig. 1 and Fig. 8, the
在更为具体的实施例中:In a more specific embodiment:
参考图5,穿刺管10包括内支撑管11、内绝缘管12、导电管13、外绝缘管14、以及绝缘套15,其中内支撑管11构造为管状结构,内支撑管11围拢所形成的柱状空间形成第一通道10a的主体,内支撑管11一端和吸引管20固定连接,另一端构造有穿刺头111,在本实施例中,穿刺头111为集成在内支撑管11端部的部分,以使得第一通道10a能够贯穿穿刺头111和内支撑管11,在其余的实施例中,可以单独设置空心的内支撑管11和空心的穿刺头111,并让穿刺头111和内支撑管11通过焊接、粘接等方式固定连接,内支撑管11插入至支撑件30的第三通道30a内,并部分插入至吸引管20的第二通道20a内,且内支撑管11和吸引管20为密封配合,以使得吸引管20和内支撑管11固定连接。Referring to Fig. 5, the
参考图5,穿刺头111用于牵引穿刺管10刺入至人体组织内,所以在穿刺头111设置有穿刺面111a。在本实施例中,穿刺面111a构造为倾斜设置的面,以使得穿刺头111的端部形成尖锐的刺入端。在其余的结构中,可以将穿刺面111a设置为多个的内凹面,以形成多棱面结构,增加穿刺的锋利程度。Referring to FIG. 5 , the
内支撑管11为金属材质,具有良好的导电性能,穿刺头111被构造为前述的第一导电件41,进而穿刺头111的外表面形成第一接触面41a。在其余的实施例中,可以将第一导电件41固定连接在穿刺头111上,在内支撑管11上置入和第一导电件41固定连接的导体。The
参考图6~7,内绝缘管12为管状结构,内绝缘管12为绝缘材料制作而成,内绝缘管12套设在内支撑管11上,内绝缘管12一端和穿刺头111固定连接,另一端插入至第三通道30a内,并且内绝缘管12和吸引管20之间存在间隙,以使得内支撑管11有部分裸露在第三通道30a内。Referring to Figures 6-7, the inner insulating
参考图6,导电管13为管状结构,导电管13在本实施例中为不锈钢材料,具有良好的导电能力,导电管13套在内绝缘管12上,导电管13和内绝缘管12固定连接,导电管13一端延伸至穿刺段10b,另一端插入至第三通道30a内。导电管13被构造为前述的第二导电件42。在其余的实施例中,也可以将第二导电件42构造为设置为和导电管13相互独立的两个部件,并将导电管13和第二导电件42相互接触,以使得第二导电件42能够向导电管13输入电流。Referring to Fig. 6, the
参考图6,导电管13和穿刺头111之间存在间隙,所以导电管13和穿刺头111之间相互绝缘。为了更进一步的增加导电管13和穿刺头111之间的绝缘强度,在内绝缘管12上还套设有绝缘套15,绝缘套15一侧和导电管13接触,另一侧和穿刺头111接触,如此绝缘套15和穿刺头111之间的绝缘程度将会进一步提升。在本实施例中,绝缘套15为套设在内绝缘管12上的单独部件,在其余的实施例中,绝缘套15为基础在内绝缘管12上的结构。在本实施例中,通过设置绝缘套15和内绝缘管12使得第一导电件41和第二导电件42相互绝缘,可以预见在其余的实施例中,也可以通过其余的方式,使得两个导电件41之间不存在直接相连的导体而进行绝缘。Referring to FIG. 6 , there is a gap between the
参考图6和图7,外绝缘管14为管状结构,外绝缘管14为绝缘材料,可以选择绝缘橡胶。外绝缘管14包裹在导电管13的外侧,外绝缘管14和导电管13固定连接,外绝缘管14和导电管13与穿刺头111相对的一端具有间隙,以使得导电管13部分裸露于穿刺管10的外侧,并且导电管13在该间隙部分裸露的面积与穿刺头111裸露的面积为1:1。外绝缘管14一端与穿刺头111相对,另一端插入至第三通道30a内,并且外绝缘管14的外壁和第三通道30a的内壁为密封配合,外绝缘管14插入至第三通道30a的一端与导电管13的端部存在间隙,所以导电管13在第三通道30a内存在部分的裸露面。Referring to Fig. 6 and Fig. 7, the outer insulating
参考图8~9,供电装置50包括电缆51、插头52以及电流控制组件53,插头52设置在电缆51的端部用于外接电源,电流控制组件53包括电流调控板533、第一导线531、第二导线532,电流调控板533与电缆连接,电缆接入至电流调控板533,电流调控板533上集成有控制电路和控制芯片,通过控制芯片能够调制出所需要的电流,第一导线531和第二导线532分别为电流调控板的电流输出端和电流输入端,第一导线531连接至第一导电件41,第二导线532连接至第二导电件42,本实施例中,第一导线531和第二导线532均部分置入第三通道30a内,第一导线531和内支撑管11固定连接,第一导线531和内支撑管11连接的部分位于内绝缘管12与吸引管20之间的间隙部分。第二导线532和导电管13固定连接,第二导线532和导电管13连接的部分位于导电管13在第三通道30a内存在部分的裸露面。在本实施例中,都是让内绝缘套15和外绝缘套15相较于内支撑管11和导电管13的端部裸露出部分面积,在其余实施例中,也可以在内绝缘套15和外绝缘套15上开设出用于置入导线的孔。8-9, the
以上描述仅为本公开的一些较佳实施例以及对所运用技术原理的说明。本领域技术人员应当理解,本公开的实施例中所涉及的发明范围,并不限于上述技术特征的特定组合而成的技术方案,同时也应涵盖在不脱离上述发明构思的情况下,由上述技术特征或其等同特征进行任意组合而形成的其它技术方案。例如上述特征与本公开的实施例中公开的(但不限于)具有类似功能的技术特征进行互相替换而形成的技术方案。The above descriptions are only some preferred embodiments of the present disclosure and illustrations of the applied technical principles. Those skilled in the art should understand that the scope of the invention involved in the embodiments of the present disclosure is not limited to the technical solution formed by the specific combination of the above-mentioned technical features, but also covers the above-mentioned invention without departing from the above-mentioned inventive concept. Other technical solutions formed by any combination of technical features or equivalent features. For example, a technical solution formed by replacing the above-mentioned features with technical features having similar functions disclosed in (but not limited to) the embodiments of the present disclosure.
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