CN107802343B - Split reducing microwave needle - Google Patents
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- 230000005540 biological transmission Effects 0.000 claims description 21
- 238000001816 cooling Methods 0.000 claims description 11
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 6
- 238000002788 crimping Methods 0.000 claims description 3
- 230000009286 beneficial effect Effects 0.000 abstract description 4
- 230000002980 postoperative effect Effects 0.000 abstract description 4
- 238000011084 recovery Methods 0.000 abstract description 3
- 230000000740 bleeding effect Effects 0.000 abstract description 2
- 230000035876 healing Effects 0.000 abstract description 2
- 238000002679 ablation Methods 0.000 description 13
- 206010028980 Neoplasm Diseases 0.000 description 7
- 238000010438 heat treatment Methods 0.000 description 7
- 230000003902 lesion Effects 0.000 description 5
- 238000011298 ablation treatment Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 208000024770 Thyroid neoplasm Diseases 0.000 description 3
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- 230000005672 electromagnetic field Effects 0.000 description 3
- 210000000232 gallbladder Anatomy 0.000 description 3
- 150000002500 ions Chemical class 0.000 description 3
- 208000013076 thyroid tumor Diseases 0.000 description 3
- 238000011282 treatment Methods 0.000 description 3
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 230000015271 coagulation Effects 0.000 description 2
- 238000005345 coagulation Methods 0.000 description 2
- 229910052802 copper Inorganic materials 0.000 description 2
- 239000010949 copper Substances 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 238000003466 welding Methods 0.000 description 2
- 101001121408 Homo sapiens L-amino-acid oxidase Proteins 0.000 description 1
- 102100026388 L-amino-acid oxidase Human genes 0.000 description 1
- 206010061902 Pancreatic neoplasm Diseases 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
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- 208000014674 injury Diseases 0.000 description 1
- 238000000608 laser ablation Methods 0.000 description 1
- 208000015486 malignant pancreatic neoplasm Diseases 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 210000000496 pancreas Anatomy 0.000 description 1
- 201000002528 pancreatic cancer Diseases 0.000 description 1
- 208000008443 pancreatic carcinoma Diseases 0.000 description 1
- 238000007674 radiofrequency ablation Methods 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
- A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
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- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00595—Cauterization
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Abstract
Description
技术领域Technical Field
本发明涉及医疗器材领域,特别是一种分体式变径微波针。The invention relates to the field of medical equipment, in particular to a split-type variable-diameter microwave needle.
背景技术Background Art
微波消融是近10余年发展较快的一项用于肿瘤治疗的热消融技术。微波对生物组织的加热机制有两个方面:一是偶极子加热,也是微波加热的主要因素。在频率>900MHz的微波电磁场作用下,肿瘤内的水分子等偶极子电荷极性失衡,随微波电场的交变而迅速改变方向,以超过百万次每秒的频率翻转并相互摩擦碰撞,产生大量的热量使组织变性坏死;另一方面是离子加热,组织内的离子在微波电磁场的作用下,也快速改变方向而产生振动并相互碰撞,使动能转变为热能。可见微波的加热过程是组织在电磁场的作用下主动产热,在短时间内迅速达到高温。与射频和激光消融相比,微波消融具有升温速度快,凝血管能力强,受血流因素影响小,可多天线同时作用,正常凝固范围较大且稳定等特点,成为经皮热消融治疗和外科消融治疗中极具潜力和有良好应用前景的一项治疗手段。Microwave ablation is a thermal ablation technology for tumor treatment that has developed rapidly in the past 10 years. There are two aspects to the heating mechanism of microwaves on biological tissues: one is dipole heating, which is also the main factor of microwave heating. Under the action of microwave electromagnetic fields with a frequency of >900MHz, the polarity of dipole charges such as water molecules in the tumor is unbalanced, and they change direction rapidly with the alternation of the microwave electric field, flip and collide with each other at a frequency of more than one million times per second, generating a large amount of heat to cause tissue degeneration and necrosis; on the other hand, ion heating is ion heating. Under the action of microwave electromagnetic fields, ions in tissues also change direction rapidly to vibrate and collide with each other, converting kinetic energy into thermal energy. It can be seen that the heating process of microwaves is that the tissue actively generates heat under the action of electromagnetic fields, and quickly reaches high temperatures in a short time. Compared with radiofrequency and laser ablation, microwave ablation has the characteristics of fast heating speed, strong blood vessel coagulation ability, less affected by blood flow factors, multiple antennas can act simultaneously, and the normal coagulation range is large and stable. It has become a treatment method with great potential and good application prospects in percutaneous thermal ablation and surgical ablation.
但传统的微波针因结构原因,微波针外径偏大,目前常用微波针外径规格为16G~13G(φ1.6mm~φ2.4mm),其中φ1.6mm,φ1.9mm,φ2.1mm和φ2.4mm四种规格最常用。传统微波针头常采用圆锥型和三棱型两种结构,因微波针的外径较大,穿刺阻力大,穿刺能力不佳。通常情况下不能直接穿刺患者皮肤,需要医生用手术刀在患者皮肤上划开个小口子,帮助微波针进入患者体内。另一方面,当医生遇到硬的肿瘤时,传统的微波针因穿刺力不足,很难直接穿刺肿瘤坚硬的外壳,进入肿瘤中心进行消融。临床中,如甲状腺瘤微波消融治疗,甲状腺瘤有一层坚硬的外壳,传统的微波针无法直接穿刺硬壳,医生只能采用边微波消融,边穿刺的办法,逐步将传统的微波针送入甲状腺瘤中心位置,再对其进行精确微波消融术。传统微波针因穿刺力不足,大大增加了手术时间,同时增加了手术难度。However, due to structural reasons, the outer diameter of traditional microwave needles is relatively large. Currently, the outer diameter specifications of commonly used microwave needles are 16G~13G (φ1.6mm~φ2.4mm), among which φ1.6mm, φ1.9mm, φ2.1mm and φ2.4mm are the most commonly used. Traditional microwave needles often use two structures: conical and triangular. Because the outer diameter of the microwave needle is large, the puncture resistance is large and the puncture ability is poor. Usually, it is not possible to puncture the patient's skin directly. The doctor needs to use a scalpel to make a small incision on the patient's skin to help the microwave needle enter the patient's body. On the other hand, when doctors encounter hard tumors, traditional microwave needles are difficult to directly puncture the hard outer shell of the tumor and enter the center of the tumor for ablation due to insufficient puncture force. In clinical practice, such as microwave ablation treatment of thyroid tumors, thyroid tumors have a hard outer shell, and traditional microwave needles cannot directly puncture the hard shell. Doctors can only use the method of microwave ablation and puncture at the same time to gradually send the traditional microwave needle to the center of the thyroid tumor and then perform precise microwave ablation on it. Traditional microwave needles have insufficient puncture force, which greatly increases the operation time and difficulty.
发明内容Summary of the invention
发明目的:本发明所要解决的技术问题是针对现有技术的不足,提供一种分体式变径微波针。Purpose of the invention: The technical problem to be solved by the present invention is to provide a split variable diameter microwave needle in view of the deficiencies in the prior art.
为了解决上述技术问题,本发明提供了一种分体式变径微波针,包括用于微波穿刺的穿刺针芯,所述穿刺针芯包括针头,所述针头后部设有一个变径锥度头,所述变径锥度头包括变径锥度头头端和变径锥度头尾端,所述变径锥度头头端到变径锥度头尾端的直径递增。In order to solve the above technical problems, the present invention provides a split variable diameter microwave needle, including a puncture needle core for microwave puncture, the puncture needle core includes a needle head, a variable diameter tapered head is provided at the rear of the needle head, the variable diameter tapered head includes a variable diameter tapered head head end and a variable diameter tapered head tail end, and the diameter from the variable diameter tapered head head end to the variable diameter tapered head tail end increases gradually.
本发明中,变径锥度头头端的直径与穿刺针芯的直径适配,变径锥度头头端稳定固定在穿刺针芯上。In the present invention, the diameter of the head end of the tapered head is matched with the diameter of the puncture needle core, and the head end of the tapered head is stably fixed on the puncture needle core.
本发明中,所述变径锥度头与穿刺针芯之间采用激光焊接,稳定牢靠,穿刺较硬组织时更加安全。In the present invention, the variable-diameter tapered head and the puncture needle core are laser welded, which is stable and reliable, and is safer when puncturing harder tissues.
本发明中,所述穿刺针芯为尺寸13G到25G的标准穿刺针芯,细小,穿刺能力强。In the present invention, the puncture needle core is a standard puncture needle core with a size of 13G to 25G, which is small and has a strong puncture ability.
本发明中,所述穿刺针芯内部设有套管,用于连接微波传输电缆。套管可以采用铜套。In the present invention, a sleeve is provided inside the puncture needle core for connecting a microwave transmission cable, and the sleeve can be a copper sleeve.
本发明中,所述穿刺针芯后端连接微波针手柄部,接微波针手柄部包括微波发生器和微波传输电缆,微波传输电缆一端连接微波发生器,另一端连接到穿刺针芯的套管内。In the present invention, the rear end of the puncture needle core is connected to the microwave needle handle, which includes a microwave generator and a microwave transmission cable. One end of the microwave transmission cable is connected to the microwave generator, and the other end is connected to the sleeve of the puncture needle core.
本发明中,所述套管内设有容纳微波传输电缆的空腔,微波传输电缆伸入空腔中并与套管采用压接固定。In the present invention, a cavity for accommodating a microwave transmission cable is provided in the sleeve, and the microwave transmission cable extends into the cavity and is fixed to the sleeve by crimping.
本发明中,所述手柄部还设有冷却系统和针杆,冷却系统包括水冷通道,水冷通道位于针杆和微波传输电缆之间的间隙处。In the present invention, the handle portion is further provided with a cooling system and a needle rod, the cooling system comprises a water cooling channel, and the water cooling channel is located in the gap between the needle rod and the microwave transmission cable.
有益效果:1、使用本分体式变径微波针头在术中可以直接穿刺患者皮肤,进入病灶位置;减少了出血和术后愈合时间,有利于患者术后恢复。Beneficial effects: 1. The split variable-diameter microwave needle can directly puncture the patient's skin and enter the lesion during surgery; it reduces bleeding and postoperative healing time, which is beneficial to the patient's postoperative recovery.
2、术中可以直接穿刺肿瘤坚硬外壳,进入病灶中心位置,进行消融手术,大大缩短手术时间及提高消融的准确性,有利于患者术后恢复。2. During the operation, the hard outer shell of the tumor can be directly punctured to enter the center of the lesion for ablation surgery, which greatly shortens the operation time and improves the accuracy of ablation, which is beneficial to the patient's postoperative recovery.
3、由于本发明微波针穿刺力很强,穿刺创伤很小,不会造成组织穿孔,漏液等现象。为今后微波针经皮,再经胃壁穿刺到达胰腺,进行胰腺癌的经皮微波消融治疗提供可能;也为微波针经皮穿刺胆囊,保证胆囊不漏液,进行微波针胆囊消融治疗提供了可能。3. Since the microwave needle of the present invention has a strong puncture force, the puncture trauma is very small and will not cause tissue perforation, leakage, etc. This provides the possibility for percutaneous microwave ablation treatment of pancreatic cancer by puncturing the microwave needle through the skin and then through the stomach wall to reach the pancreas; it also provides the possibility for percutaneous microwave ablation treatment of gallbladder by microwave needle to ensure that the gallbladder does not leak, and ensure the gallbladder ablation treatment by microwave needle.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
下面结合附图和具体实施方式对本发明做更进一步的具体说明,本发明的上述或其他方面的优点将会变得更加清楚。The present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments, and the above and other advantages of the present invention will become more clear.
图1是变径微波针头结构示意图;FIG1 is a schematic diagram of the structure of a variable diameter microwave needle;
图2是变径微波针头剖视图;Fig. 2 is a cross-sectional view of a variable diameter microwave needle;
图3是变径锥度头剖视图;Fig. 3 is a cross-sectional view of a reducing taper head;
图4是套管剖视图;Fig. 4 is a cross-sectional view of the casing;
图5是微波针手柄部剖视图。FIG5 is a cross-sectional view of the handle of a microwave needle.
具体实施方式DETAILED DESCRIPTION
下面将结合附图对本发明作详细说明。The present invention will be described in detail below with reference to the accompanying drawings.
实施例:Example:
如图1和图2,本实施例提供的一种分体式变径微波针,包括穿刺针芯6、针头6a、变径锥度头7和套管8,变径锥度头7与标准穿刺针芯6采用激光焊接进行连接,设置在针头6a后面,套管8装入标准穿刺针芯6尾部,与微波传输电缆2的内芯进行压接,形成通路。本实施例中,套管8采用铜套。As shown in Figures 1 and 2, a split variable-diameter microwave needle provided in this embodiment includes a puncture needle core 6, a needle head 6a, a variable-diameter tapered head 7 and a sleeve 8. The variable-diameter tapered head 7 is connected to the standard puncture needle core 6 by laser welding and is arranged behind the needle head 6a. The sleeve 8 is installed in the tail of the standard puncture needle core 6 and is crimped with the inner core of the microwave transmission cable 2 to form a passage. In this embodiment, the sleeve 8 is a copper sleeve.
如图3和图4,包括变径锥度头头端7a和变径锥度头尾端7b,变径锥度头头端到变径锥度头尾端的直径递增,本实施例中变径锥度头为空心圆台结构。变径锥度头7与穿刺针芯6之间采用激光焊接。As shown in Figures 3 and 4, it includes a reducing tapered head head end 7a and a reducing tapered head tail end 7b, the diameter of the reducing tapered head head end to the reducing tapered head tail end increases, and the reducing tapered head in this embodiment is a hollow truncated cone structure. The reducing tapered head 7 and the puncture needle core 6 are laser welded.
套管8为空心圆柱结构,内部设有空腔9,用于容纳微波传输电缆。The sleeve 8 is a hollow cylindrical structure, and a cavity 9 is provided inside thereof for accommodating the microwave transmission cable.
如图5,接微波针手柄包括微波传输电缆2、针杆3、冷却系统4和微波发生器5,微波传输电缆2一端连接微波发生器5,另一端连接到穿刺针芯6的套管8内,冷却系统4包括水冷通道,位于针杆3和微波传输电缆2之间的间隙处。套管8内设有容纳微波传输电缆2的空腔9,微波传输电缆2伸入空腔9中并与套管8采用压接固定。微波发生器5将微波信号由微波传输电缆2传输到微波针头1,由微波针头1将能量辐射到病灶位置,对微波针头周围组织进行微波消融术。As shown in Figure 5, the microwave needle handle includes a microwave transmission cable 2, a needle rod 3, a cooling system 4 and a microwave generator 5. One end of the microwave transmission cable 2 is connected to the microwave generator 5, and the other end is connected to the sleeve 8 of the puncture needle core 6. The cooling system 4 includes a water cooling channel located in the gap between the needle rod 3 and the microwave transmission cable 2. The sleeve 8 is provided with a cavity 9 for accommodating the microwave transmission cable 2. The microwave transmission cable 2 extends into the cavity 9 and is fixed to the sleeve 8 by crimping. The microwave generator 5 transmits the microwave signal from the microwave transmission cable 2 to the microwave needle 1, and the microwave needle 1 radiates the energy to the lesion position, and microwave ablation is performed on the tissue around the microwave needle.
传统的微波针因结构原因,微波针外径偏大,目前常用微波针外径规格为16G~13G(φ1.6mm~φ2.4mm),其中φ1.6mm,φ1.9mm,φ2.1mm和φ2.4mm四种规格最常用。传统微波针头常采用圆锥型和三棱型两种结构,因微波针的外径较大,穿刺阻力大,穿刺能力不佳。通常情况下不能直接穿刺患者皮肤,需要医生用手术刀在患者皮肤上划开个小口子,帮助微波针进入患者体内。Due to structural reasons, the outer diameter of traditional microwave needles is relatively large. Currently, the outer diameter specifications of commonly used microwave needles are 16G~13G (φ1.6mm~φ2.4mm), among which φ1.6mm, φ1.9mm, φ2.1mm and φ2.4mm are the most commonly used. Traditional microwave needles often use conical and triangular structures. Due to the large outer diameter of microwave needles, the puncture resistance is large and the puncture ability is poor. Normally, the patient's skin cannot be punctured directly. The doctor needs to use a scalpel to make a small incision on the patient's skin to help the microwave needle enter the patient's body.
本发明与传统微波针比较,最大区别在于微波针头采用分体式变径微波针头,它大大提高了微波针的穿刺能力。本实施例中微波针头选用13G to 25G标准穿刺针芯6,变径锥度头7和套管8组成。标准穿刺针芯6与传统标准穿刺针芯完全相同,其穿刺力已得到广泛证实,并在医疗行业中广泛应用,其穿刺能力已勿容置疑。变径锥度头7与标准穿刺针芯6采用激光焊接进行连接,套管8装入标准穿刺针芯6尾部,与微波传输电缆2的内芯进行压接,形成通路。微波信号由微波传输电缆2传输到分体式微波针头上,并由分体式微波针头将微波能量辐射到周边病灶位置,对周围组织进行消融手术。Compared with the traditional microwave needle, the biggest difference between the present invention and the traditional microwave needle is that the microwave needle head adopts a split variable-diameter microwave needle head, which greatly improves the puncture ability of the microwave needle. In this embodiment, the microwave needle head uses a 13G to 25G standard puncture needle core 6, a variable-diameter tapered head 7 and a sleeve 8. The standard puncture needle core 6 is exactly the same as the traditional standard puncture needle core. Its puncture force has been widely confirmed and widely used in the medical industry. Its puncture ability is beyond doubt. The variable-diameter tapered head 7 is connected to the standard puncture needle core 6 by laser welding, and the sleeve 8 is installed in the tail of the standard puncture needle core 6 and crimped with the inner core of the microwave transmission cable 2 to form a passage. The microwave signal is transmitted to the split microwave needle head by the microwave transmission cable 2, and the split microwave needle head radiates the microwave energy to the surrounding lesion location to perform ablation surgery on the surrounding tissue.
变径锥度头7使微波针针尖穿刺部分外径变小,其穿刺阻力大大降低,从而提高穿刺效果。分体式变径微波针直接可以穿刺患者皮肤和穿刺肿瘤坚硬外壳,进入病灶中心位置,为医生开展经皮微波消融手术,提供了很好的工具,是一项极具潜力和有良好应用前景的治疗手段。The variable diameter conical head 7 reduces the outer diameter of the puncture part of the microwave needle tip, greatly reducing its puncture resistance, thereby improving the puncture effect. The split variable diameter microwave needle can directly puncture the patient's skin and the hard shell of the tumor to enter the center of the lesion, providing a good tool for doctors to carry out percutaneous microwave ablation surgery. It is a treatment method with great potential and good application prospects.
本发明提供了一种分体式变径微波针,具体实现该技术方案的方法和途径很多,以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。本实施例中未明确的各组成部分均可用现有技术加以实现。The present invention provides a split variable diameter microwave needle. There are many methods and ways to implement the technical solution. The above is only a preferred embodiment of the present invention. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principle of the present invention. These improvements and modifications should also be regarded as the protection scope of the present invention. All components not specified in this embodiment can be implemented by existing technologies.
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