CS254135B1 - Elektrochlrurglcký nástroj - Google Patents

Abstract

The solution relates to the field of surgery, in particular to electrosurgical devices intended for performing bloodless operations on bone and cartilage tissues. The electrosurgical device comprises a cutting working part made in the shape of a disc made of insulating material, electrodes which are placed coaxially with it on both sides thereof, and have the shape of disc cutters, the edges of which are formed as alternating sections with teeth, extending beyond the disc, and sections without teeth. The sections of the cutter with teeth are placed opposite the sections of the cutters without teeth. Holes are made near the edges of the disc cutters.

Description

(54)

Elektrochlrurglcký nástroj

The invention relates in particular to the field of surgery of electrochirure instruments intended for performing blood-free operations on bone and cartilage tissues. The electrosurgical apparatus comprises a cutting working portion in the form of a disc of insulating material, electrodes which are coaxial with it on both sides thereof and are in the form of disc milling cutters whose cutting edges are formed as alternating sections with zulses, overlapping discs and sections without of teeth. The tooth cutter sections are located opposite the tooth cutter sections · Holes are made near the cutting edge of the cutter.

3aHBneHo: 29.10.80

3aHBKA IP 3001164 / 28-13

ΜΚΗ ³ A 61 Β 17/14

Αβτορη: 0.A.CopoweHKo

3aHBHTenb: XapbKOBCKHfl HayHHo-HCcnenoBaTenbCKHn ηηοτητυτ o6change η ΗβοτποχΗοή χηρυργηη h XapbKOBCKan turnTHan κπηηηηθοκβf CojI

Ha3BaHHe Η3θ6ρβτβΗΗΗί 3ΠΕΚΤΡΟΧΗΡΥΡΓΗΗΕΟΚΗ0 HHCTPYMEHT

Θ3θ6ρβΤβΗΗβ OTHOCHTCH Κ MeflHflHHe, iac6THTH XHpyprHH ,. and ΗΜβΗΗΟ K 3JieKTpoxHpyprHHecxHM ΗΗοτργΜβΗτβΜ, ηπη paapeaaHHH KOCTHO-xpnmeBbix TxaHeft. HaBecTeH aneKŤpoxHpyprHHecKHň HHCTpyMeHT, coRepxanfuň pexymyio pa6owyio wacTb, BKjuouammyK) axTHBHbiň snexTpOfl β BHfle ahckoboA φρβ3Η η πρηβοα απη ee BpameHHH and Taxation κοΗτβκτυ ηπη noflBefleHHH flHaTepMHHecKoro τοκβ κ snexTpofly. HeflocTaTOK HSBecTHoro HHCTpyMeHTa aaxníoHaeTCH βτ, ητο β ΗβΜ ΗΜββτ Μβοτο BOSfleíiCTBHe 3ΠβΚΤρθΜ3ΓΗΗΤΗΟΓ0 ΠΟΠΗ Ha TKaHH ΒΗβ 3OHH onepaflHH ea npxlHH Η nfxHH c npxlHH Η nfxHB c

UenbIO H3O6peTeHHH HBJiHeTCH ΗΟΚΠΙΟΗβΗΗβ B03fleíÍCTBHH 3ΠβΚΤρΗΗβΟΚΟΓΟ ΠΟΠΗ Ha

TKaHH BHe 3OHH onepauHH.

fljlH 3ΤΟΓΟ SneKTpOXHpyprHHeCKHň HHCTpyMeHT ΗΠΗ paCCeueHHH -KOCTHO “XpHIReBblX

TKaHeň ,. coflepacaiUHň pexymyio pa6owyro waCTb, BKjnouaKnnyw aKTHBHbiň βπβκτροπ β BHfle flHCKOBoň φρβ3ύ H 'npHBOfl hjih ee BpanteHHH and τβιοκβ κοΗτβκτ ηπη noflBefleHHH flHaTepMHnecKoro τοκβ κ aneKTpofly CHaSxeH ηοποπηητθπβηημ βκτηβημμ 3ΠβκTpOflOM, ΒΜΠΟΠΗβΗΗΜΜ B BHfle flHCKOBOÍÍ φρβ3Μ, yCTaHOBJíeHHOň c áasopoM COOCH OCHOBHOň flHCKOBOÍÍ φρβ3β, ΠρΗ STOM peXyiQHe KPOMKH flHCKOBMX φρβ3 npeflCTaBJ1HIOT co6o paBHOMepHo HepeflywiuHecH ynacTKH c 3y6bHMH h 6ea 3y6bee, π yeCtkh c ayObHMCoBoBoNoBoNoBoBoNoBoBoHoBoNoBoBoHoNoBoNoBoNoBoBoNoBoBoHoNoBoHoNoBoHoNoBoBoHoNoBoHoNoB

Ha nepTexe, Ha φκτγρβ 1, noKaaaH oShihi bhh aneKTpoxHpyprHnecKoro HHCTpy—

MeHTa;

2 ..

Ha (n) is 2-th, bha coxy;

Ha (JiHrype 3 - paapea no A-A) Ha Φηγ.2.

HHCTpyMeHT coAepWHT pexymyw nacTb, BKmonaiomyio aKTHBHbie οπεκτροΑΗ, βμποπHeHHbie Β θΑθ AHCKOBblX Φρε3 1.2, yCTaHOBneHHbIX COOCHOOH C OÓHHa CTOP

H3 .HaonHAHOHHoro MaTepnana. PeacymHe kpomkh ahckobnx φρβ3 1,2 npeACTaBJíHioT coóon paBHOMepHO MepeAyiomHecHynacTKH c 3yÓhHMH h oea ayóbeB. Πο OTHomeHHio Apyr κ APyry φρβ3ω 1,2 ycTaHOBJíeHbí TaKHM oOpa3OM, hto ynácTKH c ayóbHMH φρβ3bi 1 ηθχοαητοη HanpoTHB yuacTKOB Óes 3yóbeB φes 3yóbeB φes 3yobe

3.πβκτρθΑΒΗΓ3τεπκ) 4 5 NEP βμχοαηοΑ San η ρβηγκτορ sixth Φρβ3Μ 1.2 noAKmoneHbí κ HCTOHHHKy AHaTepMHHecxoro Tokai (hs nepTexe He noxasaH) πρκ πομοιοη tokobboAOB 7H nOABHXHbIX KOHT3KTOB 8.9, BbinOJIHeHHblX B ΒΗΑθ npyXHHHmHX ΗΟΧββ, KOH ~ c TaKTHpyromHX cooTBeTCTBywmHMH aneKTpoAaMH (φρεββΜΗ 1,2). 3neKTpoABHraTenb coeAHHHeTCH c hctohhhkom ππτβΗΗΗ nocpeACTBOM, mHypa 10.

HHcrpyMeHT HcnojibayeTCH cneAywntHM oópasoM.

OnepauHH BKJiwMaMT ΘπεκτροΑΒΗΓβτβΑΒ 4, χοτορωή nepea peaxτορ 6 h BbixoAn Ban 5 nepeAaeT BpameHHe Ha ahck 3 η φρβΑω 1,2. OAHOBpeMeHHo Hepe3 TOKOBBOAbl 7 H nOABHXHbie KOHTaKTbl 8.9 Ha φρβ3Μ 1,2, HBnniomHecH βκTHBHbíMH sECTKTpoAaMH, noAawT flow BbicoKon HacTOTbi, oÓpa3yroiUHoPoHoHoPoPoHoHoPoPoHoHoPoPoHoPoHoHoHoPoHoHoHoHoHoHoHoHoHoHoHoHeHoHeHoHeHoHeHoHeHoHeHoHeHoHeHoHeHoHeHoHeHoHeHoHeHoH that where. Πρκ conpHKOCHOBeHHH 3y6beB φρβ3 1,2 c koctho-xpumeBon TKaHbio overnightAHHH HHTeHCHBHo paapymaeTCH, and patientHHhie KpoBeHocHbie cocyAH noABeprawTCH aneKTpoKoaryn.

BnaroAapH yraoBOMy CMemeHHW ynacTKOB c 3yÓbHMH φρβ3 1,2 HCkrnonaeTcn 3aÓHBaHHe 3a3opa Mexuy Φρθ38ΜΗ 1,2, MexaHHHecKH pa3pyméHHò τκθηβιο h KoarynaTOM. KoarynHT, HajiHnaiomHa Ha HapyxHbie noBepxHocTH φρβ3, HenpepbiBHO yAanneTCH nOABHJKHblMH KOHTHKTaMH 8,9, ΒΗΑΒΗΠΗβΗΗΜΜΗ Β ΒΑθ npyXHHHIUHX ΗΟΧβή.

PaBHOMepHoe pacnpeAeneHHe yuacTKOB c 3yObHMH baoab OKpyxHocTen Φρβ3 1.2 h hx OAHHaKOBbie pa3Mepbi ynpomawT Γ3Γ0Τ0ΒπβΗΗβ h cOOPKy HHCTpyHeHaTneHeHeTeHeTaHeTeHaTeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeHeH

BanHHHe β φρβ33χ 1.2 OTBepcTHň 11 pacnonoxeHHbix bÓjihsh pexymnx κροΜοκ, yMeHbmaeT nnomaAfc 3πεκτροΑθΒ b 3ton wacth HHCTpyMeHTa, ητο oÓecnenHBaeT NPE · HMymecTBeHHyio KOHueHTpauHw πηηηΑ Toxa Ha pexymHX KpoMKax, noBbnnan 3φφβκτΗΒHocTb sneKTpoKoaryjiHAHH.

Η3θ6ρετβΗΗβ no3BOJiaeT ηοκπιοηητβ BO3AeňcTBHe aneKTpHuecKoro nona Ha Koxy BHE aoHbí onepaAHH, nocKOjibKy o6e φρβ3ω 1.2 hbjihiotch aKTHBHHMH 3πεκτροΑθΜΗ η b pacnojioxeHbí HenocpeACTBeHHoft óhhsocth pyr pyr ol, co3AaBa «CTaÓnnbHoe aneKTpHnecKoe none b 3OHe onepaAHH.

OOPMyJIA H3OEPETEHHH

3jieKTpoxHpyprHnecKHň HHCTpyMeHT, coAepxamHň pexymy »uacTb, BKjnouaiomyio. aKTHBHbiň 3ηεκτροΑ β ΒΗΑθ ahckoboíí φρβ3Η η πρηβοα AHH ee BpameHHH and Taras KOHTaKTbl ΑΠΗ ΠΟΑΒβΑθΗΗΗ AHHTepMHHeCKOrO K TOKA SJíeKTpOAy, OTJIHHaiOntHňCH ΤβΜ, .wto c uenbio HCKnioweHHH BOSAeňcTBHH aneKTpoMarHHTHoro ποπη to τκηηη βηθ 3OHhl onepaAHH OH CHaSxeH AOnOnHHTenbHblM HKTHBHblM 3ΠβΚΤρθΠΟΜ, ΒΗΠΟΠΗβΗΗΗΜ Β ΒΗΑθ AHCKOBOň φρβ3Η, yCTaHOBneHHOÍÍ C 3a3OpOM COOCH OCHOBHOÍÍ AHCKOBOň φρε3e, NPH 3tom pexymne kpomkh ahckobhx φρβ3 ηρβΑθτβΒΠΗίοτ coóoň paBHOMepHO wepeAywmHecH ywacTKH 3yÓbHMH c h óe3 3y6beB ywacTKH c h 3yóbHMH oahoh φρβ3Η pacnonoxeHbí HanpoTHB ywacTKOB óe3 3yÓbeB Apyroň φρβ3Η.

HcTOWHHKH ΗΗφορΜΗΑΗΗ, ΠρΗΗΑΤΜβ BO ΒΗΗΜ3ΗΗβ ΠρΗ 3Κ0ΠβρΤΗ3β:

1. ABTopcKoe CBHAeTenbCTBO CCCP 19 194982, icnacc A 61 B 17/14, 1967 r.

ΡΕΦΕΡΑΤ □ JIEKTPOXHPyPrHMECKHfl HHCTPYMEHT

HaoSpeTeHHe othochtch to theinacTHTH XHpyprHH, and ΗΜβΗΗΟ κ aneKTpoxHpypruHecKHM HHCTpyMeHTaM, ΠρβΑΗβ3ΗβΜβΗΗΕΙΜ ΑΠΗ ΠρΟΒβΑβΗΗΗ GeCKpOBHblX KepHlXxepeplPnHn

3neKTpoxHpyprHMecKHň HHcTpyMeHT coflepXHT pexymyw paGonyn nacTb, βηποπηθηHyio BHfle flHCKa b 3 c h η30πηηηοηηογο MaTepnana pasMemeHHbíMH COOCH EMY well o6e CTOpOHbl οτ Hero anexTpoflaMH b BHfle ahckobmx φρβ9 1.2 pexymne kpomkh κοτορωχ npeflCTaBHHWT cofioň MepeflywmHecH ynacTKH c syfibHMH, BucTynamniMH the npeflenu flHcxa -3 H Oes ayfiteB. YMacTKH c syfibHMH φρβ3ω 1 pacnonoxeHu Hanpo-thb yqacTKOB 6e9 syfibeB φρβ9 2. Β6πη3η pexymHX kpomok ahckobux φρβ3 1,2 βωΠΟΠΗβΗΜ OTBepCTH 11.

.1ηγ.1,2 npHSHaHO Η3ο6ρετβΗΗβΜ no peaynbTaTaM sKcnepTHsu, ocymecTBneHoň PocyflapcT “seHiibíM CCCP no flenaM naoCpeTeHHò η οτκρτ.

Claims (1)

OBJECT OF THE INVENTION An electrosurgical apparatus comprising a cutting portion comprising an active electrode in the form of a disc milling cutter and a drive for rotating it, and coptacts for supplying a diathermic current to the electrode, characterized in that the apparatus is provided with electrode-like working parts (3). which are arranged coaxially on both sides thereof and are in the form of disc milling cutters (1, 2), the cutting edges of which are formed as alternating sections with teeth, overlapping disc (3) and sections without tooth, the sections of the first disc cutter (1) the teeth are positioned against the toothless second milling cutter sections (2).