CS258418B1 - Electro-surgical Instrument '0 - Google Patents

Abstract

The electrosurgical instrument is intended for performing bloodless operations on muscles, cutting skin and tissues, including rough skin, beans and ligaments. The electrosurgical instrument includes a working cutting part, including disc insulators, a plate knife, circular electrodes and a drive for rotating the working part. The mechanosurgical knife is built between the insulators symmetrically to the electrodes and its edge extends beyond the disc insulators and is determined by an arc of a strip sector with an angle of 10 to 90 degrees.

Description

Even OIMCAHHE H3OBPETEHHH K ABTOPCKOMY CBHflETEJIbCTBy3aHBjieHo: 07.04.803aeBKa: »2908241 / 28-13MKH3: A 61 3 N / 00Abtopu: O.A.ΟοροΜβΗκο 3aaBHTanb: XapbKOBCKHtt HayyHo-HccneflOBaTenbCKuň HHCTHTyT o6meň η Ηβοτηοχ-hon xHpyprHH XapbKOBCKaa oČnacTHan KjiHHHnecKaa H 6 ON bromine and

HaaBaHHe ο3οβρβτβΗΜΗί 3JIEKTP0XHPyPnWECKHfl HHCTPyMEHT

HaoSpereroie othochtch k MeflmjHHCKoň τβχΗΗκβ, and ημθηηο k aneKTpoxiipyprH-neCKHM HHCTpyMeHTHM. Η3ΒβετβΗ aneKrpoxHpyprHnecKHň HHcTpyMeHT, κοτορΜϋ coaepxHT pexymyto pa6o- ttyio nacTb C nnaCTHHHaTblMH flHCKOBblMH H3OnHTOpaMH H KOJIbqeBblMH aneKTpOflaMH, MexaHmecKHň npHBOfl NNS coaflaHun BpamaTenbHoro αβηχθηηη pexymeň pa6oneňqacTH h noABHXHbie κοΗτβκτΗ, BbinojiHěHHbie b BHfle npyxHHHnpix hexene (1).

OflHaxo K3BecTHhiň HHcTpyMeHT npeAHaaHaveH npeHMymecTBeHHO nposeffeHHfl onepaynít Ha napeHXHMarosHbix opraHax, ero φγΗκυΐΗΗ cboahtch to OecKpoBHOMy PE Saron napeHXHMbi 6es bckputhb npocsera KpynHbix cocyfloe, HTO flocTHraeTCH BBI-ποηκβΗΗβΜ pexymKX kpomok HHcTpyMeHŤa OBanbHoň φορΜΜ. Thkhm oOpaaoM, οηβχτρο-hox HseecTHoro HHcTpyMeHT and paspyinaeT τκβηβ τοπβκο CnaroflapH jneAcTBHio ΛΗβτβρ-MHuecKoro Tokai 6ea 3φφβκτ3 MexaromecKoro pesarom, ητο Ηβ πο3Βοη «βτ πρΗΜβ-ηητβ ero she CecKpoBHUx onepaimň Ha μηγκηχ τκβΗχχ (Munmax) and taxxi TVT * pac-ceneHHH kojkh tfeacixuft h cbhsok

Uenbio Η3οβρβτβΗΗΗ HBJíHeTCH oCecneneHHe ČecxpoBHoro pacceMeroui xoxh,

Mbmm h TKaHen, coaepxantHX xpron, φβοιραι h cbbskh. yxasaHHaH uenb ftocTuraeTcn <τβΜ, ητο b snexTpoxMpypnwecxoM HHCTpyMeHTe, conepxameM pexymyio paCoqyio uacTb c nnacTHHHaTUMH uhckobumh Η3οηπτορβΜΗ HKonbneBhiMH 3πεκτρο £ 3ΜΗ, MexaromecKHň npHBOfl pflfi posnaHHH BpamaTenbHoro flBHxe-hhh pexymeň paCoueň nacTH h noflBHXHue κοΗΤβκτω, BbinonHeHHbie b bhab npyxHHH-NMX hexene, MEAWA nnacTHHaMH flucxoBoro HaonnTopa ycTaHoaneH ηομ «pacnonoxen- 258418 2

Hbflft CHMMeTpHHHO OTHOCHTeflbHO KOflbfleBblX SfleKTpOflOB, ΠρΗΑβΜ peXymaH KpOMKaHoxa BbinonHeHa b souffle flyrn OKpyxHOCTH, BejnmuHa κοτοροή cocTaBnaeT 10-90flyroBbix rpaflycoB flHCKa paÓoMeft nacTH HHCTpyMeHTa η BbixoflHT aa npefleflbí o6pa-aywmeft hhckobwx HaonsTopoB.

Ha Φηγ. 1 HaoOpaxeH aneKTpoxHpyprwiecKHn HHcTpyMeHT βηα cnepeflHj Ha Φηγ.2-to xe, BHfl cGoKy; Ha .3ηγ.3 - ceneHHe no A-A Ha Φηγ.2 (yBemweeo) {to .4ηγ.4 -paConafl nacTb HHCTpyMeHTa, b κοτοροή KOflbfleBbie aflexTpoflb h ahck ημθιοτ cer-ΜβΗΤΗΜή cpea; Ha .5ηγ.5 - ceueHne no B-B Ha Φηγ.4, ysennHeHo. KT neKTpoxHpypHMecKHn HHcTpyMeHT (.1ηγ.1-3) coflepxHT pexymyw paConyio nacTb 1 c nnacTHHHaTbiMH, ahckobumk HaoflntopaMH 2 h KonbinesbMH MeTannHHecKHMH 3Πβκ ~ TpoflaMH 3.4. BpameHHe paGoneH Nacra 1 acymecTBJíHeTCH πρκ πομοικη npHBOfla, BKfljonaiomero aneKTpoflBHraTenb 5 Buxofliioň EAN 6h peflyKTop seventh 3πβκτροβω 3,4nOflCOeflHHeHbl K HCTOHHHKy ΑΗβΤβρΜΗΗβΟΚΟΓΟ ΤΟΚβ (IIa ΗβρΤβΧβ Ηβ ΠΟΚβ33Η) ΠρΗΠΟΜΟΙΚΗ TOKOBBOflOB 8 Η nOflBHXHhlX KOHTaKTOB 9.10, BbinOJIHeHHbIX B BHfle- npyXHHB- iuhx Hoxen, KOHTaKTHpyiomHX c cooTBeTCTBywotHMH 3nePpoflaMH 3.4. SneKTpoflBHra-Tenb 5CoKHonaeTCH x HCTOHHHxy πητβηηη nocpeflCTBoM nmypa 11. Mexfly nnacTH-HaMH flHCKOBbix ΒβοπΗτοροΒ 2 ycTaHOBfleH MexaHmiecKHnx 1.2, pacnofloxHHMtcHMMeTpHUHO ConbfleBIcE anDePeFePofMaL 3. Pexymaa xpoMxa 13 MexaHHHecKoro Hoxa12 BbinojiHéHa b BHfle flyrn oxpyxHocTH, BMCTynaeT 3a npefleflbí HapyxHoň 10 ° -90 ° flyroBbix rpaflycoB flHCKa paGonefinacTH 1 (Ha nepTexax yron o ().

B OflHOM H3 ΒΒΡΗβΗΤΟΒ ΒΜΠΟΠΗβΗΗΗ HHCTpyMeHTa (φΗΓ.4,5) flHCKOBbje HSOJJHTOpW 2h KOJibfleBbie anexTpoflbí 3, 4 ημθιοτ cerMeHTHbtft CPEs, Pexymafl KpoMxa 13 Mexa-HHnecKoro Hoxha 12 pacnonoxena b yKaaaHHOM CPEA h HBiiaeTCH npofloflxeHHeM Ha-pyXHOň OKpyxHOCTH flMCKOB H3OflHTOpOB second HHcTpyMeHT ncnoflbayioT cneflywmHM oGpaaoM. Πρκ npoBefleHHH onepaflHH BKjnouaioT aneKTpoflBHraTejrib 5 κοτορωή Bbixofl NEP-hon Ban 6h peflyKTop 7 nepeflaeT BpameHHe Ha paSoHyro UAC, nom first OflHOBpeMeHHouepea tokobboam η ποαβηχημθ κοΗΤβκτορω 8 9 10 Ha KOflbfleBbie aneKTpoflhi 3 4nofla »T flow ΒΜεοκοή nacTOTM, oGpaayramHft Mexfly yKaaaHHbíMH aneKTpoflaMH 3 , 4BbicoKonacTOTHoe 3JieKTpHuecKoe none. ΠρΗ conpHKocHoeeHHH BpamawmeftcH paGoneftnacTH 1 c ΧΗβοή TKaHbio MexaHHnecKHň HOX 12 HMeranorft ocTpy »pexymyw KpoMKy13, paccexaeT TKaHb b it BpeMH XAX ocTaflbHan noBepxnocTb paóoqeň Nacra 1 'npOH3BOflHT afleKTpOKOaryflHflHW KpOBeHOCHbIX Η ΠΗΜφβΤΗΗβΟΚΗΧ COCyflOB, npeflBapH-TeflhHO pacceneHHMx MexaHHHečKHM hoxom 12th TaxHM oOpaaoM bo speMH onepaflHH iHenpflpbiBHO noBTopHioTCH flHKflHflecxHe npofleccu peaaHHH, Kaxfluň hs κοτορΗΧ βκπιο-HaeT cTaflH anxTpoKoaryflHflHH pacce-ηβΗΗοή TxaHH. HanHnarontafl on paGoqyio qacTb 1 xoaryflHpoBaHHaa TKaHb not pbB-ho yflaflfleTCH πρκ BpameHHH paGoueft nacTH 1 ποαβηχημμη κοητθκτβμημπηβμη 9, 10, βμ-nOflHeHHblMH B BHfle npyXHHflQtHX ΗΟΧβή.

. · I

KcnbiTaHHH noxaaanH, ητο βφφβκτΗΒΗΟβ CecxpoBHoe pacceneHHe χηβμχ τκβΗβήBO3MOXHO NPH COOTHOmeHHH ΒρβΜβΗΗ peaaHHH Η ΒρβΜβΗΗ SfleXTpOKOaryflflflHH, hom PAB-1 / 35-1 / 3 το ecTb pexymaa xpoMxa 13 MexaHHflecKoro Hoxha 12 floflXHa coctsb jiHTb-10 DEG -90 DEG flyrosbix rpaflycoB paGofleň Nacra 1 HHCTpyMeHTa. 13 Η β BO BO BO H H ex ex ex ex BO BO BO BO BO py py ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec ec

HHcTpyMeHT, y xoToporo pexymaa KpOMKa 13 MexaHHnecxoro noxa 12 BbicTynaeT

aa.npefleflbí HapyxHOň oKpyxnocTH flHcxa (Φηγ.1-3) flenecoo6pa3Ho npHMeHHTb NPH npoBefleHHH .onepaflHH b TxaHax, coflepxanmx cbh3kh, BbipaxeHHbie anacTHnecKHe βοαοκηη h xpHmH, Tax χβκ NPH 3TOM HeoGxoflHM noBbnneHHHň οφφβκτ peaaHHH. 3 258 418 HHCTpyMeHT y κοτορογο pexymaH xpoMxa Mexammecicoro Hoxha 12 He BCTynaeTsa npeflenu HapyxHoň oxpyxHOCTH flucxa (Φηγ.4-5) npeflHa3HaHeH flflH npoBeneHHAonepauHM to MbnneMHbix h cjíh3hctmx tkshhx, HanpHMep NPH pesexitHH xenyflxa, Toncroro KHtneHHKKa, xnpyprnnecKoň o6pa6oTxe PAH.

PexymaH xpoMxa MexaHHMecxoro Hoxa 12 Myοχβτ ημθτβ <i> opMy, npHcymyw pasnun-HbiM pexynpiM HHCTpyMeHTaM. Nοροωκβ peaynbTaTU πρκ HCnwTaHHHX noxaaana pexy-mas ΚρΟΜΚβ, ΒΜΠΟΠΗβΗΗβΗ B BHfle Ηβ3ΒΗΗ XHpyprHHecxoro CKaJlbnejIH. ΠρΗ o6pa6oi * ~ xe ΗΗφΗΗΗροΒβΗΗΜΧ paH ycneuiHO npHMeH &amp; nacb BojiHHCTaa pexywaa xpoMxa b BHfleneSBHH βΜΤΟΒΟΓΟ HOX3.

TaxHM oCpasoM, HajiHUHe b ajiexTpoxHpyprHHecxoM HHCTpyMeHTe-MexaHHuecxoroHoxa nossonaeT nposofíHTb CecxpoBHbie onepaHHH Ha Bcex τχαηηχ was HCKjiroqeHneMXOCTHOň, HTO 3ΗβΗΗΤβΗΒΗΟ pacWHpaeT oCjjacTb ΠρΗΜβΗβΗΗΗ βΗΠΟΗΗρΗΜΧ βΗΒΧΤΗΒ-HblX SJíeXTpOXHpyprHHeCKHX HHCTpyΜβΗΤΟΒ.

HOPMyjIA H3OBPETEHHH

SjjexTpoxHpyprHHecKHtt HHCTpyMeHT, coflepxanmň pexymyw paGonyro uacTb c ruiac-THHHaTblMH flHCKOBblMH HSOHHTOpaMH H KOnhfleBMMH 3fleKTp0flaMH, MeXHHHHeCXHftnpHBOfl flflH cosflaHHH BpaoiaTejibHoro flBnxeHHH pexymeft paĎoneft MacTH η ποαβηχ-Hbie xoHTaxTbi, BbinonHeHHbie b BHfle npyxHHan (HX noxeň, OTnHHawmHňcH τβΜ, HTO c uejibio CecxpoBHoro pacceneHKA koxh, Mbmifl h TxaHeft, coflepxanmx XPAN, φβο-flHH H CBA3XH, Mexfly nnaCTHHaMH flHCKOBOTO HSOflHTOpa yCTaHOBjíeH HOX, pacnono-xeHnuft cHMMeTpHHHO OTHocHTejibHo xojibuieBbix anexTpoflOB, npHueM pexymaH xpoMxaHoxa BbtnojiHeHa b BHfle flyrH oxpyxHOCTH, BejiHHHHa κοτοροΛ cůcTaBJíHeT 10 ° -90 ° AyroBbix rpaflycoB flncxa pa6oueň UACR HHCTpyMeHTa h bmxoaht sa npeflenu o6pa-sywmeft ahcxobmx hsojihtopob, KCTOHHHXH ΗΗφΟρΜβΗΗΗ;

P E Φ E P A T

SJEKTPOXHPypriWECKHfi HHCTPyMEHT 3jiexTpoxHpyprH <iecKKi HHCTpyMeHT npeAHasHaneH ajih npoBefleHHH 6ecxpOBHMXonepau; Hii Ha Mbnoflax;

SnexTpoxHpyprHuecxHn HHCTpyMeHT coflepxHT paGonyw pexymyw uacTb 1, bkaw-uawmyro flHcKOBbie. HaonATopu 2, nnacTHHuaTbien hox 12, xonbfleBwe snexTpóflti 3,4η πρΗΒΟΑ ΑΠΗ BpameHHH paBoneft uacTH 1.

MexaHHMecXHft HOX 12 BCTpOeH MeXfly MSOHATOpaMH CHMMeTpHHHO SJíeKTpOflaM 2, 3, 4 h ero pexymaH xpoMxa 13 BbinoHHeHa b φορΜβ flyrH oxpyxHOCTH, BeHHWHHaχοτοροή cocTaBiiHeT 10 ° -90 ° flyroBbix rpaflycůB paGoneň nacTH 1H BúcTynaer sanpeflenu oGpasywmeň ahcxobmx ksohatopob second Φηγ.2,3.

IlpHSHaHo Η3θ6ρβτβΗΗβΜ no peayjibTaTaM sxcnepTHSM, ocymecTBneHo rocyflapcT-ΒΘΗΗΜΜ ΤΟΜβΤΟΜ CCCP ΠΟ fleflaM Η3θ6ρβΤβΗΗϋ H OTXpUHft. 1 ΗβρΤβΧ 258418

Claims (1)

DISCLOSURE OF THE INVENTION An electrosurgical instrument comprising a cutting work portion with plate-shaped disc insulators and circular electrodes, a bladed drive for a cutting work part and movable contacts made in the form of spring blades, characterized in that between the plates of the disc insulator (2 ) a spring knife (12) arranged symmetrically to the circular electrodes (3, 4), wherein the blade (13) of the spring knife (12) extends over the disc insulators (2) and is determined by the arc of the circular sector with an angle of 10 to 90 degrees · 258418