WO2024254966A1 - Multi-needle steep pulse ablation electrode device, radio frequency ablation device, method, and system - Google Patents
Multi-needle steep pulse ablation electrode device, radio frequency ablation device, method, and system Download PDFInfo
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- WO2024254966A1 WO2024254966A1 PCT/CN2023/112116 CN2023112116W WO2024254966A1 WO 2024254966 A1 WO2024254966 A1 WO 2024254966A1 CN 2023112116 W CN2023112116 W CN 2023112116W WO 2024254966 A1 WO2024254966 A1 WO 2024254966A1
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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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- 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
- A61B2018/00613—Irreversible electroporation
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
- A61B2018/143—Needle multiple needles
Definitions
- the present invention belongs to the technical field of medical devices, and in particular relates to a multi-needle steep pulse ablation electrode device, a radiofrequency ablation device, a method and a system.
- Cancer is one of the major diseases that threaten human health and life. According to data released by the World Union against Cancer (UICC), in 2008, the number of cancer patients worldwide was 12.7 million, of which 7.6 million died. According to a survey and statistical report by the Chinese Ministry of Health, in the past 30 years, the cancer mortality rate has increased by more than 80%. Currently, cancer has become an important disease that causes death among urban and rural residents and the number one killer of health. The report of the World Health Organization (WHO) also pointed out that globally, the number of new cancer cases and cancer patient mortality will increase at an annual rate of 1%, and the rate of increase will be faster in developing countries such as China, Russia, and India. It is estimated that by 2030, there will be 27 million new cancer cases worldwide and the number of people who will die from cancer will reach 17 million.
- WHO World Health Organization
- irreversible electropuncture therapy is to apply electric pulses to cancer tissue to cause irreversible electrical breakdown of cancer cells, thereby destroying the living conditions of cancer cells and achieving the purpose of killing cancer cells.
- steep pulse ablation electrodes currently on the market have the following problems: First, steep pulse ablation electrodes require the use of multiple electrodes during treatment, but in this process it is difficult to ensure the parallelism between the electrodes or that the electrodes are in the same plane. Second, the spacing between the steep pulse ablation electrodes cannot be precisely controlled, and the electrode spacing will affect the electric field coverage of the tumor during treatment. Third, during treatment, the ablation area cannot be changed arbitrarily according to the size or shape of the lesion. If you want to achieve complete ablation, you have to change the puncture position or electrode model, which will increase the difficulty of the operation and increase the operation time.
- the present invention provides a multi-needle steep pulse ablation electrode device, a radiofrequency ablation device, a method and a system to solve the problem that it is difficult to accurately control the spacing between the needles and the ablation area in the existing steep pulse ablation electrodes.
- the technical solution is as follows:
- a multi-needle steep pulse ablation electrode device of the present invention defines the area where energy is required to be applied to the target tissue as a preset energy application area, including:
- connection ends of the energy application units are configured to be inserted into and slidably connected to the distal end surface of the handheld housing along a preset trajectory, and the execution ends of the plurality of energy application units are located in the same plane and cooperate to form an energy application execution area;
- a driving unit is disposed in the handheld housing, and a power input end of the driving unit extends out of the handheld housing, and a power output end of the driving unit is respectively connected to a plurality of the energy application units;
- the driving part is configured so that the power input end receives external power input, and the power output end outputs driving force to drive the plurality of energy application units, which slide along the preset trajectories corresponding to the respective energy application units, so as to adjust the energy application execution area to match the preset energy application area.
- the preset trajectories of the multiple energy application units are configured to converge toward the center of the distal end surface of the handheld shell and/or diverge outward from the center of the distal end surface of the handheld shell.
- the shape of the energy application execution area is configured as a regular polygon.
- the multi-needle steep pulse ablation electrode device of the present invention defines the direction perpendicular to the distal end surface of the handheld housing as the vertical direction, and the direction parallel to the distal end surface of the handheld housing as the horizontal direction;
- the driving part includes a power input unit, a power execution unit and a plurality of connecting sliding units; the connecting sliding units are respectively connected to the corresponding energy application units and are slidably connected to the inner cavity of the handheld shell along the preset trajectory; the output end of the power input unit extends into the handheld shell
- the inner cavity of the body is connected to each of the connecting sliding units through a power execution unit; the power execution unit is configured to receive the power input of the power input unit and convert the power input into driving each of the connecting sliding units and the energy application unit to slide laterally.
- the power input unit is a vertical power input mechanism
- the power execution unit includes a vertical slider and an elastic force supply unit
- the connecting sliding unit is a horizontal slider provided with a guiding inclined surface
- the input end of the vertical power input mechanism extends out of the handheld housing, and the output end of the vertical power input mechanism is connected to the vertical slider, which is used to drive the vertical slider to move vertically;
- the vertical slider is provided with a plurality of driving inclined surfaces arranged around, and the driving inclined surfaces are inclined toward the center of the distal end surface of the handheld housing;
- a plurality of transverse sliders are arranged around the circumference of the vertical slider, and the driving inclined surfaces correspond to the guide inclined surfaces one by one;
- the elastic force supply unit is respectively connected to each of the transverse sliders, and is used to provide an elastic force for the transverse slider to move toward the vertical slider;
- the guiding inclined surface of each of the transverse sliders is attached to the driving inclined surface, and the transverse position of the transverse slider relative to the vertical slider is adjusted along the preset trajectory according to the vertical relative position change of the vertical slider.
- the vertical power input mechanism comprises a rotating member, an adjusting screw and a fixing nut;
- the fixing nut is fixed to the vertical sliding block; the adjusting screw is arranged vertically, and the adjusting screw is threadedly connected to the fixing nut; the rotating member is fixed to one end of the adjusting screw and extends out of the handheld housing.
- the rotating part includes a knob and a vertical elastic part; the bottom end of the knob is provided with an extension boss extending outward for abutting against the proximal end surface of the handheld shell; the two ends of the vertical elastic part are respectively connected to the extension boss and the vertical slider.
- the elastic force supply unit is an annular compression spring
- An elastic member groove is provided on one side of each of the transverse slide blocks away from the center of the distal end surface of the handheld housing.
- the annular compression spring surrounds each of the transverse slide blocks and is embedded in the corresponding elastic member groove.
- the vertical slider comprises a slider body and a vertical guide structure and a plurality of oblique guide structures arranged on the slider body;
- the outer contour of the vertical guide structure is in contact with the inner cavity wall of the handheld housing;
- the oblique guide structure includes two guide plates vertically and spaced apart on the slider body, and the lower ends of the two guide plates are each provided with an oblique cut surface facing the center of the distal end surface of the handheld housing, and the two corresponding oblique cut surfaces together form the driving inclined surface;
- a protruding structure is disposed on the upper end of the transverse sliding block, and two sides of the protruding structure are respectively provided with oblique step surfaces that cooperate to form the guiding inclined surface.
- an embedding through groove arranged vertically and extending to the protruding structure is provided in the transverse sliding block.
- the lower end of the transverse slider is provided with an extension slide extending toward at least one side of the preset track;
- the distal surface of the handheld shell is a distal bottom plate structure, which includes a chassis and a cover plate; the chassis is respectively provided with guide grooves corresponding to each of the preset trajectories, and the width of the guide grooves matches the overall size of the extension slide; the bottom surface of the guide groove is provided with a long strip through groove for the energy application unit to pass through; the cover plate is covered on the chassis and is provided with guide openings corresponding to the guide grooves one by one, and the width of the guide openings matches the width of the transverse slider.
- the base plate and the cover plate are respectively provided with insertion openings for the vertical sliding block to be inserted.
- the power input unit is a rotating member
- the power execution unit is a plurality of intermediate transmission members
- the connecting sliding unit is a transverse sliding member
- the first ends of the plurality of intermediate transmission members are respectively rotatably connected to the rotating member and offset from the rotating axis of the rotating member, and at least part of the rotating member extends out of the handheld housing; the second end of the intermediate transmission member is rotatably connected to the transverse slider;
- the distal end surface of the handheld shell is a chassis, and the chassis is provided with a plurality of long strip through slots for the energy application unit to pass through, and the trajectory of the long strip through slots is the preset trajectory; the transverse slider slides on the chassis, and the energy application unit is clamped on the transverse slider and extends out of the corresponding long strip through slots.
- the power input unit is a vertical power input mechanism
- the power execution unit is a plurality of oblique connecting rods
- the connecting sliding unit is a transverse sliding block
- the input end of the vertical power input mechanism extends out of the handheld housing.
- the output end of the input mechanism is respectively connected to the first end of each of the oblique connecting rods in rotation and/or swinging manner, so as to drive the first end of the oblique connecting rod to move vertically;
- the second end of the oblique connecting rod is respectively connected to the corresponding transverse sliding block in rotation and/or swinging manner;
- the distal end surface of the handheld shell is a chassis, and the chassis is provided with a plurality of long strip through slots for the energy application unit to pass through, and the trajectory of the long strip through slots is the preset trajectory; the transverse slider slides on the chassis, and the energy application unit is clamped on the transverse slider and extends out of the corresponding long strip through slots.
- the power execution unit also includes a supporting connecting rod, the first end of which is rotatably and/or swingably connected to the handheld shell, and the second end of which is rotatably and/or swingably connected to the rod body of the oblique connecting rod.
- the vertical power input mechanism comprises a rotating member, an adjusting screw, a connecting slider and a vertical elastic member;
- the adjusting screw is vertically arranged in the handheld shell, and the adjusting screw is threadedly connected to the proximal end surface of the handheld shell, the connecting slider is rotatably connected to the adjusting screw, and the connecting slider is respectively connected to the first end of each of the oblique connecting rods; the rotating member is fixed to one end of the adjusting screw and extends out of the handheld shell; the two ends of the vertical elastic member are respectively connected to the handheld shell and the connecting slider.
- the energy applying unit is a metal puncture needle.
- the number of the energy application units is three, four or five.
- a method of using a multi-needle steep pulse ablation electrode device of the present invention is used to ablate a target tissue, comprising:
- a multi-needle steep pulse ablation electrode device further comprises a handheld shell, a plurality of energy application units and a driving part; the connection ends of the plurality of energy application units are configured to be inserted and slidably connected to the distal end surface of the handheld shell along a preset trajectory, the execution ends of the plurality of energy application units are located in the same plane, and cooperate to form an energy application execution area; the driving part is arranged in the handheld shell, and the power input end of the driving part extends out of the handheld shell, and the power output end of the driving part is respectively connected to the plurality of energy application units; the driving part is configured so that the power input end receives external power input, and the power output end outputs a driving force to drive the plurality of energy application units to slide respectively along the corresponding preset trajectories;
- the driving part is configured to receive external power input to drive each of the energy application units to slide along its preset trajectory to obtain the energy application execution area matching the preset energy application area;
- the multi-needle steep pulse ablation electrode device is configured so that each of the energy application units delivers or punctures to a target position corresponding to the target tissue;
- Each of the energy application units is configured to deliver energy to a target tissue.
- a tumor ablation device of the present invention comprises:
- a carrier carrying a plurality of treatment units wherein the connection ends of the plurality of treatment units are configured to be inserted and slidably connected to the distal end surface of the carrier along a preset trajectory, and the execution ends of the treatment units are located in the same plane and cooperate to form an energy application execution area;
- the driving unit is arranged in the carrier, and the power output end of the driving unit is respectively connected to each of the treatment units; the driving unit is configured to drive each of the treatment units to slide along the corresponding preset trajectory to adjust the energy application execution area to match the preset tumor ablation area.
- a minimally invasive medical system of the present invention comprises any one of the multi-needle steep pulse ablation electrode devices described above.
- the present invention has the following advantages and positive effects compared with the prior art:
- multiple energy application units are configured to be inserted and connected to the distal end of the handheld shell by sliding along a preset trajectory.
- a driving unit is arranged inside the handheld shell, and the driving unit drives each energy application unit to slide along the preset trajectory on the distal end of the handheld shell, thereby adjusting the spacing between each energy application unit and the area of the energy application execution area formed by the execution end of each energy application unit to adapt to the preset energy application area required to apply energy to the target tumor, solving the problem of the difficulty in accurately controlling the spacing between each needle and the ablation area in the existing steep pulse ablation electrode.
- the execution end of the energy application unit can be delivered or inserted to reach the target tumor for energy application, so as to perform steep pulse ablation on the target tumor in the energy application execution area.
- FIG1 is a schematic diagram of a multi-needle steep pulse ablation electrode device excluding a handheld housing according to a first embodiment of the present invention
- FIG2 is a cross-sectional view of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention.
- FIG3 is a schematic diagram of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention.
- FIG4 is a schematic diagram of a chassis of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention.
- FIG5 is a schematic diagram of a cover plate of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention.
- FIG6 is a schematic diagram of a transverse slider of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention.
- FIG7 is a cross-sectional view of a transverse slider of the multi-needle steep pulse ablation electrode device according to the first embodiment of the present invention.
- FIG8 is a schematic diagram of a vertical slider of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention.
- FIG9 is a cross-sectional view of a vertical slider of the multi-needle steep pulse ablation electrode device according to the first embodiment of the present invention.
- FIG10 is a schematic diagram of the cooperation between the vertical slider and the horizontal slider of the multi-needle steep pulse ablation electrode device according to the first embodiment of the present invention.
- FIG11 is a cross-sectional view of the cooperation between the vertical slider and the horizontal slider of the multi-needle steep pulse ablation electrode device according to the first embodiment of the present invention.
- FIG12 is a schematic diagram of a knob of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention.
- FIG13 is a cross-sectional view of a knob of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention.
- FIG14 is a front view of the multi-needle steep pulse ablation electrode device of Embodiment 2 of the present invention excluding the handheld housing;
- FIG15 is a schematic diagram of a multi-needle steep pulse ablation electrode device excluding the handheld housing according to the second embodiment of the present invention.
- FIG16 is a cross-sectional view of a multi-needle steep pulse ablation electrode device according to Embodiment 3 of the present invention.
- FIG. 17 is a schematic diagram of the multi-needle steep pulse ablation electrode device according to the third embodiment of the present invention excluding the handheld housing.
- the terms “installed”, “connected” and “connected” should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, or it can be the internal communication of two components.
- installed should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, or it can be the internal communication of two components.
- proximal end and distal end of “proximal end” are commonly used terms in the medical field. Specifically, the “proximal end” is the end close to the operator, the “proximal end surface” is the end surface close to the operator, the “distal end” is the end away from the operator, and the “distal end surface” is the end surface away from the operator.
- a multi-needle steep pulse ablation electrode device defines the area where energy is required to be applied to the target tissue as a preset energy application area, and includes a handheld housing 11 , a plurality of energy application units 1 and a driving unit.
- connection ends of the multiple energy application units 1 are configured to be inserted and slidably connected along a preset track.
- the execution ends of the multiple energy application units 1 are located in the same plane and cooperate to form an energy application execution area.
- the driving part is arranged in the handheld housing 11, and the power input end of the driving part extends out of the handheld housing 11, and the power output end of the driving part is respectively connected to the multiple energy application units 1.
- the driving part is configured to receive external power input at the power input end, and output driving force from the power output end to drive the multiple energy application units 1, respectively sliding along the preset tracks corresponding to each energy application unit 1, so as to adjust the energy application execution area to match the preset energy application area.
- multiple energy application units 1 are configured to be inserted and connected to the distal end of the handheld housing 11 by sliding along a preset trajectory.
- a driving unit is arranged inside the handheld housing 11, and the driving unit drives each energy application unit 1 to slide along the preset trajectory on the distal end of the handheld housing 11, thereby adjusting the spacing between each energy application unit 1 and the area of the energy application execution area formed by the execution end of each energy application unit 1, so as to adapt to the preset energy application area where the target tumor needs to apply energy, thereby solving the problem of the difficulty in accurately controlling the spacing between each needle and the ablation area in the existing steep pulse ablation electrode.
- the execution end of the energy application unit 1 can be delivered or inserted to reach the target tumor for energy application, so as to perform steep pulse ablation on the target tumor in the energy application execution area.
- the preset trajectories of the above-mentioned multiple energy application units 1 are configured to converge toward the center of the distal end surface of the handheld housing 11 or diverge outward. That is, the preset trajectory can be set as a straight line, specifically a long strip through slot 202 opened on the ray diverging outward from the center point of the distal end surface of the handheld housing 11, and the rays where each preset trajectory is located are arranged at equal angles. Of course, in other embodiments, the preset trajectory can also be set as a curve or other forms, such as a curve deflected toward the center point around the distal end surface, which is not specifically limited here.
- the shape of the energy application execution area can be specifically configured as a regular polygon. That is, the number of energy application units 1 is the same as the number of endpoints of the regular polygon, and adjacent energy application units 1 are arranged equidistantly and centered on the center point of the distal end surface.
- the number of energy application units 1 is three, four, five or more, which can be determined according to needs.
- the direction perpendicular to the distal end surface of the handheld housing 11 is defined as the vertical direction, and the direction parallel to the distal end surface of the handheld housing 11 is defined as the horizontal direction.
- the driving unit may specifically include a power input unit, a power execution unit and a plurality of Connecting sliding unit.
- the connecting sliding units are respectively connected to the corresponding energy application units 1, and are slidably connected to the inner cavity of the handheld shell 11 along a preset trajectory.
- the output end of the power input unit extends into the inner cavity of the handheld shell 11, and is connected to each connecting sliding unit through a power execution unit.
- the power execution unit is configured to receive the power input of the power input unit, and convert the power input into driving each connecting sliding unit and the energy application unit 1 to slide laterally.
- the power input unit is a component for receiving external power input
- the power execution unit is a power conversion mechanism that converts the input power into a power driving the connecting sliding unit to slide on the distal surface
- the connecting sliding unit is a component used to connect the energy application unit 1 and realize sliding.
- the power input unit of this embodiment may be a vertical power input mechanism
- the power execution unit includes a vertical slider 6 and an elastic force supply unit
- the connecting sliding unit may be a transverse slider 5 provided with a guide slope 501 .
- the input end of the vertical power input mechanism extends out of the handheld housing 11, and the output end of the vertical power input mechanism is connected to the vertical slider 6, which is used to output the vertical driving force and drive the vertical slider 6 to move vertically.
- Several transverse sliders 5 are arranged to be evenly distributed around the vertical slider 6, and the driving inclined surface corresponds to the guide inclined surface 501 one by one.
- the guide inclined surface 501 is an inclined surface that is inclined toward the center of the distal surface and tilted downward (the direction of the proximal surface of the handheld housing 11 toward the distal surface is downward).
- the vertical slider 6 is provided with several driving inclined surfaces arranged around, which correspond to the transverse slider 5 one by one, and the driving inclined surface is parallel to the guide inclined surface 501 (that is, it is also an inclined surface that is inclined toward the center of the distal surface of the handheld housing 11 and tilted downward).
- the elastic force supply unit is respectively connected to each transverse slider 5, which is used to provide an elastic force to push the transverse slider 5 toward the vertical slider 6, that is, the direction of providing the elastic force is toward the center of the distal surface of the handheld housing 11.
- each transverse slider 5 Driven by the elastic force supply unit, the guide slope 501 of each transverse slider 5 is fitted to the driving slope, and the transverse position of the transverse slider 5 relative to the vertical slider 6 is adjusted along the preset track by the vertical relative position change of the vertical slider 6.
- the vertical slider 6 moves downward to push each transverse slider 5 outward, so that the transverse slider 5 moves along the preset track in the direction away from the center of the distal end surface of the handheld housing 11; the vertical slider 6 moves upward to release the transverse limit of the transverse slider 5, and each transverse slider 5 moves along the preset track in the direction close to the center of the distal end surface of the handheld housing 11 under the elastic force of the elastic force supply unit until it fits the vertical slider 6.
- the vertical power input mechanism may include a rotating member, an adjusting screw 9 and a fixing nut 10.
- the adjusting screw 9 is arranged vertically and rotatably connected to the inner cavity of the handheld housing 11, and the adjusting screw 9 fixes the nut 10.
- the rotating member is fixed to one end of the adjusting screw 9 close to the proximal end surface of the handheld housing 11 and extends outward from the The hand-held housing 11.
- the fixing nut 10 is threadedly connected to the adjusting screw 9, and the fixing nut 10 is fixed on the vertical slider 6.
- a blind hole 603 can be opened on the proximal end surface (upper end surface) of the vertical slider 6, and the fixing nut 10 can be fixedly set in the blind hole 603, and a through hole 604 can be set on the bottom surface of the blind hole 603 for the adjusting screw 9 to pass through.
- the rotating member includes a knob 8 and a vertical elastic member 7.
- the bottom center of the knob 8 has a knob 8 threaded hole, which forms a threaded fit with the adjusting screw 9.
- the outer surface of the knob 8 can be provided with some evenly arranged semicircular long grooves 802, which mainly play an anti-slip role.
- the bottom end of the knob 8 is provided with an extension boss 803 extending outward, which is used to abut against the proximal surface of the handheld housing 11 (that is, the proximal surface of the handheld housing 11 is provided with an opening that allows the knob 8 to extend but does not allow the extension boss 803 to extend).
- the two ends of the vertical elastic member 7 are respectively connected to the extension boss 803 and the vertical slider 6, which are used to maintain the knob 8 always abutting against the proximal surface of the handheld housing 11.
- the vertical elastic member 7 can be specifically a compression spring.
- the knob 8 When the knob 8 is rotated, the adjusting screw 9 is driven to rotate, and the fixing nut 10 threadedly connected thereto is fixed on the vertical slider 6 and will not rotate. Under the action of the thread, the fixing nut 10 will move in the vertical direction, thereby driving the vertical slider 6 to move up and down.
- each transverse slider 5 is provided with an elastic member groove 503 on one side away from the center of the distal end surface of the handheld housing 11, and the annular compression spring 4 surrounds each transverse slider 5 and is embedded in the corresponding elastic member groove 503, and provides the elastic force required by the transverse slider 5 through its annular inward contraction force.
- the vertical slider 6 specifically includes a slider body and a vertical guide structure and a plurality of oblique guide structures arranged on the slider body.
- the outer contour of the vertical guide structure fits with the inner cavity wall of the handheld shell 11.
- the inner cavity of the handheld shell 11 can be a cylindrical cavity
- the outer contour (outer ring surface) of the vertical guide structure can be a circle that matches the cylindrical side surface of the cylindrical cavity.
- the oblique guide structure can specifically include two guide plates 601 vertically and spaced apart on the slider body, and the lower ends of the two guide plates 601 are both provided with oblique cut surfaces facing the center of the distal end surface of the handheld shell 11, and the two corresponding oblique cut surfaces together form a driving inclined surface.
- the upper end of the transverse slider 5 is provided with a corresponding protruding structure, and both sides of the protruding structure are provided with oblique step surfaces that cooperate to form the guiding inclined surface 501. That is, when the guiding inclined surface 501 is in contact with the driving inclined surface, the protruding structure always extends into the guiding gap 602 formed between the two guide plates 601, and can guide the relative position movement between the transverse slider 5 and the vertical slider 6.
- a vertically arranged embedding groove 502 extending to the raised structure is provided in the transverse slider 5, that is, the connecting end of the energy application unit 1 can be inserted into and extended from the embedding groove 502, thereby ensuring a longer clamping length and achieving the purpose of stable clamping.
- the lower end of the transverse slider 5 may be provided with an extension slide extending toward at least one side of the preset trajectory, which may actually be two extension slides extending toward both sides of the predicted trajectory (not the two ends of the trajectory).
- the distal end surface of the handheld housing 11 may be a distal bottom plate structure, which includes a chassis 2 and a cover plate 3, which may be threadedly connected.
- the chassis 2 is provided with guide grooves 201 corresponding to each preset trajectory, and the width of the guide grooves 201 matches the overall size of the extension slide, and the bottom surface of the guide grooves 201 is provided with the above-mentioned long strip through grooves 202 for the energy application unit 1 to pass through.
- the cover plate 3 is covered on the chassis 2 and is provided with guide openings 301 corresponding to the guide grooves 201 one by one, and the width of the guide openings 301 matches the width of the transverse slider 5. That is, the chassis 2 and the cover plate 3 cooperate to form a sliding chamber adapted to the transverse slider 5 and the extension slides on both sides thereof.
- the vertical slider 6 of this embodiment slides up and down, it may interfere with the chassis 2 and the cover plate 3 in some scenarios, so the chassis 2 and the cover plate 3 are respectively provided with insertion openings for the vertical slider 6 to extend therein for avoidance.
- the energy application unit 1 can specifically be a metal puncture needle, and multiple metal puncture needles are electrically connected to the high-voltage pulse power supply respectively, wherein at least one metal puncture needle is an input electrode (used to introduce high-frequency and high-voltage pulse current into the energy application execution area), and at least one metal puncture needle is a recovery electrode (used to extract high-frequency and high-voltage pulse current).
- at least one metal puncture needle is an input electrode (used to introduce high-frequency and high-voltage pulse current into the energy application execution area)
- at least one metal puncture needle is a recovery electrode (used to extract high-frequency and high-voltage pulse current).
- the multi-needle steep pulse ablation electrode device of this embodiment solves the problem that the high-voltage steep pulse treatment technology cannot accurately control the spacing between needles and arbitrarily adjust the ablation area during tumor ablation surgery. At the same time, it also solves the problem that other normal tissues may be damaged when surgically removing tumors.
- the multi-needle steep pulse ablation electrode device of this embodiment makes the metal puncture needles parallel to each other and the movement trajectories of each metal puncture needle are in the same plane through the cooperation of the transverse slider 5 with the guide groove 201 of the chassis 2 and the upper cover plate 3, and the structure that the embedded through groove 502 of the transverse slider 5 for fixing the tail end of the metal puncture needle is perpendicular to the chassis 2, so that the metal puncture needles are parallel to each other and the movement trajectories of each metal puncture needle are in the same plane, ensuring that multiple metal puncture needles can pierce the same lesion tissue at the same time and are parallel to each other, solving the problem that medical staff need to hold or limit the device in steep pulse ablation surgery.
- the electrode device itself can keep the needles parallel to each other, avoiding the need for other limiting devices or medical staff holding electrodes to ensure the parallelism of the needles during the treatment process, thereby reducing the difficulty of the operation.
- the multi-needle steep pulse ablation electrode device of this embodiment can accurately control the distance between each needle by adjusting the threaded connection structure of the screw 9, the knob 8 and the fixing nut 10, as well as the cooperation between the fixing nut 10 and the blind hole 603 of the vertical slider 6 and the cooperation between the guide bevel 501 and the driving bevel. Because when the knob 8 rotates one thread each time, the adjusting screw 9 will rotate one thread, and then the vertical slider 6 will move one pitch up or down, and the vertical slider 6 will push the transverse slider 5 to move a certain distance.
- the distance between each needle can be accurately controlled by this threaded connection structure and the cooperation between the transverse slider 5 and the vertical slider 6, which solves the problem that when the high-voltage steep pulse treatment technology is used for surgical ablation, a high-voltage pulse will be applied between two electrodes for tumor ablation, and the electrode spacing will affect the range of the electric field covering the tumor and the field strength distribution during treatment, thereby affecting the ablation effect.
- Accurately controlling the distance between the electrodes can accurately control the range of the electric field covering the tumor and the field strength distribution, thereby achieving a complete ablation effect without damaging other normal tissues.
- the electrode of the present invention can adjust the ablation area of the electrode arbitrarily through the cooperation of the guiding inclined surface 501 and the driving inclined surface, and the cooperation of the elastic groove 503 of the horizontal slider 5 and the annular compression spring 4.
- the vertical slider 6 moves downward, it will push the electrode to move outward from the center of the chassis 2, and the ablation area of the electrode will increase;
- the annular compression spring 4 will tighten, so that the guiding inclined surface 501 of the horizontal slider 5 is always matched with the driving inclined surface of the vertical slider 6, and the horizontal slider 5 is also moved toward the center of the chassis 2, and the ablation area of the electrode device is reduced.
- the ablation area of the electrode can be adjusted arbitrarily, which solves the problem that during tumor ablation, the electrode itself cannot change the ablation area according to the size and shape of the tumor, and can only change the ablation area by replacing electrodes of different specifications or puncture positions, so as to completely ablate the tumor, reducing the difficulty of surgery and improving the flexibility of the electrode in clinical application.
- the ablation area of the electrode can be changed according to the size and shape of the tumor. There is no need to replace electrodes of different specifications or change the puncture position to achieve a complete ablation effect, which simplifies the surgical operation and saves surgical time.
- the size of the distance between the needle bodies is achieved through this thread structure. Every time a thread is turned, the distance between the needle bodies will change to a certain extent, that is, the distance between the needle bodies can be accurately controlled by the thread. In this way, during the operation, the range of the electric field covering the tumor and the field strength distribution during treatment will not be affected by the inability to accurately control the electrode spacing, thereby affecting the ablation effect.
- the electrode of the present invention ablates the lesion tissue by combining surgery and high-voltage steep pulse ablation technology, which not only solves the problem of damaging other normal tissues when surgically removing the lesion tissue, but also solves the problem of it being difficult to accurately locate the lesion tissue when treating the lesion tissue with high-voltage steep pulse ablation technology, making it impossible to completely ablate the lesion tissue, thereby enhancing the therapeutic effect of the surgery.
- this embodiment provides a multi-needle steep pulse ablation electrode device based on the above-mentioned embodiment 1, and adjusts the arrangement of the driving part, as follows:
- the power input unit may be a rotating member
- the power execution unit may be a plurality of intermediate transmission members 13
- the connecting sliding unit may be a transverse sliding member 5 .
- the first ends of the intermediate transmission members 13 are respectively rotatably connected to the rotating members (the direction of the rotation axis is vertical, which can be realized by the rotating shaft 12), and are offset from the rotation axis of the rotating members, and at least part of the rotating members extend out of the handheld housing 11.
- the second ends of the intermediate transmission members 13 are rotatably connected to the transverse slider 5 (similarly, the direction of the rotation axis is vertical, which can be realized by the rotating shaft 12).
- the distal end surface of the handheld housing 11 is a chassis 2, and the chassis 2 is provided with a plurality of long strip through slots 202 for the energy application unit 1 to pass through, and the trajectory of the long strip through slots 202 is a preset trajectory.
- the transverse slider 5 slides on the chassis 2, and the energy application unit 1 is clamped on the transverse slider 5 and extends out of the corresponding long strip through slots 202.
- the arrangement of the distal end surface can also be a combination of the chassis 2 and the cover plate 3 in the above-mentioned embodiment 1.
- the preset trajectory can be four long strip through slots 202 arranged at 90° on the chassis 2.
- the transverse slider 5 is connected to the intermediate transmission member 13, and the intermediate transmission member 13 is connected to the rotating member (i.e., the knob 8) through the rotating shaft 12, and they can rotate with each other.
- the knob 8 is turned, the intermediate transmission member 13 will rotate and move accordingly, and the movement of the intermediate transmission member 13 will cause the transverse slider 5 to rotate and move. Since the energy application unit 1 is fixed on the transverse slider 5, the energy application unit 1 will also move, but the movement path of the energy application unit 1 is limited by the needle track (long strip through slot 202) on the chassis 2.
- the spacing between the energy application units 1 will change, thereby changing the ablation area. Because the movement of the energy application unit 1 occurs in the same plane and the energy application units 1 are initially parallel to each other, the execution ends of each energy application unit 1 are always in the same plane.
- this embodiment also provides a multi-needle steep pulse ablation electrode device based on the above-mentioned embodiment 1, and adjusts the arrangement of the driving part, as follows:
- the power input unit is a vertical power input mechanism
- the power execution unit is a plurality of oblique connecting rods 15
- the connecting sliding unit is a transverse sliding block 5 .
- the input end of the vertical power input mechanism extends out of the handheld housing 11, and the output end of the vertical power input mechanism is connected to the first end of each oblique link 15 in rotation and/or swinging manner, so as to drive the first end of the oblique link 15 to perform vertical movement.
- the second end of the oblique link 15 is connected to the corresponding horizontal slider 5 in rotation and/or swinging manner (if the preset trajectory is a straight line, only rotation is required).
- the distal end surface of the handheld housing 11 is a chassis 2, and the chassis 2 is provided with a plurality of long strip through slots 202 for the energy application unit 1 to pass through, and the trajectory of the long strip through slots 202 is a preset trajectory.
- the transverse slider 5 slides on the chassis 2, and the energy application unit 1 is clamped on the transverse slider 5 and extends out of the corresponding long strip through slots 202.
- the arrangement of the distal end surface can also be a combination of the chassis 2 and the cover plate 3 in the above-mentioned first embodiment.
- the power execution unit also includes a support link 16, the first end of the support link 16 is rotatably and/or swingably connected to the handheld shell 11, and the second end of the support link 16 is rotatably and/or swingably connected to the rod body of the diagonal link 15 (specifically, it can be the midpoint or other position of the diagonal link 15).
- the vertical power input mechanism may include a rotating member, an adjusting screw 9, a connecting slider 14 and a vertical elastic member 7;
- the adjusting screw 9 is vertically arranged in the handheld shell 11, and the adjusting screw 9 is threadedly connected to the proximal surface of the handheld shell 11, the connecting slider 14 is rotationally connected to the adjusting screw 9, and the connecting slider 14 is respectively connected to the first end of each oblique connecting rod 15;
- the rotating member is fixed to one end of the adjusting screw 9 and extends out of the handheld shell 11; the two ends of the vertical elastic member 7 are respectively connected to the handheld shell 11 and the connecting slider 14.
- the preset track can be four long strip through slots 202 arranged at 90 degrees on the chassis 2.
- a cylinder with a threaded hole can be set in the center of the chassis 2 for the movement of the adjustment screw 9 on the rotating member (knob 8).
- the transverse slider 5 is connected to the oblique connecting rod 15, the oblique connecting rod 15 and the supporting connecting rod 16, and the oblique connecting rod 15 and the connecting slider 14 through a piston pin, and it They can rotate relative to each other.
- the adjusting screw 9 is located at the bottom center of the knob 8, which forms a threaded fit with the chassis 2.
- the knob 8 When the knob 8 is turned, the knob 8 will move downward, thereby causing the connecting slider 14 to move downward.
- the movement of the connecting slider 14 will drive the rotation of the oblique connecting rod 15 and the supporting connecting rod 16, and the rotation of the oblique connecting rod 15 will cause the transverse slider 5 to move, and the energy application unit 1 will also move.
- the energy application unit 1 moves, the spacing between the energy application units 1 will change, thereby changing the ablation area. Because the movement of the energy application units 1 occurs in the same plane and the energy application units 1 are initially parallel to each other, the execution ends of each energy application unit 1 are always in the same plane.
- This embodiment based on the above-mentioned embodiments 1 to 3, provides a method for using a multi-needle steep pulse ablation electrode device for ablating tumor tissue, including:
- the first step is to provide a multi-needle steep pulse ablation electrode device: it further comprises a handheld shell 11, a plurality of energy application units 1 and a driving unit.
- the connection ends of the plurality of energy application units 1 are configured to be inserted and slidably connected to the distal surface of the handheld shell 11 along a preset trajectory, and the execution ends of the plurality of energy application units 1 are located in the same plane and cooperate to form an energy application execution area.
- the driving unit is disposed in the handheld shell 11, and the power input end of the driving unit extends out of the handheld shell 11, and the power output end of the driving unit is respectively connected to the plurality of energy application units 1.
- the driving unit is configured such that the power input end receives external power input, and the power output end outputs a driving force to drive the plurality of energy application units 1 to slide along their corresponding preset trajectories respectively.
- the driving unit is configured to drive each metal puncture needle to slide along its preset trajectory by rotating the knob 8 to obtain an energy application execution area that matches the preset energy application area of the corresponding tumor tissue.
- the multi-needle steep pulse ablation electrode device is configured so that each energy application unit 1 delivers or punctures to the target position corresponding to the target tissue.
- Each energy application unit 1 is configured to deliver energy to a target tissue.
- the method of this embodiment can be applied to in vitro experiments using a multi-needle steep pulse ablation electrode device to detect the accuracy of the energy application execution area formed by the device.
- This embodiment provides a radiofrequency ablation device based on the above-mentioned embodiment 1, defines the area where energy is required to be applied to the target tissue as a preset radiofrequency ablation area, and includes a handheld housing 11, a plurality of energy application units 1 and a driving part.
- the connecting ends of the energy application units 1 are configured to be inserted and slidably connected to the distal end surface of the handheld housing 11 along a preset trajectory.
- the execution ends of multiple energy application units 1 are located in the same plane and cooperate to form a radiofrequency ablation execution area.
- the driving part is arranged in the handheld housing 11, and the power input end of the driving part extends out of the handheld housing 11, and the power output end of the driving part is respectively connected to the multiple energy application units 1.
- the driving part is configured to receive external power input at the power input end, and output driving force from the power output end to drive the multiple energy application units 1 to slide along the preset tracks corresponding to each energy application unit 1, so as to adjust the radiofrequency ablation execution area to match the preset radiofrequency ablation area.
- multiple energy application units 1 are configured to be inserted and connected to the distal end of the handheld shell 11 by sliding along a preset trajectory.
- a driving unit is provided in the handheld shell 11, and the driving unit drives each energy application unit 1 to slide along the preset trajectory on the distal end of the handheld shell 11, thereby adjusting the spacing between each energy application unit 1 and the area of the radio frequency ablation execution area formed by the execution end of each energy application unit 1, so as to adapt to the preset radio frequency ablation area where energy needs to be applied to the target tumor, thereby solving the problem of the difficulty in accurately controlling the spacing between each needle and the ablation area in the existing steep pulse ablation electrodes.
- the execution end of the energy application unit 1 can be delivered or inserted to reach the target tumor to apply energy, so as to perform radio frequency ablation on the target tumor in the radio frequency ablation execution area.
- the energy application unit 1 of this embodiment is used for radiofrequency ablation, and can be specifically a radiofrequency ablation needle.
- the radiofrequency current in the radiofrequency ablation needle flows through human tissue, the rapid change of the electromagnetic field causes the polarized water molecules in the tissue to move at high speed, generating heat (i.e., endogenous heat effect), causing the water inside and outside the cells to evaporate, dry, shrink and fall off, resulting in aseptic necrosis, thereby achieving the purpose of treatment.
- This embodiment provides a tumor ablation device, including a carrier carrying a plurality of treatment units and a driving unit.
- connection ends of the plurality of treatment units are configured to be inserted and slidably connected along a preset trajectory.
- the distal end surface of the carrier and the execution end of the treatment unit are located in the same plane and cooperate to form an energy application execution area.
- the driving unit is arranged in the carrier, and the power output end of the driving unit is connected to each treatment unit respectively.
- the driving unit is configured to drive each treatment unit to slide along its corresponding preset trajectory respectively, so as to adjust the energy application execution area to match the preset tumor ablation area.
- This embodiment provides a medical minimally invasive system based on the above-mentioned embodiments one to four.
- the medical minimally invasive system configures multiple energy application units 1 to be inserted and slidably connected to the distal end surface of the handheld shell 11 along a preset trajectory.
- a driving unit is set in the handheld shell 11, and the driving unit drives each energy application unit 1 to slide along the preset trajectory on the distal end surface of the handheld shell 11, thereby adjusting the spacing between each energy application unit 1 and the area of the energy application execution area formed by the execution end of each energy application unit 1, so as to adapt to the preset energy application area where the target tumor needs to apply energy, and solves the problem of the existing steep pulse ablation electrode that it is difficult to accurately control the spacing between each needle and the ablation area.
- the execution end of the energy application unit 1 can be delivered or inserted to reach the target tumor for energy application, so as to ablate the target tumor in the energy application execution area.
- This application example illustrates the specific application based on the above-mentioned embodiments one to four: first, the spacing between each metal puncture needle and the ablation area are matched to the corresponding tumor target by rotating the knob 8, and the metal puncture needle is inserted into the patient's diseased part by holding it in the handheld part, and then the high-voltage pulse power supply is turned on.
- the high-frequency and high-voltage pulse current output by it is introduced into the patient's diseased part through one or more of the metal puncture needles, and the remaining metal puncture needles are used as loop electrodes to introduce the high-frequency and high-voltage pulse current into the input end of the high-voltage pulse power supply.
- the high-frequency and high-voltage pulse current When the high-frequency and high-voltage pulse current passes through the patient's diseased cells, the high-frequency and high-voltage pulse current will destroy the cell membrane of the diseased cells, thereby killing the diseased cells. Since the metal puncture needles are used as loop electrodes, the high-frequency and high-voltage pulse current only passes through the diseased part and will not damage healthy cells outside the diseased tissue.
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Abstract
Description
本发明属于医疗器械技术领域,尤其涉及一种多针陡脉冲消融电极装置、射频消融装置、方法及系统。The present invention belongs to the technical field of medical devices, and in particular relates to a multi-needle steep pulse ablation electrode device, a radiofrequency ablation device, a method and a system.
癌症是威胁人类健康和生命的主要疾病之一,根据世界抗癌联盟(UICC)发布的一项数据表明:在2008年,世界范围内的癌症患者人数为1270万,其中死亡人数高达760万。另据中国卫生部的调查统计报告显示:在过去的30年间,癌症死亡率增长了八成以上,目前癌症已经成为导致城乡居民死亡的重要的疾病和健康的头号杀手。世界卫生组织(WHO)的报告也指出:在全球范围内,新增癌症病例和癌症患者死亡率也将会以每年1%的速度递增,而在中国、俄罗斯、印度等发展中国家的递增速度会更快,预计到2030年,全球将新增2700万癌症病例,死于癌症的人数将达到1700万人。Cancer is one of the major diseases that threaten human health and life. According to data released by the World Union Against Cancer (UICC), in 2008, the number of cancer patients worldwide was 12.7 million, of which 7.6 million died. According to a survey and statistical report by the Chinese Ministry of Health, in the past 30 years, the cancer mortality rate has increased by more than 80%. Currently, cancer has become an important disease that causes death among urban and rural residents and the number one killer of health. The report of the World Health Organization (WHO) also pointed out that globally, the number of new cancer cases and cancer patient mortality will increase at an annual rate of 1%, and the rate of increase will be faster in developing countries such as China, Russia, and India. It is estimated that by 2030, there will be 27 million new cancer cases worldwide and the number of people who will die from cancer will reach 17 million.
目前癌症的治疗方法主要有手术治疗、放射性治疗和化疗等,但是这些传统的治疗手段由于受到其适应症、禁忌症和副作用等因素的限制,所以治疗效果仍然不够理想,因此,寻求新的癌症治疗方法一直是医疗领域和生物医学工程领域的重要课题。Currently, the main cancer treatments include surgery, radiotherapy and chemotherapy. However, these traditional treatments are limited by their indications, contraindications and side effects, so the treatment effects are still not ideal. Therefore, seeking new cancer treatments has always been an important topic in the medical and biomedical engineering fields.
近年来的研究发现,细胞在发生电穿孔效应后,随着脉冲强度的升高和脉冲作用时间的增加,将发生细胞膜的不可逆性电击穿,造成细胞膜破裂直至细胞死亡。利用这一特性,研究人员提出了不可逆电穿刺疗法,作为一种新型的非热效应的肿瘤消融手段,不可逆电穿孔疗法是将电脉冲作用于癌症组织,使癌症细胞发生不可逆电击穿,这样就破坏了癌症细胞的生存条件,达到了杀伤癌症细胞的目的。但目前市场上的陡脉冲消融电极存在以下几种问题:第一,陡脉冲消融电极在治疗时需要多个电极配合使用,但在这过程中很难保证各电极之间的平行度或各电极在同一平面内。第二,各陡脉冲消融电极间的间距无法精确控制,而电极间距会影响治疗时的电场覆盖肿瘤的 范围及场强分布,从而影响消融效果。第三,在治疗时,无法根据病灶的大小或形状随意改变消融面积,要想完全消融,就要更改穿刺位置或电极的型号,这样会增加手术的难度和增长手术时间。Research in recent years has found that after the electroporation effect occurs in cells, as the pulse intensity increases and the pulse action time increases, irreversible electrical breakdown of the cell membrane will occur, causing the cell membrane to rupture and eventually cell death. Taking advantage of this feature, researchers have proposed irreversible electropuncture therapy. As a new type of non-thermal tumor ablation method, irreversible electroporation therapy is to apply electric pulses to cancer tissue to cause irreversible electrical breakdown of cancer cells, thereby destroying the living conditions of cancer cells and achieving the purpose of killing cancer cells. However, the steep pulse ablation electrodes currently on the market have the following problems: First, steep pulse ablation electrodes require the use of multiple electrodes during treatment, but in this process it is difficult to ensure the parallelism between the electrodes or that the electrodes are in the same plane. Second, the spacing between the steep pulse ablation electrodes cannot be precisely controlled, and the electrode spacing will affect the electric field coverage of the tumor during treatment. Third, during treatment, the ablation area cannot be changed arbitrarily according to the size or shape of the lesion. If you want to achieve complete ablation, you have to change the puncture position or electrode model, which will increase the difficulty of the operation and increase the operation time.
发明内容Summary of the invention
为解决上述问题,本发明提供一种多针陡脉冲消融电极装置、射频消融装置、方法及系统,以解决现有陡脉冲消融电极存在的难以精确控制各针之间间距以及消融面积的问题,技术方案如下:In order to solve the above problems, the present invention provides a multi-needle steep pulse ablation electrode device, a radiofrequency ablation device, a method and a system to solve the problem that it is difficult to accurately control the spacing between the needles and the ablation area in the existing steep pulse ablation electrodes. The technical solution is as follows:
本发明的一种多针陡脉冲消融电极装置,定义目标组织所需能量施加的区域为预设能量施加区域,包括:A multi-needle steep pulse ablation electrode device of the present invention defines the area where energy is required to be applied to the target tissue as a preset energy application area, including:
手持壳体;Handheld housing;
多个能量施加单元,所述能量施加单元的连接端均被配置为插入并沿预设轨迹滑动连接于所述手持壳体的远端面,多个所述能量施加单元的执行端位于同一平面,并配合形成一能量施加执行区域;A plurality of energy application units, wherein the connection ends of the energy application units are configured to be inserted into and slidably connected to the distal end surface of the handheld housing along a preset trajectory, and the execution ends of the plurality of energy application units are located in the same plane and cooperate to form an energy application execution area;
驱动部,设于所述手持壳体内,且所述驱动部的动力输入端伸出于所述手持壳体,所述驱动部的动力输出端分别与多个所述能量施加单元连接;A driving unit is disposed in the handheld housing, and a power input end of the driving unit extends out of the handheld housing, and a power output end of the driving unit is respectively connected to a plurality of the energy application units;
所述驱动部被配置为所述动力输入端接收外部动力输入,并由所述动力输出端输出驱动力驱动多个所述能量施加单元,分别沿各个所述能量施加单元对应的所述预设轨迹滑动,以调整所述能量施加执行区域至与所述预设能量施加区域相匹配。The driving part is configured so that the power input end receives external power input, and the power output end outputs driving force to drive the plurality of energy application units, which slide along the preset trajectories corresponding to the respective energy application units, so as to adjust the energy application execution area to match the preset energy application area.
本发明的多针陡脉冲消融电极装置,多个所述能量施加单元的所述预设轨迹被配置为朝向所述手持壳体远端面的中心聚集和/或由所述手持壳体远端面的中心向外发散。In the multi-needle steep pulse ablation electrode device of the present invention, the preset trajectories of the multiple energy application units are configured to converge toward the center of the distal end surface of the handheld shell and/or diverge outward from the center of the distal end surface of the handheld shell.
本发明的多针陡脉冲消融电极装置,所述能量施加执行区域的形状被配置为正多边形。In the multi-needle steep pulse ablation electrode device of the present invention, the shape of the energy application execution area is configured as a regular polygon.
本发明的多针陡脉冲消融电极装置,定义垂直于所述手持壳体远端面的方向为竖向,平行于所述手持壳体远端面的方向为横向;The multi-needle steep pulse ablation electrode device of the present invention defines the direction perpendicular to the distal end surface of the handheld housing as the vertical direction, and the direction parallel to the distal end surface of the handheld housing as the horizontal direction;
所述驱动部包括动力输入单元、动力执行单元和若干连接滑动单元;所述连接滑动单元分别连接对应的所述能量施加单元,并沿所述预设轨迹滑动连接于所述手持壳体的内腔;所述动力输入单元的输出端伸入于所述手持壳 体的内腔,并通过动力执行单元传动连接至各个所述连接滑动单元;所述动力执行单元被配置为接收所述动力输入单元的动力输入,并转化该动力输入为驱动各个所述连接滑动单元以及所述能量施加单元横向滑动。The driving part includes a power input unit, a power execution unit and a plurality of connecting sliding units; the connecting sliding units are respectively connected to the corresponding energy application units and are slidably connected to the inner cavity of the handheld shell along the preset trajectory; the output end of the power input unit extends into the handheld shell The inner cavity of the body is connected to each of the connecting sliding units through a power execution unit; the power execution unit is configured to receive the power input of the power input unit and convert the power input into driving each of the connecting sliding units and the energy application unit to slide laterally.
本发明的多针陡脉冲消融电极装置,所述动力输入单元为竖向动力输入机构,所述动力执行单元包括竖向滑块和弹性力供给单元,所述连接滑动单元为设有导向斜面的横向滑块;In the multi-needle steep pulse ablation electrode device of the present invention, the power input unit is a vertical power input mechanism, the power execution unit includes a vertical slider and an elastic force supply unit, and the connecting sliding unit is a horizontal slider provided with a guiding inclined surface;
所述竖向动力输入机构的输入端伸出于所述手持壳体,所述竖向动力输入机构的输出端与所述竖向滑块相连,用于带动所述竖向滑块进行竖向运动;所述竖向滑块上开设有若干环绕布置的驱动斜面,且所述驱动斜面朝向所述手持壳体远端面的中心倾斜;若干所述横向滑块环绕设置在所述竖向滑块的周侧,且所述驱动斜面与所述导向斜面一一对应;所述弹性力供给单元分别连接每一所述横向滑块,用于提供所述横向滑块朝向所述竖向滑块的弹性力;The input end of the vertical power input mechanism extends out of the handheld housing, and the output end of the vertical power input mechanism is connected to the vertical slider, which is used to drive the vertical slider to move vertically; the vertical slider is provided with a plurality of driving inclined surfaces arranged around, and the driving inclined surfaces are inclined toward the center of the distal end surface of the handheld housing; a plurality of transverse sliders are arranged around the circumference of the vertical slider, and the driving inclined surfaces correspond to the guide inclined surfaces one by one; the elastic force supply unit is respectively connected to each of the transverse sliders, and is used to provide an elastic force for the transverse slider to move toward the vertical slider;
在所述弹性力供给单元的驱动下,每一所述横向滑块的所述导向斜面均贴合至所述驱动斜面,并由所述竖向滑块的竖向相对位置变化沿所述预设轨迹调整所述横向滑块相对于所述竖向滑块之间的横向位置。Driven by the elastic force supply unit, the guiding inclined surface of each of the transverse sliders is attached to the driving inclined surface, and the transverse position of the transverse slider relative to the vertical slider is adjusted along the preset trajectory according to the vertical relative position change of the vertical slider.
本发明的多针陡脉冲消融电极装置,所述竖向动力输入机构包括转动件、调节螺杆和固定螺母;The multi-needle steep pulse ablation electrode device of the present invention, the vertical power input mechanism comprises a rotating member, an adjusting screw and a fixing nut;
所述固定螺母固定于所述竖向滑块;所述调节螺杆竖向布置,且所述调节螺杆螺纹连接于所述固定螺母;所述转动件固定于所述调节螺杆的一端并伸出于所述手持壳体。The fixing nut is fixed to the vertical sliding block; the adjusting screw is arranged vertically, and the adjusting screw is threadedly connected to the fixing nut; the rotating member is fixed to one end of the adjusting screw and extends out of the handheld housing.
本发明的多针陡脉冲消融电极装置,所述转动件包括旋钮和竖向弹性件;所述旋钮的底端设有向外延伸的延伸凸台,用于抵接至所述手持壳体的近端面;所述竖向弹性件的两端分别连接所述延伸凸台和所述竖向滑块。In the multi-needle steep pulse ablation electrode device of the present invention, the rotating part includes a knob and a vertical elastic part; the bottom end of the knob is provided with an extension boss extending outward for abutting against the proximal end surface of the handheld shell; the two ends of the vertical elastic part are respectively connected to the extension boss and the vertical slider.
本发明的多针陡脉冲消融电极装置,所述弹性力供给单元为环形压缩弹簧;In the multi-needle steep pulse ablation electrode device of the present invention, the elastic force supply unit is an annular compression spring;
每一所述横向滑块背离所述手持壳体远端面的中心的一侧均开设有一弹性件凹槽,所述环形压缩弹簧环绕每一所述横向滑块并嵌入于对应的所述弹性件凹槽。An elastic member groove is provided on one side of each of the transverse slide blocks away from the center of the distal end surface of the handheld housing. The annular compression spring surrounds each of the transverse slide blocks and is embedded in the corresponding elastic member groove.
本发明的多针陡脉冲消融电极装置,所述竖向滑块包括滑块本体以及设于所述滑块本体上的竖向导向结构和若干斜向导向结构; The multi-needle steep pulse ablation electrode device of the present invention, the vertical slider comprises a slider body and a vertical guide structure and a plurality of oblique guide structures arranged on the slider body;
所述竖向导向结构的外轮廓与所述手持壳体的内腔壁面相贴合;所述斜向导向结构包括竖直且间隔布置于所述滑块本体上的两个导向板,两个所述导向板的下端均开设有朝向所述手持壳体远端面中心的斜向切面,两个对应的所述斜向切面合形成所述驱动斜面;The outer contour of the vertical guide structure is in contact with the inner cavity wall of the handheld housing; the oblique guide structure includes two guide plates vertically and spaced apart on the slider body, and the lower ends of the two guide plates are each provided with an oblique cut surface facing the center of the distal end surface of the handheld housing, and the two corresponding oblique cut surfaces together form the driving inclined surface;
所述横向滑块的上端设有凸起结构,且所述凸起结构的两侧分别开设有配合形成所述导向斜面的斜向台阶面。A protruding structure is disposed on the upper end of the transverse sliding block, and two sides of the protruding structure are respectively provided with oblique step surfaces that cooperate to form the guiding inclined surface.
本发明的多针陡脉冲消融电极装置,所述横向滑块内开设有竖向布置且延伸至所述凸起结构的嵌入通槽。In the multi-needle steep pulse ablation electrode device of the present invention, an embedding through groove arranged vertically and extending to the protruding structure is provided in the transverse sliding block.
本发明的多针陡脉冲消融电极装置,所述横向滑块的下端设有朝向所述预设轨迹的至少一侧延伸的延伸滑台;In the multi-needle steep pulse ablation electrode device of the present invention, the lower end of the transverse slider is provided with an extension slide extending toward at least one side of the preset track;
所述手持壳体的远端面为远端底板结构,所述远端底板结构包括底盘和盖板;所述底盘上分别开设有对应每一所述预设轨迹的导向槽,且所述导向槽的宽度匹配所述延伸滑台的整体尺寸;所述导向槽的底面开设有用于使所述能量施加单元穿过的长条形通槽;所述盖板盖设于所述底盘并开设有与所述导向槽一一对应的导向开口,所述导向开口的宽度匹配所述横向滑块的宽度。The distal surface of the handheld shell is a distal bottom plate structure, which includes a chassis and a cover plate; the chassis is respectively provided with guide grooves corresponding to each of the preset trajectories, and the width of the guide grooves matches the overall size of the extension slide; the bottom surface of the guide groove is provided with a long strip through groove for the energy application unit to pass through; the cover plate is covered on the chassis and is provided with guide openings corresponding to the guide grooves one by one, and the width of the guide openings matches the width of the transverse slider.
本发明的多针陡脉冲消融电极装置,所述底盘和所述盖板上分别开设有用于使所述竖向滑块伸入的伸入开口。In the multi-needle steep pulse ablation electrode device of the present invention, the base plate and the cover plate are respectively provided with insertion openings for the vertical sliding block to be inserted.
本发明的多针陡脉冲消融电极装置,所述动力输入单元为转动件,所述动力执行单元为若干中间传动件,所述连接滑动单元为横向滑块;In the multi-needle steep pulse ablation electrode device of the present invention, the power input unit is a rotating member, the power execution unit is a plurality of intermediate transmission members, and the connecting sliding unit is a transverse sliding member;
若干所述中间传动件的第一端分别转动连接于所述转动件,且偏移于所述转动件的转动轴线,至少部分所述转动件伸出于所述手持壳体;所述中间传动件的第二端转动连接于所述横向滑块;The first ends of the plurality of intermediate transmission members are respectively rotatably connected to the rotating member and offset from the rotating axis of the rotating member, and at least part of the rotating member extends out of the handheld housing; the second end of the intermediate transmission member is rotatably connected to the transverse slider;
所述手持壳体的远端面为底盘,所述底盘上设有用于使所述能量施加单元穿过的若干长条形通槽,且所述长条形通槽的轨迹为所述预设轨迹;所述横向滑块滑动于所述底盘,所述能量施加单元夹持于所述横向滑块并伸出于对应的所述长条形通槽。The distal end surface of the handheld shell is a chassis, and the chassis is provided with a plurality of long strip through slots for the energy application unit to pass through, and the trajectory of the long strip through slots is the preset trajectory; the transverse slider slides on the chassis, and the energy application unit is clamped on the transverse slider and extends out of the corresponding long strip through slots.
本发明的多针陡脉冲消融电极装置,所述动力输入单元为竖向动力输入机构,所述动力执行单元为若干斜向连杆,所述连接滑动单元为横向滑块;In the multi-needle steep pulse ablation electrode device of the present invention, the power input unit is a vertical power input mechanism, the power execution unit is a plurality of oblique connecting rods, and the connecting sliding unit is a transverse sliding block;
所述竖向动力输入机构的输入端伸出于所述手持壳体,所述竖向动力输 入机构的输出端分别与各个所述斜向连杆的第一端转动和/或摆动连接,用于带动所述斜向连杆的第一端进行竖向运动;所述斜向连杆的第二端分别与对应所述横向滑块转动和/或摆动连接;The input end of the vertical power input mechanism extends out of the handheld housing. The output end of the input mechanism is respectively connected to the first end of each of the oblique connecting rods in rotation and/or swinging manner, so as to drive the first end of the oblique connecting rod to move vertically; the second end of the oblique connecting rod is respectively connected to the corresponding transverse sliding block in rotation and/or swinging manner;
所述手持壳体的远端面为底盘,所述底盘上设有用于使所述能量施加单元穿过的若干长条形通槽,且所述长条形通槽的轨迹为所述预设轨迹;所述横向滑块滑动于所述底盘,所述能量施加单元夹持于所述横向滑块并伸出于对应的所述长条形通槽。The distal end surface of the handheld shell is a chassis, and the chassis is provided with a plurality of long strip through slots for the energy application unit to pass through, and the trajectory of the long strip through slots is the preset trajectory; the transverse slider slides on the chassis, and the energy application unit is clamped on the transverse slider and extends out of the corresponding long strip through slots.
本发明的多针陡脉冲消融电极装置,所述动力执行单元还包括支撑连杆,所述支撑连杆的第一端转动和/或摆动连接于所述手持壳体,所述支撑连杆的第二端转动和/或摆动连接于所述斜向连杆的杆体。The multi-needle steep pulse ablation electrode device of the present invention, the power execution unit also includes a supporting connecting rod, the first end of which is rotatably and/or swingably connected to the handheld shell, and the second end of which is rotatably and/or swingably connected to the rod body of the oblique connecting rod.
本发明的多针陡脉冲消融电极装置,所述竖向动力输入机构包括转动件、调节螺杆、连接滑块和竖向弹性件;The multi-needle steep pulse ablation electrode device of the present invention, the vertical power input mechanism comprises a rotating member, an adjusting screw, a connecting slider and a vertical elastic member;
所述调节螺杆竖向布置于所述手持壳体内,且所述调节螺杆螺纹连接于所述手持壳体的近端面,所述连接滑块转动连接于所述调节螺杆,且所述连接滑块分别与各个所述斜向连杆的第一端连接;所述转动件固定于所述调节螺杆的一端并伸出于所述手持壳体;所述竖向弹性件的两端分别连接所述手持壳体和所述连接滑块。The adjusting screw is vertically arranged in the handheld shell, and the adjusting screw is threadedly connected to the proximal end surface of the handheld shell, the connecting slider is rotatably connected to the adjusting screw, and the connecting slider is respectively connected to the first end of each of the oblique connecting rods; the rotating member is fixed to one end of the adjusting screw and extends out of the handheld shell; the two ends of the vertical elastic member are respectively connected to the handheld shell and the connecting slider.
本发明的多针陡脉冲消融电极装置,所述能量施加单元为金属穿刺针。In the multi-needle steep pulse ablation electrode device of the present invention, the energy applying unit is a metal puncture needle.
本发明的多针陡脉冲消融电极装置,所述能量施加单元的数量为三个或四个或五个。In the multi-needle steep pulse ablation electrode device of the present invention, the number of the energy application units is three, four or five.
本发明的一种使用多针陡脉冲消融电极装置的方法,用于进行目标组织的消融,包括:A method of using a multi-needle steep pulse ablation electrode device of the present invention is used to ablate a target tissue, comprising:
提供多针陡脉冲消融电极装置:其进一步包含手持壳体、多个能量施加单元和驱动部;多个所述能量施加单元的连接端均被配置为插入并沿预设轨迹滑动连接于所述手持壳体的远端面,多个所述能量施加单元的执行端位于同一平面,并配合形成一能量施加执行区域;驱动部设于所述手持壳体内,且所述驱动部的动力输入端伸出于所述手持壳体,所述驱动部的动力输出端分别与多个所述能量施加单元连接;所述驱动部被配置为所述动力输入端接收外部动力输入,并由所述动力输出端输出驱动力驱动多个所述能量施加单元,分别沿其对应的所述预设轨迹滑动; A multi-needle steep pulse ablation electrode device is provided: it further comprises a handheld shell, a plurality of energy application units and a driving part; the connection ends of the plurality of energy application units are configured to be inserted and slidably connected to the distal end surface of the handheld shell along a preset trajectory, the execution ends of the plurality of energy application units are located in the same plane, and cooperate to form an energy application execution area; the driving part is arranged in the handheld shell, and the power input end of the driving part extends out of the handheld shell, and the power output end of the driving part is respectively connected to the plurality of energy application units; the driving part is configured so that the power input end receives external power input, and the power output end outputs a driving force to drive the plurality of energy application units to slide respectively along the corresponding preset trajectories;
所述驱动部被配置为接收外部动力输入以驱动各个所述能量施加单元沿其预设轨迹滑动,获得与预设能量施加区域相匹配的所述能量施加执行区域;The driving part is configured to receive external power input to drive each of the energy application units to slide along its preset trajectory to obtain the energy application execution area matching the preset energy application area;
多针陡脉冲消融电极装置被配置为各个所述能量施加单元输送或穿刺至目标组织对应的目标位置;The multi-needle steep pulse ablation electrode device is configured so that each of the energy application units delivers or punctures to a target position corresponding to the target tissue;
各个所述能量施加单元被配置为向目标组织输送能量。Each of the energy application units is configured to deliver energy to a target tissue.
本发明的一种肿瘤消融装置,包括:A tumor ablation device of the present invention comprises:
携带若干治疗单元的载体;其中,若干所述治疗单元的连接端均被配置为插入并沿预设轨迹滑动连接于所述载体的远端面,所述治疗单元的执行端位于同一平面,并配合形成一能量施加执行区域;A carrier carrying a plurality of treatment units; wherein the connection ends of the plurality of treatment units are configured to be inserted and slidably connected to the distal end surface of the carrier along a preset trajectory, and the execution ends of the treatment units are located in the same plane and cooperate to form an energy application execution area;
驱动部,设于所述载体内,所述驱动部的动力输出端分别与各个所述治疗单元连接;所述驱动部被配置为驱动各个所述治疗单元分别沿其对应的所述预设轨迹滑动,以调整所述能量施加执行区域至与预设肿瘤消融区域相匹配。The driving unit is arranged in the carrier, and the power output end of the driving unit is respectively connected to each of the treatment units; the driving unit is configured to drive each of the treatment units to slide along the corresponding preset trajectory to adjust the energy application execution area to match the preset tumor ablation area.
本发明的一种医学微创系统,包括上述任何一项所述的多针陡脉冲消融电极装置。A minimally invasive medical system of the present invention comprises any one of the multi-needle steep pulse ablation electrode devices described above.
本发明由于采用以上技术方案,使其与现有技术相比具有以下的优点和积极效果:Due to the adoption of the above technical solution, the present invention has the following advantages and positive effects compared with the prior art:
本发明一实施例将多个能量施加单元配置为插入并沿预设轨迹滑动连接于手持壳体的远端面,手持壳体内则是设置驱动部,由驱动部分别带动各个能量施加单元沿预设轨迹滑动于手持壳体的远端面,从而调整各个能量施加单元之间的间距以及各个能量施加单元的执行端所配合形成的能量施加执行区域的面积,以适配目标肿瘤所需施加能量的预设能量施加区域,解决了现有陡脉冲消融电极存在的难以精确控制各针之间间距以及消融面积的问题。在调整至适配目标肿瘤后,即可通过输送或刺入的方式使能量施加单元的执行端抵达目标肿瘤处进行能量施加,以对能量施加执行区域内的目标肿瘤进行陡脉冲消融。In one embodiment of the present invention, multiple energy application units are configured to be inserted and connected to the distal end of the handheld shell by sliding along a preset trajectory. A driving unit is arranged inside the handheld shell, and the driving unit drives each energy application unit to slide along the preset trajectory on the distal end of the handheld shell, thereby adjusting the spacing between each energy application unit and the area of the energy application execution area formed by the execution end of each energy application unit to adapt to the preset energy application area required to apply energy to the target tumor, solving the problem of the difficulty in accurately controlling the spacing between each needle and the ablation area in the existing steep pulse ablation electrode. After adjusting to adapt to the target tumor, the execution end of the energy application unit can be delivered or inserted to reach the target tumor for energy application, so as to perform steep pulse ablation on the target tumor in the energy application execution area.
图1为本发明实施例一的多针陡脉冲消融电极装置的除手持壳体外的示意图; FIG1 is a schematic diagram of a multi-needle steep pulse ablation electrode device excluding a handheld housing according to a first embodiment of the present invention;
图2为本发明实施例一的多针陡脉冲消融电极装置的剖视图;FIG2 is a cross-sectional view of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention;
图3为本发明实施例一的多针陡脉冲消融电极装置的示意图;FIG3 is a schematic diagram of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention;
图4为本发明实施例一的多针陡脉冲消融电极装置的底盘的示意图;FIG4 is a schematic diagram of a chassis of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention;
图5为本发明实施例一的多针陡脉冲消融电极装置的盖板的示意图;FIG5 is a schematic diagram of a cover plate of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention;
图6为本发明实施例一的多针陡脉冲消融电极装置的横向滑块的示意图;FIG6 is a schematic diagram of a transverse slider of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention;
图7为本发明实施例一的多针陡脉冲消融电极装置的横向滑块的剖视图;FIG7 is a cross-sectional view of a transverse slider of the multi-needle steep pulse ablation electrode device according to the first embodiment of the present invention;
图8为本发明实施例一的多针陡脉冲消融电极装置的竖向滑块的示意图;FIG8 is a schematic diagram of a vertical slider of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention;
图9为本发明实施例一的多针陡脉冲消融电极装置的竖向滑块的剖视图;FIG9 is a cross-sectional view of a vertical slider of the multi-needle steep pulse ablation electrode device according to the first embodiment of the present invention;
图10为本发明实施例一的多针陡脉冲消融电极装置的竖向滑块与横向滑块配合的示意图;FIG10 is a schematic diagram of the cooperation between the vertical slider and the horizontal slider of the multi-needle steep pulse ablation electrode device according to the first embodiment of the present invention;
图11为本发明实施例一的多针陡脉冲消融电极装置的竖向滑块与横向滑块配合的剖视图;FIG11 is a cross-sectional view of the cooperation between the vertical slider and the horizontal slider of the multi-needle steep pulse ablation electrode device according to the first embodiment of the present invention;
图12为本发明实施例一的多针陡脉冲消融电极装置的旋钮的示意图;FIG12 is a schematic diagram of a knob of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention;
图13为本发明实施例一的多针陡脉冲消融电极装置的旋钮的剖视图;FIG13 is a cross-sectional view of a knob of a multi-needle steep pulse ablation electrode device according to Embodiment 1 of the present invention;
图14为本发明实施例二的多针陡脉冲消融电极装置的除手持壳体外的正视图;FIG14 is a front view of the multi-needle steep pulse ablation electrode device of Embodiment 2 of the present invention excluding the handheld housing;
图15为本发明实施例二的多针陡脉冲消融电极装置的除手持壳体外的示意图;FIG15 is a schematic diagram of a multi-needle steep pulse ablation electrode device excluding the handheld housing according to the second embodiment of the present invention;
图16为本发明实施例三的多针陡脉冲消融电极装置的剖视图;FIG16 is a cross-sectional view of a multi-needle steep pulse ablation electrode device according to Embodiment 3 of the present invention;
图17为本发明实施例三的多针陡脉冲消融电极装置的除手持壳体外的示意图。FIG. 17 is a schematic diagram of the multi-needle steep pulse ablation electrode device according to the third embodiment of the present invention excluding the handheld housing.
附图标记说明:1:能量施加单元;2:底盘;201:导向槽;202:长条形通槽;3:盖板;301:导向开口;4:环形压缩弹簧;5:横向滑块;501:导向斜面;502:嵌入通槽;503:弹性件凹槽;6:竖向滑块;601:导向板;602:导向间隔;603:盲孔;604:贯穿孔;7:竖向弹性件;8:旋钮;801:旋钮螺纹孔;802:半圆形长条凹槽;803:延伸凸台;9:调节螺杆;10:固 定螺母;11:手持壳体;12:转轴;13:中间传动件;14:连接滑块;15:斜向连杆;16:支撑连杆。Explanation of reference numerals: 1: energy application unit; 2: chassis; 201: guide groove; 202: long strip groove; 3: cover plate; 301: guide opening; 4: annular compression spring; 5: horizontal slider; 501: guide slope; 502: embedded through groove; 503: elastic member groove; 6: vertical slider; 601: guide plate; 602: guide interval; 603: blind hole; 604: through hole; 7: vertical elastic member; 8: knob; 801: knob threaded hole; 802: semicircular long groove; 803: extension boss; 9: adjustment screw; 10: fixed Fixed nut; 11: handheld housing; 12: rotating shaft; 13: intermediate transmission member; 14: connecting slider; 15: oblique connecting rod; 16: supporting connecting rod.
以下通过特定的具体实例说明本发明的实施方式,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,本说明书中的各项细节也可以基于不同观点与应用,在没有背离本发明的精神下进行各种修饰或改变。需要理解的是,术语“中心”、“纵向”、“横向”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”等仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”等的特征可以明示或者隐含地包括一个或者更多个该特征。在本发明的描述中,除非另有说明,“多个”的含义是两个或两个以上。The following is an explanation of the embodiments of the present invention by specific examples, and those skilled in the art can easily understand other advantages and effects of the present invention from the contents disclosed in this specification. The present invention can also be implemented or applied through other different specific embodiments, and the details in this specification can also be modified or changed in various ways based on different viewpoints and applications without departing from the spirit of the present invention. It should be understood that the orientation or position relationship indicated by the terms "center", "longitudinal", "lateral", "upper", "lower", "front", "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inside", "outside", etc. is based on the orientation or position relationship shown in the drawings, which is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a limitation of the present invention. In addition, the terms "first", "second", etc. are only used for descriptive purposes, and cannot be understood as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, the features defined as "first", "second", etc. may explicitly or implicitly include one or more of the features. In the description of the present invention, unless otherwise specified, the meaning of "multiple" is two or more.
需要说明的是,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以通过具体情况理解上述术语在本发明中的具体含义。It should be noted that, unless otherwise clearly specified and limited, the terms "installed", "connected" and "connected" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, or it can be the internal communication of two components. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood by specific circumstances.
此外,在本申请描述中,“近端”及“远端”的“近端”为医疗领域惯用术语。具体地,“近端”为靠近操作者的一端,“近端面”为靠近操作者的端面,“远端”为远离操作者的一端,“远端面”为远离操作者的端面。In addition, in the description of this application, the "proximal end" and "distal end" of "proximal end" are commonly used terms in the medical field. Specifically, the "proximal end" is the end close to the operator, the "proximal end surface" is the end surface close to the operator, the "distal end" is the end away from the operator, and the "distal end surface" is the end surface away from the operator.
实施例一Embodiment 1
参看图1至图13,在一个实施例中,一种多针陡脉冲消融电极装置,定义目标组织所需能量施加的区域为预设能量施加区域,包括手持壳体11、多个能量施加单元1和驱动部。1 to 13 , in one embodiment, a multi-needle steep pulse ablation electrode device defines the area where energy is required to be applied to the target tissue as a preset energy application area, and includes a handheld housing 11 , a plurality of energy application units 1 and a driving unit.
多个能量施加单元1的连接端均被配置为插入并沿预设轨迹滑动连接于 手持壳体11的远端面,多个能量施加单元1的执行端位于同一平面,并配合形成一能量施加执行区域。The connection ends of the multiple energy application units 1 are configured to be inserted and slidably connected along a preset track. On the distal end surface of the handheld housing 11 , the execution ends of the multiple energy application units 1 are located in the same plane and cooperate to form an energy application execution area.
驱动部设于手持壳体11内,且驱动部的动力输入端伸出于手持壳体11,驱动部的动力输出端分别与多个能量施加单元1连接。驱动部被配置为动力输入端接收外部动力输入,并由动力输出端输出驱动力驱动多个能量施加单元1,分别沿各个能量施加单元1对应的预设轨迹滑动,以调整能量施加执行区域至与预设能量施加区域相匹配。The driving part is arranged in the handheld housing 11, and the power input end of the driving part extends out of the handheld housing 11, and the power output end of the driving part is respectively connected to the multiple energy application units 1. The driving part is configured to receive external power input at the power input end, and output driving force from the power output end to drive the multiple energy application units 1, respectively sliding along the preset tracks corresponding to each energy application unit 1, so as to adjust the energy application execution area to match the preset energy application area.
本实施例将多个能量施加单元1配置为插入并沿预设轨迹滑动连接于手持壳体11的远端面,手持壳体11内则是设置驱动部,由驱动部分别带动各个能量施加单元1沿预设轨迹滑动于手持壳体11的远端面,从而调整各个能量施加单元1之间的间距以及各个能量施加单元1的执行端所配合形成的能量施加执行区域的面积,以适配目标肿瘤所需施加能量的预设能量施加区域,解决了现有陡脉冲消融电极存在的难以精确控制各针之间间距以及消融面积的问题。在调整至适配目标肿瘤后,即可通过输送或刺入的方式使能量施加单元1的执行端抵达目标肿瘤处进行能量施加,以对能量施加执行区域内的目标肿瘤进行陡脉冲消融。In this embodiment, multiple energy application units 1 are configured to be inserted and connected to the distal end of the handheld housing 11 by sliding along a preset trajectory. A driving unit is arranged inside the handheld housing 11, and the driving unit drives each energy application unit 1 to slide along the preset trajectory on the distal end of the handheld housing 11, thereby adjusting the spacing between each energy application unit 1 and the area of the energy application execution area formed by the execution end of each energy application unit 1, so as to adapt to the preset energy application area where the target tumor needs to apply energy, thereby solving the problem of the difficulty in accurately controlling the spacing between each needle and the ablation area in the existing steep pulse ablation electrode. After adjusting to adapt to the target tumor, the execution end of the energy application unit 1 can be delivered or inserted to reach the target tumor for energy application, so as to perform steep pulse ablation on the target tumor in the energy application execution area.
下面对本实施例的多针陡脉冲消融电极装置的具体结构进行进一步说明:The specific structure of the multi-needle steep pulse ablation electrode device of this embodiment is further described below:
在本实施例中,上述的多个能量施加单元1的预设轨迹被配置为朝向手持壳体11远端面的中心远端面的中心聚集或向外发散。即预设轨迹可设置为直线,具体为开设于以手持壳体11远端面的中心点向外侧发散的射线上的长条形通槽202,各个预设轨迹所在的射线之间等夹角布置。当然,在其他实施例中,预设轨迹也可设置为曲线或其他形式,例如沿环绕远端面的中心点朝向该中心点偏转的曲线,在此不作具体限定。In this embodiment, the preset trajectories of the above-mentioned multiple energy application units 1 are configured to converge toward the center of the distal end surface of the handheld housing 11 or diverge outward. That is, the preset trajectory can be set as a straight line, specifically a long strip through slot 202 opened on the ray diverging outward from the center point of the distal end surface of the handheld housing 11, and the rays where each preset trajectory is located are arranged at equal angles. Of course, in other embodiments, the preset trajectory can also be set as a curve or other forms, such as a curve deflected toward the center point around the distal end surface, which is not specifically limited here.
在本实施例中,能量施加执行区域的形状具体可被配置为正多边形。即能量施加单元1的数量与该正多边形的端点的数量相同,相邻的能量施加单元1之间等距布置,且以远端面的中心点为中心。其中,能量施加单元1的数量为三个或四个或五个或更多,具体可根据需求进行确定。In this embodiment, the shape of the energy application execution area can be specifically configured as a regular polygon. That is, the number of energy application units 1 is the same as the number of endpoints of the regular polygon, and adjacent energy application units 1 are arranged equidistantly and centered on the center point of the distal end surface. The number of energy application units 1 is three, four, five or more, which can be determined according to needs.
定义垂直于手持壳体11远端面的方向为竖向,平行于手持壳体11远端面的方向为横向。The direction perpendicular to the distal end surface of the handheld housing 11 is defined as the vertical direction, and the direction parallel to the distal end surface of the handheld housing 11 is defined as the horizontal direction.
在本实施例中,驱动部具体可包括动力输入单元、动力执行单元和若干 连接滑动单元。连接滑动单元分别连接对应的能量施加单元1,并沿预设轨迹滑动连接于手持壳体11的内腔。动力输入单元的输出端伸入于手持壳体11的内腔,并通过动力执行单元传动连接至各个连接滑动单元。动力执行单元被配置为接收动力输入单元的动力输入,并转化该动力输入为驱动各个连接滑动单元以及能量施加单元1横向滑动。其中,动力输入单元即为用于接收外部动力输入的部件,动力执行单元则为将输入的动力转化为带动连接滑动单元在远端面上滑动的动力转化机构,连接滑动单元则是作为连接能量施加单元1以及实现滑动的部件。In this embodiment, the driving unit may specifically include a power input unit, a power execution unit and a plurality of Connecting sliding unit. The connecting sliding units are respectively connected to the corresponding energy application units 1, and are slidably connected to the inner cavity of the handheld shell 11 along a preset trajectory. The output end of the power input unit extends into the inner cavity of the handheld shell 11, and is connected to each connecting sliding unit through a power execution unit. The power execution unit is configured to receive the power input of the power input unit, and convert the power input into driving each connecting sliding unit and the energy application unit 1 to slide laterally. Among them, the power input unit is a component for receiving external power input, the power execution unit is a power conversion mechanism that converts the input power into a power driving the connecting sliding unit to slide on the distal surface, and the connecting sliding unit is a component used to connect the energy application unit 1 and realize sliding.
参看图6至图11,进一步地,本实施例的动力输入单元可为竖向动力输入机构,动力执行单元包括竖向滑块6和弹性力供给单元,连接滑动单元可为设有导向斜面501的横向滑块5。6 to 11 , further, the power input unit of this embodiment may be a vertical power input mechanism, the power execution unit includes a vertical slider 6 and an elastic force supply unit, and the connecting sliding unit may be a transverse slider 5 provided with a guide slope 501 .
竖向动力输入机构的输入端伸出于手持壳体11,竖向动力输入机构的输出端与竖向滑块6相连,用于输出竖向驱动力并带动竖向滑块6进行竖向运动。若干横向滑块5布置为环绕均布在竖向滑块6的周侧,且驱动斜面与导向斜面501一一对应,导向斜面501为朝向远端面中心且朝向下倾斜的斜面(手持壳体11的近端面朝向远端面的方向为向下)。竖向滑块6上则是开设有若干环绕布置的驱动斜面,与横向滑块5一一对应,且驱动斜面平行于导向斜面501(即同样为朝向手持壳体11远端面的中心且朝向下倾斜的斜面)。弹性力供给单元分别与每一横向滑块5相连,用于提供将横向滑块5推向竖向滑块6的弹性力,即弹性力的提供方向是朝向手持壳体11远端面的中心。The input end of the vertical power input mechanism extends out of the handheld housing 11, and the output end of the vertical power input mechanism is connected to the vertical slider 6, which is used to output the vertical driving force and drive the vertical slider 6 to move vertically. Several transverse sliders 5 are arranged to be evenly distributed around the vertical slider 6, and the driving inclined surface corresponds to the guide inclined surface 501 one by one. The guide inclined surface 501 is an inclined surface that is inclined toward the center of the distal surface and tilted downward (the direction of the proximal surface of the handheld housing 11 toward the distal surface is downward). The vertical slider 6 is provided with several driving inclined surfaces arranged around, which correspond to the transverse slider 5 one by one, and the driving inclined surface is parallel to the guide inclined surface 501 (that is, it is also an inclined surface that is inclined toward the center of the distal surface of the handheld housing 11 and tilted downward). The elastic force supply unit is respectively connected to each transverse slider 5, which is used to provide an elastic force to push the transverse slider 5 toward the vertical slider 6, that is, the direction of providing the elastic force is toward the center of the distal surface of the handheld housing 11.
在弹性力供给单元的驱动下,每一横向滑块5的导向斜面501均贴合至驱动斜面,并由竖向滑块6的竖向相对位置变化沿预设轨迹调整横向滑块5相对于竖向滑块6之间的横向位置。竖向滑块6向下移动即可向外侧推动各个横向滑块5,使得横向滑块5沿预设轨迹朝向背离手持壳体11远端面中心的方向移动;竖向滑块6向上移动即可解除对横向滑块5在横向上的限位,各个横向滑块5在弹性力供给单元的弹性力作用下,沿预设轨迹朝向靠近手持壳体11远端面中心的方向移动,直至贴合至竖向滑块6。Driven by the elastic force supply unit, the guide slope 501 of each transverse slider 5 is fitted to the driving slope, and the transverse position of the transverse slider 5 relative to the vertical slider 6 is adjusted along the preset track by the vertical relative position change of the vertical slider 6. The vertical slider 6 moves downward to push each transverse slider 5 outward, so that the transverse slider 5 moves along the preset track in the direction away from the center of the distal end surface of the handheld housing 11; the vertical slider 6 moves upward to release the transverse limit of the transverse slider 5, and each transverse slider 5 moves along the preset track in the direction close to the center of the distal end surface of the handheld housing 11 under the elastic force of the elastic force supply unit until it fits the vertical slider 6.
具体地,竖向动力输入机构可包括转动件、调节螺杆9和固定螺母10。调节螺杆9竖向布置且转动连接于手持壳体11的内腔内,且调节螺杆9固定螺母10。转动件固定于调节螺杆9靠近手持壳体11近端面的一端并伸出于 手持壳体11。固定螺母10则是螺纹连接于调节螺杆9,并且该固定螺母10固定于竖向滑块6上,具体可在竖向滑块6的近端面(上端面)上开设一盲孔603,固定螺母10即可固定设置在该盲孔603内,而该盲孔603的底面上可设置一贯穿孔604,用于使调节螺杆9穿过。Specifically, the vertical power input mechanism may include a rotating member, an adjusting screw 9 and a fixing nut 10. The adjusting screw 9 is arranged vertically and rotatably connected to the inner cavity of the handheld housing 11, and the adjusting screw 9 fixes the nut 10. The rotating member is fixed to one end of the adjusting screw 9 close to the proximal end surface of the handheld housing 11 and extends outward from the The hand-held housing 11. The fixing nut 10 is threadedly connected to the adjusting screw 9, and the fixing nut 10 is fixed on the vertical slider 6. Specifically, a blind hole 603 can be opened on the proximal end surface (upper end surface) of the vertical slider 6, and the fixing nut 10 can be fixedly set in the blind hole 603, and a through hole 604 can be set on the bottom surface of the blind hole 603 for the adjusting screw 9 to pass through.
参看图12和图13,在本实施例中,转动件包括旋钮8和竖向弹性件7。旋钮8的底部中心有一个旋钮8螺纹孔,与调节螺杆9形成螺纹配合,当转动旋钮8时,调节螺杆9也会随之转动。旋钮8的外表面可设置一些均匀排列的半圆形长条凹槽802,主要起防滑的作用。进一步地,旋钮8的底端设有向外延伸的延伸凸台803,用于抵接至手持壳体11的近端面(即手持壳体11的近端面上开设有可以容许旋钮8伸出但不容许延伸凸台803伸出的开孔)。竖向弹性件7的两端分别连接延伸凸台803和竖向滑块6,用于维持旋钮8始终抵接于手持壳体11的近端面,该竖向弹性件7具体可为压缩弹簧。Referring to Figures 12 and 13, in this embodiment, the rotating member includes a knob 8 and a vertical elastic member 7. The bottom center of the knob 8 has a knob 8 threaded hole, which forms a threaded fit with the adjusting screw 9. When the knob 8 is rotated, the adjusting screw 9 will also rotate accordingly. The outer surface of the knob 8 can be provided with some evenly arranged semicircular long grooves 802, which mainly play an anti-slip role. Further, the bottom end of the knob 8 is provided with an extension boss 803 extending outward, which is used to abut against the proximal surface of the handheld housing 11 (that is, the proximal surface of the handheld housing 11 is provided with an opening that allows the knob 8 to extend but does not allow the extension boss 803 to extend). The two ends of the vertical elastic member 7 are respectively connected to the extension boss 803 and the vertical slider 6, which are used to maintain the knob 8 always abutting against the proximal surface of the handheld housing 11. The vertical elastic member 7 can be specifically a compression spring.
当旋钮8转动时,带动调节螺杆9转动,而与之螺纹连接的固定螺母10是被固定在竖向滑块6上的,不会发生转动,在螺纹的作用下,固定螺母10即会进行竖向方向上的移动,从而带动竖向滑块6上下移动。When the knob 8 is rotated, the adjusting screw 9 is driven to rotate, and the fixing nut 10 threadedly connected thereto is fixed on the vertical slider 6 and will not rotate. Under the action of the thread, the fixing nut 10 will move in the vertical direction, thereby driving the vertical slider 6 to move up and down.
进一步地,弹性力供给单元具体可为环形压缩弹簧4。对应的,每一横向滑块5背离手持壳体11远端面的中心的一侧均开设有一弹性件凹槽503,环形压缩弹簧4环绕每一横向滑块5并嵌入于对应的弹性件凹槽503,通过其环形向内的收缩力来提供横向滑块5所需的弹性力。Furthermore, the elastic force supply unit may be specifically an annular compression spring 4. Correspondingly, each transverse slider 5 is provided with an elastic member groove 503 on one side away from the center of the distal end surface of the handheld housing 11, and the annular compression spring 4 surrounds each transverse slider 5 and is embedded in the corresponding elastic member groove 503, and provides the elastic force required by the transverse slider 5 through its annular inward contraction force.
在本实施例中,上述的竖向滑块6具体包括滑块本体以及设于滑块本体上的竖向导向结构和若干斜向导向结构。竖向导向结构的外轮廓与手持壳体11的内腔壁面相贴合,手持壳体11的内腔可为一圆柱空腔,则该竖向导向结构的外轮廓(外圈面)即可为与该圆柱空腔的圆柱侧面相匹配的圆形。斜向导向结构具体可包括竖直且间隔布置于滑块本体上的两个导向板601,两个导向板601的下端均开设有朝向手持壳体11远端面中心的斜向切面,两个对应的斜向切面合形成驱动斜面。In this embodiment, the vertical slider 6 specifically includes a slider body and a vertical guide structure and a plurality of oblique guide structures arranged on the slider body. The outer contour of the vertical guide structure fits with the inner cavity wall of the handheld shell 11. The inner cavity of the handheld shell 11 can be a cylindrical cavity, and the outer contour (outer ring surface) of the vertical guide structure can be a circle that matches the cylindrical side surface of the cylindrical cavity. The oblique guide structure can specifically include two guide plates 601 vertically and spaced apart on the slider body, and the lower ends of the two guide plates 601 are both provided with oblique cut surfaces facing the center of the distal end surface of the handheld shell 11, and the two corresponding oblique cut surfaces together form a driving inclined surface.
横向滑块5的上端则是设有对应凸起结构,且凸起结构的两侧分别开设有配合形成导向斜面501的斜向台阶面。即在导向斜面501与驱动斜面贴合的状态下,该凸起结构始终伸入于两个导向板601之间形成的导向间隔602中,可对横向滑块5与竖向滑块6之间的相对位置移动进行导向。 The upper end of the transverse slider 5 is provided with a corresponding protruding structure, and both sides of the protruding structure are provided with oblique step surfaces that cooperate to form the guiding inclined surface 501. That is, when the guiding inclined surface 501 is in contact with the driving inclined surface, the protruding structure always extends into the guiding gap 602 formed between the two guide plates 601, and can guide the relative position movement between the transverse slider 5 and the vertical slider 6.
进一步地,为了保证对能量施加单元1的充分夹持,横向滑块5内开设有竖向布置且延伸至凸起结构的嵌入通槽502,即该能量施加单元1的连接端可插入并伸出于该嵌入通槽502,从而保证一较长的夹持长度,达到稳定夹持的目的。Furthermore, in order to ensure sufficient clamping of the energy application unit 1, a vertically arranged embedding groove 502 extending to the raised structure is provided in the transverse slider 5, that is, the connecting end of the energy application unit 1 can be inserted into and extended from the embedding groove 502, thereby ensuring a longer clamping length and achieving the purpose of stable clamping.
在本实施例中,为了对横向滑块5沿预设轨迹进行导向,横向滑块5的下端可设有朝向预设轨迹的至少一侧延伸的延伸滑台,实际可为朝向预测轨迹两侧(非该轨迹的两端)延伸的两个延伸滑台。In this embodiment, in order to guide the transverse slider 5 along the preset trajectory, the lower end of the transverse slider 5 may be provided with an extension slide extending toward at least one side of the preset trajectory, which may actually be two extension slides extending toward both sides of the predicted trajectory (not the two ends of the trajectory).
参看图4和图5,手持壳体11的远端面则可为远端底板结构,该远端底板结构包括底盘2和盖板3,两者之间可为螺纹连接。底盘2上分别开设有对应每一预设轨迹的导向槽201,且导向槽201的宽度匹配延伸滑台的整体尺寸,导向槽201的底面开设有用于使能量施加单元1穿过的上述长条形通槽202。盖板3盖设于底盘2并开设有与导向槽201一一对应的导向开口301,导向开口301的宽度匹配横向滑块5的宽度。即底盘2与盖板3之间配合形成一适配横向滑块5及其两侧延伸滑台的滑动腔室。Referring to Fig. 4 and Fig. 5, the distal end surface of the handheld housing 11 may be a distal bottom plate structure, which includes a chassis 2 and a cover plate 3, which may be threadedly connected. The chassis 2 is provided with guide grooves 201 corresponding to each preset trajectory, and the width of the guide grooves 201 matches the overall size of the extension slide, and the bottom surface of the guide grooves 201 is provided with the above-mentioned long strip through grooves 202 for the energy application unit 1 to pass through. The cover plate 3 is covered on the chassis 2 and is provided with guide openings 301 corresponding to the guide grooves 201 one by one, and the width of the guide openings 301 matches the width of the transverse slider 5. That is, the chassis 2 and the cover plate 3 cooperate to form a sliding chamber adapted to the transverse slider 5 and the extension slides on both sides thereof.
进一步地,因本实施例的竖向滑块6是上下滑动的,在部分场景中会存在与底盘2和盖板3产生干涉,故底盘2和盖板3上分别开设有用于使竖向滑块6伸入的伸入开口,用于进行避位。Furthermore, since the vertical slider 6 of this embodiment slides up and down, it may interfere with the chassis 2 and the cover plate 3 in some scenarios, so the chassis 2 and the cover plate 3 are respectively provided with insertion openings for the vertical slider 6 to extend therein for avoidance.
在本实施例中,能量施加单元1具体可为金属穿刺针,且多个金属穿刺针分别与高压脉冲电源电连接,其中,至少一个金属穿刺针为输入电极(用于将高频高压脉冲电流导入能量施加执行区域),至少一个金属穿刺针为回收电极(用于将高频高压脉冲电流导出)。In this embodiment, the energy application unit 1 can specifically be a metal puncture needle, and multiple metal puncture needles are electrically connected to the high-voltage pulse power supply respectively, wherein at least one metal puncture needle is an input electrode (used to introduce high-frequency and high-voltage pulse current into the energy application execution area), and at least one metal puncture needle is a recovery electrode (used to extract high-frequency and high-voltage pulse current).
下面对本实施例的具体技术手段进行说明:The specific technical means of this embodiment are described below:
本实施例的多针陡脉冲消融电极装置解决了高压陡脉冲治疗技术在进行肿瘤消融手术时,不能精确控制各针之间的间距及任意调整消融面积的问题,同时,也解决了用外科手术切除肿瘤时,会损伤其他正常组织的问题。The multi-needle steep pulse ablation electrode device of this embodiment solves the problem that the high-voltage steep pulse treatment technology cannot accurately control the spacing between needles and arbitrarily adjust the ablation area during tumor ablation surgery. At the same time, it also solves the problem that other normal tissues may be damaged when surgically removing tumors.
1.本实施例的多针陡脉冲消融电极装置通过横向滑块5与底盘2和上盖板3的导向槽201的配合,以及固定金属穿刺针尾端的横向滑块5的嵌入通槽502垂直于底盘2的结构,使各金属穿刺针之间相互平行,并且还使各金属穿刺针的运动轨迹在同一平面内,确保多个金属穿刺针能同时刺入同一病灶组织并相互平行,解决了在陡脉冲消融手术中需要医护人员手持或限位装 置来保持各针相互平行的现象,电极装置本身就可以使各针相互平行,避免了在治疗过程中,需要其他的限位装置或医护人员手持电极来保证各针的平行度,降低了手术的操作难度。1. The multi-needle steep pulse ablation electrode device of this embodiment makes the metal puncture needles parallel to each other and the movement trajectories of each metal puncture needle are in the same plane through the cooperation of the transverse slider 5 with the guide groove 201 of the chassis 2 and the upper cover plate 3, and the structure that the embedded through groove 502 of the transverse slider 5 for fixing the tail end of the metal puncture needle is perpendicular to the chassis 2, so that the metal puncture needles are parallel to each other and the movement trajectories of each metal puncture needle are in the same plane, ensuring that multiple metal puncture needles can pierce the same lesion tissue at the same time and are parallel to each other, solving the problem that medical staff need to hold or limit the device in steep pulse ablation surgery. The electrode device itself can keep the needles parallel to each other, avoiding the need for other limiting devices or medical staff holding electrodes to ensure the parallelism of the needles during the treatment process, thereby reducing the difficulty of the operation.
2.本实施例的多针陡脉冲消融电极装置通过调节螺杆9与旋钮8和固定螺母10的螺纹连接结构,以及固定螺母10与竖向滑块6的盲孔603的配合和导向斜面501与驱动斜面的配合,可精确控制各针之间的距离,因当旋钮8每转动一个螺纹,调节螺杆9就会转动一个螺纹,随之竖向滑块6就会向上或向下移动一个螺距,而竖向滑块6又会推动横向滑块5移动一定的距离,所以可通过这种螺纹连接结构和横向滑块5与竖向滑块6的配合来实现精确控制各针之间的间距,解决了高压陡脉冲治疗技术在进行手术消融时,会选择两条电极之间施加高压脉冲进行肿瘤消融,而电极间距会影响治疗时的电场覆盖肿瘤的范围及场强分布,从而影响消融效果的问题,精确控制电极间的距离就可精确控制电场覆盖肿瘤的范围及场强分布,达到完全消融的效果且不会损伤其他正常的组织。2. The multi-needle steep pulse ablation electrode device of this embodiment can accurately control the distance between each needle by adjusting the threaded connection structure of the screw 9, the knob 8 and the fixing nut 10, as well as the cooperation between the fixing nut 10 and the blind hole 603 of the vertical slider 6 and the cooperation between the guide bevel 501 and the driving bevel. Because when the knob 8 rotates one thread each time, the adjusting screw 9 will rotate one thread, and then the vertical slider 6 will move one pitch up or down, and the vertical slider 6 will push the transverse slider 5 to move a certain distance. Therefore, the distance between each needle can be accurately controlled by this threaded connection structure and the cooperation between the transverse slider 5 and the vertical slider 6, which solves the problem that when the high-voltage steep pulse treatment technology is used for surgical ablation, a high-voltage pulse will be applied between two electrodes for tumor ablation, and the electrode spacing will affect the range of the electric field covering the tumor and the field strength distribution during treatment, thereby affecting the ablation effect. Accurately controlling the distance between the electrodes can accurately control the range of the electric field covering the tumor and the field strength distribution, thereby achieving a complete ablation effect without damaging other normal tissues.
3.本发明电极通过导向斜面501与驱动斜面的配合,以及横向滑块5的弹性件凹槽503与环形压缩弹簧4的配合,可任意调整电极的消融面积。当竖向滑块6向下移动时,会推动横向由底盘2中心向外移动,电极的消融面积增大;当竖向滑块6向上移动时,环形压缩弹簧4就会收紧,使横向滑块5的导向斜面501始终与竖向滑块6的驱动斜面相配合,同时也使横向滑块5向底盘2中心移动,电极装置的消融面积减小,这样就可任意调整电极的消融面积,解决了在肿瘤消融时,电极本身不能根据肿瘤的大小和形状来改变消融面积,只能通过更换不同规格的电极或穿刺位置来改变消融面积,从而使肿瘤完全消融的问题,降低了手术的难度,提高了电极在临床应用的灵活度。这样就可以在治疗时,根据肿瘤的大小和形状来改变电极的消融面积,无需更换不同规格的电极或更换穿刺位置,就可以达到完全消融的效果,简化了手术的操作,节约了手术的时间。3. The electrode of the present invention can adjust the ablation area of the electrode arbitrarily through the cooperation of the guiding inclined surface 501 and the driving inclined surface, and the cooperation of the elastic groove 503 of the horizontal slider 5 and the annular compression spring 4. When the vertical slider 6 moves downward, it will push the electrode to move outward from the center of the chassis 2, and the ablation area of the electrode will increase; when the vertical slider 6 moves upward, the annular compression spring 4 will tighten, so that the guiding inclined surface 501 of the horizontal slider 5 is always matched with the driving inclined surface of the vertical slider 6, and the horizontal slider 5 is also moved toward the center of the chassis 2, and the ablation area of the electrode device is reduced. In this way, the ablation area of the electrode can be adjusted arbitrarily, which solves the problem that during tumor ablation, the electrode itself cannot change the ablation area according to the size and shape of the tumor, and can only change the ablation area by replacing electrodes of different specifications or puncture positions, so as to completely ablate the tumor, reducing the difficulty of surgery and improving the flexibility of the electrode in clinical application. In this way, during treatment, the ablation area of the electrode can be changed according to the size and shape of the tumor. There is no need to replace electrodes of different specifications or change the puncture position to achieve a complete ablation effect, which simplifies the surgical operation and saves surgical time.
同时,各针体之间间距的大小都是通过这个螺纹结构实现的,每转动一个螺纹,各针体间的间距就会发生一定的改变,也就是各针体之间的间距可通过螺纹精确控制。这样在手术过程中,就不会因不能精确控制电极间距影响治疗时的电场覆盖肿瘤的范围及场强分布,从而影响消融效果。 At the same time, the size of the distance between the needle bodies is achieved through this thread structure. Every time a thread is turned, the distance between the needle bodies will change to a certain extent, that is, the distance between the needle bodies can be accurately controlled by the thread. In this way, during the operation, the range of the electric field covering the tumor and the field strength distribution during treatment will not be affected by the inability to accurately control the electrode spacing, thereby affecting the ablation effect.
4.本发明电极通过外科和高压陡脉冲消融技术相结合的方式对病灶组织进行消融,既解决了外科手术切除病灶组织时,会损伤其他正常组织的问题,又解决了高压陡脉冲消融技术治疗病灶组织时,因很难准确定位病灶组织,使病灶组织无法被完全消融的问题,增强了手术的治疗效果。4. The electrode of the present invention ablates the lesion tissue by combining surgery and high-voltage steep pulse ablation technology, which not only solves the problem of damaging other normal tissues when surgically removing the lesion tissue, but also solves the problem of it being difficult to accurately locate the lesion tissue when treating the lesion tissue with high-voltage steep pulse ablation technology, making it impossible to completely ablate the lesion tissue, thereby enhancing the therapeutic effect of the surgery.
实施例二Embodiment 2
参看图14和图15,本实施例在上述实施例一的基础上提供一种多针陡脉冲消融电极装置,对驱动部的布置形式进行了调整,具体如下:14 and 15 , this embodiment provides a multi-needle steep pulse ablation electrode device based on the above-mentioned embodiment 1, and adjusts the arrangement of the driving part, as follows:
在本实施例中,动力输入单元可为转动件,动力执行单元为若干中间传动件13,连接滑动单元为横向滑块5。In this embodiment, the power input unit may be a rotating member, the power execution unit may be a plurality of intermediate transmission members 13 , and the connecting sliding unit may be a transverse sliding member 5 .
若干中间传动件13的第一端分别转动连接于转动件(转动轴线的方向为竖向,具体可通过转轴12实现),且偏移于转动件的转动轴线,至少部分转动件伸出于手持壳体11。中间传动件13的第二端转动连接于横向滑块5(同样,转动轴线的方向为竖向,具体可通过转轴12实现)。The first ends of the intermediate transmission members 13 are respectively rotatably connected to the rotating members (the direction of the rotation axis is vertical, which can be realized by the rotating shaft 12), and are offset from the rotation axis of the rotating members, and at least part of the rotating members extend out of the handheld housing 11. The second ends of the intermediate transmission members 13 are rotatably connected to the transverse slider 5 (similarly, the direction of the rotation axis is vertical, which can be realized by the rotating shaft 12).
手持壳体11的远端面为底盘2,底盘2上设有用于使能量施加单元1穿过的若干长条形通槽202,且长条形通槽202的轨迹为预设轨迹。横向滑块5滑动于底盘2,能量施加单元1夹持于横向滑块5并伸出于对应的长条形通槽202。当然,远端面的布置方式也可为上述实施例一中的底盘2和盖板3的组合。The distal end surface of the handheld housing 11 is a chassis 2, and the chassis 2 is provided with a plurality of long strip through slots 202 for the energy application unit 1 to pass through, and the trajectory of the long strip through slots 202 is a preset trajectory. The transverse slider 5 slides on the chassis 2, and the energy application unit 1 is clamped on the transverse slider 5 and extends out of the corresponding long strip through slots 202. Of course, the arrangement of the distal end surface can also be a combination of the chassis 2 and the cover plate 3 in the above-mentioned embodiment 1.
当能量施加单元1的数量为四个时,预设轨迹即可为开设在底盘2上呈90°排列的四个长条形通槽202。横向滑块5与中间传动件13、中间传动件13与转动件(即旋钮8)通过转轴12相连接,并且它们之间可以相互转动。横向滑块5中有一个圆形的通槽,用于固定能量施加单元1。当转动旋钮8时,中间传动件13会随之转动并移动,而中间传动件13的移动会使横向滑块5发生转动和移动,因能量施加单元1固定在横向滑块5上,所以能量施加单元1也会移动,但能量施加单元1的移动路径受底盘2上的针体轨道(长条形通槽202)的限制。当能量施加单元1移动时,能量施加单元1间的间距就会发生改变,从而消融面积就会发生改变。又因为能量施加单元1的运动是发生在同一平面内且能量施加单元1在初始时就是相互平行的,所以各个能量施加单元1的执行端始终在同一平面内。 When the number of energy application units 1 is four, the preset trajectory can be four long strip through slots 202 arranged at 90° on the chassis 2. The transverse slider 5 is connected to the intermediate transmission member 13, and the intermediate transmission member 13 is connected to the rotating member (i.e., the knob 8) through the rotating shaft 12, and they can rotate with each other. There is a circular through slot in the transverse slider 5 for fixing the energy application unit 1. When the knob 8 is turned, the intermediate transmission member 13 will rotate and move accordingly, and the movement of the intermediate transmission member 13 will cause the transverse slider 5 to rotate and move. Since the energy application unit 1 is fixed on the transverse slider 5, the energy application unit 1 will also move, but the movement path of the energy application unit 1 is limited by the needle track (long strip through slot 202) on the chassis 2. When the energy application unit 1 moves, the spacing between the energy application units 1 will change, thereby changing the ablation area. Because the movement of the energy application unit 1 occurs in the same plane and the energy application units 1 are initially parallel to each other, the execution ends of each energy application unit 1 are always in the same plane.
实施例三Embodiment 3
参看图16和图17,本实施例同样在上述实施例一的基础上提供一种多针陡脉冲消融电极装置,对驱动部的布置形式进行了调整,具体如下:16 and 17 , this embodiment also provides a multi-needle steep pulse ablation electrode device based on the above-mentioned embodiment 1, and adjusts the arrangement of the driving part, as follows:
在本实施例中,动力输入单元为竖向动力输入机构,动力执行单元为若干斜向连杆15,连接滑动单元为横向滑块5。In this embodiment, the power input unit is a vertical power input mechanism, the power execution unit is a plurality of oblique connecting rods 15 , and the connecting sliding unit is a transverse sliding block 5 .
竖向动力输入机构的输入端伸出于手持壳体11,竖向动力输入机构的输出端分别与各个斜向连杆15的第一端转动和/或摆动连接,用于带动斜向连杆15的第一端进行竖向运动。斜向连杆15的第二端分别与对应横向滑块5转动和/或摆动连接(如预设轨迹为直线,则仅需满足转动即可)。The input end of the vertical power input mechanism extends out of the handheld housing 11, and the output end of the vertical power input mechanism is connected to the first end of each oblique link 15 in rotation and/or swinging manner, so as to drive the first end of the oblique link 15 to perform vertical movement. The second end of the oblique link 15 is connected to the corresponding horizontal slider 5 in rotation and/or swinging manner (if the preset trajectory is a straight line, only rotation is required).
与实施例二相同,手持壳体11的远端面为底盘2,底盘2上设有用于使能量施加单元1穿过的若干长条形通槽202,且长条形通槽202的轨迹为预设轨迹。横向滑块5滑动于底盘2,能量施加单元1夹持于横向滑块5并伸出于对应的长条形通槽202。当然,远端面的布置方式也可为上述实施例一中的底盘2和盖板3的组合。Similar to the second embodiment, the distal end surface of the handheld housing 11 is a chassis 2, and the chassis 2 is provided with a plurality of long strip through slots 202 for the energy application unit 1 to pass through, and the trajectory of the long strip through slots 202 is a preset trajectory. The transverse slider 5 slides on the chassis 2, and the energy application unit 1 is clamped on the transverse slider 5 and extends out of the corresponding long strip through slots 202. Of course, the arrangement of the distal end surface can also be a combination of the chassis 2 and the cover plate 3 in the above-mentioned first embodiment.
进一步地,为了保证斜线连杆运动的稳定性,动力执行单元还包括支撑连杆16,支撑连杆16的第一端转动和/或摆动连接于手持壳体11,支撑连杆16的第二端转动和/或摆动连接于斜向连杆15的杆体(具体可为斜向连杆15的中点或其他位置)。Furthermore, in order to ensure the stability of the movement of the diagonal link, the power execution unit also includes a support link 16, the first end of the support link 16 is rotatably and/or swingably connected to the handheld shell 11, and the second end of the support link 16 is rotatably and/or swingably connected to the rod body of the diagonal link 15 (specifically, it can be the midpoint or other position of the diagonal link 15).
具体地,竖向动力输入机构可包括转动件、调节螺杆9、连接滑块14和竖向弹性件7;调节螺杆9竖向布置于手持壳体11内,且调节螺杆9螺纹连接于手持壳体11的近端面,连接滑块14转动连接于调节螺杆9,且连接滑块14分别与各个斜向连杆15的第一端连接;转动件固定于调节螺杆9的一端并伸出于手持壳体11;竖向弹性件7的两端分别连接手持壳体11和连接滑块14。Specifically, the vertical power input mechanism may include a rotating member, an adjusting screw 9, a connecting slider 14 and a vertical elastic member 7; the adjusting screw 9 is vertically arranged in the handheld shell 11, and the adjusting screw 9 is threadedly connected to the proximal surface of the handheld shell 11, the connecting slider 14 is rotationally connected to the adjusting screw 9, and the connecting slider 14 is respectively connected to the first end of each oblique connecting rod 15; the rotating member is fixed to one end of the adjusting screw 9 and extends out of the handheld shell 11; the two ends of the vertical elastic member 7 are respectively connected to the handheld shell 11 and the connecting slider 14.
当能量施加单元1的数量为四个时,预设轨迹即可为开设在底盘2上呈90°排列的四个长条形通槽202。底盘2的中心可设置一个带螺纹孔的圆柱体,用于转动件(旋钮8)上的调节螺杆9的运动。横向滑块5中有一个圆形的通孔,用于固定能量施加单元1。横向滑块5与斜向连杆15、斜向连杆15与支撑连杆16以及斜向连杆15与连接滑块14通过活塞销连接,并且它 们之间可以相互转动。旋钮8的底部中心有该调节螺杆9,与底盘2形成螺纹配合。当转动旋钮8时,旋钮8会向下移动,从而使连接滑块14向下移动,连接滑块14的移动会带动斜向连杆15和支撑连杆16的转动,而斜向连杆15的转动又会使横向滑块5发生移动,随之能量施加单元1也会移动。当能量施加单元1移动时,能量施加单元1间的间距就会发生改变,从而消融面积就会发生改变。又因为能量施加单元1的运动是发生在同一平面内且能量施加单元1在初始时就是相互平行的,所以各个能量施加单元1的执行端始终在同一平面内。When there are four energy application units 1, the preset track can be four long strip through slots 202 arranged at 90 degrees on the chassis 2. A cylinder with a threaded hole can be set in the center of the chassis 2 for the movement of the adjustment screw 9 on the rotating member (knob 8). There is a circular through hole in the transverse slider 5 for fixing the energy application unit 1. The transverse slider 5 is connected to the oblique connecting rod 15, the oblique connecting rod 15 and the supporting connecting rod 16, and the oblique connecting rod 15 and the connecting slider 14 through a piston pin, and it They can rotate relative to each other. The adjusting screw 9 is located at the bottom center of the knob 8, which forms a threaded fit with the chassis 2. When the knob 8 is turned, the knob 8 will move downward, thereby causing the connecting slider 14 to move downward. The movement of the connecting slider 14 will drive the rotation of the oblique connecting rod 15 and the supporting connecting rod 16, and the rotation of the oblique connecting rod 15 will cause the transverse slider 5 to move, and the energy application unit 1 will also move. When the energy application unit 1 moves, the spacing between the energy application units 1 will change, thereby changing the ablation area. Because the movement of the energy application units 1 occurs in the same plane and the energy application units 1 are initially parallel to each other, the execution ends of each energy application unit 1 are always in the same plane.
实施例四Embodiment 4
本实施例基于上述的实施例一至三,提供一种使用多针陡脉冲消融电极装置的方法,用于进行肿瘤组织的消融,包括:This embodiment, based on the above-mentioned embodiments 1 to 3, provides a method for using a multi-needle steep pulse ablation electrode device for ablating tumor tissue, including:
第一步,提供多针陡脉冲消融电极装置:其进一步包含手持壳体11、多个能量施加单元1和驱动部。多个能量施加单元1的连接端均被配置为插入并沿预设轨迹滑动连接于手持壳体11的远端面,多个能量施加单元1的执行端位于同一平面,并配合形成一能量施加执行区域。驱动部设于手持壳体11内,且驱动部的动力输入端伸出于手持壳体11,驱动部的动力输出端分别与多个能量施加单元1连接。驱动部被配置为动力输入端接收外部动力输入,并由动力输出端输出驱动力驱动多个能量施加单元1,分别沿其对应的预设轨迹滑动。The first step is to provide a multi-needle steep pulse ablation electrode device: it further comprises a handheld shell 11, a plurality of energy application units 1 and a driving unit. The connection ends of the plurality of energy application units 1 are configured to be inserted and slidably connected to the distal surface of the handheld shell 11 along a preset trajectory, and the execution ends of the plurality of energy application units 1 are located in the same plane and cooperate to form an energy application execution area. The driving unit is disposed in the handheld shell 11, and the power input end of the driving unit extends out of the handheld shell 11, and the power output end of the driving unit is respectively connected to the plurality of energy application units 1. The driving unit is configured such that the power input end receives external power input, and the power output end outputs a driving force to drive the plurality of energy application units 1 to slide along their corresponding preset trajectories respectively.
第二步,驱动部被配置为通过旋动旋钮8以驱动各个金属穿刺针沿其预设轨迹滑动,获得与对应肿瘤组织的预设能量施加区域相匹配的能量施加执行区域。In the second step, the driving unit is configured to drive each metal puncture needle to slide along its preset trajectory by rotating the knob 8 to obtain an energy application execution area that matches the preset energy application area of the corresponding tumor tissue.
第三步,多针陡脉冲消融电极装置被配置为各个能量施加单元1输送或穿刺至目标组织对应的目标位置。In the third step, the multi-needle steep pulse ablation electrode device is configured so that each energy application unit 1 delivers or punctures to the target position corresponding to the target tissue.
各个能量施加单元1被配置为向目标组织输送能量。Each energy application unit 1 is configured to deliver energy to a target tissue.
其中,本实施例的方法可应用至用多针陡脉冲消融电极装置的体外实验,以检测装置形成的能量施加执行区域的精确度。The method of this embodiment can be applied to in vitro experiments using a multi-needle steep pulse ablation electrode device to detect the accuracy of the energy application execution area formed by the device.
实施例五 Embodiment 5
本实施例在上述实施例一的基础上提供一种射频消融装置,定义目标组织所需能量施加的区域为预设射频消融区域,包括手持壳体11、多个能量施加单元1和驱动部。This embodiment provides a radiofrequency ablation device based on the above-mentioned embodiment 1, defines the area where energy is required to be applied to the target tissue as a preset radiofrequency ablation area, and includes a handheld housing 11, a plurality of energy application units 1 and a driving part.
能量施加单元1的连接端均被配置为插入并沿预设轨迹滑动连接于所述手持壳体11的远端面,多个能量施加单元1的执行端位于同一平面,并配合形成一射频消融执行区域。The connecting ends of the energy application units 1 are configured to be inserted and slidably connected to the distal end surface of the handheld housing 11 along a preset trajectory. The execution ends of multiple energy application units 1 are located in the same plane and cooperate to form a radiofrequency ablation execution area.
驱动部设于所述手持壳体11内,且驱动部的动力输入端伸出于手持壳体11,驱动部的动力输出端分别与多个能量施加单元1连接。驱动部被配置为动力输入端接收外部动力输入,并由动力输出端输出驱动力驱动多个能量施加单元1,分别沿各个能量施加单元1对应的预设轨迹滑动,以调整射频消融执行区域至与预设射频消融区域相匹配。The driving part is arranged in the handheld housing 11, and the power input end of the driving part extends out of the handheld housing 11, and the power output end of the driving part is respectively connected to the multiple energy application units 1. The driving part is configured to receive external power input at the power input end, and output driving force from the power output end to drive the multiple energy application units 1 to slide along the preset tracks corresponding to each energy application unit 1, so as to adjust the radiofrequency ablation execution area to match the preset radiofrequency ablation area.
本实施例将多个能量施加单元1配置为插入并沿预设轨迹滑动连接于手持壳体11的远端面,手持壳体11内设置驱动部,由驱动部分别带动各个能量施加单元1沿预设轨迹滑动于手持壳体11的远端面,从而调整各个能量施加单元1之间的间距以及各个能量施加单元1的执行端所配合形成的射频消融执行区域的面积,以适配目标肿瘤所需施加能量的预设射频消融区域,解决了现有陡脉冲消融电极存在的难以精确控制各针之间间距以及消融面积的问题。在调整至适配目标肿瘤后,即可通过输送或刺入的方式使能量施加单元1的执行端抵达目标肿瘤处进行能量施加,以对射频消融执行区域内的目标肿瘤进行射频消融。In this embodiment, multiple energy application units 1 are configured to be inserted and connected to the distal end of the handheld shell 11 by sliding along a preset trajectory. A driving unit is provided in the handheld shell 11, and the driving unit drives each energy application unit 1 to slide along the preset trajectory on the distal end of the handheld shell 11, thereby adjusting the spacing between each energy application unit 1 and the area of the radio frequency ablation execution area formed by the execution end of each energy application unit 1, so as to adapt to the preset radio frequency ablation area where energy needs to be applied to the target tumor, thereby solving the problem of the difficulty in accurately controlling the spacing between each needle and the ablation area in the existing steep pulse ablation electrodes. After adjusting to adapt to the target tumor, the execution end of the energy application unit 1 can be delivered or inserted to reach the target tumor to apply energy, so as to perform radio frequency ablation on the target tumor in the radio frequency ablation execution area.
本实施例与上述实施例一的区别在于,本实施例的能量施加单元1是用于射频消融的,具体可为射频消融针。当射频消融针内的射频电流流经人体组织时,因电磁场的快速变化使组织内带极性的水分子高速运动,产生热量(即内生热效应),致使细胞内外水分蒸发、干燥、固缩脱落以致无菌性坏死,从而达到治疗的目的。The difference between this embodiment and the above-mentioned embodiment 1 is that the energy application unit 1 of this embodiment is used for radiofrequency ablation, and can be specifically a radiofrequency ablation needle. When the radiofrequency current in the radiofrequency ablation needle flows through human tissue, the rapid change of the electromagnetic field causes the polarized water molecules in the tissue to move at high speed, generating heat (i.e., endogenous heat effect), causing the water inside and outside the cells to evaporate, dry, shrink and fall off, resulting in aseptic necrosis, thereby achieving the purpose of treatment.
实施例六Embodiment 6
本实施例提供一种肿瘤消融装置,包括携带若干治疗单元的载体以及驱动部,This embodiment provides a tumor ablation device, including a carrier carrying a plurality of treatment units and a driving unit.
其中,若干治疗单元的连接端均被配置为插入并沿预设轨迹滑动连接于 载体的远端面,治疗单元的执行端位于同一平面,并配合形成一能量施加执行区域。驱动部,设于载体内,驱动部的动力输出端分别与各个治疗单元连接。驱动部被配置为驱动各个治疗单元分别沿其对应的预设轨迹滑动,以调整能量施加执行区域至与预设肿瘤消融区域相匹配。The connection ends of the plurality of treatment units are configured to be inserted and slidably connected along a preset trajectory. The distal end surface of the carrier and the execution end of the treatment unit are located in the same plane and cooperate to form an energy application execution area. The driving unit is arranged in the carrier, and the power output end of the driving unit is connected to each treatment unit respectively. The driving unit is configured to drive each treatment unit to slide along its corresponding preset trajectory respectively, so as to adjust the energy application execution area to match the preset tumor ablation area.
实施例七Embodiment 7
本实施例在上述实施例一至四的基础上提供一种医学微创系统。医学微创系统该将多个能量施加单元1配置为插入并沿预设轨迹滑动连接于手持壳体11的远端面,手持壳体11内则是设置驱动部,由驱动部分别带动各个能量施加单元1沿预设轨迹滑动于手持壳体11的远端面,从而调整各个能量施加单元1之间的间距以及各个能量施加单元1的执行端所配合形成的能量施加执行区域的面积,以适配目标肿瘤所需施加能量的预设能量施加区域,解决了现有陡脉冲消融电极存在的难以精确控制各针之间间距以及消融面积的问题。在调整至适配目标肿瘤后,即可通过输送或刺入的方式使能量施加单元1的执行端抵达目标肿瘤处进行能量施加,以对能量施加执行区域内的目标肿瘤进行消融。This embodiment provides a medical minimally invasive system based on the above-mentioned embodiments one to four. The medical minimally invasive system configures multiple energy application units 1 to be inserted and slidably connected to the distal end surface of the handheld shell 11 along a preset trajectory. A driving unit is set in the handheld shell 11, and the driving unit drives each energy application unit 1 to slide along the preset trajectory on the distal end surface of the handheld shell 11, thereby adjusting the spacing between each energy application unit 1 and the area of the energy application execution area formed by the execution end of each energy application unit 1, so as to adapt to the preset energy application area where the target tumor needs to apply energy, and solves the problem of the existing steep pulse ablation electrode that it is difficult to accurately control the spacing between each needle and the ablation area. After adjusting to adapt to the target tumor, the execution end of the energy application unit 1 can be delivered or inserted to reach the target tumor for energy application, so as to ablate the target tumor in the energy application execution area.
应用例Application Examples
本应用例在上述实施例一至四的基础上对其具体应用进行举例说明:首先通过旋动旋钮8将各个金属穿刺针之间的间距以及消融面积匹配至对应的肿瘤目标,通过手持于手持部的方式,将金属穿刺针插入患者的病变部位,再将高压脉冲电源开启,其输出的高频高压脉冲电流通过其中的一个或多个金属穿刺针导入患者病变部位,其余的金属穿刺针则作为回路电极将高频高压脉冲电流导入高压脉冲电源的输入端,当高频高压脉冲电流在通过患者病变细胞时,高频高压脉冲电流会破坏病变细胞的细胞膜,从而将病变细胞杀死,由于有金属穿刺针作为回路电极,高频高压脉冲电流仅局通过病变部位,不会对病变组织外的健康细胞造成破坏。This application example illustrates the specific application based on the above-mentioned embodiments one to four: first, the spacing between each metal puncture needle and the ablation area are matched to the corresponding tumor target by rotating the knob 8, and the metal puncture needle is inserted into the patient's diseased part by holding it in the handheld part, and then the high-voltage pulse power supply is turned on. The high-frequency and high-voltage pulse current output by it is introduced into the patient's diseased part through one or more of the metal puncture needles, and the remaining metal puncture needles are used as loop electrodes to introduce the high-frequency and high-voltage pulse current into the input end of the high-voltage pulse power supply. When the high-frequency and high-voltage pulse current passes through the patient's diseased cells, the high-frequency and high-voltage pulse current will destroy the cell membrane of the diseased cells, thereby killing the diseased cells. Since the metal puncture needles are used as loop electrodes, the high-frequency and high-voltage pulse current only passes through the diseased part and will not damage healthy cells outside the diseased tissue.
上面结合附图对本发明的实施方式作了详细说明,但是本发明并不限于上述实施方式。即使对本发明作出各种变化,倘若这些变化属于本发明权利要求及其等同技术的范围之内,则仍落入在本发明的保护范围之中。 The embodiments of the present invention are described in detail above in conjunction with the accompanying drawings, but the present invention is not limited to the above embodiments. Even if various changes are made to the present invention, if these changes fall within the scope of the claims of the present invention and their equivalents, they still fall within the protection scope of the present invention.
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| CN117159128B (en) * | 2023-11-03 | 2024-01-30 | 浙江伽奈维医疗科技有限公司 | Ablation device and ablation electrode for steep pulse ablation and/or radio frequency ablation |
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| JP2002166330A (en) * | 2000-11-29 | 2002-06-11 | Fuji Electric Co Ltd | Positioning device |
| US20160113707A1 (en) * | 2014-10-24 | 2016-04-28 | Northwestern University | Electroporation apparatus and method of using same for ablation of an arbitrary volume |
| CN106276223A (en) * | 2016-08-16 | 2017-01-04 | 吴道华 | A kind of workpiece automatic pick-up device |
| CN211855289U (en) * | 2020-03-31 | 2020-11-03 | 成都衡泰工程管理有限责任公司 | Bridge renovation is measured and is prevented falling surveyor's level with high accuracy |
| CN212748724U (en) * | 2020-08-04 | 2021-03-19 | 杭州清汽尘环保科技有限公司 | An infrared gas analyzer |
| CN115590599A (en) * | 2021-07-07 | 2023-01-13 | 深圳钮迈科技有限公司(Cn) | Electric field pulse ablation device and electric field pulse ablation method |
| CN219166612U (en) * | 2022-09-14 | 2023-06-13 | 南京康友医疗科技有限公司 | Double-needle integrated ablation device |
| CN116439821A (en) * | 2023-06-14 | 2023-07-18 | 浙江伽奈维医疗科技有限公司 | Multi-needle steep pulse ablation electrode device, radio frequency ablation device, method and system |
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| Publication number | Publication date |
|---|---|
| CN116439821B (en) | 2023-10-17 |
| CN116439821A (en) | 2023-07-18 |
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