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    • 27. 发明授权
    • Bipolar electrosurgical scalpel with paired loop electrodes
    • 双极电外科手术刀配对环形电极
    • US5282799A
    • 1994-02-01
    • US728337
    • 1991-07-11
    • Mark A. Rydell
    • Mark A. Rydell
    • A61B16/00A61B18/00A61B18/14A61M1/00A61M3/02A61B17/39
    • A61B18/1402A61B2018/00607A61B2018/0097A61B2018/126A61B2018/1407A61M3/0279
    • A bipolar electrosurgical scalpel comprising a handle having a pair of loop electrodes extending outwardly from the distal end thereof in parallel, spaced relation, such that the spacing defines a dielectric such as an air gap therebetween. When a RF voltage of a predetermined amplitude is applied across the two electrodes and they are drawn across tissue, cutting occurs by virtue of the arc established between the two electrodes. The electrodes may be formed from tungsten wire to withstand high operating temperatures and are sufficiently rigid to withstand the pressure forces encountered during electrosurgery without shorting together across the gap. The electrodes may be formed in various shapes, depending upon the nature of the cutting desired. Possible configurations include open rounded loops, open elongated loops, open triangular-shaped loops, L- or J-shaped hooks. The supporting conductors to which these electrodes are affixed may be straight tubular legs or curved hooks formed from flattened lengths of metal tubing. The loop electrodes may also be ultrasonically vibrated and/or fluid flushed to enhance removal of char and tissue debris during use. To enhance coagulation properties, metal surface electrodes of relatively large area may be embedded in an insulating end cap of the scalpel and the loop cutting electrodes are designed to be retracted therein such that only the surface electrodes are exposed. The instrument is controlled by either a hand switch or a standard surgical foot switch.
    • 一种双极电外科手术刀,其包括具有一对环形电极的手柄,所述一对环形电极从其远端向外平行地间隔开地向外延伸,使得所述间隔限定电介质,例如它们之间的气隙。 当在两个电极之间施加预定幅度的RF电压并且它们被拉过组织时,由于在两个电极之间建立的电弧而进行切割。 电极可以由钨丝形成以承受高的操作温度,并且具有足够的刚性以承受在电外科手术期间遇到的压力,而不会跨越间隙一起短路。 取决于所需切割的性质,电极可以形成各种形状。 可能的配置包括开放的圆形环,开放的细长环,开放的三角形环,L形或J形钩。 固定这些电极的支撑导体可以是由扁平的一段金属管形成的直管状腿或弯曲钩。 循环电极也可以被超声振动和/或流体冲洗以增强使用期间焦炭和组织碎屑的去除。 为了增强凝固性能,相对大面积的金属表面电极可以嵌入在解剖刀的绝缘端盖中,并且环形切割电极被设计成在其中缩回,使得仅表面电极暴露。 仪器由手动开关或标准手术脚踏开关控制。
    • 30. 发明授权
    • Electrosurgical implement for tunneling through tissue
    • 用于穿透组织的电外科手术器械
    • US5047026A
    • 1991-09-10
    • US546871
    • 1990-07-02
    • Mark A. Rydell
    • Mark A. Rydell
    • A61B17/00A61B18/14
    • A61B18/1482A61B18/1402A61B2017/00292A61B2018/00107
    • An electrosurgical implement for tunneling through tissue for effecting drainage of an organ or to restore patency to a blood vessel is described. The implement comprises a stainless steel, helically wound, wire body similar to a conventional guidewire of the type used in angiography, angioplasty or in implanting cardiac pacing leads. The exterior of the guidewire is coated with an insulating material, save for one or two convolutions at its distal end. A core wire having a Teflon.RTM. shrink tube surrounding it over substantially its entire length is disposed within the lumen of the helical guidewire and only a short segment of the distal end of the core wire is allowed to extend out from the distal end of the guidewire. This short segment is stripped free of insulation. The implement may be routed through an endoscope into the stomach or colon and when an RF voltage of an appropriate amplitude is connected across terminals electrically joined to the proximal ends of both of the guidewire and the core wire, an arc discharge is created when the distal end of the implement is brought into contact with tissue, thereby allowing the device to readily pierce this tissue. The same implement may also be used for restoring patency to a blocked blood vessel.
    • 描述了用于隧道穿过组织以实现器官排水或恢复对血管通畅的电外科器具。 该器具包括不锈钢,螺旋缠绕的线体,其类似于用于血管造影,血管成形术或植入心脏起搏引线的类型的常规导丝。 导线的外部涂有绝缘材料,在其远端除了一个或两个卷取。 具有围绕其整个长度的Teflon TM收缩管的芯线设置在螺旋导丝的内腔内,并且仅允许芯线的远端的短段从导丝的远端延伸出 。 这个短段被剥去没有绝缘。 器具可以通过内窥镜路线进入胃或结肠,当电连接到导线和芯线的近端的端子上连接适当振幅的RF电压时,当远端 使器具的端部与组织接触,从而允许器件容易地刺穿该组织。 相同的器具也可用于恢复到阻塞血管的通畅。