Annular electrotome cutting system for cardiac muscle

By designing an annular electrocutter cutting system, combining hard and plastic parts, equipped with electrocutter control and lighting imaging systems, the shortcomings of traditional scalpels in myocardial resection efficiency and depth control are solved, and efficient and precise myocardial resection and reduction are achieved. Isogenic trauma risk.

CN119302737APending Publication Date: 2025-01-14FUWAI HOSPITAL CHINESE ACAD OF MEDICAL SCI & PEKING UNION MEDICAL COLLEGE
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Patent Information

Application Number
CN202411759463.6
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-12-03
Publication Date
2025-01-14

AI Technical Summary

Technical Problem

Traditional scalpels are inefficient during myocardial resection, easily cause tissue fragments and iatrogenic trauma, and cannot go deep into the left ventricle for surgical resection, which cannot effectively solve the problem of hypertrophic myocardium resection.

Method used

A ring-shaped electric knife cutting system is designed, including a detachable joint tool handle and a cutting head. The hard handheld part is combined with a plastic moving part, equipped with a electric knife control button, an lighting imaging system and a suction module. The cutting head is hollow circle Annular, adjustable inner diameter, and efficient resection and depth control.

Benefits of technology

It significantly improves the efficiency of myocardial resection, reduces the surgical time and postoperative embolization risk, enhances the surgical control accuracy and depth adjustment ability, is suitable for patients with different types of myocardial hypertrophy, and performs interventricular septal myocardial resection under thoracoscopy.

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Abstract

The invention discloses an annular electrotome cutting system for myocardium, and relates to the technical field of surgical operating instruments. Comprising a cutter handle and a cutter head which are detachably connected. The knife handle comprises a hard handheld part and a plastic moving part; one end of the hard handheld part is connected with the cutter head, and the other end of the hard handheld part is connected with the plastic moving part; an electrotome control button and a light source and a lens of the illumination imaging system are arranged on the hard handheld part; the main body of the knife head is in a hollow circular ring shape, and the electric knife control button is electrically connected with the hollow circular ring-shaped main body. By the adoption of the design of the annular electrotome, it can be guaranteed that the electrotome head is stable and does not deform, meanwhile, an operator can conveniently adjust the cutting depth and angle at any time according to the situation and personal experience in the operation, the operator can define the excision depth and range, tissue fragments are not generated during excision, the occurrence of postoperative embolism events is reduced, and the operation efficiency is improved. The control of an operator on an operation is improved, and the occurrence rate of iatrogenic ventricular septum perforation is reduced.
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Description

Technical Field

[0001] The invention relates to the technical field of surgical instruments, and in particular to a myocardial annular electric knife cutting system. Background Art

[0002] Hypertrophic cardiomyopathy is a common dominant hereditary disease with a prevalence of about 0.2-0.5% in the general population, of which about 70% require surgical treatment. Currently, the main surgical method is ventricular septal myectomy, which removes the hypertrophic myocardium, relieves left ventricular outflow tract stenosis and pressure difference, and restores heart function.

[0003] At present, the scalpels commonly used for ventricular septal myocardectomy in clinical practice are traditional sharp knives or small round knives. The main problem lies in the efficiency of the myocardial resection process, and it is not possible to remove the hypertrophic myocardium smoothly and efficiently. On the other hand, the myocardium removed by traditional scalpels is often in fragments, which significantly increases the operation time and extracorporeal circulation time, and also increases the risk of embolic events such as cerebral infarction caused by the lost myocardial fragments after the operation. In addition, traditional scalpels are sharp structures, which may damage the normal heart tissue structure during the process of entering and exiting the knife, increasing the risk of iatrogenic trauma. Finally, due to the length of the knife handle, it is currently impossible to perform surgical resection on patients with apical hypertrophy through a single aortic incision into the left ventricle.

[0004] Currently, some surgeons choose to use electric knives for cutting. However, the traditional electric knife head is linear and cannot control the cutting angle and depth well. In addition, since the electric knife head is relatively flexible, it may cause deformation of the knife head during the cutting process, affecting the progress of the operation. Summary of the invention

[0005] The main purpose of the present invention is to provide a myocardial annular electrosurgical cutting system to solve the above problems.

[0006] To achieve the above-mentioned purpose, the present invention provides a myocardial annular electrosurgical cutting system, comprising a detachably connected handle and a blade head; the handle comprises a hard hand-held portion and a plastic transition portion; one end of the hard hand-held portion is connected to the blade head, and the other end is connected to the plastic transition portion; the hard hand-held portion is provided with an electrosurgical control button and a light source and lens of an illumination imaging system; the main body of the blade head is in the shape of a hollow circular ring, and the electrosurgical control button is electrically connected to the hollow circular ring-shaped main body.

[0007] Furthermore, a connecting rod is provided on one side of the hollow circular main body, and a handle connecting buckle is provided on the connecting rod; a blade connecting buckle is provided on the end of the hard hand-held part away from the plastic transition part; the handle connecting buckle is connected with the blade connecting buckle.

[0008] Furthermore, an electrosurgical system connecting line and an illumination and imaging system connecting line are provided at one end of the plastic transition portion away from the hard handheld portion; the electrosurgical system control button is electrically connected to the electrosurgical system via the electrosurgical system connecting line; and the light source and lens of the illumination and imaging system are electrically connected to the illumination and imaging system via the illumination and imaging system connecting line.

[0009] Furthermore, the cutter head has multiple models.

[0010] Furthermore, the cutter head has three types, and the inner diameters of the main bodies are 5 mm, 10 mm and 15 mm respectively.

[0011] Furthermore, the knife handle has two models, and the lengths of the hard hand-held part are 30 cm and 50 cm respectively.

[0012] Furthermore, the hard handheld part is provided with an absorber connecting tube, and one side of the cutter head is provided with an absorber opening, and the absorber opening is connected to the absorber through the absorber connecting tube.

[0013] The present invention has the following beneficial effects:

[0014] 1. Compared with traditional scalpels, the use of electric knife can significantly improve the efficiency of myocardial resection and reduce the operation time;

[0015] 2. Electrosurgical resection will not produce tissue fragments, reducing the occurrence of postoperative embolic events;

[0016] 3. By designing a longer handle and different inner diameters of circular electrosurgical blades, it is possible to perform surgery on patients with long hypertrophy involvement and hypertrophy involving the apex, fully ensuring the length and depth of the surgical resection and reducing the use of apical incisions;

[0017] 4. The design of the ring-shaped electrosurgical knife can ensure that the electrosurgical knife head is stable and does not deform, while allowing the surgeon to easily adjust the depth and angle of the knife at any time according to the intraoperative situation and personal experience, so that the surgeon can clearly determine the depth and range of resection, increase the surgeon's control over the operation, and reduce the incidence of iatrogenic ventricular septal perforation;

[0018] 5. Due to its compatibility with the lighting imaging system, the circular electrosurgical unit can also be used for thoracoscopic ventricular septal myocardectomy;

[0019] 6. Compatible with the suction module, the present invention can conveniently absorb the smoke and finely chopped tissue blocks generated by electrosurgical cutting during surgery. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] Figure 1 The present invention is a schematic diagram of a knife handle of a myocardial annular electric knife cutting system.

[0021] Figure 2The present invention is a schematic diagram of a knife head of a myocardial annular electrosurgical cutting system.

[0022] Among them, 1-electric knife system connecting line; 2-illumination and imaging system connecting line; 3-plastic transition part; 4-suction device connecting tube; 5-hard hand-held part; 6-electric knife control button; 7-light source and lens of illumination and imaging system; 8-knife head connecting buckle; 9-knife handle connecting buckle; 10-knife head; 11-suction device opening. DETAILED DESCRIPTION

[0023] In order to achieve the above-mentioned purpose and effect, the technical means and structures adopted by the present invention are described in detail with reference to the accompanying drawings for the features and functions of the preferred embodiments of the present invention.

[0024] like Figure 1-2 As shown, the present invention provides a myocardial annular electrosurgical cutting system, comprising a detachably connected handle and a blade head 10; the handle comprises a hard hand-held portion 5 and a plastic transition portion 3; one end of the hard hand-held portion 5 is connected to the blade head 10, and the other end is connected to the plastic transition portion 3, and the plastic transition portion 3 can be adjusted to a suitable angle according to the needs of the operator; the hard hand-held portion 5 is provided with an electrosurgical control button 6 and a light source and a lens 7 of an illumination imaging system; the blade head 10 comprises a hollow annular main body and a connecting rod arranged on one side of the main body, the electrosurgical control button 6 is electrically connected to the hollow annular main body, and a handle connecting buckle 9 is arranged on the connecting rod; a blade head connecting buckle 8 is arranged at one end of the hard hand-held portion 5 away from the plastic transition portion 3; the handle connecting buckle 9 is connected to the blade head connecting buckle 8. An electrosurgical system connecting line 1 and an illumination and imaging system connecting line 2 are provided at one end of the plastic transition portion 3 away from the hard hand-held portion 5; the electrosurgical system control button 6 is electrically connected to the electrosurgical system via the electrosurgical system connecting line 1; and the light source and lens 7 of the illumination and imaging system are electrically connected to the illumination and imaging system via the illumination and imaging system connecting line 2.

[0025] As a preferred embodiment, the blade head 10 is designed into three types according to different hypertrophy locations and degrees. The inner diameters of the main body are 5 mm, 10 mm and 15 mm respectively, and can be replaced at any time according to the intraoperative situation.

[0026] As a preferred embodiment, the knife handle has two types, namely, a thoracotomy type and a laparoscopic type, and the lengths of the hard handheld portion 5 are 30 cm and 50 cm respectively.

[0027] As a preferred embodiment, an aspirator connecting tube 4 is provided on the hard handheld part 5, and an aspirator opening 11 is provided on one side of the connecting rod of the blade head 10. The aspirator opening 11 is connected to the aspirator through the aspirator connecting tube 4; smoke and finely chopped tissue blocks generated by electrosurgical cutting can be conveniently aspirated during surgery.

[0028] The above descriptions are only preferred embodiments of the present invention, not all embodiments. Anyone should be aware that any structural changes made under the inspiration of the present invention, and any technical solutions that are the same or similar to the present invention, belong to the protection scope of the present invention.

Claims

1. A myocardial annular electrosurgical cutting system, characterized in that: It comprises a detachably connected knife handle and a knife head; the knife handle comprises a hard hand-held part and a plastic transition part; one end of the hard hand-held part is connected to the knife head, and the other end is connected to the plastic transition part; the hard hand-held part is provided with an electric knife control button and a light source and a lens of an illumination imaging system; the main body of the knife head is in a hollow circular ring shape, and the electric knife control button is electrically connected to the hollow circular ring-shaped main body.

2. A myocardial annular electrosurgical cutting system as claimed in claim 1, characterized in that: A connecting rod is arranged on one side of the hollow circular ring-shaped main body, and a knife handle connecting buckle is arranged on the connecting rod; a knife head connecting buckle is arranged on one end of the hard hand-held part away from the plastic transition part; the knife handle connecting buckle is connected with the knife head connecting buckle.

3. A myocardial annular electrosurgical cutting system as claimed in claim 1, characterized in that: An electric knife system connecting line and an illumination and imaging system connecting line are provided at one end of the plastic transition part away from the hard handheld part. The electric knife control button is electrically connected to the electric knife system through the electric knife system connecting line, and the light source and lens of the illumination and imaging system are electrically connected to the illumination and imaging system through the illumination and imaging system connecting line.

4. A myocardial annular electrosurgical cutting system as claimed in claim 1, characterized in that: The cutter head has various models.

5. A myocardial annular electrosurgical cutting system as claimed in claim 4, characterized in that: The cutter head has three types, and the inner diameters of the body are 5mm, 10mm and 15mm respectively.

6. A myocardial annular electrosurgical cutting system as claimed in claim 1, characterized in that: The knife handle has two models, and the length of the hard hand-held part is 30cm and 50cm respectively.

7. A myocardial annular electrosurgical cutting system as claimed in claim 1, characterized in that: The hard handheld part is provided with an aspirator connecting tube, one side of the cutter head is provided with an aspirator opening, and the aspirator opening is connected to the aspirator through the aspirator connecting tube.