High frequency electric knife (HF operation) is a surgical knife organizational machinery to replace the electric surgical cutting instruments. Through effective electrode tip the high frequency and high voltage current and body contact on heating organizations, the Organization of the body separation and solidification, which played the purpose of cutting and bleeding.
Since high-frequency electric knife used clinically since 1920, has 70 years of history. Its experienced a spark plug discharge - high-power tube - High-power transistors - four generations of high-power MOS more variable. With the popularity of computer technology, application, development, and high-performance microcontroller widely used in high-frequency electric knife control a whole, the implementation of the various functions under power waveforms, voltage, current automatic adjustment, various indicators of safety and control procedures and fault detection instructions. Thus the equipment itself greatly enhance the safety and reliability of operation simplifies the process of doctors.
Meanwhile, with the development of medical technologies and clinical’s request to the main high-frequency operation of the compound, surgical equipment also have corresponding development: high-frequency argon knife, high-frequency ultrasonic surgical systems, high-frequency resection in the treatment system, high-frequency Peeling liposuction and other equipment, in clinical have made Notable results. And then derived from the various high-frequency operation of the Special Annex (eg: Bipolar shear, bipolar resection microscopy, electron microscopy vaporization cutting roller electrodes, etc.) for the operation of pioneering a more extensive use of.
The classification of high-frequency operation
According to high-frequency operation of the function and purpose, can be broadly classified into the following types:
A multifunction high-frequency electric knife: a pure shear, mixing cutting, unipolar electrocoagulation, electrocautery, bipolar coagulation;
2, unipolar high frequency electric knife: a pure shear, mixing cutting, unipolar electrocoagulation, electrocautery;
3, bipolar coagulation: bipolar coagulation;
4, electrocautery: unipolar electrocautery;
5, endoscopic dedicated high-frequency generator: a pure shear, mixing cutting, electrocoagulation unipolar;
6, high-frequency argon knife: The argon protection cutting, argon arc jet coagulation;
7, multifunctional high-frequency instrument of beauty: a point condensate, blanch point, UHF electrocautery.
High-frequency electric knife basic component
High frequency electric knife from the mainframe and electric knife knife handle, patients plates, bipolar forceps, foot switches and other components of the annex.
High frequency electric knife works
High frequency electric knife has two main operating modes: unipolar and bipolar.
A unipolar mode
In unipolar mode, with a complete circuit to cutting and coagulation, the circuit of high frequency electric knife from the high-frequency generator, patients plates, wires and electrodes connected components. In most applications, the current through the wire and electrode through effective patient by patient plates and wires to the generator of high-frequency electric knife.
The lesions can destroy high-frequency electric knife heating effect, it is not for heating electrode or the head, like that of electric cautery. It is the high-frequency high-current density currents together, destroyed in a direct and effective electrode tip of the point of contact with the organizations. When the electrode and effective contact with the organization or to neighboring cells or the temperature rose to proteins in the cell degeneration, we have coagulation, a kind of precision surgical results by the waveform, voltage, current, the type of organization and the shape and size of electrode to decide.
To avoid leaving patients in the current high-frequency electric knife when returning to the organization that heating burn patients, patients in a unipolar device must have a relatively large plate and the area of contact with the patient, to provide low impedance and low current density passageway. Some clinics for the high frequency electric knife current smaller, low density, not patients plate, but most common type of high-frequency electric knife used by the current larger, which required patients plate.
The isolation and the output system enables high-frequency electric current knife and patients no longer needed, the land between the auxiliary channel, and thereby reducing the possibility of grounding contact with the body was the danger of scorching. While adopting benchmarks for the system, the danger of burn insulation than the output system.
2, bipolar pattern
Bipolar coagulation bipolar tweezers through the two tissues to provide advanced high-frequency electric power, bipolar tweezers between the two ends of dehydration and solidification, to achieve hemostasis. Its role is limited to the scope of tweezers between the two ends of the tissues of injury and the extent of the method should be much smaller than a unipolar, applicable to the small blood vessels (diameter <4 mm) and the tube closed. It bipolar coagulation for more brain surgery, microsurgery, throat, hand surgery, obstetrics and gynecology, and the more sophisticated surgery. Bipolar coagulation security is gradually being recognized by people, the scope of its application is also gradually expanding.
Use
At present not only in open heart surgery, such as general surgery, thoracic, brain, bones, and maxillofacial surgery are widely used, and more and more applications in various endoscopic surgery, such as: laparoscopic prostate cut mirror, gastroscopy, cystoscopy, in hysteroscopic surgery.
The high-frequency electric knife can simultaneously cutting and coagulation, in mechanical Scalpel it difficult to enter and implementation of the operation (such as: abdominal pipeline ligation, tumor urethral resection of the prostate) to the universal application.
High frequency electric knife prominent coagulation effect, make it widely used in diffuse bleeding sites such as the liver, spleen, thyroid, breast, lung surgery.
Other features
A comprehensive performance in addition to a high-frequency electric knife for surgery, and other basic functions, there are several important functions of the following:
An output power instructions;
2, preset power to regulate;
Three patients plate detection alarm;
4, the audio instructions;
5, output - mouth error interpolation function;
6, manual, foot control function.
The advantages of high-frequency electric knife
1, cutting speed, hemostatic effect, simple, safe and convenient.
2, and compared with traditional mechanical Scalpel, in the use of high-frequency electric knife could significantly reduce the operative time, less blood loss and blood transfusion patients and hence reduce complications and costs of surgery.
3, and other electrical surgery (such as laser knife, knife microwave, ultrasonic knives, water, knives, knife semiconductor coagulation, etc.) compared to high-frequency electric knife surgery is broad in scope, access to the site, is simple, reasonable and cost performance advantages