A kind of for argon helium knife art skin attemperator and using method
Technical field
The present invention relates to clinical medicine direction entity tumor Argon-Helium cryoablation technical field, for in the argon helium knife operation process cold and hot when conversion required body surface attemperator, can be for body surface provide suitable temperature, in the complication such as argon helium knife operation refrigerating process prevention patient skin cold injury and alleviate discomfort in the operation process.
Background technology
Argon-Helium cryoablation art (cryocaresurgical system, Cryocare Cryoablation) 4 or 8 the heat insulation superconduction cuttves that can use is alone or in combination arranged, superconduction cutter hollow, exportable high pressure argon, and nationality high pressure argon is in the rapid expanding effect of point of a knife and make the pathological tissues fast cooling, form ice hockey in the target area, when the output high-pressure helium, ice hockey was thawed and rapidly intensification in several minutes again.By " freezing-rewarming " process of several circulations (being generally two circulations), cell can be because of freezing breaking (freeze rupture)
[1]And occuring, a series of water fall effects finally cause the target area cell death.
It is little that Frozen by Cryocare art treatment malignant tumor has wound, and pain is light, recovers fast, the characteristics such as good effect.Have experiment to show, the treated by Argon-Helium cryoablation art can be avoided " boiling effect (boiling effect)
[2]", effectively reduce the peritoneal metastasis of abdominal viscera malignant tumor, in hepatocarcinoma
[3], renal carcinoma
[2]Deng having generally the meaning of promoting in the interventional therapy.Yet needs of patients is stood argon and is had in vivo several minutes at the ice hockey that focal zone forms in therapeutic process, and may cause the body surface cold injury.Because fast cooling often makes also fast reducing of argon helium knife bar temperature, also easily cause skin frostbite if contact with skin surface, often show as skin blister, the dark red edema of local skin has oozes out
[4]Although used argon helium knife probe shank has thermal insulation layer now, can avoid the temperature conduction of shank inside to the surface of probe, simultaneously, the gas that enters is gas at normal temperature, in the process that the gas of tip refrigeration is being got rid of, with the gas heat exchange that enters, also so that gas near room temperature, but we observe, except the expensive frostless probe of price, most argon helium knife probes all can form the frost that thickness does not wait in the nearly body surface of probe section in the process of logical argon, make the patient cold may occur in art, shiver with cold, the body surface cold injury, cold shock (cold shock) may occur in serious
[5]In the treated by Argon-Helium cryoablation art, body surface has been incubated several method, as: insulation blanket, warm braw blowing method, hot-water bag hot compress etc.Yet these methods are comparatively original, can't set holding temperature, exist to take time and effort, and do not meet the disadvantages such as operating room safety and sanitation standard.
Select the attemperator of suitable, suitable shape can guarantee the efficient that Frozen by Cryocare is performed the operation, improve security reliability and patient's comfort level of operation process, and lower the incidence rate of the complication such as cold injury, also help and promote the extensive use of Argon-Helium cryoablation art in treatment of cancer.
Summary of the invention
The present invention addresses the above problem provides a kind of skin of treated by Argon-Helium cryoablation art attemperator, and this device can cover body surface, and the heat insulation function of preference temperature scope can be provided.
For solving the problems of the technologies described above, the present invention is achieved through the following technical solutions: a kind of for argon helium knife art skin attemperator, be connected to this skin attemperator by water receiver through the pumping plant of an adjustable speed, this skin attemperator is mainly anterior by the insulation bag, the back-connected insulated bag body of insulation bag forms, described insulated bag body is made by the soft silica gel material of hollow, described insulation bag front portion is provided with water inlet, valve, anterior water side, described anterior water side is provided with some outlets, described insulation bag is provided with the temperature control induction apparatus in the rear portion, the soft silica gel pipeline, the water side, rear portion, this soft silica gel pipeline is connected to water receiver, reach and collect and be back in the water receiver, this skin attemperator is by the displays temperature of temperature control induction apparatus, and the speed of regulating pumping for water pump by temperature range, the warm water of injection is remained in the suitable water temperature range behind freezing zone.
Preferably, described anterior water side is the design of stripping fork sample, and each stripping fork arranges an outlet.
Preferably, described water inlet and water side, rear portion are made by the polythene material that one-way cock is arranged.
Preferably, described temperature control induction apparatus connects a temperature display, and is provided with eye-catching conversion sign, exceeds the situation of temperature required scope in order to prompting.
A kind of for argon helium knife art skin attemperator using method, its key step,
A, be connected with water inlet the oral siphon of water receiver is terminal, the stage casing is inserted into water pump, and the oral siphon opening is inserted in the entry of water receiver juxtaposition.
B, choose and need to be opened to the mouth of a river, after argon helium knife cloth pin was complete, outlet was walked around the argon helium knife pin and is once linked to each other with far-end effluent collection pipeline, and the water side, rear portion connects outlet pipe, and the outlet pipe end is inserted water receiver, forms the backflow utilization of water.
C, by the switch pump of fetching boiling water, observe the shown temperature value of temperature inductor display screen,
Too high such as displays temperature, reduce pump power, slow down the pump water speed or in water receiver, add and use water at low temperature;
Showed lowly such as temperature, and strengthened pump power, and accelerated the pump water speed, if accelerate the pump water speed, temperature shows and still is lower than the preference temperature scope, then adds with hot water or changes warm water in the water receiver.
D, the operation complete after, mention the oral siphon opening and insert more than the water surface, cut out the pump, close outlet and far-end pipeline valve, the connection between the releasing is done at last the disposable silicon glue material and is processed as medical waste.
This novel skin attemperator is that the soft silica gel with hollow is main material, guarantees that it has conformal performance, can fully cover focal zone body surface scope.This device is established 1 water inlet, and warm water places 5L water receiver (equipment in the non-patent of configuration), pumps into through the pump installation (equipment in the non-patent of configuration) of an adjustable speed, and injects from water inlet.Anterior water side is the design of stripping fork sample, to satisfy the space requirement of positioning needle and argon helium knife probe focal zone cloth pin.Each stripping fork is joined an outlet, forwardly each stripping fork of water side is established a temperature control induction apparatus and valve in addition, each temperature inductor connects a temperature display, presses the thermoregulation water pump speed, makes the warm water of injection remain in the suitable water temperature range behind freezing zone; Feel to open several outlets by the size of art.Outlet connects the soft silica gel pipeline without the insulation bag rear portion setting of temperature inductor, partly is the mirror image relationship design with soft silica gel.Warm water is collected and is back in the water receiver by the silica gel pipeline behind the water side.As speed the pump water speed and still can not rising water outlet end temperature reach optimal level, can regulate water temperature in the water receiver (change water or increase hot water).
The present invention is for reaching the aseptic requirement of operation, this device is disposable sterilized use material, when making, the silicon gel part of its whole device uses the soft silica gel consumption of a sterile gloves of quantity not sufficient, being connected to of whole device brought into use process only 30 seconds, utilize temperature inductor to instruct and regulate the pump water speed, regulate water temperature, index is objective; The sphere of action size of attemperator can simple adjustment; In whole use procedure, recycle water resource, avoid too much waste.Easy operating process is more suitable for clinical concrete application.
Description of drawings
Fig. 1 is Facad structure figure of the present invention;
Fig. 2 is construction profile of the present invention.
The specific embodiment
Such as Fig. 1, shown in Figure 2, a kind of for argon helium knife art skin attemperator, be connected to this skin attemperator by water receiver through the pumping plant of an adjustable speed, this skin attemperator is mainly by insulation bag front portion 21, the insulated bag body that insulation bag rear portion 22 connects forms, described insulated bag body is made by the soft silica gel material of hollow, described insulation bag front portion 21 is provided with water inlet 1, valve, anterior water side 31, described anterior water side 31 is provided with some outlets 5, be provided with temperature control induction apparatus 4 in the described insulation bag rear portion 22, the soft silica gel pipeline, water side, rear portion 32, this soft silica gel pipeline is connected to water receiver, reach and collect and be back in the water receiver, this skin attemperator is by the displays temperature of temperature control induction apparatus 4, and the speed of regulating pumping for water pump by temperature range, make the warm water of injection behind freezing zone, remain in the suitable water temperature range; Anterior water side 31 is the design of stripping fork sample, and each stripping fork arranges an outlet 5.Water inlet 1 and water side, rear portion 32 are made by the polythene material that one-way cock is arranged, and temperature control induction apparatus 4 connects a temperature display, and are provided with eye-catching conversion sign, exceed the situation of temperature required scope in order to prompting.
The first step: the oral siphon end of water receiver is connected with water inlet 1, and the stage casing is inserted into water pump, and the oral siphon opening is inserted in the entry of water receiver juxtaposition.
Second step: choose and need to be opened to the mouth of a river 5, after argon helium knife cloth pin was complete, outlet 5 was walked around the argon helium knife pin and is once linked to each other with far-end effluent collection pipeline, and water side, rear portion 32 connects outlet pipe, and the outlet pipe end is inserted water receiver, formed the backflow utilization of water.
The 3rd step: the switch pump of fetching boiling water, observe the shown temperature value of temperature inductor display screen, too high such as displays temperature, reduce pump power, slow down the pump water speed or in water receiver, add and use water at low temperature; Showed lowly such as temperature, and strengthened pump power, and accelerated the pump water speed, if accelerate the pump water speed, temperature shows and still is lower than the preference temperature scope, then adds with hot water or changes warm water in the water receiver.
The 4th the step: perform the operation complete after, mention the oral siphon opening and insert more than the water surface, cut out the pump, close outlet 5 and far-end pipeline valve, the connection between the releasing is done at last the disposable silicon glue material and is processed as medical waste.
To focal zone cloth pin, take out the argon helium knife cooler of suppressing in the placement of cloth pin district body surface before output high pressure argon behind treated by Argon-Helium cryoablation art location, inject warm water to cooler water inlet end, each outlet valve is closed, and closes the water inlet valve after cooler is full.
Can begin to export the high pressure argon in the optimum range and begin freezingly when being in by temperature control induction apparatus 4 reflection water temperatures, the water temperature of observation temperature control induction apparatus 4 reflections changes in the cyclic process of freezing-rewarming-freezing;
When water temperature drops to temperature required scope when following, then must open water inlet 1 and each outlet valve, discharge original warm water and inject simultaneously new warm water to keep target area body surface preference temperature.This process can repeat, until the treatment of treated by Argon-Helium cryoablation art is complete, after patient's ordinary circumstance was stable, disposable argon helium knife cooler was namely discardable.
The above only is preferred embodiment of the present invention; be not so limit claim of the present invention; every equivalent structure or equivalent flow process conversion that utilizes description of the present invention and accompanying drawing content to do; or directly or indirectly be used in other relevant technical field, all in like manner be included in the scope of patent protection of the present invention.