A kind of for skin attemperator and using method in argon helium knife art
Technical field
The present invention relates to clinical medicine direction entity tumor Argon-Helium cryoablation technical field, for body surface attemperator required during cold and hot conversion in argon helium knife operation process, suitable temperature can be provided, in the discomfort that argon helium knife operation refrigerating process prevents the complication such as patient skin cold injury and alleviates in operation process for body surface.
Background technology
Argon-Helium cryoablation art (cryocaresurgicalsystem, CryocareCryoablation) the heat insulation superconduction cutter having 4 or 8 can apply alone or in combination, superconduction cutter hollow, exportable high pressure argon gas, and nationality high pressure argon gas point of a knife rapid expanding effect and make pathological tissues fast cooling, form ice hockey in target area, then when exporting high-pressure helium, make again ice hockey thaw in several minutes and rapid temperature increases.By " freezing-rewarming " process of several circulation (being generally two circulations), cell can because of freezing break (freezerupture)
[1]and a series of water fall effect occurs finally cause target area cell death.
It is little that Frozen by Cryocare art treatment malignant tumor has wound, and pain is light, recovers fast, the features such as good effect.Have experiment to show, treated by Argon-Helium cryoablation art can be avoided " boils effect (boilingeffect)
[2]", effectively reduce the peritoneal metastasis of abdominal viscera malignant tumor, in hepatocarcinoma
[3], renal carcinoma
[2]deng the meaning in interventional therapy with popularity.But needs of patients is stood the ice hockey that argon formed in focal zone and had several minutes in vivo over the course for the treatment of, and body surface cold injury may be caused.Because fast cooling often makes argon helium knife bar temperature also reduce fast, if also easily cause skin frostbite with skin surface contact, often show as skin blister, the dark red edema of local skin has oozes out
[4].Although argon helium knife probe shank now used has thermal insulation layer, the surface of temperature conduction to probe of shank inside can be avoided, simultaneously, the gas entered is gas at normal temperature, the gas freezed at tip is in the process got rid of, exchange with the gas heat entered, also make gas close to room temperature, but we observe, except price frostless probe costly, most argon helium knife probes all can form the frost that thickness does not wait in the process of logical argon in the nearly body surface portion of probe, make patient may occur cold in art, shiver with cold, body surface cold injury, cold shock (coldshock) may be there is in serious
[5].In treated by Argon-Helium cryoablation art, insulation is carried out to body surface and have several method, as: insulation blanket, warm braw blowing method, hot-water bag hot compress etc.But these methods are comparatively original, cannot set holding temperature, also exist and take time and effort, not meet the disadvantages such as operating room safety and sanitation specification.
Select suitable, conformal attemperator can ensure the efficiency that Frozen by Cryocare is performed the operation, improve security reliability and the patient comfort degree 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 solves the problem provides a kind of skin attemperator of treated by Argon-Helium cryoablation art, and this device can cover body surface, and can provide the heat insulation function of Suitable ranges.
For solving the problems of the technologies described above, the present invention is achieved through the following technical solutions: a kind of for skin attemperator in argon helium knife art, this skin attemperator is connected to through the pumping plant of an adjustable speed by water receiver, this skin attemperator is anterior primarily of insulation bag, the back-connected insulated bag body composition of insulation bag, 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, temperature control induction apparatus is provided with in described insulation bag rear portion, soft silica gel pipeline, water side, rear portion, this soft silica gel pipeline is connected to water receiver, reach and collect and be back in water receiver, this skin attemperator is by the displays temperature of temperature control induction apparatus, and the speed of pumping for water pump is regulated by temperature range, the warm water of injection is remained in suitable water temperature range behind freezing region.
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 having an one-way cock.
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 skin attemperator using method in argon helium knife art, its key step,
A, be connected with water inlet by the oral siphon end of water receiver, stage casing is inserted into water pump, and oral siphon opening is inserted water receiver and inserted in water.
B, choose and need to be opened to the mouth of a river, after treating argon helium knife cloth pin, outlet is walked around argon helium knife pin and is once connected with far-end effluent collection pipeline, and water side, rear portion connects outlet pipe, and outlet pipe end is inserted water receiver, and the backflow forming water utilizes.
C, by switch pump of fetching boiling water, observe the temperature value shown by temperature inductor display screen,
As displays temperature is too high, reduce pump power, slow down pump water speed or add by water at low temperature in water receiver;
As Temperature displaying is too low, strengthen pump power, accelerate pump water speed, if accelerate pump water speed, Temperature displaying still lower than Suitable ranges, then adds with hot water or changes warm water in water receiver.
After d, operation, mention oral siphon opening and insert more than the water surface, cut out the pump, close outlet and last tube valve, the connection between releasing, finally does disposable silicon glue material as treatment of!medical waste.
This novel skin attemperator is main material with the soft silica gel of hollow, ensures that it has conformal performance, fully can cover focal zone body surface scope.This device establishes 1 water inlet, and warm water is placed in 5L water receiver (in the non-patent of configuration equipment), and the pump installation (in the non-patent of configuration equipment) through an adjustable speed pumps into, and injects from water inlet.Anterior water side is the design of stripping fork sample, to meet the space requirement of positioning needle and argon helium knife probe focal zone cloth pin.Each stripping fork joins an outlet, a temperature control induction apparatus and valve is separately established at each stripping fork in anterior water side, each temperature inductor connects a temperature display, by thermostatic water pump speed, the warm water of injection is remained in suitable water temperature range behind freezing region; Feel to open several outlet by the size of art.Outlet connects the soft silica gel pipeline arranged without the insulation bag rear portion of temperature inductor, is mirror image relationship design with soft silica gel part.Warm water, behind water side, is collected by silica gel pipeline and is back in water receiver.Still rising water outlet end temperature can not reach optimal level as speeded pump water speed, water temperature in water receiver (change water or increase hot water) can be regulated.
The present invention is for reaching operation sterility requirements, this device is disposable sterilized use material, with the soft silica gel consumption of a quantity not sufficient sterile gloves when silicon gel part of its whole device makes, being connected to of whole device brings into use process only 30 seconds, utilize temperature inductor to instruct and regulate 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 embody rule.
Accompanying drawing explanation
Fig. 1 is Facad structure figure of the present invention;
Fig. 2 is construction profile of the present invention.
Detailed description of the invention
As Fig. 1, shown in Fig. 2, a kind of for skin attemperator in argon helium knife art, this skin attemperator is connected to through the pumping plant of an adjustable speed by water receiver, this skin attemperator is primarily of insulation bag front portion 21, the insulated bag body composition that insulation bag rear portion 22 connects, 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, temperature control induction apparatus 4 is provided with in described insulation bag rear portion 22, 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 water receiver, this skin attemperator is by the displays temperature of temperature control induction apparatus 4, and the speed of pumping for water pump is regulated by temperature range, the warm water of injection is remained in suitable water temperature range behind freezing region, the design in stripping fork sample of anterior water side 31, each stripping fork arranges an outlet 5.Water inlet 1 and water side, rear portion 32 are made by the polythene material having an one-way cock, and temperature control induction apparatus 4 connects a temperature display, and are provided with eye-catching conversion and indicate, and exceed the situation of temperature required scope in order to prompting.
The first step: be connected with water inlet 1 by the oral siphon end of water receiver, stage casing is inserted into water pump, and oral siphon opening is inserted water receiver and inserted in water.
Second step: choose and need to be opened to the mouth of a river 5, after treating argon helium knife cloth pin, outlet 5 is walked around argon helium knife pin and is once connected with far-end effluent collection pipeline, and water side, rear portion 32 connects outlet pipe, and outlet pipe end is inserted water receiver, and the backflow forming water utilizes.
3rd step: switch pump of fetching boiling water, observes the temperature value shown by temperature inductor display screen, as displays temperature is too high, reduces pump power, slows down pump water speed or adds by water at low temperature in water receiver; As Temperature displaying is too low, strengthen pump power, accelerate pump water speed, if accelerate pump water speed, Temperature displaying still lower than Suitable ranges, then adds with hot water or changes warm water in water receiver.
4th step: after operation, mentions oral siphon opening and inserts more than the water surface, cut out the pump, and close outlet 5 and last tube valve, the connection between releasing, finally does disposable silicon glue material as treatment of!medical waste.
To focal zone cloth pin behind treated by Argon-Helium cryoablation art location, place at output high pressure argon gas Qian Buzhen district body surface and take out the argon helium knife cooler suppressed, inject warm water to cooler water inlet end, each outlet valve is closed, and closes water inlet valve after cooler is full.
Can start to export high pressure argon gas start freezing when being reflected that by temperature control induction apparatus 4 water temperature is in optimum range, the water temperature change observing temperature control induction apparatus 4 reflect in the cyclic process of freezing-rewarming-freezing;
Time below water temperature drop to temperature required scope, then must open water inlet 1 and each outlet valve, discharge original warm water and inject new warm water to maintain target area body surface preference temperature simultaneously.This process can repeat, until the treatment of treated by Argon-Helium cryoablation art is complete, after patient's ordinary circumstance is stable, and disposable argon helium knife cooler and discardable.
The foregoing is only preferred embodiment of the present invention; not thereby the scope of the claims of the present invention is limited; every utilize description of the present invention and accompanying drawing content to do equivalent structure or equivalent flow process conversion; or be directly or indirectly used in other relevant technical field, be all in like manner included in scope of patent protection of the present invention.