1.The development and applications of electrosurgical equipment.
Chinese Journal of Medical Instrumentation 2002;26(6):437-465
We here in the paper, not only introduce the development of electricsurgical operation equipment in our country and foreign countries but also represent the characters, principles and usages of several kinds electrosurgical equipment in foreign countries.
Argon
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Catheter Ablation
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instrumentation
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Electrocoagulation
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instrumentation
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Electrosurgery
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instrumentation
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Humans
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Ions
2.Design and Research of Thermal Ablation System Based on Dual-frequency Microwave Solid State Source.
Yongjie MU ; Juan WANG ; Jinzhe ZHAO ; Xiaofei JIN ; Zhiyu QIAN
Chinese Journal of Medical Instrumentation 2019;43(3):173-175
Microwave thermal ablation technology is widely used in the treatment of liver tumors because of its minimal invasiveness and small side effects. The precise control of the thermal dose largely determines the therapeutic effect of microwave thermal ablation. However, the current magnetron-based microwave thermal ablation device has the disadvantages of poor power output stability and high operating voltage. In view of the above problems, this paper selected the microwave solid-state source as the core device of microwave output, and designed a dual-frequency microwave thermal ablation system based on 2 450 MHz and 433 MHz. The system used the power detection circuit to perform PID feedback control on the actual output power of the system. The experimental results show that the maximum output power of the system is less than 1 W. The PID algorithm further enhances the accuracy and stability of the system output power while improving the system security. The dual-frequency microwave thermal ablation system designed in this paper can provide a safe and reliable experimental platform for subsequent research.
Catheter Ablation
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instrumentation
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Humans
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Liver Neoplasms
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therapy
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Microwaves
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Radiofrequency Ablation
3.Experimental study of temperature sensor in temperature-guided radiofrequency catheter ablation.
Journal of Biomedical Engineering 2010;27(1):28-32
In order to optimize temperature monitoring, the mean of temperature measured by Copper-CuNi thermocouple (TC) was compared with the actual temperature. By the use of the temperature response curve of TC, the data from monitoring temperature were analyzed in regard to the depth of installation, the diameter of TC hole and the material of ablation electrode. The accuracy and real-time of TC with a depth of 3.5 mm were better than those of 2.5 mm or 3 mm, when TC was installed in the ablation electrode TC hole. However, the difference of real-time performance was not obvious. When TC was installed in different TC holes with diameter of 0.44 mm, 0.42 mm, 0.33 mm respectively, TC with the diameter of 0.33 mm TC hole was noted to be of higher accuracy and better real-time to response temperature, compared with others. In terms of material quality, the slope of platinum temperature response curve was greater than that of stainless steel, while the accuracy of sensor temperature changed inconspicuously. As a result, the monitoring device of temperature should be put to the heat source as nearly as possible. Also, platinum ablation electrode with better thermal conductivity should be chosen.
Catheter Ablation
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instrumentation
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methods
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Electrodes
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Equipment Design
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Humans
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Platinum
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Temperature
5.Discussion on the electromagnetic compatibility testing and evaluation of radio frequency ablation catheter.
Chinese Journal of Medical Instrumentation 2014;38(6):430-432
With the enforcement of YY 0505-2012, the testing items and evaluation points of radio frequency ablation catheter in electromagnetic compatibility field should be studied and discussed. Based on the requirements of relevant standards, this paper discusses on the testing items that should be applied and the evaluation points that should be focused on by analyzing the intended use and the structure of radio frequency ablation catheter, when it intends to apply registration individually with the basic knowledge of electromagnetic compatibility field.
Catheter Ablation
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instrumentation
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Electromagnetic Fields
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Electromagnetic Phenomena
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Evaluation Studies as Topic
6.Study on Effect of 4 Different Conduction Pathways on Initiation and Maintenance of Atrial Fibrillation Based on Atrial Simulation.
Zhaolian OUYANG ; Ting ZHANG ; Dongzi XU ; Yubo FAN
Chinese Journal of Medical Instrumentation 2019;43(2):99-101
OBJECTIVE:
In this study,computational modelling was used to study whether different conduction pathways have impact on the AF initiation and maintenance based on a human atrial model.
METHODS:
MRI images from one patient who has atrial fibrillation were used to reconstruct the human atrial anatomical model.The number of MRI images was 112.In order to study the effect of different conduction pathways to AF,4 different atrial models were generated in this study,which were biatrial conduction via only LFO;biatrial conduction via only CS;biatrial conduction via both LFO and CS;model without biatrial conduction.
RESULTS:
In the case of biatrial conduction simulation via only LFO,the same re-entries were induced as in the LFO and CS case.But for the two cases of only CS conduction and both LFO and CS cannot conduct electricity,one stimulus site induced unsustained re-entry which only lasted for 2 cycles,and then terminated.The other two sites induced the same re-entries as in the previously described two cases,which were biatrial conduction simulation via both LFO and CS and only LFO.
CONCLUSIONS
Our simulation showed that these conduction pathways played a minor role in the re-entry initiation and maintenance,the possible explanation is that all the re-entries induced in our simulation is local drivers and maintained by fibrosis.
Atrial Fibrillation
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Catheter Ablation
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instrumentation
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Heart Atria
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Heart Rate
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Humans
7.Development of a cryosurgery & radiofrequency alternating tumor ablation device.
Xiao-Gang FU ; Jing-Feng BAI ; Yazhu CHEN
Chinese Journal of Medical Instrumentation 2008;32(6):413-415
The combination of the cryosurgery using LN2 and intelligent RF ablation therapeutic instrument based on the theory of local destruction is introduced in this paper, and this alternating therapy is believed to have a better controlling effect on tumor ablation. In heating period, a fuzzy algorithm is used to control the RF power to realize a more smoothly heating process to the target area.
Catheter Ablation
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instrumentation
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methods
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Cryosurgery
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instrumentation
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Equipment Design
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Humans
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Hyperthermia, Induced
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instrumentation
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methods
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Neoplasms
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surgery
8.Comparison of the Effectiveness of Different Supraglottic Ventilation Methods during Bronchial Thermoplasty.
Wen WANG ; Jiang-tao LIN ; Nan SU ; Ying NONG ; Hong HONG ; Yi-qing YIN ; Cheng-hui LI
Acta Academiae Medicinae Sinicae 2016;38(2):131-135
OBJECTIVETo compare the effectiveness of high-frequency jet ventilation via Wei jet nasal airway and controlled ventilation with improved laryngeal mask airway during bronchial thermoplasty.
METHODSTwenty-eight patients undergoing bronchial thermoplasty were equally divided into two groups: group A (high-frequency jet ventilation through Wei jet nasal airway) and group B (controlled ventilation with improved laryngeal mask airway). Pulse oxygenation,heart rate,and mean arterial blood pressure were recorded after entering the operating room (T0), 1 minute after administration/induction (T1), bronchoscope inserting (T2), 15 minutes (T3)/30 minutes (T4)/45 minutes (T5) after ventilation,at the end of the operation (T6), and at the recovery of patients' consciousness (T7). The pH,arterial oxygen partial pressure,and arterial carbon dioxide partial pressure were recorded at T0, T4, and T6. The endoscope indwelling duration,operative time,patients' awakening time,adverse events during anesthesia,satisfactions of patients and operators, anesthesic effectiveness were also recorded.
RESULTSThe arterial carbon dioxide partial pressur in group A at T4 and T6 were significantly higher than in group B (P<0.05). The pH in group A at T4 and T6 was significantly lower than in group B (P<0.05). The endoscope indwelling duration and the operative time in group B were significantly shorter than in group A (P<0.05) while the recovery of consciousness in group B was significantly longer than in group A (P<0.05). The satisfaction for operators and the efficacy of anesthesia in group B were better than in group A (P<0.05). The number of adverse events in group B was significantly smaller than in group A (P<0.05).
CONCLUSIONThe improved laryngeal mask airway with controlled ventilation is more suitable for bronchial thermoplasty.
Blood Gas Analysis ; Bronchoscopy ; Catheter Ablation ; Heart Rate ; High-Frequency Jet Ventilation ; instrumentation ; Humans ; Laryngeal Masks
9.Study on multi-pole RF ablation system.
Qi CHEN ; Bin XIONG ; Yazhu CHEN ; Xuesu FENG
Journal of Biomedical Engineering 2002;19(3):529-531
Radio frequency ablation has become a valuable method in treating cancers or tumors for its wide adaptability, better efficacy, convenience and safety. This paper introduces the research and development of a multipolar RF tumor therapy system based on the technology of destroying hypoxic cell. This is an intellectualized tumor curing system.
Animals
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Catheter Ablation
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instrumentation
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methods
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Electrodes
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Equipment Design
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Mice
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Mice, Nude
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Neoplasms, Experimental
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therapy
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Software Design