CN101214163B - Bladder renal pelvis stones extraction lens - Google Patents
Bladder renal pelvis stones extraction lens Download PDFInfo
- Publication number
- CN101214163B CN101214163B CN2008100328504A CN200810032850A CN101214163B CN 101214163 B CN101214163 B CN 101214163B CN 2008100328504 A CN2008100328504 A CN 2008100328504A CN 200810032850 A CN200810032850 A CN 200810032850A CN 101214163 B CN101214163 B CN 101214163B
- Authority
- CN
- China
- Prior art keywords
- mirror
- clamp
- passage
- rubble
- lithotomy forceps
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 239000004575 stone Substances 0.000 title claims abstract description 20
- 210000000244 kidney pelvis Anatomy 0.000 title claims description 15
- 238000000605 extraction Methods 0.000 title claims description 13
- 239000013307 optical fiber Substances 0.000 claims abstract description 37
- 238000002504 lithotomy Methods 0.000 claims abstract description 34
- 238000003384 imaging method Methods 0.000 claims abstract description 17
- 239000007788 liquid Substances 0.000 claims abstract description 10
- 210000000078 claw Anatomy 0.000 claims description 16
- 239000012530 fluid Substances 0.000 claims description 7
- 230000002262 irrigation Effects 0.000 claims description 7
- 238000003973 irrigation Methods 0.000 claims description 7
- 238000004826 seaming Methods 0.000 claims description 2
- 238000005406 washing Methods 0.000 abstract 4
- 238000005516 engineering process Methods 0.000 description 8
- 238000001727 in vivo Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000003745 diagnosis Methods 0.000 description 3
- 230000002950 deficient Effects 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 238000011010 flushing procedure Methods 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 210000000626 ureter Anatomy 0.000 description 2
- 206010016717 Fistula Diseases 0.000 description 1
- 208000006568 Urinary Bladder Calculi Diseases 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 210000004877 mucosa Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 238000010298 pulverizing process Methods 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
- A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
- A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
Abstract
The present invention provides a bladder pyeloscope, comprising a pyeloscope sheath, a pyeloscope body, a lithotomy forceps and clamp module, a lithotomy forceps and clamp passage pipe, a chippings passage pipe, an optical fiber passage pipe and an endoscopic imaging module. The end of the pyeloscope sheath is provided with a washing liquid passage opening. One ends of the lithotomy forceps and clamp passage pipe, the chippings passage pipe and the optical fiber passage pipe are respectively communicated with a pull rod inlet at the pyeloscope body, a chippings passage opening and an optical fiber inlet; the other ends are inserted into the pyeloscope sheath and are extended to the end of the pyeloscope sheath. The chippings passage opening is communicated with a chippings passage. The gap inside the pyeloscope sheath is a liquid washing passage which is communicated with the washing liquid passage opening. The lithotomy forceps and clamp module comprises a jaw and a pull rod which is put through the lithotomy forceps and clamp passage to be connected with a handle. The lithotomy forceps and clamp module is arranged outside the end of the lithotomy forceps and clamp passage pipe. One end of the endoscopic imaging module is connected with the pyeloscope body, and the other end is arranged at the end of the optical fiber passage pipe. The present invention has the functions of diagnosing, fixing stone, washing and absorbing chippings, taking the chippings, etc. and has important clinical application value.
Description
Technical field
The present invention relates to a kind of apparatus for the treatment of calculi in vivo, be specifically related to a kind of bladder renal pelvis stones extraction lens.
Background technology
Calculi in vivo as the bladder pyelolithiasis, is a kind of common disease.Clinically lithotripsy in treatment that adopt the intracavity less invasive techniques to carry out bladder, pyelolithiasis more.
At present, existing bladder lithotriptoscepe adopts the Mechanics of Machinery principle, by the mechanical presses of lithotrite gmatjpdumamics calculus is pulverized.But, also be difficult to after calculus is pulverized rubble is got only, and in the process of crushed stone, damage bladder, urethral mucosa easily because when operation is difficult to calculus is pulverized.Simultaneously, present bladder lithotriptoscepe does not have fixing calculus yet, the rubble passage is provided, dashes the function of inhaling rubble, picked-up rubble, so seldom use clinically.
Existing various ureteroscope and kidney mirror can be the pneumatic ballistic lithotripsy technology or laser lithotripsy technology crushed stone provides operating walk way when being used for the treatment of vesical calculus and pyelolithiasis, but but lack effective ways after calculus is pulverized rubble is got only.
Existing various bladder, ureter foreign body forceps are mainly used in the picked-up foreign body, get stone in the also available Rhizoma Atractylodis Macrocephalae.But because the defective on the bladder, ureter foreign body forceps project organization, act on singlely, can only absorb less foreign body of volume and rubble.Can not can not carry out the rubble operation with fixing calculus in the Rhizoma Atractylodis Macrocephalae, can not dash and inhale rubble, therefore in the rubble operation of intracavity Wicresoft, use limited.
When adopting existing crushing technique treatment bladder, pyelolithiasis, fixing calculus in the art, calculus is slided in bladder, renal pelvis easily, and operation brings difficulty to rubble, lacks effective means behind the rubble again rubble is in time taken out.These problems have had a strong impact on the curative effect of intracavity Minimally Invasive Surgery treatment bladder, pyelolithiasis.Therefore need a kind of intracavity Wicresoft lithotrity that is used for bladder, pyelolithiasis can be carried out rubble after fixing again clinically, can dash again after calculus is pulverized and inhale rubble, the operating theater instruments of picked-up rubble.
Summary of the invention
The purpose of this invention is to provide a kind of bladder renal pelvis stones extraction lens, to overcome the above-mentioned defective that prior art exists.
Bladder renal pelvis stones extraction lens of the present invention comprises the straight tube-like mirror sheath and the mirror body of both ends open, and said mirror body is connected with an end of mirror sheath;
It is characterized in that, also comprise lithotomy forceps clip assembly, lithotomy forceps folder channel, rubble channel, optical-fibre channel pipe and based endoscopic imaging assembly;
The end of said mirror sheath is provided with the passage of irrigation fluid mouth with intracavity inter-connection;
One end of said lithotomy forceps folder channel, rubble channel and optical-fibre channel pipe is connected with pull bar inlet, rubble passway and optical fiber inlet on the mirror body respectively, the other end is inserted in the mirror sheath and extends to the end of mirror sheath, the said rubble passway rubble passage that be provided with rubble inlet external with extending to mirror is connected, space in the mirror sheath is the liquid wash passage, and said liquid wash passage is connected with passage of irrigation fluid mouth on being arranged on the mirror sheath;
Said lithotomy forceps clip assembly comprises clamp and the pull bar that is connected with clamp, and the other end of said pull bar passes lithotomy forceps folder passage and is connected with handle on being arranged on the mirror body, and clamp is arranged on outside the end of an end that lithotomy forceps away from the mirror body presss from both sides channel;
One end of said based endoscopic imaging assembly is connected with the mirror bulk phase, and the other end is arranged on outside the end of optical-fibre channel pipe.
Bladder renal pelvis stones extraction lens of the present invention, but per urethra carries out the BLOBS bladder observation diagnosis and carries out renal pelvis inspection diagnosis through the fistula of skin mouth, and the fixing calculus of available lithotomy forceps clip assembly, be convenient to the carrying out of rubble operation, the rubble passage can allow to adopt crushing techniques such as pneumatic ballistic lithotripsy technology, various laser lithotripsy technology to carry out the rubble operation, calculus is connected the mirror sheath after pulverizing with irrigator, rubble capable of flushing and sucking, further available lithotomy forceps clip assembly picked-up rubble can be used for absorbing other various foreign body in bladder in addition.The present invention for the clinician provide a kind of gather check diagnosis, fixedly calculus, the rubble passage be provided, dash that to inhale rubble, absorb functions such as rubble be the multifunctional micro-wound scope of one, have crucial clinical value.
Description of drawings
Fig. 1 is the bladder renal pelvis stones extraction lens structural representation.
Fig. 2 is a mirror body structure sketch map.
Fig. 3 is a lithotomy forceps clip assembly structural representation.
Fig. 4 is that A among Fig. 3 is to sketch map.
Fig. 5 is the B phase sketch map among Fig. 3.
Fig. 6 is a pull bar and the sketch map that cooperates of handle.
Fig. 7 is the core arrangement sketch map.
The specific embodiment
Referring to Fig. 1 and Fig. 2, bladder renal pelvis stones extraction lens of the present invention comprises the straight tube-like mirror sheath 1 and the mirror body 2 of both ends open, and said mirror body 2 is connected with an end of mirror sheath 1;
It is characterized in that, also comprise lithotomy forceps clip assembly, lithotomy forceps folder channel 4, rubble channel 5, optical-fibre channel pipe 7 and based endoscopic imaging assembly;
The end of said mirror sheath 1 is provided with the passage of irrigation fluid mouth 101 with intracavity inter-connection;
One end of said lithotomy forceps folder channel 4, rubble channel 5 and optical-fibre channel pipe 7 is connected with pull bar inlet 201, rubble passway 202 and optical fiber inlet 203 on the mirror body 2 respectively, the other end is inserted in the mirror sheath 1 and extends to the end of mirror sheath 1, the said rubble passway 202 rubble passage 204 that be provided with rubble inlet 205 outer with extending to mirror body 2 is connected, space in the mirror sheath 1 is a liquid wash passage 6, and said liquid wash passage 6 is connected with passage of irrigation fluid mouth 101 on being arranged on mirror sheath 1;
Referring to Fig. 1 and Fig. 3, said lithotomy forceps clip assembly comprises clamp 301 and the pull bar 302 that is connected with clamp 301, the other end of said pull bar 302 passes lithotomy forceps folder passage 2 and is connected with handle 9 on being arranged on mirror body 2, and clamp 301 is arranged on outside the end of an end that lithotomy forceps away from mirror body 2 presss from both sides channel 4;
One end of said based endoscopic imaging assembly is connected with mirror body 2, and the other end is arranged on outside the end of optical-fibre channel pipe 7;
In conjunction with Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5 and Fig. 6, said mirror body 2 is provided with chute 206, said clamp 301 comprises the upper clamp 311 of frame-like, last claw beam 312, the lower clamp 313 of frame-like, following claw beam 314 and connecting rod 315, said upper clamp 311 and lower clamp 313 outwards swell respectively, constitute ring-type, as Fig. 5, be convenient to fixedly calculus or absorb other various foreign body in vivo, one end of last claw beam 312 is connected with one side of upper clamp 311, one end of following claw beam 314 is connected with one side of lower clamp 311, last claw beam 312 intersects mutually with the middle part of following claw beam 314, flexibly connect by pin, last claw beam 312 flexibly connects by pin and connecting rod 315 with the other end of following claw beam 314, the other end of connecting rod 315 is connected with pull bar 302 by pin, pull bar 302 inserts lithotomy forceps folder channel 4, and extend to chute 206 places on the mirror body 2, be connected by fixing pin 11 with handle 9, when said handle 9 during to horizontal movement, can drive pull bar 302 motions, thereby upper clamp 311 and lower clamp 313 are opened or closure, be used for fixing calculus or absorb other various foreign body in vivo.
Further, referring to Fig. 1, the based endoscopic imaging assembly comprises that object lens 801, eyepiece 802, light source 803, luminous source optical fiber and imaging return optical fiber, said object lens 801 are fixed on the end of optical-fibre channel pipe 7, said eyepiece 802 and light source 803 are separately positioned on the mirror body 2, the end that optical fiber is returned in imaging is connected with eyepiece 802, the other end passes optical-fibre channel pipe 7 and is connected with object lens 801, one end of luminous source optical fiber is connected with light source 803, and the other end passes optical-fibre channel pipe 7 and extends to the end of optical-fibre channel pipe 7; The structure of this based endoscopic imaging assembly and annexation are conventional technology, and the present invention repeats no more;
Further, mirror body 2 and mirror sheath 1 are fixedlyed connected by seaming.
Further, that the present invention also comprises is 1 that cooperate with the mirror sheath, an end stretches out mirror sheath 1 and the end is circular-arc inner core 10, as Fig. 7, before mirror sheath 1 insertion human body, earlier inner core 10 is inserted mirror sheaths 1, to prevent the damage of 1 pair of human organ of mirror sheath, after inserting human body, extract inner core 10, be connected with the mirror bulk phase again, fixedly calculus, crushed stone and the operation of picked-up rubble.
Preferably, lithotomy forceps folder channel 4 is positioned at row, and in the middle of optical-fibre channel pipe 7 was positioned at, rubble channel 5 was positioned at row down;
In the middle of optical-fibre channel pipe 7 is positioned at, is convenient to the visual field and observes, optical fiber is returned in imaging and luminous source optical fiber can obtain effective protection, and is not fragile, and lithotomy forceps folder channel 4 is positioned at row, is convenient to get the stone operation.
The present invention uses like this:
Just inner core 10 inserts mirror sheath 1, behind the insertion human body, extracts inner core 10, and then the mirror bulk phase connects, utilize the based endoscopic imaging assembly to seek calculus or foreign body,, adopt the means of routine then by the fixing calculus of lithotomy forceps clip assembly, as pneumatic ballistic lithotripsy technology, laser lithotripsy technology, air-flow or laser are passed through rubble channel 5 rubbles, carry out the crushed stone operation, then by passage of irrigation fluid mouth 101, send into flushing liquid, wash.
Claims (5)
1. bladder renal pelvis stones extraction lens comprises the straight tube-like mirror sheath (1) and the mirror body (2) of both ends open, and said mirror body (2) is connected with an end of mirror sheath (1);
It is characterized in that, also comprise lithotomy forceps clip assembly, lithotomy forceps folder channel (4), rubble channel (5), optical-fibre channel pipe (7), based endoscopic imaging assembly and cooperating of before inserting human body, using with mirror sheath (1), an end stretches out mirror sheath (1) and the end is circular-arc inner core (10);
The end of said mirror sheath (1) is provided with the passage of irrigation fluid mouth (101) with intracavity inter-connection;
Said lithotomy forceps folder channel (4), one end of rubble channel (5) and optical-fibre channel pipe (7) respectively with mirror body (2) on pull bar inlet (201), rubble passway (202) and optical fiber inlet (203) are connected, the other end is inserted in the mirror sheath (1) and extends to the end of mirror sheath (1), said rubble passway (202) the rubble passage (204) that be provided with rubble inlet (205) outer with extending to mirror body (2) is connected, space in the mirror sheath (1) is liquid wash passage (6), and said liquid wash passage (6) is connected with passage of irrigation fluid mouth (101) on being arranged on mirror sheath (1);
Said lithotomy forceps clip assembly comprises clamp (301) and the pull bar (302) that is connected with clamp (301), the other end of said pull bar (302) passes lithotomy forceps folder channel (4) and is connected with handle (9) on being arranged on mirror body (2), and clamp (301) is arranged on outside the end of an end that lithotomy forceps away from mirror body (2) presss from both sides channel (4);
One end of said based endoscopic imaging assembly is connected with mirror body (2), and the other end is arranged on outside the end of optical-fibre channel pipe (7).
2. bladder renal pelvis stones extraction lens according to claim 1, it is characterized in that, said mirror body (2) is provided with chute (206), said clamp (301) comprises the upper clamp (311) of frame-like, last claw beam (312), the lower clamp of frame-like (313), following claw beam (314) and connecting rod (315), said upper clamp (311) and lower clamp (313) outwards swell respectively, constitute ring-type, one end of last claw beam (312) is connected with one side of upper clamp (311), one end of following claw beam (314) is connected with one side of lower clamp (311), last claw beam (312) intersects mutually with the middle part of following claw beam (314), flexibly connect by first pin, last claw beam (312) flexibly connects by the second and the 3rd pin and connecting rod (315) respectively with the other end of following claw beam (314), the other end of connecting rod (315) is connected with pull bar (302) by the 4th pin, pull bar (302) inserts lithotomy forceps folder channel (4), and the chute (206) that extends on the mirror body (2) locates, and is connected by fixing pin with handle (9).
3. bladder renal pelvis stones extraction lens according to claim 1, it is characterized in that, said based endoscopic imaging assembly comprises object lens (801), eyepiece (802), light source (803), optical fiber is returned in luminous source optical fiber and imaging, said object lens (801) are fixed on the end of optical-fibre channel pipe (7), said eyepiece (802) and light source (803) are separately positioned on the mirror body (2), the end that optical fiber is returned in imaging is connected with eyepiece (802), the other end passes optical-fibre channel pipe (7) and is connected with object lens (801), one end of luminous source optical fiber is connected with light source (803), and the other end passes optical-fibre channel pipe (7) and extends to the end of optical-fibre channel pipe (7).
4. bladder renal pelvis stones extraction lens according to claim 1 is characterized in that, mirror body (2) is fixedlyed connected by seaming with mirror sheath (1).
5. according to each described bladder renal pelvis stones extraction lens of claim 1～4, it is characterized in that lithotomy forceps folder channel (4) is positioned at row, in the middle of optical-fibre channel pipe (7) was positioned at, rubble channel (5) was positioned at row down.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2008100328504A CN101214163B (en) | 2008-01-21 | 2008-01-21 | Bladder renal pelvis stones extraction lens |
| PCT/CN2008/002007 WO2009092182A1 (en) | 2008-01-21 | 2008-12-15 | Bladder bladder renal pelvis stones extraction lens |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2008100328504A CN101214163B (en) | 2008-01-21 | 2008-01-21 | Bladder renal pelvis stones extraction lens |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101214163A CN101214163A (en) | 2008-07-09 |
| CN101214163B true CN101214163B (en) | 2010-11-10 |
Family
ID=39620712
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2008100328504A Expired - Fee Related CN101214163B (en) | 2008-01-21 | 2008-01-21 | Bladder renal pelvis stones extraction lens |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN101214163B (en) |
| WO (1) | WO2009092182A1 (en) |
Families Citing this family (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101214163B (en) * | 2008-01-21 | 2010-11-10 | 上海市杨浦区中心医院 | Bladder renal pelvis stones extraction lens |
| CN101889887A (en) * | 2010-07-27 | 2010-11-24 | 张茨 | Intracavitary lithotripter for treating upper urinary tract calculi |
| JP2012095911A (en) * | 2010-11-04 | 2012-05-24 | Fujifilm Corp | Endoscope and light source device for endoscope |
| JP5526000B2 (en) * | 2010-11-15 | 2014-06-18 | 富士フイルム株式会社 | Endoscope and endoscope light source device |
| CN102068232B (en) * | 2011-01-28 | 2013-04-10 | 周均洪 | Combined rigid ureteroscope |
| CN103431890B (en) * | 2013-09-25 | 2015-06-17 | 河南科技大学 | Push type renal calyce calculus removing device |
| CN103431888B (en) * | 2013-09-25 | 2015-07-01 | 河南科技大学 | Push type bladder diverticulum calculus removing device |
| CN108378897A (en) * | 2018-02-13 | 2018-08-10 | 广州乔铁医疗科技有限公司 | A kind of visualization lithotomy forceps |
| CN108210015A (en) * | 2018-02-13 | 2018-06-29 | 广州乔铁医疗科技有限公司 | A kind of broken, lithotomy forceps of visualization |
| CN108403211A (en) * | 2018-03-23 | 2018-08-17 | 上海市杨浦区中心医院(同济大学附属杨浦医院) | Multifunctional bladder renal pelvis stone-taking lens |
| CN109589155A (en) * | 2018-11-12 | 2019-04-09 | 孟祥锋 | A kind of Urology Surgery lithangiuria calculus removing instrument |
| CN110916757B (en) * | 2019-12-12 | 2022-08-23 | 彭州市隆丰镇卫生院 | Hepatobiliary surgery is with getting stone device |
| CN112957098A (en) * | 2021-01-27 | 2021-06-15 | 谭旻喆 | Novel calculus of uropoiesis surgery washes device |
| CN116269636B (en) * | 2023-02-27 | 2023-09-26 | 广州医科大学 | Stone extractor for hepatobiliary surgery |
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- 2008-01-21 CN CN2008100328504A patent/CN101214163B/en not_active Expired - Fee Related
- 2008-12-15 WO PCT/CN2008/002007 patent/WO2009092182A1/en active Application Filing
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Also Published As
| Publication number | Publication date |
|---|---|
| WO2009092182A1 (en) | 2009-07-30 |
| CN101214163A (en) | 2008-07-09 |
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