CN104921806A - Urethral lithotripsy device with soft channel - Google Patents

Urethral lithotripsy device with soft channel Download PDF

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Publication number
CN104921806A
CN104921806A CN201410847423.7A CN201410847423A CN104921806A CN 104921806 A CN104921806 A CN 104921806A CN 201410847423 A CN201410847423 A CN 201410847423A CN 104921806 A CN104921806 A CN 104921806A
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China
Prior art keywords
soft
channel
pull bar
pipe
fixed
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Granted
Application number
CN201410847423.7A
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Chinese (zh)
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CN104921806B (en
Inventor
陆军忠
沈瑜
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TONGLU GUANGSHUO MEDICAL DEVICES CO Ltd
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TONGLU GUANGSHUO MEDICAL DEVICES CO Ltd
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Priority to CN201410847423.7A priority Critical patent/CN104921806B/en
Publication of CN104921806A publication Critical patent/CN104921806A/en
Application granted granted Critical
Publication of CN104921806B publication Critical patent/CN104921806B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The invention relates to a urethral lithotripsy device with a soft channel. The urethral lithotripsy device comprises a soft channel device, a light guide assembly, a draw bar assembly, a lifter, a soft lens assembly and a holmium laser assembly. The soft channel device comprises a channel seat and a soft tube channel, one end of the soft tube channel is fixed onto the channel seat, a channel head is arranged at the other end of the soft tube channel, a channel opening is formed in the channel head, and a transparent sheet is fixed onto the channel opening; a soft steel wire is arranged in the soft tube channel, one end of the soft steel wire is fixed onto the channel seat, and a distance from the other end of the soft steel wire to the channel opening ranges from 4cm to 5cm; the holmium laser assembly, a soft lens channel, a light guide cable channel and a draw bar channel are arranged in the soft tube channel. The urethral lithotripsy device has the advantages that the urethral lithotripsy device is reasonable in structural design, the soft tube channel is soft and is easy to operate, and accordingly pain can be prevented for patients; the urethral lithotripsy device is wide in operation visual field, various directions can be taken into consideration, and accordingly the surgery efficiency can be improved.

Description

The soft passage calculi breaking device of a kind of ureter
Technical field
The present invention relates to the soft passage calculi breaking device of a kind of ureter, be exclusively used in the calculus in treatment human urethra, belong to technical field of medical instruments.
Background technology
Urethra is the toxin expelling system of the mankind, there is numerous toxin and precipitate in urine, and urine enters urethra by kidney filtration, and in this metabolic processes, kidney and urethra often form precipitate, and the time causes kidney and calculus of urethra for a long time.Renal calculus is in drug treatment, and form calculus and be separated with kidney, calculus enters urethra, causes calculus of urethra.The present invention is exclusively used in the urethra soft lens and soft passage rubble system that carry out Ho.YAG laser lithotripsy in human urethra.
The Therapeutic Method of prior art: one is carry out urethra rubble by Drug therapy, naturally drain when urinating, its defect is that the rubble time is long, if calculus is excessive be difficult to rubble, causes renal blockage, brings misery to people.Two is also have urethra rubble apparatus, and as urethra lithotrite, Ho.YAG laser lithotripsy apparatus, urethra lithotrite etc., their existing defects are: operating walk way is metal hard tube, and pipeline thick (large reaches 0.8-10mm), and it is large to enter urethra difficulty; Head cystoscope of can not turning only has straight line view, must swing apparatus operating walk way and improve angular views after entering human bladder, operation trouble; The operating walk way of metal hard tube, owing to not turning, is only limited to the operation of human urethra and bladder, and as little in entered human kidney field-of-view angle, operative space is little, can not meet desirable surgical effect.
Summary of the invention
Technical problem to be solved by this invention overcomes above-mentioned deficiency existing in prior art, and design is a kind of rational in infrastructure, effectively can smash the soft passage calculi breaking device of the ureter of calculus in urethra.
The present invention solves the problems of the technologies described above adopted technical scheme: the soft passage calculi breaking device of a kind of ureter, is characterized in that: it comprises soft lane device, leaded light component, rod assembly, drawing device, soft lens assembly, Bladder stone assembly.
Described soft lane device comprises channel seat, hose passages, and one end of hose passages is fixed in channel seat, and the other end is provided with channel head, and channel head has passway, fixing by slide on passway; Be provided with stone dead wire in hose passages, one end of stone dead wire is fixed in channel seat, and there is the distance of 4-5cm other end distance passway; Bladder stone passage, soft lens passage, guide-lighting Suo Tongdao and pull bar passage is provided with in hose passages.Whole piece hose passages can bend, and head does not have the position of stone dead wire soft especially, has angle and curved function, and angle of bend can reach 180 degree; Hose passages diameter is 2.6mm, enters human urethra convenient, can enter kidney surgery.
Described leaded light component comprises guide-lighting rope, light pipe and guide-lighting plug, one end of guide-lighting rope penetrates guide-lighting Suo Tongdao, extend to passway and contact with slide, the other end of guide-lighting rope passes hose passages and light pipe is fixed, light pipe is fixed in channel seat, and guide-lighting plug is connected with light pipe.Guide-lighting plug can be connected with light source; In operation application, leaded light component is exclusively used in as operation provides light source.
Described rod assembly comprises steel wire rope pull bar, pull bar connection tube, pull bar connection tube is fixed in channel seat, one end of steel wire rope pull bar penetrates pull bar passage, extend to channel head place and fix with channel head, the other end of steel wire rope pull bar passes hose passages and through pull bar connection tube, fixes with drawing device.Rod assembly is fixed in soft lane device, and pull bar channel diameter is 0.45mm, and its effect pulls drawing device, drawing device pulls steel wire rope pull bar, steel wire rope pull bar pulls channel head, and the head of hose passages is soft especially easily bending, and angle of bend can reach 180 degree; In operation application, soft lens assembly and leaded light component is coordinated to check stone location in ureter.
Described soft lens assembly comprises mirror body, soft lens pipe, soft lens connection tube, eyeglass, soft lens connection tube and channel seat are fixed, be provided with in soft lens pipe and lead picture optical fiber, the rear end of soft lens pipe is connected with mirror body, front end penetrates in soft lens passage through after soft lens connection tube, extend to passway and contact with slide, eyeglass is fixed on the front end of soft lens pipe.Soft lens assembly is arranged in soft lane device, and soft lens channel diameter is 0.45mm, and soft lens pipe penetrates soft lens passage, and soft lens pipe front end is connected with slide.In operation application, soft lens assembly is exclusively used in and checks stone location in ureter and kidney, can connect video and carry out operation technique.
Described Bladder stone assembly comprises Ho.YAG laser lithotripsy device, Bladder stone connection tube, and Bladder stone connection tube is fixed in channel seat, and Ho.YAG laser lithotripsy device, through Bladder stone connection tube, penetrates in Bladder stone passage, extends to passway, and pass from passway.Bladder stone assembly front and back in Bladder stone passage are through, and Bladder stone channel diameter is 1.2mm, is Ho.YAG laser lithotripsy device designated lane, and in operation application, Ho.YAG laser lithotripsy device is exclusively used in and smashes calculus in ureter.
Drawing device of the present invention comprises lifting rod, trumpeter's handle, two trumpeter's handles, pull bar, lift seat, spring, the end of one trumpeter's handle and lifting rod is fixed, two trumpeter's sleeves enter in lifting rod, connecting screw snaps in two trumpeter's handles, the end of connecting screw and pull bar is fixed, and pull bar is positioned at lifting rod; Spring is positioned at lifting rod, and one end and the lifting rod of spring are fixed, and the end of the other end and pull bar is fixed; The front end of lift seat and lifting rod is fixed, and lift seat is connected with pull bar connection tube, and the front end of pull bar is through lift seat; After steel wire rope pull bar passes pull bar connection tube, fix with the front end of pull bar.Pull two trumpeter's handles, two trumpeter's handles pull pull bar and steel wire rope pull bar, steel wire rope pull bar pulls channel head, the end soft flexible of hose passages, under the pulling of steel wire rope pull bar, angle of bend can reach 180 °, in operation application, soft lens and leaded light component can be coordinated to check intra-ureteral stone location.
Lift seat of the present invention is provided with adjusting bolt, and adjusting bolt is screwed into lift seat, contacts with pull bar.Unclamp adjusting bolt, pull bar can move forward and backward, and pulls hose passages, checks; After stone location being detected, can adjusting bolt be tightened, pull bar is fixed, the channel head of hose passages be located simultaneously, to perform the operation.
Soft lens adjusting device is provided with in soft lens assembly of the present invention, software controls comprises extension spring, interior pipe, an extra pipe, two extra pipes, swivel nut, adjustable pipe, regulating sleeve, nut, screw, an extra pipe is inserted in extension spring after being inserted in interior pipe, it is fixing that interior pipe enters swivel nut gummed, and the two ends of extension spring are connected with an extra pipe and interior pipe respectively; Adjustable pipe is inserted in two extra pipes and can slides, and it is fixing that two extra pipes are inserted in an extra pipe gummed, and regulating sleeve is inserted in adjustable pipe gummed to be fixed, and it is fixing that nut is inserted in regulating sleeve gummed, and screw is screwed into two extra pipes and is connected with adjustable pipe.
In operation application, hose passages head-bent, eyeglass and the slide of soft lens pipe front end can be thrown off according to rotational steps and affect operation visual field.The effect of soft lens adjusting device is when hose passages head-bent, the eyeglass produced and slide carry out disengagement supply, its method is: pull adjustable pipe after unclamping screw, make, in two extra pipes, there is space, make soft lens pipe in space, have certain bending by a small margin, tighten screw adjustable pipe is fixed, make soft lens pipe long in soft lane device, under the effect of extension spring, there is tension force.When hose passages head-bent, the eyeglass produced and slide are thrown off, and soft lens pipe, by its tensioner, makes eyeglass be connected all the time under the effect of extension spring tension force with slide, ensure the high-resolution visual field of operation screen operation.
The present invention compared with prior art, has following positive effect: reasonable in design, and hose passages is soft, easily operates, also can not bring misery to patient; Surgical field of view is good, can take into account each orientation, improves procedure efficiency.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 is the structural representation of soft lane device.
Fig. 3 be in Fig. 2 A-A to sectional structure schematic diagram.
Fig. 4 is the left TV structure schematic diagram of channel head in Fig. 2.
Fig. 5 is the structural representation after having installed each parts in Fig. 4.
Fig. 6 is the structural representation of drawing device.
Fig. 7 is the structural representation of soft lens pipe.
Fig. 8 is the structural representation of soft lens adjusting device.
Fig. 9 is the structural representation of component software.
Detailed description of the invention
Below in conjunction with accompanying drawing, also by embodiment, the invention will be further described.
Embodiment:
See Fig. 1 ~ Fig. 9, the present embodiment comprises soft lane device 101, leaded light component 102, rod assembly 103, drawing device 104, soft lens assembly 105, Bladder stone assembly 106.
Described soft lane device 101 comprises channel seat 1, hose passages 9, and one end of hose passages 9 is fixed in channel seat 1, and the other end is provided with channel head 14, channel head 14 has passway 15, fixing by slide 16 on passway 15; Be provided with stone dead wire 10 in hose passages 9, one end of stone dead wire 10 is fixed in channel seat 1, and there is the distance of 4-5cm other end distance passway 15; Bladder stone passage 12, soft lens passage 13, guide-lighting Suo Tongdao 18 and pull bar passage 19 is provided with in hose passages 9.Whole piece hose passages 9 can bend, and head does not have the position of stone dead wire 10 soft especially, has angle and curved function, and angle of bend can reach 180 degree; Hose passages 9 diameter is 2.6mm, enters human urethra convenient, can enter kidney surgery.
Described leaded light component 102 comprises guide-lighting rope 11, light pipe 4 and guide-lighting plug 5, one end of guide-lighting rope 11 penetrates guide-lighting Suo Tongdao 18, extend to passway 15 and contact with slide 16, the other end of guide-lighting rope 11 passes hose passages 9 and fixes with light pipe 4, light pipe 4 is fixed in channel seat 1, and guide-lighting plug 5 is connected with light pipe 4.Guide-lighting plug 5 can be connected with light source; In operation application, leaded light component 102 is exclusively used in as operation provides light source.
Described rod assembly 103 comprises steel wire rope pull bar 17, pull bar connection tube 7, pull bar connection tube 7 is fixed in channel seat 1, one end of steel wire rope pull bar 17 penetrates pull bar passage 19, extend to channel head 14 place and fix with channel head 14, the other end of steel wire rope pull bar 17 passes hose passages 9 and through pull bar connection tube 7, fixes with drawing device 104.Rod assembly 103 is fixed in soft lane device 101, pull bar passage 19 diameter is 0.45mm, its effect pulls drawing device 104, drawing device 104 pulls steel wire rope pull bar 17, steel wire rope pull bar 17 pulls channel head 14, the head of hose passages 9 is soft especially easily bending, and angle of bend can reach 180 degree; In operation application, soft lens assembly 105 and leaded light component 102 is coordinated to check stone location in ureter.
Described soft lens assembly 105 comprises mirror body 30, soft lens pipe 39, soft lens connection tube 2, eyeglass 40, soft lens connection tube 2 is fixed with channel seat 1, be provided with in soft lens pipe 39 and lead picture optical fiber 41, the rear end of soft lens pipe 39 is connected with mirror body 30, front end penetrates in soft lens passage 13 through after soft lens connection tube 2, extend to passway 15 and contact with slide 16, eyeglass 40 is fixed on the front end of soft lens pipe 39.Soft lens assembly 105 is arranged in soft lane device 101, and soft lens passage 13 diameter is 0.45mm, and soft lens pipe 39 penetrates soft lens passage 13, and soft lens pipe 39 front end is connected with slide 16.In operation application, soft lens assembly 105 is exclusively used in and checks stone location in ureter and kidney, can connect video and carry out operation technique.
Described Bladder stone assembly 106 comprises 100, Bladder stone connection tube 6, and Bladder stone connection tube 6 is fixed in channel seat 1, and 100, through Bladder stone connection tube 6, penetrate in Bladder stone passage 12, extend to passway 15, and pass from passway 15.Bladder stone assembly 106 in Bladder stone passage 12 before and after through, Bladder stone passage 12 diameter is 1.2mm, is 100 designated lanes, and in operation application, 100 are exclusively used in and smash calculus in ureter.
Drawing device 104 of the present invention comprises lifting rod 20, trumpeter's handle 21, two trumpeter's handle 23, pull bar 27, lift seat 24, spring 29, one trumpeter's handle 21 is fixed with the end of lifting rod 20, two trumpeter's handles 23 are inserted in lifting rod 20, connecting screw 28 snaps in two trumpeter's handles 23, connecting screw 28 is fixed with the end of pull bar 27, and pull bar 27 is positioned at lifting rod 20; Spring 29 is positioned at lifting rod 20, and one end and the lifting rod 20 of spring 29 are fixed, and the end of the other end and pull bar 27 is fixed; Lift seat 24 is fixed with the front end of lifting rod 20, and lift seat 24 is connected with pull bar connection tube 7, and the front end of pull bar 27 is through lift seat 24; After steel wire rope pull bar 17 passes pull bar connection tube 7, fix with the front end of pull bar 27.Pull two trumpeter's handles 23, two trumpeter's handles 23 pull pull bar 27 and steel wire rope pull bar 17, steel wire rope pull bar 17 pulls channel head 14, the end soft flexible of hose passages 9, under the pulling of steel wire rope pull bar 17, angle of bend can reach 180 °, in operation application, soft lens and leaded light component 102 can be coordinated to check intra-ureteral stone location.
Lift seat 24 of the present invention is provided with adjusting bolt 25, and adjusting bolt 25 is screwed into lift seat 24, contacts with pull bar.Unclamp adjusting bolt 25, pull bar 27 can move forward and backward, and pulls hose passages 9, checks; After stone location being detected, adjusting bolt 25 can be tightened, pull bar is fixed, the channel head 14 of hose passages 9 be located, to perform the operation simultaneously.
Soft lens adjusting device is provided with in soft lens assembly 105 of the present invention, software controls comprises extension spring 26, interior pipe 32, extra pipe 31, two extra pipe 34, swivel nut 33, adjustable pipe 35, regulating sleeve 36, nut 37, screw 38, extension spring 26 is inserted in an extra pipe 31 after being inserted in interior pipe 32, interior pipe 32 enters swivel nut 33 and glues together fixing, and the two ends of extension spring 26 are connected with an extra pipe 31 and interior pipe 32 respectively; Adjustable pipe 35 is inserted in two extra pipes 34 and can slides, and two extra pipes 34 are inserted in an extra pipe 31 and glue together fixing, and regulating sleeve 36 is inserted in adjustable pipe 35 and glues together fixing, and nut 37 is inserted in regulating sleeve 36 and glues together fixing, and screw 38 is screwed into two extra pipes 34 and is connected with adjustable pipe 35.
In operation application, hose passages 9 head-bent, eyeglass 40 and the slide 16 of soft lens pipe 39 front end can be thrown off according to rotational steps and affect operation visual field.The effect of soft lens adjusting device is when hose passages 9 head-bent, the eyeglass 40 and the slide 16 that produced carry out disengagement supply, its method is: pull adjustable pipe 35 after unclamping screw 38, make, in two extra pipes 34, there is space, make soft lens pipe 39 in space, have certain bending by a small margin, tighten screw 38 adjustable pipe 35 is fixed, make soft lens pipe 39 long in soft lane device 101, under the effect of extension spring 26, there is tension force.When hose passages 9 head-bent, the eyeglass 40 and the slide 16 that produce are thrown off, and soft lens pipe 39, by its tensioner, makes eyeglass 40 be connected all the time under the effect of extension spring 26 tension force with slide 16, ensure the high-resolution visual field of operation screen operation.
In addition, it should be noted that, the specific embodiment described in this description, as long as the undeclared concrete shape of its part and size, then this part can for any shape and size adapted with its structure; Meanwhile, the title that part is got also can be different.All equivalences of doing according to structure, feature and the principle described in inventional idea of the present invention or simple change, be included in the protection domain of patent of the present invention.

Claims (4)

1. the soft passage calculi breaking device of ureter, is characterized in that: it comprises soft lane device, leaded light component, rod assembly, drawing device, soft lens assembly, Bladder stone assembly,
Described soft lane device comprises channel seat, hose passages, and one end of hose passages is fixed in channel seat, and the other end is provided with channel head, and channel head has passway, fixing by slide on passway; Be provided with stone dead wire in hose passages, one end of stone dead wire is fixed in channel seat, and there is the distance of 4-5cm other end distance passway; Bladder stone passage, soft lens passage, guide-lighting Suo Tongdao and pull bar passage is provided with in hose passages,
Described leaded light component comprises guide-lighting rope, light pipe and guide-lighting plug, one end of guide-lighting rope penetrates guide-lighting Suo Tongdao, extend to passway and contact with slide, the other end of guide-lighting rope passes hose passages and light pipe is fixed, light pipe is fixed in channel seat, and guide-lighting plug is connected with light pipe;
Described rod assembly comprises steel wire rope pull bar, pull bar connection tube, pull bar connection tube is fixed in channel seat, one end of steel wire rope pull bar penetrates pull bar passage, extend to channel head place and fix with channel head, the other end of steel wire rope pull bar passes hose passages and through pull bar connection tube, fixes with drawing device;
Described soft lens assembly comprises mirror body, soft lens pipe, soft lens connection tube, eyeglass, soft lens connection tube and channel seat are fixed, be provided with in soft lens pipe and lead picture optical fiber, the rear end of soft lens pipe is connected with mirror body, front end penetrates in soft lens passage through after soft lens connection tube, extend to passway and contact with slide, eyeglass is fixed on the front end of soft lens pipe;
Described Bladder stone assembly comprises Ho.YAG laser lithotripsy device, Bladder stone connection tube, and Bladder stone connection tube is fixed in channel seat, and Ho.YAG laser lithotripsy device, through Bladder stone connection tube, penetrates in Bladder stone passage, extends to passway, and pass from passway.
2. the soft passage calculi breaking device of ureter according to claim 1, it is characterized in that: described drawing device comprises lifting rod, trumpeter's handle, two trumpeter's handles, pull bar, lift seat, spring, the end of one trumpeter's handle and lifting rod is fixed, two trumpeter's sleeves enter in lifting rod, connecting screw snaps in two trumpeter's handles, the end of connecting screw and pull bar is fixed, and pull bar is positioned at lifting rod; Spring is positioned at lifting rod, and one end and the lifting rod of spring are fixed, and the end of the other end and pull bar is fixed; The front end of lift seat and lifting rod is fixed, and lift seat is connected with pull bar connection tube, and the front end of pull bar is through lift seat; After steel wire rope pull bar passes pull bar connection tube, fix with the front end of pull bar.
3. the soft passage calculi breaking device of ureter according to claim 2, is characterized in that: described lift seat is provided with adjusting bolt, and adjusting bolt is screwed into lift seat, contacts with pull bar.
4. the soft passage calculi breaking device of ureter according to claim 1 and 2, it is characterized in that: in described soft lens assembly, be provided with soft lens adjusting device, software controls comprises extension spring, interior pipe, an extra pipe, two extra pipes, swivel nut, adjustable pipe, regulating sleeve, nut, screw, an extra pipe is inserted in extension spring after being inserted in interior pipe, it is fixing that interior pipe enters swivel nut gummed, and the two ends of extension spring are connected with an extra pipe and interior pipe respectively; Adjustable pipe is inserted in two extra pipes and can slides, and it is fixing that two extra pipes are inserted in an extra pipe gummed, and regulating sleeve is inserted in adjustable pipe gummed to be fixed, and it is fixing that nut is inserted in regulating sleeve gummed, and screw is screwed into two extra pipes and is connected with adjustable pipe.
CN201410847423.7A 2014-12-31 2014-12-31 Urethral lithotripsy device with soft channel Expired - Fee Related CN104921806B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2725961C1 (en) * 2019-09-20 2020-07-07 Кирилл Александрович Ширанов Method of choosing therapeutic approach in laser contact ureterolithotripsy of stones of upper third of ureter

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