CN101785699A - Prostate removal surgery device with carbon dioxide air source - Google Patents

Prostate removal surgery device with carbon dioxide air source Download PDF

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Publication number
CN101785699A
CN101785699A CN201010110695A CN201010110695A CN101785699A CN 101785699 A CN101785699 A CN 101785699A CN 201010110695 A CN201010110695 A CN 201010110695A CN 201010110695 A CN201010110695 A CN 201010110695A CN 101785699 A CN101785699 A CN 101785699A
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CN
China
Prior art keywords
carbon dioxide
device body
removal surgery
prostate removal
air source
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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.)
Pending
Application number
CN201010110695A
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Chinese (zh)
Inventor
林超
段孝敏
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Shanghai Xiangxiu Medical Technology Co Ltd
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Shanghai Xiangxiu Medical Technology Co Ltd
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Application filed by Shanghai Xiangxiu Medical Technology Co Ltd filed Critical Shanghai Xiangxiu Medical Technology Co Ltd
Priority to CN201010110695A priority Critical patent/CN101785699A/en
Publication of CN101785699A publication Critical patent/CN101785699A/en
Priority to PCT/CN2011/000204 priority patent/WO2011097953A1/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505Urinary tract
    • A61B2018/00517Urinary bladder or urethra
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547Prostate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B2018/044Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • A61B2018/048Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid in gaseous form

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

The invention provides a prostate removal surgery device with a carbon dioxide air source, which comprises a device body, an observation mirror connected with the device body and a light source interface, wherein the front end of the light source interface is provided with an air inlet valve and an air outlet valve. The prostate removal surgery device is characterized in that the air inlet valve is connected with a pneumoperitoneum device, and the carbon dioxide generated by the pneumoperitoneum device is taken as injecting medium. The device body is connected with the observation mirror through a sliding table of a clamp through, the observation mirror can move front and back along the sliding table of the clamp through according to the axial direction of the device body, and the tail end of the device body is sequentially connected with a porous closer and a seal cap. The device not only can be used for the prostate removal surgery, but also can be used for bladder neoplasm removal surgery and ureter bladder anastomosis surgery. By injecting the carbon dioxide gas during the prostate removal surgery, the device can keep high definition when blooding during the surgery, leads the surgery to be safe and obviously improves the thoroughness, reduces the occurrence of complication, saves the valuable water resources, reduces the pollution, and reduces the cost.

Description

A kind of prostate removal surgery device with carbon dioxide air source
Technical field
The invention belongs to technical field of medical instruments, relate to a kind of prostate removal surgery device, relate in particular to a kind of prostate removal surgery device with carbon dioxide air source.
Background technology
To diseases such as tumor of bladder disease, prostatic hyperplasia, domestic and international 95% abandons the method for common open operation treatment to go to the hospital, generally use the per urethra resectoscope instead, utilizes the TURP ring cutting to remove less invasive techniques over nearly 70 years.The per urethra resectoscope is to utilize the ring-type electric knife under spying on, removal lesion tissue one by one, and have electricity to coagulate effect.The observation in the visual field realizes by a large amount of perfusion 5% mannitol or 5% glucoses.
This recent two decades is used as treating " goldstandard " of prostatic hyperplasia, but also exists some problems.Such as, existing cystoscope, resectoscope, use liquid such as hysteroscope run into hemorrhage when performing the operation as the perfusion medium, affected part picture clearly often can't be provided.And in the tumor of bladder TURP loop technique resection operation,, be difficult to operation as TURP rings such as rear wall, front and rear wall intersections because of the different parts of tumor growth, can not be in the intravesical stitching etc.Picture get a clear view to the operation carry out smoothly, operation safety, most important.
In addition, present Minimally Invasive Surgery needs a large amount of use irrigating solutions, thereby has following shortcoming: 1 flowing fluid ratio is expensive, and an operation needs the water of ten thousand milliliters of 3-4 as resection of prostate; The a large amount of water quality of 2 wastes source, and exhausted water often contains virus, pathogenic bacteria in the art, overflows to operating room or flow into sewer to cause environmental pollution, even liquid spill easily pollutes the medical worker in the art; 3 intraoperative hemorrhages easily mix with irrigating solution, and to cause the visual field unclear, need frequently discharge water, pour water, and a large amount of perfusion fluids will make intravesical pressure insist on height of continuing rising in the art, easily cause the water intoxication threat to life, and liquid pours into and can not control intravesical pressure.Frequently make the bladder high pressure, low pressure has certain influence to systemic blood kinetics.
According to the literature, a kind of soft cystoscope has built-in dioxide bottle supply gas, but soft cystoscopic shortcoming is not have pressure controlled device, can only do BLOBS bladder observation, can not do prostatectomy, can not do ureteroneocystostomy.
Summary of the invention
Technical problem to be solved by this invention provides a kind of prostate removal surgery device with carbon dioxide air source, it can be saved the water source, reduce and pollute, reduce cost, make and get a clear view, reduced the operating procedure of frequently changing water, and the generation of minimizing complication, operation safety, completeness are obviously increased.
In order to solve above technical problem, the technical solution used in the present invention is: a kind of prostate removal surgery device with carbon dioxide air source, comprise: device body, the sight glass, the light source interface that are connected with described device body, described light source interface front end has air intake valve and the valve of giving vent to anger, it is characterized in that described air intake valve links to each other with pneumoperitoneum apparatus, the carbon dioxide that utilizes the pneumoperitoneum apparatus generation is as the perfusion medium.
Described device body is connected by the draw-in groove slide unit with sight glass, and sight glass can axially move forward and backward along the draw-in groove slide unit according to device body, and the tail end of described device body is connected successively with porous closer, sealing cap.
The afterbody cavity of described device body is built-in with can be for the treatment passage of two kinds of operating theater instruments by operation.
The inside of described sealing cap is provided with the unidirectional anti back-flow lobe towards device body one side.Described unidirectional anti back-flow lobe can be monolayer or double-decker.
At least be equipped with 2 holes on the described closer.
A kind of prostate removal surgery device with carbon dioxide air source of the present invention can be used for prostate removal surgery, also can be used for the tumor of bladder excision, and tubal bladder coincide and waits operation.
Beneficial effect of the present invention is: pour into carbon dioxide in prostate removal surgery, still can keep fine definition during operative hemorrhage, the operation safety height; The pressure carbon dioxide that enters tissue can be controlled, and carbon dioxide is discharged easily, can not absorbed in a large number by tissue: can not cause the severe infections complication as prior art filling liquid; And the carbon dioxide low price, the water resource of saves valuable.
Description of drawings
The invention will be further described below in conjunction with the drawings and specific embodiments.
Fig. 1 is a structural representation of the present invention;
Fig. 2 is the structural representation of double-deck unidirectional anti back-flow lobe;
Fig. 3 is the structural representation of the unidirectional anti back-flow lobe of monolayer.
The specific embodiment
As shown in Figure 1, a kind of prostate removal surgery device with carbon dioxide air source, comprise: device body 8, the sight glass 2, the light source interface 1 that are connected with described device body 8, described light source interface 1 front end has the air intake valve 5 and the valve 6 of giving vent to anger, it is characterized in that described air intake valve 5 links to each other with pneumoperitoneum apparatus 9, utilize carbon dioxide as the perfusion medium.
Described device body 8 is connected by the draw-in groove slide unit with sight glass 2, and sight glass can axially move forward and backward along the draw-in groove slide unit according to device body, and the tail end of described device body 8 is connected with porous closer 4, sealing cap 3 successively.
The afterbody cavity of described device body 8 is built-in with and can supplies two kinds of treatment passages that operating theater instruments is passed through.
The inside of described sealing cap 3 is provided with the unidirectional anti back-flow lobe towards device body 8 one sides, and described unidirectional anti back-flow lobe can be monolayer or double-decker, as shown in Figures 2 and 3.The similar gas unidirectional valve of unidirectional anti back-flow lobe can prevent gas leakage.
At least be equipped with 2 holes on the described closer 4, be generally 2 or 3, according to needing setting.
The prostate removal surgery device of band carbon dioxide air source of the present invention can be used for prostate removal surgery, also can be used for the tumor of bladder excision, the tubal bladder anastomosis operation.Can also be applied to use originally liquid to be operations such as the metroscope of medium, arthroscope.
Described sight glass 2 is connected to display, and will treat image signal transmission that passage 7 transmits to display, makes stripping process visual.And can protect sight glass 2 end opticators.
When performing the operation in the bladder, operation mirror is square in the design of the lower end of sight glass 2, is convenient to the mirror body is passed through fixed mount, is fixed on the operation table, so that the operation one man operation.The front end of the closer 4 of operation mirror tail end is provided with an anti-back flow of gas flap structure in the bladder, when operating theater instruments when operation mirror rear end forward end deeply undergos surgery, flap is opened; Simultaneously when intravesical gas outwards moves, flap can the barrier gas adverse current, and this layer flap structure is used for as the anti-gas backflow device of ground floor.
The design of silica gel water seal medicated cap is the flap that an anti back-flow is arranged at the medicated cap intracavity.Direct motion can be passed through apparatus.When intracavity had pressure, flap designed because of del, played the effect of second layer anti back-flow.
Operation mirror also can be used as single-hole laparoscopic in the bladder of the present invention, is applied to department of general surgery, department of obstetrics and gynecology etc., can be applicable to metroscope simultaneously, and arthroscope etc. used the operation of liquid as medium originally.
Should be appreciated that any conspicuous equivalents of being done based on the present invention enlightenment or substitute,, also should be considered to fall into protection scope of the present invention as with other carbon dioxide air source replacement pneumoperitoneum apparatus air feed.

Claims (7)

1. prostate removal surgery device with carbon dioxide air source, comprise: device body (8), the sight glass (2) that is connected with described device body (8), light source interface (1), described light source interface (1) front end has air intake valve (5) and the valve of giving vent to anger (6), it is characterized in that: described air intake valve (5) links to each other with pneumoperitoneum apparatus (9), utilizes carbon dioxide as the perfusion medium.
2. according to the described a kind of prostate removal surgery device of claim 1 with carbon dioxide air source, it is characterized in that: described device body (8) is connected by the draw-in groove slide unit with sight glass (2), described sight glass (2) can axially move forward and backward along the draw-in groove slide unit according to described device body (8), and the tail end of described device body (8) is connected successively with porous closer (4), sealing cap (3).
3. according to the described a kind of prostate removal surgery device with carbon dioxide air source of claim 1, it is characterized in that: the afterbody cavity of described device body (8) is built-in with and can supplies two kinds of treatment passages that operating theater instruments is passed through.
4. according to the described a kind of prostate removal surgery device with carbon dioxide air source of claim 2, it is characterized in that: the inside of described sealing cap (3) is provided with the unidirectional anti back-flow lobe towards device body (8) one sides.
5. according to the described a kind of prostate removal surgery device with carbon dioxide air source of claim 4, it is characterized in that: described unidirectional anti back-flow lobe can be monolayer or double-decker.
6. according to the described a kind of prostate removal surgery device with carbon dioxide air source of claim 2, it is characterized in that: described porous closer (4) is equipped with 2 holes at least.
7. the described a kind of prostate removal surgery device with carbon dioxide air source of claim 1 is characterized in that: is used for prostate removal surgery, or is used for the tumor of bladder excision, or the tubal bladder anastomosis operation.
CN201010110695A 2010-01-04 2010-02-12 Prostate removal surgery device with carbon dioxide air source Pending CN101785699A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201010110695A CN101785699A (en) 2010-01-04 2010-02-12 Prostate removal surgery device with carbon dioxide air source
PCT/CN2011/000204 WO2011097953A1 (en) 2010-02-12 2011-02-09 Prostatectomy device with carbon dioxide gas supply

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201010027203.1 2010-01-04
CN201010110695A CN101785699A (en) 2010-01-04 2010-02-12 Prostate removal surgery device with carbon dioxide air source

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CN101785699A true CN101785699A (en) 2010-07-28

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011097955A1 (en) * 2010-02-12 2011-08-18 上海祥秀医药科技有限公司 Endoscope for prostate surgery
WO2011097953A1 (en) * 2010-02-12 2011-08-18 上海祥秀医药科技有限公司 Prostatectomy device with carbon dioxide gas supply

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1054892A (en) * 1991-04-17 1991-10-02 苏天安 Lasar prostate excision mirror
CN1220590A (en) * 1996-04-12 1999-06-23 诺瓦塞普特 Moisture transport system for contat electrocoagulation
US20070129724A1 (en) * 2005-12-02 2007-06-07 Olympus Winter & Ibe Gmbh Urological resectoscope fitted with an insulating element at its external stem

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CN101785700A (en) * 2010-01-04 2010-07-28 上海祥秀医药科技有限公司 Endoscope used for prostate operations
CN101803903A (en) * 2010-03-12 2010-08-18 上海祥秀医药科技有限公司 Disposable cystoscope sheath
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Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1054892A (en) * 1991-04-17 1991-10-02 苏天安 Lasar prostate excision mirror
CN1220590A (en) * 1996-04-12 1999-06-23 诺瓦塞普特 Moisture transport system for contat electrocoagulation
US20070129724A1 (en) * 2005-12-02 2007-06-07 Olympus Winter & Ibe Gmbh Urological resectoscope fitted with an insulating element at its external stem

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011097955A1 (en) * 2010-02-12 2011-08-18 上海祥秀医药科技有限公司 Endoscope for prostate surgery
WO2011097953A1 (en) * 2010-02-12 2011-08-18 上海祥秀医药科技有限公司 Prostatectomy device with carbon dioxide gas supply

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Application publication date: 20100728