CN110037646A - Ureteroscope, liquid stream conduit - Google Patents
Ureteroscope, liquid stream conduit Download PDFInfo
- Publication number
- CN110037646A CN110037646A CN201910426743.8A CN201910426743A CN110037646A CN 110037646 A CN110037646 A CN 110037646A CN 201910426743 A CN201910426743 A CN 201910426743A CN 110037646 A CN110037646 A CN 110037646A
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- China
- Prior art keywords
- ureteroscope
- service aisle
- catheter body
- pipe
- liquid stream
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- 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
- A61B1/012—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 characterised by internal passages or accessories therefor
- A61B1/015—Control of fluid supply or evacuation
-
- 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
- A61B1/307—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 the urinary organs, e.g. urethroscopes, cystoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Biophysics (AREA)
- Engineering & Computer Science (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Urology & Nephrology (AREA)
- Endoscopes (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention discloses ureteroscope, ureteroscope includes: the hand-held pipe of ureteroscope, and ureteroscope holds pipe one end and is equipped with the shank other end equipped with connecting tube;Shank lumen holds pipe lumen by ureteroscope with connecting tube lumen and is connected to form a service aisle, and the axis of service aisle is straight line;Ureteroscope holds pipe upper surface and sets eyepiece, optical fiber interface;The hand-held pipe at least lateral wall of ureteroscope is equipped with water inlet pipe, and water inlet pipe is equipped with inlet valve;Water inlet pipe is connected to service aisle;Ureteroscope further includes a dismountable liquid stream conduit, and catheter body one end of liquid stream conduit is inserted into service aisle by connecting tube nozzle, through and out service aisle;The other end connects a vacuum extractor.Invention additionally discloses a kind of liquid stream conduits.Ureteroscope provided by the present invention, compared to traditional ureteroscope can reduction of patient renal plevis pressure, reduce the probability for inducing property septicopyemia in urine source after the operation of patient ureter's mirror rubble, ensured the postoperative safety of patient.
Description
Technical field
The present invention relates to the field of medical instrument technology more particularly to a kind of ureteroscopes, liquid stream conduit.
Background technique
Stone in urinary system is the most common disease of Urology Surgery, its disease incidence is 2%~20% in world wide.It secretes in China
Urinate tying stone disease incidence 1%-5%.South up to 5%~10%.Year neopathy rate is 150~2,00/,100,000 people, wherein 25%
Patient need hospitalization, 10 years recurrence rates are about 50% after calculi therapy.Exist from Ureteroscopy technology at the end of the 20th century
It since Urological Field is applied, will be used wider and wider general, operating technology level is also continuously improved.With traditional opening
Property operation compare, Ureteroscopy have wound is small, postoperative pain less, to restore fast, hospital stays short, good operation effect excellent
Point.
With the progress of science and technology, scope and laparoscope are that the minimal invasive techniques of representative have obtained unprecedented development.Currently,
Cystoscope, kidney mirror, ureterscopy and soft lens, laparoscope and robot assisted laparoscope can complete outside most of uropoiesis
Section's operation.Punching of pressurizeing by force (forcing) pump into service aisle is needed compared to conventional therapy in ureteroscope rubble surgical procedure
Water realizes the exposure visual field, is operated in the case where the exposure visual field.There are renal plevis lymphatic vessel, renal plevis vein, renal plevis kidneys for renal plevis
The mechanism of backflowing such as sinus, renal plevis renal tubule, vesicourethral mucous membrane semi-permeable membrane mucous membrane and vein in the case where Iatrogenic injury occur
Damage, the aqueous poured of pressurizeing easily quickly enter blood.The local long period, rubble, the germ of growth discharged in a high voltage state
Endotoxin can quickly invade human recycle system, cause urine source property septicopyemia.That is ureteroscope rubble operation is easy to cause
The postoperative induction urine source property septicopyemia of patient.
Summary of the invention
The main purpose of the present invention is to provide a kind of ureteroscopes, liquid stream conduit, it is intended to solve urine output in the prior art
The technical issues of operation of pipe mirror rubble is easy to cause patient's postoperative induction urine source property septicopyemia.
To achieve the above object, the present invention provides a kind of ureteroscope, and the ureteroscope includes: that ureteroscope is hand-held
Pipe, one end that the ureteroscope holds pipe are provided with shank, and the other end is provided with connecting tube;The lumen of the shank and connection
The lumen of pipe holds the lumen connection of pipe by ureteroscope, forms a service aisle, and the axis of the service aisle is straight line;
The ureteroscope holds pipe upper surface and is equipped with eyepiece, optical fiber interface;The ureteroscope holds at least one lateral wall of pipe
On be provided with water inlet pipe, be provided with inlet valve on the water inlet pipe;The water inlet pipe is connected to the service aisle;
The ureteroscope further includes a dismountable liquid stream conduit, and the liquid stream conduit includes catheter body, described to lead
Tube body one end is inserted into the service aisle by the nozzle of the connecting tube, through and out the service aisle;The other end
Connect a vacuum extractor.
Preferably, in the ureteroscope, the catheter body is stretched out one end end of the service aisle and is set for sealing
It sets;The catheter body, which is stretched out on the tube wall of the service aisle, is provided at least one inlet opening, the inlet opening with it is described
The lumen of catheter body is connected to.
Preferably, in the ureteroscope, the outer diameter of the shank holds pipe joint to mirror with ureteroscope certainly
The free end of body is gradually reduced;Free end of the internal diameter of the service aisle from the free end of connecting tube to shank keeps solid
It is fixed constant.
Preferably, in the ureteroscope, the outer diameter of the catheter body is less than the internal diameter ruler of the service aisle
It is very little, the space that the catheter body outer wall and the service aisle inner wall are formed for the rock breaking tool that protrudes into provide accommodation space and
Operating space.
Preferably, in the ureteroscope, the free end of the connecting tube can be arranged a dismountable sealing rubber ring, make
The inner wall of sealing rubber ring one end and the free end outer wall gluing, sealing of connecting tube;The other end and the catheter body outer wall and/or
The rock breaking tool outer wall gluing, sealing.
Preferably, in the ureteroscope, the rock breaking tool are as follows: be Bladder stone optical fiber.
To achieve the above object, the present invention also provides a kind of liquid stream conduits, and the liquid stream conduit includes catheter body, described
Catheter body one end by the ureteroscope that is adapted in the service aisle of the nozzle insertion ureteroscope of connecting tube, through and out
The service aisle;The other end connects a vacuum extractor;
One end end that the catheter body stretches out the service aisle is sealed set;Described in the catheter body is stretched out
At least one inlet opening is provided on the tube wall of service aisle, the inlet opening is connected to the lumen of the catheter body.
Preferably, in the liquid stream conduit, the outer diameter of the catheter body is less than the internal diameter ruler of the service aisle
It is very little, the space that the catheter body outer wall and the service aisle inner wall are formed for the rock breaking tool that protrudes into provide accommodation space and
Operating space.
Preferably, in the liquid stream conduit, the rock breaking tool are as follows: be Bladder stone optical fiber.
Ureteroscope provided by the present invention, by the way that a dismountable liquid stream conduit is arranged, the liquid stream conduit is led
Tube body one end is inserted into the service aisle by the nozzle of the connecting tube, through and out the service aisle;The other end
The mode for connecting a vacuum extractor, compared to traditional ureteroscope, due to can be in patient in ureter rubble surgical procedure
Forming perfusion liquid circuit in ureter being capable of reduction of patient under the premise of calculus regional vision is clear in ensuring surgical procedure
Renal plevis pressure is further protected so as to reduce the probability for inducing property septicopyemia in urine source after patient ureter's mirror rubble is performed the operation
The postoperative safety of patient is hindered.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of ureteroscope of the invention;
Fig. 2 is the partial enlarged view in Fig. 1 at A;
Fig. 3 is the partial enlarged view in Fig. 1 at B;
Fig. 4 is the structural schematic diagram of liquid stream conduit of the invention.
The embodiments will be further described with reference to the accompanying drawings for the realization, the function and the advantages of the object of the present invention.
Specific embodiment
It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not intended to limit the present invention.
The present invention provides a kind of ureteroscope.Referring to FIG. 1, FIG. 2 and FIG. 3, Fig. 1 is that the structure of ureteroscope of the invention is shown
It is intended to;Fig. 2 is the partial enlarged view in Fig. 1 at A;Fig. 3 is the partial enlarged view in Fig. 1 at B.It is described defeated in the first embodiment
Urinary catheter mirror 100 includes: that ureteroscope holds pipe 10, and one end that the ureteroscope holds pipe 10 is provided with shank 20, the other end
It is provided with connecting tube 30;The lumen of the shank 20 is connected to the lumen of connecting tube 30 by the lumen that ureteroscope holds pipe 10
It is formed a service aisle (not shown go out), the axis of the service aisle is straight line.The ureteroscope holds 10 upper surface of pipe
Equipped with eyepiece 11, optical fiber interface 12.Wherein, the eyepiece 11 is used to connect the camera of display system, shows display system
Image under ureteroscope 100, instructs surgical operation.The optical fiber interface 12 makes light for connecting cold light source light guide bundles
Line is entered in patient by ureteroscope to illuminate corresponding operative site.The ureteroscope holds at least one of pipe 10
It is provided with water inlet pipe 13 on lateral wall, is provided with inlet valve 14 on the water inlet pipe 13;The water inlet pipe 13 and the work are logical
Road connection.The ureteroscope 100 further includes a dismountable liquid stream conduit 40, and the liquid stream conduit 40 includes catheter body
41, described 41 one end 42 of catheter body is inserted into the service aisle by the nozzle of the connecting tube 30, through and out described
Service aisle;The other end 44 connects a vacuum extractor (not shown go out).Wherein, the vacuum extractor generates negative pressure, passes through
The perfusion liquid that patient's body is poured in rubble surgical procedure is attracted external out, formation perfusion liquid circuit by the liquid stream conduit 40.
Ureteroscope 100 provided by above-described embodiment, doctor can adjust liquid according to actual needs in the course of surgery
The catheter body 41 of conductance pipe 40 protrudes into the length of patient's body.Work as simultaneously and needs to set by the service aisle of ureteroscope 100
When entering the surgical instruments such as lithotomy forceps, liquid stream conduit 40 can be taken out, provide accommodation space to surgical instruments such as the lithotomy forceps of merging
The operating space and.
42 end of one end that the catheter body 41 of liquid stream conduit 40 in above-described embodiment stretches out the service aisle is easy
Patient's body tissue is pushed up, the lumen of catheter body 41 is caused to block.Referring to Fig. 1, Fig. 2 and Fig. 3, the present invention is in order to prevent
The case where lumen of catheter body 41 blocks on the basis of the above embodiments has carried out into one the liquid stream conduit 40
The improvement of step, thes improvement is that, one end end 42 that the catheter body 40 stretches out the service aisle is sealed set;Institute
State catheter body 40 and stretch out on the tube wall of the service aisle and be provided at least one inlet opening 43, the inlet opening 43 with it is described
The lumen of catheter body 40 is connected to.Wherein, the inlet opening 43 is used to attract the perfusion liquid of patient's body;By the inlet opening 43
The catheter body 41 is arranged in stretch out on the tube wall of the service aisle, the inlet opening 43 is not easy by patient's body tissue
Blocking, it is ensured that the perfusion liquid circuit of formation is unobstructed, wherein the inlet opening 43 can be set to one, two or multiple.
Further, the outer diameter of ureteroscope 100 provided by above-described embodiment, the catheter body 41 is less than institute
State the internal diameter of service aisle, 41 outer wall of catheter body and the space that the service aisle inner wall is formed be protrude into it is broken
Lapicide's tool 50 provides accommodation space and operating space.
Further, referring to Fig. 1 and Fig. 3, in ureteroscope 100 provided by above-described embodiment, the connecting tube 30
It can be arranged a dismountable sealing rubber ring 60 at free end 31, make the inner wall of 60 one end of sealing rubber ring and the free end of connecting tube 30
Outer wall gluing, sealing;The other end and 50 outer wall gluing, sealing of 41 outer wall of catheter body and/or the rock breaking tool;Ensure
It is reduced in rubble surgical procedure and even prevents germ and other sundries invasion patient's body in external environment;It can prevent from filling simultaneously
Fluid injection is oozed out from the nozzle of connecting tube 30, it is ensured that the vacuum suction effect of vacuum extractor.Wherein, the rock breaking tool 50 are as follows:
For Bladder stone optical fiber.
Further, ureteroscope 100 provided by above-described embodiment, the outer diameter of the shank 20 oneself and ureter
Mirror holds 10 joint 201 of pipe to the free end of shank 20 21 and is gradually reduced, convenient for stretching shank 20 by 20 free end 21 of shank
Enter in patient ureter.The internal diameter of the service aisle is protected from the free end of connecting tube 30 31 to the free end of shank 20 21
It holds and immobilizes, protrude into Bladder stone optical fiber convenient for doctor and execute rubble operation, or protrude into lithotomy forceps clamping calculus convenient for doctor.
Patient ureter's calculus situation is checked using ureteroscope 100 provided by the invention, or does ureter rubble hand
During art, need to protrude into the shank 20 of ureteroscope 100 in patient ureter first;Again by the catheter body of liquid stream conduit 40
In service aisle of 41 one end 42 by the nozzle insertion ureteroscope 100 of connecting tube 30, through and out the service aisle;Again
41 other end 44 of catheter body is connected into a vacuum extractor.Then the water inlet pipe 13 is connected into external water source;And adjust into
The injection pressure of water valve 14 and the vacuum suction pressure of vacuum extractor.External water source via water inlet pipe 13, liquid stream conduit 40 outside
The space that wall and service aisle inner wall are formed enters in patient ureter, then via circuit after the lumen of liquid stream conduit 40 to negative pressure
In aspirator, to form perfusion liquid circuit.At this time due to 20 free end 21 of shank and 41 one end of catheter body, 42 end
Between there are the water flows of certain pressure in region, therefore this regional vision understands, doctor can see the calculus situation in the region clearly.When
The region need to guarantee that calculus is crossed in 43 position of inlet opening in the catheter body 41 there are calculus and when rubble operation is done in determination
Region certain distance so just can guarantee that calculus region is exposed within sweep of the eye, execute rubble operation convenient for doctor.Wherein,
It is described to be adjusted according to actual needs apart from value, generally 1-3 centimetres.
Ureteroscope 100 provided by the present invention compares traditional ureteroscope, due in ureter rubble surgical procedure
Perfusion liquid circuit, under the premise of calculus regional vision is clear in ensuring surgical procedure, energy can be formed in patient ureter
Enough reduction of patient renal plevis pressure induces the several of urine source property septicopyemia so as to reduce after patient ureter's mirror rubble is performed the operation
Rate has further ensured the postoperative safety of patient.
The present invention also provides a kind of liquid stream conduits, referring to Fig. 1, Fig. 2, Fig. 3 and Fig. 4.Fig. 4 is that liquid stream of the invention is led
The structural schematic diagram of pipe.The liquid stream conduit 40 includes catheter body 41, and described 41 one end 42 of catheter body is by the urine output that is adapted to
In pipe mirror 100 in the service aisle of the nozzle insertion ureteroscope of connecting tube 30, through and out the service aisle;The other end
44 one vacuum extractors of connection (not shown go out);The catheter body 41 stretches out 42 end of one end of the service aisle for sealing
Setting;The catheter body 41, which is stretched out on the tube wall of the service aisle, is provided at least one inlet opening 43, the inlet opening
43 are connected to the lumen of the catheter body 41.
Wherein, the outer diameter of the catheter body 41 of the liquid stream conduit 40 is less than the service aisle (not shown go out)
Internal diameter, the space that 41 outer wall of catheter body is formed with the service aisle inner wall are that the rock breaking tool 50 protruded into provides
Accommodation space and operating space.Wherein, the rock breaking tool are as follows: Bladder stone optical fiber.
Liquid stream conduit 40 provided by the present invention is liquid stream conduit 40 in ureteroscope 100 provided by the present invention, this
Invention has carried out detailed description to its working principle and the technical effect reached in 100 embodiment of ureteroscope, herein
It repeats no more.
The above is only a preferred embodiment of the present invention, is not intended to limit the scope of the invention, all to utilize this hair
Equivalent structure transformation made by bright specification and accompanying drawing content is applied directly or indirectly in other relevant technical fields,
Similarly it is included within the scope of the present invention.
Claims (9)
1. a kind of ureteroscope, which is characterized in that the ureteroscope includes: the hand-held pipe of ureteroscope, the ureteroscope hand
The one end for holding pipe is provided with shank, and the other end is provided with connecting tube;The lumen of the shank and the lumen of connecting tube pass through urine output
Pipe mirror holds the lumen connection of pipe, forms a service aisle, and the axis of the service aisle is straight line;The ureteroscope is hand-held
Pipe upper surface is equipped with eyepiece, optical fiber interface;It is provided with water inlet pipe at least one lateral wall of the hand-held pipe of the ureteroscope, institute
It states and is provided with inlet valve on water inlet pipe;The water inlet pipe is connected to the service aisle;
The ureteroscope further includes a dismountable liquid stream conduit, and the liquid stream conduit includes catheter body, the conduit sheet
Body one end is inserted into the service aisle by the nozzle of the connecting tube, through and out the service aisle;Other end connection
One vacuum extractor.
2. ureteroscope according to claim 1, which is characterized in that the catheter body stretches out the one of the service aisle
End end is sealed set;The catheter body, which is stretched out on the tube wall of the service aisle, is provided at least one inlet opening, institute
Inlet opening is stated to be connected to the lumen of the catheter body.
3. ureteroscope according to claim 1 or 2, which is characterized in that the outer diameter of the shank oneself and ureter
The free end that mirror holds pipe joint to shank is gradually reduced;The internal diameter of the service aisle from the free end of connecting tube extremely
The free end of shank is kept fixed constant.
4. ureteroscope according to claim 1 or 2, which is characterized in that the outer diameter of the catheter body is less than institute
The internal diameter of service aisle is stated, the space that the catheter body outer wall and the service aisle inner wall are formed is the rubble protruded into
Tool provides accommodation space and operating space.
5. ureteroscope according to claim 4, which is characterized in that it is removable that the free end of the connecting tube can be arranged one
The sealing rubber ring unloaded makes the inner wall of sealing rubber ring one end and the free end outer wall gluing, sealing of connecting tube;The other end is led with described
Tube body outer wall and/or the rock breaking tool outer wall gluing, sealing.
6. ureteroscope according to claim 4, which is characterized in that the rock breaking tool are as follows: be Bladder stone optical fiber.
7. a kind of liquid stream conduit, which is characterized in that the liquid stream conduit includes catheter body, and described catheter body one end is by being adapted to
Ureteroscope in connecting tube nozzle insertion ureteroscope service aisle in, through and out the service aisle;It is another
One vacuum extractor of end connection;
One end end that the catheter body stretches out the service aisle is sealed set;The catheter body stretches out the work
At least one inlet opening is provided on the tube wall in channel, the inlet opening is connected to the lumen of the catheter body.
8. liquid stream conduit according to claim 7, which is characterized in that the outer diameter of the catheter body is less than the work
Make the internal diameter in channel, the space that the catheter body outer wall and the service aisle inner wall are formed is the rock breaking tool protruded into
Accommodation space and operating space are provided.
9. liquid stream conduit according to claim 8, which is characterized in that the rock breaking tool are as follows: be Bladder stone optical fiber.
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CN201910426743.8A CN110037646A (en) | 2019-05-22 | 2019-05-22 | Ureteroscope, liquid stream conduit |
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CN201910426743.8A CN110037646A (en) | 2019-05-22 | 2019-05-22 | Ureteroscope, liquid stream conduit |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111387921A (en) * | 2020-03-25 | 2020-07-10 | 中国人民解放军陆军特色医学中心 | Contact-free enteroscope automatic packaging equipment |
CN112057034A (en) * | 2020-09-22 | 2020-12-11 | 宁波市奉化区人民医院医共体 | Ureteroscope |
CN114533262A (en) * | 2021-12-23 | 2022-05-27 | 中山大学孙逸仙纪念医院 | Negative pressure optical fiber fixing suction tube connected with ureteroscope |
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CN106037836A (en) * | 2016-06-29 | 2016-10-26 | 庞广富 | Urological endoscope surgical instrument |
CN106473817A (en) * | 2015-09-02 | 2017-03-08 | 张保 | The pressure measurement that cooperation Flexible ureteroscope uses attracts clear stone device |
CN107080569A (en) * | 2017-06-01 | 2017-08-22 | 庞广富 | The clear stone implement of per urethra ureter hardness convection current negative pressure channel rubble |
CN210643992U (en) * | 2019-05-22 | 2020-06-02 | 刘伟 | Ureteroscope and liquid flow catheter |
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US20110166419A1 (en) * | 2008-06-27 | 2011-07-07 | Matthias Reif | Endoscope having a shaft tube and optic |
CN103405261A (en) * | 2013-07-19 | 2013-11-27 | 杭州好克光电仪器有限公司 | Ureter nephroscope with bendable head end |
CN106473817A (en) * | 2015-09-02 | 2017-03-08 | 张保 | The pressure measurement that cooperation Flexible ureteroscope uses attracts clear stone device |
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Publication number | Priority date | Publication date | Assignee | Title |
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CN111387921A (en) * | 2020-03-25 | 2020-07-10 | 中国人民解放军陆军特色医学中心 | Contact-free enteroscope automatic packaging equipment |
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CN114533262A (en) * | 2021-12-23 | 2022-05-27 | 中山大学孙逸仙纪念医院 | Negative pressure optical fiber fixing suction tube connected with ureteroscope |
CN114533262B (en) * | 2021-12-23 | 2023-10-20 | 中山大学孙逸仙纪念医院 | Negative pressure optical fiber fixing suction tube connected with ureteroscope |
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