CN102551886A - Calculus breaking and clearing attraction probe device with cohesively aligned laser fibers - Google Patents
Calculus breaking and clearing attraction probe device with cohesively aligned laser fibers Download PDFInfo
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- CN102551886A CN102551886A CN2012100874995A CN201210087499A CN102551886A CN 102551886 A CN102551886 A CN 102551886A CN 2012100874995 A CN2012100874995 A CN 2012100874995A CN 201210087499 A CN201210087499 A CN 201210087499A CN 102551886 A CN102551886 A CN 102551886A
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- feeler lever
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Abstract
The invention discloses a calculus breaking and clearing attraction probe device with cohesively aligned laser fibers, comprising a hollow probe, wherein a tail end of the hollow probe is connected with a vacuum extractor through a connection pipe; a front end of the hollow probe is provided with a protruded structure on the upper part; and at least one fiber channel capable of containing at least two laser fibers is installed inside the hollow probe; the fiber channel is provided with a cohesive fiber outlet on the protruded structure and a fiber inlet on the tail end of the hollow probe; and front end of each laser fiber in the fiber channel is slightly bent to round up to be arranged on the cohesive fiber outlet to form a cohesive fiber calculus breaking and clearing structure. The device provided by the invention is featured by large calculus impact area, high calculus breaking efficiency, good calculus breaking effect regardless of hard or soft calculus and long service life, and is capable of rapidly breaking the calculus and removing broken pieces by absorbing.
Description
Technical field
The present invention relates to the clear stone of laser fiber rubble and attract the feeler lever structure, more particularly, relate to a kind of urinary system calculus intracavity rubble that is used for and attract the feeler lever device with the clear stone of the cohesion arranged type rubble of laser fiber of removing rubble.
Background technology
Urinary system calculus is China's commonly encountered diseases, frequently-occurring disease.Though treatment has got into the Minimally Invasive Surgery epoch by open surgery to urinary system calculus both at home and abroad at present, postoperative residual stones rate height is still distinct issues in the clinical position.
At present, existing pneumatic ballistic lithotripsy, lithotrity effect is better, but belongs to physical method, and impulsive force has caused hemorrhage more and has been difficult to control chip size, calculus and bounced greatly everywhere because of impulsive force and be difficult to the location.Ultrasonic rubble has certain effect, but almost feels simply helpless for accounting for the bigger calculus of hardness such as most calcium oxalate in the urinary calculi disease, and ultrasonic bar generate heat easily the deformation effect ultrasonic energy delivery, easily fracture be not durable, cost performance is low.Add alternately that weak effect often will repeatedly be performed the operation with the loaded down with trivial details length consuming time of method of air pressure trajectory associating rubble, effect and social cost's burden are all not satisfactory.Existing through the urinary system chamber mirror put into the laser fiber rubble, the lithotrity effect highly significant can only be got a duck eye but optical fiber is tiny at every turn, the scope of attack is too little, the rubble overlong time.More than become the major issue of a puzzlement urologist and vast urinary system calculus sufferer.Do not have also at present that a kind of ability is simple and easy through intracavity mirror operation, no matter soft or hard calculus lithotrity effect is splendid, the scope of attack big, can control that the calculus fragment is more tiny, the wild rapid heat dissipation of art, absorb that fragment does not block, long-lived desirable calculi breaking device self does not generate heat fast.
Summary of the invention
The object of the present invention is to provide that a kind of operation is simple and easy, no matter soft or hard calculus lithotrity effect is splendid, the scope of attack big, fast rubble, absorb fragment and the clear stone attraction of the cohesion arranged type rubble of long-lived laser fiber feeler lever device.
To achieve these goals, the present invention has adopted following technical scheme:
The clear stone of the cohesion arranged type rubble of a kind of laser fiber attracts the feeler lever device; It comprises the hollow structure feeler lever; Be connected with a vacuum extractor at the terminal connection tube that passes through of this hollow structure feeler lever; Be provided with preceding lug structure in this hollow structure feeler lever upper front end; And; In this hollow structure feeler lever, be provided with the optical-fibre channel that can hold at least 2 strands of laser fibers, this optical-fibre channel has to be opened in the structural cohesion formula optical fiber outlet of prolapse and to have and is opened in the terminal optical fiber inlet of hollow structure feeler lever, and bending that each the laser fiber leading section in said optical-fibre channel is slight is drawn in to be arranged in and formed a clear stone structure of cohesion formula optical fiber rubble in the cohesion formula optical fiber outlet.
Attract in the feeler lever device at the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, be provided with at least one outer surface groove at the outer surface of said hollow structure feeler lever.
Attract in the feeler lever device at the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, all be provided with at least one inner surface recesses at the inner surface of said hollow structure feeler lever.
Attract in the feeler lever device at the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, said hollow structure feeler lever is by by groove section feeler lever and be located at this and be made up of the terminal slotless section feeler lever of groove section feeler lever; It is said that groove section feeler lever is arranged is to have the outer surface of groove section feeler lever to be provided with at least one outer surface groove along its length and have groove section feeler lever inner surface to be provided with at least one inner surface recesses along its length and form at this at this.
Attract in the feeler lever device at the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, said laser fiber is 3 strands or 4 strands.
Attract in the feeler lever device at the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, said connection tube is the lower bending shape connection tube.
Attract in the feeler lever device at the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, on said lower bending shape connection tube, be provided with control laser energy emitted laser emission switch, vacuum suction switch.
The present invention is after adopting said structure, and it has following beneficial effect:
The present invention hits calculus through utilizing the bending of multiply laser fiber to draw in to be arranged in cohesion formula optical fiber outlet to go up to form a clear stone structure of cohesion formula optical fiber rubble; Therefore; Its scope of attack is big, calculifragous efficiency is high, has changed that traditional laser single strand optical fiber rubble scope of attack is little, the shortcoming of calculifragous efficiency difference, has also changed the shortcoming of present popular ultrasonic rubble confrontation scleroma stone lithotrity effect difference; The present invention's soft or hard calculus lithotrity effect is all splendid, and it is rubble and absorption fragment fast.Because laser fiber takes up space seldom, so can increase caliber that hollow structure the pops one's head in less shortcoming of attraction passage when changing popular ultrasonic in combination pneumatic ballistic lithotripsy relatively; The optical fiber rubble may command fragment of the clear stone structure of cohesion formula optical fiber rubble relatively evenly, is absorbed about 0.1CM easily.The outer surface groove of hollow structure feeler lever outer surface can make the faster and unlikely obstruction of liquid stream in the lithotriptoscepe operating walk way that the hollow structure feeler lever passed through, the better heat-radiation effect in the rubble.The inner surface recesses of hollow structure feeler lever inner surface can avoid vacuum extractor when negative pressure sucking-off calculus fragment, to cause obstruction.Contrast echo feeler lever technology, feeler lever of the present invention is not the carrier that energy passes through, and himself does not generate heat, so feeler lever of the present invention can be durable in use, its application life is longer.The present invention can reduce remnant gallstone rate owing to have above advantage, thereby improves operation safety.
After the detailed description that combines advantages embodiment of the present invention, it is clearer that characteristics of the present invention and advantage will become.
Description of drawings
Fig. 1 is the structural representation of embodiments of the invention one;
Fig. 2 is that the master of the hollow structure feeler lever of embodiment one looks sketch map;
Fig. 3 is the arrangement sketch map of 4 strands of laser fibers of embodiment one;
Fig. 4 is the structural representation of embodiments of the invention two;
Fig. 5 is the sketch map that groove section feeler lever and endoscope mirror chamber are arranged of embodiment two;
Fig. 6 is the slotless section feeler lever of embodiment two and the sketch map in endoscope mirror chamber.
The specific embodiment
With two embodiment the present invention is done further detailed explanation below, but should explain that protection scope of the present invention is not limited only to this.
Embodiment one:
See also Fig. 1 to Fig. 3; The clear stone of the cohesion arranged type rubble of a kind of laser fiber attracts the feeler lever device; It comprises hollow structure feeler lever 1, is connected lug structure 11 before this hollow structure feeler lever 1 upper front end is provided with a vacuum extractor 3 at this hollow structure feeler lever 1 terminal connection tube 2 that passes through.In this hollow structure feeler lever 1, be provided with the optical-fibre channel 12 that to hold at least 2 strands of laser fibers 4; Like the laser fiber among Fig. 34 is 4 strands; Certainly laser fiber 4 can be for other quantity influence protection scope of the present invention yet, this optical-fibre channel 12 have be opened in before cohesion formula optical fiber outlet 121 and having on the lug structure 11 be opened in the terminal optical fiber inlet (not shown) of hollow structure feeler lever 1.Bending that each laser fiber 4 leading section in said optical-fibre channel 12 are slight is drawn in to be arranged in and is formed a clear stone structure of cohesion formula optical fiber rubble in the cohesion formula optical fiber outlet 121; Wherein, Each optical fiber is slightly to draw close cohesionly, and it can greatly increase the strength of rubble.The preceding lug structure 11 of employing can make the fragment behind the optical fiber rubble fall down easily, and the observation in being convenient to perform the operation, and is convenient to operation more.
In this embodiment; Can be provided with at least one outer surface groove 13 at the outer surface of hollow structure feeler lever 1; Outer surface groove 13 can be accelerated to make irrigation fluid flow and make the faster and unlikely obstruction of liquid stream in the lithotriptoscepe operating walk way; Make the better heat-radiation effect in the rubble, make operation art open country more clear, make operation technique convenient.Can all be provided with at least one inner surface recesses 14 at the inner surface of hollow structure feeler lever 1, inner surface recesses 14 can prevent to cause the passage in the hollow structure feeler lever 1 to block than ratchel, is convenient to draw calculus stone fragment more.The above-mentioned outer surface groove 13 and the quantity of inner surface recesses 14 can be for not being restricted arbitrarily.Connection tube 2 can be the lower bending shape connection tube, adopts the lower bending shape connection tube to be convenient to hand-held more, and, also can on the lower bending shape connection tube, be provided with the switch, vacuum suction switch of the emission of control laser energy etc.
When this embodiment specifically uses; Behind the endoscopy reaching surgery location; Through sight glass passage and the given operation video of corresponding imaging system, hollow structure feeler lever 1 proceeds to the calculus place through the sight glass passage, as inserting 3 strands of laser fibers 4 through optical-fibre channel 12; Laser fiber 4 head ends approach calculus and relative fixed position, and the lower bending shape connection tube connects vacuum extractor 3., endoscope opens Laser emission switch and vacuum suction switch when starting liquid; At this moment; Utilize multiply laser fiber 4 to cooperate crushed stone, utilize vacuum extractor 3 that the calculus fragment is attracted out simultaneously, thereby reach efficient broken calculus and the purpose of removing calculus.
Embodiment two:
Consult Fig. 4 to Fig. 6, the function that present embodiment and embodiment one are realized is constant, and its difference only is:
In embodiment one, the outer surface groove 13 of hollow structure feeler lever 1, inner surface recesses 14 make said hollow structure feeler lever 1 be actually groove section feeler lever 15, and in the present embodiment, also have slotless section feeler lever 16 the groove section feeler lever 15 except having to have.Be that hollow structure feeler lever 1 is by by groove section feeler lever 15 and be located at this and be made up of the terminal slotless section feeler levers 16 of groove section feeler lever 15 specifically; Said groove section feeler lever 15 is arranged is to have the outer surface of groove section feeler lever 15 to be provided with at least one outer surface groove 13 along its length and have groove section feeler lever 15 inner surfacies to be provided with at least one inner surface recesses 14 along its length and form at this at this, and the above-mentioned outer surface groove 13 and the quantity of inner surface recesses 14 can be for not being restricted arbitrarily.
The benefit that increases slotless section feeler lever 16 is: after hollow structure feeler lever 1 is penetrating endoscope mirror chamber 5; Through increasing slotless section feeler lever 16 this part of hollow structure feeler lever 1 and the sealing water medicated cap that is installed in the endoscope are sealed and matched, thereby avoid the generation of drainage.
Though described embodiments of the invention in conjunction with accompanying drawing; But those skilled in the art can make various distortion or modification within the scope of the appended claims; As long as be no more than the described protection domain of claim of the present invention, all should be within protection scope of the present invention.
Claims (7)
1. the clear stone of the cohesion arranged type rubble of laser fiber attracts the feeler lever device; It is characterized in that: it comprises hollow structure feeler lever (1); Be connected with a vacuum extractor (3) at the terminal connection tube (2) that passes through of this hollow structure feeler lever (1); Be provided with preceding lug structure (11) in this hollow structure feeler lever (1) upper front end; And; In this hollow structure feeler lever (1), be provided with the optical-fibre channel (12) that can hold at least 2 strands of laser fibers (4), this optical-fibre channel (12) has the cohesion formula optical fiber that is opened on the preceding lug structure (11) and exports (121) and have the optical fiber inlet that is opened in hollow structure feeler lever (1) end, and bending that each laser fiber (4) leading section in said optical-fibre channel (12) is slight gathering is arranged in cohesion formula optical fiber outlet (121) and upward forms a clear stone structure of cohesion formula optical fiber rubble.
2. the clear stone of the cohesion arranged type rubble of laser fiber according to claim 1 attracts the feeler lever device, and it is characterized in that: the outer surface at said hollow structure feeler lever (1) is provided with at least one outer surface groove (13) along its length.
3. the clear stone of the cohesion arranged type rubble of laser fiber according to claim 2 attracts the feeler lever device, and it is characterized in that: the inner surface at said hollow structure feeler lever (1) is provided with at least one inner surface recesses (14) along its length.
4. the clear stone of the cohesion arranged type rubble of laser fiber according to claim 1 attracts the feeler lever device, it is characterized in that: said hollow structure feeler lever (1) has the terminal slotless section feeler lever (16) of groove section feeler lever (15) to form by groove section feeler lever (15) being arranged and being located at this; It is said that groove section feeler lever (15) is arranged is to have the outer surface of groove section feeler lever (15) to be provided with at least one outer surface groove (13) along its length and have groove section feeler lever (15) inner surface to be provided with at least one inner surface recesses (14) along its length and form at this at this.
5. attract the feeler lever device according to the clear stone of the cohesion arranged type rubble of each described laser fiber of claim 1 to 4, it is characterized in that: said laser fiber (4) is 3 strands or 4 strands.
6. the clear stone of the cohesion arranged type rubble of laser fiber according to claim 5 attracts the feeler lever device, and it is characterized in that: said connection tube (2) is the lower bending shape connection tube.
7. the clear stone of the cohesion arranged type rubble of laser fiber according to claim 6 attracts the feeler lever device, it is characterized in that: on said lower bending shape connection tube, be provided with control laser energy emitted laser emission switch, vacuum suction switch.
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CN201210087499.5A CN102551886B (en) | 2012-03-28 | 2012-03-28 | Calculus breaking and clearing attraction probe device with cohesively aligned laser fibers |
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CN201210087499.5A CN102551886B (en) | 2012-03-28 | 2012-03-28 | Calculus breaking and clearing attraction probe device with cohesively aligned laser fibers |
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CN102551886B CN102551886B (en) | 2014-08-13 |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103169444A (en) * | 2013-04-02 | 2013-06-26 | 夏永强 | Laser fiber guiding and water absorption tube used for nephroscope |
WO2015113315A1 (en) * | 2014-01-30 | 2015-08-06 | 上海林超医疗设备科技有限公司 | Ureteroscope |
CN111544112A (en) * | 2020-05-14 | 2020-08-18 | 山东大学第二医院 | Holmium laser ultrasonic stone crushing and removing device |
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US4718406A (en) * | 1982-06-28 | 1988-01-12 | The United States Of America As Represented By The Secretary Of The Navy | Fiber optics image scope (micro-endoscope), ureteroscope |
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CN101491459A (en) * | 2008-01-25 | 2009-07-29 | 令狐恩强 | Laser optical fiber tool for bile-duct laser stone-breaking |
US20100036403A1 (en) * | 2005-03-02 | 2010-02-11 | O'quinn Philip S | Endoscopic rotary abrader |
US20100137846A1 (en) * | 2008-12-01 | 2010-06-03 | Percutaneous Systems, Inc. | Methods and systems for capturing and removing urinary stones from body cavities |
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CN202505483U (en) * | 2012-03-28 | 2012-10-31 | 叶向东 | Laser fiber cohesion arrangement type calculus crushing and removal attraction probe device |
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2012
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Patent Citations (7)
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US4718406A (en) * | 1982-06-28 | 1988-01-12 | The United States Of America As Represented By The Secretary Of The Navy | Fiber optics image scope (micro-endoscope), ureteroscope |
US5972416A (en) * | 1993-11-10 | 1999-10-26 | Mentor Corporation | Bipolar electrosurgical instrument and method for making the instrument |
US20100036403A1 (en) * | 2005-03-02 | 2010-02-11 | O'quinn Philip S | Endoscopic rotary abrader |
US20110004215A1 (en) * | 2005-09-12 | 2011-01-06 | Bradley James P | Labrum retracting burr |
CN101491459A (en) * | 2008-01-25 | 2009-07-29 | 令狐恩强 | Laser optical fiber tool for bile-duct laser stone-breaking |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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CN103169444A (en) * | 2013-04-02 | 2013-06-26 | 夏永强 | Laser fiber guiding and water absorption tube used for nephroscope |
WO2015113315A1 (en) * | 2014-01-30 | 2015-08-06 | 上海林超医疗设备科技有限公司 | Ureteroscope |
CN111544112A (en) * | 2020-05-14 | 2020-08-18 | 山东大学第二医院 | Holmium laser ultrasonic stone crushing and removing device |
CN111544112B (en) * | 2020-05-14 | 2021-03-09 | 山东大学第二医院 | Holmium laser ultrasonic stone crushing and removing device |
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