CN103110455B - Ureteroscope - Google Patents

Ureteroscope Download PDF

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Publication number
CN103110455B
CN103110455B CN201210549227.2A CN201210549227A CN103110455B CN 103110455 B CN103110455 B CN 103110455B CN 201210549227 A CN201210549227 A CN 201210549227A CN 103110455 B CN103110455 B CN 103110455B
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China
Prior art keywords
mirror
passage
tube body
channel
support bar
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CN201210549227.2A
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CN103110455A (en
Inventor
俞国良
高小峰
彭泳涵
李凌
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HANGZHOU HAWK OPTICAL ELECTRONIC INSTRUMENTS CO Ltd
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HANGZHOU HAWK OPTICAL ELECTRONIC INSTRUMENTS CO Ltd
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Priority to CN201210549227.2A priority Critical patent/CN103110455B/en
Publication of CN103110455A publication Critical patent/CN103110455A/en
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Abstract

The invention relates to a surgical instrument, in particular to an ureteroscope which comprises a lens tube. The lens tube is connected with a lens tube main body, the lens tube comprises an end part, a bending part and an inserting part which are connected with one another in sequence, one end of the inserting part is connected with the lens tube main body, the inserting part is a nonabrasive lens tube, a bending operation part which controls the bending part is arranged on the lens tube main body, a first channel is arranged in the lens tube, a second channel is arranged in the lens tube main body, the first channel is communicated with the second channel to form a multipurpose channel, and a detachable support rod or a detachable surgical instrument is arranged in the multipurpose channel. The ureteroscope is simple in structure, has both advantages of a soft lens tube and a hard lens tube, can bend to adapt to the structure of a kidney, is convenient to use and high in safety, and greatly relieves sufferings of a patient. In addition, the ureteroscope solves the technical problems that the ureteroscope in the prior art is either a soft lens tube or a hard lens tube and operation is inflexible.

Description

A kind of ureteroscope
Technical field
The present invention relates to a kind of operating theater instruments, particularly relate to a kind of operation on urinary system or various initiative, minimally heart surgery, also have non-invasive routine inspection.
Background technology
Along with the development of science and technology, the apparatus in modern surgical operation also gets more and more, and operating theater instruments can well help doctor to complete operation, improves convenience and safety.At present, independent flexible ureteroscope and rigid ureteroscope is had respectively in the world.Rigid ureteroscope is easy to operate, conveniently can arrive renal pelvis by ureter, as Chinese patent: " a kind of Combined rigid ureteroscope (CN201929938U) ", comprise rigid ureteroscope body and be sleeved on the tubulose mirror sheath outside mirror body tube, fit tightly between the initiating terminal of mirror sheath and described mirror body tube, the rear end of mirror sheath is provided with retaining mechanism, be provided with tight lock part between mirror body tube and operating portion, retaining mechanism matches with described tight lock part and rigid ureteroscope and tubulose mirror sheath is locked or are got loose.But due to the inflexibility of rigid ureteroscope front end, direction can not be regulated after it enters renal pelvis to enter each group of renal calices and to carry out various Diagnosis and Treat; Although flexible ureteroscope front end unidirectional or multidirectional wide-angle can bend, turns to, be difficult to enter renal pelvis and renal calices through ureter, although renal pelvis and renal calices can be entered under the guiding of x-ray, x-ray to doctor and patient trauma larger.For the Main way that the ureteroscope having soft and rigid performance concurrently is research and development now.
Summary of the invention
The invention provides a kind of structure simple, have the advantage of soft lens and rigid scope concurrently, and can bend the apparel construction adapted in kidney, easy to use, safety is high, greatly alleviates the ureteroscope of patient's pain of injury; Solve the ureteroscope that exists in prior art or be soft or be rigid scope, the technical problem of malfunction.
Above-mentioned technical problem of the present invention is solved by following technical proposals: a kind of ureteroscope, comprise mirror pipe, mirror pipe is connected with mirror tube body, imaging system and illuminator is provided with in mirror pipe, imaging system connects with the observation section on mirror tube body, illuminator connects with the Lighting Division on mirror tube body, it is characterized in that: described mirror pipe comprise connect successively end head, bending section and insertion section, the end of insertion section is connected with mirror tube body, described insertion section is soft mirror pipe, and mirror tube body is provided with the bending operation portion controlling bending section; In mirror pipe, be provided with first passage, in mirror tube body, be provided with second channel, first passage is communicated with second channel and forms multiplex passage, in multiplex passage, be provided with dismountable support bar or operating theater instruments.When the multiplex passage that first passage and second channel are formed, one end of multiplex passage is opened in the end head of mirror pipe, the other end of multiplex passage is opened on mirror tube body, in multiplex passage during grafting support bar, due to the bar that support bar is rigid, when support bar is positioned at mirror pipe, mirror pipe becomes hard tube, possess enough rigidity and toughness, be conveniently inserted in kidney.Due to human kidney complex structure, now support bar can be exited by mirror pipe, mirror pipe loses rigidity and the toughness of support bar, become flexible pipe, mirror pipe now utilizes bending operation portion to control the bending of mirror pipe according to kidney Nei Zhi road again, meets operation and uses needs, when finding the position needing operation, can in multiplex passage insertion instrument, multiplex passage now uses as instrument channel.Thus to achieve ureteroscope both can be soft lens also can be hard mirror, according to no operational phase, selected different hardness.Simple to operate, use safety.Soft mirror pipe refers to that mirror pipe is soft, can adopt the manufacture of the material such as medical polyurethane or medical PU.
The optical frames imaging system of imaging system can be fibre scope imaging system also can be prism composition or all the other known imaging systems, same illumination channel can adopt cold light source or light guide bundles form or all the other known forms.As preferably, described imaging system comprises the imaging band be arranged in mirror pipe, image transmission optical fibre is provided with in imaging band, imaging band is connected with the observation panel on mirror tube body, described illuminator comprises the illumination channel be arranged in mirror pipe, in illumination channel, be provided with optical fibers, illumination channel is connected with the light guide bundles interface on mirror tube body.Illumination channel is two both sides being positioned at imaging band, better for imaging band throws light on, imaging can be made more clear, facilitate operator to perform the operation.
As preferably, the end of described support bar is provided with Access Division, the card-tight part coordinated with Access Division is provided with in the end of mirror tube body, described Access Division comprises a kidney-shaped card adapter plate, Access Division offers draw-in groove, described card-tight part is provided with the mounting hole coordinated with Access Division, is provided with the projection coordinated with draw-in groove, outside card-tight part, is provided with set lever in the upper end of mounting hole.Be provided with Access Division support bar and mirror tube body fixed in the end of support bar, when support bar is inserted in multiplex passage, support bar and mirror tube body can be locked, then form rigid ureteroscope, convenient and swift during operation.After card-tight part coordinates with Access Division, rotational lock handle, because draw-in groove and protruding cooperation make both locking.
As preferably, the two ends of described bending section are connected with end head and insertion section respectively by adapter ring, bending section is made up of snake bone and the bending skin be socketed in outside snake bone, cable wire solderless wrapped connection fixture is provided with in one end that bending section connects with end head, on cable wire solderless wrapped connection fixture, solderless wrapped connection has cable wire, and two free ends of cable wire are fixed in bending operation portion.Snake bone structure is simple, flexibly bending, handled easily, and by bending operation, portion pulls cable wire, thus drives bending section angle of bend, adapts to the labyrinth requirement in kidney.
As preferably, described bending operation portion comprises thumb wheel, and thumb wheel is connected with cable wire fixture, cable wire fixture is fixed with two free ends of cable wire, cable wire fixture is fixed on slide, and slide is positioned at mirror tube body, is provided with locking connector between thumb wheel and cable wire fixture.Thumb wheel band running wire kinematic mount, thus pull the two ends of cable wire, the closing end of cable wire is fixing on the bends, by pulling the free end of cable wire, controls the angle of bend of bending section.
As more preferably, described cable wire fixture comprises top shoe and sliding block, the outer surface of slide connects with the inwall of mirror tube body, dead axle is provided with at the center of the side of slide, two installed surfaces be parallel to each other are offered in the both sides of dead axle, top shoe and sliding block lay respectively on installed surface, and upper and lower slide block is fixed with the end of cable wire; Dead axle is socketed with thumb wheel and interiorly takes turns, interior wheel is provided with two shifting blocks, and two shifting blocks are positioned at the two ends of taking turns same diameter, and upper and lower slide block offers fluting, slot with installed surface to offer direction vertical.Two shifting blocks of inside taking turns lay respectively on top shoe and sliding block, by the interior rotation taken turns, make sliding block adverse movement on take-up housing, thus pull the two ends of cable wire to allow bending section bend an angle, meet the requirement of operator.
As more preferably, dead axle is provided with at the center of slide, thumb wheel is socketed on dead axle, described locking connector comprise coaxially be socketed successively with thumb wheel outside friction disc, lock sheet, dynamic locking plate, seal receptacle, inner attrition piece, two surfaces that wherein lock sheet and outer locking plate contact are provided with the male and fomale(M&F) of locking mutually.Dynamic locking plate turns over an angle, after the projecting surface of dynamic locking plate and the projecting surface of lock sheet are encountered, create extruding phenomenon, make outside friction disc and thumb wheel extrusion friction, the power transmission of inner attrition piece mirror pipe lock sheet, seal receptacle and interiorly take turns extrusion friction, thus make thumb wheel and interiorly take turns the object that geo-stationary reaches locking, but mirror can not be damaged because of maloperation or excessive can not the rotation of power, cause malpractice.
First passage and second channel, or can not recycle other passage as the passage be communicated with point-blank between first passage and second channel.As preferably, one end of described multiplex passage is opened in the end head of mirror pipe, the other end of multiplex passage is opened on mirror tube body, described first passage and centrage identical with second channel diameter overlaps, first passage is directly communicated with second channel, and the length of multiplex passage is equal with the length of support bar.Described first passage and centrage identical with second channel diameter overlaps, and first passage is directly communicated with second channel, and the length of multiplex passage is equal with the length of support bar.Two passages are located along the same line, easy to clean, and easily allow support bar and apparatus pass through, and structure simple operations is convenient.
As preferably, described support bar is titanium alloy bar, and described insertion section comprises spring steel band, is wrapped with metal net at spring steel band, is coated with medical polyurethane protective layer outside metal net.Support bar possesses high slight and high tenacity, substantially increases hardness and the intensity of mirror, not only can firmly but also can softly make insertion reliably more convenient, the misery significantly reduced.
As preferably, the compound bending angle of described bending section is 0 ° ~ 270 °, and described multiplex channel internal diameter is 0.8mm ~ 3mm, and the external diameter of described support bar is 0.5mm ~ 3mm.The complicated branch road in kidney can be adapted to, improve safety and the operability of rating.
Therefore, a kind of ureteroscope of the present invention possesses following advantage:
(1), structure is simple, equipment cost is low: product of the present invention has abandoned the focusing structure of soft lens, makes processing simpler, seals more reliable; Image is more stable, more clear, it is more convenient to connect;
(2), this equipment operating is convenient: this product channels is front and back through types, and has support bar, the buckle structure of high strength and high tenacity, and make insertion more smooth and easy logical, equipment connection is more convenient, operates simpler.
(3), safety is good, the suitability is strong, alleviate the misery of patient: this product has the function that soft or hard has concurrently, can not cannot be inserted into Target organ because of too hard or insert broken organ, also cannot can not insert or be difficult to reach destination organization because of crossing soft.
(4), be convenient to cleaning, sterilization: this equipment adopts the structure of single tract, and the passage that instrument channel and support bar use is same passage, is again straight passage, make cleaning more convenient, sterilize more thoroughly, use safer.
Accompanying drawing explanation
Fig. 1 is the schematic diagram of a kind of ureteroscope of the present invention.
Fig. 2 is the enlarged diagram of the end head in Fig. 1.
Fig. 3 is that support bar coordinates schematic diagram with mirror tube body.
Fig. 4 is the schematic diagram of the bending section in Fig. 1.
Fig. 5 is the sectional view in the bending operation portion of Fig. 1.
Fig. 6 is the explosive view of Fig. 5.
Fig. 7 is thumb wheel in Fig. 5, interiorly takes turns the cooperation explosive view with slide block.
Detailed description of the invention
Below by embodiment, and by reference to the accompanying drawings, the technical scheme of invention is described in further detail.
Embodiment:
As shown in Figure 1, a kind of ureteroscope, comprises mirror pipe, and mirror pipe 7 is connected with mirror tube body 9.Mirror pipe comprise connect successively end head 1, bending section 2 and insertion section 3, the end of insertion section 3 is connected with mirror tube body 9, and insertion section 3 is soft mirror pipe.Insertion section 3 comprises spring steel band, is wrapped with metal net at spring steel band, is coated with medical polyurethane protective layer (not shown) outside metal net.
As shown in Figure 2, imaging system and illuminator is provided with in mirror pipe, imaging system comprises the imaging band 28 be arranged in mirror pipe, image transmission optical fibre is provided with in imaging band 28, imaging system connects with the observation section on mirror tube body 9, observation section is the eyepiece 6 being arranged on mirror tube body upper surface, and eyepiece 6 and mirror tube body 9 angle are 45 °.Illuminator comprises two illumination channel 27 being arranged in imaging band both sides, optical fibers is had in illumination channel 27, optical fibers is inserted by the light guide bundles interface 5 on mirror tube body 9, light guide bundles interface 5 upper surface that be positioned at mirror tube body 9 vertical with mirror tube body 9.Offer first passage 29 in mirror pipe 7 simultaneously, first passage 29 is positioned at the below of imaging band 28, first passage 29 is communicated with the second channel in mirror tube body 9, first passage and centrage identical with second channel diameter overlaps, first passage is communicated with second channel and forms multiplex passage, one end of multiplex passage is opened in the end head 1 of mirror pipe, and the other end of multiplex passage is opened on mirror tube body 9.Can cross-under support bar 8 or operating theater instruments in multiplex passage, support bar 8 is titanium alloy bar.Multiplex channel internal diameter is 1.2mm, and the external diameter of support bar 8 is also 1.2mm.Support bar 8 is identical with the length of multiplex passage.
As shown in Figure 3, support bar 8 is inserted by the right-hand member of mirror tube body 9, Access Division 30 is had in the end of support bar 8, the card-tight part 31 coordinated with Access Division is installed in the end of mirror tube body 9, Access Division comprises a kidney-shaped card adapter plate 32, Access Division 32 offers draw-in groove 33, card-tight part 32 offers the mounting hole 34 coordinated with Access Division, card adapter plate 32 inserts card-tight part 31, kidney-shaped card adapter plate 32 coordinates with mounting hole 34, draw-in groove 33 on Access Division 30 is just in time combined together with the projection 35 of card-tight part inside, rotate the set lever 36 of card-tight part outside, card adapter plate 32 rotates, after its kidney-shaped card adapter plate anglec of rotation, card substrate longer direction is stuck in the peritreme of card-tight part, thus support bar and mirror tube body are fixed.
As shown in Figure 4, the two ends of bending section are connected with end head 1 and insertion section 3 respectively by adapter ring 25, bending section 2 is made up of snake bone 26 and the bending skin 23 be socketed in outside snake bone 26, the stiff end of one projection is installed in one end that bending section 2 connects with end head 1, on stiff end, solderless wrapped connection has cable wire 24, and two free ends of cable wire 24 are fixed in the bending operation portion 4 of mirror tube body.The compound bending angular range of bending section 2 is 0 ° ~ 270 °.
As shown in Fig. 5 and 6 and 7, bending operation portion 4 comprises the slide 10 be fixed in mirror tube body, the profile of slide 10 is identical with the inner wall shape of mirror tube body 9, upper and lower two installed surfaces 37 are provided with at the side opening of slide 10, upper installed surface is provided with top shoe 12, lower installed surface is provided with sliding block 13, and the bossing between upper and lower installed surface is fixed with dead axle 11.Offer a fluting 38 in one end of top shoe 12, also offer a fluting 38 in one end of sliding block, the direction of fluting 38 is vertical with the direction that slide block slides on slide 10, has cable wire fixing hole 39 at the end opens of upper and lower slide block.Dead axle 11 is socketed with successively and interiorly takes turns 14, inner attrition piece 15, seal receptacle 16, dynamic locking plate 17, lock sheet 18, outside friction disc 19 and thumb wheel 22, thumb wheel 22 center offers through hole, dead axle 11 is through after thumb wheel 22, fixed by nut 20, end cap 21 is installed on the left of thumb wheel 22, nut 20 and dead axle 11 are blocked.The end of thumb wheel 22 is one-body molded two arc convex 40, a centre bore is offered at interior center of taking turns 14, be socketed on dead axle 11 by centre bore, an arcuate socket 41 is communicated with at the monosymmetric of centre bore, arcuate socket 41 is corresponding with arc convex 40, stir thumb wheel 22 to drive and interiorly take turns 14 rotations, inside take turns in the left end face on 14 and form two shifting blocks 42, two shifting blocks 42 are positioned at the two ends of the same diameter of taking turns 14, shifting block 42 is with upper, the fluting 38 of sliding block coordinates, thumb wheel 22 drives interiorly takes turns rotation, inside take turns in 14 drives, sliding block moves on slide 10, thus pull the two ends of cable wire 24 to realize the bending of bending section 2.
When mirror bends to certain angle, angle to be locked when have found lesion and will carry out the operation such as biopsy and Bladder stone, locking plate 17(will be made to have the concave and convex plane of spiral) turn over an angle, when the projecting surface of dynamic locking plate 17 and lock sheet 18(also have the concave and convex plane of spiral) projecting surface encounter after, create extruding phenomenon, make outside friction disc 19 and thumb wheel 22 extrusion friction; Inner attrition piece 15 through lock sheet 17, seal receptacle 16 power transmission and interiorly take turns 14 extrusion frictions, thus make thumb wheel 22 with interior take turns 14 with regard to geo-stationary non-fully stuck, reach the object of angle of bend locking, but mirror can not be damaged because of maloperation or excessive can not the rotation of power, cause malpractice.

Claims (10)

1. a ureteroscope, comprise mirror pipe, mirror pipe is connected with mirror tube body, in mirror pipe, be provided with imaging system and illuminator, imaging system connects with the observation section on mirror tube body, and illuminator connects with the Lighting Division on mirror tube body, it is characterized in that: described mirror pipe comprise connect successively end head, bending section and insertion section, the end of insertion section is connected with mirror tube body, and described insertion section is soft mirror pipe, and mirror tube body is provided with the bending operation portion controlling bending section; In mirror pipe, be provided with first passage, in mirror tube body, be provided with second channel, first passage is communicated with second channel and forms multiplex passage, in multiplex passage, be provided with dismountable support bar or operating theater instruments; When the multiplex passage that first passage and second channel are formed, one end of multiplex passage is opened in the end head of mirror pipe, the other end of multiplex passage is opened on mirror tube body, in multiplex passage during grafting support bar, due to the bar that support bar is rigid, when support bar is positioned at mirror pipe, mirror pipe becomes hard tube; Support bar can be exited by mirror pipe, mirror pipe loses rigidity and the toughness of support bar, becomes flexible pipe; When find need operation position time, can in multiplex passage insertion instrument, multiplex passage now uses as instrument channel.
2. a kind of ureteroscope according to claim 1, it is characterized in that: described imaging system comprises the imaging band be arranged in mirror pipe, image transmission optical fibre is provided with in imaging band, imaging band is connected with the observation panel on mirror tube body, described illuminator comprises the illumination channel be arranged in mirror pipe, in illumination channel, be provided with optical fibers, illumination channel is connected with the light guide bundles interface on mirror tube body.
3. a kind of ureteroscope according to claim 1 and 2, it is characterized in that: the end of described support bar is provided with Access Division, the card-tight part coordinated with Access Division is provided with in the end of mirror tube body, described Access Division comprises a kidney-shaped card adapter plate, Access Division offers draw-in groove, described card-tight part is provided with the mounting hole coordinated with Access Division, is provided with the projection coordinated with draw-in groove, outside card-tight part, is provided with set lever in the upper end of mounting hole.
4. a kind of ureteroscope according to claim 1 and 2, it is characterized in that: the two ends of described bending section are connected with end head and insertion section respectively by adapter ring, bending section is made up of snake bone and the bending skin be socketed in outside snake bone, cable wire solderless wrapped connection fixture is provided with in one end that bending section connects with end head, on cable wire solderless wrapped connection fixture, solderless wrapped connection has cable wire, and two free ends of cable wire are fixed in bending operation portion.
5. a kind of ureteroscope according to claim 1 and 2, it is characterized in that: described bending operation portion comprises thumb wheel, thumb wheel is connected with cable wire fixture, cable wire fixture is fixed with two free ends of cable wire, cable wire fixture is fixed on slide, slide is positioned at mirror tube body, is provided with locking connector between thumb wheel and cable wire fixture.
6. a kind of ureteroscope according to claim 5, it is characterized in that: described cable wire fixture comprises top shoe and sliding block, the outer surface of slide connects with the inwall of mirror tube body, dead axle is provided with at the center of the side of slide, two installed surfaces be parallel to each other are offered in the both sides of dead axle, top shoe and sliding block lay respectively on installed surface, and upper and lower slide block is fixed with the end of cable wire; Dead axle is socketed with thumb wheel and interiorly takes turns, interior wheel is provided with two shifting blocks, and two shifting blocks are positioned at the two ends of taking turns same diameter, and upper and lower slide block offers fluting, slot with installed surface to offer direction vertical.
7. a kind of ureteroscope according to claim 5, it is characterized in that: be provided with dead axle at the center of slide, thumb wheel is socketed on dead axle, described locking connector comprise coaxially be socketed successively with thumb wheel outside friction disc, lock sheet, dynamic locking plate, seal receptacle, inner attrition piece, two surfaces that wherein lock sheet and outer locking plate contact are provided with the male and fomale(M&F) of locking mutually.
8. a kind of ureteroscope according to claim 1 and 2, it is characterized in that: one end of described multiplex passage is opened in the end head of mirror pipe, the other end of multiplex passage is opened on mirror tube body, described first passage and centrage identical with second channel diameter overlaps, first passage is directly communicated with second channel, and the length of multiplex passage is equal with the length of support bar.
9. a kind of ureteroscope according to claim 1 and 2; it is characterized in that: described support bar is titanium alloy bar; described insertion section comprises spring steel band, is wrapped with metal net at spring steel band, is coated with medical polyurethane protective layer outside metal net.
10. a kind of ureteroscope according to claim 1 and 2, is characterized in that: the compound bending angle of described bending section is 0 ° ~ 270 °, and described multiplex channel internal diameter is 0.8mm ~ 3mm, and the external diameter of described support bar is 0.5mm ~ 3mm.
CN201210549227.2A 2012-12-18 2012-12-18 Ureteroscope Active CN103110455B (en)

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CN103405261B (en) * 2013-07-19 2016-02-03 孙颖浩 The flexible ureterorenoscope of a kind of head end
CN103385680A (en) * 2013-07-29 2013-11-13 平湖市申莘五金塑料厂 Cystoscope insertion tube
CN103976763B (en) * 2014-03-19 2017-01-11 刘春晓 Tissue morcellating mirror and operating method thereof
CN104873167A (en) * 2015-03-27 2015-09-02 广州医科大学附属第一医院 Flexible bendable electronic nephroscope for percutaneous nephroseopy surgery and application method of flexible bendable electronic nephroscope
CN106264626B (en) * 2016-08-27 2018-07-24 天津大学 A kind of Minimally Invasive Surgery device based on natural cavity
CN106308735B (en) * 2016-09-30 2017-09-19 广州瑞派医疗器械有限责任公司 Electronic cystoscope
CN108852436B (en) * 2018-05-10 2023-10-13 苏州法兰克曼医疗器械有限公司 Channel device for transanal minimally invasive surgery
CN108784760B (en) * 2018-06-26 2021-02-26 陈克银 Needle-knife mirror gas-liquid conversion filling device
CN109077780A (en) * 2018-06-26 2018-12-25 陈克银 A kind of needle knife mirror device for casting
CN108652739A (en) * 2018-07-25 2018-10-16 山东大学 A kind of percutaneous nephrolithy with independent bending instrument channel
CN109730623B (en) * 2019-02-01 2023-07-21 上海熠达光电科技有限公司 Diameter reducing device and corner locking device
CN109620400A (en) * 2019-02-12 2019-04-16 吴小军 The hemostasis electrod assembly of Flexible ureteroscope
CN110584583A (en) * 2019-08-30 2019-12-20 常州延顺光电科技有限公司 Insertion tube assembly of ureteroscope
CN117357053B (en) * 2023-12-06 2024-03-29 广东埃纳生医学科技有限公司 Handheld seminal vesicle for urethral diagnosis

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CN101836853A (en) * 2009-03-18 2010-09-22 理查德·沃尔夫有限公司 Ureterorenoscope
CN202235292U (en) * 2011-10-16 2012-05-30 杜传策 Percutaneous nephroscope with bendable front end

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