CN103405272B - Tissue is pulverized and lithotriptoscepe - Google Patents
Tissue is pulverized and lithotriptoscepe Download PDFInfo
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- CN103405272B CN103405272B CN201310377498.9A CN201310377498A CN103405272B CN 103405272 B CN103405272 B CN 103405272B CN 201310377498 A CN201310377498 A CN 201310377498A CN 103405272 B CN103405272 B CN 103405272B
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- lithotriptoscepe
- operation pipe
- pulverized
- tissue
- mirror sheath
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Abstract
The invention discloses a kind of tissue to pulverize and lithotriptoscepe, comprise the operation pipe of setting operation passage vertically, be arranged on operation pipe on endoscope and daylighting passage, also comprise and be sheathed on operation pipe leading portion removably and can mirror sheath matching used with resectoscope, formed aquaporin between described operation pipe outer wall and mirror sheath inwall, the tube wall of operation pipe arranges the intake tunnel be connected with mistake aquaporin vertically.The first, adopt tissue of the present invention to pulverize and lithotriptoscepe, whole operation process only needs mirror sheath to insert urethra once, avoids resectoscope and pulverizes that the apparatus such as mirror is repeated multiple times to be entered urethra to it and cause multi damage, greatly less amount of bleeding; The second, whole operation process can save the operating time of 1/3-1/2, significantly reduces the labor intensity of doctor and the risk of patient and misery; 3rd, by different water cycles, the multipurpose of simultaneously cutting out except pulverizing tissue and rubble can being reached, opening a kind of brand-new operation technique pattern.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, particularly a kind of many tissues for operation on urinary system are pulverized and lithotriptoscepe.
Background technology
Urinary system calculus, prostate hyperplasia and hypertrophy are the high common diseases of middle-aging male sickness rate.In prior art, one of effective ways processing calculus are sucking-offs after adopting lithotrite (also known as pulverizer) calculus to be pulverized, and carrying out excision to prostate hyperplasia and hypertrophy is the most effective Therapeutic Method.Invented and the multifunctional prostate operation mirror of the patent No. described in 201010000543.5 of patented protection in 2010 by the present inventor, be widely used in clinical owing to having efficiency advantages of higher.
For the patient suffering from calculus, prostate hyperplasia and hypertrophy simultaneously, usually need to carry out processing and treating in once performing the operation.Therapeutic Method is: first utilize lithotrite to enter urethra and calculus is pulverized rear sucking-off, then change the tissue pulverizer tools such as resectoscope and carry out TURP process and treatment to prostate hyperplasia or proliferative fraction.But, usually in electrocision process, residual calculus particle diameter is found that there is larger, cannot separate out or find that untreated calculus needs again to process smoothly, now just need that resectoscope etc. is pulverized apparatus to take out, again lithotrite is inserted urethra to perform the operation, in particular cases need repeatable operation repeatedly.The disadvantage of this modus operandi is: the first, repeatedly changes lithotrite and resectoscope etc. and can cause secondary, three even multi damages to urethra, cause urethrorrhagia and infection, bring complication.The second, operation process is complicated, increases labor intensity and the amount of labour of doctor, substantially prolongs operating time.
For above-mentioned deficiency, need to develop a kind of operating theater instruments, avoid repeatedly changing in operation process the multi damage that apparatus causes urethra, can operating time be saved simultaneously, reduce the labor intensity of doctor.
Summary of the invention
In view of this, the object of this invention is to provide a kind of tissue to pulverize and lithotriptoscepe, in disposable calculus and prostate hyperplasia or hypertrophy electrocision process, avoid repeatedly changing the multi damage that apparatus causes urethra, operating time can be saved simultaneously, reduce the labor intensity of doctor, and greatly shorten operating time.
The object of the invention is to be achieved through the following technical solutions: a kind of tissue is pulverized and lithotriptoscepe, comprise the operation pipe of setting operation passage vertically, be arranged on operation pipe on endoscope and daylighting passage, also comprise and be sheathed on operation pipe leading portion removably and can mirror sheath matching used with resectoscope, formed aquaporin between described operation pipe outer wall and mirror sheath inwall, the tube wall of operation pipe arranges the intake tunnel be connected with mistake aquaporin vertically.
Further, the described radial height crossing aquaporin is 3mm-8mm.
Further, described intake tunnel arranges water intaking valve near water inlet one end.
Further, the tail end of described operation pipe arranges control valve.
Further, be connected by screw thread or buckle between described mirror sheath with operation pipe.
Further, the position of described operation Guan Shangyu mirror sheath contact internal walls arranges sealing ring.
Further, the tube wall of described mirror sheath front end arranges multiple apopore.
Beneficial effect of the present invention: tissue of the present invention is pulverized and lithotriptoscepe, comprise the operation pipe of setting operation passage vertically, be arranged on operation pipe on endoscope and daylighting passage, also comprise and be sheathed on operation pipe leading portion removably and can mirror sheath matching used with resectoscope, formed aquaporin between described operation pipe outer wall and mirror sheath inwall, the tube wall of operation pipe arranges the intake tunnel be connected with mistake aquaporin vertically.Its operation principle and operational approach are: for being diagnosed as benign prostatic hyperplasia and having cystolithic patient, use the pulverizing of this tissue and lithotriptoscepe once to perform the operation and carry out per urethra reserve part urethra antetheca enucleation of the prostate pulverizing art and bladder rubble lithotomy simultaneously.Operating procedure is: 1, pulverized and the mirror sheath of lithotriptoscepe or the mirror sheath (the two structure is identical, all can match with resectoscope) of existing resectoscope by this tissue, insert resectoscope, observes prostatic hyperplasia and vesical calculus situation.2, take out electric prostate-cutting mirror, but epitheca is stayed in urethra; The mirror body of 3, inserting tissue pulverizing and lithotriptoscepe divides, finally by operation pipe, rubble electrode is inserted bladder again, vesical calculus is crushed into the Microlithiasis of below 0.6cm, the Microlithiasis after pulverizing is gone out with irrigator, it is complete that bladder rubble gets stone operation, and resectoscope epi mirror sheath is still stayed in urethra; 4, insert electric prostate-cutting mirror, hypertrophy prostata tissue is divided into two pieces and cuts out and remove and push intravesical; 5, taking-up electric prostate-cutting mirror, inserts tissue pulverizing and lithotriptoscepe mirror body divides, and by operation pipe, tissue pulverizer is inserted bladder, will cut out except free prostata tissue pulverizing also sucking-off, then it is complete to perform the operation after thoroughly stopping blooding with resectoscope.
Its beneficial effect is: first, adopt tissue of the present invention to pulverize and lithotriptoscepe, whole operation process only needs mirror sheath to insert urethra once, compared with traditional operation, avoid resectoscope and pulverize that the apparatus such as mirror is repeated multiple times to be entered urethra to it and cause multi damage, greatly less amount of bleeding; The second, whole operation process can save the operating time of 1/3-1/2, significantly reduces the labor intensity of doctor and the misery of patient; 3rd, by different water cycles, the multipurpose of simultaneously cutting out except pulverizing tissue and rubble can being reached, opening a kind of brand-new operation technique pattern.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, the invention will be further described:
Fig. 1 is the structural representation of tissue of the present invention pulverizing and lithotriptoscepe.
Detailed description of the invention
As shown in Figure 1, the tissue of the present embodiment is pulverized and lithotriptoscepe, comprise the operation pipe 2 of setting operation passage vertically, be arranged on operation pipe on endoscope 1 and daylighting passage 3, also comprise and be sheathed on operation pipe leading portion removably and can mirror sheath 4 matching used with resectoscope, especially the interface section of mirror sheath, can with operation pipe of the present invention with the use of, also can be used in conjunction with each other with the port of existing resectoscope; Certainly, the structure of this mirror sheath also can be identical with existing resectoscope structure, specifically connects by the mode such as screw thread or buckle.Assembly and disassembly are changed convenient, form aquaporin 6 between described operation pipe outer wall and mirror sheath inwall, and the described radial height crossing aquaporin 6 is 3mm-8mm, is namely equivalent to gap length, usually gets 3mm, 6mm or 8mm etc.; Get suitable gap length and can ensure that water and other pulverizing tissues are separated out smoothly.Such as, during existing mirror sheath internal diameter employing 26D, operation pipe front end external diameter must be less than 24D; The tube wall of operation pipe 2 arranges the intake tunnel 9 be connected with mistake aquaporin 6 vertically.Described intake tunnel 9 arranges water intaking valve 8 near water inlet one end.The opening and closing that water intaking valve can control intake tunnel is set, easy to use; The tail end of described operation pipe 2 arranges control valve 10.Arranging control valve can the opening and closing of control operation pipe flexibly; Described operation pipe 2 arranges sealing ring 5 with the position of mirror sheath 4 contact internal walls.Increase sealing effectiveness, prevent from leaking.
As the further improvement to technique scheme, the tube wall of described mirror sheath 4 front end arranges multiple apopore 7.Water outlet is even, can prevent blocking when organizing sucking-off simultaneously.
What finally illustrate is, above embodiment is only in order to illustrate technical scheme of the present invention and unrestricted, although with reference to preferred embodiment to invention has been detailed description, those of ordinary skill in the art is to be understood that, can modify to technical scheme of the present invention or equivalent replacement, and not departing from aim and the scope of technical solution of the present invention, it all should be encompassed in the middle of right of the present invention.
Claims (7)
1. a tissue is pulverized and lithotriptoscepe, comprise the operation pipe (2) of setting operation passage vertically, be arranged on operation pipe on endoscope (1) and daylighting passage (3), it is characterized in that: also comprise and be sheathed on operation pipe leading portion removably and can mirror sheath (4) matching used with resectoscope, formed aquaporin (6) between described operation pipe outer wall and mirror sheath inwall, the tube wall of operation pipe (2) arranges the intake tunnel (9) be connected with mistake aquaporin (6) vertically.
2. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: the described radial height crossing aquaporin (6) is 3mm-8mm.
3. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: described intake tunnel (9) arranges water intaking valve (8) near water inlet one end.
4. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: the tail end of described operation pipe (2) arranges control valve (10).
5. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: described mirror sheath (4) is managed between (2) with operation and is connected by screw thread or buckle.
6. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: described operation pipe (2) position that is upper and mirror sheath (4) contact internal walls arranges sealing ring (5).
7. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: the tube wall of described mirror sheath (4) front end arranges multiple apopore (7).
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CN201310377498.9A CN103405272B (en) | 2013-08-26 | 2013-08-26 | Tissue is pulverized and lithotriptoscepe |
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CN201310377498.9A CN103405272B (en) | 2013-08-26 | 2013-08-26 | Tissue is pulverized and lithotriptoscepe |
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CN103405272A CN103405272A (en) | 2013-11-27 |
CN103405272B true CN103405272B (en) | 2015-12-23 |
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CN201310377498.9A Expired - Fee Related CN103405272B (en) | 2013-08-26 | 2013-08-26 | Tissue is pulverized and lithotriptoscepe |
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Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
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CN103961157B (en) * | 2014-04-21 | 2020-03-10 | 邓学斌 | Bladder stone breaking and taking sheath |
CN103932656B (en) * | 2014-04-28 | 2016-09-14 | 乔晋琳 | A kind of endoscope assembly and armarium |
CN104523305B (en) * | 2014-12-30 | 2017-09-26 | 武汉唐济科技有限公司 | A kind of special epitheca of prostate endoscope operation instruments |
CN106420050A (en) * | 2016-10-31 | 2017-02-22 | 上海瑞柯恩激光技术有限公司 | Tissue crusher cutter head and laser treatment device |
CN111870218A (en) * | 2020-08-31 | 2020-11-03 | 武汉佑康科技有限公司 | Catheter cap for ureteroscope and ureteroscope catheter with same |
Citations (8)
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CN1054892A (en) * | 1991-04-17 | 1991-10-02 | 苏天安 | Lasar prostate excision mirror |
EP0741996A2 (en) * | 1995-05-08 | 1996-11-13 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
US6669685B1 (en) * | 1997-11-06 | 2003-12-30 | Biolase Technology, Inc. | Tissue remover and method |
CN200951098Y (en) * | 2006-05-11 | 2007-09-26 | 张家华 | Multi-functional and electric meatoscope with cutter used for operation to treat adult anterior and electric urethrostenosis |
CN101108138A (en) * | 2006-07-21 | 2008-01-23 | 王水良 | Vaporization electric excision scope for medical purpose |
CN101744652A (en) * | 2010-01-13 | 2010-06-23 | 张家华 | Multifunctional prostate operation mirror |
CN202505312U (en) * | 2012-04-09 | 2012-10-31 | 广州医学院第一附属医院 | Multi-purpose endoscope |
CN203408100U (en) * | 2013-08-26 | 2014-01-29 | 张家华 | Tissue smashing and lithotriptoscope |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050065542A1 (en) * | 2003-07-08 | 2005-03-24 | Board Of Regents, The University Of Texas System | Surgical cutting tools and related methods |
-
2013
- 2013-08-26 CN CN201310377498.9A patent/CN103405272B/en not_active Expired - Fee Related
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1054892A (en) * | 1991-04-17 | 1991-10-02 | 苏天安 | Lasar prostate excision mirror |
EP0741996A2 (en) * | 1995-05-08 | 1996-11-13 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
US6669685B1 (en) * | 1997-11-06 | 2003-12-30 | Biolase Technology, Inc. | Tissue remover and method |
CN200951098Y (en) * | 2006-05-11 | 2007-09-26 | 张家华 | Multi-functional and electric meatoscope with cutter used for operation to treat adult anterior and electric urethrostenosis |
CN101108138A (en) * | 2006-07-21 | 2008-01-23 | 王水良 | Vaporization electric excision scope for medical purpose |
CN101744652A (en) * | 2010-01-13 | 2010-06-23 | 张家华 | Multifunctional prostate operation mirror |
CN202505312U (en) * | 2012-04-09 | 2012-10-31 | 广州医学院第一附属医院 | Multi-purpose endoscope |
CN203408100U (en) * | 2013-08-26 | 2014-01-29 | 张家华 | Tissue smashing and lithotriptoscope |
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CN103405272A (en) | 2013-11-27 |
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