CN103431890A - Push type renal calyce calculus removing device - Google Patents

Push type renal calyce calculus removing device Download PDF

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Publication number
CN103431890A
CN103431890A CN2013104396287A CN201310439628A CN103431890A CN 103431890 A CN103431890 A CN 103431890A CN 2013104396287 A CN2013104396287 A CN 2013104396287A CN 201310439628 A CN201310439628 A CN 201310439628A CN 103431890 A CN103431890 A CN 103431890A
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China
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assembly
mirror body
hinged
calculus
epitheca
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CN2013104396287A
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CN103431890B (en
Inventor
时振国
朱小娟
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Henan University of Science and Technology
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Henan University of Science and Technology
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Priority to CN201310439628.7A priority Critical patent/CN103431890B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B2017/22014Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a push type renal calyce calculus removing device. The push type renal calyce calculus removing device comprises a lens body and an outer sheath, wherein the outer sheath is arranged at one end of the lens body, a water inlet is formed in the lens body, and a water outlet valve, an eye lens and a light source are arranged on the lens body; one end of the outer sheath is connected with a pushing assembly, the pushing assembly is composed of a retractable frame body and an elastic cylinder film sheathed outside the retractable frame body, a closing assembly is arranged at the other end of the pushing assembly, and the retractable frame body and the closing assembly are driven by virtue of a driving assembly. A calculus crushing end of the push type renal calyce calculus removing device can be inserted into the interior of a renal calyce, a calculus in the renal calyce can be placed in an enclosed space and crushed, no calculus residue enters a human body, no calculus residue is produced, and no damage is caused to surrounding tissues; meanwhile, interference of calculus chips to view of an endoscope is small, operation efficiency and an operation result can be obviously improved, and pain and burden of a patient can be alleviated.

Description

A kind of pusher calyceal calculi stone taking device
Technical field
The present invention relates to the medical equipment technical field, be specifically related to a kind of pusher calyceal calculi stone taking device.
Background technology
Renal calculus is the calculus that betides renal calices, renal pelvis and renal pelvis and ureter connecting portion, kidney casting mold calculus, Calculus, calyceal calculi are the intractable calculus of kidney clinically, extracorporeal shock-wave lithotomy (ESWL) is very micro-to this type of calculus curative effect, and complication is more, open surgery is to cause excess of the kidney matter laceration, kidney massive hemorrhage, and very person's kidney excises.Due to the special environment of calculus in renal calices in the special construction of kidney and rubble process, space in renal calices is less, general rubble apparatus is difficult to arrive in renal calices, causing the interior calculus of renal calices to get stone comparatively bothers, even rubble machinery has entered in renal calices, in the rubble process, the calculus chip easily enters renal calices and causes residual stones, perform the operation not thorough, therapeutic effect is bad.
Summary of the invention
The objective of the invention is the deficiency for solving the problems of the technologies described above, a kind of pusher calyceal calculi stone taking device is provided, the rubble end of this stone taking device can stretch into renal calices inside, calculus in renal calices is placed in the space of sealing and carries out rubble, the calculus residue does not enter in body, the calculus noresidue, and to the surrounding tissue not damaged, the interference in the calculus chip endoscope visual field is little, can significantly improve operation efficiency and effect, has alleviated patient's misery and burden.
The present invention is the deficiency solved the problems of the technologies described above, and the technical scheme adopted is: a kind of pusher calyceal calculi stone taking device, comprise mirror body and epitheca, and epitheca is arranged on an end of mirror body, is provided with water inlet, outlet valve, eyepiece and light source on the mirror body;
Described epitheca is connected with propulsion assembly away from an end of mirror body, propulsion assembly is by expansion bracket and be set in the external elastic cylinder thin film of expansion bracket and form, the other end of propulsion assembly arranges closing assembly, flexible support body and closing assembly stretch by driven unit and are closed, be provided with rubble assembly and based endoscopic imaging assembly in flexible support body, described rubble assembly is ultrasound wave rubble assembly, and the rubble assembly comprises supersonic generator and rubble bar;
Flexible support body comprises two side arms and at least one pair of support ring, article two, side arm is X-shaped after being hinged, one end of two adjusting rods is hinged respectively at two side arms, and the other end of two adjusting rods is hinged by bearing pin, the semicircular ring that described every pair of support ring is oppositely arranged by two openings forms, two semicircular ring are separately positioned on two side arms, and on flexible support body, all support rings are arranged on phase the same side;
One end of elastic cylinder thin film is fixedly connected with epitheca, and the other end of elastic cylinder thin film is fixedly connected with a pair of support ring of flexible support body away from mirror body one end;
Described closed cell comprises many closed bars, and an end of closed bar is provided with through hole, and closed bar is set on a pair of support ring away from mirror body one end by this through hole, and the free end of all closed bars condenses together, and closed bar is arranged with elastic film outward;
Described driven unit comprises telescopic drive unit and closed driver element;
The telescopic drive unit is comprised of drive rod I and flexible handle I, and closed driver element is comprised of driving ring, drive link, drive rod II and flexible handle II;
Described flexible handle I and flexible handle II are arranged on the lower end of mirror body, and the lower end of described mirror body also is provided with fixed handle, and flexible handle I and flexible handle II all are arranged on the mirror body by bearing pin is hinged;
Described drive rod I one end and flexible handle I are hinged, and the other end is hinged with the jointed shaft that approaches most two side arms of telescopic unit of mirror body;
Described every closed bar has through hole one end and all is hinged with drive link, and an end and the closed bar of drive link are hinged, and on the hinged driving ring of the other end, driving ring is connected with the flexible handle II by the drive rod II.
The intracavity of described epitheca is provided with instrument channel pipe and optical-fibre channel pipe, the rubble bar of rubble assembly is arranged in the instrument channel pipe, one end of laser fiber stretches in the cavity of flexible support body, and the based endoscopic imaging assembly is arranged in the optical-fibre channel pipe, and its objective end is arranged on the port of epitheca.
The intracavity of described epitheca also is provided with the intake tunnel pipe, and the water inlet on intake tunnel Guan Yujing body is connected, and the space in epitheca is exhalant canal, and exhalant canal is connected with the outlet valve on being arranged on the mirror body.
The free end of described closing assembly closed bar when off working state condenses together.
Described based endoscopic imaging assembly also comprises that eyepiece, light source, luminous source optical fiber and imaging return to optical fiber, eyepiece and light source are separately positioned on the mirror body, the end that optical fiber is returned in imaging is connected with eyepiece, the other end is connected with object lens through the optical-fibre channel pipe, one end of luminous source optical fiber is connected with light source, and the other end passes the optical-fibre channel pipe and extends to the end of optical-fibre channel pipe.
beneficial effect
The rubble end of pusher calyceal calculi stone taking device of the present invention can stretch into renal calices inside, calculus in renal calices is placed in the space of sealing and carries out rubble, the calculus residue does not enter in body, the calculus noresidue, and to the surrounding tissue not damaged, the interference in the calculus chip endoscope visual field is little, can significantly improve operation efficiency and effect, has alleviated patient's misery and burden.
The accompanying drawing explanation
Fig. 1 is the structural representation of the pusher calyceal calculi stone taking device of the present invention;
Fig. 2 is the structural representation of the flexible support body of the present invention;
Fig. 3 is the structural representation of closing assembly of the present invention;
Fig. 4 is the principle schematic that driven unit of the present invention drives the closing assembly action;
Fig. 5 is the structural representation I of telescopic drive of the present invention unit;
Fig. 6 is the structural representation II of telescopic drive of the present invention unit;
Fig. 7 is the structural representation I of the closed driver element of the present invention;
Fig. 8 is the structural representation II of the closed driver element of the present invention;
Labelling in figure: 1, mirror body, 2, water inlet, 3, the elastic cylinder thin film, 4, eyepiece, 5, light source, 6, flexible support body, 601, side arm, 602, support ring, 603, adjusting rod, 7, closing assembly, 701, closed bar, 801, the drive rod I, 802, flexible handle I, 803, drive link, 804, driving ring, 805, drive rod II, 806, the flexible handle II, 9, epitheca.
The specific embodiment
As shown in Figure 1: a kind of pusher calyceal calculi stone taking device, comprise mirror body 1 and epitheca 9, epitheca 9 is arranged on an end of mirror body 1, is provided with water inlet 2, outlet valve, eyepiece 4 and light source 5 on mirror body 1.Described epitheca 9 is connected with propulsion assembly away from an end of mirror body 1, propulsion assembly is comprised of flexible support body 6 and the elastic cylinder thin film 3 that are set in outside flexible support body 6, the other end of propulsion assembly arranges closing assembly 7, flexible support body 6 and closing assembly 7 stretch by driven unit and are closed, be provided with rubble assembly and based endoscopic imaging assembly in flexible support body 6, described rubble assembly is ultrasound wave rubble assembly, and the rubble assembly comprises supersonic generator and rubble bar;
As shown in Figure 1, 2: flexible support body 6 can be realized enlargement and contraction diametrically, flexible support body 6 comprises two side arms 601 and at least one pair of support ring 602, article two, side arm 601 is X-shaped after being hinged, one end of two adjusting rods 603 is hinged respectively at two side arms 601, and the other end of two adjusting rods 603 is hinged by bearing pin, the semicircular ring that described every pair of support ring 602 is oppositely arranged by two openings forms, two semicircular ring are separately positioned on two side arms 601, and on flexible support body 6, all support rings 602 are arranged on phase the same side;
One end of elastic cylinder thin film 3 is fixedly connected with epitheca 9, and the other end of elastic cylinder thin film 3 is fixedly connected with a pair of support ring 602 of flexible support body 6 away from mirror body 1 one ends;
The intracavity of described epitheca 9 is provided with instrument channel pipe and optical-fibre channel pipe, the rubble bar of rubble assembly is arranged in the instrument channel pipe, one end of laser fiber stretches in the cavity of flexible support body 6, and the based endoscopic imaging assembly is arranged in the optical-fibre channel pipe, and its objective end is arranged on the port of epitheca 9.
The intracavity of described epitheca 9 also is provided with the intake tunnel pipe, and the water inlet 2 on intake tunnel Guan Yujing body 1 is connected, and the space in epitheca 9 is exhalant canal, and exhalant canal is connected with the outlet valve on being arranged on mirror body 1.
Described based endoscopic imaging assembly also comprises that eyepiece 4, light source 5, luminous source optical fiber and imaging return to optical fiber, eyepiece 4 and light source 5 are separately positioned on mirror body 1, the end that optical fiber is returned in imaging is connected with eyepiece 4, the other end is connected with object lens through the optical-fibre channel pipe, one end of luminous source optical fiber is connected with light source 5, and the other end passes the optical-fibre channel pipe and extends to the end of optical-fibre channel pipe.
As shown in Figure 3: described closing assembly 7 comprises many closed bars 701, one end of closed bar 701 is provided with through hole, closed bar 701 is set on a pair of support ring 602 away from mirror body 1 one ends by this through hole, the free end of all closed bars 701 condenses together, the outer elastic film that is arranged with of closed bar 701, the free end of described closing assembly 7 closed bar 701 when off working state condenses together.
As Figure 4-8: described driven unit 8 comprises telescopic drive unit and closed driver element; The telescopic drive unit is comprised of drive rod I 801 and flexible handle I 802, and closed driver element is comprised of drive link 803, driving ring 804, drive rod II 805 and flexible handle II 806; Described flexible handle I 802 and flexible handle II 806 are arranged on the lower end of mirror body 1, and the lower end of described mirror body 1 also is provided with fixed handle 807, and flexible handle I 802 and flexible handle II 806 all are arranged on mirror body 1 by bearing pin is hinged; Described drive rod I 801 1 ends and flexible handle I 802 are hinged, and the other end is hinged with the jointed shaft that approaches most two side arms 601 of telescopic unit of mirror body 1; Described every closed bar 701 has through hole one end and all is hinged with drive link 803, and an end and the closed bar 701 of drive link 803 are hinged, and on the hinged driving ring 804 of the other end, driving ring 804 is connected with flexible handle II 806 by drive rod II 805.
During use, by getting Shi Jing, introduce in calculus patient's renal calices, by image-forming assembly, make the rubble end of getting Shi Jing arrive the calculus place, because the space in renal calices is narrower and small, pulling flexible handle I 802 is expanded flexible support body 6, pull flexible handle II 806 makes closing assembly 7 in open state simultaneously, the closed bar 701 of closing assembly 7 is close to the sidewall of renal calices, promoting mirror body 1 enters in the cavity of closing assembly 7 calculus, then decontroling flexible handle II 806 makes closing assembly 7 under the effect of elastic film, opening shrinks automatically, now in the space of calculus in a sealing, by the rubble assembly, calculus can be pulverized in the rubble operating process is to carry out in this enclosed space, the calculus residue can not enter in renal calices, postoperative calculus noresidue, can not cause damage to surrounding tissue, and the interference in the calculus chip endoscope visual field is less, little for the operation process impact, can significantly improve operation efficiency and effect, patient's misery and burden have obviously been alleviated.

Claims (5)

1. a pusher calyceal calculi stone taking device, comprise mirror body (1) and epitheca (9), and epitheca (9) is arranged on an end of mirror body (1), is provided with water inlet (2), outlet valve, eyepiece (4) and light source (5) on mirror body (1), it is characterized in that:
Described epitheca (9) is connected with propulsion assembly away from an end of mirror body (1), propulsion assembly is comprised of the elastic cylinder thin film (3) that stretches support body (6) and be set in outside flexible support body (6), the other end of propulsion assembly arranges closing assembly (7), flexible support body (6) and closing assembly (7) stretch by driven unit (8) and are closed, be provided with rubble assembly and based endoscopic imaging assembly in flexible support body (6), described rubble assembly is ultrasound wave rubble assembly, and the rubble assembly comprises supersonic generator and rubble bar;
Flexible support body (6) comprises two side arms (601) and at least one pair of support ring (602), article two, side arm (601) is X-shaped after being hinged, one end of two adjusting rods (603) is hinged respectively at two side arms (601), and the other end of two adjusting rods (603) is hinged by bearing pin, the semicircular ring that described every pair of support ring (602) is oppositely arranged by two openings forms, two semicircular ring are separately positioned on two side arms (601) above, and the upper all support rings (602) of flexible support body (6) are arranged on phase the same side;
One end of elastic cylinder thin film (3) is fixedly connected with epitheca (9), and the other end of elastic cylinder thin film (3) is fixedly connected with a pair of support ring (602) of flexible support body (6) away from mirror body (1) one end;
Described closing assembly (7) comprises many closed bars (701), one end of closed bar (701) is provided with through hole, closed bar (701) is set on a pair of support ring (602) away from mirror body (1) one end by this through hole, the free end of all closed bars (701) condenses together, the outer elastic film that is arranged with of closed bar (701);
Described driven unit (8) comprises telescopic drive unit and closed driver element;
The telescopic drive unit is comprised of drive rod I (801) and flexible handle I (802), and closed driver element is comprised of drive link (803), driving ring (804), drive rod II (805) and flexible handle II (806);
Described flexible handle I (802) and flexible handle II (806) are arranged on the lower end of mirror body (1), the lower end of described mirror body (1) also is provided with fixed handle (807), and flexible handle I (802) and flexible handle II (806) all are arranged on mirror body (1) by bearing pin is hinged;
Described drive rod I (801) one ends and flexible handle I (802) are hinged, and the other end is hinged with the jointed shaft that approaches most two side arms of telescopic unit (601) of mirror body (1);
Described every closed bar (701) has through hole one end and all is hinged with drive link (803), one end of drive link (803) and closed bar (701) are hinged, the hinged driving ring of the other end (804) is upper, and driving ring (804) is connected with flexible handle II (806) by drive rod II (805).
2. a kind of pusher calyceal calculi stone taking device as claimed in claim 1, it is characterized in that: the intracavity of described epitheca (9) is provided with instrument channel pipe and optical-fibre channel pipe, the rubble bar of rubble assembly is arranged in the instrument channel pipe, one end of laser fiber stretches in the cavity of flexible support body (6), the based endoscopic imaging assembly is arranged in the optical-fibre channel pipe, and its objective end is arranged on the port of epitheca (9).
3. a kind of pusher calyceal calculi stone taking device as claimed in claim 1, it is characterized in that: the intracavity of described epitheca (9) also is provided with the intake tunnel pipe, water inlet (2) on intake tunnel Guan Yujing body (1) is connected, space in epitheca (9) is exhalant canal, and exhalant canal is connected with the outlet valve on being arranged on mirror body (1).
4. a kind of pusher calyceal calculi stone taking device as claimed in claim 1 is characterized in that: the free end of described closing assembly (7) closed bar (701) when off working state condenses together.
5. a kind of pusher calyceal calculi stone taking device as claimed in claim 2, it is characterized in that: described based endoscopic imaging assembly also comprises that eyepiece (4), light source (5), luminous source optical fiber and imaging return to optical fiber, eyepiece (4) and light source (5) are separately positioned on mirror body (1), the end that optical fiber is returned in imaging is connected with eyepiece (4), the other end is connected with object lens through the optical-fibre channel pipe, one end of luminous source optical fiber is connected with light source (5), and the other end passes the optical-fibre channel pipe and extends to the end of optical-fibre channel pipe.
CN201310439628.7A 2013-09-25 2013-09-25 Push type renal calyce calculus removing device Expired - Fee Related CN103431890B (en)

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CN103431890B CN103431890B (en) 2015-06-17

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104473674A (en) * 2014-12-11 2015-04-01 武汉浩宏科技有限公司 Multi-power internal stone breaker
CN110711012A (en) * 2019-09-20 2020-01-21 江西理工大学 Closed ultrasonic composite stone crushing device
CN115608442A (en) * 2022-09-30 2023-01-17 国网山东省电力公司菏泽市定陶区供电公司 Crushing device for waste electric poles

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004060141A2 (en) * 2002-12-30 2004-07-22 Cybersonics, Inc. Dual probe
CN101214163A (en) * 2008-01-21 2008-07-09 上海市杨浦区中心医院 Bladder renal pelvis stones extraction lens
CN201542607U (en) * 2009-11-27 2010-08-11 广州宝胆医疗器械科技有限公司 Improved hard cystic duct microscope

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004060141A2 (en) * 2002-12-30 2004-07-22 Cybersonics, Inc. Dual probe
CN101214163A (en) * 2008-01-21 2008-07-09 上海市杨浦区中心医院 Bladder renal pelvis stones extraction lens
CN201542607U (en) * 2009-11-27 2010-08-11 广州宝胆医疗器械科技有限公司 Improved hard cystic duct microscope

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104473674A (en) * 2014-12-11 2015-04-01 武汉浩宏科技有限公司 Multi-power internal stone breaker
CN110711012A (en) * 2019-09-20 2020-01-21 江西理工大学 Closed ultrasonic composite stone crushing device
CN115608442A (en) * 2022-09-30 2023-01-17 国网山东省电力公司菏泽市定陶区供电公司 Crushing device for waste electric poles
CN115608442B (en) * 2022-09-30 2023-08-18 国网山东省电力公司菏泽市定陶区供电公司 Crushing device for waste electric pole

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