CN103800071A - Endoscope and electric resection all-in-one device for urinary system - Google Patents

Endoscope and electric resection all-in-one device for urinary system Download PDF

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Publication number
CN103800071A
CN103800071A CN201410041618.2A CN201410041618A CN103800071A CN 103800071 A CN103800071 A CN 103800071A CN 201410041618 A CN201410041618 A CN 201410041618A CN 103800071 A CN103800071 A CN 103800071A
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CN
China
Prior art keywords
sheath pipe
endoscope
turp
optical fiber
urinary system
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Pending
Application number
CN201410041618.2A
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Chinese (zh)
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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Application filed by Henan University of Science and Technology filed Critical Henan University of Science and Technology
Priority to CN201410041618.2A priority Critical patent/CN103800071A/en
Publication of CN103800071A publication Critical patent/CN103800071A/en
Pending legal-status Critical Current

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  • Surgical Instruments (AREA)

Abstract

The invention relates to an endoscope and electric resection all-in-one device for the urinary system. The endoscope and electric resection all-in-one device for the urinary system comprises a light source, a light transmitting optical fiber channel, an imaging optical fiber channel, an electric resection electrode channel, an image transmitting optical fiber and an image display device. The light transmitting optical fiber channel, the imaging optical fiber channel and the electric resection electrode channel are all arranged in sheaths. The sheaths comprise the sheath I and the sheath II which are hinged to each other. Two sliding grooves which are arranged axially are symmetrically formed in the outer wall of the sheath I. An endoscope further comprises a swinging driving device. The swinging driving device is used for controlling the sheath II 4 to swing at the far end. According to the endoscope and electric resection all-in-one device for the urinary system, bending to different degrees can be conducted according to needs, the defect of an existing bladder resectoscope is overcome, the application range of the bladder resectoscope is remarkably broadened, the recurrence rate of bladder tumors is lowered, the pain of a patient is relieved, and the burden of the patient is lightened.

Description

A kind of endoscope's TURP integrated device for urinary system
Technical field
The present invention relates to medical instrument technical field, be specifically related to a kind of endoscope's TURP integrated device for urinary system.
Background technology
Clinically, tumor of bladder is urinary system common disease, occupies first of urological cancer, and primary treatment method is operative treatment, in conjunction with postoperative On Irrigation of Bladder Chemotherapy.Its main modus operandi is Excision of bladder tumour or underwent transurethral resection of bladder tumor (being TURBT) on pubis.Because tumor of bladder relapse rate is higher, often need again to perform the operation or Repeated Operation treatment, and open surgery wound is larger, post-operative recovery is slow, can repeatability poor, is eliminated gradually.Therefore underwent transurethral resection of bladder tumor (TURBT) wound is little, post-operative recovery is fast, can repeatability strong, replaced gradually open surgery.But because existing bladder resectoscope is straightforward hard mirror, can not be bending, making becomes blind area to bladder front side wall and near tumor and pathological changes near internal urethral orifice, easily fail to pinpoint a disease in diagnosis, and for the tumor at these positions or pathological changes due to existing cystoscopic limitation, be difficult to electric cutting treatment, often need open surgery, increased patient's wound and the risk of operation.
Summary of the invention
The object of the invention is the deficiency for solving the problems of the technologies described above, a kind of endoscope's TURP integrated device for urinary system is provided, can carry out as required bending in various degree, applicable to the diagnosis at any position of intravesical, can accomplish non-blind area to the intravesical visual field, make up the deficiency of existing bladder resectoscope, obviously improve the scope of application of bladder resectoscope, reduce the relapse rate of tumor of bladder, reduce patient's painful and burden.
The present invention is the deficiency solving the problems of the technologies described above, the technical scheme adopting is: a kind of endoscope's TURP integrated device for urinary system, comprise light source, optical coupling part, lose optical-fibre channel, imaging fibre passage, TURP electrode channel, defeated picture optical fiber, image coupling unit and image display device, described losing in optical-fibre channel and imaging fibre passage is respectively equipped with and loses optical fiber and imaging fibre, light source is connected and is lost optical fiber by optical coupling part, imaging fibre is connected with image coupling unit, image coupling unit connects image display device by defeated picture optical fiber, in TURP electrode channel, be provided with electric knife, electric knife is connected with external power electrode by high frequency wire, the described optical-fibre channel of losing, imaging fibre passage and TURP electrode channel are all arranged in sheath pipe, described sheath pipe is made up of sheath pipe I and sheath pipe II, sheath pipe I and sheath pipe II are hinged by bearing pin, on the outer wall of sheath pipe I, be arranged with two chutes that arrange vertically, described endoscope also comprises oscillatory gearing mechanism, driving device is mainly by two gears, a driven wheel, two tooth bars and two pull-push piece compositions, two tooth bars are fastened on respectively in chute, and all can produce axial displacement along chute, two gears are all arranged on sheath pipe I one end away from sheath pipe II, and be meshed respectively at two tooth bars, described two gears are all connected with coaxial driven gear, driven wheel is arranged between two driven gears and with two driven gears and all engages, two tooth bars are connected with sheath pipe II by pull-push piece respectively away from gear one end, described pull-push piece is plastic material.
Described sheath pipe I is in the enclosure sheathed.
Described driven wheel is connected with thumb wheel.
beneficial effect
Endoscope of the present invention TURP integrated device, can carry out as required bending in various degree, applicable to the diagnosis at any position of intravesical, can accomplish non-blind area to the intravesical visual field, make up the deficiency of existing bladder resectoscope, obviously improve the scope of application of bladder resectoscope, reduced the relapse rate of tumor of bladder, reduced patient's painful and burden.And regulative mode is pure theory of mechanics, also can energy savings, reduce the complexity of device, increase feasibility.
Accompanying drawing explanation
Fig. 1 is the structural representation of original state of the present invention;
Fig. 2 is the structural representation after head end of the present invention swings;
Labelling in figure: 1, lose optical-fibre channel, 2, imaging fibre passage, 3, sheath pipe I, 4, sheath pipe II, 5, bearing pin, 6, gear, 7, tooth bar, 8, driven wheel, 9, pull-push piece, 10, driven gear, 11, shell, 12, thumb wheel, 13, TURP electrode channel.
The specific embodiment
As shown in the figure: a kind of endoscope's TURP integrated device for urinary system, comprise light source, optical coupling part, lose optical-fibre channel 1, imaging fibre passage 2, TURP electrode channel 13, defeated picture optical fiber, image coupling unit and image display device, described losing in optical-fibre channel 1 and imaging fibre passage 2 is respectively equipped with and loses optical fiber and imaging fibre, light source is connected and is lost optical fiber by optical coupling part, imaging fibre is connected with image coupling unit, image coupling unit connects image display device by defeated picture optical fiber, in TURP electrode channel 13, be provided with electric knife, electric knife is connected with external power electrode by high frequency wire, the described optical-fibre channel 1 of losing, imaging fibre passage 2 and TURP electrode channel 13 are all arranged in sheath pipe, said structure is the conventional structure of cystoscope (endoscope), the light that light source is produced is transferred to bladder inside provides illumination light, intravesical tissue is formed image by imaging device, facilitate healthcare givers to diagnose.Described sheath pipe is made up of sheath pipe I 3 and sheath pipe II 4, and sheath pipe I 3 is set in shell 11, and sheath pipe I 3 and sheath pipe II 4 are hinged by bearing pin 5, and sheath pipe II 4 can be rotated around bearing pin 5.On the outer wall of sheath pipe I 3, be arranged with two chutes that arrange vertically, described endoscope also comprises oscillatory gearing mechanism, and oscillatory gearing mechanism is in order to the swing from far-end control sheath pipe II 4.Driving device is mainly by two gears 6, a driven wheel 9, two tooth bars 7 and two pull-push piece 9 form, two tooth bars 7 are fastened on respectively in chute, tooth bar 7 can not deviate from from chute, and all can produce axial displacement along chute, two gears 6 are all arranged on sheath pipe I 3 one end away from sheath pipe II 4, and be meshed respectively at two tooth bars 7, described two gears 6 are all connected with coaxial driven gear 10, driven wheel 9 is arranged between two driven gears 10 and with two driven gears 10 and all engages, two tooth bars 7 are connected with sheath pipe II 4 by pull-push piece 9 respectively away from gear 6 one end.
When use, use conventional method cystoscope to be stretched into patient's intravesical, in the time need to swinging head end and obtain the wider visual field, stir external thumb wheel 12, make two gears 6 all clockwise or rotate counterclockwise, and make the tooth bar 7 being engaged with carry out axial displacement along chute, two tooth bars 7 move the rear pull-push piece 9 that promotes respectively or pull, one of them of two pull-push piece 9 promotes sheath pipe II 4, another sheath pipe II 4, sheath pipe II 4 is rotated around bearing pin 5, swing, in the time that needs swing in the opposite direction, oppositely stir thumb wheel 12, endoscope of the present invention TURP integrated device, can carry out as required bending in various degree, applicable to the diagnosis at any position of intravesical, can accomplish non-blind area to the intravesical visual field, make up the deficiency of existing bladder resectoscope, obviously improve the scope of application of bladder resectoscope, reduce the relapse rate of tumor of bladder, reduce patient's painful and burden.And regulative mode is pure theory of mechanics, also can energy savings, reduce the complexity of device, increase feasibility.

Claims (4)

1. the endoscope's TURP integrated device for urinary system, comprise light source, optical coupling part, lose optical-fibre channel (1), imaging fibre passage (2), TURP electrode channel (13), defeated picture optical fiber, image coupling unit and image display device, described losing in optical-fibre channel (1) and imaging fibre passage (2) is respectively equipped with and loses optical fiber and imaging fibre, light source is connected and is lost optical fiber by optical coupling part, imaging fibre is connected with image coupling unit, image coupling unit connects image display device by defeated picture optical fiber, TURP electrode channel is provided with electric knife in (13), electric knife is connected with external power electrode by high frequency wire, the described optical-fibre channel (1) of losing, imaging fibre passage (2) and TURP electrode channel (13) are all arranged in sheath pipe, it is characterized in that: described sheath pipe is made up of sheath pipe I (3) and sheath pipe II (4), sheath pipe I (3) and sheath pipe II (4) are hinged by bearing pin (5), on the outer wall of sheath pipe I (3), be arranged with two chutes that arrange vertically, described endoscope also comprises oscillatory gearing mechanism, driving device is mainly by two gears (6), a driven wheel (8), two tooth bars (7) and two pull-push piece (9) composition, two tooth bars (7) are fastened on respectively in chute, and all can produce axial displacement along chute, two gears (6) are all arranged on sheath pipe I (3) one end away from sheath pipe II (4), and be meshed respectively at two tooth bars (7), described two gears (6) are all connected with coaxial driven gear (10), driven wheel (8) is arranged between two driven gears (10) and with two driven gears (10) and all engages, two tooth bars (7) are connected with sheath pipe II (4) by pull-push piece (9) respectively away from gear (6) one end.
2. a kind of endoscope's TURP integrated device for urinary system as claimed in claim 1, is characterized in that: described pull-push piece (9) is plastic material.
3. a kind of endoscope's TURP integrated device for urinary system as claimed in claim 1, is characterized in that: described sheath pipe I (3) is set in shell (11).
4. a kind of endoscope's TURP integrated device for urinary system as claimed in claim 1, is characterized in that: described driven wheel (8) is connected with thumb wheel (12).
CN201410041618.2A 2014-01-28 2014-01-28 Endoscope and electric resection all-in-one device for urinary system Pending CN103800071A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410041618.2A CN103800071A (en) 2014-01-28 2014-01-28 Endoscope and electric resection all-in-one device for urinary system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410041618.2A CN103800071A (en) 2014-01-28 2014-01-28 Endoscope and electric resection all-in-one device for urinary system

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CN103800071A true CN103800071A (en) 2014-05-21

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106510836A (en) * 2015-09-10 2017-03-22 上海微创电生理医疗科技有限公司 Electrical physiological catheter handle and electrical physiological catheter
CN106031658B (en) * 2015-03-19 2019-04-19 上海微创电生理医疗科技有限公司 A kind of modular catheter and the radio frequency ablation catheter using the handle
CN116172674A (en) * 2023-04-26 2023-05-30 上海宇度医学科技股份有限公司 Endoscope integrated with cutting device and cutting device

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4881524A (en) * 1988-01-27 1989-11-21 Richard Wolf, Gmbh Instsrument for guiding a laser light transmitting fiber
CN2586454Y (en) * 2002-11-21 2003-11-19 上海第二医科大学附属第九人民医院 Endoscope and electric cutting integrated instrument
CN2936129Y (en) * 2005-12-02 2007-08-22 张包铮 Thin diameter microscopic diagnostic and therapeutic instrument for oral

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4881524A (en) * 1988-01-27 1989-11-21 Richard Wolf, Gmbh Instsrument for guiding a laser light transmitting fiber
CN2586454Y (en) * 2002-11-21 2003-11-19 上海第二医科大学附属第九人民医院 Endoscope and electric cutting integrated instrument
CN2936129Y (en) * 2005-12-02 2007-08-22 张包铮 Thin diameter microscopic diagnostic and therapeutic instrument for oral

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106031658B (en) * 2015-03-19 2019-04-19 上海微创电生理医疗科技有限公司 A kind of modular catheter and the radio frequency ablation catheter using the handle
CN106510836A (en) * 2015-09-10 2017-03-22 上海微创电生理医疗科技有限公司 Electrical physiological catheter handle and electrical physiological catheter
CN116172674A (en) * 2023-04-26 2023-05-30 上海宇度医学科技股份有限公司 Endoscope integrated with cutting device and cutting device
CN116172674B (en) * 2023-04-26 2023-08-18 上海宇度医学科技股份有限公司 Endoscope integrated with cutting device and cutting device

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Application publication date: 20140521

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