CN103976763B - Tissue morcellating mirror and operating method thereof - Google Patents
Tissue morcellating mirror and operating method thereof Download PDFInfo
- Publication number
- CN103976763B CN103976763B CN201410102244.0A CN201410102244A CN103976763B CN 103976763 B CN103976763 B CN 103976763B CN 201410102244 A CN201410102244 A CN 201410102244A CN 103976763 B CN103976763 B CN 103976763B
- Authority
- CN
- China
- Prior art keywords
- mirror
- tissue
- water injection
- telescope
- perfusion channel
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320024—Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Laser Surgery Devices (AREA)
- Endoscopes (AREA)
Abstract
The invention relates to a tissue morcellating mirror, in particular to a tissue morcellating mirror and an operating method thereof. A working passage is formed in a mirror body, and is communicated with a one-way valve, wherein a water injection tube is arranged above the working passage; one end of the water injection tube extends out of the mirror body; a mirror tube is arranged in the water injection tube; a gap between the mirror tube and the water injection tube forms an infusion passage; an optical observation system is arranged in the mirror tube; an illumination optical fiber is arranged between the optical observation system and the mirror tube; an eye patch communicated with the optical observation system is arranged on the mirror body; a light source interface communicated with the illumination optical fiber is formed in the mirror body; a water injection hole communicated with the infusion passage is formed in the mirror body. The operating method comprises the following steps of preoperative preparation, intraoperative operation and postoperative cleaning. According to the tissue morcellating mirror and the operating method thereof, the tissue morcellating mirror is high in structural compactness and convenient to operate, the operating efficiency is improved, and high operation smoothness is ensured.
Description
Technical field
The present invention relates to a kind of tissue and pulverize mirror, particularly relate to a kind of tissue and pulverize mirror and operational approach thereof, can extensively use
In such as Urology Surgery hyperplasia of prostate, urinary calculus, the treatment of the diseases such as hysteromyoma of gynecology.
Background technology
Endoscope's minimally-invasive treatment technology, is the revolutionary advancement of technique of surgical treatment, but along with Medical Ethics, clinical diagnosis
And the progress of specific clinics treatment level, conventional endoscope the most gradually can not meet the needs of medical development.The most traditional
Tissue is pulverized with endoscope, does not has infusion liquid convection design, it is impossible to provide more visible surgical field of view and more stable infusion liquid
Amount, service aisle is smaller, thus extends clinician and grasp the learning curve of new technique, increases operation risk, shadow
Ring therapeutic effect.
Summary of the invention
The present invention mainly solves the deficiencies in the prior art, it is provided that a kind of compact conformation, can increase operation peace
Entirely, improving procedure efficiency, significantly shorten operating time, a kind of tissue reducing intraoperative compliaction incidence rate pulverizes mirror and operation thereof
Method.
The above-mentioned technical problem of the present invention is mainly addressed by following technical proposals:
A kind of tissue pulverizes mirror, including mirror body, is provided with service aisle, the afterbody of described service aisle in described mirror body
It is connected with check valve, the water injection pipe being arranged over matching with service aisle of described service aisle, described water injection pipe
One end to the external extension of mirror, described water injection pipe is provided with telescope, the inwall gap of the outer wall of described telescope and water injection pipe
Forming perfusion channel, be provided with optical viewing system in the inwall of described telescope, described optical viewing system is interior with telescope
Being provided with lighting fiber between wall, described mirror body is provided with the eyeshield being connected with optical viewing system, and described mirror body is provided with
The light source interface being connected with lighting fiber, described mirror body is provided with the water injection hole being connected with perfusion channel.
As preferably, described perfusion channel includes left perfusion channel and right perfusion channel, described left perfusion channel with
Right perfusion channel symmetrically shape is distributed, and described left perfusion channel does not connects with right perfusion channel, and described left perfusion is led to
Road is distributed in arcuation respectively with the inwall of right perfusion channel.
As preferably, described lighting fiber includes left lighting fiber and right lighting fiber, described left lighting fiber with
Right lighting fiber is interruption-like symmetrical, and described left lighting fiber and the inwall of right lighting fiber are distributed in arcuation respectively.
As preferably, described service aisle is circular, the shape of described service aisle outer wall and the shape of telescope outer wall
Shape matches distribution, and the center of circle of described optical viewing system and the center of circle of service aisle are that upper and lower linearity is distributed, described
The diameter of service aisle is more than 5mm.
As preferably, the upper and lower of described optical viewing system inwall with telescope respectively fixes, described
The upper and lower of telescope inwall with water injection pipe respectively fixes, and described water injection pipe is respectively metal with the material of telescope
Pipe.
A kind of operational approach organizing pulverizing mirror, sequentially includes the following steps:
(1), Preoperative Method:
The tissue of sterilization being pulverized the mirror each parts of mirror body, installs connection on request including water injection pipe, telescope, use is led
Liquid pipe is connected left perfusion channel with perfusion liquid, opens water injection pipe water valve, test the perfusion unobstructed situation of liquid water stream, flow feelings
Condition, through the backflow situation of right perfusion channel；
The light source interface of the soft light guide bundles of cold light source with mirror body is connected, opens cold light source, detection lighting fiber
Light conductivity situation；
The shooting bayonet socket of the photographic head front end of video camera is connected with the eyeshield of mirror body, opens video camera and monitor, see
Examine the tissue in video camera transmission to monitor screen and pulverize the quality of optical imaging of mirror, and regulate the focusing of shooting bayonet socket
Ring, to obtain optimal optical image picture；
After tissue is pulverized various parts connection, open tissue pulverizer system, detect the duty of each parts；
After detection, cold light source, video camera, monitor is kept to be in opening, cold light source, video camera and tissue powder
Broken mirror keeps connection status；
After detection, tissue is pulverized various parts and is kept connection status；
(2), operation technique:
Open tissue and pulverize the water injection pipe water valve of mirror, examine the tissue powder in video camera transmission to monitor screen
The real-time optical image frame of broken mirror, proceeds to operative region safely by effective inserting paragraph that tissue pulverizes mirror water injection pipe, by
The illuminating ray of cold light source, finds destination organization and carefully carries out observation and define；Open right perfusion channel water valve, make through left perfusion
Passage enters the perfusion liquid circulation flow of operative region and goes out right perfusion channel, both can reduce the injection pressure of operative region, reduces
Because being the Probability of the postoperative complication such as hemorrhage, pyemia after relatively low injection pressure compared with HT pressure transition；All right
Remain more visible surgical field of view, it is to avoid damage No operation organ, improve procedure efficiency and operation safety；
The apparatus of pulverizing of tissue crushing system is pulverized the check valve insertion service aisle of mirror mirror body through tissue, observes and monitor
Device screen, until pulverizing apparatus working front edge contact target tissue, arranging operating frequency and the power of correspondence, starting tissue and pulverizing
System, takes out after being pulverized by destination organization, retains specimen transfer；Close tissue crushing system, continue to observe monitor screen, move back
Go out tissue and pulverize mirror, need to place drainage tube depending on operation, complete tissue and pulverize operation；
(3), postoperative step:
Close water injection pipe water valve, cold light source, video camera, monitor successively.
Tissue pulverize mirror be connected with pickup-light source system, and persistently give stable convection current infusion liquid flushing, infusion liquid from
Hand-hole pours into, it is possible to obtain surgical field of view clearly, and can carry out destination organization and perienchyma more clearly, accurately
Observation and distinguish, operator accurately operate pulverizing apparatus destination organization is pulverized taking-up, complete operation process.Use
This mirror, can increase operation safety, improves procedure efficiency, significantly shortens operating time, reduces the incidence rate of intraoperative compliaction.Remove
Outside this, bigger service aisle design, different pulverizing apparatuses can be selected according to the needs of operation, improve procedure efficiency,
And reduce use cost.
The metal tube (water injection pipe and telescope) of two different sizes socket-connects, between gap formed perfusion channel, both may be used
Bigger irrigation flow is provided, can effectively reduce again endoscope's external diameter.Service aisle diameter is more than Φ 5mm.Tissue is pulverized
Mirror uses special perfusion channel, and flow is big, pressure stability.Infusion liquid passes through perfusion channel lavation operative site, carries for operation
Perfusion liquid measure for surgical field of view and safety and stability clearly.
A kind of tissue that the present invention provides pulverizes mirror and operational approach thereof, and compact conformation degree is high, easy to operate, improves operation
Efficiency, the smooth degree of operation is high.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention；
Fig. 2 is the A-A sectional structure schematic diagram of the present invention.
Detailed description of the invention
Below by embodiment, Structure Figure, technical scheme is described in further detail.
Embodiment 1: as depicted in figs. 1 and 2, a kind of tissue is pulverized mirror, including mirror body 1, is provided with work in described mirror body 1
Passage 2, the afterbody of described service aisle 2 is connected with check valve 3, described service aisle 2 be arranged over work logical
The water injection pipe 4 that road 2 matches, one end of described water injection pipe 4 extends outside mirror body 1, is provided with telescope 5 in described water injection pipe 4,
The outer wall of described telescope 5 forms perfusion channel with the inwall gap of water injection pipe 4, is provided with optics in the inwall of described telescope 5
Viewing system 6, is provided with lighting fiber between described optical viewing system 6 and the inwall of telescope 5, described mirror body 1 be provided with
The eyeshield 8 that optical viewing system 6 is connected, described mirror body 1 is provided with the light source interface 9 being connected with lighting fiber, described
Mirror body 1 be provided with the water injection hole 10 being connected with perfusion channel.
Described perfusion channel includes left perfusion channel 11 and right perfusion channel 12, described left perfusion channel 11 and right filling
Note passage 12 symmetrically shape distribution, described left perfusion channel 11 does not mutually connect with right perfusion channel 12, described left perfusion
Passage 11 is distributed in arcuation respectively with the inwall of right perfusion channel 12.
Described lighting fiber includes left lighting fiber 13 and right lighting fiber 14, described left lighting fiber 13 and right photograph
Mingguang City's fibre 14 is interruption-like symmetrical, and described left lighting fiber 13 and the inwall of right lighting fiber 14 divide in arcuation respectively
Cloth.
Described service aisle 2 is circular, the shape phase of the shape of described service aisle 2 outer wall and telescope 5 outer wall
Partition cloth, the center of circle of described optical viewing system 6 and the center of circle of service aisle 2 are that upper and lower linearity is distributed, described work
The diameter of passage 2 is more than 5mm.
The upper and lower of described optical viewing system 6 inwall with telescope 5 respectively fixes, described telescope 5
Upper and lower inwall with water injection pipe 4 respectively fixes, and described water injection pipe 4 is respectively metal tube with the material of telescope 5.
A kind of operational approach organizing pulverizing mirror, sequentially includes the following steps:
(1), Preoperative Method:
The tissue of sterilization being pulverized the mirror each parts of mirror body, installs connection on request including water injection pipe, telescope, use is led
Liquid pipe is connected left perfusion channel with perfusion liquid, opens water injection pipe water valve, test the perfusion unobstructed situation of liquid water stream, flow feelings
Condition, through the backflow situation of right perfusion channel；
The light source interface of the soft light guide bundles of cold light source with mirror body is connected, opens cold light source, detection lighting fiber
Light conductivity situation；
The shooting bayonet socket of the photographic head front end of video camera is connected with the eyeshield of mirror body, opens video camera and monitor, see
Examine the tissue in video camera transmission to monitor screen and pulverize the quality of optical imaging of mirror, and regulate the focusing of shooting bayonet socket
Ring, to obtain optimal optical image picture；
After tissue is pulverized various parts connection, open tissue pulverizer system, detect the duty of each parts；
After detection, cold light source, video camera, monitor is kept to be in opening, cold light source, video camera and tissue powder
Broken mirror keeps connection status；
After detection, tissue is pulverized various parts and is kept connection status；
(2), operation technique:
Open tissue and pulverize the water injection pipe water valve of mirror, examine the tissue powder in video camera transmission to monitor screen
The real-time optical image frame of broken mirror, proceeds to operative region safely by effective inserting paragraph that tissue pulverizes mirror water injection pipe, by
The illuminating ray of cold light source, finds destination organization and carefully carries out observation and define；Open right perfusion channel water valve, make through left perfusion
Passage enters the perfusion liquid circulation flow of operative region and goes out right perfusion channel, both can reduce the injection pressure of operative region, reduces
Because being the Probability of the postoperative complication such as hemorrhage, pyemia after relatively low injection pressure compared with HT pressure transition；All right
Remain more visible surgical field of view, it is to avoid damage No operation organ, improve procedure efficiency and operation safety；
The apparatus of pulverizing of tissue crushing system is pulverized the check valve insertion service aisle of mirror mirror body through tissue, observes and monitor
Device screen, until pulverizing apparatus working front edge contact target tissue, arranging operating frequency and the power of correspondence, starting tissue and pulverizing
System, takes out after being pulverized by destination organization, retains specimen transfer；Close tissue crushing system, continue to observe monitor screen, move back
Go out tissue and pulverize mirror, need to place drainage tube depending on operation, complete tissue and pulverize operation；
(3), postoperative step:
Close water injection pipe water valve, cold light source, video camera, monitor successively.
Claims (5)
1. a tissue pulverizes mirror, it is characterised in that: include mirror body (1), described mirror body (1) is provided with service aisle (2), institute
The afterbody of the service aisle (2) stated is connected with check valve (3), being arranged over and service aisle of described service aisle (2)
(2) water injection pipe (4) matched, one end of described water injection pipe (4) extends outward to mirror body (1), sets in described water injection pipe (4)
Telescope (5), the outer wall of described telescope (5) is had to form perfusion channel, described telescope (5) with the inwall gap of water injection pipe (4)
Inwall in be provided with optical viewing system (6), be provided with illumination light between described optical viewing system (6) and the inwall of telescope (5)
Fibre, described mirror body (1) is provided with the eyeshield (8) being connected with optical viewing system (6), described mirror body (1) be provided with
The light source interface (9) that lighting fiber is connected, described mirror body (1) is provided with the water injection hole (10) being connected with perfusion channel.
A kind of tissue the most according to claim 1 pulverizes mirror, it is characterised in that: described perfusion channel includes that left perfusion is led to
Road (11) and right perfusion channel (12), described left perfusion channel (11) is distributed with right perfusion channel (12) symmetrically shape, described
Left perfusion channel (11) mutually do not connect with right perfusion channel (12), described left perfusion channel (11) and right perfusion channel
(12) inwall is distributed in arcuation respectively.
A kind of tissue the most according to claim 1 pulverizes mirror, it is characterised in that: described lighting fiber includes left illumination light
Fine (13) and right lighting fiber (14), described left lighting fiber (13) is interruption-like symmetrical with right lighting fiber (14),
Described left lighting fiber (13) and the inwall of right lighting fiber (14) are distributed in arcuation respectively.
4. pulverize mirror according to a kind of tissue described in claim 1 or 2 or 3, it is characterised in that: described service aisle (2) is
Circle, the shape of described service aisle (2) outer wall is distributed with the mating shapes of telescope (5) outer wall, described optical observation
The center of circle of system (6) is that upper and lower linearity is distributed with the center of circle of service aisle (2), and the diameter of described service aisle (2) is more than
5mm。
5. pulverize mirror according to a kind of tissue described in claim 1 or 2 or 3, it is characterised in that: described optical viewing system
(6) upper and lower inwall with telescope (5) respectively fixes, the upper and lower of described telescope (5) respectively with water filling
The inwall of pipe (4) fixes, and described water injection pipe (4) is respectively metal tube with the material of telescope (5).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410102244.0A CN103976763B (en) | 2014-03-19 | 2014-03-19 | Tissue morcellating mirror and operating method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410102244.0A CN103976763B (en) | 2014-03-19 | 2014-03-19 | Tissue morcellating mirror and operating method thereof |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103976763A CN103976763A (en) | 2014-08-13 |
| CN103976763B true CN103976763B (en) | 2017-01-11 |
Family
ID=51269108
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410102244.0A Active CN103976763B (en) | 2014-03-19 | 2014-03-19 | Tissue morcellating mirror and operating method thereof |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN103976763B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10492662B2 (en) | 2012-03-27 | 2019-12-03 | Medigus Ltd. | Integrated endoscope irrigation |
| US11395406B2 (en) | 2015-06-11 | 2022-07-19 | Scoutcam Ltd. | Camera head |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0153190A1 (en) * | 1984-02-20 | 1985-08-28 | Olympus Optical Co., Ltd. | Endoscopic ovum picker instruments |
| CN202497130U (en) * | 2012-03-22 | 2012-10-24 | 杭州好克光电仪器有限公司 | Choledochoscope |
| CN103110455A (en) * | 2012-12-18 | 2013-05-22 | 杭州好克光电仪器有限公司 | Ureteroscope |
| CN103405261A (en) * | 2013-07-19 | 2013-11-27 | 杭州好克光电仪器有限公司 | Ureter nephroscope with bendable head end |
| CN203802505U (en) * | 2014-03-19 | 2014-09-03 | 刘春晓 | Tissue morcellator endoscope |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030187460A1 (en) * | 1999-08-10 | 2003-10-02 | Chin Albert K. | Methods and apparatus for endoscopic cardiac surgery |
-
2014
- 2014-03-19 CN CN201410102244.0A patent/CN103976763B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0153190A1 (en) * | 1984-02-20 | 1985-08-28 | Olympus Optical Co., Ltd. | Endoscopic ovum picker instruments |
| CN202497130U (en) * | 2012-03-22 | 2012-10-24 | 杭州好克光电仪器有限公司 | Choledochoscope |
| CN103110455A (en) * | 2012-12-18 | 2013-05-22 | 杭州好克光电仪器有限公司 | Ureteroscope |
| CN103405261A (en) * | 2013-07-19 | 2013-11-27 | 杭州好克光电仪器有限公司 | Ureter nephroscope with bendable head end |
| CN203802505U (en) * | 2014-03-19 | 2014-09-03 | 刘春晓 | Tissue morcellator endoscope |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103976763A (en) | 2014-08-13 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN106551672B (en) | Hysteroscopic system | |
| US10213095B2 (en) | Percutaneous puncture and dilation visible irrigation-suction system and method of using the same | |
| WO2015007233A1 (en) | Ureterorenoscope with bendable head end | |
| CN101606852B (en) | Ultrasonic cystoscope | |
| CN106604687A (en) | A sheath assembly and mutihole catheter for different fields of endoscopic surgery involving suction, irrigation and material removal. | |
| CN101518455A (en) | Hard ultrasonic hysteroscope system | |
| CN101785685A (en) | Integral hard ultrasonic hysteroscope system | |
| CN208725690U (en) | A kind of endoscopic system | |
| CN101803900A (en) | Integrated confocal micro-rigid hysteroscope system | |
| CN103142289B (en) | Minimally Invasive Surgery orthopaedic curet | |
| CN103976763B (en) | Tissue morcellating mirror and operating method thereof | |
| CN204207828U (en) | The obtuse angle seeker of shooting suction catheter | |
| CN105749405A (en) | Catheter system comprising oviduct lens and combination method of system | |
| CN107049206A (en) | Hysteroscope | |
| CN109171611A (en) | Endoscope apparatus | |
| CN206342503U (en) | A kind of liver device for exposing in the laparoscope right lobe of liver tumorectomy for facilitating adjusting size | |
| CN107126186A (en) | A kind of micro- masopharyngeal mirror of three-dimensional electronic | |
| CN104288848B (en) | Eustachian tube check and treatment device | |
| CN203802505U (en) | Tissue morcellator endoscope | |
| CN109549616B (en) | Multi-functional intelligent cervical endoscope system | |
| CN101803904A (en) | Integrated rigid ultrasonic cystoscope system | |
| CN207949781U (en) | A kind of seminal vesicle endoscope | |
| CN110575122A (en) | Endoscope catheter, assembly and endoscopic visible paranasal sinus balloon dilatation system | |
| CN104287813A (en) | Split type tube body of camera shooting suction tube | |
| CN204207826U (en) | The split type body of shooting suction catheter |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CB03 | Change of inventor or designer information | ||
| CB03 | Change of inventor or designer information |
Inventor after: Shen Haiyan Inventor after: Liu Chunxiao Inventor after: Lu Xinrong Inventor after: Xu Yawen Inventor before: Liu Chunxiao Inventor before: Lu Xinrong |
|
| TR01 | Transfer of patent right | ||
| TR01 | Transfer of patent right |
Effective date of registration: 20171023 Address after: 510280 No. 253 Industrial Avenue, Guangzhou, Guangdong Co-patentee after: Hangzhou Hawk Optical Electronic Instruments Co., Ltd. Patentee after: Zhujiang Hospital attached to Nanfang Medical Univ. Co-patentee after: Guangzhou City Jie Zhen Medical Technology Co. Ltd. Address before: Xiaoshan District of Hangzhou City, Zhejiang province 311201 Industrial Zone Xinda Road No. 9 Co-patentee before: Hangzhou Hawk Optical Electronic Instruments Co., Ltd. Patentee before: Liu Chunxiao |