CN104207821A - Calculus suction mirror for percutaneous nephrolithotomy - Google Patents

Calculus suction mirror for percutaneous nephrolithotomy Download PDF

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Publication number
CN104207821A
CN104207821A CN201410435316.3A CN201410435316A CN104207821A CN 104207821 A CN104207821 A CN 104207821A CN 201410435316 A CN201410435316 A CN 201410435316A CN 104207821 A CN104207821 A CN 104207821A
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calculus
stone
suction
light source
passage
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CN201410435316.3A
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CN104207821B (en
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李恭会
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Zhejiang University ZJU
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Zhejiang University ZJU
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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
    • 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
    • A61B2017/22079Implements 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 with suction of debris

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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 provides a calculus suction mirror for percutaneous nephrolithotomy. The calculus suction mirror mainly comprises a hose wall calculus storage bottle, a calculus stopping filtering net, a hard suction device connection tube, a calculus suction channel, a water inlet channel and a light source channel. In the percutaneous nephrolithotomy, the calculus suction mirror quickly sucks larger-size broken calculus through the built-in calculus channel, is favorable for reduction of postoperative calculus residues and operative complications, can improve the calculus removal rate and has the characteristics of saving the operation time, lowering the operation cost, retaining low pressure in the pelvis, guaranteeing the operation quality and the like; the problems of low calculus taking speed and incapability of suction of the larger-size calculus in the percutaneous nephrolithotomy in the prior art are solved. The calculus suction mirror is reasonable in design, integrates photographing, separation flushing and calculus suction, is suitable for tiny broken calculus suction and larger-size broken calculus suction, and can suck the calculus with the maximum diameter which is 4 times larger than the inner diameter of an ultrasonic detection rod.

Description

A kind of suction stone mirror of PCN operation
Technical field
The invention belongs to the technical field of medical apparatus and instruments, relate to the suction stone mirror of a kind of PCN operation, this suction stone mirror replaces other kidney mirror apparatus for drawing the brief summary rubble in operation process in kidney in PCN operation.
Background technology
Percutaneous nephroscope lithotripsy is got stone operation perfusion hydraulic pressure must be utilized after first rubble to be discharged in skin kidney passage by rubble clinically, or utilizes EMS three generations lithotrite, first with after pneumatic ballistic lithotripsy again by it from sucking-off in ultrasonic feeler lever.The former, discharge (going out calculus) with hydraulic pressure, easily cause Renal pelvic pressure and sharply raise, cause the antibacterial in urine, toxin enters blood circulation in a large number, produce a large amount of inflammatory factor in skin kidney passage, and causing systemic inflammatory response even to urinate source property pyemia may.The latter, because the ultrasonic feeler lever internal diameter of EMS three generations ultrasonic in combination pneumatic ballistic lithotriptor is comparatively thin, it is slow to inhale stone speed, and the calculus being greater than feeler lever internal diameter cannot sucking-off, and if calculus quality is comparatively hard, comparatively large to ultrasonic feeler lever loss ratio, cause patient's financial burden to increase the weight of.How can more efficient exsuccation medium stone fast in percutaneous nephrolithotomy, improving clear stone rate, is the difficult problem that current Urology Surgery doctor pays close attention to.
Summary of the invention
The suction stone mirror that the object of the present invention is to provide a kind of PCN to perform the operation, it is a kind of suction stone mirror that can replace current conventional kidney mirror in percutaneous nephrolithotomy, the suction stone passage built-in by it draws larger rubble fast, be conducive to reducing postoperative complication, save operating time, ensure surgical quality, solve in the percutaneous nephrolithotomy that prior art exists get stone speed slow, comparatively maximum size problem can not be drawn.
The suction stone mirror of a kind of PCN operation of the present invention, by object lens mouth, inhale stone entrance, water inlet, light source interface, utilizing camera interface, suction stone exports, water inlet interface, connecting hose joint, hose wall storage stone bottle, block stone filter screen, suction pump connects hard tube, inhale stone passage, intake tunnel, light source passage forms, intake tunnel and light source passage invest respectively to be inhaled inside stone passage, light source interface is positioned at light source passage rear end, when after connection light source, light is through light source passage, surgical field of view is radiated at from object lens mouth, utilizing camera interface be positioned at light source interface homonymy and with light source expanding channels, when after connection photographic head, surgical field of view imaging on video is allowed by object lens mouth, water inlet interface is positioned at intake tunnel rear end, after connecting water source, poured water to surgical field of view in renal pelvis from water inlet by intake tunnel, keep visual area clear, the hose coupling of hose wall storage stone bottle front end exports with the suction stone inhaling stone passage rear end and is connected, detachably, the rear end of hose wall storage stone bottle is connected hard tube one end with suction pump connects, detachably, install in junction and block stone filter screen, enter suction pipe to stop calculus and cause blocking, when starting suction pump, tiny broken calculus enters suction stone passage through suction stone entrance and falls in hose wall storage stone bottle.Suction stone channel sized of the present invention and skin kidney mirror sheath match.Storage stone bottle is transparent material.
The present invention is expert in percutaneous nephrolithotomy, after calculus smashes in kidney, kidney mirror is replaced by the present invention and inhales stone mirror, water inlet can continue water inlet, maintenance gets a clear view, and more ultrasonic rubble feeler lever broadening suction stone passage, draws larger rubble and bath fast by controllability vacuum extractor, be conducive to reducing postoperative residual stones, solid clearance rate can be improved, there is saving operating time, reduce operation cost, maintain low pressure in renal pelvis, ensure the features such as surgical quality.
Be not specifically designed in percutaneous nephrolithotomy clinically at present and draw calculus instrument, the present invention is specifically designed to absorption calculus.The ultrasonic rubble of EMS, its feeler lever is mainly used in ultrasonic rubble and draws Microlithiasis after rubble, its internal diameter and tiny, if there is the calculus exceeding feeler lever internal diameter just cannot sucking-off after rubble, the present invention can draw the calculus being greater than feeler lever internal diameter, in art, bath can keep visual area clear, overcomes rubble and floats and affect the problem in the visual field.Sometimes because of calculus quality reason, ultrasonic rubble is more difficult, easy damaged feeler lever, and sometimes because of instrument condition restriction, only adopt rubble in art, allow the postoperative Self-discharged of patient, but sometimes rubble is more, calculus is more difficult along ureter delivery ratio.The present invention is reasonable in design, and collection shooting, separation bath, suction stone and one, be both applicable to the absorption of tiny rubble, can draw again larger broken calculus, the maximum diameter inhaling calculus can be more than 4 times of ultrasonic feeler lever internal diameter.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 inhales stone passage cross-sectional.
Detailed description of the invention
Below in conjunction with drawings and Examples, technical scheme of the present invention is described in further detail.
embodiment 1
See Fig. 1, a kind of suction stone mirror of PCN operation, by object lens mouth 1, inhale stone entrance 2, water inlet 3, light source interface 4, utilizing camera interface 5, inhale stone outlet 6, water inlet interface 7, connecting hose joint 8, hose wall storage stone bottle 9, block stone filter screen 10, suction pump connects hard tube 11, inhale stone passage 12, intake tunnel 13, light source passage 14 forms, intake tunnel 13 and light source passage 14 invest respectively to be inhaled inside stone passage 12, light source interface 4 is positioned at light source passage 14 rear end, when after connection light source, light is through light source passage 14, surgical field of view is radiated at from object lens mouth 1, utilizing camera interface 5 is positioned at light source interface 4 homonymy and is connected with light source passage 14, when after connection photographic head, surgical field of view imaging on video is allowed by object lens mouth 1, water inlet interface 7 is positioned at intake tunnel 13 rear end, after connecting water source, poured water to surgical field of view in renal pelvis from water inlet 3 by intake tunnel 13, keep visual area clear, the hose coupling 8 of hose wall storage stone bottle 9 front end exports 6 with the suction stone inhaling stone passage 12 rear end and is connected, detachably, the rear end of hose wall storage stone bottle 9 is connected hard tube 11 one end with suction pump connects, detachably, install in junction and block stone filter screen 10, enter suction pipe to stop calculus and cause blocking, when starting suction pump, tiny broken calculus enters suction stone passage 12 through suction stone entrance 2 and falls in hose wall storage stone bottle 9.Suction stone passage 2 size of the present invention and skin kidney mirror sheath match.Hose wall storage stone bottle 9 is transparent material.
embodiment 2
See Fig. 1, Fig. 2, during percutaneous nephroscope lithotripsy operation technique, after calculus smashes, kidney mirror is replaced by the present invention and inhales stone mirror, draw calculus by controllability vacuum extractor, calculus stores stone bottle 9 by inhaling stone outlet 6 because action of gravity enters hose wall, and storage stone bottle 9 is transparent material, facilitate in art and observe calculus sucking-off situation, dismountable joint 8 facilitates postoperative taking-up calculus.Block stone filter screen 10 and stop the calculus rushing at suction pump and connect hard tube 11, prevent calculus from blocking suction pipe, keep suction pump unimpeded, avoid delaying operation technique; Constantly intake by water inlet interface 7, intake tunnel 13, water inlet 3, keep surgical field of view clear, controllability suction pump discontinuity attracts bath, keeps low pressure in kidney.The present invention is in kidney mirror rubble, and during owing to drawing microlith, rock sucking tube road 2 comparatively other (as feeler levers) arranges roomy, and is visual, and suction stone effect is fine.The suction pump of traditional open surgery, needle-like photographic head and larger-diameter rock sucking tube integrate by inventor in percutaneous nephrolithotomy, relative to other various rock crushing plants, shooting, separation bath, suction stone are carried out simultaneously, both be applicable to tiny rubble draw, larger broken calculus can be drawn again, the maximum diameter inhaling calculus can be more than 4 times of ultrasonic feeler lever internal diameter, has significant suction stone effect when drawing rubble.

Claims (3)

1. a suction stone mirror for PCN operation, is characterized in that, by object lens mouth (1), inhale stone entrance (2), water inlet (3), light source interface (4), utilizing camera interface (5), inhale stone outlet (6), water inlet interface (7), connecting hose joint (8), hose wall storage stone bottle (9), block stone filter screen (10), suction pump connects hard tube (11), inhale stone passage (12), intake tunnel (13), light source passage (14) forms, intake tunnel (13) and light source passage (14) invest respectively inhales stone passage (12) inner side, light source interface (4) is positioned at light source passage (14) rear end, utilizing camera interface (5) is positioned at light source interface (4) homonymy and is connected with light source passage (14), water inlet interface (7) is positioned at intake tunnel (13) rear end, the hose coupling (8) of hose wall storage stone bottle (9) front end exports (6) with the suction stone inhaling stone passage (12) rear end and removably connects, the rear end of hose wall storage stone bottle (9) is connected hard tube (11) one end with suction pump removably connects, and in junction, stone filter screen (10) is blocked in installation.
2. the suction stone mirror of a kind of PCN operation according to claim 1, it is characterized in that, described storage stone bottle (9) is transparent material.
3. the suction stone mirror of a kind of PCN operation according to claim 1, it is characterized in that, described suction stone passage (2) size and skin kidney mirror sheath match.
CN201410435316.3A 2014-08-30 2014-08-30 Calculus suction mirror for percutaneous nephrolithotomy Active CN104207821B (en)

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CN201410435316.3A CN104207821B (en) 2014-08-30 2014-08-30 Calculus suction mirror for percutaneous nephrolithotomy

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Application Number Priority Date Filing Date Title
CN201410435316.3A CN104207821B (en) 2014-08-30 2014-08-30 Calculus suction mirror for percutaneous nephrolithotomy

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CN104207821B CN104207821B (en) 2017-05-03

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109152585A (en) * 2016-03-04 2019-01-04 万肖蓬 Vacuum suction sheath
CN110464421A (en) * 2019-08-15 2019-11-19 广州医科大学附属第一医院 Aspirator is perfused
WO2022048451A1 (en) * 2020-09-01 2022-03-10 宁波新跃医疗科技股份有限公司 Suction device with viewing function for use in ureteral lumen

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2671497Y (en) * 2003-12-22 2005-01-19 徐天松 Percutaneous kidney microscope
CN201256994Y (en) * 2008-08-21 2009-06-17 宋乐明 Micro-stoma percutaneous attraction stones breaking and clearing sheath
CN201641960U (en) * 2010-03-24 2010-11-24 广州市番禺区胆囊病研究所 Hard electronic percutaneous nephroscope
CN102100534A (en) * 2010-12-10 2011-06-22 广州宝胆医疗器械科技有限公司 Integrated infrared thermal scanning percutaneous nephroscope system
CN204169897U (en) * 2014-08-30 2015-02-25 浙江大学 A kind of suction stone mirror of PCN operation

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2671497Y (en) * 2003-12-22 2005-01-19 徐天松 Percutaneous kidney microscope
CN201256994Y (en) * 2008-08-21 2009-06-17 宋乐明 Micro-stoma percutaneous attraction stones breaking and clearing sheath
CN201641960U (en) * 2010-03-24 2010-11-24 广州市番禺区胆囊病研究所 Hard electronic percutaneous nephroscope
CN102100534A (en) * 2010-12-10 2011-06-22 广州宝胆医疗器械科技有限公司 Integrated infrared thermal scanning percutaneous nephroscope system
CN204169897U (en) * 2014-08-30 2015-02-25 浙江大学 A kind of suction stone mirror of PCN operation

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
宋乐明等: ""自制清石鞘在微创经皮肾镜碎石清石术中的应用"", 《中华腔镜泌尿外科杂志(电子版)》 *

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109152585A (en) * 2016-03-04 2019-01-04 万肖蓬 Vacuum suction sheath
CN110464421A (en) * 2019-08-15 2019-11-19 广州医科大学附属第一医院 Aspirator is perfused
WO2022048451A1 (en) * 2020-09-01 2022-03-10 宁波新跃医疗科技股份有限公司 Suction device with viewing function for use in ureteral lumen

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