CN104688338A - Integration holmium laser hose for endoscope - Google Patents
Integration holmium laser hose for endoscope Download PDFInfo
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- CN104688338A CN104688338A CN201310648947.9A CN201310648947A CN104688338A CN 104688338 A CN104688338 A CN 104688338A CN 201310648947 A CN201310648947 A CN 201310648947A CN 104688338 A CN104688338 A CN 104688338A
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Abstract
The invention discloses an integration holmium laser hose for an endoscope. The integration holmium laser hose is provided with a channel penetrating in the axial direction; the channel is divided into a holmium laser channel, a lighting channel, a working channel and a steering channel; the cross section of the working channel is larger than the cross section of the steering channel or the lighting channel; the cross sections of the holmium laser channel, the lighting channel and the steering channel are round; the radius of the holmium laser channel, the radius of the lighting channel and the radius of the steering channel are R1, R2 and R3, and R1: R2: R3=1:4-6:4-6. By means of the integration holmium laser hose, an instrument channel and a flushing channel are fused into one channel; the tube diameter is large; the motion scope is larger during operation; and instrument operation is more convenient. The operation process is greatly simplified through integration of holmium lasers, inconvenience caused by repeated holmium laser insertion is avoided; and interference cannot be caused by flushing of water flow in the using process of the holmium lasers.
Description
Technical field
The present invention relates to medical apparatus and instruments, specifically refer to a kind of integrated Bladder stone flexible pipe for endoscope.
Background technology
On clinical medicine, adopting endoscope to carry out treating is one of the most frequently used at present diagnosis and treatment mode, and which is so-called Wicresoft diagnosis and treatment mode both.In endoscope treatment process, Bladder stone is one of the most frequently used apparatus.Bladder stone is with yttrium-aluminium-garnet (YAG) for active medium, doped with sensitized ion chromium (Cr), pass can ion thulium (Tm), active ions holmium (Ho) the new pattern laser that produces of the pulse solid laser device made of laser crystal (Cr:Tm:Ho:YAG).Can be applicable to section office's operations such as Urology Surgery, department of eye, department of dermatologry, gynecological.
In operation process, search out pathological changes in body by endoscope, then Bladder stone is inserted corresponding apparatus tract, run-home, remove pathological changes.Bladder stone regular size has 200um, 600um, 1000um, and the inserting process in using needs to take many time.At some organ, such as, in kidney, when using flexible endoscope, front end can bend to certain angle, more difficult through Bladder stone optical fiber in the tract that wide-angle is turned.
Usual Bladder stone is the same with other apparatuses to be penetrated from service aisle, but the external diameter of Bladder stone (especially 200um) is much smaller than other apparatuses, normal saline a large amount of in operation process can cause Bladder stone and wash away, and makes doctor be difficult to run-home in operation, causes inconvenience to operation.
Summary of the invention
Repeatedly pull and push in order to what overcome that above-mentioned background technology exists the inconvenience that Bladder stone brings, the object of this invention is to provide a kind of simple to operate, conveniently for the integrated Bladder stone flexible pipe of endoscope.
For achieving the above object, integrated Bladder stone flexible pipe for endoscope provided by the invention, it has the passage axially run through along it, it is characterized in that: described passage is divided into Bladder stone passage, illumination channel, service aisle and turns to passage, the cross section of described service aisle is greater than the cross section turning to passage or illumination channel; Described Bladder stone passage, illumination channel and turn to the cross section of passage to be circle, Bladder stone passage, illumination channel and turn to the radius of the cross section of passage to be respectively R1, R2, R4, described R1:R2:R4 is 1:4 ~ 6:4 ~ 6; The tract of R1 is used to integrated Bladder stone, and the diameter of conventional Bladder stone is 200um, 600um, 1000um; Turn to tract R4 pre-buriedly to turn to steel wire, be related to the size of flexible pipe R, be i.e. the size of pull strength that needs of steel wire, if the larger R4 of R is larger.
Preferably the cross section of described service aisle is elliptic cross-section.
Further, described Bladder stone passage, illumination channel, service aisle and turn to the cross section of passage along hose cross-section face circumference distribution.
Further, described R2 and R4 is equal and be 4 times of R1.
The present invention is compared to conventional hoses, and Bladder stone integrates with flexible pipe, does not need plug Bladder stone repeatedly in using.Instrument channel is united two into one at the instrument channel of flexible pipe and irrigation and drainage passage two passages.There is unidirectional steel wire in guiding steel wire passage, directly controlled bending direction and the angle of front end by the control device of soft lens rear end.Place image and lighting fiber in optical-fibre channel, its focal length can be regulated equally by the control device of rear end.Instrument channel as required, can enter other apparatuses, as stone basket, double-pole electric coagulation forceps (cutting), biopsy forceps etc.Common multi-lumen tube Bladder stone and other apparatuses share a tract, but the diameter of Bladder stone is much smaller than the diameter of other apparatuses, easily receives the impact of normal saline in using, and cause aiming at difficulty.This multi-lumen tube is integrated in a passage of multi-lumen tube by independent for Bladder stone, the instrument channel that design one is large in addition, more be conducive to the operation of apparatus in operation process, and the bore of large tract makes the backflow of the blood in operation process, body fluid, flushing liquor more abundant, it is easier to rinse, not easily block tract, operation is got up more simple and convenient, its clinical meaning is to solve a lot of technical bottleneck caused due to line size at present, can combine clinically use or be used alone with hard sheath.
Accompanying drawing explanation
Fig. 1 is cross-sectional structure schematic diagram of the present invention
In figure: 1, Bladder stone passage 2, illumination channel 3, service aisle 4, turn to passage.
Detailed description of the invention:
Below in conjunction with drawings and Examples, the present invention is described in further detail.
The integrated Bladder stone flexible pipe for endoscope as shown in the figure, it has the passage axially run through along it, passage is divided into Bladder stone passage 1, illumination channel 2, service aisle 3 and turns to passage 4, and the cross section of service aisle 3 is greater than the cross section turning to passage 4 or illumination channel 2; Bladder stone passage 1, illumination channel 2 and turn to the cross section of passage 4 to be circle, Bladder stone passage 1, illumination channel 2 and turn to the radius of the cross section of passage 4 to be respectively R1, R2, R4, R1:R2:R4 is 1:4 ~ 6:4 ~ 6.Illumination channel and turn to passage should not be more excessive or too small than Bladder stone passage, cross the space of conference extruding R3 service aisle, too small, be unfavorable for the realization of illumination and turning function, under the requirement of existing hose materials, the intensity that hose bending elasticity keeps flexible pipe certain again should be kept, so it is best to choose this range effect, namely the ratio of R1:R2:R4 is 1:4 ~ 6:4 ~ 6.
The cross section of service aisle 3 is elliptic cross-section; Bladder stone passage 1, illumination channel 2, service aisle 3 and turn to the cross section of passage 4 along hose cross-section face circumference distribution; A kind ofly be preferred embodiment illumination channel 2 and turn to the radius R 2 of the cross section of passage 4 equal with R4 and be 4 times of the cross sectional radius R1 of Bladder stone passage 1.As R2=R4, these two tracts are equal, and in production assembling, two tracts can exchange, and decrease the trouble of assembling, and this is the best proportion of on the basis selecting existing Bladder stone 200um, flexible pipe 2.8mm fibre scope 0.8mm one.
Four passages of flexible pipe of the present invention are respectively Bladder stone passage, instrument channel, turn to passage, optical-fibre channel.The size of passage can provide different specifications according to different needs, can be used for different department.The quantity of passage can need to increase or reduce according to difference.For example increase two instrument channel or multiplely turn to passage or increase independent irrigation channel etc.
The content be not described in detail in this description belongs to the known prior art of professional and technical personnel in the field.
Several routine application of the present invention is as follows:
1, the application on Urology Surgery: can be used for ureteroscope, PCN, cystoscope, peritoneoscope.Integrated Bladder stone directly can be used for treatment renal calculus, cyst of kidney, the operation such as tumor in kidney, to avoid in operation the inconvenience that plug Bladder stone repeatedly brings.
2, the application in neurosurgery: the flexible pipe of integrated Bladder stone can widely use in neurosurgery, and Bladder stone is applicable to all intracranial tumors, is specially adapted to deep and tumor of base of skull.For rich blood vessel, scleroid meningioma, Bladder stone integrated in flexible pipe can be vaporized by limit cutting edge, close the blood vessel of tumor, piecemeal tumor resection, finally reach and entirely cut object, and can carry out calcination process excision, third ventriculostomy or soleplate fistulation etc. to the cerebral dura mater of meningioma attachment place or skull, the especially huge tumor of basis cranii, performs the operation effectively safer.
3, the application in gynecological: the flexible pipe of integrated Bladder stone can use in conjunction with hard sheath and also can be used alone, for endoscope for genital system and hysteroscope.Also current hysteroscope, peritoneoscope and colposcope can be optimized.Precancer or the suspicious person of cancer is had for cervical lesions clinically, the person that finds that there is abnormal cell in anti-cancer picture, cervical lesions after follow-up care, to understand therapeutic effect, occur with or without recurrence or new pathological changes, abnormal uterine bleeding: muscular tumor in cavity of uterus, polyp and carcinoma of endometrium, abnormal ultrasonic acoustic image finding, infertility and family planning complication, hormone replacement and endometrial physiology or special change caused by application tamoxifen, previous IVF(external fertilization) failed patient, substitute hysteroscopy endometrium situation, habitual abortion, inspect with or without cavity of uterus deformity, metrosynizesis, the excision of the inspection such as foreign body and benign gynecological tumor in cavity of uterus, the Diagnosis and Treat of ectopic pregnancy, the treatment of ovarian cyst, pelvic adhesion is peeled off, endometriosis burn treatment, the treatments such as Unterbindung des Eileiter.
4, the application on percutaneous choledochoscope: can be used for choledochoscope, enters biliary tract or gallbladder process disease by esophagus, and the otch also by abdominal part assists disease.Treatment Gallbladder polypoid disease remains gallbladder function, is conducive to improving patient's postoperative life quality, reduces post-operative complication.
In addition, the aspects such as general surgery, Digestive System Department, pancreatic surgery, vascular surgery, Pneumology Department, orthopaedics can also be used in, not repeat one by one at this.
Claims (5)
1. the integrated Bladder stone flexible pipe for endoscope, it has the passage axially run through along it, it is characterized in that: described passage is divided into Bladder stone passage (1), illumination channel (2), service aisle (3) and turns to passage (4), and the cross section of described service aisle (3) is greater than the cross section turning to passage (4) or illumination channel (2); Described Bladder stone passage (1), illumination channel (2) and turn to the cross section of passage (4) to be circle, Bladder stone passage (1), illumination channel (2) and turn to the radius of the cross section of passage (4) to be respectively R1, R2, R4, described R1:R2:R4 is 1:4 ~ 6:4 ~ 6.
2. the integrated Bladder stone flexible pipe for endoscope according to claim 1, is characterized in that: the cross section of described service aisle (3) is elliptic cross-section.
3. the integrated Bladder stone flexible pipe for endoscope according to claim 1 and 2, is characterized in that: described Bladder stone passage (1), illumination channel (2), service aisle (3) and turn to the cross section of passage (4) along hose cross-section face circumference distribution.
4. the integrated Bladder stone flexible pipe for endoscope according to claim 1 and 2, is characterized in that: described R2 and R4 is equal and be 4 times of R1.
5. the integrated Bladder stone flexible pipe for endoscope according to claim 3, is characterized in that: described R2 and R4 is equal and be 4 times of R1.
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CN201310648947.9A CN104688338A (en) | 2013-12-04 | 2013-12-04 | Integration holmium laser hose for endoscope |
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CN201310648947.9A CN104688338A (en) | 2013-12-04 | 2013-12-04 | Integration holmium laser hose for endoscope |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN109875674A (en) * | 2017-12-06 | 2019-06-14 | 刘珈 | Tumour ablation equipment |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN109875674A (en) * | 2017-12-06 | 2019-06-14 | 刘珈 | Tumour ablation equipment |
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Application publication date: 20150610 |