CN104921806B - Urethral lithotripsy device with soft channel - Google Patents
Urethral lithotripsy device with soft channel Download PDFInfo
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- CN104921806B CN104921806B CN201410847423.7A CN201410847423A CN104921806B CN 104921806 B CN104921806 B CN 104921806B CN 201410847423 A CN201410847423 A CN 201410847423A CN 104921806 B CN104921806 B CN 104921806B
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Abstract
The invention relates to a urethral lithotripsy device with a soft channel. The urethral lithotripsy device comprises a soft channel device, a light guide assembly, a draw bar assembly, a lifter, a soft lens assembly and a holmium laser assembly. The soft channel device comprises a channel seat and a soft tube channel, one end of the soft tube channel is fixed onto the channel seat, a channel head is arranged at the other end of the soft tube channel, a channel opening is formed in the channel head, and a transparent sheet is fixed onto the channel opening; a soft steel wire is arranged in the soft tube channel, one end of the soft steel wire is fixed onto the channel seat, and a distance from the other end of the soft steel wire to the channel opening ranges from 4cm to 5cm; the holmium laser assembly, a soft lens channel, a light guide cable channel and a draw bar channel are arranged in the soft tube channel. The urethral lithotripsy device has the advantages that the urethral lithotripsy device is reasonable in structural design, the soft tube channel is soft and is easy to operate, and accordingly pain can be prevented for patients; the urethral lithotripsy device is wide in operation visual field, various directions can be taken into consideration, and accordingly the surgery efficiency can be improved.
Description
Technical field
The present invention relates to a kind of soft passage lithotripsy apparatus of ureter, are exclusively used in treating the calculus in human urethra, belong to doctor
Treat technique with the apparatus field.
Background technology
Urethra is the toxin expelling system of the mankind, there are numerous toxin and sediment in urine, and urine is by kidney mistake
Filter enters urethra, and in this metabolic processes, kidney and urethra often form sediment, and the time causes for a long time kidney and urine
Road calculus.Kidney stone forms calculus and separates with kidney in drug treatment, and calculus enters urethra, causes urethral calculus.This
Invention is to be exclusively used in human urethra carrying out the urethra soft lens of Ho.YAG laser lithotripsy and soft passage rubble system.
The treatment method of prior art:One is to carry out urethra rubble with drug therapy, is drained naturally in urination, its defect
It is that the rubble time is long, if calculus is excessive to be difficult to rubble, causes renal blockage, gives people to bring pain.Two is also have urethra rubble
Apparatus, such as urethra lithotriptor, Ho.YAG laser lithotripsy apparatus, urethra lithotrite, their existing defects are:Operating walk way is metallic hard
Pipe, and pipeline is thick(It is big up to 0.8-10mm), it is big into urethra difficulty;The head cystoscope that can not turn only has straight line view,
Apparatus operating walk way must be swung into after human bladder and improve angular views, operation trouble;The operating walk way of metal hard tube
Due to turning, the operation of human urethra and bladder is only limited to, such as little into human kidney field-of-view angle, operative space is little,
Can not meet preferable surgical effect.
The content of the invention
The technical problem to be solved is to overcome the above-mentioned deficiency in the presence of prior art, and designs a kind of knot
Structure rationally, can effectively smash the soft passage lithotripsy apparatus of ureter of calculus in urethra.
The present invention solves the technical scheme that adopted of above-mentioned technical problem:A kind of soft passage lithotripsy apparatus of ureter, its
It is characterised by:It includes soft lane device, leaded light component, rod assembly, drawing device, soft lens component, Bladder stone component.
Described soft lane device includes channel seat, hose passages, and one end of hose passages is fixed in channel seat, another
End is provided with channel head, and passway is provided with channel head, fixes by slide on passway;Mild steel is provided with hose passages
Silk, one end of stone dead wire is fixed in channel seat, and the other end has the distance of 4-5cm apart from passway;It is provided with hose passages
Bladder stone passage, soft lens passage, leaded light Suo Tongdao and pull bar passage.Whole piece hose passages can bend, and head does not have stone dead wire
Position it is especially soft, with angle and curved function, angle of bend is up to 180 degree;The a diameter of 2.6mm of hose passages, into people
Body urethra is convenient, can enter kidney surgery.
Described leaded light component includes guide-lighting rope, light pipe and guide-lighting plug, and one end of guide-lighting rope penetrates guide-lighting Suo Tongdao,
Extend to passway and contact with slide, the other end of guide-lighting rope passes hose passages and fixes with light pipe, light pipe
In being fixed on channel seat, guide-lighting plug is connected with light pipe.Guide-lighting plug can be connected with light source;It is guide-lighting in operation application
Component is exclusively used in providing light source for operation.
Described rod assembly includes steel wire rope pull bar, pull bar connecting tube, and pull bar connecting tube is fixed in channel seat, steel wire
One end of rope pull bar penetrates pull bar passage, extends at channel head and fixes with channel head, the other end of steel wire rope pull bar
Pass hose passages and through pull bar connecting tube, fix with drawing device.Rod assembly is fixed in soft lane device, pull bar
Channel diameter is 0.45mm, and its effect is to pull drawing device, and drawing device pulls steel wire rope pull bar, steel wire rope pull bar to pull passage
Head, the head of hose passages is especially soft to be easily bent, and angle of bend is up to 180 degree;Operation application in, coordinate soft lens component and
Leaded light component checks stone location in ureter.
Described soft lens component includes mirror body, soft lens pipe, soft lens connecting tube, eyeglass, and soft lens connecting tube is fixed with channel seat,
It is provided with soft lens pipe and leads as optical fiber, the rear end of soft lens pipe is connected with mirror body, front end penetrates into soft lens through after soft lens connecting tube
In passage, extend to passway and contact with slide, eyeglass is fixed on the front end of soft lens pipe.Soft lens component is arranged on soft
In lane device, soft lens channel diameter is 0.45mm, and soft lens pipe penetrates soft lens passage, and soft lens pipe front end is connected with slide.
In operation application, soft lens component is exclusively used in checking stone location in ureter and kidney, can connect video and be operated.
Described Bladder stone component includes Ho.YAG laser lithotripsy device, Bladder stone connecting tube, and Bladder stone connecting tube is fixed on passage
On seat, Ho.YAG laser lithotripsy device passes through Bladder stone connecting tube, in penetrating into Bladder stone passage, extend to passway, and from logical
Road junction passes.The insertion in front and back in Bladder stone passage of Bladder stone component, Bladder stone channel diameter is 1.2mm, is Ho.YAG laser lithotripsy
Device designated lane, Ho.YAG laser lithotripsy device is exclusively used in smashing calculus in ureter in operation application.
Drawing device of the present invention include lifting rod, trumpeter's handle, two trumpeter's handles, pull bar, lifting seat, spring, No. one
Handle is fixed with the end of lifting rod, and two trumpeter's sleeves enter in lifting rod, and connecting screw is snapped in two trumpeter's handles, connecting screw with
The end of pull bar is fixed, and pull bar is located in lifting rod;Spring is located in lifting rod, and one end and the lifting rod of spring are fixed, another
End is fixed with the end of pull bar;Lifting seat is fixed with the front end of lifting rod, and lifting seat is connected with pull bar connecting tube, the front end of pull bar
Through lifting seat;Steel wire rope pull bar is passed after pull bar connecting tube, is fixed with the front end of pull bar.Pull two trumpeter's handles, two trumpeter's handles
Pull bar and steel wire rope pull bar, steel wire rope pull bar is pulled to pull channel head, the end soft flexible of hose passages to draw in steel wire rope
Under the pulling of bar, angle of bend in operation application, can coordinate soft lens and leaded light component to check intra-ureteral up to 180 °
Stone location.
Regulating bolt is provided with lifting seat of the present invention, regulating bolt is screwed into lifting seat, contacts with pull bar.Unclamp
Regulating bolt, pull bar can be moved forward and backward, and pull hose passages, be checked;After detecting stone location, regulation spiral shell can be tightened
Bolt, pull bar is fixed, while the channel head of hose passages is positioned, to be performed the operation.
Be provided with soft lens adjusting means in soft lens component of the present invention, software controls include extension spring, inner tube, one
Extra pipe, two extra pipes, swivel nut, regulation pipe, adjusting set, nut, screw, extension spring is inserted in after inner tube and is inserted in an extra pipe, inner tube
Enter swivel nut glued fixed, the two ends of extension spring are connected respectively with an extra pipe and inner tube;Regulation pipe is inserted in two extra pipes and can be slided,
It is glued fixed that two extra pipes are inserted in an extra pipe, and it is glued fixed that adjusting set is inserted in regulation pipe, and it is glued fixed that nut is inserted in adjusting set,
Screw is screwed into two extra pipes and is connected with regulation pipe.
In operation application, hose passages head-bent, the eyeglass and slide of soft lens pipe front end is according to rotational steps meeting
Disengage and affect operation visual field.The effect of soft lens adjusting means be when hose passages head-bent, produced eyeglass with
Slide carries out disengagement supply, and its method is:Unclamp and pull regulation pipe after screw, make that there is space in two extra pipes so that soft
Telescope has certain bending by a small margin in space, tightens screw and fixes regulation pipe, makes soft lens pipe mistake in soft lane device
It is long, there is tension force in the presence of extension spring.When hose passages head-bent, produced eyeglass is disengaged with slide, soft lens pipe
By its tensioner, eyeglass is connected all the time in the presence of extension spring tension force with slide, it is ensured that operation screen operation high-resolution into
As the visual field.
The present invention compared with prior art, with following positive effect:Reasonable in design, hose passages are soft, easily
Operation, also will not bring pain to patient;Surgical field of view is good, can take into account each orientation, improves procedure efficiency.
Description of the drawings
Fig. 1 is the structural representation of the present invention.
Fig. 2 is the structural representation of soft lane device.
Fig. 3 is A-A in Fig. 2 to cross section structure diagram.
Fig. 4 is the left view structural representation of channel head in Fig. 2.
Fig. 5 is to be mounted with the structural representation after each part in Fig. 4.
Fig. 6 is the structural representation of drawing device.
Fig. 7 is the structural representation of soft lens pipe.
Fig. 8 is the structural representation of soft lens adjusting means.
Fig. 9 is the structural representation of component software.
Specific embodiment
Below in conjunction with the accompanying drawings and by embodiment the invention will be further described.
Embodiment:
Referring to Fig. 1~Fig. 9, the present embodiment includes soft lane device 101, leaded light component 102, rod assembly 103, drawing device
104th, soft lens component 105, Bladder stone component 106.
Described soft lane device 101 includes channel seat 1, hose passages 9, and one end of hose passages 9 is fixed on channel seat 1
On, the other end is provided with channel head 14, and passway 15 is provided with channel head 14, fixes by slide 16 on passway 15;Flexible pipe
Stone dead wire 10 is provided with passage 9, one end of stone dead wire 10 is fixed in channel seat 1, and the other end has 4-5cm apart from passway 15
Distance;Bladder stone passage 12, soft lens passage 13, leaded light Suo Tongdao 18 and pull bar passage 19 are provided with hose passages 9.Whole piece
Hose passages 9 can bend, and head does not have the position of stone dead wire 10 especially soft, and with angle and curved function, angle of bend can
Up to 180 degree;The a diameter of 2.6mm of hose passages 9, it is convenient into human urethra, kidney surgery can be entered.
Described leaded light component 102 includes guide-lighting rope 11, light pipe 4 and guide-lighting plug 5, and one end of guide-lighting rope 11 penetrates leads
Light Suo Tongdao 18, extends to passway 15 and contacts with slide 16, the other end of guide-lighting rope 11 pass hose passages 9 with
Light pipe 4 is fixed, and light pipe 4 is fixed in channel seat 1, and guide-lighting plug 5 is connected with light pipe 4.Guide-lighting plug 5 can be with light source
Connection;In operation application, leaded light component 102 is exclusively used in providing light source for operation.
Described rod assembly 103 includes steel wire rope pull bar 17, pull bar connecting tube 7, and pull bar connecting tube 7 is fixed on channel seat
On 1, one end of steel wire rope pull bar 17 penetrates pull bar passage 19, extends at channel head 14 and fixes with channel head 14, steel
The other end of cord pull bar 17 passes hose passages 9 and through pull bar connecting tube 7, fixes with drawing device 104.Rod assembly 103
It is fixed in soft lane device 101, a diameter of 0.45mm of pull bar passage 19, its effect is to pull drawing device 104, drawing device
104 pull steel wire rope pull bar 17, steel wire rope pull bar 17 to pull channel head 14, and the head of hose passages 9 is especially soft to be easily bent, curved
Bent angle is up to 180 degree;In operation application, soft lens component 105 and leaded light component 102 is coordinated to check calculus portion in ureter
Position.
Described soft lens component 105 include mirror body 30, soft lens pipe 39, soft lens connecting tube 2, eyeglass 40, soft lens connecting tube 2 with
Channel seat 1 is fixed, and is provided with soft lens pipe 39 and is led as optical fiber 41, and the rear end of soft lens pipe 39 is connected with mirror body 30, and front end passes through soft
During soft lens passage 13 is penetrated into after mirror connecting tube 2, extend to passway 15 and contact with slide 16, eyeglass 40 is fixed on
The front end of soft lens pipe 39.Soft lens component 105 is arranged in soft lane device 101, a diameter of 0.45mm of soft lens passage 13, soft lens pipe
39 penetrate soft lens passage 13, and the front end of soft lens pipe 39 is connected with slide 16.In operation application, soft lens component 105 is exclusively used in inspection
Stone location in ureter and kidney is looked into, video can be connected and be operated.
Described Bladder stone component 106 includes 100, Bladder stone connecting tube 6, and Bladder stone connecting tube 6 is fixed on channel seat 1
On, 100 pass through Bladder stone connecting tube 6, in penetrating into Bladder stone passage 12, extend to passway 15, and from passway 15
Pass.The insertion in front and back in Bladder stone passage 12 of Bladder stone component 106, a diameter of 1.2mm of Bladder stone passage 12, is 100 special
Passage, 100 are exclusively used in smashing calculus in ureter in operation application.
Drawing device of the present invention 104 includes lifting rod 20, trumpeter's handle 21, two trumpeter's handles 23, pull bar 27, lifting seat
24th, spring 29, trumpeter's handle 21 is fixed with the end of lifting rod 20, and two trumpeter's handles 23 are inserted in lifting rod 20, connecting screw 28
In snapping in two trumpeter's handles 23, connecting screw 28 is fixed with the end of pull bar 27, and pull bar 27 is located in lifting rod 20;Spring 29 is located at
In lifting rod 20, one end and the lifting rod 20 of spring 29 are fixed, and the other end is fixed with the end of pull bar 27;Lifting seat 24 and lifting
The front end of bar 20 is fixed, and lifting seat 24 is connected with pull bar connecting tube 7, and the front end of pull bar 27 is through lifting seat 24;Steel wire rope pull bar
17 pass after pull bar connecting tube 7, fix with the front end of pull bar 27.Two trumpeter's handles 23, two trumpeter's handle 23 are pulled to pull the He of pull bar 27
Steel wire rope pull bar 17, steel wire rope pull bar 17 pulls channel head 14, the end soft flexible of hose passages 9, in steel wire rope pull bar
Under 17 pulling, angle of bend in operation application, can coordinate soft lens and leaded light component 102 to check ureter up to 180 °
Interior stone location.
Regulating bolt 25 is provided with lifting seat 24 of the present invention, regulating bolt 25 is screwed into lifting seat 24, with pull bar
Contact.Regulating bolt 25 is unclamped, pull bar 27 can be moved forward and backward, pull hose passages 9, checked;After detecting stone location,
Regulating bolt 25 can be tightened, pull bar is fixed, while the channel head 14 of hose passages 9 is positioned, to be performed the operation.
It is provided with soft lens adjusting means in soft lens component 105 of the present invention, software controls include extension spring 26, interior
Pipe 32, an extra pipe 31, two extra pipes 34, swivel nut 33, regulation pipe 35, adjusting set 36, nut 37, screw 38, extension spring 26 is inserted in
Be inserted in an extra pipe 31 after inner tube 32, inner tube 32 enters that swivel nut 33 is glued fixed, the two ends of extension spring 26 respectively with an extra pipe 31 and
Inner tube 32 connects;Regulation pipe 35 is inserted in two extra pipes 34 and can be slided, and two extra pipes 34 are inserted in the gluing of an extra pipe 31 to be fixed, and is adjusted
It is glued fixed that section set 36 is inserted in regulation pipe 35, and it is glued fixed that nut 37 is inserted in adjusting set 36, screw 38 be screwed into two extra pipes 34 with
Regulation pipe 35 connects.
In operation application, the head-bent of hose passages 9, the eyeglass 40 and slide 16 of the front end of soft lens pipe 39 is according to rotation
Amplitude can be disengaged and affect visual field of performing the operation.The effect of soft lens adjusting means is to work as the head-bent of hose passages 9, produced
Eyeglass 40 carries out disengagement supply with slide 16, and its method is:Unclamp and pull after screw 38 regulation pipe 35, make in two extra pipes 34
With space so that soft lens pipe 39 has certain bending by a small margin in space, tighten screw 38 and fix regulation pipe 35, make soft
Telescope 39 is long in soft lane device 101, has tension force in the presence of extension spring 26.When the head-bent of hose passages 9, produced
Raw eyeglass 40 is disengaged with slide 16, and its tensioner is made eyeglass 40 and slide 16 in the work of the tension force of extension spring 26 by soft lens pipe 39
Connect all the time with, it is ensured that the high-resolution visual field of operation screen operation.
Furthermore, it is necessary to illustrate, the specific embodiment described in this specification, as long as its part does not specify concrete shape
Shape and size, then the part can be any shape and size being adapted with its structure;Meanwhile, the title that part is taken
Can be with difference.The equivalent or simple change that all constructions according to described in inventional idea of the present invention, feature and principle are done, is included in
In the protection domain of patent of the present invention.
Claims (4)
1. soft passage lithotripsy apparatus of a kind of ureter, it is characterised in that:It include soft lane device, leaded light component, rod assembly,
Drawing device, soft lens component, Bladder stone component,
Described soft lane device includes channel seat, hose passages, and one end of hose passages is fixed in channel seat, and the other end sets
Channel head is equipped with, passway is provided with channel head, slide is fixed with passway;Stone dead wire is provided with hose passages, it is soft
One end of steel wire is fixed in channel seat, and the other end has the distance of 4-5cm apart from passway;Bladder stone is provided with hose passages
Passage, soft lens passage, leaded light Suo Tongdao and pull bar passage,
Described leaded light component includes guide-lighting rope, light pipe and guide-lighting plug, and one end of guide-lighting rope penetrates guide-lighting Suo Tongdao, always
Extend to passway and contact with slide, the other end of guide-lighting rope passes hose passages and fixes with light pipe, and light pipe is fixed
In channel seat, guide-lighting plug is connected with light pipe;
Described rod assembly includes steel wire rope pull bar, pull bar connecting tube, and pull bar connecting tube is fixed in channel seat, and steel wire rope draws
One end of bar penetrates pull bar passage, extends at channel head and fixes with channel head, and the other end of steel wire rope pull bar is passed
Hose passages simultaneously pass through pull bar connecting tube, fix with drawing device;
Described soft lens component includes mirror body, soft lens pipe, soft lens connecting tube, eyeglass, and soft lens connecting tube is fixed with channel seat, soft lens
It is provided with pipe and leads as optical fiber, the rear end of soft lens pipe is connected with mirror body, front end penetrates into soft lens passage through after soft lens connecting tube
In, extending to passway and contact with slide, eyeglass is fixed on the front end of soft lens pipe;
Described Bladder stone component includes Ho.YAG laser lithotripsy device, Bladder stone connecting tube, and Bladder stone connecting tube is fixed in channel seat,
Ho.YAG laser lithotripsy device passes through Bladder stone connecting tube, in penetrating into Bladder stone passage, extends to passway, and wears from passway
Go out.
2. soft passage lithotripsy apparatus of ureter according to claim 1, it is characterised in that:Described drawing device includes lifting
Bar, trumpeter's handle, two trumpeter's handles, pull bar, lifting seat, spring, trumpeter's handle is fixed with the end of lifting rod, and two trumpeter's sleeves enter
In lifting rod, connecting screw is snapped in two trumpeter's handles, and connecting screw is fixed with the end of pull bar, and pull bar is located in lifting rod;Bullet
Spring is located in lifting rod, and one end and the lifting rod of spring are fixed, and the other end is fixed with the end of pull bar;Lifting seat and lifting rod
Front end is fixed, and lifting seat is connected with pull bar connecting tube, and the front end of pull bar is through lifting seat;Steel wire rope pull bar passes pull bar connecting tube
Afterwards, fix with the front end of pull bar.
3. soft passage lithotripsy apparatus of ureter according to claim 2, it is characterised in that:It is provided with described lifting seat
Regulating bolt, regulating bolt is screwed into lifting seat, contacts with pull bar.
4. soft passage lithotripsy apparatus of ureter according to claim 1 and 2, it is characterised in that:In described soft lens component
Soft lens adjusting means is provided with, soft lens adjusting means includes extension spring, inner tube, an extra pipe, two extra pipes, swivel nut, regulation pipe, tune
Section set, nut, screw, extension spring is inserted in after inner tube and is inserted in an extra pipe, and inner tube enters the glued fixation of swivel nut, the two ends of extension spring respectively with
One extra pipe and inner tube connect;Regulation pipe is inserted in two extra pipes and can be slided, and two extra pipes are inserted in extra pipe gluing to be fixed, and is adjusted
Section set is inserted in regulation pipe gluing to be fixed, and nut is inserted in adjusting set gluing to be fixed, and screw is screwed into two extra pipes and is connected with regulation pipe.
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CN201410847423.7A CN104921806B (en) | 2014-12-31 | 2014-12-31 | Urethral lithotripsy device with soft channel |
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CN201410847423.7A CN104921806B (en) | 2014-12-31 | 2014-12-31 | Urethral lithotripsy device with soft channel |
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RU2725961C1 (en) * | 2019-09-20 | 2020-07-07 | Кирилл Александрович Ширанов | Method of choosing therapeutic approach in laser contact ureterolithotripsy of stones of upper third of ureter |
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