CN107049204A - A kind of Flexible ureteroscope guide sheath - Google Patents

A kind of Flexible ureteroscope guide sheath Download PDF

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Publication number
CN107049204A
CN107049204A CN201710029484.6A CN201710029484A CN107049204A CN 107049204 A CN107049204 A CN 107049204A CN 201710029484 A CN201710029484 A CN 201710029484A CN 107049204 A CN107049204 A CN 107049204A
Authority
CN
China
Prior art keywords
sheath
straight tube
bowl
rear end
shaped portion
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.)
Pending
Application number
CN201710029484.6A
Other languages
Chinese (zh)
Inventor
王帅彬
何有华
虞海峰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
Original Assignee
Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University filed Critical Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
Priority to CN201710029484.6A priority Critical patent/CN107049204A/en
Publication of CN107049204A publication Critical patent/CN107049204A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • A61B1/01Guiding arrangements therefore
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131Accessories for endoscopes
    • A61B1/00135Oversleeves mounted on the endoscope prior to insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147Holding or positioning arrangements
    • A61B1/00154Holding or positioning arrangements using guiding arrangements for insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/307Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/007Auxiliary appliance with irrigation system

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Urology & Nephrology (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to a kind of Flexible ureteroscope guide sheath, solve current Flexible ureteroscope guide sheath can not enhancing perfusion physiological saline, and in renal plevis pressure release smooth, blood clot does not discharge ill problem.The present apparatus includes preceding sheath and rear sheath, the front portion of preceding sheath is hollow straight tube, the bowl-shaped portion of straight tube rear end connection horn mouth expansion, the Wan Di centers of bowl-shaped portion are connected with straight tube, sheath is the housing of front opening afterwards, sheath front end is threadedly coupled with the rear end of bowl-shaped portion afterwards, the rear end face of sheath is provided with the soft lens passed through for soft lens and penetrates mouth afterwards, the side of sheath is provided with the water inlet for connecting irrigating solution afterwards, opposite side sets the delivery port of connection negative pressure suction device, and water inlet and delivery port are respectively arranged with stop valve.The present invention sets the cavity connected with straight tube in the rear end of guide sheath, and cavity both sides set turnover aquaporin respectively, you can pours into physiological saline and ensures surgical field of view, and energy vacuum suction reduction ureter, Renal pelvic pressure, it is ensured that operation safety.

Description

A kind of Flexible ureteroscope guide sheath
Technical field
The invention belongs to the technical field of medicine equipment, it is related to a kind of Flexible ureteroscope guiding of Flexible ureteroscope operation Sheath, the guide sheath has vacuum suction and fills pre-washing function simultaneously.
Background technology
The operation of Flexible ureteroscope rubble needs guide sheath to set up surgical pathway on clinical medicine, to aid in endoscope and other devices Tool enters uropoiesis cavity, and it provides continuity operating walk way, and ureter can be protected when apparatus is exchanged repeatedly, and reduction causes wound The possibility of wound, while protecting precision instruments and soft lens against damages.But need enhancing perfusion physiological saline to keep ureter in art Mirror gets a clear view;The a large amount of flushing waters of operative process enter renal plevis, and Flexible ureteroscope expansion epitheca operating space is small, and operation is led The blood clot of cause can not be excreted smoothly, cause Renal pelvic pressure drastically to increase, and cause bacterium, toxin largely to enter in the short time The circulatory system, produces a large amount of inflammatory factors, causes systemic inflammatory response.How to make to reduce urine output in Flexible ureteroscope lithotrity Pipe, Renal pelvic pressure, effectively prevent Flexible ureteroscope lithotrity to cause septicopyemia and keep surgical field of view clear, be to secrete at present Urinate the problem of surgery concern.
The content of the invention
Can not enhancing perfusion physiological saline, and renal plevis it is an object of the invention to solve current Flexible ureteroscope guide sheath Smooth, blood clot does not discharge ill problem there is provided a kind of Flexible ureteroscope guide sheath for interior pressure release, can realize enhancing perfusion physiology Salt solution function and vacuum suction function, simplify operation technique, ensure operation safety.
The technical solution adopted for the present invention to solve the technical problems is:A kind of Flexible ureteroscope guide sheath, including protheca Body and rear sheath, the front portion of preceding sheath is hollow straight tube, the bowl-shaped portion of straight tube rear end connection horn mouth expansion, the bowl of bowl-shaped portion Bottom center is connected with straight tube, and rear sheath is the housing of front opening, and rear sheath front end is threadedly coupled with the rear end of bowl-shaped portion, rear sheath The rear end face of body is provided with the soft lens passed through for soft lens and penetrates mouth, and soft lens penetrates mouth and is adapted to soft lens telescope external diameter and less than straight tube Internal diameter, the water inlet of the side of rear sheath provided with connection irrigating solution, opposite side sets the delivery port of connection negative pressure suction device, Water inlet and delivery port are respectively arranged with stop valve.Preceding sheath is first inserted in ureter under the auxiliary of seal wire and inner core, then Inner core is taken out, then rear sheath and the threaded connection of preceding sheath is combined.Sheath and preceding sheath junction coordinate real using screw thread afterwards Now seal, the soft lens of the rear end of rear sheath penetrates mouth and cooperatively forms closed environment with soft lens telescope, makes in preceding sheath and rear sheath It is formed at the cavity of straight tube connection.Control physiological saline to pour into cleaning by the stop valve of water inlet, make surgical field of view clear, lead to Crossing the stop valve of delivery port can control negative pressure suction device to attract, discharge clot and water for cleaning, in reduction ureter, renal plevis Pressure.It is simple to operate, it is not necessary to change apparatus, it is ensured that operation safety, improve procedure efficiency.Soft lens penetrates mouth and soft lens telescope external diameter Adaptation forms closing and avoids seepage, and the internal diameter of straight tube is more than soft lens telescope external diameter, circulated for liquid.
Preferably, the rear end of the bowl-shaped portion sets internal thread, rear sheath front end to be correspondingly arranged external screw thread.Avoid screw thread Tissue and hair are clamped to during combination.
Preferably, the guide sheath is also with inner core is arranged with, inner core front portion is the plug of insertion straight tube, the axis of inner core Line is provided with the mesopore passed through for seal wire.
Preferably, plug rear end connects I-shaped connecting portion, connecting portion is included in the middle part of two side arms and connection two side arms Linking arm, the linking arm central integral of plug and connecting portion fixes, and the front end of two side arms is provided with the hook to inner bulge, institute The outer wall for stating bowl-shaped portion rear end is provided with the annular nib coordinated with hook.
Preferably, when the inner core is assembled with preceding sheath, inner core front end passes the front end of straight tube, and the front end of inner core is cone Forming head.
Preferably, the soft lens of the rear sheath penetrates intraoral be equipped with for sealed elastic rubber ring.
The present invention sets the cavity connected with straight tube in the rear end of guide sheath, and cavity both sides set turnover aquaporin respectively, Physiological saline can be poured into and ensure surgical field of view, and energy vacuum suction reduction ureter, Renal pelvic pressure, it is ensured that operation safety.
Brief description of the drawings
The present invention is further illustrated below in conjunction with the accompanying drawings.
Fig. 1 is a kind of structural representation of the present invention.
Fig. 2 is a kind of core arrangement schematic diagram of the present invention.
Fig. 3 is a kind of inner core and preceding sheath combining structure schematic diagram of the present invention.
In figure:1st, preceding sheath, 2, rear sheath, 3, straight tube, 4, bowl-shaped portion, 5, internal thread, 6, external screw thread, 7, water inlet, 8, Intake stop valve, 9, delivery port, 10, water outlet stop valve, 11, soft lens penetrate mouth, 12, plug, 13, connecting portion, 14, linking arm, 15th, side arm, 16, hook, 17, seal wire, 18, annular nib.
Embodiment
Below by specific embodiment and the present invention is further described with reference to accompanying drawing.
Embodiment:A kind of Flexible ureteroscope guide sheath, as shown in Figure 1.The present apparatus includes preceding sheath 1 and rear sheath 2, protheca The front portion of body is hollow straight tube 3, the bowl-shaped portion 4 of straight tube rear end connection horn mouth expansion, the Wan Di centers of bowl-shaped portion and straight tube Connection, the rear end inwall of bowl-shaped portion sets internal thread 5.Sheath is the housing of front opening afterwards, and the front end outer wall of rear sheath is provided with The external screw thread 6 being adapted to bowl-shaped portion internal thread 5.The rear end face of sheath is provided with the soft lens passed through for soft lens and penetrates mouth 11, soft lens afterwards The inner side for penetrating mouth is provided with and the sealed elastic rubber ring of soft lens telescope.The side of sheath is provided with the water inlet for connecting irrigating solution afterwards 7, water inlet is provided with into water stop valve 8;The opposite side of sheath sets the delivery port 9 of connection negative pressure suction device, water outlet afterwards Mouth is provided with water outlet stop valve 10.
As shown in Fig. 2 guide sheath is also with inner core is arranged with, inner core front portion is the plug 12 of insertion straight tube 3, the axis of inner core Line is provided with the mesopore passed through for seal wire 17.The rear end of plug 12 connects I-shaped connecting portion 13, and connecting portion includes the He of two side arms 15 Connect the linking arm 14 in the middle part of two side arms, the linking arm central integral of plug and connecting portion is fixed, the front ends of two side arms be provided with to The hook 16 of inner bulge, the outer wall of the bowl-shaped portion rear end is provided with the annular nib 18 coordinated with hook.
As shown in figure 3, during ureterscopy rubble operation technique, the preceding sheath 1 of inner core 12 and guide sheath is combined, Enter ureter along seal wire.Inner core is then taken out, rear sheath 2 is threadedly coupled assembling with preceding sheath 1, rear sheath and preceding sheath connect Meet place and coordinate realization sealing using screw thread, the soft lens of the rear end of rear sheath penetrates mouth and cooperatively forms closed environment with soft lens telescope, Make preceding sheath and the cavity that straight tube is connected is formed in rear sheath.By intaking, stop valve controls physiological saline to pour into cleaning, makes Surgical field of view is clear, negative pressure suction device can be controlled to attract by water outlet stop valve, discharge clot and water for cleaning, reduces defeated Urinary catheter, Renal pelvic pressure.It is simple to operate, it is not necessary to change apparatus, it is ensured that operation safety, improve procedure efficiency.

Claims (6)

1. a kind of Flexible ureteroscope guide sheath, it is characterised in that:Including preceding sheath and rear sheath, the front portion of preceding sheath is hollow Straight tube, the bowl-shaped portion of straight tube rear end connection horn mouth expansion, the Wan Di centers of bowl-shaped portion are connected with straight tube, and rear sheath is opened for front end The housing of mouth, rear sheath front end is threadedly coupled with the rear end of bowl-shaped portion, and the rear end face of rear sheath is provided with the soft lens passed through for soft lens Mouth is penetrated, soft lens penetrates mouth and is adapted to soft lens telescope external diameter and less than the internal diameter of straight tube, and the side of rear sheath is provided with connection lavation The water inlet of liquid, opposite side sets the delivery port of connection negative pressure suction device, and water inlet and delivery port are respectively arranged with stop valve.
2. a kind of Flexible ureteroscope guide sheath according to claim 1, it is characterised in that:The rear end of the bowl-shaped portion is set Internal thread, rear sheath front end are correspondingly arranged external screw thread.
3. a kind of Flexible ureteroscope guide sheath according to claim 1 or 2, it is characterised in that:The guide sheath is also supporting Provided with inner core, inner core front portion is the plug of insertion straight tube, and the axis of inner core is provided with the mesopore passed through for seal wire.
4. a kind of Flexible ureteroscope guide sheath according to claim 3, it is characterised in that:The connection of plug rear end is I-shaped Connecting portion, connecting portion includes the linking arm central integral of the linking arm in the middle part of two side arms and connection two side arms, plug and connecting portion Fixed, the front end of two side arms is provided with the hook to inner bulge, and the outer wall of the bowl-shaped portion rear end is provided with the ring coordinated with hook Shape chimb.
5. a kind of Flexible ureteroscope guide sheath according to claim 3, it is characterised in that:The inner core is assembled with preceding sheath When, inner core front end passes the front end of straight tube, and the front end of inner core is conical head.
6. a kind of Flexible ureteroscope guide sheath according to claim 1 or 2, it is characterised in that:The soft lens of the rear sheath Penetrate intraoral be equipped with for sealed elastic rubber ring.
CN201710029484.6A 2017-01-16 2017-01-16 A kind of Flexible ureteroscope guide sheath Pending CN107049204A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710029484.6A CN107049204A (en) 2017-01-16 2017-01-16 A kind of Flexible ureteroscope guide sheath

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710029484.6A CN107049204A (en) 2017-01-16 2017-01-16 A kind of Flexible ureteroscope guide sheath

Publications (1)

Publication Number Publication Date
CN107049204A true CN107049204A (en) 2017-08-18

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108057167A (en) * 2017-11-30 2018-05-22 封建立 A kind of soft head end ureter guide sheath
CN113855161A (en) * 2021-10-27 2021-12-31 纯派生活武汉科技有限公司 Ureter soft endoscope sheath and continuous circulation type perfusion and suction system
CN114098895A (en) * 2021-11-02 2022-03-01 中国人民解放军总医院第三医学中心 Soft lens calculus washing sheath

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203539321U (en) * 2013-09-25 2014-04-16 武汉优都易科技有限公司 Disposable sheath for urethral and vesical flexible endoscopes
CN204169898U (en) * 2014-10-20 2015-02-25 海盐康源医疗器械有限公司 Ureter guiding sheath
CN104840246A (en) * 2015-05-29 2015-08-19 郑州富健达医疗器械有限公司 Flexible ureteroscope leading-in sheath with real-time pressure displaying and sucking capabilities
CN105662581A (en) * 2016-03-22 2016-06-15 蒋祥新 Detachable and telescopic flexible ureteroscope sheath
CN205458588U (en) * 2016-02-18 2016-08-17 王安 Cystoscope sheath
CN206934142U (en) * 2017-01-16 2018-01-30 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 A kind of Flexible ureteroscope guide sheath

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203539321U (en) * 2013-09-25 2014-04-16 武汉优都易科技有限公司 Disposable sheath for urethral and vesical flexible endoscopes
CN204169898U (en) * 2014-10-20 2015-02-25 海盐康源医疗器械有限公司 Ureter guiding sheath
CN104840246A (en) * 2015-05-29 2015-08-19 郑州富健达医疗器械有限公司 Flexible ureteroscope leading-in sheath with real-time pressure displaying and sucking capabilities
CN205458588U (en) * 2016-02-18 2016-08-17 王安 Cystoscope sheath
CN105662581A (en) * 2016-03-22 2016-06-15 蒋祥新 Detachable and telescopic flexible ureteroscope sheath
CN206934142U (en) * 2017-01-16 2018-01-30 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 A kind of Flexible ureteroscope guide sheath

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108057167A (en) * 2017-11-30 2018-05-22 封建立 A kind of soft head end ureter guide sheath
CN113855161A (en) * 2021-10-27 2021-12-31 纯派生活武汉科技有限公司 Ureter soft endoscope sheath and continuous circulation type perfusion and suction system
CN114098895A (en) * 2021-11-02 2022-03-01 中国人民解放军总医院第三医学中心 Soft lens calculus washing sheath
CN114098895B (en) * 2021-11-02 2024-04-16 中国人民解放军总医院第三医学中心 Soft lens calculus irrigation sheath

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SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
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Application publication date: 20170818

RJ01 Rejection of invention patent application after publication