CN107088081A - A kind of external physical vibration lithagoue machine and its method - Google Patents

A kind of external physical vibration lithagoue machine and its method Download PDF

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Publication number
CN107088081A
CN107088081A CN201710283156.9A CN201710283156A CN107088081A CN 107088081 A CN107088081 A CN 107088081A CN 201710283156 A CN201710283156 A CN 201710283156A CN 107088081 A CN107088081 A CN 107088081A
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external physical
therapeutic bed
row
physical vibration
scanner
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刘冠琳
程跃
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Individual
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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
    • A61B17/225Implements 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 for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • A61B17/2255Means for positioning patient, shock wave apparatus or locating means, e.g. mechanical aspects, patient beds, support arms, aiming means
    • 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
    • A61B17/225Implements 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 for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • A61B17/2256Implements 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 for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves with means for locating or checking the concrement, e.g. X-ray apparatus, imaging means

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)

Abstract

A kind of external physical vibration lithagoue machine, including therapeutic bed and the fixation oscillator being arranged in the middle part of therapeutic bed, it is also associated with driving the transmission mechanism of therapeutic bed Sloped rotating, in addition to the computer based on scanner three-dimensional reconstruction reduction kidney stereochemical structure and the row's of calculating stone path below therapeutic bed.A kind of external physical vibration lithagogue method, including (1) are scanned by scanner to the renal tract of patient;(2) computer is reduced to the three-dimensional structure of the kidney of patient and calculus position;(3) incline direction and angle of adjustment therapeutic bed, while adjusting the vibration frequency and amplitude of fixed oscillator.Beneficial effects of the present invention are:By the accurately row's of adjustment stone position, clinician more accurate can discharge calculus, the validity of the row's of raising stone.

Description

A kind of external physical vibration lithagoue machine and its method
Technical field
The present invention relates to a kind of medicine equipment, arranged more particularly, to a kind of external physical vibration for treating calculi in urinary system Stone machine and its method.
Background technology
External physical vibration row's stone art (EPVL) is by being conducted into vivo, being shaken by fixation by multi-direction simple harmonic oscillation ripple The simple harmonic oscillation ripple that son is produced, reduces lithangiuria and the frictional force of tissue, the spherical diffusion with reference to produced by hand-held oscillator Impact involve can Multidirectional-moving therapeutic bed, by rubble, lighten restrictions on and drive effect, by urinary system microlith actively row Except a kind of external treatment method.
In therapeutic process, doctor first passes through imaging data (plain film, CT and B ultrasound etc.) and judges substantially position where calculus Put, clinical experience is relied on according to the gross anatomy situation of the position of calculus, kidney or ureter, thus it is speculated that the direction of calculus discharge. According to clinic contemplate calculus discharge scheme, adjustment patient posture and row the cubic meter of stone to, rule of thumb treat 6-18 minutes, by calculus From internal discharge.
External physical vibration row Stone technique can still have good effect, and safety for the treatment of stone in urinary system Property is very good.But obtain and realize preferable therapeutic effect dependent on the theoretical level of doctor, clinical experience even abstract sky Between thinking ability because the urination path of human body is a complicated three-dimensional structure.
The urine of human body is produced in kidney, is drained into renal plevis through kidney calices, bladder is drained into from renal plevis by ureter, finally from wing Guang is discharged.Calculi in urinary system particularly upper urinary stone (kidney, ureteral calculi) may reside in any position of urinary tract.It is defeated The traveling of urinary catheter is relatively fixed, and directionality is moved towards inside it clearly, the discharge direction of urine and calculus is substantially stationary, i.e., by up to Under.Thus, in the treatment of ureteral calculi, to the less demanding of patient body position, head height pin is low.But row's stone of kidney stone Effect is not satisfactory, for the residual stone after external stone crushing and intracavity operation rubble, although external physical vibration row's stone will can be tied Stone is discharged, and is but difficult by its emptying.For primary renal calculus, its effective discharge rate is lower.
The content of the invention
The invention aims to the defect for solving present in external physical vibration lithagoue machine in the prior art, there is provided one High accurancy and precision, efficient lithagoue machine is planted to solve the above problems.
To achieve these goals, technical scheme is as follows:
A kind of external physical vibration lithagoue machine, including therapeutic bed and the fixation oscillator being arranged in the middle part of therapeutic bed, its feature It is, is also associated with driving the transmission mechanism of therapeutic bed Sloped rotating below the therapeutic bed, in addition to based on scanner three Tie up the computer in reconstruction technique reduction kidney stereochemical structure and the row's of calculating stone path.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that also including sweeping for being scanned to renal tract Instrument is retouched, the scanner connects computer, and the computer is also connected with transmission mechanism and fixed oscillator.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that the scanner includes one of following: CT, B ultrasound.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that the transmission device includes being connected to therapeutic bed Lower support column and the drive inclined driving motor of support column.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that also including hand-held mobile oscillator.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that the outside of the hand-held mobile oscillator is provided with Dismountable disposable isolating pad is provided with therapeutic bed above dismountable disposable separation sleeve, the fixed oscillator.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that the therapeutic bed includes bed body and bed body bottom Baffle plate.
A kind of external physical vibration lithagogue method, it is characterised in that comprise the following steps:
(1) renal tract of patient is scanned by scanner;
(2) computer passes through three-dimensional reconstruction skill after imaging data of the scanner to kidneys of patients position is received Art reduces the three-dimensional structure of the kidney of patient and calculus position;
(3) three-dimensional structure based on kidney and calculus position, then the row's of calculating stone path adjusts therapeutic bed Incline direction and angle, while adjusting the vibration frequency and amplitude of fixed oscillator.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that step (2) Computer is swept receiving After instrument is retouched to the imaging data at kidneys of patients position, by three-dimensional reconstruction by the three-dimensional structure and knot of the kidney of patient Stone position is reduced over the display.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that three-dimensional structure and calculus institute based on kidney In position, computer calculates row's stone path, and controls to adjust the incline direction and angle of therapeutic bed, is shaken while adjusting fixation The vibration frequency and amplitude of son.
Beneficial effects of the present invention are:By the accurately row's of adjustment stone position, clinician can be more accurate by calculus Discharge, the validity of the row's of raising stone.Meanwhile, in this programme, patient is fixed on row's stone bed, it is only necessary to which the row's of following stone bed is passive to be moved It is dynamic, actively exerted oneself without muscle, muscle will not be nervous during row's stone, therefore physical vibration wave energy is more effectively conducted into body It is interior.Meanwhile, after three-dimensional reconstruction, the size and location of calculus can be evaluated whether out, according to the friction of calculus and urothelium tissue Coefficient, it is estimated that required, row's stone angle, time of vibration and vibrational energy --- i.e. amplitude is (in physics simple harmonic oscillation Under the conditions of, determine vibrational energy for amplitude), so that row's stone of clinician operates more accurate, the damage to patient It is smaller.
Brief description of the drawings
Fig. 1 is structural representation of the invention.
Embodiment
To make to have a better understanding and awareness to architectural feature of the invention and the effect reached, to preferably Embodiment and accompanying drawing coordinate detailed description, are described as follows:
Referring to Fig. 1, a kind of external physical vibration lithagoue machine, including therapeutic bed 100 and it is arranged at consolidating for the middle part of therapeutic bed 100 Determine oscillator 210, the lower section of therapeutic bed 100 is also associated with driving the transmission mechanism 110 of the Sloped rotating of therapeutic bed 100, transmission mechanism 110 Can be to the three-dimensional Sloped rotating of therapeutic bed 100 be driven, patient is lain in therapeutic bed 100 can be with the rotation of therapeutic bed 100 Tilt and change the incline direction and angle of body.
Present invention additionally comprises reduce kidney stereochemical structure and the row's of calculating stone path based on the three-dimensional reconstruction of scanner 400 Computer 300 and the scanner 400 that is scanned to renal tract, the connection computer 300 of scanner 400, computer 300 are also connected with transmission mechanism 110 and fixed oscillator 210.Scanner 400 is scanned to the renal tract of patient, then will Imaging data imports computer 300, and computer 300 will utilize three-dimensional reconstruction by patient by the imaging data of patient Kidney three-dimensional structure and calculus position reduce on display, the row's of the calculating stone path of simultaneous computer 300, and leading to Cross control transmission mechanism 110 and the incline direction and angle and the fixed oscillator of adjustment of the fixed adjustment of oscillator 210 therapeutic bed 100 210 vibration frequency and amplitude, to enable calculus to be discharged to the row's stone path calculated according to computer 300.Originally simultaneously Can also be according to the volume of calculus, and calculus and the coefficient of friction of upper urinary tract mucous membrane, required for estimating calculus discharge in scheme Time and Oscillation Amplitude.This parameter will help doctor more accurately to adjust the parameters such as time, amplitude in therapeutic process.
In the present invention, scanner 400 is CT or B ultrasound.In recent years, the Three-dimensional Gravity based on CT and ultrasonic technique (B ultrasound) Build beginning increasing applied to clinic.At present, common CT is unenhanced can also reduce kidney (spy by three-dimensional reconstruction Be not renal plevis kidney calices) stereochemical structure.
Transmission device 110 includes being connected to 100 times support columns of therapeutic bed 111 and drives the inclined transmission electricity of support column 111 Machine 112.
Also include hand-held mobile oscillator 220 in the present invention, hand-held mobile oscillator 220 can be to being aided at calculus Vibration, doctor can use hand-held mobile oscillator to enter after the stereochemical structure of renal tract and calculus position is observed Row local vibration, further helps calculus discharge.
In order to prevent the cross infection because of infectious disease caused by equipment administration or disease of skin, hand-held mobile oscillator 220 outside is provided with dismountable disposable separation sleeve, the therapeutic bed 100 of the fixed top of oscillator 210 and is provided with detachably Disposable isolating pad.
Therapeutic bed 100 includes the baffle plate 120 of bed body and bed body bottom, and the purpose of baffle plate 120 is to prevent patient in inclination When slide bed body.
A kind of external physical vibration lithagogue method, it is characterised in that comprise the following steps:
(1) renal tract of patient is scanned by scanner 400;
(2) computer 300 passes through three-dimensional after imaging data of the scanner 400 to kidneys of patients position is received Reconstruction technique reduces the three-dimensional structure of the kidney of patient and calculus position over the display, so that doctor intuitively knows Not;
(3) three-dimensional structure based on kidney and calculus position, the row's of the calculating stone path of computer 300, are then adjusted The incline direction and angle of whole therapeutic bed 100, while the vibration frequency and amplitude of fixed oscillator 210 are adjusted, to cause knot Stone can give the row's stone path calculated according to computer 300 to discharge.
Two kidney positions of human body are relatively fixed from the perspective of human dissection, i.e., prostration is in the pneumoretroperitoneum of human body. Arrange during stone, patient such as prostration are on row's stone bed, and the three-dimensional motion of row's stone bed and the three-dimensional motion direction of kidneys of patients are in fact It is consistent.Therefore after patient being fixed on into row's stone bed above, kidneys of patients can be calculated indirectly by the movement angle for arranging stone bed Movement angle.If patient during row's stone if without active accommodation position, but on the row of being fixed in stone bed Passive to change in position, patient treatment procedure without muscular tone, the incoming internal efficiency of vibration wave can be higher.
Beneficial effects of the present invention are:By the accurately row's of adjustment stone position, clinician can be more accurate by calculus Discharge, the validity of the row's of raising stone.Meanwhile, in this programme, patient is fixed on row's stone bed, it is only necessary to which the row's of following stone bed is passive to be moved It is dynamic, actively exerted oneself without muscle, muscle will not be nervous during row's stone, therefore physical vibration wave energy is more effectively conducted into body It is interior.Meanwhile, after three-dimensional reconstruction, the size and location of calculus can be evaluated whether out, according to the friction of calculus and urothelium tissue Coefficient, it is estimated that required, row's stone angle, time of vibration and vibrational energy --- i.e. amplitude is (in physics simple harmonic oscillation Under the conditions of, determine vibrational energy for amplitude), so that row's stone of clinician operates more accurate, the damage to patient It is smaller.
General principle, principal character and the advantages of the present invention of the present invention has been shown and described above.The technology of the industry Personnel are it should be appreciated that the present invention is not limited to the above embodiments, and that described in above-described embodiment and specification is the present invention Principle, various changes and modifications of the present invention are possible without departing from the spirit and scope of the present invention, these change and Improvement is both fallen within the range of claimed invention.The protection domain of application claims by appended claims and its Equivalent is defined.

Claims (10)

1. a kind of external physical vibration lithagoue machine, including therapeutic bed and the fixation oscillator being arranged in the middle part of therapeutic bed, its feature exist In, it is also associated with driving the transmission mechanism of therapeutic bed Sloped rotating below the therapeutic bed, in addition to it is three-dimensional based on scanner Reconstruction technique reduces the computer in kidney stereochemical structure and the row's of calculating stone path.
2. a kind of external physical vibration lithagoue machine according to claim 1, it is characterised in that also including entering to renal tract The scanner of row scanning, the scanner connects computer, and the computer is also connected with transmission mechanism and fixed oscillator.
3. a kind of external physical vibration lithagoue machine according to claim 2, it is characterised in that under the scanner includes One of row:CT, B ultrasound.
4. a kind of external physical vibration lithagoue machine according to claim 1 or 3, it is characterised in that the transmission device bag Include and be connected to support column and the drive inclined driving motor of support column under therapeutic bed.
5. a kind of external physical vibration lithagoue machine according to claim 4, it is characterised in that also shaken including hand-held movement Son.
6. a kind of external physical vibration lithagoue machine according to claim 5, it is characterised in that the hand-held mobile oscillator Outside is provided with the therapeutic bed above dismountable disposable separation sleeve, the fixed oscillator and is provided with removably disposably Isolating pad.
7. a kind of external physical vibration lithagoue machine according to claim 1 or 6, it is characterised in that the therapeutic bed includes Bed body and the baffle plate of bed body bottom.
8. a kind of external physical vibration lithagogue method, it is characterised in that comprise the following steps:
(1) renal tract of patient is scanned by scanner;
(2) computer, will by three-dimensional reconstruction after imaging data of the scanner to kidneys of patients position is received The three-dimensional structure of the kidney of patient and the reduction of calculus position;
(3) three-dimensional structure based on kidney and calculus position, then the row's of calculating stone path adjusts the inclination of therapeutic bed Direction and angle, while adjusting the vibration frequency and amplitude of fixed oscillator.
9. a kind of external physical vibration lithagoue machine according to claim 8, it is characterised in that calculated in the step (2) Machine is after imaging data of the scanner to kidneys of patients position is received, by three-dimensional reconstruction by the kidney of patient Three-dimensional structure and the reduction of calculus position are over the display.
10. a kind of external physical vibration lithagoue machine according to claim 8 or claim 9, it is characterised in that the three-dimensional based on kidney Structure and calculus position, computer calculate row's stone path, and control to adjust the incline direction and angle of therapeutic bed, The vibration frequency and amplitude of fixed oscillator are adjusted simultaneously.
CN201710283156.9A 2017-04-26 2017-04-26 A kind of external physical vibration lithagoue machine and its method Pending CN107088081A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111359106A (en) * 2020-03-09 2020-07-03 青岛市中医医院(青岛市海慈医院、青岛市康复医学研究所) Radiotherapy positioning bed

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0751279A (en) * 1993-08-12 1995-02-28 Toshiba Corp Shock wave treatment device
CN1695565A (en) * 2004-05-12 2005-11-16 宝健科技股份有限公司 Exosomatic calculus crusher and device for tracing and positioning calculus
CN104055556A (en) * 2013-03-22 2014-09-24 郑州富健达医疗器械有限公司 In-vitro calculus removing equipment
CN203874048U (en) * 2014-05-15 2014-10-15 陈海启 In-vitro vibration type calculus removing machine
CN106214417A (en) * 2016-09-20 2016-12-14 深圳市慧康精密仪器有限公司 A kind of urinary system calculus bed of many positions

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0751279A (en) * 1993-08-12 1995-02-28 Toshiba Corp Shock wave treatment device
CN1695565A (en) * 2004-05-12 2005-11-16 宝健科技股份有限公司 Exosomatic calculus crusher and device for tracing and positioning calculus
CN104055556A (en) * 2013-03-22 2014-09-24 郑州富健达医疗器械有限公司 In-vitro calculus removing equipment
CN203874048U (en) * 2014-05-15 2014-10-15 陈海启 In-vitro vibration type calculus removing machine
CN106214417A (en) * 2016-09-20 2016-12-14 深圳市慧康精密仪器有限公司 A kind of urinary system calculus bed of many positions

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111359106A (en) * 2020-03-09 2020-07-03 青岛市中医医院(青岛市海慈医院、青岛市康复医学研究所) Radiotherapy positioning bed

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