CN107260232A - Flexible ureteroscope biopsy forceps - Google Patents

Flexible ureteroscope biopsy forceps Download PDF

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Publication number
CN107260232A
CN107260232A CN201710624835.8A CN201710624835A CN107260232A CN 107260232 A CN107260232 A CN 107260232A CN 201710624835 A CN201710624835 A CN 201710624835A CN 107260232 A CN107260232 A CN 107260232A
Authority
CN
China
Prior art keywords
handle
expansion link
net bag
metal net
biopsy forceps
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
CN201710624835.8A
Other languages
Chinese (zh)
Inventor
居小兵
陶俊
韩志坚
李恩源
杨延皓
顾民
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.)
Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
Original Assignee
Jiangsu Province Hospital First Affiliated Hospital With Nanjing 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 Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University filed Critical Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
Publication of CN107260232A publication Critical patent/CN107260232A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/06Biopsy forceps, e.g. with cup-shaped jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/04Endoscopic instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505Urinary tract
    • A61B2018/00517Urinary bladder or urethra
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/144Wire

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biodiversity & Conservation Biology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of Flexible ureteroscope biopsy forceps, including expansion link and axial kink the handle outside it, the axial length of expansion link is more than the axial length of handle;One end of handle is provided with handle, and the telescopic rod end of side is provided with draw ring corresponding thereto, and being equipped between handle and draw ring makes both tend to the elastomeric element of compact state;Be equipped between the other end of handle and the expansion link of corresponding side one by metal wire knitted into metal net bag;The collection of vivo sample is completed by the bending and contraction of metal net bag, further, can be extracted by high-frequency electrical come the complexed metal string bag and collect in-vivo tissue sample.

Description

Flexible ureteroscope biopsy forceps
Technical field:
The invention belongs to technical field of medical instruments, more particularly to a kind of Flexible ureteroscope biopsy forceps.
Background technology:
Flexible ureteroscope more can easily enter epimere ureter and renal plevis that ureterscopy is difficult to reach, realize to this Detecting for position, completes the diagnosis and treatment of the disease such as calculus and tumour.Rock breaking tool mainly has electrohydraulic lithotrite under soft lens (EHL), pulsed dye laser and Bladder stone, lithotrity effect is fine.But for suspected tumor, soft lens, which can only be observed by the naked eye, to be reached To empirical diagnosis, but it is difficult to cut preferable biopsy specimen, completes pathological diagnosis, " hard mirror can't reach, and soft lens takes not for formation To " difficult situation.
The information for being disclosed in the background section is merely intended to understanding of the increase to the general background of the present invention, without answering When the prior art for being considered as recognizing or implying the information structure in any form well known to persons skilled in the art.
The content of the invention:
It is capable of the Flexible ureteroscope biopsy forceps of cutting tissue sample it is an object of the invention to provide a kind of, so as to overcome above-mentioned existing There is the defect in technology.
To achieve the above object, the invention provides a kind of Flexible ureteroscope biopsy forceps, including:Expansion link and axial kink Handle outside it, the axial length of the expansion link is more than the axial length of handle;
One end of handle is provided with handle, and the telescopic rod end of side is provided with draw ring corresponding thereto, is equipped between handle and draw ring Both are made to tend to the elastomeric element of compact state;
Be equipped between the other end of handle and the expansion link of corresponding side one by metal wire knitted into metal net bag, in drawing Stretch under state, the greatest axial length of metal net bag and expansion link free end stretch out handle length it is basically identical.
Using the design concept of this middle string bag, applicant is to make the bone of " lantern " from once viewing craftsman The inspiration being subject to after frame, its advantage is:In use, being driven by out-draw contracting bar, wire in the stress that expansion link bounces back Gap between lower natural torsion, adjacent two one metal wire is inevitably enlarged, so as to directly form the window that can conveniently sample(And And the size of window can be adjusted according to stretching distance);When not in use, wire is under the overhanging stretching action of expansion link Naturally it is exceptionally straight, be also achieved that the state bounced back to handle side, can so ensure that the external diameter of at this time metal net bag will not be big In handle, such design may insure that doctor need not expand wound and just easily stretch into biopsy forceps from wound portion.
The technical scheme that further limits of the present invention as:
Preferably, in above-mentioned technical proposal, biopsy forceps has:Expansion link by the force-extension opposite with elastomeric element elastic force, The sampling state that handle is moved axially along expansion link inner chamber to elastomeric element side, metal net bag bending is extended out;
And expansion link is not bounced back to original state, handle along expansion link inner chamber to metal net bag side axle by external force, elastomeric element Stretched to movement, the metal net bag and press close to the original state of handle side wall.
When preferably, in sampling state, metal net bag curved expansion portion at least local external diameter is more than the outer of handle Footpath, it is so convenient to obtain tissue sample;During in original state, metal net bag gabarit diameter a little be respectively less than the outer of handle Footpath, so facilitates biopsy forceps to stretch out wound after stretching into wound and biopsy forceps sampling.
Preferably, in above-mentioned technical proposal, metal net bag is mainly by some metals being circumferentially distributed on the outside of expansion link Silk is surrounded;The main body of single metal wire is fixed on one end of handle along length of telescopic bar directional spreding, its two ends and its is corresponding The flexible bar side wall of side.
Preferably, in above-mentioned technical proposal, in addition to high frequency electric electric supply installation, high frequency electric electric supply installation passes through wire Be electrically connected metal net bag.
Preferably, in above-mentioned technical proposal, the spacing between at least two adjacent wires is more than other adjacent wires Between spacing, this be setting one sample tap, be cased with addition to the larger wire of adjacent spacing, on other wires absolutely Edge material, this two one metal wire conduction is conveniently cut and obtains sample.
Preferably, elastomeric element is extension spring.
Compared with prior art, the present invention has the advantages that:
The collection of vivo sample is completed by the bending and contraction of metal net bag, further, can be matched somebody with somebody by high-frequency electrical Metal net bag is closed to extract and collect in-vivo tissue sample.
Brief description of the drawings:
Fig. 1 is original state structural representation of the invention;
Fig. 2 is sampling status architecture schematic diagram of the invention;
Fig. 3 is the top view of metal net bag;
In figure:Handle 1, expansion link 2, spring 3, handle tail end fingerstall 4, expansion link tail end fingerstall 5, metal net bag 6, insulate warp 7, conductive warp 8, insulate parallel 9.
Embodiment:
Below to the present invention embodiment be described in detail, it is to be understood that protection scope of the present invention not by The limitation of embodiment.
Explicitly indicated that unless otherwise other, otherwise in entire disclosure and claims, term " comprising " or its change Change such as "comprising" or " including " etc. and will be understood to comprise stated element or part, and do not exclude other Element or other parts.
Embodiment 1:
A kind of Flexible ureteroscope biopsy forceps, as shown in figure 1, including:The handle 1 of expansion link 2 and axial kink outside it, stretches The axial length of contracting bar 2 is more than the axial length of handle 1;
One end of handle 1 is provided with handle tail end fingerstall 4, and the telescopic rod end of side is provided with expansion link tail end fingerstall 5 corresponding thereto, The spring 3 for making both tend to compact state is equipped between handle tail end fingerstall 4 and expansion link tail end fingerstall 5;
Be equipped between the other end of handle 1 and the expansion link of corresponding side 2 one by metal wire knitted into metal net bag 6, gold Belong to the string bag 6 as shown in figure 3, the main groups of metal filaments interweaved by some longitudes and latitudes is into being circumferentially distributed in the outside of expansion link 2;Wherein The tinsel of warp-wise distribution(For example insulate warp 7, conductive warp 8)Main body along length of telescopic bar directional spreding, its two ends It is fixed on one end of handle and the flexible bar side wall of its corresponding side, the tinsel of Zonal propagations(For example insulate parallel 9)Bag It is wound on the tinsel periphery of warp-wise distribution.
Biopsy forceps has:As shown in Fig. 2 expansion link is stretched by the force-extension opposite with elastomeric element elastic force, handle edge The sampling state that contracting bar inner chamber is moved axially to elastomeric element side, metal net bag bending is extended out;During in sampling state, wire netting Pocket curved expansion portion at least local external diameter is more than the external diameter of handle.
As shown in figure 1, and expansion link do not bounced back to original state, handle along expansion link inner chamber by external force, elastomeric element Stretched to the axial movement of metal net bag side, the metal net bag and press close to the original state of handle side wall.During in original state, Metal net bag gabarit diameter a little be respectively less than the external diameter of handle.
Embodiment 2:
As a kind of technical scheme being more highly preferred to, on the basis of embodiment 1, high frequency electric cutting can also be provided, it sets Counting principle is:High frequency electric electric supply installation is electrically connected metal net bag by wire, between at least two conductive warps 8 between Away from more than the spacing between insulation warp 7, basic schematic construction as shown in figure 3, being exactly briefly logical with two conduction warps 8 Cross expansion, contraction and extract tissue sample to imitate the function galvanocautery of clip.
Metal net bag can be cut while tightening up to biopsy article, its distal end is fallen completely within the metal net bag tightened up It is interior.Biopsy forceps is finally integrally exited to soft lens service aisle, you can take biopsy specimen out of.
The acquisition range of sample has thus been expanded, can have been collected no matter whether sample easily comes off.
It is foregoing to the present invention specific illustrative embodiment description be in order to illustrate and illustration purpose.These are retouched State and be not wishing to limit the invention to disclosed precise forms, and it will be apparent that according to above-mentioned teaching, can carry out a lot Change and change.The purpose of selecting and describing the exemplary embodiment is that explaining the certain principles and in fact of the present invention Border is applied, so that those skilled in the art can realize and utilize a variety of exemplary embodiment party of the present invention Case and a variety of selections and change.The scope of the present invention is intended to be limited by claims and its equivalents.

Claims (7)

1. a kind of Flexible ureteroscope biopsy forceps, it is characterised in that:It is described including handle expansion link and axial kink outside it The axial length of expansion link is more than the axial length of handle;
One end of the handle is provided with handle, and the telescopic rod end of side is provided with draw ring corresponding thereto, is filled between handle and draw ring Equipped with making both tend to the elastomeric element of compact state;
Be equipped between the other end of the handle and the expansion link of corresponding side one by metal wire knitted into metal net bag, place In under extended state, the greatest axial length of metal net bag and expansion link free end stretch out handle length it is basically identical.
2. Flexible ureteroscope biopsy forceps according to claim 1, it is characterised in that:The biopsy forceps has:Expansion link by To the force-extension opposite with elastomeric element elastic force, handle along expansion link inner chamber to elastomeric element side axial movement, the metal The sampling state that string bag bending is extended out;
And expansion link is not bounced back to original state, handle along expansion link inner chamber to metal net bag side axle by external force, elastomeric element Stretched to movement, the metal net bag and press close to the original state of handle side wall.
3. Flexible ureteroscope biopsy forceps according to claim 2, it is characterised in that:During in sampling state, metal net bag Curved expansion portion at least local external diameter is more than the external diameter of handle;During in original state, metal net bag gabarit a little Diameter is respectively less than the external diameter of handle.
4. Flexible ureteroscope biopsy forceps according to claim 1 or 2, it is characterised in that:If the metal net bag it is main by The wire that dry root warp, latitude interweave is surrounded, and its middle longitude is circumferentially distributed on the outside of expansion link;The main body edge of single metal wire is flexible Pole length directional spreding, its two ends are fixed on one end of handle and the flexible bar side wall of its corresponding side.
5. Flexible ureteroscope biopsy forceps according to claim 4, it is characterised in that:Also include high frequency electric electric supply installation, The high frequency electric electric supply installation is electrically connected the metal net bag by wire.
6. Flexible ureteroscope biopsy forceps according to claim 5, it is characterised in that:Between at least two adjacent wires Spacing is more than the spacing between other adjacent wires, in addition to the larger wire of adjacent spacing, is covered on other wires There is insulating materials.
7. Flexible ureteroscope biopsy forceps according to claim 1 or 2, it is characterised in that:The elastomeric element is extension spring.
CN201710624835.8A 2017-04-13 2017-07-27 Flexible ureteroscope biopsy forceps Pending CN107260232A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201710239820 2017-04-13
CN201710239820X 2017-04-13

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Publication Number Publication Date
CN107260232A true CN107260232A (en) 2017-10-20

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112890755A (en) * 2020-07-08 2021-06-04 郑州大学第一附属医院 Biopsy anti-drop's hysteroscope biopsy pincers integration sleeve device

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140276913A1 (en) * 2013-03-12 2014-09-18 Boston Scientific Scimed, Inc. Retrieval device and related methods of use
CN204049839U (en) * 2014-08-12 2014-12-31 杭州安杰思医学科技有限公司 Medical electric snare
CN204542289U (en) * 2015-04-16 2015-08-12 王永滨 A kind of Urology Surgery ureter stone taking device with shutoff function
CN205411257U (en) * 2015-12-02 2016-08-03 株洲市瑞邦医疗器材制品有限责任公司 Disposable ureter calculus extraction basket

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140276913A1 (en) * 2013-03-12 2014-09-18 Boston Scientific Scimed, Inc. Retrieval device and related methods of use
CN204049839U (en) * 2014-08-12 2014-12-31 杭州安杰思医学科技有限公司 Medical electric snare
CN204542289U (en) * 2015-04-16 2015-08-12 王永滨 A kind of Urology Surgery ureter stone taking device with shutoff function
CN205411257U (en) * 2015-12-02 2016-08-03 株洲市瑞邦医疗器材制品有限责任公司 Disposable ureter calculus extraction basket

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112890755A (en) * 2020-07-08 2021-06-04 郑州大学第一附属医院 Biopsy anti-drop's hysteroscope biopsy pincers integration sleeve device
CN112890755B (en) * 2020-07-08 2023-05-26 郑州大学第一附属医院 Hysteroscope biopsy forceps integrated sleeve device for preventing biopsy from falling off

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Application publication date: 20171020