CN110495927B - Urinary surgery lithangiuria instrument - Google Patents

Urinary surgery lithangiuria instrument Download PDF

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Publication number
CN110495927B
CN110495927B CN201910776241.8A CN201910776241A CN110495927B CN 110495927 B CN110495927 B CN 110495927B CN 201910776241 A CN201910776241 A CN 201910776241A CN 110495927 B CN110495927 B CN 110495927B
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stone
calculus
connecting piece
stone taking
lithangiuria
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CN110495927A (en
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王喜
耿长生
范晓寒
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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
    • A61B17/22004Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B17/22022Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement using electric discharge
    • 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
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B17/22032Gripping instruments, e.g. forceps, for removing or smashing calculi having inflatable gripping elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00287Bags for minimally invasive surgery
    • 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
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22035Gripping instruments, e.g. forceps, for removing or smashing calculi for retrieving or repositioning foreign objects

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (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)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to the technical field of calculus treatment, in particular to a urinary surgery lithangiuria calculus removing instrument, which comprises a calculus removing tube and a calculus removing head; the stone taking pipe is arranged at one end of the stone taking pipe, the other end of the stone taking pipe is provided with a containing bag, a stone falling channel is arranged in the middle of the inside of the stone taking pipe, and the containing bag is communicated with the inside of the stone falling channel; the stone taking head comprises two symmetrically arranged shells and a telescopic connecting piece for connecting the two shells, and a stone breaking electrode is further mounted on the inner side of each shell. According to the invention, the calculus removing tube is inserted into the urethra of a patient, the calculus removing head is used for crushing calculus, the crushed calculus slides into the accommodating bag along the calculus falling channel for storage, the screw sleeve is driven to move through the rotating shaft in the calculus removing process, and the shell is driven to open and close through the matching between the first connecting piece and the second connecting piece, so that the calculus removing head can be suitable for calculus with different sizes, the calculus electrode is ensured to be attached to the calculus, and the calculus removing effect is improved.

Description

Urinary surgery lithangiuria instrument
Technical Field
The invention relates to the technical field of calculus treatment, in particular to a urinary surgery lithangiuria calculus removing instrument.
Background
Calculus is a solid block formed in the lumen of a catheter or a luminal organ (such as a kidney, a ureter, a gallbladder or a bladder) in a human body or an animal body, mainly found in the gallbladder, the bladder and a renal pelvis, and also found in the lumen of a pancreatic duct, a salivary gland duct and the like. Calculus is composed of inorganic salts or organic substances. Calculus generally has a core consisting of exfoliated epithelial cells, bacterial mass, parasite eggs or bodies, fecal mass or foreign matter, and inorganic salts or organic matter deposited layer by layer on the core. The mechanism of calculus formation is different in composition, shape, texture, and influence on the body, etc. depending on the organs involved. In general, calculus can cause obstruction of the lumen, affecting the drainage of fluids from the affected organ, producing symptoms such as pain, bleeding or secondary infection.
When the existing calculus smashing device for the urinary system is used for treating calculus, the calculus taking device cannot smash calculus with different sizes, so that the calculus cannot be completely treated, and calculus smashing residues remain in the urinary system, so that the hidden danger of forming calculus again later is left.
Therefore, in view of the above situation, there is an urgent need to develop a urological lithangiuria removing device to overcome the shortcomings in the current practical application.
Disclosure of Invention
The invention aims to provide a urinary calculus removing instrument in urinary surgery to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme:
a urinary surgery lithangiuria instrument comprises a lithangiuria tube and a lithangiuria head; the stone taking pipe is arranged at one end of the stone taking pipe, the other end of the stone taking pipe is provided with a containing bag, a stone falling channel is arranged in the middle of the inside of the stone taking pipe, and the containing bag is communicated with the inside of the stone falling channel; the stone taking head comprises two symmetrically arranged shells and a telescopic connecting piece for connecting the two shells, and a stone breaking electrode is further arranged on the inner side of each shell.
As a further scheme of the invention: the storage bag is detachably and fixedly connected with the stone taking pipe.
As a further scheme of the invention: a through hole is formed in the bottom of the stone taking channel and communicated with the interior of the stone falling channel through a connecting pipe.
As a further scheme of the invention: the outside fixed mounting of rotation axis has the second ring gear, the outside of getting the stone pipe is rotated and is installed the knob, and the inboard fixed mounting of knob has first ring gear, first ring gear and second ring gear meshing.
As a further scheme of the invention: an air pump is fixedly mounted at the bottom of the stone taking pipe and is communicated with the interior of the rockfall channel through an air pipe.
As a further scheme of the invention: the interior of the stone taking pipe is symmetrically provided with two rotating cavities at the upper side and the lower side of the stone falling channel, and a rotating shaft is rotatably arranged inside the rotating cavities.
As a further scheme of the invention: and a threaded section is arranged at one end of the rotating shaft close to the stone taking part, a threaded sleeve is connected to the threaded section in a threaded manner, and the threaded sleeve is connected with the rotating cavity in a sliding manner.
As a further scheme of the invention: the end of the threaded sleeve is fixedly provided with a first connecting piece, the outer side of the shell is fixedly provided with a second connecting piece, and the second connecting piece is rotatably connected with the first connecting piece.
Compared with the prior art, the invention has the beneficial effects that: according to the invention, the calculus removing tube is inserted into the urethra of a patient, the calculus removing head is used for crushing calculus, the crushed calculus slides into the accommodating bag along the calculus falling channel for storage, the screw sleeve is driven to move through the rotating shaft in the calculus removing process, and the shell is driven to open and close through the matching between the first connecting piece and the second connecting piece, so that the calculus removing head can be suitable for calculus with different sizes, the calculus electrode is ensured to be attached to the calculus, and the calculus removing effect is improved.
Drawings
Fig. 1 is a structural schematic diagram of a urinary calculus removing device.
Figure 2 is a cross-sectional view of a urological lithangiuria retrieval instrument.
Fig. 3 is a schematic structural diagram of a stone taking device for urinary calculus.
Fig. 4 is a structural schematic diagram of a first gear ring and a second gear ring in the urinary surgery lithangiuria calculus removing device.
Fig. 5 is a schematic structural diagram of the urinary calculus removing device in the embodiment 2.
In the figure: 1-a stone taking pipe, 2-a knob, 3-a storage bag, 4-a stone taking pipe, 5-a connecting pipe, 6-a stone falling channel, 7-a rotating cavity, 8-a rotating shaft, 9-a threaded section, 10-a threaded sleeve, 11-a first connecting piece, 12-a second connecting piece, 13-a first gear ring, 14-a second gear ring, 15-a shell, 16-a telescopic connecting piece, 17-a gravel electrode, 18-a through hole, 19-an air pump and 20-an air pipe.
Detailed Description
The technical solution of the present patent will be described in further detail with reference to the following embodiments.
Reference will now be made in detail to embodiments of the present patent, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the drawings are exemplary only for the purpose of explaining the present patent and are not to be construed as limiting the present patent.
In the description of this patent, it is to be understood that the terms "center," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like are used in the orientations and positional relationships indicated in the figures, which are based on the orientations and positional relationships shown in the figures, and are used for convenience in describing the patent and for simplicity in description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed in a particular orientation, and be operated, and therefore should not be construed as limiting the patent.
In the description of this patent, it is noted that unless otherwise specifically stated or limited, the terms "mounted," "connected," and "disposed" are to be construed broadly and can include, for example, fixedly connected, disposed, detachably connected, disposed, or integrally connected and disposed. The specific meaning of the above terms in this patent may be understood by those of ordinary skill in the art as appropriate.
Example 1
Referring to fig. 1-4, in an embodiment of the present invention, a urological lithangiuria retrieval device includes a lithangiuria retrieval tube 1 and a lithangiuria retrieval head 4; the stone taking device is characterized in that the stone taking 4 is arranged at one end of the stone taking tube 1, the containing bag 3 is arranged at the other end of the stone taking tube 1, the middle position inside the stone taking tube 1 is provided with a stone falling channel 6, the containing bag 3 is communicated with the inside of the stone falling channel 6, the stone taking tube 1 extends into the urethra of a patient, the stone taking head 4 crushes stones, and the crushed stones slide into the containing bag 3 along the stone falling channel 6 for storage;
in order to facilitate the cleaning of the broken stone blocks, the accommodating bag 3 is detachably and fixedly connected with the stone taking pipe 1;
two rotating cavities 7 are symmetrically formed in the interior of the stone taking pipe 1 and positioned on the upper side and the lower side of the stone falling channel 6, a rotating shaft 8 is rotatably mounted in each rotating cavity 7, a threaded section 9 is arranged at one end, close to the stone taking 4, of each rotating shaft 8, a threaded sleeve 10 is in threaded connection with each threaded section 9, each threaded sleeve 10 is in sliding connection with each rotating cavity 7, and each rotating shaft 8 rotates to drive each threaded sleeve 10 to slide back and forth in each rotating cavity 7; the stone taking device 4 comprises two symmetrically arranged shells 15 and a telescopic connecting piece 16 for connecting the two shells 15, and the two shells 15 can be continuously opened and closed due to the telescopic action of the telescopic connecting piece 16; the inner side of the shell 15 is also provided with a lithotripsy electrode 17, the lithotripsy electrode 17 is attached to the lithotripsy blocks in the urethra by controlling the opening and closing of the two shells 15, and the lithotripsy electrodes 17 crush the lithotripsy blocks, so that urethral calculus removal is completed; a first connecting piece 11 is fixedly arranged on the end of the threaded sleeve 10, a second connecting piece 12 is fixedly arranged on the outer side of the shell 15, the second connecting piece 12 is rotatably connected with the first connecting piece 11, and when the threaded sleeve 10 moves back and forth in the driving cavity 7, the shell 15 is driven to open and close through the matching between the first connecting piece 11 and the second connecting piece 12, so that the lithotomy head 4 can be suitable for stones with different sizes, the lithotomy electrode 17 is ensured to be attached to the stones, and the lithotomy effect is improved;
in order to ensure that the crushed stones can fall into the interior of the stone falling channel 6, the bottom of the stone taking device 4 is provided with a through hole 18, and the through hole 18 is communicated with the interior of the stone falling channel 6 through a connecting pipe 5;
in order to guarantee that two rotation axis 8 syntropy rotate simultaneously, the outside fixed mounting of rotation axis 8 has second ring gear 14, get the outside of stone tube 1 and rotate and install knob 2, the inboard fixed mounting of knob 2 has first ring gear 13, and first ring gear 13 meshes with second ring gear 14, through rotatory knob 2, makes first ring gear 13 drive two second ring gear 14 syntropy rotations simultaneously to drive two rotation axis 8 syntropy rotations simultaneously, thereby carry out drive control to opening and shutting of getting stone head 4.
Example 2
Referring to fig. 1-4, in an embodiment of the present invention, a urological lithangiuria retrieval device includes a lithangiuria retrieval tube 1 and a lithangiuria retrieval head 4; the stone taking device is characterized in that the stone taking 4 is arranged at one end of the stone taking tube 1, the containing bag 3 is arranged at the other end of the stone taking tube 1, the middle position inside the stone taking tube 1 is provided with a stone falling channel 6, the containing bag 3 is communicated with the inside of the stone falling channel 6, the stone taking tube 1 extends into the urethra of a patient, the stone taking head 4 crushes stones, and the crushed stones slide into the containing bag 3 along the stone falling channel 6 for storage;
in order to facilitate the cleaning of the broken stone blocks, the accommodating bag 3 is detachably and fixedly connected with the stone taking pipe 1;
two rotating cavities 7 are symmetrically formed in the interior of the stone taking pipe 1 and positioned on the upper side and the lower side of the stone falling channel 6, a rotating shaft 8 is rotatably mounted in each rotating cavity 7, a threaded section 9 is arranged at one end, close to the stone taking 4, of each rotating shaft 8, a threaded sleeve 10 is in threaded connection with each threaded section 9, each threaded sleeve 10 is in sliding connection with each rotating cavity 7, and each rotating shaft 8 rotates to drive each threaded sleeve 10 to slide back and forth in each rotating cavity 7; the stone taking device 4 comprises two symmetrically arranged shells 15 and a telescopic connecting piece 16 for connecting the two shells 15, and the two shells 15 can be continuously opened and closed due to the telescopic action of the telescopic connecting piece 16; the inner side of the shell 15 is also provided with a calculus breaking electrode 17, the calculus breaking electrode 17 is attached to the calculus breaking blocks in the urethra by controlling the opening and closing of the two shells 15, and the calculus breaking blocks are broken through the calculus breaking electrode 17, so that calculus removal of the urethra is completed; a first connecting piece 11 is fixedly arranged at the end of the threaded sleeve 10, a second connecting piece 12 is fixedly arranged on the outer side of the shell 15, the second connecting piece 12 is rotatably connected with the first connecting piece 11, and when the threaded sleeve 10 moves back and forth in the driving cavity 7, the shell 15 is driven to open and close through the matching between the first connecting piece 11 and the second connecting piece 12, so that the lithotomy head 4 can be suitable for calculi with different sizes, the lithotomy electrode 17 is ensured to be attached to the calculi, and the lithotomy effect is improved;
in order to ensure that the crushed stones can fall into the interior of the stone falling channel 6, the bottom of the stone taking device 4 is provided with a through hole 18, and the through hole 18 is communicated with the interior of the stone falling channel 6 through a connecting pipe 5;
in order to guarantee that two rotation axis 8 syntropy rotate simultaneously, the outside fixed mounting of rotation axis 8 has second ring gear 14, get the outside of stone tube 1 and rotate and install knob 2, the inboard fixed mounting of knob 2 has first ring gear 13, and first ring gear 13 meshes with second ring gear 14, through rotatory knob 2, makes first ring gear 13 drive two second ring gear 14 syntropy rotations simultaneously to drive two rotation axis 8 syntropy rotations simultaneously, thereby carry out drive control to opening and shutting of getting stone head 4.
Referring to fig. 5, the difference between this embodiment and embodiment 1 is that an air pump 19 is further fixedly installed at the bottom of the rock taking tube 1, the air pump 19 is communicated with the interior of the rock falling channel 6 through an air tube 20, and air in the interior of the rock falling channel 6 is pumped by the air pump 19, so that the crushed rock can be ensured to fall into the storage bag 3 quickly.
According to the invention, the calculus removing tube extends into the urethra of a patient, the calculus removing head is used for crushing stones, the crushed stones slide into the accommodating bag along the calculus falling channel for storage, the swivel nut is driven by the rotating shaft to move in the calculus removing process, and the shell is driven to open and close by matching between the first connecting piece and the second connecting piece, so that the calculus removing head can be suitable for calculi with different sizes, the calculus electrode is ensured to be attached to the calculi, and the calculus removing effect is improved.
The above are only preferred embodiments of the present invention, and it should be noted that, for those skilled in the art, it can make several changes and modifications without departing from the concept of the present invention, and these should also be considered as the protection scope of the present invention, which will not affect the effect of the implementation of the present invention and the practicability of the patent.

Claims (3)

1. A urinary surgery lithangiuria instrument is characterized by comprising a lithangiuria tube (1) and a lithangiuria head (4); the stone taking pipe is characterized in that the stone taking (4) is arranged at one end of the stone taking pipe (1), the containing bag (3) is arranged at the other end of the stone taking pipe (1), a stone falling channel (6) is formed in the middle of the interior of the stone taking pipe (1), and the containing bag (3) is communicated with the interior of the stone falling channel (6); the stone taking device comprises a stone taking device body (4), a stone taking device body and a connecting piece, wherein the stone taking device body (4) comprises two shells (15) which are symmetrically arranged and a telescopic connecting piece (16) for connecting the two shells (15), and a gravel electrode (17) is further installed on the inner side of each shell (15); the bottom of the stone taking channel (4) is provided with a through hole (18), and the through hole (18) is communicated with the interior of the stone falling channel (6) through a connecting pipe (5); two rotating cavities (7) are symmetrically formed in the interior of the stone taking pipe (1) and positioned on the upper side and the lower side of the stone falling channel (6), and a rotating shaft (8) is rotatably arranged in each rotating cavity (7); a threaded section (9) is arranged at one end, close to the stone taking part (4), of the rotating shaft (8), a threaded sleeve (10) is connected to the threaded section (9) in a threaded mode, and the threaded sleeve (10) is connected with the rotating cavity (7) in a sliding mode; the outside fixed mounting of rotation axis (8) has second ring gear (14), the outside of getting stone pipe (1) is rotated and is installed knob (2), and the inboard fixed mounting of knob (2) has first ring gear (13), and first ring gear (13) and second ring gear (14) meshing, fixed mounting has first connecting piece (11) on the end of swivel nut (10), the outside fixed mounting of casing (15) has second connecting piece (12), and second connecting piece (12) rotate with first connecting piece (11) and are connected.
2. A urological lithangiuria retrieval instrument according to claim 1, wherein the receiving bag (3) is detachably and fixedly connected with the lithangiuria retrieval tube (1).
3. The urological urinary calculus stone removal device according to claim 1, wherein an air pump (19) is fixedly mounted at the bottom of the stone removal tube (1), and the air pump (19) is communicated with the interior of the stone removal channel (6) through an air tube (20).
CN201910776241.8A 2019-08-22 2019-08-22 Urinary surgery lithangiuria instrument Active CN110495927B (en)

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CN110495927B true CN110495927B (en) 2022-11-22

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Publication number Priority date Publication date Assignee Title
CN112568965A (en) * 2020-12-02 2021-03-30 杨清珠 Stone extractor for gastroenterology
CN113171054A (en) * 2021-04-29 2021-07-27 中南大学湘雅医院 Multifunctional choledochoscope guiding device under laparoscope
CN113384320B (en) * 2021-06-02 2023-07-21 常州市第二人民医院 Urological urinary tract calculus lithotripsy device
CN113813013B (en) * 2021-08-25 2023-11-28 四川大学华西医院 Urological lithangiuria lithotripter
CN113893439B (en) * 2021-11-12 2023-06-30 新疆维吾尔自治区人民医院 Urethra protecting sheath for treating urinary system calculus

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US8551182B2 (en) * 2008-04-28 2013-10-08 Urotech, Inc. Retrievable urethra sparing prosthetic stent and kidney stone intervention system
CN203789990U (en) * 2014-03-19 2014-08-27 古啸宇 Novel calculus removing instrument for common bile duct calculi
US9615842B2 (en) * 2014-03-21 2017-04-11 Terumo Kabushiki Kaisha Calculus retrieving/removing device and method
CN204951143U (en) * 2015-08-26 2016-01-13 吴艳芳 A novel stone device of getting for hepatobiliary surgery is clinical
JP6697301B2 (en) * 2016-03-25 2020-05-20 オリンパス株式会社 Medical equipment
CN106539610A (en) * 2016-09-30 2017-03-29 广西医科大学第附属医院 Damage-free type bladder and calculus of urethra stone taking device
CN108175475A (en) * 2018-03-01 2018-06-19 荆涛 A kind of Urology Surgery lithangiuria lithotripsy apparatus
CN208640816U (en) * 2018-03-20 2019-03-26 戴佳乐 Stone taking device and take stone equipment
CN209220413U (en) * 2018-08-06 2019-08-09 郑州大学第一附属医院 A kind of urological department convenient to use takes calculus device

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