CN110897601A - Ureter soft lens diagnosis and treatment method and device integrated with guide sheath - Google Patents
Ureter soft lens diagnosis and treatment method and device integrated with guide sheath Download PDFInfo
- Publication number
- CN110897601A CN110897601A CN201911263657.6A CN201911263657A CN110897601A CN 110897601 A CN110897601 A CN 110897601A CN 201911263657 A CN201911263657 A CN 201911263657A CN 110897601 A CN110897601 A CN 110897601A
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- guide sheath
- ureter
- soft lens
- flexible ureteroscope
- guide
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- 210000000626 ureter Anatomy 0.000 title claims abstract description 71
- 238000000034 method Methods 0.000 title claims abstract description 24
- 238000003745 diagnosis Methods 0.000 title claims abstract description 11
- 238000003780 insertion Methods 0.000 claims abstract description 13
- 230000037431 insertion Effects 0.000 claims abstract description 13
- 210000003708 urethra Anatomy 0.000 claims description 20
- 210000003932 urinary bladder Anatomy 0.000 claims description 14
- 230000002485 urinary effect Effects 0.000 claims description 10
- 238000000605 extraction Methods 0.000 claims description 6
- 239000000835 fiber Substances 0.000 claims description 5
- 238000012544 monitoring process Methods 0.000 claims description 4
- 238000002360 preparation method Methods 0.000 claims description 3
- 210000003734 kidney Anatomy 0.000 description 6
- 230000006378 damage Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 210000001635 urinary tract Anatomy 0.000 description 2
- 208000000913 Kidney Calculi Diseases 0.000 description 1
- 206010029148 Nephrolithiasis Diseases 0.000 description 1
- 235000008331 Pinus X rigitaeda Nutrition 0.000 description 1
- 235000011613 Pinus brutia Nutrition 0.000 description 1
- 241000018646 Pinus brutia Species 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments 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
- A61B1/307—Instruments 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments 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
- A61B1/00064—Constructional details of the endoscope body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments 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
- A61B1/00131—Accessories for endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments 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
- A61B1/00147—Holding or positioning arrangements
- A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments 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
- A61B1/005—Flexible endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments 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
- A61B1/005—Flexible endoscopes
- A61B1/01—Guiding arrangements therefore
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements 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
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00505—Urinary tract
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
Abstract
The invention relates to a ureter soft lens diagnosis and treatment method and a device integrating a guide sheath. The flexible ureteroscope handle and the tail end fixing part of the guide sheath can be combined into a whole, and the insertion operation of the guide sheath can be conveniently realized by pushing the flexible ureteroscope handle. The cystoscope is not needed to be additionally used in the operation process, the operation steps are simplified, the operation time is saved, the operation cost is reduced, and the operation risk is reduced.
Description
Technical Field
The invention relates to medical equipment, in particular to a flexible ureteroscope diagnosis and treatment method integrated with a guide sheath and an integrated medical device for realizing flexible ureteroscope diagnosis and treatment by adopting the method.
Background
The ureter soft lens is usually used in urinary tract and renal examination and urinary tract lithotripsy operation, and is a thin lens with a diameter of about 3mm, which enters into the kidney through the urethra, bladder and ureter, and the ureter calculus or kidney calculus is broken up and taken out by using a laser fiber or other tools in a working channel of the ureter soft lens. It utilizes the natural cavity of human urinary system, does not make any incision on the body, and is a urinary surgery endoscopic non-invasive or minimally invasive operation. Compared with open surgery, ureteroscope lithotripsy has the advantages of small injury, light pain, quick recovery and the like. Soft-lens surgery, however, requires a high level of manipulation by the surgeon.
The existing ureter soft lens needs a plurality of steps to finish when entering a urinary system:
step 2: using a cystoscope to find an inlet of a left ureter or a right ureter in a bladder cavity, and leading a guide wire to enter the left ureter or the right ureter through a working channel of the cystoscope;
step 4, extracting the guide wire and the guide sheath inner core;
step 5, extending the flexible ureteroscope out of the head of the guide sheath along the inner cavity of the guide sheath to enter the ureter and the kidney;
step 6, using a ureter soft lens to search and determine the position of the calculus, and extending a laser fiber into a working channel of the ureter soft lens to perform calculus breaking operation or extending a calculus taking basket into the working channel to perform calculus taking operation; repeating the step 4 and the step 5 until the steps are finished;
after the operation is finished, the flexible ureteroscope is withdrawn from the human body along the guide sheath, and then the guide sheath is withdrawn from the human body.
In the above-mentioned operation, an additional cystoscope is needed in order to guide the wire to find the entrance of the left ureter or the entrance of the right ureter. Thus, the cost and time of using the cystoscope is increased. However, if a cystoscope is not used, the time for finding the entrance of the left ureter and the right ureter is increased during the insertion process of the guide wire, and the risk that the guide wire punctures the inner wall of the urinary system is increased.
Disclosure of Invention
The technical problem to be solved by the invention is as follows: the flexible ureteroscope diagnosis and treatment method integrated with the guide sheath is provided, the flexible ureteroscope can be used only without being guided by an additional cystoscope, the setting work before the flexible ureteroscope operation can be completed, the operation process is accelerated, the operation time is saved, and the operation cost of a patient is reduced.
In addition, the invention also provides a ureter soft lens device integrated with the guide sheath, which adopts the diagnosis and treatment method.
The invention adopts the technical scheme for solving the problems as follows: a ureter soft lens diagnosis and treatment method integrated with a guide sheath is characterized in that:
the method comprises the following steps:
a preparation stage:
step 1: the flexible ureteroscope insertion tube is integrated in the guide sheath;
step 2: the tail end of the detachable hard tube is fixed with the control handle of the flexible ureteroscope, and the head of the detachable hard tube is locked with the fixing part at the tail end of the guide sheath to form a cooperating whole;
and 3, step 3: guiding and placing a guide wire in a working channel of the ureter soft lens;
and (3) operation stage:
and 4, step 4: a doctor enters a guide wire and a guide sheath into the urethra of a patient under the monitoring of a flexible ureteroscope, enters a bladder along the urethra, finds an inlet of a left ureter or an inlet of a right ureter and enters the left ureter or the right ureter;
and 5, step 5: the doctor takes down the detachable hard tube, releases the guiding sheath and keeps the guiding sheath in the urinary system to form a passage from the urethra to the left or right ureter;
and 6, step 6: the guide wire is drawn out from the working channel of the ureter soft lens and exits from the human body;
and 7, step 7: the position of the calculus is searched and determined by using a ureter soft lens, and the calculus is broken by extending a working channel of the ureter soft lens into a laser fiber or extending into a calculus extraction basket to perform calculus extraction.
The flexible ureteroscope integrated with the guide sheath by adopting the method is characterized in that: it comprises a guide sheath, a fixing part, a detachable hard tube and a ureter soft lens; the fixing part is arranged at the tail part of the guide sheath; the detachable hard tube tail is provided with a conical sleeve hole, and the conical sleeve hole is fixedly connected with a handle of the ureter soft lens.
The detachable hard tube comprises an upper guide sheath connector and a lower guide sheath connector which can be mutually buckled.
An elastic buckle is arranged on the upper guide sheath connector and can be matched with a bayonet in the fixing part.
Compared with the prior art, the invention adopts the mode of combining the guide sheath with the soft ureteroscope to replace the original method of respectively inserting the cystoscope, the guide wire, the guide sheath and the soft ureteroscope into the urinary system, directly and conveniently leads the guide sheath fixedly connected with the soft ureteroscope into the urethra, the bladder and the ureter at one time without using the cystoscope, simplifies the operation steps, saves the operation time, reduces the operation cost and reduces the operation risk.
The detachable hard tube can combine the flexible ureteroscope handle and the tail end fixing part of the guide sheath into a whole in the process of inserting the guide sheath into the urethra, and the insertion operation of the guide sheath can be conveniently realized by pushing the flexible ureteroscope handle. When the soft ureteroscope is required to further go deep into a ureter from a bladder, and the like, the detachable tube is directly separated, and when the fixed part is positioned at the entrance of the urethra, the soft ureteroscope can obtain a proper flexible pushing distance by pushing the handle of the soft ureteroscope, so that the deep inspection of the soft ureteroscope is facilitated.
Drawings
FIG. 1 is a schematic structural diagram of an integrally installed detachable hard pipe.
Fig. 2 is a schematic structural diagram of the detachable hard pipe after being separated.
FIG. 3 is a cross-sectional view of the removable hard tube after installation along with the removable hard tube. (cross-sectional view B in FIG. 2).
FIG. 4 is a cross-sectional view of the removable rigid conduit after detachment.
Wherein 1 is the guide sheath, 2 is the fixed part, 3 is the hard tube of dismantling, 4 are the toper trepanning, 5 are ureter soft lens handles, 6 are the handle cable, 7 are upper guide sheath connector, 8 are lower guide sheath connector.
Detailed Description
The present invention is described in further detail below with reference to the attached drawing figures.
The invention directly adopts the mode of combining the guide sheath with the soft ureteroscope insertion tube, utilizes the soft ureteroscope insertion tube to replace a guide sheath inner core in the traditional soft ureteroscope technology, does not need to use an additional cystoscope guide-in guide wire and a guide sheath when in use, and can directly finish the process of entering the urethra, the bladder and the ureter by the guide wire, the soft ureteroscope and the guide sheath.
The method for enabling the ureter soft lens to enter the kidney comprises the following steps:
a preparation stage:
step 1: the flexible ureteroscope insertion tube is integrated in a guide sheath (the sheath does not need an inner core);
step 2: fixing the tail end of the detachable hard tube and the control handle of the flexible ureteroscope, and locking the head of the detachable hard tube and the fixing part at the tail end of the guide sheath to form a cooperating whole;
3, guiding a guide wire into a working channel of the ureter soft lens and placing the guide wire in the working channel;
and (3) operation stage:
and 4, step 4: a doctor enters a guide wire and a guide sheath into the urethra of a patient under the monitoring of a flexible ureteroscope, enters a bladder along the urethra, finds an inlet of a left ureter or an inlet of a right ureter and enters the left ureter or the right ureter;
and 5, step 5: the doctor takes down the detachable hard tube, releases the guiding sheath and keeps the guiding sheath in the urinary system to form a passage from the urethra to the left or right ureter;
and 6, step 6: the guide wire is drawn out from the working channel of the ureter soft lens and exits from the human body;
and 7, searching and determining the position of the calculus by using a ureter soft lens, and extending a laser fiber into a working channel of the ureter soft lens to perform calculus crushing operation or extending a calculus extraction basket into the working channel to perform calculus extraction operation. The operation is carried out under the monitoring of the ureter soft lens in the whole process of entering the urethra and the bladder and entering the ureter and the kidney from the bladder without using an additional cystoscope, so that the judgment of a doctor is facilitated, and the damage to the inner wall tissue of a urinary system is avoided.
The diagnosis and treatment equipment adopting the diagnosis and treatment method comprises a guide sheath, a fixing part, a detachable hard tube and a flexible ureteroscope.
The tail part of the guide sheath is provided with a fixed part, and a bayonet is arranged in the fixed part.
The detachable hard tube comprises an upper guide sheath connector and a lower guide sheath connector which can be mutually buckled. Wherein go up and be provided with the elasticity buckle on the guide sheath connector, the bayonet socket cooperation of elasticity buckle and fixed part, the buckle utilizes the elasticity of self to reply after inserting the bayonet socket, and the fixed part is lived to the barb, prevents to dismantle hard tube and guide sheath pine and takes off.
The tail part of the detachable hard tube is provided with a conical sleeve hole, the conical sleeve hole is connected with the control handle of the soft ureteroscope, the front part of the control handle can be fixed, so that the guide sheath, the detachable hard tube and the control handle form a whole, and the soft ureteroscope insertion tube can be conveniently operated to enter the urethra.
The length of the detachable hard tube is determined by subtracting the length of the guide sheath from the length of the ureter soft lens insertion tube. The length and diameter of the guide sheath have different specifications and are different from person to person.
After the guide sheath is completely inserted and placed, a protective channel from the urethral orifice of a patient to the ureter can be established, and the insertion tube containing the ureter soft lens can not generate direct friction and damage to the inner wall in the process of extending into the urethra, the bladder, the ureter and the kidney for multiple times.
After the detachable hard tube is detached, the insertion tube originally fixed between the tail of the guide sheath and the ureter soft lens handle is released, and the ureter soft lens insertion tube can be continuously pushed to further extend into the ureter and the kidney.
The invention adopts a method of integrating the guide sheath and the ureter soft lens into a whole to replace the original method of respectively inserting the cystoscope, the guide wire, the guide sheath and the ureter soft lens into the urinary system, and can better utilize the ureter soft lens to guide the guide wire and the guide sheath to enter the bladder and the ureter along the urethra; through setting up the hard tube of dismantling, connect into a whole with guide sheath and soft mirror control handle, the doctor can hold the handle and directly carry out the operation of inserting of guide wire, guide sheath, and it need not to use the cystoscope in addition, has simplified operating procedure, has practiced thrift operation time, has reduced the operation cost, has reduced the operation risk.
Claims (5)
1. A ureter soft lens diagnosis and treatment method integrated with a guide sheath is characterized by comprising the following steps:
a preparation stage:
step 1: the flexible ureteroscope insertion tube is integrated in the guide sheath;
step 2: the tail end of the detachable hard tube is fixed with the control handle of the flexible ureteroscope, and the head of the detachable hard tube is locked with the fixing part at the tail end of the guide sheath to form a cooperating whole;
and 3, step 3: guiding and placing a guide wire in a working channel of the ureter soft lens;
and (3) operation stage:
and 4, step 4: a doctor enters a guide wire and a guide sheath into the urethra of a patient under the monitoring of a flexible ureteroscope, enters a bladder along the urethra, finds an inlet of a left ureter or an inlet of a right ureter and enters the left ureter or the right ureter;
and 5, step 5: the doctor takes down the detachable hard tube, releases the guiding sheath and keeps the guiding sheath in the urinary system to form a passage from the urethra to the left or right ureter;
and 6, step 6: the guide wire is drawn out from the working channel of the ureter soft lens and exits from the human body;
and 7, step 7: the position of the calculus is searched and determined by using a ureter soft lens, and the calculus is broken by extending a working channel of the ureter soft lens into a laser fiber or extending into a calculus extraction basket to perform calculus extraction.
2. A flexible ureteroscope incorporating an integrated guide sheath for use with the method of claim 1, wherein: the flexible ureteroscope integrated with the guide sheath comprises the guide sheath, a fixing part, a detachable hard tube and a flexible ureteroscope; the fixing part is arranged at the tail part of the guide sheath.
3. The flexible ureteroscope integrated with a guide sheath according to claim 2, wherein: the detachable hard tube is formed by buckling an upper guide sheath connector and a lower guide sheath connector.
4. The flexible ureteroscope integrated with a guide sheath according to claim 3, wherein: and the upper guide sheath connector is provided with an elastic buckle which is matched with a bayonet in the fixing part.
5. The flexible ureteroscope integrated with a guide sheath according to claim 2, wherein: the tail part of the detachable hard tube is provided with a conical sleeve hole, and the conical sleeve hole is fixedly connected with the control end of the ureter soft lens.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911263657.6A CN110897601A (en) | 2019-12-11 | 2019-12-11 | Ureter soft lens diagnosis and treatment method and device integrated with guide sheath |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911263657.6A CN110897601A (en) | 2019-12-11 | 2019-12-11 | Ureter soft lens diagnosis and treatment method and device integrated with guide sheath |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110897601A true CN110897601A (en) | 2020-03-24 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201911263657.6A Pending CN110897601A (en) | 2019-12-11 | 2019-12-11 | Ureter soft lens diagnosis and treatment method and device integrated with guide sheath |
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| Country | Link |
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| CN (1) | CN110897601A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113257097A (en) * | 2021-05-18 | 2021-08-13 | 首都医科大学附属北京友谊医院 | Ureter hard/soft lens teaching mold and preparation and operation methods thereof |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20130281782A1 (en) * | 2011-01-28 | 2013-10-24 | Junhong Zhou | Combined rigid ureteroscope |
| CN203943735U (en) * | 2014-04-10 | 2014-11-19 | 广州医科大学附属第一医院 | A kind of ureter soft lens channel sheath with scale |
| CN208641514U (en) * | 2018-04-02 | 2019-03-26 | 深圳市恒海医疗科技有限公司 | Visual merging ureter sheath |
| CN212816204U (en) * | 2019-12-11 | 2021-03-30 | 宁波智光机电科技有限公司 | Ureter soft lens integrated with guide sheath |
-
2019
- 2019-12-11 CN CN201911263657.6A patent/CN110897601A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20130281782A1 (en) * | 2011-01-28 | 2013-10-24 | Junhong Zhou | Combined rigid ureteroscope |
| CN203943735U (en) * | 2014-04-10 | 2014-11-19 | 广州医科大学附属第一医院 | A kind of ureter soft lens channel sheath with scale |
| CN208641514U (en) * | 2018-04-02 | 2019-03-26 | 深圳市恒海医疗科技有限公司 | Visual merging ureter sheath |
| CN212816204U (en) * | 2019-12-11 | 2021-03-30 | 宁波智光机电科技有限公司 | Ureter soft lens integrated with guide sheath |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113257097A (en) * | 2021-05-18 | 2021-08-13 | 首都医科大学附属北京友谊医院 | Ureter hard/soft lens teaching mold and preparation and operation methods thereof |
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