CN111150488A - Urinary surgery lithangiuria instrument - Google Patents

Urinary surgery lithangiuria instrument Download PDF

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Publication number
CN111150488A
CN111150488A CN202010003035.6A CN202010003035A CN111150488A CN 111150488 A CN111150488 A CN 111150488A CN 202010003035 A CN202010003035 A CN 202010003035A CN 111150488 A CN111150488 A CN 111150488A
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CN
China
Prior art keywords
shell
side wall
wall
fixed mounting
stone
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Granted
Application number
CN202010003035.6A
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Chinese (zh)
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CN111150488B (en
Inventor
唐钊
席玉杭
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First Affiliated Hospital of Xinxiang Medical University
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First Affiliated Hospital of Xinxiang Medical University
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Priority to CN202010003035.6A priority Critical patent/CN111150488B/en
Publication of CN111150488A publication Critical patent/CN111150488A/en
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    • 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
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • A61B18/22Surgical 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
    • A61B18/26Surgical 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
    • 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
    • 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
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • 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
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2215Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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

Abstract

The invention discloses a urinary surgery lithangiuria lithotomy instrument, which belongs to the technical field of medical equipment and comprises a shell, an expansion component, an operation component, a lithagogue component and a lithotripsy laser, wherein an end cover is fixedly arranged on the left side wall of the shell, an air pump is fixedly arranged on the left side of the top of the shell, an air pipe channel is arranged inside the shell, the lithagogue channel is arranged in the middle of the inner wall of the shell, the expansion component is fixedly arranged at the right side end of the shell, the operation component is inserted in the middle of the inner wall of the shell and is positioned in the middle of the inner wall of the lithagogue channel, the operation component comprises an adjusting end cover, a pull rod, an adjusting seat and a connecting pipe, the pull rod is inserted in the middle of the left side wall of the adjusting end cover, and the right side end of the adjusting end cover, meanwhile, the operation is simple and convenient.

Description

Urinary surgery lithangiuria instrument
Technical Field
The invention relates to the technical field of medical equipment, in particular to a urinary surgery lithangiuria 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. The stone 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 fluid from the affected organ, causing symptoms such as pain, bleeding or secondary infection.
Urinary calculus stone removing instrument in the prior art can not effectively expand the urethra, so that stone removing is inconvenient, pain of a patient is increased, meanwhile, operation is complex in the stone removing operation process, work efficiency is reduced, and therefore a urinary surgery urinary calculus stone removing instrument needs to be developed.
Disclosure of Invention
This section is for the purpose of summarizing some aspects of embodiments of the invention and to briefly introduce some preferred embodiments. In this section, as well as in the abstract and the title of the invention of this application, simplifications or omissions may be made to avoid obscuring the purpose of the section, the abstract and the title, and such simplifications or omissions are not intended to limit the scope of the invention.
The present invention has been made in view of the problems occurring in the prior art.
Therefore, the invention aims to provide a urinary calculus removing instrument for the urinary surgery, which can effectively expand the urethra and is convenient to rapidly and effectively grasp the urinary calculus, and is simple and convenient to operate.
To solve the above technical problem, according to an aspect of the present invention, the present invention provides the following technical solutions:
a urological lithangiuria lithotomy instrument comprises a shell, an expansion assembly, an operation assembly, a lithotomy assembly and a lithotomy laser, wherein an end cover is fixedly arranged on the left side wall of the shell, an air pump is fixedly arranged on the left side of the top of the shell, an air pipe channel is arranged in the shell, the lithotomy channel is arranged in the middle of the inner wall of the shell, the expansion assembly is fixedly arranged at the right side end of the shell, the operation assembly is inserted in the middle of the inner wall of the shell and is located in the middle of the inner wall of the lithotomy channel, the operation assembly comprises an adjusting end cover, a pull rod, an adjusting seat and a connecting pipe, the pull rod is inserted in the middle of the left side wall of the adjusting end cover, the right side end of the adjusting end cover is in threaded connection with the adjusting seat, the right side wall of the adjusting seat is fixedly, grab stone subassembly and include camera, fixing base, claw and regulating block, the right side end fixed mounting of connecting pipe the fixing base, the right side wall fixed mounting of fixing base is a plurality of the claw is, a plurality of the middle part joint of claw the regulating block, the right side wall middle part fixed mounting of regulating block the camera, the left side wall fixed mounting of regulating block the pull rod, the right side wall fixed mounting of casing the rubble laser, camera and computer electric connection.
As a preferable aspect of the urological lithangiuria removing apparatus of the present invention, wherein: expansion assembly includes piston promotion piece, spring and expansion plate, piston promotion piece is located trachea passageway's inner wall right side end, the right side end pin joint of casing expansion plate, expansion plate's bottom with get the right side wall joint of stone passageway the spring.
As a preferable aspect of the urological lithangiuria removing apparatus of the present invention, wherein: the outer wall protective layer of expansion board, the protective layer is the rubber protective layer.
As a preferable aspect of the urological lithangiuria removing apparatus of the present invention, wherein: the gravel laser is electrically connected with the gravel main machine.
As a preferable aspect of the urological lithangiuria removing apparatus of the present invention, wherein: the outer wall joint that the piston promoted the piece has sealed the pad, sealed pad is sealed for rubber packing.
As a preferable aspect of the urological lithangiuria removing apparatus of the present invention, wherein: and the air outlet of the air pump is communicated with the air pipe channel.
As a preferable aspect of the urological lithangiuria removing apparatus of the present invention, wherein: a plurality of anti-skidding grooves are uniformly formed in the side wall of the adjusting end cover.
Compared with the prior art, the invention has the beneficial effects that: at first insert patient's urethra with the casing, utilize the air pump to carry out the tympany to the inside of trachea passageway, utilize gas to promote the piece with the piston to the right side promotes to expand expanding the board, thereby realize expanding the urethra, then utilize the rubble laser that the rubble host computer of holmium laser rubble is connected to carry out the breakage to the calculus, secondly, the rotation regulation end cover, adjust the end cover with distance between the regulation seat is enlarged, thereby realizes adjusting the pull rod on the end cover and removes to the left side, thereby the pulling regulating block removes to the left side, and the regulating block cooperatees the joint with the claw, realizes expanding the claw and opens, presss from both sides the rubble, then does benefit to the air pump and puts gas off, then spring pulling expansion board is effectual the centre gripping of calculus, and the regulation seat is taken out the calculus from the left side at last, and the.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the present invention will be described in detail with reference to the accompanying drawings and detailed embodiments, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without inventive exercise. Wherein:
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the internal structure of the present invention;
FIG. 3 is a schematic structural view of the stone grasping assembly according to the present invention;
fig. 4 is a right side view of the housing of the present invention.
Detailed Description
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in detail below.
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, but the present invention may be practiced in other ways than those specifically described herein, and it will be apparent to those of ordinary skill in the art that the present invention may be practiced without departing from the spirit and scope of the present invention, and therefore the present invention is not limited to the specific embodiments disclosed below.
Next, the present invention will be described in detail with reference to the drawings, wherein for convenience of illustration, the cross-sectional view of the device structure is not enlarged partially according to the general scale, and the drawings are only examples, which should not limit the scope of the present invention. In addition, the three-dimensional dimensions of length, width and depth should be included in the actual fabrication.
In order to make the objects, technical solutions and advantages of the present invention more apparent, embodiments of the present invention will be described in detail with reference to the accompanying drawings.
The invention provides the following technical scheme: a urological urinary calculus removing instrument can effectively expand a urethra in the using process, is convenient to rapidly and effectively remove calculus, and is simple and convenient to operate, and referring to fig. 1, the urological urinary calculus removing instrument comprises a shell 100, an expansion assembly 200, an operation assembly 300, a calculus removing assembly 400 and a calculus removing laser 500;
referring to fig. 1 and 2, the casing 100 has an end cover 110, an air pump 120, an air pipe passage 130 and a lithotripsy passage 140, specifically, the end cover 110 is fixedly installed on the left side wall of the casing 100, the air pump 120 is fixedly installed on the left side of the top of the casing 100, the air pipe passage 130 is opened inside the casing 100, the lithotripsy passage 140 is opened in the middle of the inner wall of the casing 100, an air outlet of the air pump 120 is connected with the air pipe passage 130 in a penetrating manner, and the casing 100 is used for fixedly installing the casing 100, the expansion assembly 200, the operation assembly 300, the lithotripsy assembly 400 and the lithotripsy laser 500;
referring to fig. 1 and 2 again, the expansion assembly 200 has a piston pushing block 210, a spring 220 and an expansion plate 230, the expansion assembly 200 is installed at the right side end of the housing 100, specifically, the piston pushing block 210 is located at the right side end of the inner wall of the tracheal passage 130, the expansion plate 230 is pinned at the right side end of the housing 100, the expansion assembly 200 includes an outer wall protection layer of the expansion plate 230, the protection layer is a rubber protection layer, a sealing gasket is clamped on the outer wall of the piston pushing block 210, the sealing gasket is a rubber sealing gasket, and the bottom of the expansion plate 230 and the right side wall of the lithotomy passage 140 are clamped with the spring 220;
referring to fig. 3, the operation assembly 300 has an adjusting end cap 310, a pull rod 320, an adjusting seat 330 and a connecting pipe 340, the operation assembly 300 is installed on the inner wall of the casing 100, specifically, the pull rod 320 is inserted into the middle of the left side wall of the adjusting end cap 310, the adjusting seat 330 is screwed to the right side end of the adjusting end cap 310, the connecting pipe 340 is fixedly installed on the right side wall of the adjusting seat 330, twenty-two anti-slip grooves are uniformly formed on the side wall of the adjusting end cap 310, and the operation assembly 300 is used for fixedly installing the stone grasping assembly 400;
referring to fig. 3 again, the stone grasping assembly 400 has a camera 410, a fixing base 420, claws 430 and an adjusting block 440, the stone grasping assembly 400 is installed at the right side end of the operating assembly 300, specifically, the fixing base 420 is fixedly installed at the right side end of the connecting pipe 340, the three claws 430 are fixedly installed on the right side wall of the fixing base 420, the adjusting block 440 is clamped in the middle of the three claws 430, the camera 410 is fixedly installed in the middle of the right side wall of the adjusting block 440, and the pull rod 320 is fixedly installed on the left side wall of the adjusting block 440;
referring to fig. 4, a lithotripsy laser 500 is used for fragmenting stones, specifically, the lithotripsy laser 500 is fixedly installed on the right side wall of the casing 100, the camera 410 is electrically connected with a computer, the lithotripsy laser 500 is electrically connected with a lithotripsy host, and the lithotripsy host is holmium laser lithotripsy;
in a specific using process, when the invention is required to be used, firstly, the shell 100 is inserted into the urethra of a patient, the air pump 120 is used for blowing air into the interior of the trachea channel 130, the piston pushing block 210 is pushed to the right side by air, so that the expansion plate 230 is expanded to expand the urethra, then, the stone is crushed by the stone crushing laser 500 connected with the holmium laser stone crushing host machine, secondly, the adjusting end cover 310 is rotated, the distance between the adjusting end cover 310 and the adjusting seat 330 is increased, so that the pull rod 320 on the adjusting end cover 310 is moved to the left side, so that the adjusting block 440 is pulled to move to the left side, the adjusting block 440 is clamped with the claws 430 to realize expanding the claws 430 to clamp the stone, then, the air pump 120 is favorable for releasing air, and then the spring 220 pulls the expansion plate 230 to effectively clamp the stone, finally, the adjusting seat 330 is pulled to take out the calculus from the left side.
The number of the springs 220, the expanding plate 230 and the claws 430 is not limited to the specific number described in the embodiment, and those skilled in the art can increase or decrease the number as required on the premise that the device can complete stone grabbing.
While the invention has been described above with reference to an embodiment, various modifications may be made and equivalents may be substituted for elements thereof without departing from the scope of the invention. In particular, the various features of the disclosed embodiments of the invention may be used in any combination, provided that no structural conflict exists, and the combinations are not exhaustively described in this specification merely for the sake of brevity and resource conservation. Therefore, it is intended that the invention not be limited to the particular embodiments disclosed, but that the invention will include all embodiments falling within the scope of the appended claims.

Claims (7)

1. A urological lithangiuria stone removing instrument is characterized in that: comprises a shell (100), an expansion component (200), an operation component (300), a stone grabbing component (400) and a gravel laser (500), wherein an end cover (110) is fixedly arranged on the left side wall of the shell (100), an air pump (120) is fixedly arranged on the left side of the top of the shell (100), an air pipe channel (130) is arranged inside the shell (100), a stone taking channel (140) is arranged in the middle of the inner wall of the shell (100), the expansion component (200) is fixedly arranged on the right side end of the shell (100), the operation component (300) is inserted in the middle of the inner wall of the shell (100), the operation component (300) is positioned in the middle of the inner wall of the stone taking channel (140), the operation component (300) comprises an adjusting end cover (310), a pull rod (320), an adjusting seat (330) and a connecting pipe (340), the pull rod (320) is inserted in the middle of the left side wall of, adjust end cover (310) right side end spiro union adjust seat (330), the right side wall fixed mounting who adjusts seat (330) connecting pipe (340), the right side end fixed mounting of connecting pipe (340) grab stone subassembly (400), grab stone subassembly (400) and include camera (410), fixing base (420), claw (430) and regulating block (440), the right side end fixed mounting of connecting pipe (340) fixing base (420), the right side wall fixed mounting of fixing base (420) is a plurality of claw (430), a plurality of the middle part joint of claw (430) regulating block (440), the right side wall middle part fixed mounting of regulating block (440) camera (410), the left side wall fixed mounting of regulating block (440) pull rod (320), the right side wall fixed mounting of casing (100) rubble laser (500), the camera (410) is electrically connected with a computer.
2. A urological lithangiuria retrieval device as claimed in claim 1, wherein: the expansion assembly (200) comprises a piston pushing block (210), a spring (220) and an expansion plate (230), the piston pushing block (210) is located at the right side end of the inner wall of the trachea channel (130), the expansion plate (230) is in pin joint with the right side end of the shell (100), and the spring (220) is in clamping joint with the bottom of the expansion plate (230) and the right side wall of the calculus removing channel (140).
3. A urological lithangiuria retrieval device as claimed in claim 2, wherein: the outer wall protective layer of expansion board (230), the protective layer is the rubber protective layer.
4. A urological lithangiuria retrieval device as claimed in claim 1, wherein: the lithotripsy laser (500) is electrically connected with a lithotripsy host.
5. A urological lithangiuria retrieval device as claimed in claim 2, wherein: the outer wall joint of piston promotion piece (210) has sealed the pad, sealed pad is sealed for rubber packing.
6. A urological lithangiuria retrieval device as claimed in claim 1, wherein: the air outlet of the air pump (120) is communicated with the air pipe channel (130).
7. A urological lithangiuria retrieval device as claimed in claim 1, wherein: the side wall of the adjusting end cover (310) is uniformly provided with a plurality of anti-skidding grooves.
CN202010003035.6A 2020-01-02 2020-01-02 Urinary surgery lithangiuria instrument Active CN111150488B (en)

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CN111150488B CN111150488B (en) 2022-05-17

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112438775A (en) * 2020-11-23 2021-03-05 安庆市立医院 Urological urinary calculus stone breaking device
CN113384320A (en) * 2021-06-02 2021-09-14 常州市第二人民医院 Urinary calculus stone breaking device for urology surgery

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2850156A1 (en) * 1978-11-18 1980-06-04 Hubert Berendes Urinary passage stone extraction probe - has sliding bush with inflatable sleeve at forward end of catheter tube
CN206444013U (en) * 2016-10-20 2017-08-29 天津市南开医院 A kind of cystic duct device for spreading
CN208892757U (en) * 2017-08-17 2019-05-24 温州市人民医院 A kind of screw broken nail device for fetching nail
CN209360812U (en) * 2018-05-16 2019-09-10 皖南医学院弋矶山医院 A kind of fiber endoscopy lithotomy forceps

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2850156A1 (en) * 1978-11-18 1980-06-04 Hubert Berendes Urinary passage stone extraction probe - has sliding bush with inflatable sleeve at forward end of catheter tube
CN206444013U (en) * 2016-10-20 2017-08-29 天津市南开医院 A kind of cystic duct device for spreading
CN208892757U (en) * 2017-08-17 2019-05-24 温州市人民医院 A kind of screw broken nail device for fetching nail
CN209360812U (en) * 2018-05-16 2019-09-10 皖南医学院弋矶山医院 A kind of fiber endoscopy lithotomy forceps

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112438775A (en) * 2020-11-23 2021-03-05 安庆市立医院 Urological urinary calculus stone breaking device
CN112438775B (en) * 2020-11-23 2021-09-14 安庆市立医院 Urological urinary calculus stone breaking device
CN113384320A (en) * 2021-06-02 2021-09-14 常州市第二人民医院 Urinary calculus stone breaking device for urology surgery

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