CN111743623A - Ureteroscope capable of realizing water circulation - Google Patents

Ureteroscope capable of realizing water circulation Download PDF

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Publication number
CN111743623A
CN111743623A CN202010648372.0A CN202010648372A CN111743623A CN 111743623 A CN111743623 A CN 111743623A CN 202010648372 A CN202010648372 A CN 202010648372A CN 111743623 A CN111743623 A CN 111743623A
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China
Prior art keywords
siphunculus
pipe
water
tube
ureteroscope
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Pending
Application number
CN202010648372.0A
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Chinese (zh)
Inventor
刘峰
王芳
卢文勇
黄保卿
刘昊洋
匡自希
张锷
孔祥辉
黄跃新
朱仕琦
黄丽
朱思颖
刘昕
张莉
周静
阳秀芳
胡丹妮
张春晖
李建新
李飞燕
杨培辉
彭佳
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Individual
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Individual
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Priority to CN202010648372.0A priority Critical patent/CN111743623A/en
Publication of CN111743623A publication Critical patent/CN111743623A/en
Pending legal-status Critical Current

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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
    • 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
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007Aspiration

Abstract

The invention discloses a ureteroscope capable of realizing water circulation, and relates to the technical field of medical instruments. Comprises an outer lens tube, an inner lens tube, optical fibers and an operation through tube. Through setting up into water siphunculus and play water siphunculus, it is independent passageway and goes out the diameter of water siphunculus and is greater than the diameter of intaking the siphunculus to intake siphunculus with a water siphunculus, can form the water circulation in the operation district, keep operation district low pressure state, renal pelvis high pressure risk has been avoided appearing, expand mirror body the place ahead ureter during water injection simultaneously, expose the operation district field of vision, reduce operation district temperature, the security of the device has been guaranteed, intake siphunculus and play water siphunculus are the relative slope setting, be favorable to into water and in time with the smooth suction of rubble granule, rubble efficiency has been guaranteed, the water injection passageway and the operation passageway sharing of ureteroscope have been solved, can't form water circulation and the great stone of volume holmium laser rubble, rubble granule piles up.

Description

Ureteroscope capable of realizing water circulation
Technical Field
The invention relates to the technical field of medical instruments, in particular to a ureteroscope capable of realizing water circulation.
Background
The holmium laser lithotripsy stone extraction under the ureteroscope is a minimally invasive operation with extremely wide clinical application, is mainly suitable for middle and lower segment stones of ureter, and the conventional ureteroscope adopts a water inlet channel and an operation channel which share one channel, and the channel has the functions of water inlet, water outlet and insertion of operation equipment, and the single channel can not carry out water circulation, and the water inlet can not discharge water at the same time:
at present, ureteroscopes used are shared by a water injection channel and an operation channel, water circulation cannot be formed, stone powder generated in the stone breaking process and wound surface blood seepage cause that the operation visual field is fuzzy and unclear, water inlet needs to be continuously and repeatedly adjusted, the visual field is kept clear by water outlet, operation is influenced, holmium laser stone breaking is carried out on large-size stones, stone particles are accumulated, the operation visual field is influenced, and the stone breaking efficiency is influenced.
Disclosure of Invention
The invention provides a water-circulatable ureteroscope which has the advantages of independent channels designed for water injection and operation, can form water circulation in an operation area, keeps a low-pressure state of the operation area, avoids a high-pressure risk of a renal pelvis and is beneficial to smooth suction of broken stone particles, and solves the problems that the water circulation cannot be formed, water inlet and water outlet are required to be continuously and repeatedly adjusted to keep a clear visual field, the operation is influenced, holmium laser stone breaking is carried out on stones with large volumes, the accumulation of broken stone particles cannot timely clear the visual field of the operation, and the stone breaking efficiency is influenced.
In order to realize the purposes of designing an independent channel for water injection and operation, forming water circulation in an operation area, keeping a low-pressure state of the operation area, avoiding high-pressure risk of a renal pelvis and being beneficial to smoothly sucking out broken stone particles, the invention provides the following technical scheme: but water cycle ureteroscope, including outer mirror pipe, interior mirror pipe, optic fibre, operation siphunculus, the siphunculus of intaking, play water siphunculus, first apparatus siphunculus and second apparatus siphunculus, the fixed interior mirror pipe that is provided with in inside of outer mirror pipe, the fixed optic fibre and the operation siphunculus that are provided with in inside of interior mirror pipe, the fixed siphunculus of intaking, play water siphunculus, first apparatus siphunculus and second apparatus siphunculus that is provided with of one end of outer mirror pipe, the siphunculus of intaking is linked together with interior mirror pipe, it all is linked together with the operation siphunculus to go out water siphunculus, first apparatus siphunculus and second apparatus siphunculus of intaking is relative slope.
As a preferable technical scheme of the invention, the second instrument through pipe is horizontally arranged, and the first instrument through pipe is positioned below the second instrument through pipe.
As a preferred technical scheme of the present invention, a light cone is fixedly disposed on the surface of the outer lens tube, the light cone is perpendicularly disposed on the surface of the outer lens tube, and the diameter of the water outlet through tube is greater than that of the water inlet through tube.
As a preferable technical scheme of the invention, an ocular is fixedly arranged on the surface of the outer lens tube, the ocular is obliquely arranged on the surface of the outer lens tube, and one end of the optical fiber sequentially penetrates through the inner lens tube and the outer lens tube and extends into the ocular.
As a preferable technical scheme of the invention, one end of the water inlet through pipe, which is far away from the outer lens tube, is movably provided with a connecting pipe, and one end of the connecting pipe, which is far away from the outer lens tube, is movably provided with an injector.
As a preferable technical scheme of the invention, one end of the water outlet through pipe, which is far away from the outer mirror tube, is movably provided with a calculus collecting bottle, and one end of the second instrument through pipe, which is far away from the outer mirror tube, is movably provided with a rubber sealing plug.
Compared with the prior art, the invention provides the ureteroscope capable of realizing water circulation, which has the following beneficial effects:
this but water cycle ureteroscope, through setting up into siphunculus and play water siphunculus, it is independent passageway and goes out the diameter of water siphunculus and is greater than the diameter of intaking the siphunculus to intake siphunculus and go out the water siphunculus, can form the water circulation in the operation area, keep operation area low pressure state, renal pelvis high pressure risk has been avoided appearing, expand mirror body the place ahead ureter during water injection simultaneously, expose the operation area field of vision, reduce operation area temperature, the security of the device has been guaranteed, intake siphunculus and play water siphunculus are the relative slope setting, be favorable to intaking and in time with the smooth suction of rubble granule, rubble efficiency has been guaranteed, the water injection passageway and the operation passageway sharing of ureteroscope have been solved, can't form water circulation and the great holmium laser rubble of going of volume, the.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a cross-sectional view of the water inlet pipe structure of the present invention;
FIG. 3 is a cross-sectional view of an outer lens tube structure of the present invention;
FIG. 4 is a side cross-sectional view of an outer mirror tube structure of the present invention.
In the figure: 1. an outer mirror tube; 2. an optical fiber; 3. an endoscope tube; 4. operating a through pipe; 5. a light cone; 6. an eyepiece; 7. a water inlet through pipe; 8. a water outlet through pipe; 9. a first instrument through pipe; 10. a second instrument through pipe; 11. a calculus collecting bottle; 12. a connecting pipe; 13. a syringe.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-4, the invention discloses a ureteroscope capable of circulating water, which comprises an outer scope tube 1, an inner scope tube 3, an optical fiber 2, an operation through tube 4, a water inlet through tube 7, a water outlet through tube 8, a first instrument through tube 9 and a second instrument through tube 10, wherein the inner scope tube 3 is fixedly arranged inside the outer scope tube 1, the optical fiber 2 and the operation through tube 4 are fixedly arranged inside the inner scope tube 3, one end of the outer scope tube 1 is fixedly provided with a water inlet through tube 7, a water outlet through tube 8, the first instrument through tube 9 and the second instrument through tube 10, the water inlet through tube 7 is communicated with the inner scope tube 3, the water outlet through tube 8, the first instrument through tube 9 and the second instrument 10 are communicated with the operation through tube 4, the water inlet through tube 7 and the water outlet through tube 8 are obliquely arranged on the surface of the outer scope tube 1, the water inlet through tube 7 and the water outlet through tube 8 are independent channels, and the diameter of the water outlet through tube 7 is larger than that of the water inlet tube 7 The diameter, can form water circulation in the operation region, keep operation region low pressure state, renal pelvis high pressure risk has been avoided appearing, expansion mirror body the place ahead ureter during water injection simultaneously, expose the operation region field of vision, reduce operation region temperature, the device's security has been guaranteed, intake siphunculus 7 and play water siphunculus 8 are relative slope setting, be favorable to intaking and in time with the smooth suction of rubble granule, rubble efficiency has been guaranteed, the water injection passageway and the operation passageway sharing of ureteroscope have been solved, holmium laser rubble is carried out to unable hydrologic cycle and the great calculus of volume of forming, the rubble granule piles up and can not in time clear away the influence operation field of vision, influence the problem of rubble efficiency.
Specifically, the second instrument through pipe 10 is horizontally arranged, and the first instrument through pipe 9 is located below the second instrument through pipe 10.
In this embodiment, the second instrument through pipe 10 is horizontally disposed, the second instrument through pipe 10 is used for holmium laser fiber 2 and an instrument channel inlet, and the first instrument through pipe 9 is used for a zebra guide wire or an insertion port of an ultra-smooth guide wire.
Specifically, the fixed surface of outer mirror tube 1 is provided with light cone 5, light cone 5 sets up perpendicularly in the surface of outer mirror tube 1, the diameter of play water siphunculus 8 is greater than the diameter of intaking siphunculus 7.
In this embodiment, intake siphunculus 7 is independent passageway with play water siphunculus 8, goes out the diameter of water siphunculus 8 and is greater than the diameter of intake siphunculus 7, can form water circulation in the operation region, keeps operation region low pressure state, has avoided appearing renal pelvis high pressure risk, has guaranteed the device's security.
Specifically, the fixed surface of outer lens tube 1 is provided with eyepiece 6, eyepiece 6 slope sets up in the surface of outer lens tube 1, the one end of optic fibre 2 runs through interior lens tube 3 and outer lens tube 1 in proper order and extends to the inside of eyepiece 6.
In this embodiment, the one end of optic fibre 2 runs through interior mirror tube 3 and outer mirror tube 1 in proper order and extends to the inside of eyepiece 6, and optic fibre 2 passes through eyepiece 6 and connects the display, and convenient to use person observes.
Specifically, one end of the water inlet through pipe 7, which is far away from the outer lens tube 1, is movably provided with a connecting pipe 12, and one end of the connecting pipe 12, which is far away from the outer lens tube 1, is movably provided with an injector 13.
In this embodiment, the water inlet mode adopts syringe 13 to carry out the water injection in water inlet siphunculus 7, but is not limited to syringe 13 a mode, according to the user demand, also can use the infusion pump to carry out the water injection, has made things convenient for user's use, expands mirror body front ureter through the water injection, exposes the operation region field of vision, reduces operation region temperature.
Specifically, a calculus collecting bottle 11 is movably arranged at one end, away from the outer lens tube 1, of the water outlet through tube 8, and a rubber sealing plug is movably arranged at one end, away from the outer lens tube 1, of the second instrument through tube 10.
In this embodiment, the leakproofness of second apparatus siphunculus 10 when idle has been guaranteed to the rubber sealing plug, and the pollution abatement goes out water siphunculus 8 and connects calculus receiving flask 11, and the later stage connects the negative pressure suction equipment again, and the drainage tube that the negative pressure was attracted windows about a square centimeter's hole, and medical staff grasps the area of sealing the window through the finger in a flexible way and adjusts the pressure of negative pressure, has made things convenient for user's use.
The working principle and the using process of the invention are as follows: when using, optic fibre 2 passes through eyepiece 6 and connects the display, it is linked together to intake siphunculus 7 and endoscope pipe 3, the mode of intaking adopts syringe 13 to carry out the water injection in intaking siphunculus 7, but not limited to 13 modes of syringe, according to the user demand, also can use the filling pump to carry out the water injection, expand mirror body the place ahead ureter through the water injection, expose the operation region field of vision, reduce the operation region temperature, go out water siphunculus 8 and connect calculus receiving flask 11, the later stage meets negative pressure suction apparatus again, it sets up in the surface of endoscope pipe 1 to intake siphunculus 7 and play water siphunculus 8 are relative slope, be favorable to intaking and in time with the smooth suction of rubble granule, accomplish the operation to.
In summary, the ureteroscope with water circulation is provided with the water inlet through pipe 7 and the water outlet through pipe 8, the water inlet through pipe 7 and the water outlet through pipe 8 are independent channels, the diameter of the water outlet through pipe 8 is larger than that of the water inlet through pipe 7, can form water circulation in the operation area, keep the low pressure state of the operation area, avoid the risk of renal pelvis high pressure, expand mirror body the place ahead ureter during water injection simultaneously, expose the operation area field of vision, reduce operation area temperature, the security of the device has been guaranteed, water inlet siphunculus 7 and water outlet siphunculus 8 are the relative slope setting, be favorable to into water and in time with the smooth suction of rubble granule, rubble efficiency has been guaranteed, the water injection passageway and the operation passageway sharing of ureteroscope have been solved, can't form hydrologic cycle and the great stone holmium laser rubble of going, the rubble granule piles up can not in time clear away the problem that influences the operation field of vision, influence rubble efficiency.
It should be noted that, in this document, terms such as "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (6)

1. But water cycle ureteroscope, including outer mirror tube (1), interior mirror tube (3), optic fibre (2), operation siphunculus (4), water siphunculus (7), play water siphunculus (8), first apparatus siphunculus (9) and second apparatus siphunculus (10), its characterized in that: the fixed interior mirror pipe (3) that is provided with of inside of outer mirror pipe (1), the fixed optic fibre (2) and the operation siphunculus (4) that is provided with in inside of interior mirror pipe (3), the one end of outer mirror pipe (1) is fixed to be provided with into water siphunculus (7), play water siphunculus (8), first apparatus siphunculus (9) and second apparatus siphunculus (10), it is linked together with interior mirror pipe (3) to intake siphunculus (7), play water siphunculus (8), first apparatus siphunculus (9) and second apparatus siphunculus (10) all are linked together with operation siphunculus (4), it sets up in the surface of outer mirror pipe (1) to intake siphunculus (7) and play water siphunculus (8) be relative slope.
2. The hydrocyclable ureteroscope according to claim 1, wherein: the second apparatus through pipe (10) is horizontally arranged, and the first apparatus through pipe (9) is located below the second apparatus through pipe (10).
3. The hydrocyclable ureteroscope according to claim 1, wherein: the surface mounting of outer mirror pipe (1) is provided with light awl (5), light awl (5) set up perpendicularly in the surface of outer mirror pipe (1), the diameter of going out water siphunculus (8) is greater than the diameter of intaking siphunculus (7).
4. The hydrocyclable ureteroscope according to claim 1, wherein: the surface mounting of outer lens pipe (1) is provided with eyepiece (6), eyepiece (6) slope sets up in the surface of outer lens pipe (1), the one end of optic fibre (2) runs through interior lens pipe (3) and outer lens pipe (1) in proper order and extends to the inside of eyepiece (6).
5. The hydrocyclable ureteroscope according to claim 1, wherein: the one end activity that outer mirror tube (1) was kept away from in siphunculus (7) of intaking is provided with connecting pipe (12), the one end activity that outer mirror tube (1) was kept away from in connecting pipe (12) is provided with syringe (13).
6. The hydrocyclable ureteroscope according to claim 1, wherein: one end of the water outlet through pipe (8) far away from the outer lens tube (1) is movably provided with a calculus collecting bottle (11), and one end of the second instrument through pipe (10) far away from the outer lens tube (1) is movably provided with a rubber sealing plug.
CN202010648372.0A 2020-07-07 2020-07-07 Ureteroscope capable of realizing water circulation Pending CN111743623A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010648372.0A CN111743623A (en) 2020-07-07 2020-07-07 Ureteroscope capable of realizing water circulation

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Application Number Priority Date Filing Date Title
CN202010648372.0A CN111743623A (en) 2020-07-07 2020-07-07 Ureteroscope capable of realizing water circulation

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CN111743623A true CN111743623A (en) 2020-10-09

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112156252A (en) * 2020-11-03 2021-01-01 酒全帅 Auxiliary drainage tube in ureter laser lithotripsy
CN114533200A (en) * 2022-03-24 2022-05-27 王静静 Nephrology department calculus removing flusher

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112156252A (en) * 2020-11-03 2021-01-01 酒全帅 Auxiliary drainage tube in ureter laser lithotripsy
CN114533200A (en) * 2022-03-24 2022-05-27 王静静 Nephrology department calculus removing flusher

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