CN111904541A - Capsule ureteroscope and operation method - Google Patents
Capsule ureteroscope and operation method Download PDFInfo
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- CN111904541A CN111904541A CN202010934835.XA CN202010934835A CN111904541A CN 111904541 A CN111904541 A CN 111904541A CN 202010934835 A CN202010934835 A CN 202010934835A CN 111904541 A CN111904541 A CN 111904541A
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- capsule
- guide wire
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- renal pelvis
- ureteroscope
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- 239000002775 capsule Substances 0.000 title claims abstract description 72
- 238000000034 method Methods 0.000 title claims abstract description 22
- 210000000244 kidney pelvis Anatomy 0.000 claims abstract description 39
- 210000000626 ureter Anatomy 0.000 claims abstract description 16
- 241001164374 Calyx Species 0.000 claims abstract description 6
- 230000036407 pain Effects 0.000 abstract description 3
- 239000004575 stone Substances 0.000 description 5
- 238000012544 monitoring process Methods 0.000 description 2
- 238000011017 operating method Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 229910052689 Holmium Inorganic materials 0.000 description 1
- 208000000913 Kidney Calculi Diseases 0.000 description 1
- 206010029148 Nephrolithiasis Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- KJZYNXUDTRRSPN-UHFFFAOYSA-N holmium atom Chemical compound [Ho] KJZYNXUDTRRSPN-UHFFFAOYSA-N 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
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- 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
-
- 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
- A61B1/04—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 combined with photographic or television appliances
- A61B1/041—Capsule endoscopes for imaging
-
- 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
- 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
- A61B2017/22072—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 with an instrument channel, e.g. for replacing one instrument by the other
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Physics & Mathematics (AREA)
- Radiology & Medical Imaging (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Optics & Photonics (AREA)
- Urology & Nephrology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Vascular Medicine (AREA)
- Endoscopes (AREA)
Abstract
The invention relates to the technical field of medical instruments, in particular to a capsule ureteroscope and an operation method thereof. This capsule ureteroscope includes: ultra-smooth guide wires, capsule mirrors, push tubes and monitors; one end of the ultra-smooth guide wire is arranged in the renal pelvis; one end of the push tube is provided with a capsule mirror, and the push tube is arranged in the renal pelvis in a channel formed in the renal pelvis along the ultra-smooth guide wire; the monitor is disposed on the capsule tube. The operation method comprises the following steps: placing an ultra-smooth guide wire in the ureter under the cystoscope; installing a capsule mirror along the guide wire; pushing the capsule lens into the ureter along the guide wire by using a push tube for examination and treatment; after entering the renal pelvis, the remote control technology is used for checking and treating the renal calyx condition in the renal pelvis; after the examination and treatment are finished, the capsule lens, the guide wire and the capsule lens are pulled out of the body, and the treatment process is finished. The capsule ureteroscope and the operation method have the characteristics of reducing operation steps and relieving the pain of a patient.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a capsule ureteroscope.
Background
The ureter soft lens operation is an important operation mode for treating kidney stones and ureter upper segment stones. The soft ureteroscope operation generally needs to place the double J-tube for 1-2 weeks in advance. The specific operation steps are that after the anesthesia is effective, the ureter hard mirror is used to enter the bladder in a visible state, the double J-shaped tube which is kept in advance is pulled out, a guide wire is placed in the ureter, and the hard mirror is withdrawn. And (3) putting the ureter soft lens guiding sheath under the guide of the guide wire to the renal pelvis, pulling out the guiding sheath core, and establishing a channel for the soft lens operation. And putting a ureter soft lens to the renal pelvis through the guide sheath, checking each kidney, and performing stone breaking and stone basket stone extraction by using holmium laser after finding out stones. And finally, withdrawing the soft lens and the outer sheath, reserving the double J tubes, reserving the catheterization, and finishing the soft lens operation.
The operation steps of the ureter soft lens operation bring great pain to patients.
Disclosure of Invention
The first purpose of the invention is to provide a capsule ureteroscope which can reduce the operation steps of a soft ureteroscope operation and reduce the pain of a patient;
the second purpose of the invention is to provide an operation method of a capsule ureteroscope, aiming at solving the problem of multiple operation steps of ureteroscope operation.
The invention provides a capsule ureteroscope, comprising: ultra-smooth guide wires, capsule mirrors, push tubes and monitors; one end of the ultra-smooth guide wire is arranged in the renal pelvis; one end of the push tube is provided with a capsule mirror, and the push tube is arranged in the renal pelvis in a channel formed in the renal pelvis along the ultra-smooth guide wire; the monitor is disposed on the capsule tube.
Wherein the length of the ultra-smooth guide wire is 0.8-1.2m, and the diameter is 1.5-2.5 mm; the outer diameter of the capsuloscope is larger than the diameter of the ultra-smooth guide wire, the length of the capsuloscope is 0.8-1.2cm, and the diameter of the capsuloscope is 1.5-2.5 mm.
Wherein, the monitor arranged on the capsule mirror is connected with an external controller through wires or wireless.
When an operation channel is arranged in the ultra-smooth guide wire, a light source is arranged at one end of the ultra-smooth guide wire arranged in the renal pelvis, and a circuit for supplying power to the light source is arranged in the channel.
The capsule mirror is arranged at one end of the ultra-smooth guide wire, and the capsule mirror is arranged in the renal pelvis together with the ultra-smooth guide wire.
Wherein the controller controls the monitor to rotate.
The monitor is movably connected with the front end of the ultra-smooth guide wire, and the line is connected with the monitor and supplies power to the monitor.
A method for operating a capsule ureteroscope comprises the following operating methods:
the method comprises the following steps: placing an ultra-smooth guide wire in the ureter under the cystoscope;
step two: installing a capsule mirror along the guide wire;
step three: pushing the capsule lens into the ureter along the guide wire by using a push tube for examination and treatment;
step four: after entering the renal pelvis, the remote control technology is used for checking and treating the renal calyx condition in the renal pelvis;
step five: after the examination and treatment are finished, the capsule lens, the guide wire and the capsule lens are pulled out of the body, and the treatment process is finished.
When a channel is arranged in the ultra-smooth guide wire, the operation steps are as follows:
the method comprises the following steps: one end of the ultra-smooth guide wire with the light source and the capsuloscope is arranged in the renal pelvis;
step two: the monitor is controlled by the controller to work to examine and treat the renal calyx in the renal pelvis.
Further, after the renal pelvis is checked and treated, the guide wire capsule mirror is pulled out of the body to finish the treatment.
The capsule ureteroscope has the beneficial effects that: the push tube is arranged outside the ultra-smooth guide wire, the capsule endoscope is arranged in the renal pelvis along the ultra-smooth guide wire through the push tube after the ultra-smooth guide wire reaches a designated position, and the renal pelvis is monitored through the monitor arranged on the capsule endoscope.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
FIG. 1 is a cross-sectional view of a super-lubricious guidewire for a capsule ureteroscope of the present invention;
fig. 2 is a side view of a super-lubricious guidewire for a capsule ureteroscope of the present invention.
Description of reference numerals:
1: an ultra-smooth guidewire; 2: a capsule mirror; 3: the channel is operated.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the following embodiments, and it should be understood that the described embodiments are some, but not all, embodiments of the present invention. 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.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like, indicate orientations and positional relationships based on those shown in the drawings, and are used only for convenience of description and simplicity of description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be considered as limiting the present invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, features defined as "first", "second", may explicitly or implicitly include one or more of the described features. In the description of the present invention, "a plurality" means two or more unless specifically defined otherwise. Furthermore, the terms "mounted," "connected," and "connected" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Referring to fig. 1 and 2, a capsule ureteroscope comprising: the device comprises an ultra-smooth guide wire 1, a capsule mirror 2, a push tube and a monitor; one end of the ultra-smooth guide wire 1 is arranged in the renal pelvis; one end of the push tube is provided with a capsule mirror 2, and the push tube places the capsule mirror 2 in the renal pelvis in a channel formed in the renal pelvis along the ultra-smooth guide wire 1; the monitor is disposed on the capsule tube.
Specifically, the length of the ultra-smooth guide wire 1 is 0.8-1.2m, and the diameter is 1.5-2.5 mm; the outer diameter of the capsuloscope 2 is larger than the diameter of the ultra-smooth guide wire 1, the length of the capsuloscope 2 is 0.8-1.2cm, and the diameter of the capsuloscope 2 is 1.5-2.5 mm.
The super-smooth guide wire 1 is a medical hydrophilic super-smooth guide wire 1.
The capsule mirror 2 is the medical capsule mirror 2 that the outer wall is super-slippery, and camera system is clear, image transmission is stable, and the image can be transmitted to the TV screen in real time, and the operation is accurate, nimble.
Specifically, the monitor provided on the capsule mirror 2 is connected to an external controller by wire or wireless.
Specifically, when an operation channel 3 is arranged in the ultra-smooth guide wire 1, a light source is arranged at one end of the ultra-smooth guide wire 1 arranged in the renal pelvis, and a circuit for supplying power to the light source is arranged in the channel.
When the ultra-smooth guide wire 1 is internally provided with the operation channel 3, the operation channel 3 is used for supplying power to the light source. It is within the skill of the art that the light source is a conventional light source capable of powering the monitor.
Specifically, the capsule mirror 2 is arranged at one end of the ultra-smooth guide wire 1, and the capsule mirror 2 is arranged in the renal pelvis along with the ultra-smooth guide wire 1; the push tube is not arranged outside the ultra-smooth guide wire 1.
Because the ultra-smooth guide wire 1 is internally provided with the operation channel 3, the capsule mirror 2 is arranged at one end of the ultra-smooth guide wire 1, the operation channel 3 is axially arranged in the operation channel 3 along the ultra-smooth guide wire 1, and a power supply circuit arranged in the operation channel 3 supplies power to the capsule mirror 2 and the monitor.
Specifically, the controller controls the monitor to rotate.
The monitor is a miniature monitor, such as the following patent numbers: 201720400234.4, patent name: a miniature monitor for use in a visible cricothyroid needle.
The monitor can be controlled by a conventional controller to rotate in direction and monitor multiple angles.
Specifically, the monitor is movably connected with the front end of the ultra-smooth guide wire 1, and the line is connected with the monitor and supplies power to the monitor.
The monitor is movably connected with the ultra-smooth guide wire 1, so that the monitoring range of the monitor is increased.
A method for operating a capsule ureteroscope comprises the following operating methods:
the method comprises the following steps: placing an ultra-smooth guide wire in the ureter under the cystoscope;
step two: installing a capsule mirror along the guide wire;
step three: pushing the capsule lens into the ureter along the guide wire by using a push tube for examination and treatment;
step four: after entering the renal pelvis, the remote control technology is used for checking and treating the renal calyx condition in the renal pelvis;
step five: after the examination and treatment are finished, the capsule lens, the guide wire and the capsule lens are pulled out of the body, and the treatment process is finished.
Specifically, when a channel is arranged in the ultra-smooth guide wire 1, the operation steps are as follows:
the method comprises the following steps: the ultra-smooth guide wire 1 is placed in the ureter under a cystoscope (conventional structure), and one end of the ultra-smooth guide wire 1 with a light source and a capsuloscope 2 is placed in the renal pelvis, so that the follow-up monitoring is facilitated;
step two: the monitor is controlled by the controller outside the body to work, and the monitor feeds back the conditions of examination and treatment of the renal calyces in the renal pelvis to the special equipment.
Step three: after the renal pelvis is checked and treated, the guide wire capsule mirror 2 is pulled out of the body to finish the treatment.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; and the modifications or the substitutions do not make the essence of the corresponding technical solutions depart from the scope of the technical solutions of the embodiments of the present invention.
Claims (10)
1. A capsule ureteroscope, comprising: ultra-smooth guide wires, capsule mirrors, push tubes and monitors; one end of the ultra-smooth guide wire is arranged in the renal pelvis; one end of the push tube is provided with a capsule mirror, and the push tube is arranged in the renal pelvis in a channel formed in the renal pelvis along the ultra-smooth guide wire; the monitor is disposed on the capsule tube.
2. The capsule ureteroscope according to claim 1, wherein the ultra-smooth guide wire has a length of 0.8-1.2m and a diameter of 1.5-2.5 mm; the outer diameter of the capsuloscope is larger than the diameter of the ultra-smooth guide wire, the length of the capsuloscope is 0.8-1.2cm, and the diameter of the capsuloscope is 1.5-2.5 mm.
3. The capsule ureteroscope according to claim 1, wherein a monitor provided on the capsule ureteroscope is connected with an external controller through a wire or a wireless.
4. The capsule ureteroscope according to claim 3, wherein when an operation channel is provided in the ultra-smooth guide wire, a light source is provided at one end of the ultra-smooth guide wire placed in the renal pelvis, and a power supply circuit of the light source is provided in the channel.
5. The capsule ureteroscope according to claim 4, wherein the capsule ureteroscope is disposed at one end of a super-slippery guidewire and the capsule scope is disposed at one end of the super-slippery guidewire, the capsule scope being placed in the renal pelvis along with the super-slippery guidewire.
6. The capsule ureteroscope according to claim 5, wherein the controller controls the monitor to rotate.
7. The capsule ureteroscope according to claim 6, wherein the monitor is movably connected to the front end of the ultra-smooth guide wire, and the wire is connected to the monitor and supplies power to the monitor.
8. A method of operating a capsule ureteroscope, including any of claims 1-7, comprising the steps of:
the method comprises the following steps: placing an ultra-smooth guide wire in the ureter under the cystoscope;
step two: installing a capsule mirror along the guide wire;
step three: pushing the capsule lens into the ureter along the guide wire by using a push tube for examination and treatment;
step four: after entering the renal pelvis, the remote control technology is used for checking and treating the renal calyx condition in the renal pelvis;
step five: after the examination and treatment are finished, the capsule lens, the guide wire and the capsule lens are pulled out of the body, and the treatment process is finished.
9. The method for operating a capsule ureteroscope according to claim 8, wherein when a channel is formed in the ultra-smooth guide wire, the method comprises the following steps:
the method comprises the following steps: one end of the ultra-smooth guide wire with the light source and the capsuloscope is arranged in the renal pelvis;
step two: the monitor is controlled by the controller to work to examine and treat the renal calyx in the renal pelvis.
10. The method of claim 9, wherein after the examination and treatment of the renal pelvis, the guide-wire cystoscope is pulled out of the body to complete the treatment.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010934835.XA CN111904541A (en) | 2020-09-08 | 2020-09-08 | Capsule ureteroscope and operation method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010934835.XA CN111904541A (en) | 2020-09-08 | 2020-09-08 | Capsule ureteroscope and operation method |
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| CN111904541A true CN111904541A (en) | 2020-11-10 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202010934835.XA Pending CN111904541A (en) | 2020-09-08 | 2020-09-08 | Capsule ureteroscope and operation method |
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20150265298A1 (en) * | 2014-03-21 | 2015-09-24 | Terumo Kabushiki Kaisha | Calculus retrieving/removing device and method |
| CN104941050A (en) * | 2015-07-24 | 2015-09-30 | 东莞市益峰电子科技有限公司 | Double-J tube suite |
| CN108066884A (en) * | 2018-01-09 | 2018-05-25 | 广州市番禺区中心医院 | Ureteral catheter and its application method with sacculus |
| CN110811525A (en) * | 2019-04-29 | 2020-02-21 | 珠海市司迈科技有限公司 | Ureter pyeloscope system and implantation method thereof |
| CN212521916U (en) * | 2020-09-08 | 2021-02-12 | 北京成信盛达科技有限责任公司 | Capsule ureteroscope |
-
2020
- 2020-09-08 CN CN202010934835.XA patent/CN111904541A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20150265298A1 (en) * | 2014-03-21 | 2015-09-24 | Terumo Kabushiki Kaisha | Calculus retrieving/removing device and method |
| CN104941050A (en) * | 2015-07-24 | 2015-09-30 | 东莞市益峰电子科技有限公司 | Double-J tube suite |
| CN108066884A (en) * | 2018-01-09 | 2018-05-25 | 广州市番禺区中心医院 | Ureteral catheter and its application method with sacculus |
| CN110811525A (en) * | 2019-04-29 | 2020-02-21 | 珠海市司迈科技有限公司 | Ureter pyeloscope system and implantation method thereof |
| CN212521916U (en) * | 2020-09-08 | 2021-02-12 | 北京成信盛达科技有限责任公司 | Capsule ureteroscope |
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