CN112006747B - Coaxial adjusting device of air pressure trajectory stone breaking system - Google Patents
Coaxial adjusting device of air pressure trajectory stone breaking system Download PDFInfo
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- CN112006747B CN112006747B CN202010946829.6A CN202010946829A CN112006747B CN 112006747 B CN112006747 B CN 112006747B CN 202010946829 A CN202010946829 A CN 202010946829A CN 112006747 B CN112006747 B CN 112006747B
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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
- A61B17/22004—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 using mechanical vibrations, e.g. ultrasonic shock waves
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- 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
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- 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
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Abstract
The invention discloses a coaxial adjusting device of an air pressure trajectory stone breaking system. The coaxial adjusting device comprises a first fixing piece, a second fixing piece, a fixing rod and an adjusting mechanism; one end of the first fixing piece is installed on the fixing rod, and the other end of the first fixing piece is detachably installed on a handle of an air pressure ballistic lithotripsy rod; one end of the second fixing piece is arranged on the fixing rod, and the other end of the second fixing piece is detachably arranged on a ureter hard endoscope or a microchannel nephroscope; the adjusting mechanism drives the fixing rod to rotate within an angle range. The invention can ensure that the air pressure trajectory lithotripsy rod and the ureter hard mirror or the micro-channel nephroscope are always on the same axis.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a coaxial adjusting device of an air pressure trajectory lithotripsy system.
Background
Microchannel percutaneous nephrolithotripsy is the most common surgical approach in clinic.
The microchannel percutaneous nephroscope lithotripsy is a method for placing an air pressure ballistic lithotripsy rod into the lithotripsy position through a ureter hard mirror or a microchannel nephroscope, and is popular among the majority of urologists due to high efficiency, low side damage and low cost of the air pressure ballistic lithotripsy.
In percutaneous nephroscope lithotripsy, the left hand of an operator needs to constantly adjust the position of a tearing sheath, and the right hand holds the handle of a ureteroscope or a microchannel nephroscope and an air pressure ballistic lithotripsy rod. Because of the special mechanical construction of the ballistic gravel rod, the handles of the ballistic gravel rod and the pneumatic ballistic gravel rod must be kept in the same line during gravel crushing, otherwise the hand probe is easily broken. However, the lithotripsy probe rod is slender and the ballistic handle is heavy, so that it is difficult for the right hand of an operator to hold the ureteroscope or micro-channel nephroscope body while keeping the ballistic handle and the lithotripsy rod in the same straight line, and therefore the probe rod close to the handle and the handle are not in the same straight line at times in the actual use process, which results in low lithotripsy efficiency and bending and breaking of the probe rod.
Disclosure of Invention
The embodiment of the invention at least discloses a coaxial adjusting device of an air pressure ballistic lithotripsy system. The invention can ensure that the air pressure trajectory lithotripsy rod and the ureter hard mirror or the micro-channel nephroscope are always on the same axis.
In order to achieve the above, the coaxial adjusting device includes: the coaxial adjusting device comprises a first fixing piece, a second fixing piece, a fixing rod and an adjusting mechanism; one end of the first fixing piece is installed on the fixing rod, and the other end of the first fixing piece is detachably installed on a handle of an air pressure ballistic lithotripsy rod; one end of the second fixing piece is arranged on the fixing rod, and the other end of the second fixing piece is detachably arranged on a ureter hard endoscope or a microchannel nephroscope; the adjusting mechanism drives the fixing rod to rotate within an angle range.
In some embodiments of the present disclosure, the fixing rod comprises a first telescopic rod and a second telescopic rod; one end of the first telescopic rod is connected with the adjusting mechanism, and the other end of the first telescopic rod is connected with the second telescopic rod in a sliding mode along the length direction; the first fixing piece is arranged on the first telescopic rod;
the second fixing piece is installed on the second telescopic rod.
In some embodiments of the present disclosure, the first telescopic rod is slidably connected to the adjusting mechanism along a length direction.
In some embodiments of the present disclosure, the first mount and/or the second mount is a dual ferrule assembly; the double-clamp assembly comprises a rod clamp, a working clamp and a fixing bolt; the rod hoop comprises a U-shaped rod hoop, a first rod transverse plate and a second rod transverse plate, wherein the first rod transverse plate and the second rod transverse plate are connected to two ends of the U-shaped rod hoop; the working hoop comprises a U-shaped working hoop, a first working transverse plate and a second working transverse plate, wherein the first working transverse plate and the second working transverse plate are connected to two ends of the U-shaped working hoop; the fastening of pole clamp is in the dead lever, first pole diaphragm is near first work diaphragm, the second pole diaphragm is near second work diaphragm, fixing bolt connects gradually first pole diaphragm, second pole diaphragm, first work diaphragm and second work diaphragm.
In some embodiments of the present disclosure, the adjusting mechanism includes an adjusting platform, and an adjusting block and a circumferential limiting component mounted on the adjusting platform; the adjusting block is coaxially connected with the fixed rod; the circumferential limiting assembly drives the fixed rod to move along an arc on the adjusting platform.
In some embodiments of the present disclosure, the circumferential limiting assembly includes a roller set, an arc plate, and a driving member; the roller group constructs an arc-shaped channel for limiting the motion of the arc-shaped plate on the adjusting platform; the driving piece drives the arc-shaped plate to move in the arc-shaped channel; the arc-shaped plate is provided with the adjusting block.
In some embodiments of the present disclosure, the set of turning rolls includes a first turning roll, a second turning roll, a third turning roll, and a fourth turning roll; the first rotating roller and the second rotating roller are clamped on two sides of one end of the arc-shaped plate; the third rotating roller and the fourth rotating roller are clamped on two sides of the other end of the arc-shaped plate.
In some embodiments of the present disclosure, the circumferential stop assembly comprises a locking assembly; the locking assembly locks the arc-shaped plate on the adjusting platform.
In some embodiments disclosed in the present invention, the other end of the adjusting block opposite to the fixing rod is provided with a moving groove along the length direction; the driving piece comprises a driving block, a driving rod and a push rod;
one end of the driving rod is connected with the driving block, and the other end of the driving rod penetrates through the moving groove; the pushing rod pushes the driving block vertically to the length direction of the fixing rod.
In some embodiments of the present disclosure, the adjusting mechanism includes a reference platform and an angle limiting member; the reference platform is hinged with the adjusting platform; the angle limiting part limits the included angle between the reference platform and the adjusting platform.
In view of the above, other features and advantages of the disclosed exemplary embodiments will become apparent from the following detailed description of the disclosed exemplary embodiments, which proceeds with reference to the accompanying drawings.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
FIG. 1 is a block diagram of a coaxial adjustment device;
FIG. 2 is a detail view of the first fastener;
FIG. 3 is a top view of FIG. 1;
fig. 4 is a detail view of the coaxial adjusting device.
The attached drawings are marked as follows:
110. a first telescopic rod; 120. a second telescopic rod; 210. a first fixing member; 220. a second fixing member; 211. working hoop; 2111. a U-shaped working hoop; 2112. a first working transverse plate; 2113. a second working transverse plate; 212. a rod clamp; 2121. a U-shaped rod ferrule; 2122. a first bar cross plate; 2123. a second bar cross plate; 213. fixing the bolt; 300. an adjustment mechanism; 310. adjusting the platform; 321. a first rotating roller; 322. a second rotating roller; 323. a third roller; 324. a fourth rotating roller; 330. an adjusting block; 340. an arc-shaped plate; 350. locking the bolt; 410. a motion groove; 420. a drive block; 430. a drive rod; 441. a push rod; 442. a pushing table; 510. a graduated rod; 520. a scale bar.
Detailed Description
Reference will now be made in detail to the embodiments, examples of which are illustrated in the accompanying drawings. In the following detailed description, numerous specific details are set forth in order to provide a thorough understanding of various described embodiments. It will be apparent, however, to one skilled in the art that the various described embodiments may be practiced without these specific details. In other instances, well-known methods, procedures, components, circuits, and networks have not been described in detail as not to unnecessarily obscure aspects of the embodiments.
The terminology used in the description of the various described embodiments herein is for the purpose of describing particular embodiments only and is not intended to be limiting. As used in the description of the various embodiments and the appended claims, the singular forms "a," "an," and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will also be understood that the term "and/or" as used herein refers to and encompasses any and all possible combinations of one or more of the associated listed items. It will be further understood that the terms "comprises," "comprising," "includes," and/or "including," when used in this specification, specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof.
The embodiment discloses a coaxial adjusting device of an air pressure ballistic lithotripsy system. The coaxial adjusting device includes a first fixing member 210, a second fixing member 220, a fixing rod and an adjusting mechanism 300.
Referring to fig. 1, the fixing rod of the present embodiment is composed of a first telescopic rod 110 and a second telescopic rod 120, and the first telescopic rod 110 and the second telescopic rod 120 are relatively slid or locked in the length direction.
Optionally, the first telescopic rod 110 and the second telescopic rod 120 are sleeved in the length direction and locked by a bean jumping spring; or the first telescopic rod 110 and the second telescopic rod 120 are screwed in the length direction, which is not limited herein. Meanwhile, the first telescopic rod 110 can slide in a linear direction relative to the adjusting mechanism 300, and the sliding of the first telescopic rod 110 relative to the adjusting mechanism 300 can be realized by the threaded connection of the first telescopic rod 110 and a part of the adjusting mechanism, or by a pneumatic mode.
Specifically, fig. 2 shows the first attachment member 210 as a first double yoke assembly. The first double yoke assembly includes a lever yoke 212, a work yoke 211, and a fixing bolt 213; the rod clip 212 includes a U-shaped rod clip ring 2121, and a first rod cross plate 2122 and a second rod cross plate 2123 connected to two ends of the U-shaped rod clip ring 2121. The working hoop 211 comprises a U-shaped working hoop 2111 and a first working transverse plate 2112 and a second working transverse plate 2113 which are connected to two ends of the U-shaped working hoop 2111; the lever clip 212 is fastened to the first telescoping lever 110 with the first lever cross plate 2122 abutting the inner side of the first operating cross plate 2112 and the second lever cross plate 2123 abutting the inner side of the second operating cross plate 2113. Through holes are formed in the first working transverse plate 2112, the first rod transverse plate 2122, the second rod transverse plate 2123 and the second working transverse plate 2113, and a screw of the fixing bolt 213 sequentially penetrates through the through holes of the first working transverse plate 2112, the first rod transverse plate 2122, the second rod transverse plate 2123 and the second working transverse plate 2113 and is locked with a nut.
Meanwhile, the second fixing member 220 is a second double yoke assembly having the same structure as the first double yoke assembly. The rod clamp 212 of the second dual clamp assembly is fastened to the first telescoping rod 110.
Then in implementing the coaxial adjustment mechanism, this embodiment fastens the handle of the pneumatic ballistic lithotripter rod to the working clip 211 of the first dual clip assembly and the ureteroscope or microchannel nephroscope to the working clip 211 of the second dual clip assembly. The two working clamps 211 are kept coaxial during the installation, so that the pneumatic ballistic lithotripsy rod and the ureteroscope or micro-channel nephroscope can be kept coaxial during the operation.
Further, the working clip 211 of the first dual clip assembly can be replaced according to the maximum diameter of a different ureteroscope or microchannel nephroscope. The working clamp 211 of the second double clamp assembly can be replaced according to the maximum diameter of the handle of different pneumatic ballistic lithotripters.
Referring to fig. 3, the adjusting mechanism 300 of the present embodiment includes an adjusting platform 310, a reference platform, an adjusting block 330, and a circumferential limiting component.
The adjusting platform 310 is provided with an adjusting block 330 and a circumferential limiting component, the other end of the first telescopic rod 110 opposite to the second telescopic rod 120 is connected with the adjusting block 330, and the circumferential limiting component can drive the adjusting block 330 to move along an arc on the adjusting platform 310.
Specifically, the circumferential limiting assembly comprises a roller set and an arc-shaped plate 340 for installing the adjusting block 330. The roller group comprises a first roller 321, a second roller 322, a third roller 323 and a fourth roller 324 which are vertically arranged on the adjusting platform 310, and the rotating planes of the four rollers are parallel to the adjusting platform 310. The first rotating roller 321 and the second rotating roller 322 are clamped at two sides of one end of the arc-shaped plate 340, and the third rotating roller 323 and the fourth rotating roller 324 are clamped at two sides of the other end of the arc-shaped plate 340. The first, second, third and fourth rollers 321, 322, 323, 324 are able to create an arcuate path that limits the movement of the arcuate plate 340. Then the arcuate plate 340 is able to reciprocally displace within the arcuate channel as it is driven.
Further, the circumferential limiting component in this embodiment includes a locking component. The locking assembly includes a locking bolt 350, and the adjusting platform 310 and the arc plate 340 are respectively provided with an arc slot for the locking bolt 350 to pass through, so that the locking bolt 350 passes through the arc slots of the adjusting platform 310 and the arc plate 340, and then the adjusting platform 310 and the arc plate 340 are locked with each other, so that the first telescopic rod 110 and the second telescopic rod 120 are limited at an angle relative to the adjusting platform 310.
Referring to fig. 4, the circumferential limiting assembly of the present embodiment includes a driving member, and the driving member drives the arc plate 340 to reciprocate in the arc channel. The adjusting block 330 of this embodiment has a moving slot 410 formed at the other end of the first telescopic rod 110 along the length direction. The driving member includes a driving block 420, a driving rod 430, and a push rod 441. One end of the driving rod 430 is connected to the driving block 420, and the other end passes through the moving slot 410. The push rod 441 is a push screw rod, and the push screw rod is in threaded connection with the driving block 420 in a direction perpendicular to the length direction of the first telescopic rod 110.
When the pushing screw rod is erected on a pushing platform 442 and rotates, the first telescopic rod 110 and the second telescopic rod 120 rotate along with the arc-shaped plate 340, so that the pneumatic ballistic lithotripsy and ureteroscope or microchannel nephroscope rotates.
Preferably, the adjustment platform 310 is provided with a graduated rod 510 and a graduated strip 520. The scale bar 510 is installed at the driving block 420 and vertically downward. Then the dial shaft 510 points to a different scale position on the scale bar 520 as the dial shaft 510 is displaced with the drive block 420.
Preferably, the adjusting platform 310 and the reference platform are connected by a hinge, and the adjusting platform 310 and the reference platform can be locked at different angles by an angle limiting member. The angle limiting member includes an arc-shaped bracket, the arc-shaped bracket is provided with a plurality of through holes, and the side surfaces of the reference platform and the adjusting platform 310 are fixed to the arc-shaped bracket through screws respectively.
The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention, and various modifications and changes will occur to those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (8)
1. A coaxial adjusting device of an air pressure ballistic lithotripsy system, which is characterized in that,
the coaxial adjusting device comprises a first fixing piece, a second fixing piece, a fixing rod and an adjusting mechanism;
one end of the first fixing piece is installed on the fixing rod, and the other end of the first fixing piece is detachably installed on a handle of an air pressure ballistic lithotripsy rod;
one end of the second fixing piece is arranged on the fixing rod, and the other end of the second fixing piece is detachably arranged on a ureter hard endoscope or a microchannel nephroscope;
the adjusting mechanism drives the fixed rod to rotate within an angle range;
the fixed rod comprises a first telescopic rod and a second telescopic rod;
one end of the first telescopic rod is connected with the adjusting mechanism, and the other end of the first telescopic rod is connected with the second telescopic rod in a sliding mode along the length direction;
the first fixing piece is arranged on the first telescopic rod;
the second fixing piece is arranged on the second telescopic rod;
the first telescopic rod is connected with the adjusting mechanism in a sliding mode along the length direction.
2. The coaxial adjustment device of the air pressure ballistic lithotripsy system of claim 1,
the first fixing piece and/or the second fixing piece are/is a double-hoop assembly;
the double-clamp assembly comprises a rod clamp, a working clamp and a fixing bolt;
the rod hoop comprises a U-shaped rod hoop, a first rod transverse plate and a second rod transverse plate, wherein the first rod transverse plate and the second rod transverse plate are connected to two ends of the U-shaped rod hoop;
the working hoop comprises a U-shaped working hoop, a first working transverse plate and a second working transverse plate, wherein the first working transverse plate and the second working transverse plate are connected to two ends of the U-shaped working hoop;
the fastening of pole clamp is in the dead lever, first pole diaphragm is near first work diaphragm, the second pole diaphragm is near second work diaphragm, fixing bolt connects gradually first pole diaphragm, second pole diaphragm, first work diaphragm and second work diaphragm.
3. The coaxial adjustment device of the air pressure ballistic lithotripsy system of claim 1,
the adjusting mechanism comprises an adjusting platform, an adjusting block and a circumferential limiting assembly, wherein the adjusting block and the circumferential limiting assembly are mounted on the adjusting platform;
the adjusting block is coaxially connected with the fixed rod;
the circumferential limiting assembly drives the fixed rod to move along an arc on the adjusting platform.
4. The coaxial adjustment device of the air pressure ballistic lithotripsy system of claim 3,
the circumferential limiting assembly comprises a roller set, an arc-shaped plate and a driving piece;
the roller group constructs an arc-shaped channel for limiting the motion of the arc-shaped plate on the adjusting platform;
the driving piece drives the arc-shaped plate to move in the arc-shaped channel;
the arc-shaped plate is provided with the adjusting block.
5. The coaxial adjustment device of the air pressure ballistic lithotripsy system of claim 4,
the roller group comprises a first roller, a second roller, a third roller and a fourth roller;
the first rotating roller and the second rotating roller are clamped on two sides of one end of the arc-shaped plate;
the third rotating roller and the fourth rotating roller are clamped on two sides of the other end of the arc-shaped plate.
6. The coaxial adjustment device of a pneumatic ballistic lithotripsy system of claim 5,
the circumferential limiting assembly comprises a locking assembly;
the locking assembly locks the arc-shaped plate on the adjusting platform.
7. The coaxial adjustment device of the air pressure ballistic lithotripsy system of claim 4,
the other end of the adjusting block, which is opposite to the fixed rod, is provided with a moving groove along the length direction;
the driving piece comprises a driving block, a driving rod and a push rod;
one end of the driving rod is connected with the driving block, and the other end of the driving rod penetrates through the moving groove;
the pushing rod pushes the driving block vertically to the length direction of the fixing rod.
8. The coaxial adjustment device of the air pressure ballistic lithotripsy system of claim 3,
the adjusting mechanism comprises a reference platform and an angle limiting piece;
the reference platform is hinged with the adjusting platform;
the angle limiting part limits the included angle between the reference platform and the adjusting platform.
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010946829.6A CN112006747B (en) | 2020-09-10 | 2020-09-10 | Coaxial adjusting device of air pressure trajectory stone breaking system |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010946829.6A CN112006747B (en) | 2020-09-10 | 2020-09-10 | Coaxial adjusting device of air pressure trajectory stone breaking system |
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| CN112006747B true CN112006747B (en) | 2021-07-06 |
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| US10575716B2 (en) * | 2012-05-11 | 2020-03-03 | Ethicon Llc | Applicator instruments with imaging systems for dispensing surgical fasteners during open repair procedures |
| WO2015033905A1 (en) * | 2013-09-03 | 2015-03-12 | 富士フイルム株式会社 | Endoscopic surgical device and outer sleeve |
| CN204951137U (en) * | 2015-08-26 | 2016-01-13 | 新疆医科大学第二附属医院 | Moulding device of bone cement |
| CN108263696B (en) * | 2018-02-20 | 2019-10-29 | 吕志超 | A kind of ham sausage goes to casing robot |
| CN211355630U (en) * | 2019-12-12 | 2020-08-28 | 湖北六七二中西医结合骨科医院 | Set of intervertebral foramen mirror surgical devices |
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Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2810619A1 (en) * | 2007-05-15 | 2014-12-10 | JenaValve Technology GmbH | Handle for manipulating a catheter tip, catheter system and medical insertion system for inserting a self-expandable heart valve stent |
| CN204890765U (en) * | 2015-08-19 | 2015-12-23 | 合肥德铭电子有限公司 | Clear drainage apparatus of creating of downright bad kitchen of acute severe pancreatitis |
| CN108686294A (en) * | 2018-06-13 | 2018-10-23 | 安徽中医药大学第二附属医院（安徽省针灸医院） | A kind of nasal feeding device for feeding |
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