CN112545436A - Flexible bendable electronic nephroscope for percutaneous nephroscope operation - Google Patents

Flexible bendable electronic nephroscope for percutaneous nephroscope operation Download PDF

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Publication number
CN112545436A
CN112545436A CN202011407776.7A CN202011407776A CN112545436A CN 112545436 A CN112545436 A CN 112545436A CN 202011407776 A CN202011407776 A CN 202011407776A CN 112545436 A CN112545436 A CN 112545436A
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nephroscope
lateral wall
hose
gear
fixed
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CN202011407776.7A
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CN112545436B (en
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孟祥军
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Dongguan Peoples Hospital
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Dongguan Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • A61B1/0052Constructional details of control elements, e.g. handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/012Instruments 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 characterised by internal passages or accessories therefor
    • A61B1/018Instruments 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 characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/04Instruments 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/06Instruments 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 with illuminating arrangements

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Optics & Photonics (AREA)
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  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
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  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

The application discloses a soft flexible electron nephroscope for percutaneous nephroscope operation, including casing and adjusting device, transfer to device and connecting device, adjusting device is including seting up the screw at casing one end lateral wall, the one end of the inside threaded connection screw rod of screw, the inside sliding connection fly leaf of casing, the rotation axis is installed to the one end lateral wall of fly leaf, the one end lateral wall of casing is opened there is the connecting hole, the one end of screw rod is rotated and is connected the fly leaf, the other end of screw rod runs through screw and fixed connection handle, transfer to the device and include the adapter sleeve of threaded connection inside the connecting hole, the one end lateral wall of the fixed pipe of one end lateral wall fixed connection of adapter sleeve, the one end of the one end lateral wall fixed connection connecting pipe of fixed pipe, the inside of connecting. The damage to the human body is less, the great damage to the human body is avoided, the illumination lamp made by the cold light source on one side of the connector is clearer, and the risk of the damage to the human body organ is effectively reduced.

Description

Flexible bendable electronic nephroscope for percutaneous nephroscope operation
Technical Field
The application relates to a bendable electronic nephroscope, in particular to a soft bendable electronic nephroscope for percutaneous nephroscope surgery.
Background
At present, no clinical literature report that similar equipment is used independently or is used together with a rigid nephroscope exists at home and abroad, a single-channel or multi-channel percutaneous nephroscope operation is generally performed by the rigid nephroscope at home and abroad, and a small number of large hospitals use fiber nephroscopes, soft fiber uretero-nephroscopes or soft electronic uretero-nephroscopes (all imported products) to perform nephrolithiasis operation through ureters, or use the soft fiber or soft electronic uretero-nephroscope and the rigid nephroscope together to perform the transureteral soft ductal nephroscope and rigid nephroscope percutaneous nephroscope operation.
Traditional percutaneous nephroscope adopts the optical system that miniature lenticular lens arranged to reach the image, and the definition of image receives certain restriction, along with the deep development of percutaneous nephroscope operation, traditional percutaneous nephroscope adopts rigid nephroscope usually, and inconvenient stretching into is inside human organ, and can not be fine detect inside the organ, and harder electron nephroscope harms human organ easily, and current electron nephroscope length is certain, inconvenient use and regulation. Therefore, a soft bendable electronic nephroscope for percutaneous nephroscope surgery is proposed to address the above problems.
Disclosure of Invention
A soft bendable electronic nephroscope used for percutaneous nephroscope operation comprises a shell, an adjusting device, a direction adjusting device and a connecting device;
the adjusting device comprises a screw hole formed in the side wall of one end of the shell, the inside of the screw hole is in threaded connection with one end of a screw rod, the inside of the shell is in sliding connection with a movable plate, a rotating shaft is mounted on the side wall of one end of the movable plate, a connecting hole is formed in the side wall of one end of the shell, one end of the screw rod is rotatably connected with the movable plate, the other end of the screw rod penetrates through the screw hole and is fixedly connected with a handle, and a laser inlet is formed in the center;
the direction adjusting device comprises a connecting sleeve which is in threaded connection with the inside of the connecting hole, the side wall of one end of the connecting sleeve is fixedly connected with the side wall of one end of the fixed pipe, the side wall of one end of the fixed pipe is fixedly connected with one end of the connecting pipe, and an adjusting groove is formed in the connecting pipe;
the connecting device comprises a movable sleeve which is slidably connected inside the adjusting groove, one end of one end side wall of the movable sleeve is fixedly connected with one end of the first hose, the other end of the first hose is fixedly connected with one end of the fixing block, and one end side wall of the fixing block is fixedly connected with one end side wall of the second hose.
Furthermore, the lateral wall of the two ends of the inside of the shell is provided with guide grooves, the inside of each guide groove is slidably connected with a guide block, the guide blocks and the guide grooves are rectangular, one end of each guide block is fixedly connected with the lateral wall of one end of the movable plate, the number of the guide blocks is two, and the guide blocks are symmetrically distributed on the lateral walls of the two ends of the movable plate.
Further, the number of the rotating shafts is two, two rolling wheels are sleeved on the outer sides of the rotating shafts, the number of the rolling wheels is two, the top ends of the rolling wheels are fixedly connected with a first gear and a second gear respectively, and the first gear and the second gear are connected to one side of the movable plate through rotation of the rotating shafts.
Furthermore, one end of the movable plate is rotatably connected with two connecting shafts, pinions are sleeved on the outer sides of the two connecting shafts, the number of the pinions is two, and the two pinions are respectively in meshing connection with the first gear and the second gear.
Furthermore, the one end lateral wall of casing is opened has the spread groove, the spread groove is the rectangle, the inside sliding connection connecting axle of spread groove, the connecting axle runs through the spread groove and has cup jointed the damping knob.
Furthermore, a first steel cable is wound on the winding wheel at the bottom of the first gear, a second steel cable is wound on the winding wheel at the bottom of the second gear, and the first steel cable and the second steel cable penetrate through the connecting sleeve and the connecting hole.
Further, two fixed barrels of inside fixed connection of fixed pipe, the movable hole has all been opened to the both ends lateral wall of fixed barrel, the spring is cup jointed to the inside of fixed barrel, the quantity of spring is two, two the spring cup joints the outside at first cable wire and second cable wire respectively, first cable wire and second cable wire all run through the inside and the movable hole of fixed barrel, first cable wire and second cable wire all run through fixed pipe, connecting pipe, first hose and second hose and fixed connection at the inner wall of second hose.
Furthermore, the inside of fixed block is opened there are two guiding holes, two the inside first cable wire of sliding connection and second cable wire respectively of guiding hole, the fixed block is cyclic annular, the fixed block is located between first hose and the second hose, the one end lateral wall fixed connection connector of second hose.
Further, the inside recess that has all opened of both ends lateral wall of connecting pipe, the inside of recess is equipped with adjusting bolt, adjusting bolt threaded connection connecting pipe, adjusting bolt's one end threaded connection regulation hole, the quantity of regulation hole is a plurality of, a plurality of regulation hole equidistance distributes at the both ends lateral wall of movable sleeve.
Further, six lights are installed to the one end lateral wall of connector, the light is cold light source, six the light equidistance distributes at the one end lateral wall of connector, the soft limit of one side fixed connection of connector, the internally mounted of connector has optical lens, the apparatus passageway has been seted up to the inside of connector.
The beneficial effect of this application is: the application provides a flexible electronic nephroscope which is convenient for length adjustment and arbitrary bending and is used for percutaneous nephroscope operation.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present application, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without inventive exercise.
FIG. 1 is a schematic overall perspective view of an embodiment of the present application;
FIG. 2 is a schematic diagram of the overall internal structure of an embodiment of the present application;
fig. 3 is a schematic view of a portion a of fig. 2 according to an embodiment of the present disclosure.
FIG. 4 is a schematic view of the housing, the connecting slot, the damping knob screw and the handle according to an embodiment of the present application.
Fig. 5 is a schematic structural diagram of a rotating shaft, a second gear, a second cable and a winding wheel according to an embodiment of the present application.
Fig. 6 is a schematic structural view of the first steel cable, the second steel cable, the fixing block and the guide hole according to an embodiment of the present application.
Fig. 7 is a schematic structural diagram of an illumination lamp, an optical lens, an instrument channel and a soft edge according to an embodiment of the present application.
Fig. 8 is a schematic structural diagram of a movable plate, a connecting shaft, a pinion, a first gear, a rotating shaft and a second gear according to an embodiment of the present application.
In the figure: 1. a housing, 101, a connecting groove, 102, a damping knob, 103, a laser inlet port, 2, a screw hole, 3, a handle, 4, a screw rod, 5, a movable plate, 6, a connecting shaft, 7, a pinion, 8, a first gear, 9, a rotating shaft, 10, a second gear, 11, a first steel cable, 12, a second steel cable, 13, a guide groove, 14, a guide block, 15, a connecting hole, 16, a connecting sleeve, 17, a fixed cylinder, 18, a movable hole, 19, a spring, 20, a fixed tube, 21, a connecting tube, 22, a first hose, 23, a fixed block, 24, a second hose, 25, a connecting head, 26, an adjusting groove, 27, a movable sleeve, 28, an adjusting hole, 29, a groove, 30, an adjusting bolt, 31, a winding wheel, 32, a guide hole, 33, an illuminating lamp, 34, an optical lens, 35, an instrument channel, 36, and a soft edge.
Detailed Description
In order to make the technical solutions better understood by those skilled in the art, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are only partial embodiments of the present application, but not all 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 application.
It should be noted that the terms "first," "second," and the like in the description and claims of this application and in the drawings described above are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It should be understood that the data so used may be interchanged under appropriate circumstances such that embodiments of the application described herein may be used. Furthermore, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed, but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus.
In this application, the terms "upper", "lower", "left", "right", "front", "rear", "top", "bottom", "inner", "outer", "middle", "vertical", "horizontal", "lateral", "longitudinal", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings. These terms are used primarily to better describe the present application and its embodiments, and are not used to limit the indicated devices, elements or components to a particular orientation or to be constructed and operated in a particular orientation.
Moreover, some of the above terms may be used to indicate other meanings besides the orientation or positional relationship, for example, the term "on" may also be used to indicate some kind of attachment or connection relationship in some cases. The specific meaning of these terms in this application will be understood by those of ordinary skill in the art as appropriate.
Furthermore, the terms "mounted," "disposed," "provided," "connected," and "sleeved" are to be construed broadly. For example, it may be a fixed connection, a removable connection, or a unitary construction; can be a mechanical connection, or an electrical connection; may be directly connected, or indirectly connected through intervening media, or may be in internal communication between two devices, elements or components. The specific meaning of the above terms in the present application can be understood by those of ordinary skill in the art as appropriate.
It should be noted that the embodiments and features of the embodiments in the present application may be combined with each other without conflict. The present application will be described in detail below with reference to the embodiments with reference to the attached drawings.
Referring to fig. 1-8, a flexible bendable electronic nephroscope for percutaneous nephroscope surgery includes a housing 1, an adjusting device, a direction adjusting device and a connecting device;
the adjusting device comprises a screw hole 2 formed in the side wall of one end of a shell 1, the screw hole 2 is in threaded connection with one end of a screw rod 4, the shell 1 is connected with a movable plate 5 in a sliding mode, the side wall of one end of the movable plate 5 is provided with a rotating shaft 9, the side wall of one end of the shell 1 is provided with a connecting hole 15, one end of the screw rod 4 is rotatably connected with the movable plate 5, the other end of the screw rod 4 penetrates through the screw hole 2 and is fixedly connected with a handle 3, and the center of the side wall of one end of the shell 1 is provided;
the direction adjusting device comprises a connecting sleeve 16 which is in threaded connection with the inside of the connecting hole 15, the side wall of one end of the connecting sleeve 16 is fixedly connected with the side wall of one end of the fixed pipe 20, the side wall of one end of the fixed pipe 20 is fixedly connected with one end of the connecting pipe 21, and an adjusting groove 26 is formed in the connecting pipe 21;
the connecting device comprises a movable sleeve 27 which is slidably connected inside the adjusting groove 26, one end side wall of the movable sleeve 27 is fixedly connected with one end of the first hose 22, the other end of the first hose 22 is fixedly connected with one end of the fixing block 23, and one end side wall of the fixing block 23 is fixedly connected with one end side wall of the second hose 24.
The side walls of two ends in the shell 1 are respectively provided with a guide groove 13, the guide grooves 13 are connected with guide blocks 14 in a sliding manner, the guide blocks 14 and the guide grooves 13 are both rectangular, one end of each guide block 14 is fixedly connected with the side wall of one end of the movable plate 5, the number of the guide blocks 14 is two, and the two guide blocks 14 are symmetrically distributed on the side walls of two ends of the movable plate 5, so that the structure is more reasonable, and the connection is convenient; the number of the rotating shafts 9 is two, the outer sides of the two rotating shafts 9 are respectively sleeved with the winding wheels 31, the number of the winding wheels 31 is two, the top ends of the two winding wheels 31 are respectively and fixedly connected with the first gear 8 and the second gear 10, and the first gear 8 and the second gear 10 are both rotatably connected to one side of the movable plate 5 through the rotating shafts 9, so that the structure is more reasonable, and the connection is convenient; one end of the movable plate 5 is rotatably connected with two connecting shafts 6, the outer sides of the two connecting shafts 6 are respectively sleeved with two pinions 7, the two pinions 7 are respectively meshed with the first gear 8 and the second gear 10, and the movable plate is more reasonable in structure and convenient to connect; the side wall of one end of the shell 1 is provided with a connecting groove 101, the connecting groove 101 is rectangular, the connecting shaft 6 is connected inside the connecting groove 101 in a sliding mode, the connecting shaft 6 penetrates through the connecting groove 101 and is sleeved with the damping knob 102, and the shell is more reasonable in structure and convenient to connect; a first steel cable 11 is wound on the winding wheel 31 at the bottom of the first gear 8, a second steel cable 12 is wound on the winding wheel 31 at the bottom of the second gear 10, and the first steel cable 11 and the second steel cable 12 both penetrate through the connecting sleeve 16 and the connecting hole 15, so that the structure is more reasonable and the connection is convenient; the inner part of the fixed tube 20 is fixedly connected with two fixed tubes 17, the side walls of the two ends of each fixed tube 17 are respectively provided with a movable hole 18, the inner part of each fixed tube 17 is sleeved with a spring 19, the number of the springs 19 is two, the two springs 19 are respectively sleeved on the outer sides of the first steel cable 11 and the second steel cable 12, the first steel cable 11 and the second steel cable 12 both penetrate through the inner part of the fixed tube 17 and the movable holes 18, and the first steel cable 11 and the second steel cable 12 both penetrate through the fixed tube 20, the connecting tube 21, the first hose 22 and the second hose 24 and are fixedly connected with the inner wall of the second hose 24, so that the structure is more reasonable and the connection is convenient; two guide holes 32 are formed in the fixing block 23, the two guide holes 32 are connected with the first steel cable 11 and the second steel cable 12 in a sliding mode respectively, the fixing block 23 is annular, the fixing block 23 is located between the first hose 22 and the second hose 24, and the side wall of one end of the second hose 24 is fixedly connected with the connector 25, so that the structure is more reasonable, and the connection is convenient; grooves 29 are formed in the side walls of the two ends of the connecting pipe 21, adjusting bolts 30 are arranged in the grooves 29, the adjusting bolts 30 are in threaded connection with the connecting pipe 21, one ends of the adjusting bolts 30 are in threaded connection with adjusting holes 28, the number of the adjusting holes 28 is multiple, the adjusting holes 28 are distributed on the side walls of the two ends of the movable sleeve 27 at equal intervals, the structure is more reasonable, and the connection is convenient; six light 33 are installed to the one end lateral wall of connector 25, light 33 is cold light source, six light 33 equidistance distributes at the one end lateral wall of connector 25, the soft limit of one side fixed connection 36 of connector 25, the internally mounted of connector 25 has optical lens 34, apparatus passageway 35 has been seted up to the inside of connector 25, and the structure is more reasonable, is convenient for connect.
When the device is used, electrical components appearing in the device are externally connected with a power supply and a control switch when the device is used, then the handle 3 is rotated, the handle 3 drives the screw rod 4 to be in threaded connection with the screw hole 2, the screw rod 4 drives the movable plate 5 to slide along the guide groove 13 in the shell 1 through the guide block 14, the connecting shaft 6 on one side of the movable plate 5 slides along the connecting groove 101, the damping knob 102 drives the pinion 7 to rotate by rotating the damping knob 102, the two pinions 7 are respectively meshed with the first gear 8 and the second gear 10, the first gear 8 and the second gear 10 drive the winding wheel 31 to rotate through the rotating shaft 9, the first steel cable 11 and the second steel cable 12 wound on the two winding wheels 31 are drawn out, so that the length of the first steel cable 11 and the second steel cable 12 can be conveniently adjusted, the first hose 22 is sleeved with the adjusting groove 26 in the connecting pipe 21 through the movable sleeve 27, the adjusting bolt 30 in the groove 29 is rotated, the adjusting bolt 30 is fixed with the adjusting hole 28 on the side wall of the movable sleeve 27 through threads, so that the positions of the connecting pipe 21 and the first hose 22 are fixed, the adjusting hole 28 at different positions on the movable sleeve 27 is selected, so that the connecting length of the connecting pipe 21 and the first hose 22 is adjusted, the use is convenient, the damping knob 102 is continuously rotated, so that the first gear 8 and the second gear 10 are controlled to rotate, the first gear 8 and the second gear 10 respectively drive the first steel cable 11 to be wound and the second steel cable 12 to be wound, the first steel cable 11 or the second steel cable 12 passes through the guide hole 32 in the fixed block 23 and pulls the second hose 24, the fixed block 23 and the first hose 22 are bent at a certain angle under the pulling force of the first steel cable 11 and the second steel cable 12, the soft inserted part can go deeper into the internal organs of the human body, so that the focus is not missed, the damage to the human body is smaller, the great damage to the human body is avoided, the illuminating lamp 33 made of a cold light source on one side of the connector 25 is used for illuminating more clearly, the risk of the damage to the human body organs is effectively reduced, the first steel cable 11 and the second steel cable 12 are convenient to reset through the spring 19 and the fixing cylinder 17 which are sleeved with each other by the first steel cable 11 and the second steel cable 12, the second hose 24 and the first hose 22 are convenient to keep straight and retreat from the body of the patient, the first steel cable 11 and the second steel cable 12 are prevented from bending the first hose 22 and the second hose 24, the inner wall organs of the patient are damaged in the retreating process, the holmium laser light can conveniently enter the body through the instrument channel 35, the broken stone can be flushed out of the body by the energy of the laser, the illuminating lamp 33 and the optical lens 34 are convenient to illuminate and shoot in the operation, the first flexible hose 22 and the second flexible hose 24 are used, can be used for lithotripsy treatment of renal pelvis and calyx, and facilitates the access of laser instrument through the laser access port 103.
The application has the advantages that:
1. the structure of the hose connecting device is reasonable, the handle is rotated to drive the screw to be in threaded connection with the screw hole, the screw drives the movable plate to slide along the guide groove in the shell through the guide block, the connecting shaft on one side of the movable plate slides along the connecting groove, the damping knob is rotated to drive the pinions to rotate, the two pinions are respectively meshed with the first gear and the second gear, the first gear and the second gear drive the winding wheels to rotate through the rotating shaft, the first steel cable and the second steel cable wound on the two winding wheels are drawn out, so that the lengths of the first steel cable and the second steel cable are conveniently adjusted, the first hose is sleeved with the movable groove in the connecting pipe through the movable sleeve, the adjusting bolt is in threaded fixation with the adjusting hole in the side wall of the movable sleeve by rotating the adjusting bolt in the groove, the positions of the connecting pipe and the first hose are fixed, and the adjusting holes in different positions on the, therefore, the connecting length of the connecting pipe and the first hose is adjusted, and the use is convenient;
2. the flexible insertion part can penetrate into the human organs more deeply, so that focus is omitted, the human body is less damaged, great damage to human body groups is avoided, and the illuminating lamp manufactured by a cold light source on one side of the connector is clearer in illumination and effectively reduces the risk of damage to the human organs;
3. this application is rational in infrastructure, spring and the solid fixed cylinder that cup joints through first cable wire and second cable wire, make things convenient for reseing of first cable wire and second cable wire, thereby make things convenient for second hose and first hose to keep straight withdrawing from the patient internal, thereby avoid first cable wire and second cable wire to make first hose and second hose crooked, cause the damage to the inner wall organ of patient at the in-process that withdraws from, it is internal to make things convenient for the light entering of holmium laser through apparatus passageway 35, smash the rubble and wash out extracorporeally with the energy of laser, through light 33 and optical lens 34, illumination and the making a video recording in the convenient operation, through flexible first hose 22 and second hose 24, can be used to handle the rubble treatment of renal pelvis, through laser inlet port 103, make things convenient for the entering of apparatus laser.
The above description is only a preferred embodiment of the present application and is not intended to limit the present application, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, improvement and the like made within the spirit and principle of the present application shall be included in the protection scope of the present application.

Claims (10)

1. A flexible, bendable electronic nephroscope for percutaneous nephroscope surgery, characterized by: comprises a shell (1), an adjusting device, a direction adjusting device and a connecting device;
the adjusting device comprises a screw hole (2) formed in the side wall of one end of a shell (1), the inside of the screw hole (2) is in threaded connection with one end of a screw rod (4), the inside of the shell (1) is in sliding connection with a movable plate (5), a rotating shaft (9) is installed on the side wall of one end of the movable plate (5), a connecting hole (15) is formed in the side wall of one end of the shell (1), one end of the screw rod (4) is rotatably connected with the movable plate (5), the other end of the screw rod (4) penetrates through the screw hole (2) and is fixedly connected with a handle (3), and a laser inlet (103) is formed in the center of the side;
the direction adjusting device comprises a connecting sleeve (16) in threaded connection with the inside of the connecting hole (15), the side wall of one end of the connecting sleeve (16) is fixedly connected with the side wall of one end of the fixed pipe (20), the side wall of one end of the fixed pipe (20) is fixedly connected with one end of the connecting pipe (21), and an adjusting groove (26) is formed in the connecting pipe (21);
connecting device includes movable sleeve (27) of sliding connection inside adjustment tank (26), the one end of the first hose of one end lateral wall fixed connection (22) of movable sleeve (27), the one end of the other end fixed connection fixed block (23) of first hose (22), the one end lateral wall fixed connection second hose (24) of one end lateral wall of fixed block (23).
2. A soft, bendable electronic nephroscope for percutaneous nephroscope surgery as recited in claim 1, wherein: guide way (13) have all been opened to the inside both ends lateral wall of casing (1), inside sliding connection guide block (14) of guide way (13), guide block (14) and guide way (13) are the rectangle, the one end lateral wall of one end fixed connection fly leaf (5) of guide block (14), the quantity of guide block (14) is two, two guide block (14) symmetric distribution is at the both ends lateral wall of fly leaf (5).
3. A soft, bendable electronic nephroscope for percutaneous nephroscope surgery as recited in claim 1, wherein: the quantity of rotation axis (9) is two, two rolling wheel (31) have all been cup jointed in the outside of rotation axis (9), the quantity of rolling wheel (31) is two, two the top of rolling wheel (31) is fixed connection first gear (8) and second gear (10) respectively, first gear (8) and second gear (10) all rotate through rotation axis (9) and connect in one side of fly leaf (5).
4. A soft, bendable electronic nephroscope for percutaneous nephroscope surgery as recited in claim 1, wherein: one end of the movable plate (5) is rotatably connected with two connecting shafts (6), two pinions (7) are sleeved on the outer sides of the connecting shafts (6), the number of the pinions (7) is two, and the pinions (7) are respectively connected with the first gear (8) and the second gear (10) in a meshed mode.
5. A soft, bendable electronic nephroscope for percutaneous nephroscope surgery as recited in claim 1, wherein: the utility model discloses a damping knob's casing, including casing (1), the one end lateral wall of casing (1) is opened has spread groove (101), spread groove (101) are the rectangle, the inside sliding connection connecting axle (6) of spread groove (101), connecting axle (6) run through spread groove (101) and have cup jointed damping knob (102).
6. A soft, bendable electronic nephroscope for percutaneous nephroscope surgery according to claim 4, characterized in that: a first steel cable (11) is wound on a winding wheel (31) at the bottom of the first gear (8), a second steel cable (12) is wound on a winding wheel (31) at the bottom of the second gear (10), and the first steel cable (11) and the second steel cable (12) penetrate through the connecting sleeve (16) and the connecting hole (15).
7. A soft, bendable electronic nephroscope for percutaneous nephroscope surgery as recited in claim 1, wherein: two fixed section of thick bamboo (17) of inside fixed connection of solid fixed tube (20), the both ends lateral wall of solid fixed tube (17) has all been opened movable hole (18), spring (19) are cup jointed to the inside of solid fixed tube (17), the quantity of spring (19) is two, two spring (19) cup joint respectively in the outside of first cable wire (11) and second cable wire (12), inside and movable hole (18) of solid fixed tube (17) are all run through in first cable wire (11) and second cable wire (12), first cable wire (11) and second cable wire (12) all run through solid fixed tube (20), connecting pipe (21), first hose (22) and second hose (24) and fixed connection are at the inner wall of second hose (24).
8. A soft, bendable electronic nephroscope for percutaneous nephroscope surgery as recited in claim 1, wherein: open the inside of fixed block (23) has two guiding hole (32), two the inside difference sliding connection first cable wire (11) and second cable wire (12) of guiding hole (32), fixed block (23) are cyclic annular, fixed block (23) are located between first hose (22) and second hose (24), one end lateral wall fixed connection connector (25) of second hose (24).
9. A soft, bendable electronic nephroscope for percutaneous nephroscope surgery as recited in claim 1, wherein: recess (29) have all been opened to the both ends lateral wall inside of connecting pipe (21), the inside of recess (29) is equipped with adjusting bolt (30), adjusting bolt (30) threaded connection connecting pipe (21), one end threaded connection regulation hole (28) of adjusting bolt (30), the quantity of regulation hole (28) is a plurality of, a plurality of regulation hole (28) equidistance distributes at the both ends lateral wall of movable sleeve (27).
10. A soft, bendable electronic nephroscope for percutaneous nephroscope surgery as recited in claim 8, wherein: six light (33) are installed to the one end lateral wall of connector (25), light (33) are cold light source, six light (33) equidistance distributes at the one end lateral wall of connector (25), one side fixed connection soft limit (36) of connector (25), the internally mounted of connector (25) has optical lens (34), apparatus passageway (35) have been seted up to the inside of connector (25).
CN202011407776.7A 2020-12-04 2020-12-04 Flexible bendable electronic nephroscope for percutaneous nephroscope operation Active CN112545436B (en)

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CN110403669A (en) * 2019-07-31 2019-11-05 上海交通大学医学院附属仁济医院 A kind of multiple degrees of freedom surgical instrument for minimally invasive endoscope-assistant surgery
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013064061A1 (en) * 2011-11-01 2013-05-10 Long Gang Flexible/rigid sheath guiding mechanism and integrated all-around adjustable flexible/rigid endoscope thereof
CN204562070U (en) * 2015-03-27 2015-08-19 广州医科大学附属第一医院 A kind of soft yieldable electronics kidney mirror for PCN operation
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