CN113384229A - Electronic cystoscope - Google Patents
Electronic cystoscope Download PDFInfo
- Publication number
- CN113384229A CN113384229A CN202110673592.3A CN202110673592A CN113384229A CN 113384229 A CN113384229 A CN 113384229A CN 202110673592 A CN202110673592 A CN 202110673592A CN 113384229 A CN113384229 A CN 113384229A
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- tube
- treatment
- sub
- cystoscope
- mirror
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- 238000003780 insertion Methods 0.000 claims abstract description 22
- 230000037431 insertion Effects 0.000 claims abstract description 22
- 238000003384 imaging method Methods 0.000 claims description 11
- 239000000463 material Substances 0.000 claims description 4
- 238000005286 illumination Methods 0.000 claims description 3
- 239000011347 resin Substances 0.000 claims description 3
- 229920005989 resin Polymers 0.000 claims description 3
- 239000000853 adhesive Substances 0.000 claims 1
- 230000001070 adhesive effect Effects 0.000 claims 1
- 230000000916 dilatatory effect Effects 0.000 claims 1
- 210000000626 ureter Anatomy 0.000 abstract description 16
- 230000001225 therapeutic effect Effects 0.000 description 12
- 239000011521 glass Substances 0.000 description 5
- 239000004575 stone Substances 0.000 description 5
- 210000003932 urinary bladder Anatomy 0.000 description 5
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 238000005204 segregation Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000003708 urethra Anatomy 0.000 description 2
- 230000002485 urinary effect Effects 0.000 description 2
- 239000011345 viscous material Substances 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 208000031868 Calculus ureteric Diseases 0.000 description 1
- 206010007027 Calculus urinary 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
- 208000000014 Ureteral Calculi Diseases 0.000 description 1
- 208000009911 Urinary Calculi Diseases 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- KJZYNXUDTRRSPN-UHFFFAOYSA-N holmium atom Chemical compound [Ho] KJZYNXUDTRRSPN-UHFFFAOYSA-N 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
- 238000002627 tracheal intubation Methods 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
Images
Classifications
-
- 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
- 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
- A61B1/00064—Constructional details of the endoscope body
-
- 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
- A61B1/00131—Accessories for endoscopes
-
- 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
-
- 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
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
Abstract
The cystoscope comprises an endoscope and a ureteroscope, the endoscope is used for observing and treating the bladder, the ureteroscope is used for observing and treating the ureter, the ureteroscope comprises a camera son scope and a treatment son scope, the camera son scope and the treatment son scope can be mutually embedded, insertion tubes of the camera son scope and the treatment son scope are both in a semi-tubular structure, before the calculus crushing is completed, the two semi-tubes are mutually embedded to form the insertion tube for use, after the calculus crushing is completed, the treatment semi-tube is withdrawn, and the calculus removing operation is carried out.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to an electronic bladder endoscope.
Background
Clinical in vivo examination and visual surgical treatment require a sharp image endoscope to help the doctor improve the accuracy of diagnosis. The medical endoscope is a detection and treatment instrument integrating optics, electricity, precision machinery and software into a whole, and is provided with an image transmission assembly, an optical or electronic imaging module, a cold light source or an LED electronic light source, a mechanical device and the like, and the medical endoscope can enter the body through a natural pore canal and can see pathological changes which cannot be displayed by X rays and ultrasound, so the medical endoscope is very useful for improving the medical quality, and many diseases need to be examined, diagnosed and treated through the endoscope, such as diseases at trachea, esophagus, stomach, intestine, bladder and the like. Endoscopic lithotripsy is performed by inserting an endoscope with a diameter of about 3mm into a ureter through urethra and bladder, and breaking up ureteral calculus or renal calculus. It utilizes the natural urinary system cavity of human body, does not make any incision on the human body, and is a pure urinary surgery endoscopic minimally invasive surgery.
In the calculus removing operation, the flexible endoscope can enter the body through the urethra to observe the lesion part and can be matched with a surgical instrument to carry out visual operation treatment in the body. In the existing cystoscope operation, a cystoscope is generally used for observing and treating an affected part, when a ureter needs to be checked or treated, a ureteroscope needs to be inserted again, a ureteroscope catheter is inserted into a ureter sheath to treat the affected part, in the broken calculus removing operation process, broken calculus which is hit by holmium laser needs to be discharged out of a body through the ureter sheath, at the moment, the ureteroscope catheter needs to be withdrawn for operation, but the discharge condition of the broken calculus cannot be observed due to the withdrawal of the ureteroscope catheter, so that the broken calculus cannot be completely discharged out of the body at one time, in order to ensure the operation effect, the ureteroscope catheter needs to be inserted for observation or treatment for multiple times, so that the pain of a patient is increased due to repeated operation of inserting the ureteroscope catheter, and meanwhile, the injury of organs of the human body is easily caused.
Disclosure of Invention
In order to solve the technical problem, the invention provides an electronic cystoscope which comprises a sight glass and a ureter endoscope, the ureteroscope can be inserted into a working channel of the cystoscope and comprises a camera sub-scope and a treatment sub-scope, the sub-lens for camera shooting and the sub-lens for treatment can be mutually embedded, the inserting pipes of the sub-lens for camera shooting and the sub-lens for treatment are both in a semi-tubular structure, before the stone breaking is finished, the two semi-pipes are mutually embedded to form the inserting pipe for use, after the stone breaking is finished, the half treatment tube is withdrawn, the calculus removing operation is carried out, the ureter endoscope can be used for observing the calculus removing situation of broken calculus in the ureter in real time in the calculus removing process, the broken urinary calculus is completely discharged out of the body at one time, the cystoscope catheter does not need to be inserted for multiple times for observation or treatment, the operation time can be effectively saved, and the injury to human organs is avoided.
The technical scheme of the invention is as follows:
an electronic cystoscope comprises a sight glass and a ureteroscope, the ureteroscope can be inserted into a working channel of the cystoscope, the ureteroscope comprises a camera sub-lens and a therapeutic sub-lens which can be mutually embedded, insertion tubes of the camera sub-lens and the therapeutic sub-lens are both in semi-tubular structures, the camera half tube and the therapeutic half tube can be mutually embedded, an illumination channel and a camera channel are arranged in the camera half tube, and a working channel is arranged in the therapeutic half tube. The endoscope is used for observing and treating the bladder and the ureter endoscope is used for observing and treating the ureter.
Furthermore, the tube walls of the image pick-up half tube and the treatment half tube are made of soft resin materials.
Furthermore, the cross section of the insertion tube formed by the embedded camera shooting half tube and the embedded treatment half tube is circular. Optionally, the cross sections of the image pickup half tube and the treatment half tube are both semicircular. Optionally, the cross section of the image pickup half tube is circular, and the cross section of the treatment half tube is hollow circular. Optionally, the cross section of the image pickup half tube is elliptical, and the cross section of the treatment half tube is hollow and circular.
Furthermore, the operation handles of the image pickup sub-mirror and the treatment sub-mirror can be mutually embedded. Before the use, two operating handle pass through the locking piece gomphosis together, after the rubble is accomplished, remove the locking, will half pipe of treatment withdraws from the tube sheath, and the row of stone is accomplished, again will half pipe of making a video recording withdraws from the tube sheath.
Further, the cross-sectional area of the tip of the imaging half-tube is larger than that of the insertion tube, and the cross-sectional area of the tip of the treatment half-tube is smaller than that of the insertion tube. After the gravel is finished, the treatment half-tube is withdrawn from the tube sheath, and the camera half-tube is inserted forwards to protrude out of the tube sheath opening, so that the diameter of the calculus removing tube can be increased, and the gravel can be better discharged.
Furthermore, the joint part of the image pick-up half tube and the treatment half tube is coated with light viscous materials. Before the use, two half pipes can be fixed together, and it is more convenient to insert, and behind the rubble, two half pipes can alternate segregation under less dynamics.
Further, the endoscope is used in cooperation with an expansion sheath, and the expansion sheath is sleeved outside an insertion tube of the endoscope.
Advantageous effects
The cystoscope comprises a sight glass and a ureter endoscope, wherein the sight glass is used for observing and treating bladder, the ureter endoscope is used for observing and treating ureter, the ureter endoscope can be inserted into a working channel of the cystoscope, and the ureter endoscope and the working channel can be used in a matched manner, so that ureter intubation operation can be performed more conveniently;
the ureteroscope comprises a camera sub-scope and a therapeutic sub-scope, the camera sub-scope and the therapeutic sub-scope can be mutually embedded, the insertion tubes of the camera sub-scope and the therapeutic sub-scope are both in a semi-tubular structure, the two semi-tubes are mutually embedded to form the insertion tube before calculus breaking is completed for use, after calculus breaking is completed, the therapeutic semi-tube is withdrawn for calculus removal, and the ureteroscope is used for carrying out calculus removal operation.
Drawings
FIG. 1 is a schematic structural view of a ureteroscope imaging sub-mirror according to an embodiment of the invention;
FIG. 2 is a schematic structural diagram of a ureteroscope treatment scope according to an embodiment of the invention;
FIG. 3 is a schematic structural view of an insertion tip portion of a ureteroscope according to an embodiment of the present invention;
FIG. 4 is a side view of the insertion tip of a ureteroscope according to one embodiment of the present invention;
fig. 5 is a front view of the ureteroscope insertion tip portion according to an embodiment of the present invention.
In the figure, 1-camera lens, 2-therapeutic lens, 1-1-camera lens insert tube, 1-2-camera lens insert tube tip, 1-3-camera lens insert tube bend, 1-4-camera lens video signal line, 1-5-camera lens video signal line plug, 1-6-camera lens operating handle, 1-7-camera lens camera module, 1-8-camera lens illuminating light outlet, 2-1-therapeutic lens insert tube, 2-2-therapeutic lens insert tube tip, 2-3-therapeutic lens insert tube bend, 2-4-therapeutic lens working channel inlet, 2-5-therapeutic lens insert tube bend direction control rod, 2-7-the laser outlet of the treatment sub-lens and 2-8-the working channel outlet of the treatment sub-lens.
Detailed Description
The following detailed description of embodiments of the present invention is provided in connection with the accompanying drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "up", "down", "front", "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", and the like, indicate orientations or positional relationships based on those shown in the drawings, and are used only for convenience in describing the present invention and for simplicity in description, and do not indicate or imply that the referenced devices or elements must have a particular orientation, be constructed in a particular orientation, and be operated, and thus are not to be construed as limiting the present invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; 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.
The invention provides an electronic cystoscope which comprises a sight glass and a ureteroscope, wherein the ureteroscope can be inserted into a working channel of the cystoscope, the ureteroscope comprises a camera sub-mirror 1 (shown in figure 1) and a therapeutic sub-mirror 2 (shown in figure 2), the camera sub-mirror 1 and the therapeutic sub-mirror 2 can be mutually embedded, insertion tubes 1-1 and 2-1 of the camera sub-mirror 1 and the therapeutic sub-mirror 2 are both in a semi-tubular structure, an illumination channel and an image pickup channel are arranged in the camera semi-tube, and the working channel is arranged in the therapeutic semi-tube. The walls of the camera shooting half-tube and the treatment half-tube are made of soft resin materials.
As shown in fig. 3, the cross section of the insertion tube formed by the engagement of the imaging half-tube 1 and the treatment half-tube 2 is circular, and the cross sections of the imaging half-tube and the treatment half-tube are both semicircular.
The operation handles of the image pickup sub-mirror 1 and the treatment sub-mirror 2 can be mutually embedded. Before use, the two operating handles are embedded together through the locking piece, after the stone breaking is finished, the locking is released, the inserting tube 2-1 of the treatment sub-scope 2 is withdrawn from the tube sheath, and after the stone removing is finished, the inserting tube 1-1 of the image pick-up sub-scope 1 is withdrawn from the tube sheath.
In another embodiment, as shown in FIGS. 4-5, the cross-sectional area of the distal end portion 1-2 of the imaging half-tube is larger than the cross-sectional area of the insertion tube 1-1, and the cross-sectional area of the distal end portion 2-2 of the treatment half-tube is smaller than the cross-sectional area of the insertion tube 2-1. After the gravel is broken, the inserting tube 2-1 of the treatment sub-scope 2 is withdrawn from the tube sheath, and the inserting tube 1-1 of the image pick-up sub-scope 1 is inserted forwards to protrude out of the tube sheath opening, so that the diameter of the calculus removing tube can be increased, and the gravel can be better discharged.
The joint of the image-taking half tube and the treatment half tube is coated with light viscous material. Before the use, two half pipes can be fixed together, and it is more convenient to insert, and behind the rubble, two half pipes can alternate segregation under less dynamics.
The endoscope is matched with the expansion sheath for use, and the expansion sheath is sleeved outside the insertion tube of the endoscope.
The above description is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, several modifications and variations can be made without departing from the technical principle of the present invention, and these modifications and variations should also be regarded as the protection scope of the present invention.
Claims (9)
1. An electronic cystoscope comprising a speculum and a ureteroscope, the ureteroscope being insertable into a working channel of the cystoscope, comprising: the ureteroscope comprises a camera shooting sub-mirror and a treatment sub-mirror, the camera shooting sub-mirror and the treatment sub-mirror can be mutually embedded, the camera shooting sub-mirror and an insertion pipe of the treatment sub-mirror are of a semi-tubular structure, the camera shooting half-pipe and the treatment half-pipe can be mutually embedded, an illumination passage and a camera shooting passage are arranged in the camera shooting half-pipe, and a working channel is arranged in the treatment half-pipe.
2. The cystoscope according to claim 1, wherein the walls of the imaging half-tube and the treatment half-tube are made of soft resin material.
3. The cystoscope according to claim 1, wherein the cross section of the insertion tube formed by the engagement of the imaging half-tube and the treatment half-tube is circular.
4. The cystoscope according to claim 1, wherein the cross-section of both the imaging half-tube and the treatment half-tube is semi-circular.
5. The cystoscope according to claim 1, wherein the camera half-tube has a circular cross-section and the treatment half-tube has a hollow circular cross-section.
6. The cystoscope according to claim 1, wherein the operation handles of the image pick-up sub-scope and the treatment sub-scope can be fitted to each other.
7. The cystoscope according to claim 1, wherein the tip of the imaging half-tube has a cross-sectional area larger than that of the insertion tube and the tip of the treatment half-tube has a cross-sectional area smaller than that of the insertion tube.
8. The cystoscope according to claim 1, wherein the junction of the imaging half-tube and the treatment half-tube is coated with a light adhesive material.
9. The cystoscope according to claim 1, wherein the endoscope is used with a dilating sheath that is sleeved outside an insertion tube of the endoscope.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202110673592.3A CN113384229B (en) | 2021-06-17 | 2021-06-17 | Electronic cystoscope |
Applications Claiming Priority (1)
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CN202110673592.3A CN113384229B (en) | 2021-06-17 | 2021-06-17 | Electronic cystoscope |
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CN113384229A true CN113384229A (en) | 2021-09-14 |
CN113384229B CN113384229B (en) | 2023-10-27 |
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CN202110673592.3A Active CN113384229B (en) | 2021-06-17 | 2021-06-17 | Electronic cystoscope |
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Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2000166936A (en) * | 1998-12-09 | 2000-06-20 | Olympus Optical Co Ltd | Endoscopic treatment instrument |
US20050033314A1 (en) * | 2002-10-16 | 2005-02-10 | Olympus Corporation | Calculus manipulation apparatus |
US20080249357A1 (en) * | 2007-04-02 | 2008-10-09 | Wilson-Cook Medical Inc. | Endoscopic apparatus having an outer rail |
JP2011067532A (en) * | 2009-09-28 | 2011-04-07 | Japan Health Science Foundation | Assisting instrument for endoscope, and endoscope |
DE102011109069A1 (en) * | 2011-07-30 | 2013-01-31 | Richard Wolf Gmbh | Medical catheter system for clearing stone in e.g. kidney of patient, has controllable catheter comprising working channels, and imaging system arranged outside catheter and connected with control device for robotic control of catheter |
CN107440672A (en) * | 2017-07-14 | 2017-12-08 | 广州医科大学附属第医院 | A kind of electronics Flexible ureteroscope and its operating method with real-time pressure monitoring function |
CN109589155A (en) * | 2018-11-12 | 2019-04-09 | 孟祥锋 | A kind of Urology Surgery lithangiuria calculus removing instrument |
CN211674166U (en) * | 2019-12-31 | 2020-10-16 | 宁波龙泰医疗科技有限公司 | Endoscope device for urinary system |
CN112493979A (en) * | 2020-12-31 | 2021-03-16 | 新疆维吾尔自治区人民医院 | Disposable visible percutaneous nephroscope special sheath |
-
2021
- 2021-06-17 CN CN202110673592.3A patent/CN113384229B/en active Active
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2000166936A (en) * | 1998-12-09 | 2000-06-20 | Olympus Optical Co Ltd | Endoscopic treatment instrument |
US20050033314A1 (en) * | 2002-10-16 | 2005-02-10 | Olympus Corporation | Calculus manipulation apparatus |
US20080249357A1 (en) * | 2007-04-02 | 2008-10-09 | Wilson-Cook Medical Inc. | Endoscopic apparatus having an outer rail |
JP2011067532A (en) * | 2009-09-28 | 2011-04-07 | Japan Health Science Foundation | Assisting instrument for endoscope, and endoscope |
DE102011109069A1 (en) * | 2011-07-30 | 2013-01-31 | Richard Wolf Gmbh | Medical catheter system for clearing stone in e.g. kidney of patient, has controllable catheter comprising working channels, and imaging system arranged outside catheter and connected with control device for robotic control of catheter |
CN107440672A (en) * | 2017-07-14 | 2017-12-08 | 广州医科大学附属第医院 | A kind of electronics Flexible ureteroscope and its operating method with real-time pressure monitoring function |
CN109589155A (en) * | 2018-11-12 | 2019-04-09 | 孟祥锋 | A kind of Urology Surgery lithangiuria calculus removing instrument |
CN211674166U (en) * | 2019-12-31 | 2020-10-16 | 宁波龙泰医疗科技有限公司 | Endoscope device for urinary system |
CN112493979A (en) * | 2020-12-31 | 2021-03-16 | 新疆维吾尔自治区人民医院 | Disposable visible percutaneous nephroscope special sheath |
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