CN114767259A - Easy-to-operate hemostasis manipulator for percutaneous nephroscope - Google Patents
Easy-to-operate hemostasis manipulator for percutaneous nephroscope Download PDFInfo
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- CN114767259A CN114767259A CN202210708367.3A CN202210708367A CN114767259A CN 114767259 A CN114767259 A CN 114767259A CN 202210708367 A CN202210708367 A CN 202210708367A CN 114767259 A CN114767259 A CN 114767259A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/042—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating using additional gas becoming plasma
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00505—Urinary tract
- A61B2018/00511—Kidney
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00607—Coagulation and cutting with the same instrument
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
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Abstract
The application discloses an easy-to-operate hemostasis manipulator for a percutaneous nephroscope, which comprises a workpiece and an operating end, wherein the operating end is arranged as an operating handle; one end of the workpiece is provided with a connecting rod, and the operating handle is sleeved outside the connecting rod; the other end of the connecting rod is provided with a plasma joint, and the plasma joint is movably connected with the connecting rod; the workpiece comprises a Y-shaped pipe connected with the connecting rod, supporting pipes integrally connected with the Y-shaped pipe respectively, and an electric cutting ring connected with the supporting pipes; the plasma joint is inserted into the existing plasma host equipment in such a way, the operating handle controls the workpiece to adopt a plasma electrotomy or electrocoagulation working mode, the Y-shaped pipe and the supporting pipe are utilized to transmit current to the electrotomy ring, the electrotomy ring is in contact with kidney tissues to generate electrocautery, and the hemorrhagic wound surface of the percutaneous nephroscope operation is subjected to thermal coagulation, so that the hemostatic effect is achieved.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to an easy-to-operate hemostasis manipulator for a percutaneous nephroscope.
Background
In percutaneous nephroscope surgery, percutaneous nephropuncture is required to be firstly carried out to establish a surgical channel. Percutaneous nephroscope surgery is still a type of surgery with a high bleeding risk in urinary surgery, and during the operation, single or multiple wound surfaces bleed easily due to operation deviation, and a small number of patients also have large bleeding of puncture channels. The bleeding of the skin and kidney channel needs to be exactly stopped under direct vision so as to safely complete the operation. The existing hemostatic device for percutaneous nephroscope surgery is generally provided with an electrode at the head part to play the role of end hemostasis, but because the hemostatic device is columnar, the kidney tissue contacted with the hemostatic device is easily damaged by the side because of the movement in the moving process. Trauma to the renal passageway is also likely to increase during withdrawal of the hemostatic device due to movement of the nephroscope sheath within the renal tissue.
On the other hand, for some patients with tumors in the renal pelvis, radical surgical resection cannot be adopted, and generally a percutaneous nephroscopy resection mode is adopted for effective treatment, but no relevant surgical instrument is used for electrocision hemostasis operation under a nephroscope in the market at present.
Disclosure of Invention
The present invention is directed to solving at least one of the problems of the prior art. Therefore, the invention provides an easy-to-operate hemostasis manipulator for a percutaneous nephroscope, which is used for helping a clinician solve the problems related to excision of a descending lump of the nephroscope and hemostasis and effectively avoiding the problem that side injury is easily caused to kidney tissues and/or kidney channels around a hemostasis device during hemostasis operation in the operation process.
The application discloses an easy-to-operate hemostasis manipulator for a percutaneous nephroscope, which comprises a workpiece and an operating end, wherein the operating end is arranged as an operating handle; one end of the workpiece is provided with a connecting rod, and the operating handle is sleeved outside the connecting rod; the other end of the connecting rod is provided with a plasma joint, and the plasma joint is movably connected with the connecting rod; the workpiece comprises a Y-shaped pipe connected with the connecting rod, supporting pipes integrally connected with the Y-shaped pipe respectively, and an electric cutting ring connected with the supporting pipes; the plasma joint is plugged into the existing plasma host equipment in such a way, the operating handle controls the workpiece to adopt a working mode of plasma electrosection or electrocoagulation, current is transmitted to the electrosection ring by utilizing the Y-shaped pipe and the supporting pipe, electrocautery is generated when the electrosection ring is contacted with kidney tissues, and the bleeding wound surface of the percutaneous nephroscope operation is subjected to thermal coagulation, so that the hemostatic effect is achieved.
Furthermore, the width of the resectoscope ring is 2-5 mm, and the length of the connecting rod is 20-40cm so as to match nephroscope equipment of different models; preferably, the width of the electric cutting ring is 2-3 mm. The operative channel of most nephroscopes is 3-5mm, so to ensure fine operation, an electrocision ring width of 2-3mm may be more suitable for operation.
Furthermore, a ceramic layer is arranged at one end, provided with the electrotomy ring, of the supporting tube, and the ceramic layer is a high-temperature-resistant ceramic layer and serves as an isolation layer of the electrotomy ring.
Furthermore, the electric cutting ring is arranged in an omega shape, and the joint of the electric cutting ring and the supporting tube forms an angle. The omega-shaped electrotomy ring has consistent thickness for cutting the tissue so as to avoid cutting through the tissue in the use process; and the edge of the omega-shaped electric excision ring is smoother and more mellow, and is more suitable for realizing the effects of electric coagulation and electric excision on tissues. Preferably, the angle of the connection of the resectioning ring and the support tube is a right angle. The shape of the electric cutting ring is not limited to the omega shape, but can be other shapes which can ensure the cutting effect, such as a V shape and the like.
Furthermore, the side wall of the electric cutting ring is provided with a raised electrode block which is integrally connected with the electric cutting ring; the electric cauterization of the passing part through the current can ensure the hemostatic coagulation effect of the side part of the hemostatic device and can realize the effect of excision of the descending lump of the nephroscope and hemostasis.
Furthermore, the upper end of the protruding electrode block is an arc-shaped surface.
Furthermore, one end of the supporting tube, which is provided with the electric cutting ring, is provided with a columnar point bulge which plays a role in hemostasis and coagulation on a target part.
Furthermore, the operating handle is a pen-holding type operating handle, and an operating switch is arranged outside the pen-holding type operating handle; the operating switch is connected with the plasma joint through a connecting wire; the connecting wire and the pen holding type operating handle can be designed to be inserted, and the assembly is convenient. The operation switch comprises closing, electric coagulation and electric coagulation, the operation can be carried out in a plasma electric coagulation or electric coagulation mode according to the operation condition in the using process, the electric coagulation is adopted for excision of a tumor, the wound surface is subjected to electric coagulation hemostasis, the electric coagulation and the electric coagulation are switched at the operation switch on the pen-holding type operation handle, the electric coagulation key and the electric coagulation key are triggered through keys, and the operation is more precise.
Furthermore, the outer side of the operating handle is insulated, so that current burn during operation is avoided.
Furthermore, the plasma joint adopts a double-fork head and is directly and movably connected with the plasma host machine equipment; the device is convenient for clinical use.
Further, the length of the connecting line is determined according to the distance between the operation area and the equipment, and is generally 1.5m-3.5m, and preferably 2.5 m; utilize the length of connecting rod, make hemostasis device can carry out hemostasis simultaneously to all kidney tissue positions that hemostasis device meets and solidify to effectively prevent to cause the bleeding problem of vice damage because of hemostasis device removes, reduce the emergence of percutaneous nephroscope operation bleeding complication.
Furthermore, the outer side wall of the pen holding type operating handle is provided with friction lines, so that the stability of taking operation is guaranteed.
The invention has the beneficial effects that: 1. the plasma hemostasis operator with both electric coagulation and electrotomy functions is arranged, and the operation handle is utilized to control the electrotomy ring to adopt the working mode of plasma electrotomy or electric coagulation, so that the operation of excision and hemostasis of descending tumor in percutaneous nephroscope surgery is realized; 2. by arranging the resectoscope ring, the supporting tube and the Y-shaped tube and arranging the columnar point convex and/or convex electrode block at the side of the resectoscope ring, the operations of resection of the tumor and hemostasis can be performed more accurately, and the secondary damage to the tissues and/or channels around the device during the hemostasis operation is avoided; 3. the size of the resectoscope ring is limited, so that the resectoscope ring can be matched with different nephroscope devices, and the applicability is improved; and the detachable plasma joint is also utilized to be matched with various devices, so that the fine operation is convenient.
Drawings
In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings required to be used in the description of the embodiments are briefly introduced below, and it is obvious that the drawings in the description below are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without creative efforts.
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a front view of the overall structure of the present invention;
FIG. 3 is an enlarged schematic view of a workpiece according to the present invention;
FIG. 4 is an enlarged view of the electrical cutting ring and the cylindrical point protrusions of the present invention;
FIG. 5 is an enlarged schematic view of the electrotomy ring and the raised electrode block of the present invention;
FIG. 6 is an enlarged view of the pen-type operating handle of the present invention;
in the figure, 1, an electric cutting ring; 11. a connecting rod; 12. a Y-shaped pipe; 13. supporting a pipe; 14. a raised electrode block; 15. the columnar points are convex; 2. a pen-holding type operating handle; 21. an operating switch; 22. connecting wires; 3. plasma junction.
Detailed Description
The technical solutions in the embodiments of the present invention are clearly and completely described below by specific embodiments, and it is obvious that the embodiments described are only a part of the embodiments of the present invention, rather than all embodiments, and other advantages and efficacies of the present invention can be easily understood by those skilled in the art from the disclosure of the present specification. The present invention can be implemented or applied by other different specific embodiments, and the features in the following embodiments and examples can be combined with each other without conflict, and all other embodiments obtained by a person of ordinary skill in the art without making creative efforts based on the embodiments in the present invention shall fall within the protection scope of the present invention.
Fig. 1 is a schematic diagram of an overall structure provided in this embodiment, fig. 2 is a schematic diagram of a front view of the overall structure provided in this embodiment, and fig. 3 is a schematic diagram of an enlarged structure of a workpiece provided in this embodiment;
in one embodiment, an easy-to-operate hemostasis manipulator for percutaneous nephroscopy is disclosed, which comprises a working piece and an operating end, wherein the operating end is provided as an operating handle; one end of the workpiece is provided with a connecting rod 11, and the operating handle is sleeved outside the connecting rod 11; the other end of the connecting rod 11 is provided with a plasma joint 3, and the plasma joint 3 is movably connected with the connecting rod 11; the workpiece comprises a Y-shaped pipe 12 connected with a connecting rod 11, supporting pipes 13 respectively connected with the Y-shaped pipe 12 integrally, and an electric cutting ring 1 connected with the supporting pipes 13; the plasma joint 3 is inserted into the existing plasma host equipment in such a way, the operating handle controls the workpiece to adopt a plasma electrotomy or electrocoagulation working mode, the Y-shaped pipe 12 and the supporting pipe 13 are utilized to transmit current to the electrotomy ring 1, the electrotomy ring 1 is electrically burned when contacting with kidney tissues, and the bleeding wound surface of the percutaneous nephroscope operation is subjected to thermal coagulation, so that the hemostatic effect is achieved.
The width of the resectoscope ring 1 is 2-5 mm, and the length of the connecting rod 11 is 20-40cm so as to match nephroscope equipment of different models; preferably, the width of the electric cutting ring 1 is 2-3 mm. The operating channel of most nephroscopes is 3-5mm, so in order to ensure fine operation, a 2-3mm width of the resectoscope ring 1 may be more suitable for operation. The ceramic layer is arranged at one end, provided with the electrotomy ring 1, of the supporting tube 13, and the ceramic layer is a high-temperature-resistant ceramic layer and serves as an isolation layer of the electrotomy ring 1.
The electric cutting ring 1 is arranged in an omega shape, and the joint of the electric cutting ring 1 and the support pipe 13 forms an angle. The thickness of the omega-shaped electric cutting ring 1 for cutting the tissue is consistent, so that the tissue is prevented from being cut through in the use process; and the edge of the omega-shaped electrotomy ring 1 is smoother and more rounded, and is more suitable for realizing the effects of electrocoagulation and electrotomy on tissues. Preferably, the angle at which the resectioning ring 1 is connected to the support tube 13 is a right angle. The shape of the ring 1 is not limited to the omega shape, but may be other shapes that can ensure the cutting effect, such as a V shape. In the present embodiment, the electrical cutting ring 1 is provided in an Ω -shape.
Figure 4 is an enlarged structural schematic diagram of the electric cutting ring 1 and the columnar dot projection 15 provided in the present embodiment,
in one embodiment, a columnar dot protrusion 15 is arranged at one end of the support tube 13 where the resectoscope 1 is arranged, so as to play a role in hemostasis and coagulation on a target part.
Figure 5 is an enlarged structural schematic diagram of the electric cutting ring 1 and the protruding electrode block 14 provided in the present embodiment,
in one embodiment, the side wall of the electric cutting ring 1 is provided with a protruding electrode block 14, and the protruding electrode block 14 is integrally connected with the electric cutting ring 1; the electric cauterization of the passing part through the current can ensure the hemostatic coagulation effect of the side part of the hemostatic device and can realize the effect of excision of the descending lump of the nephroscope and hemostasis. The upper end of the protruding electrode block 14 is an arc-shaped surface.
Fig. 6 is an enlarged schematic structural view of the pen holding type operating handle 2 provided in this embodiment,
in one embodiment, the operating handle is arranged as a pen-holding operating handle 2, and an operating switch 21 is arranged outside the pen-holding operating handle 2; the operation switch 21 is connected with the plasma joint 3 through a connecting wire 22; the connecting wire 22 and the pen holding type operating handle 2 can also be designed to be inserted, so that the assembly is convenient. The operation switch 21 comprises closing, electrocoagulation and electrosection, and can be performed in a plasma electrosection or electrocoagulation mode according to the operation condition in the using process, the electrosection is used for removing the tumor, the electrocoagulation and the hemostasis are performed on the wound surface, the electrocoagulation and the electrosection are switched on the operation switch 21 on the pen-holding type operation handle 2, and the electrocoagulation key and the electrosection key are activated by keys, so that the operation is more precise.
In one embodiment, the pen holding type operating handle 2 is connected with a pedal structure control, the pedal structure control is provided with an operating switch 21, and the operating switch 21 comprises closing, electrocoagulation and electrosection; in the using process, the pedal structure is controlled through the pedal, so that the working mode of the electric cutting ring 1 is controlled.
The outside of the operating handle is insulated to avoid current burning during operation. The outer side wall of the pen holding type operating handle 2 is provided with friction lines, so that the stability in the taking operation is ensured.
The plasma joint 3 adopts a double-fork head, and the plasma joint 3 is directly and movably connected with plasma main machine equipment; the device is convenient for clinical use.
The length of the connecting line 22 is determined according to the distance between the operation area and the equipment, and is generally 1.5m-3.5m, preferably 2.5 m; by utilizing the length of the connecting rod 11, the hemostatic device can simultaneously perform hemostatic coagulation on all kidney tissue parts connected with the hemostatic device, thereby effectively preventing the bleeding problem caused by side injury due to the movement of the hemostatic device and reducing the bleeding complications of percutaneous nephroscope surgery.
The use principle is as follows: the plasma joint is connected with the existing plasma host equipment, the operation switch is controlled to be in an electrocoagulation mode or an electrotomy mode, current generates high heat through an electrotomy ring, and then the tissue is cut off, and other parts are all subjected to insulation treatment, so that the operation safety is guaranteed.
The above description of the embodiments is only for the understanding of the present invention. It should be noted that modifications could be made to the invention without departing from the principle of the invention, which would also fall within the scope of the claims of the invention.
Claims (10)
1. An easy-to-operate hemostasis manipulator for a percutaneous nephroscope, which comprises a workpiece and an operation end, and is characterized in that the operation end is arranged as an operation handle; one end of the workpiece is provided with a connecting rod, and the operating handle is sleeved outside the connecting rod; the other end of the connecting rod is provided with a plasma joint, and the plasma joint is movably connected with the connecting rod; the work piece includes the Y type pipe of being connected with the connecting rod, respectively with Y type pipe integral connection's stay tube to and the electricity of connecting the stay tube is cut the ring.
2. The plasma hemostasis applicator for percutaneous nephroscopy as claimed in claim 1, wherein the width of the resectoscope ring is 2-5 mm.
3. The plasma hemostasis manipulator for percutaneous nephroscopy as claimed in claim 1, wherein the supporting tube is provided with a ceramic layer at one end provided with the resectoscope ring, and the ceramic layer is a high temperature resistant ceramic layer and serves as a separation layer with the resectoscope ring.
4. The plasma hemostasis manipulator for a percutaneous nephroscope according to claim 1, wherein the resectoscope is arranged in an omega shape, and the junction of the resectoscope and the supporting tube is angled; preferably, the angle of the connection part of the resectioning ring and the supporting tube is a right angle.
5. The plasma hemostasis manipulator for percutaneous nephroscopy according to any one of claims 1 to 4, wherein a protruding electrode block is arranged on the side wall of the resectoscope ring, and the protruding electrode block is integrally connected with the resectoscope ring.
6. The plasma hemostasis operator for percutaneous nephroscopy as claimed in claim 5, wherein the upper end of the raised electrode block is an arc-shaped face.
7. The plasma hemostasis manipulator for percutaneous nephroscopes of any one of claims 1 to 4, wherein a cylindrical point protrusion is provided at one end of the support tube where the resectoscope ring is provided.
8. The plasma hemostasis manipulator for the percutaneous nephroscope according to claim 1, wherein the operating handle is arranged to be a pen-holding operating handle, and an operating switch is arranged outside the pen-holding operating handle; the operation switch is connected with the plasma joint through a connecting wire.
9. The plasma hemostasis manipulator for percutaneous nephroscopy as claimed in claim 8, wherein the outside of the manipulation handle is insulated.
10. The plasma hemostasis operator for percutaneous nephroscopy according to claim 8, wherein the outer side wall of the pen-shaped operating handle is provided with friction lines.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210708367.3A CN114767259A (en) | 2022-06-22 | 2022-06-22 | Easy-to-operate hemostasis manipulator for percutaneous nephroscope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210708367.3A CN114767259A (en) | 2022-06-22 | 2022-06-22 | Easy-to-operate hemostasis manipulator for percutaneous nephroscope |
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| CN114767259A true CN114767259A (en) | 2022-07-22 |
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| CN202210708367.3A Pending CN114767259A (en) | 2022-06-22 | 2022-06-22 | Easy-to-operate hemostasis manipulator for percutaneous nephroscope |
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Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6461355B2 (en) * | 1999-05-27 | 2002-10-08 | Ams Research Corporation | Insulated electrode and method of assembly |
| JP2004188023A (en) * | 2002-12-12 | 2004-07-08 | Olympus Corp | Resectoscope apparatus |
| EP2882363B1 (en) * | 2012-08-12 | 2019-04-24 | Medwork GmbH | Device for endoscopic submucosal dissection in the upper or lower gastrointestinal tract |
| CN209734132U (en) * | 2018-12-17 | 2019-12-06 | 北京中诺恒康生物科技有限公司 | Bipolar radio frequency plasma operation electrode for multi-interface conversion |
| CN209916191U (en) * | 2019-04-10 | 2020-01-10 | 庄则豪 | Anti-slip mucosa snare excising device |
| CN111134838A (en) * | 2019-09-05 | 2020-05-12 | 珠海市司迈科技有限公司 | Transurethral prostate operation plow-shaped electrode and use method thereof |
| US20200205882A1 (en) * | 2017-10-27 | 2020-07-02 | Neowing Medical Co., Ltd. | Low temperature polypectomy snare surgical device, system and method |
-
2022
- 2022-06-22 CN CN202210708367.3A patent/CN114767259A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6461355B2 (en) * | 1999-05-27 | 2002-10-08 | Ams Research Corporation | Insulated electrode and method of assembly |
| JP2004188023A (en) * | 2002-12-12 | 2004-07-08 | Olympus Corp | Resectoscope apparatus |
| EP2882363B1 (en) * | 2012-08-12 | 2019-04-24 | Medwork GmbH | Device for endoscopic submucosal dissection in the upper or lower gastrointestinal tract |
| US20200205882A1 (en) * | 2017-10-27 | 2020-07-02 | Neowing Medical Co., Ltd. | Low temperature polypectomy snare surgical device, system and method |
| CN209734132U (en) * | 2018-12-17 | 2019-12-06 | 北京中诺恒康生物科技有限公司 | Bipolar radio frequency plasma operation electrode for multi-interface conversion |
| CN209916191U (en) * | 2019-04-10 | 2020-01-10 | 庄则豪 | Anti-slip mucosa snare excising device |
| CN111134838A (en) * | 2019-09-05 | 2020-05-12 | 珠海市司迈科技有限公司 | Transurethral prostate operation plow-shaped electrode and use method thereof |
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Application publication date: 20220722 |