CN1274565A - Lithiasis removing device having prob for crushing stone - Google Patents
Lithiasis removing device having prob for crushing stone Download PDFInfo
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- CN1274565A CN1274565A CN99119035A CN99119035A CN1274565A CN 1274565 A CN1274565 A CN 1274565A CN 99119035 A CN99119035 A CN 99119035A CN 99119035 A CN99119035 A CN 99119035A CN 1274565 A CN1274565 A CN 1274565A
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- 239000004575 stone Substances 0.000 title claims description 59
- 208000015924 Lithiasis Diseases 0.000 title 1
- 239000000523 sample Substances 0.000 claims abstract description 47
- 229910000831 Steel Inorganic materials 0.000 claims description 22
- 239000010959 steel Substances 0.000 claims description 22
- 230000007246 mechanism Effects 0.000 claims description 16
- 239000007769 metal material Substances 0.000 claims description 8
- 239000004033 plastic Substances 0.000 claims description 4
- 229920003023 plastic Polymers 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 3
- 230000002093 peripheral effect Effects 0.000 claims 1
- 230000035939 shock Effects 0.000 abstract description 8
- 230000000149 penetrating effect Effects 0.000 abstract 1
- 201000001883 cholelithiasis Diseases 0.000 description 21
- 238000000034 method Methods 0.000 description 15
- 210000003445 biliary tract Anatomy 0.000 description 8
- 210000000013 bile duct Anatomy 0.000 description 5
- 210000003128 head Anatomy 0.000 description 5
- 238000003825 pressing Methods 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 238000010298 pulverizing process Methods 0.000 description 3
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical group [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 201000011510 cancer Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000013467 fragmentation Methods 0.000 description 2
- 238000006062 fragmentation reaction Methods 0.000 description 2
- 208000001130 gallstones Diseases 0.000 description 2
- 210000002445 nipple Anatomy 0.000 description 2
- 238000007464 sphincterotomy Methods 0.000 description 2
- 230000007306 turnover Effects 0.000 description 2
- 206010013554 Diverticulum Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 239000002872 contrast media Substances 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 230000002183 duodenal effect Effects 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
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- 239000002184 metal Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 230000000704 physical effect Effects 0.000 description 1
- 229950000845 politef Drugs 0.000 description 1
- 239000002244 precipitate Substances 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
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- 230000001052 transient effect Effects 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
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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
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
- A61B18/245—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter for removing obstructions in blood vessels or calculi
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
- A61B2017/22045—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire fixed to the catheter; guiding tip
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22069—Immobilising; Stabilising
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22082—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 after introduction of a substance
- A61B2017/22084—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 after introduction of a substance stone- or thrombus-dissolving
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B2018/00529—Liver
- A61B2018/00535—Biliary tract
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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
- A61B2018/00577—Ablation
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Abstract
To easily operate a calculus removing device without special skill by connecting a capturing means for capturing and fixing a calculus to one end of a connecting member inserted into a first tube, and inserting a calculus crushing probe for imparting an electric shock by coming into contact with the captured calculus into an inside space of the first tube. In a basket catheter, a basket 20 for capturing a calculus is guided to a calculus part by a first tube 40, and a calculus crushing probe 55 for imparting a shock wave to a calculus is inserted into a second tube 51. The basket 20 is connected to a wire 50 formed to exist in an inside space 42 of the first tube 40, and going in and out of the wire 50 is adjusted by a grip joined to the other end part of the first tube 40. The calculus crushing probe 55 inserted by penetrating through the inside space 41 of the first tube 40 generates a shock wave having discharge energy when high voltage is impressed on a discharge electrode 58. The wire 50 is inserted via a through hole 53 into a connecting piece 52 formed on the outer periphery of the second tube 51.
Description
The present invention relates to the employed calculus removal device of a kind of medical field, more specifically to following calculus removal device, its inside is provided with the crushed stone probe, and this crushed stone can will be pulverized and remove simultaneously with probe in the calculus that inside of human body forms.
Generally, being present in the intravital calculus of people can be because of following former thereby precipitate, and this reason refers to that organic ionic dissolubility changes because of the variation of pH, and above-mentioned calculus is according to position that calculus produced and can be divided into calculus of urethra, calculus of bile duct (cholelithiasis) etc.Under the occasion that forms such calculus, can cause the obstruction of proper flow, and produce various symptoms.Remove calculus and include the whole bag of tricks, and adopt usually have endoscope, catcher conduit, crushed stone remove calculus with the electric hydaulic calculi breaking device of probe etc.As an example, below just after teat sphincter is carried out cutting operation, method and its employed device of removing calculus of bile duct are described.
In the past, after with sphincterotomy, can diameter be removed about 90% at 10mm with interior cholelithiasis by adopting the removal method of catcher or balloon etc.But,, after cholelithiasis is pulverized, it can be removed like this because the cholelithiasis of diameter more than 10mm can not be removed by said method.The method of crushed stone is divided into mechanical pulverizatio calculus method and electric hydaulic crushed stone method.Particularly, after the major part of pars papillaris was cut, the diameter of cholelithiasis needn't reclaim by the catcher conduit with interior calculus at 10mm, and diameter is realized pulverizing after incision in the calculus of 10～20mm, and it can adopt the catcher conduit to realize reclaiming.
Fig. 1 is for representing the perspective view of the general catcher conduit that the removal cholelithiasis is used.With reference to Fig. 1, this catcher conduit 200 comprises pipe 240 and catcher 220, is inserted with 4 steel wire strands steel wire rope 250 together in this pipe 240, and above-mentioned catcher 220 bends every steel wire, and its front end is fixed by head.The operation of removal cholelithiasis is performed such, and after the front end that will manage 240 is inserted into the cholelithiasis position, with catcher 220 expansions, cholelithiasis is trapped in catcher 220 inside.Then, with catcher 220 ingress pipes 240 inside, with this catcher 220 calculus promptly and under the fixed state is being taken out calculus, thereby cholelithiasis can removed.
But the removal of cholelithiasis of adopting above-mentioned catcher conduit is because of the size of cholelithiasis and exist the position to be restricted.In fact, be occasion more than the 10mm at the maximum gauge of cholelithiasis, be difficult to calculus is removed, for the huge gallstone of maximum gauge more than 20mm,, still be difficult to cholelithiasis is removed even implement the sphincterotomy method.In order to overcome and the device that proposes is the catcher conduit and the electric hydaulic crushed stone device of mechanical pulverizatio calculus,, also it can be removed like this for the huge gallstone of its maximum gauge more than 30mm for the boundary of the size of above-mentioned calculus.
Fig. 2 inserts the perspective view of the state of endoscope inside with probe for the crushed stone in the expression electric hydaulic crushed stone device.
With reference to Fig. 2, electric hydaulic crushed stone device is made of with probe 310 electric hydaulic generator 320 and crushed stone.The voltage that this crushed stone provides by electric hydaulic generator 320 with probe 310, the high voltage with 1800～2000V discharges in moment by the sparking electrode 312 of its front end, produces the shock wave of the discharge energy with 0.6～5ws.After the front of endoscope 330 is positioned at the cholelithiasis position, forceps channel 340 by endoscope 330 is inserted in crushed stone below the endoscope 330 with probe 310, the sparking electrode 312 that makes front end near or contact with calculus, discharge then this calculus-smashing.This broken calculus is to adopt nature to discharge method or the removal of catcher conduit.
Fig. 3 is the perspective view of the catcher conduit of expression mechanical pulverizatio calculus.With reference to Fig. 3, the catcher conduit 400 of mechanical pulverizatio calculus has and above-mentioned catcher conduit 200 similar structures, it is characterized in that pipe that catcher 420 is imported into 440 is formed by metal.The front end of the pipe 440 in the above-mentioned catcher conduit 400 is inserted into stone location, after catcher 420 expansions, calculus is trapped in catcher 420 inside.So, by manpower catcher 420 being imported pipe 440 inside of metal material forcibly, the power by physical property is caught the cholelithiasis fragmentation and remove with cholelithiasis by catcher 420 afterwards, perhaps removes by nature discharge method.
But the occasion in the catcher conduit removal calculus that adopts the mechanical pulverizatio calculus can produce following several problem.That is, import the pipe inside that metal material forms owing to will catch the catcher of calculus by applying power, the time of crushed stone is longer like this, because pipe is metal material, flexibility is bad, is difficult for like this operating, and the people who performs an operation must have skilled technical ability.In addition, the size of catcher is restricted, and it is difficult that the cholelithiasis more than the 30mm is pulverized.Also have, in the occasion (duodenal diverticulum) that enough big pars papillaris can not be cut, owing to must carry out the operation of crushed stone for several times, the time of crushed stone is longer like this, can cause suffering to the patient, must earlier calculus far away be pulverized usually, pulverize nearer calculus again.
In addition, in the occasion that adopts electric hydaulic crushed stone device removal calculus, because must be in the direct observation calculus, carry out the operation of crushed stone, have following worry like this, promptly must be carrying out operation with the biliary tract endoscope of the specific purposes of high price (endermic biliary tract endoscope, through the biliary tract endoscope of nipple) parallel mutually mode, confirm that by endoscope after the calculus, existing must correct burden of aiming at the middle part of calculus.So,, after using the probe crushed stone, must insert the catcher conduit separately by crushed stone for the final calculus of removing.Therefore, in order to undergo surgery, need be except electric hydaulic crushed stone device, the personnel that skillfully perform an operation more than at least two people that also endoscope adjusted etc., it also is very difficult performing an operation in addition.Adopting endermic biliary tract endoscope and occasion, in any case need 2 people or the above paraprofessional personnel of 3 people through the endoscope of the biliary tract endoscope in oral cavity etc.
So, the object of the present invention is to provide a kind of calculus removal device, its necessary personnel when performing an operation are less, do not need special skillfully can operating easily, the time of performing an operation is shorter, and crushed stone is good, hold and perform an operation easily and safety, patient's misery is few, and manufacturing cost is not high.
To achieve these goals, of the present invention have crushed stone and be characterised in that with the calculus removal device of probe it comprises: the 1st pipe that is formed with the inner space; Insert the link of the inner space of above-mentioned the 1st pipe; Capture mechanism, it is connected with an end of above-mentioned link, and can be imported in the space of above-mentioned the 1st pipe, and this mechanism catches calculus and it is fixed; The crushed stone probe, it inserts the inner space of above-mentioned the 1st pipe, contacts with the calculus of catching by above-mentioned capture mechanism, and this calculus is applied surge; Handle, it is connected with an end of above-mentioned the 1st pipe, makes the probe self-movement of above-mentioned link and crushed stone.
As capture mechanism, it is preferably the catcher that forms according to making many filaments with elastic force be the mode of cage type.In addition,, can adopt inside to be provided with the pipe of steel wire, or comprise the link of cast brace and the steel wire more than at least 1 as link.
In addition, the 1st pipe is preferably formed by plastic material, and its end is coated with the protection of pipe portion of metal material formation.
Fig. 1 is used to remove the perspective view of the general catcher conduit of cholelithiasis for expression;
Fig. 2 inserts the perspective view of the state of endoscope inside with probe for the crushed stone in the expression electric hydaulic calculi breaking device;
Fig. 3 is the perspective view of the catcher conduit of expression mechanical pulverizatio calculus;
Fig. 4 is the perspective view of the 1st embodiment of expression calculus removal device of the present invention;
Fig. 5 is the profile of the partly cut-away of Fig. 4;
Fig. 6 carries out the movement state diagram of the state of calculus removal by the calculus removal device of Fig. 4 for expression;
Fig. 7 is the perspective view of the partly cut-away of the 2nd embodiment of expression calculus removal device of the present invention.
With reference to the accompanying drawings, to having crushed stone and be described with the catcher conduit of an example of the calculus removal device of probe as of the present invention.The invention is not restricted to the form of catcher conduit here.
Fig. 4 is the perspective view of the 1st embodiment of expression calculus removal device of the present invention, and Fig. 5 is the profile of the partly cut-away of Fig. 4, and Fig. 6 carries out the movement state diagram of the state of calculus removal by the calculus removal device of Fig. 4 for expression.
With reference to Fig. 4 and Fig. 5, comprise: be used to catch the catcher 20 of calculus, this catcher 20 is directed in the 1st pipe 40 of stone location, the crushed stone that calculus applied shock wave is inserted into probe 55 with probe 55, crushed stone the handle 60 of the 2nd managing 51, the motion of catcher 20 and steel wire rope 50 being adjusted as the catcher conduit 10 of calculus removal device of the present invention.Catcher 20 is connected with the steel wire rope 50 that is positioned at the 1st pipe 40 inner spaces 41, realizes turnover by an end of the 1st pipe 40.The adjustment of this turnover is to realize by the handle 60 that the other end with the 1st pipe 40 is connected.
The 1st pipe 40 is formed by plastics, and it has flexibility.Can change the length and the diameter of the 1st pipe 40 as required.In addition, in an end of the 1st pipe 40, be formed with the protection of pipe portion 42 of the metal material that covers the 1st pipe 40.Here, the 1st pipe 40 be according to can seeing inner mode, by transparent or translucent plastics, form such as the politef material.
Be inserted with many steel wire ropes 50 in the inner space 41 of the 1st pipe 40, an end of this steel wire rope is connected with catcher 20, and the other end of this steel wire rope 50 is connected with handle 60 by the through hole 53 of the brace 52 of the periphery of the 2nd pipe 51.Catcher 20 is formed by many filaments of rubber-like according to the mode that is cage type when stretch out in the 1st pipe 40 the outside.Front end at this catcher 20 is connected with head 25.This catcher 20 moves with the 1st pipe 40.Here, head 25 has following size, and this size refers at the 1st pipe 40 when stone location moves, the size that the inner space 41 of the 1st pipe 40 can be closed, and it does not cause damage to tissue, and leading section does not have corner angle, and processed smoothly.Can increase or reduce the quantity of the filament that constitutes catcher 20 as required.
According to the mode of the inner space 41 of passing the 1st pipe 40, insert crushed stone probe 55.This crushed stone comprises with probe 55: probe body 56, be formed at the conductive core with electric conductivity 57 of these probe body 56 inside, be connected with the end of above-mentioned probe body 56 and with the sparking electrode 58 of conductive core 57 electrical communication.When this crushed stone is applied voltage with probe 55, on sparking electrode 58, be applied with the high voltage of 1800～2000V, produce shock wave thus with discharge energy.
On the brace 52 of the periphery that is formed at the 2nd pipe 51,, be inserted with steel wire rope 50 by through hole 53.Thus, inner when mobile at steel wire rope 50 in the 1st pipe 40, can prevent to twine.Above-mentioned steel wire rope 50 is between the 2nd pipe the 51 and the 1st pipe 40.
The handle 60 that is connected with the 1st pipe the other end of 40 comprises: the iron core 63 that is connected with steel wire rope 50, the portion of pressing 62 that is connected with this iron core, when being used to be infused in the removal calculus necessary contrast agent or normal saline solution etc. injection portion 64, make the 2nd to manage 51 discharge portions 65 of exposing and crushed stone is used probe 55 discharge usefulness towards the outside.Because with the enough length of probes 55 formation, it can be at an easy rate be connected with the voltage generator (not shown) that will be used for applying on probe 55 at crushed stone voltage like this by the 2nd pipe 51 crushed stones of discharging that expose.
Below with reference to Fig. 4～6, the calculus removal process that adopts the catcher conduit is described.But Fig. 6 represents the state that adopts endoscope 430 to perform an operation, but also can undergo surgery under the situation that does not adopt endoscope 430.
At first, be the occasion of the calculus 72 below the 10mm at maximum gauge, the personnel that perform an operation strain the portion of pressing 62 of handle 60, and steel wire rope 50 towards handle 60 1 side-linings, is imported catcher 20 in the inner space 41 of the 1st pipe 40.At this moment, the head 25 that is connected with catcher 20 is closed the inner space 41 of the 1st pipe 40.Under this state, the personnel that perform an operation are pressed onto the front end of the pipe of the 1st in the catcher conduit 10 40 at the position of calculus 72 when adopting common endoscope 430 separately, watching the radioscopy picture.When the front end of the 1st pipe 40 arrived the position of calculus 72, the personnel that and then perform an operation pushed down the portion of pressing 62 when watching the radioscopy picture, calculus 72 is trapped in catcher 20 inboards, and portion 62 is pressed in pulling afterwards.In in the inner space 41 that this catcher 20 is pulled into the 1st pipe 40, the front end of calculus 72 and the 1st pipe 40 posts and fixes.Under this state, the 1st pipe 40 is taken out, the calculus 72 that is captured is removed.But in above-mentioned operation process, preferably crushed stone is arranged in the 1st with probe 55 and manages 40 inner space 41, is short-circuited between itself and the catcher 20 so that prevent.
On the other hand, be the occasion of the calculus 70 more than the 10mm at maximum gauge, make the 1st pipe 40 front end move to the action at position of calculus 70 with above-mentioned identical.When the 1st pipe 40 front end arrived the position of calculus 70, the personnel that and then perform an operation pushed the portion of pressing 62 when watching the radioscopy picture, and calculus 70 is trapped in the inboard of catcher 20, and portion 62 is pressed in pulling afterwards.In the inner space 41 of this catcher 20 being drawn in the 1st pipe 40, the front end of calculus 70 and the 1st pipe 40 posts and fixes.Then, by being pressed into the crushed stone that is connected with the electric hydaulic calculi breaking device with probe 55, crushed stone with the sparking electrode 58 of probe 55 near or with calculus 70 contacted states under, calculus 70 is applied shock wave.At this moment, because calculus 70 is fixing by catcher 20 at the leading section of the 1st pipe 40, so just calculus is applied correct and powerful shock wave.Being broken into small blocky calculus can remove by nature discharge method, can the mode identical with the method for removing the above-mentioned calculus of maximum gauge below 10mm not remove by the calculus below the 10mm of nature discharge method removal.Above-mentioned operation can 40 be arranged in bile duct inside at the 1st pipe, cholelithiasis is trapped in catcher 20 after, carry out once.
In above-mentioned calculus removal process, when the 1st pipe 40 inside are caught and imported to calculus 70 by catcher 20,, do not have the danger that breakage takes place the 1st pipe 40 like this because protection of pipe portion 42 is formed at the leading section of the 1st pipe 40.In addition, because protection of pipe portion 42 is a metal material, it is shown in the radioscopy picture brightly, is easy to like this undergo surgery.
Fig. 7 is the perspective view of the partly cut-away of the 2nd embodiment of expression calculus removal device of the present invention.With reference to Fig. 7, catcher conduit 100 also comprises: be formed at crushed stone with the 2nd pipe 151 between probe 155 and the 1st pipe 140, according to crushed stone probe 155 realization insulation and insertable modes, crushed stone put into the 3rd pipe 154 of the 2nd pipe 151 inside with probe 155.In addition, different with the head of general catcher in above-mentioned catcher 120, its front end is connected by the steel wire 123 of circle.Crushed stone has the 3rd pipe 154 with probe 155 outer surrounding, because the top ends of this catcher 120 is opened, be easy to like this realize inserting, can adopt the cholelithiasis fragmentation of the catcher 20 of various sizes with various sizes, the guiding mechanism of other that the steel wire rope of the usefulness that will lead easily is such inserts.The 1st pipe 140, catcher 120 and crushed stone usefulness probe 155 are identical with above-mentioned the 1st embodiment's, and the Therefore, omited is to its explanation.
In catcher conduit 100, catcher 120 is fixed by an end of the 2nd pipe 151, and the other end of the 2nd pipe 151 is connected with the portion of the pressing (not shown) of handle.When portion was pressed in pulling, the 2nd pipe 151 was directed, and catcher 120 can be imported in the inner space 141 of the 1st pipe 140.Here, also identical owing to a end with the 1st pipe 140 at the 2nd pipe 151, be formed with protection of pipe portion 153, physical strength is higher like this, and is shown in brightly on the radioscopy picture.
According to top described,, except being useful on the capture mechanism of removing calculus, also be provided with broken calculus probe in the inside of calculus removal device of the present invention.In the less occasion of calculus size, only adopt capture mechanism that calculus is removed, in the larger-size occasion of calculus, adopt crushed stone to remove calculus with probe, adopt capture mechanism to pass through once to insert bile duct afterwards, calculus is removed.The operation that is used to remove the calculus removal mechanism of calculus can be carried out when watching the radioscopy picture; owing to be formed with protection of pipe portion in the end of the 1st pipe; when catcher fits in the front end of the 1st pipe,, can prevent that just the 1st pipe from sustaining damage like this because act on the effect of the power on the 1st pipe.
As mentioned above, of the present invention have crushed stone and can obtain following effect with the calculus removal device of probe.
1. since catching to remove and pulverize and adopting 1 device to carry out of various calculus so can not adopt respectively yet Biliary tract endoscope, trap conduit and electric hydaulic lithotripsy apparatus with the specific purposes that are used for the removal calculus.
2. owing to can when watching the radioscopy picture, directly performing the operation, so electronic in order to realize The action of hydraulic stone breaking device needn't be used endoscope at high price individually. Obviously, also can insert endoscope, Confirm calculus in this endoscope, after with calculus-smashing, calculus is removed.
3. needn't pulverize according to existing mechanical type the mode of the trap conduit of calculus, carry out that crushed stone is used, Repeatedly numerous and diverse operation of the personnel that perform an operation that insert of bile duct, thus can be simply by the crushed stone probe, Carry out the pulverizing of calculus.
4. a people just can undergo surgery.Because the removal of catching of calculus is undertaken by a device with the calculus-smashing operation, needn't operate desired personnel to various devices according to existing mode like this.
5. under calculus is fixed in state in the capture mechanism, crushed stone applies impact with probe with the nearest distance of the pars intermedia of relative calculus, shock wave passes to the pars intermedia of calculus, and impact effect is good, does not have the damage of the normal biliary tract that crushed stone causes with the swing of probe.
6. when inserting the 1st pipe, owing to can calculus be pulverized,,, can simply calculus be removed by the insertion of temporary transient endoscope like this because can carry out for several times calculus pulverizing even like this under incision (the big incision) situation of difficult of pars papillaris in biliary tract inside.
7. can with the situation of the sequence independence of calculus far away, nearer calculus etc. under, calculus is removed.
8. according to the 2nd embodiment, guiding steel wire rope that the catcher conduit is led etc. can be inserted the inside of the 3rd pipe.
9. be suitable for diagnosing with any with in the endoscope of endoscope or treatment.
10. in the occasion that has calculus and malignant tumor, also can realize being used for the cytoscopy of diagnosing malignant tumor.In addition, of the present invention have crushed stone and be not limited only to above-mentioned catcher conduit with the calculus removal device of probe, in the scope of not leaving technique center of the present invention thought, can implement according to the mode of carrying out various conversion.
Claims (9)
1. a calculus removal device is characterized in that, comprising:
Be formed with the 1st pipe of inner space;
Insert the link of the inner space of above-mentioned the 1st pipe;
Capture mechanism, it is connected with an end of above-mentioned link, and can be imported in the space of above-mentioned the 1st pipe, and this mechanism catches calculus and it is fixed;
The crushed stone probe, it inserts the inner space of above-mentioned the 1st pipe, contacts with the calculus of catching by above-mentioned capture mechanism, and this calculus is applied surge;
Handle, it is connected with an end of above-mentioned the 1st pipe, makes the probe self-movement of above-mentioned link and crushed stone.
2. calculus removal device according to claim 1 is characterized in that, the above-mentioned capture mechanism catcher that the steel wire more than at least 2 with elastic force constitutes of serving as reasons.
3. calculus removal device according to claim 1 is characterized in that, above-mentioned link is the pipe that inside is provided with steel wire.
4. calculus removal device according to claim 1 and 2, it is characterized in that above-mentioned link comprises and is formed at the steel wire more than at least 1 that above-mentioned crushed stone inserts with the cast brace of the outer peripheral face of probe, by the through hole that is formed in this brace.
5. calculus removal device according to claim 1 is characterized in that, is inserted with the 3rd pipe between above-mentioned crushed stone is with probe and above-mentioned the 1st pipe.
6. calculus removal device according to claim 1 is characterized in that, above-mentioned the 1st pipe has the end of above-mentioned capture mechanism to be formed with the protection of pipe portion of metal material in importing.
7. calculus removal device according to claim 3 is characterized in that, aforementioned tube is formed with the protection of pipe portion of metal material in the end that is connected with above-mentioned capture mechanism.
8. calculus removal device according to claim 1 is characterized in that, above-mentioned the 1st pipe is formed by plastic material.
9. calculus removal device according to claim 2 is characterized in that, above-mentioned catcher is according to the open mode of its leading section, by the steel wire connection of circle.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| KR1019990018823A KR100318411B1 (en) | 1999-05-25 | 1999-05-25 | Calculus-removing device having smashing probe |
| KR199918823 | 1999-05-25 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN1274565A true CN1274565A (en) | 2000-11-29 |
| CN1150859C CN1150859C (en) | 2004-05-26 |
Family
ID=19587574
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNB991190351A Expired - Fee Related CN1150859C (en) | 1999-05-25 | 1999-09-10 | Lithiasis removing device having prob for crushing stone |
Country Status (3)
| Country | Link |
|---|---|
| JP (1) | JP3145688B2 (en) |
| KR (1) | KR100318411B1 (en) |
| CN (1) | CN1150859C (en) |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102293676A (en) * | 2011-09-02 | 2011-12-28 | 王宝根 | Air control stone-taking device |
| CN102319113A (en) * | 2011-09-02 | 2012-01-18 | 王宝根 | Multi-functional stone extractor |
| CN103445822A (en) * | 2013-09-25 | 2013-12-18 | 刘丹青 | Stone dislodger with stone smashing function |
| CN105615942A (en) * | 2016-03-18 | 2016-06-01 | 浙江大学滨海产业技术研究院 | Fixed point stone crushing device and crushing method |
| CN111727015A (en) * | 2018-01-19 | 2020-09-29 | 福尔顿控股公司 | Calculus fragmentation and/or removal system, method of providing same, and transition element |
| CN112957101A (en) * | 2021-01-29 | 2021-06-15 | 四川大学 | Tonsil calculus removing device and removing system |
| CN116849759A (en) * | 2023-07-06 | 2023-10-10 | 朱昌毫 | Clinical stone device of getting |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR20010049223A (en) * | 2000-03-10 | 2001-06-15 | 박찬수 | Electrode for gallstone destruction machine |
| US8092470B2 (en) | 2006-06-08 | 2012-01-10 | Olympus Medical Systems Corp. | Calculus crushing apparatus and medical procedure using endoscope |
| KR100928706B1 (en) * | 2008-01-03 | 2009-11-27 | 인하대학교 산학협력단 | Stone removal device |
| KR101418809B1 (en) | 2012-03-27 | 2014-07-17 | 주식회사 루트로닉 | Calculus removing device and method for controlling thereof |
| CN112334082A (en) | 2018-06-26 | 2021-02-05 | 奥林巴斯株式会社 | Calculus crushing device |
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| CN116019524B (en) * | 2022-12-26 | 2024-01-26 | 扬州大学 | Calculus removing device |
-
1999
- 1999-05-25 KR KR1019990018823A patent/KR100318411B1/en not_active IP Right Cessation
- 1999-09-06 JP JP25143499A patent/JP3145688B2/en not_active Expired - Fee Related
- 1999-09-10 CN CNB991190351A patent/CN1150859C/en not_active Expired - Fee Related
Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102293676A (en) * | 2011-09-02 | 2011-12-28 | 王宝根 | Air control stone-taking device |
| CN102319113A (en) * | 2011-09-02 | 2012-01-18 | 王宝根 | Multi-functional stone extractor |
| CN103445822A (en) * | 2013-09-25 | 2013-12-18 | 刘丹青 | Stone dislodger with stone smashing function |
| CN105615942A (en) * | 2016-03-18 | 2016-06-01 | 浙江大学滨海产业技术研究院 | Fixed point stone crushing device and crushing method |
| CN105615942B (en) * | 2016-03-18 | 2018-08-31 | 浙江大学滨海产业技术研究院 | A kind of fixed point lithotripsy apparatus and breaking method |
| CN111727015A (en) * | 2018-01-19 | 2020-09-29 | 福尔顿控股公司 | Calculus fragmentation and/or removal system, method of providing same, and transition element |
| CN111727015B (en) * | 2018-01-19 | 2023-11-14 | 福尔顿控股公司 | Calculus crushing and/or removal system, method of providing the same and adapter element |
| CN112957101A (en) * | 2021-01-29 | 2021-06-15 | 四川大学 | Tonsil calculus removing device and removing system |
| CN116849759A (en) * | 2023-07-06 | 2023-10-10 | 朱昌毫 | Clinical stone device of getting |
| CN116849759B (en) * | 2023-07-06 | 2024-03-12 | 朱昌毫 | Clinical stone device of getting |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2000333967A (en) | 2000-12-05 |
| CN1150859C (en) | 2004-05-26 |
| KR100318411B1 (en) | 2001-12-22 |
| KR19990068475A (en) | 1999-09-06 |
| JP3145688B2 (en) | 2001-03-12 |
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