CN201676002U

CN201676002U - Multifunctional prostate operating telescope

Info

Publication number: CN201676002U
Application number: CN201020001108XU
Authority: CN
Inventors: 张家华
Original assignee: Individual
Current assignee: Individual
Priority date: 2010-01-13
Filing date: 2010-01-13
Publication date: 2010-12-22
Anticipated expiration: 2020-01-13

Abstract

The utility model discloses a multifunctional prostate operating telescope which comprises a sheath and a resectoscope sheathed in the sheath. The resectoscope comprises an operating hand piece and an enucleating machine, wherein the operating hand piece comprises a main pipe and a sliding block matched with the outer surface of the main pipe in a sliding manner; the enucleating machine is parallel to the main pipe and comprises a handle and an enucleating head; the enucleating head is of a shovel structure with the cross section being arc-shaped; the front end of the handle is fixedly connected with the tail end of the enucleating head; an electrode base is arranged on the sliding block; the tail end of the handle is inserted in the electrode base and fixedly matched with the sliding block; the enucleating head is electrically connected with the electrode base by the handle; the handle is provided with an axial through hole so as to form a fiber channel; and a fiber inlet is arranged on the sliding block and communicated with the fiber channel. The multifunctional prostate operating telescope can conduct not only electrocision, but also laser excision, also comprises a grinding mirror matched with the sheath, has wide application range, achieves the multiple functions practically, is more convenient in operation, effectively improves the operation efficiency, relieves the pain of a patient, and reduces the possibility of secondary damage of the patient.

Description

Multifunctional prostate operation mirror

Technical field

This utility model relates to a kind of medical apparatus and instruments, particularly a kind of multifunctional prostate operation mirror that is applicable to multiple operation on prostate.

Background technology

Prostate hyperplasia, hypertrophy are the high common diseases of middle-aging male sickness rate, and the excision that undergos surgery is the most effective Therapeutic Method.Traditional open surgery is to cut an otch at patient's hypogastric region, cuts bladder again and takes out prostate, and this is very big to normal urethra physiological structure damage.Along with the development of modern medicine, resectoscope, laser ablation mirror occur, pulverized the operation mirror that mirror etc. is used for urinary system, wherein resectoscope is because have the advantage easy to operate, that expense is lower, effective, and clinical practice is more and more widely.

The resectoscope of prior art generally is made up of endoscope, operation hand piece and electrode, operation hand piece is made up of body and slide block, body comprises to be responsible for and handle, be placed in the endoscope in the person in charge, be used for the operation chamber is observed, slide block is coated at the person in charge and is slidingly matched with the person in charge, can be along charge shaft to reciprocatingly sliding, by the electrode tip holder that electrode end is inserted slide block electrode is installed on the slide block, electrode can be along charge shaft to reciprocatingly sliding under the driving of slide block, the operation of being convenient to undergo surgery.Resectoscope is connected with high frequency generator, produces high-voltage pulse electricity, iontophoresis electrode by high frequency generator, the electrode front end produces high-density current at cut tissue place, electrode front end tissue is on every side gasified rapidly, and cell membrane is promptly cut apart incision, realizes the excision to prostatic hyperplasia.

But the front end of existing electrode is generally made by tungsten filament, thinner, the section processes poor effect that prostatic hyperplasia is contacted with prostate surgery peplos inwall, residual is often arranged on inwall, and existing excision mode is little by little prostatic hyperplasia to be cut into pieces, sucking-off then, this operation need be carried out TURP and sucking-off operation repeatedly, and efficient is lower.

Developed the Lasar prostate enucleation in nearly 10 years, and prostate integral body was cuted out remove, with the kidney mirror hypertrophy prostate is pulverized then and gone out.Resectoscope and kidney mirror are used alternatingly, and cause the urethra secondary damage easily, and inefficiency.

Therefore, need the operation hand piece and the electrode of existing resectoscope be improved, adopt same operation hand piece can implement electrotomy and laser ablation art, improve the excision effect of electrode simultaneously, reduce the number of times of changing operation mirror in the operation, improve operation efficient, reduce patient's misery, reduce the probability of patient's secondary damage.

The utility model content

In view of this, this utility model provides a kind of multifunctional prostate operation mirror, its TURP better effects if, adopt same operation hand piece can implement electrotomy and laser ablation art, reduce the number of times of changing operation mirror in the operation, improve operation efficient, reduce patient's misery, reduce the probability of patient's secondary damage.

Multifunctional prostate operation mirror of the present utility model, comprise the mirror sheath and in be placed in the resectoscope of mirror sheath, described resectoscope comprises operation hand piece and cuts out except that device, operation hand piece comprises the person in charge and the slide block that is slidingly matched with person in charge's outer surface, described cutting out except that device and the person in charge be arranged in parallel, comprise the handle body and cut out except that head, describedly cut out that to remove head be that cross section is arcual scoop structure, handle body front end is fixedlyed connected with cutting out to remove to hold end to end, described slide block is provided with electrode tip holder, handle body tail end inserts electrode tip holder and slide block secure fit, cuts out except that head passes through the handle body to be electrically connected with electrode tip holder; The handle body is provided with axially extending bore and forms optical-fibre channel, and the optical fiber import is set on the described slide block, and the optical fiber import is communicated with described optical-fibre channel.

Further, described mirror sheath tail end along the circumferential direction is provided with draw-in groove, and the resectoscope outer surface is provided with and the corresponding radial protrusion of draw-in groove, and resectoscope and mirror sheath are by screwing in the draw-in groove clamping with radial protrusion I;

Also comprise the pulverizing mirror that can be used alternatingly with resectoscope, described pulverizing mirror outer surface also is provided with and the corresponding radial protrusion II of draw-in groove;

Further, described mirror sheath tail end along the circumferential direction is rotatably assorted swivel base is set, and described draw-in groove is arranged on the swivel base;

Further, also comprise the right angle needle electrode, described right angle needle electrode comprises horizontal segment and vertical section, and the horizontal segment tail end is corresponding with electrode tip holder, fixedlys connected at right angles with vertical section one an end end in horizontal segment front end end, and described horizontal segment outer surface is provided with insulating barrier.

The beneficial effects of the utility model: this utility model is improved to cutting out of shovel shape with traditional electrode and removes device, utilization is cuted out and is removed head except that cutting out of device and can carry out machine cuts, be connected with high frequency generator and can implement electrotomy, optical-fibre channel can be led to laser fiber and be carried out the laser ablation art, the mirror sheath both can cooperate with resectoscope, can cooperate with the pulverizing mirror again, this utility model can be implemented prostate and cut out except that electrotomy, cut out to remove and pulverize art, green laser is cuted out the degassifying art, green laser is cuted out to remove and is pulverized art, holmium laser is cuted out to remove and is pulverized art, 2 microns laser are cuted out and are removed operation methods such as pulverizing art, applied range, conscientiously reach multi-functional, and it is more convenient to operate, can effectively improve operation efficient, reduce patient's misery, reduce the probability of patient's secondary damage.

Description of drawings

Below in conjunction with the drawings and specific embodiments this utility model is further described.

Fig. 1 is a structural representation of the present utility model;

Fig. 2 is the resectoscope structural representation;

Fig. 3 is that the A-A of Fig. 1 is to view;

Fig. 4 is for pulverizing the mirror structural representation;

Fig. 5 is for cutting out except that the device structural representation;

Fig. 6 is the left view of Fig. 5;

Fig. 7 is the structural representation of mirror sheath;

Fig. 8 is a right angle needle electrode structural representation.

The specific embodiment

Fig. 1 is a structural representation of the present utility model, and Fig. 2 is the resectoscope structural representation; Fig. 3 is that the A-A of Fig. 1 is to view; Fig. 4 is for pulverizing the mirror structural representation; Fig. 5 is for cutting out except that the device structural representation; Fig. 6 is the left view of Fig. 5; Fig. 7 is the structural representation of mirror sheath; Fig. 8 is a right angle needle electrode structural representation.As shown in the figure: the multifunctional prostate operation mirror of present embodiment, comprise mirror sheath 1 and in be placed in the resectoscope 2 of mirror sheath 1, described resectoscope 2 comprises operation hand piece and cuts out except that device 4, operation hand piece comprises the person in charge 5 and the slide block 6 that is slidingly matched with the person in charge's 5 outer surfaces, be responsible for inner chamber and be used to hold resectoscope, the also fixedly connected front hand grip that is provided with on the person in charge, slide block is fixedlyed connected with back handle, under the clamping action of pro-back handle, slide block can endwisely slip along the person in charge.Described cutting out except that device 4 be arranged in parallel with the person in charge, as shown in Figure 5, cuts out except that device and comprises handle body 41 and cut out and remove 42, and cutting out and removing 42 is that cross section is arcual scoop structure, and the cutting out of this shape removed head and cooperated with prostate surgery peplos inwall cambered surface, cuts out except that effective; Handle body 41 front ends remove 42 tail end and fixedly connected with cutting out, and described front end is meant that operation mirror stretches into an end in the body, cut out to remove head and the handle body can be welded as a whole, and also can directly make one, all can realize the purpose of this utility model.As shown in Figure 3, slide block 6 is provided with electrode tip holder 7, and handle body 41 tail ends insert electrode tip holder 7 and slide block 6 secure fit, can be along charge shaft to reciprocatingly sliding under the drive of slide block.Cut out and remove head and is electrically connected with electrode tip holder, when electrode tip holder is communicated with high frequency generator, can cut out, make to cut out except that front end tissue on every side and gasify rapidly, carry out TURP and electric coagulation hemostasis except that a front end generation high-density current by the handle body.When no power, can between prostate surgery peplos inwall and prostatic hyperplasia, insert, carry out integral body and cut out and remove.As shown in Figure 6, handle body 41 is provided with axially extending bore and forms optical-fibre channel 43, and optical-fibre channel can be coaxial with the handle body, also can disalignment, and should make to cut out as far as possible and remove head and fixedly connected with handle body edge, make it not influence laser fiber and pass in and out; On the described slide block 6 optical fiber import 8 is set, optical fiber import 8 is communicated with described optical-fibre channel 43, can feed medical laser optical fiber commonly used such as green laser, holmium laser, 2 microns laser in optical-fibre channel, to carry out the laser ablation art.

In the present embodiment, as shown in Figure 2, described mirror sheath 1 tail end along the circumferential direction is provided with draw-in groove 9, resectoscope 2 outer surface settings and draw-in groove 9 corresponding radial protrusion I 10, and resectoscope 2 passes through radial protrusion I 10 is screwed in draw-in grooves 9 clampings with mirror sheath 1.As shown in Figure 4, also comprise the pulverizing mirror 11 that can be used alternatingly with resectoscope 2, described pulverizing mirror 11 outer surfaces also are provided with and draw-in groove 9 corresponding radial protrusion II 12, make the mirror sheath become a shared sheath, when in patient's body, inserting the mirror sheath, need not take out the mirror sheath and can realize resectoscope and pulverize being used alternatingly of mirror, remove the step of taking out and insert the mirror sheath repeatedly from, avoid in the intubate process damaging patient's urethra.Pulverize mirror and comprise the optic visual tube of top and the pulverizer passage of below, when pulverizing mirror and mirror sheath coupling, utilize high-frequency electrical or laser to cut out except that behind the prostate, available pulverizer is pulverized tissue, and it is gone out.This apparatus both can be used for resection of prostate, and available again high-frequency electrical or laser are cuted out and removed and pulverize outgrowth prostate.

In the present embodiment, as shown in Figure 7, described mirror sheath 1 tail end along the circumferential direction is rotatably assorted transposase 11 3 is set, and described draw-in groove 9 is arranged on the transposase 11 3, and this structure can rotate in a circumferential direction mounted operation mirror around the mirror sheath, is convenient to observe and operation technique.

In the present embodiment, as shown in Figure 8, also comprise right angle needle electrode 14, described right angle needle electrode 14 comprises horizontal segment 15 and vertical section 16, horizontal segment 15 tail ends are corresponding with electrode tip holder 7, fixedly connected at right angles with vertical section 16 1 end ends in horizontal segment 15 front end ends, described horizontal segment 15 outer surfaces are provided with insulating barrier.Can take off and cut out except that device, the right angle needle electrode is inserted electrode tip holder, and can carry out line cutting after high frequency generator is connected, when situations such as neck of bladder cicatricial contracture, the anti-right angle needle electrode that pushes away energising can be got through narrow positions with narrow neck of bladder radial incision.

Explanation is at last, above embodiment is only unrestricted in order to the explanation the technical solution of the utility model, although this utility model is had been described in detail with reference to preferred embodiment, those of ordinary skill in the art is to be understood that, can make amendment or be equal to replacement the technical solution of the utility model, and not breaking away from the aim and the scope of technical solutions of the utility model, it all should be encompassed in the middle of the claim scope of the present utility model.

Claims

1. multifunctional prostate operation mirror, comprise mirror sheath (1) and in be placed in the resectoscope (2) of mirror sheath (1), it is characterized in that: described resectoscope (2) comprises operation hand piece and cuts out except that device (4), operation hand piece comprises the person in charge (5) and the slide block (6) that is slidingly matched with the person in charge's (5) outer surface, described cutting out except that device (4) and the person in charge be arranged in parallel, comprise handle body (41) and cut out and remove head (42), describedly cut out that to remove head (42) be that cross section is arcual scoop structure, handle body (41) front end removes head (a 42) tail end and fixedlys connected with cutting out, described slide block (6) is provided with electrode tip holder (7), handle body (41) tail end inserts electrode tip holder (7) and slide block (6) secure fit, cuts out except that head (42) passes through handle body (41) to be electrically connected with electrode tip holder (7); Handle body (41) is provided with axially extending bore and forms optical-fibre channel (43), and optical fiber import (8) is set on the described slide block (6), and optical fiber import (8) is communicated with described optical-fibre channel (43).

2. multifunctional prostate operation mirror according to claim 1, it is characterized in that: described mirror sheath (1) tail end along the circumferential direction is provided with draw-in groove (9), resectoscope (2) outer surface setting and the corresponding radial protrusion I of draw-in groove (9) (10), resectoscope (2) passes through radial protrusion I (10) is screwed in draw-in groove (9) clamping with mirror sheath (1);

Also comprise the pulverizing mirror (11) that can be used alternatingly with resectoscope (2), described pulverizing mirror (11) outer surface also is provided with and the corresponding radial protrusion II of draw-in groove (9) (12).

3. multifunctional prostate operation mirror according to claim 2 is characterized in that: described mirror sheath (1) tail end along the circumferential direction is rotatably assorted swivel base (13) is set, and described draw-in groove (9) is arranged on the swivel base (13).

4. according to each described multifunctional prostate operation mirror of claim 1 to 3, it is characterized in that: also comprise right angle needle electrode (14), described right angle needle electrode (14) comprises horizontal segment (15) and vertical section (16), horizontal segment (15) tail end is corresponding with electrode tip holder (7), fixedly connected at right angles with vertical section (16) one end ends in horizontal segment (15) front end end, described horizontal segment (15) outer surface is provided with insulating barrier.