CN204169926U - A kind of negative pressure adjusting device be connected with ureter sheath - Google Patents

A kind of negative pressure adjusting device be connected with ureter sheath Download PDF

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CN204169926U
CN204169926U CN201420607295.4U CN201420607295U CN204169926U CN 204169926 U CN204169926 U CN 204169926U CN 201420607295 U CN201420607295 U CN 201420607295U CN 204169926 U CN204169926 U CN 204169926U
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negative pressure
air inlet
access port
cavity
ureteroscope
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CN201420607295.4U
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周均洪
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Abstract

The utility model discloses a kind of negative pressure adjusting device be connected with ureter sheath, comprise the joint for sealing connecting be connected with ureter sheath end, joint for sealing connecting inner hollow forms cavity, it offers the connector being communicated with ureter sheath, connect the negative pressure access port of negative pressure suction device, for ureteroscope the mirror body access port penetrated and the air inlet being provided with air inlet adjustment valve, air inlet adjustment valve is by changing the gas channel size between cavity and air, realize regulating the vacuum magnitude in cavity, mirror body access port place is provided with seal cover, seal cover is provided with the elastic packing hole be sealed and matched with the tube outer wall of ureteroscope, this utility model can fast sucking-off the liquid injecting kidney aggregation system through ureteroscope, effective control kidney aggregation system pressure, kidney aggregation system high pressure is avoided to cause harm to patient, the calculus powder that simultaneously can produce in exsuccation fast and disintegrating slag, improve surgical field of view definition, make procedure efficiency higher, operating time is shorter, greatly improves operation safety.

Description

A kind of negative pressure adjusting device be connected with ureter sheath
Technical field
This utility model relates to a kind of medical apparatus and instruments, particularly relates to a kind of negative pressure adjusting device be connected with ureter sheath.
Background technology
Along with growth in the living standard, people's diet structure is also occurring to change, and the patient of upper urinary stone increases year by year, with renal calculus patient is wherein very especially.The operative treatment mode of current main flow has gets the non-natural passage rubble such as stone and percutaneous kidney fistulation through natural passage (i.e. urethra, bladder, ureter) as operation pathway rubble and gets stone, there is the complication such as massive hemorrhage, renal function destruction and damaging surrounding tissue organ owing to getting stone through non-natural passage rubble, medical circle is praised highly gradually and is carried out renal calculus operation using natural passage (i.e. urethra, bladder, ureter) as operation pathway in recent years.
When carrying out renal calculus operation through natural passage, need in art through natural passage indwelling ureter sheath as operation path, so that ureteroscope can pass in and out kidney fast through ureter sheath and perform the operation, avoid repeatedly passing in and out causing damage to ureter, can operating time be shortened simultaneously, improve the safety of operation.Insert through ureter sheath ureteroscope Bladder stone carry out renal calculus rubble operation time, constantly flushing liquor need be poured through ureteroscope, to keep getting a clear view, , constantly pour into the flushing liquor in kidney aggregation system, the kidney aggregation system pressure making volume less increases, and as the finite gap between the ureteroscope of drainage channel and ureter sheath, and pipeline is longer, self-draining effect is poor, be easy in operation process cause kidney aggregation system high pressure, kidney is caused damage, especially for renal calculus concurrent infection patient, also there will be the situation that antibacterial and toxin enter blood circulation, cause urine source sexuality dye, patient's life may be jeopardized time serious, on the other hand, the calculus powder produced in lasertripsy and disintegrating slag can affect surgical field of view, need repeatedly to take out calculus disintegrating slag with calculus catching net-like means or lithotomy forceps, so just have impact on procedure efficiency, operating time are extended, adds operation risk.
In view of the foregoing, mention in " urological diseases diagnoses and treatment guide ": be domesticly not recommended for as process is greater than the first-selected Therapeutic Method of 2cm calculus through natural passage as operation pathway treatment renal calculus; This means, more than the calculus of 2cm, be not suitable for adopting this operation method.But nonetheless, operation is taken out for the renal calculus being no more than 2cm, adopts this operation method to be still easy to the situation occurring that kidney aggregation system pressure is high, cause urine source property infection rate high, affect carrying out of this modus operandi.
Therefore, effectively can control the internal pressure of kidney aggregation system, particularly important as the safety of operation pathway treatment renal calculus operation for improving through natural passage, and to the clear visual field can be provided in Rhizoma Atractylodis Macrocephalae and effectively remove calculus powder disintegrating slag fast, to ensure that operation completes fast and ensures that surgical effect is all significant.
Utility model content
For solving prior art Problems existing, this utility model provides a kind of negative pressure adjusting device be connected with ureter sheath.
This utility model solves the technical scheme that its technical problem adopts:
A kind of negative pressure adjusting device be connected with ureter sheath, this device comprises the joint for sealing connecting be connected with ureter sheath end, joint for sealing connecting inner hollow forms cavity, it offers the connector being communicated with described ureter sheath, the negative pressure access port connecting negative pressure suction device, supply the mirror body access port that ureteroscope penetrates and the air inlet being provided with air inlet adjustment valve, air inlet adjustment valve, by changing the gas channel size between cavity and air, realizes regulating the vacuum magnitude in cavity; Mirror body access port place is provided with seal cover, described seal cover is provided with the elastic packing hole be sealed and matched with the tube outer wall of ureteroscope.
The valve seat that described air inlet adjustment valve comprises the air inlet place being arranged on described joint for sealing connecting and the adjusting knob be set with valve seat outer wall, described valve seat wall offers louver(-vre), described adjusting knob inwall offers the air channel coordinated with described louver(-vre), by rotating described adjusting knob, control aligning or offseting of described louver(-vre) and air channel, to change the gas channel size between described cavity and air, realize regulating the vacuum magnitude in cavity.
The top sidewall of described valve seat extends pointer, corresponding louver(-vre) position, described adjusting knob top is provided with pointer chute, can judge by the position that pointer is residing in pointer chute the negative pressure that louver(-vre) and air channel align or degrees of offset thus obtain needs.
Described valve seat is corresponding with described air inlet place is provided with the air inlet place that described valve seat is fixedly connected on described joint for sealing connecting by barb and draw-in groove.
Described seal cover comprises Thin Elastic glue and friction top, and described elastic packing hole is positioned on described Thin Elastic glue, and described Thin Elastic glue is pressed abd fixed on described mirror body access port place by described friction top.
The beneficial effects of the utility model are: negative pressure adjusting device of the present utility model is connected with ureter sheath by joint for sealing connecting, and be provided with the mirror body access port penetrated for ureteroscope, the connector of ureter sheath, connect the negative pressure access port of negative pressure suction device, the air inlet of air inlet adjustment valve is installed, cavity in above-mentioned each mouth and joint for sealing connecting forms the space be interconnected, when the mirror body access port that ureteroscope penetrates joint for sealing connecting carries out renal calculus operation, this space just defines the service aisle of a sealing, air inlet adjustment valve can be regulated in art as required to control vacuum magnitude in cavity, can the liquid injecting kidney aggregation system through ureteroscope through gap between ureteroscope and ureter sheath from the quick sucking-off of negative pressure interface channel of negative pressure adjusting device, effective control kidney aggregation system pressure, avoid kidney aggregation system high pressure to cause to endanger patient, ensure the safety of operation, simultaneously, the calculus powder that can also produce in exsuccation fast and disintegrating slag, improve surgical field of view definition, effective removing calculus, avoid calculus catching net-like means or the lithotomy forceps of Reusability poor efficiency, make procedure efficiency higher, operating time is shorter, operation safety is higher, what is more important: the raising of this combination property makes can adopt through the processing mode of natural passage as operation pathway more more than the calculus of 2cm, avoid adopting the non-natural passage rubbles such as percutaneous kidney fistulation to get stone and the multiple complications brought, make the scope of application of this operation pathway process calculus more extensive, bring Gospel to extensive patients.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, this utility model is further illustrated.
Fig. 1 is using state schematic diagram of the present utility model;
Fig. 2 is decomposition texture schematic diagram of the present utility model;
Fig. 3 is sectional view of the present utility model.
Detailed description of the invention
With reference to Fig. 1, Fig. 2, the joint for sealing connecting 9 be connected with ureter sheath 7 end is comprised at negative pressure adjusting device of the present utility model, joint for sealing connecting 9 inner hollow forms cavity 5, it offers the connector 1 being communicated with ureter sheath 7, the negative pressure access port 2 connecting negative pressure suction device 6, supply the mirror body access port 3 that ureteroscope 8 penetrates and the air inlet 41 being provided with air inlet adjustment valve 4, mirror body access port 3 place is provided with seal cover, seal cover is provided with the elastic packing hole 33 be sealed and matched with tube 81 outer wall of ureteroscope 8.
As preferred embodiment of the present utility model, with reference to Fig. 3, seal cover comprises Thin Elastic glue 31 and friction top 32, and described elastic packing hole 33 is positioned on Thin Elastic glue 31, and Thin Elastic glue 31 is pressed abd fixed on mirror body access port 3 place by friction top 32.Because the elastic packing hole 33 of colloid has good retractility, can ensure to realize good being sealed and matched with the tube outer wall of ureteroscope in operation.
When ureter sheath 7 enters after kidney aggregation system through natural passage, ureter sheath 7 is by the service aisle of indwelling as external direct connection kidney aggregation system, its end connects joint for sealing connecting 9, the negative pressure access port 2 of joint for sealing connecting 9 connects negative pressure suction device 6, now, ureteroscope 8 is penetrated from mirror body access port 3, elastic packing hole 33 on tube 81 outer wall of ureteroscope 8 and seal cover 3 is sealed and matched, whole device is made to form the service aisle of a sealing, ureteroscope 8 is inserted arrival kidney aggregation system in ureter sheath 7 through sealing service aisle and is carried out rubble, the flushing liquor constantly poured into through ureteroscope 8 makes kidney aggregation system can keep getting a clear view at Microendoscopic, be convenient to observe the rubble situation in kidney aggregation system, simultaneously, doctor can regulate air inlet adjustment valve 4 as required, make constantly to pour into flushing liquor in kidney aggregation system under the effect of negative pressure suction device 6, from the quick sucking-off in the gap between ureteroscope 8 and ureter sheath 7, thus effectively control the pressure of kidney aggregation system, kidney aggregation system high pressure is avoided to cause harm to patient, greatly reduce the risk of operation, on the other hand, the flushing liquor of quick sucking-off can also take away calculus powder in operation and disintegrating slag, effectively removes disintegrating slag and improves surgical field of view definition, avoiding calculus catching net-like means or the lithotomy forceps of Reusability poor efficiency, shorten operating time, procedure efficiency and operation safety are improved all greatly.
As preferred embodiment of the present utility model, with reference to Fig. 2, Fig. 3, the valve seat 43 that air inlet adjustment valve 4 comprises air inlet 41 place being arranged on joint for sealing connecting 9 and the adjusting knob 42 be set with valve seat 43 outer wall, valve seat 43 is corresponding with air inlet 41 place is provided with air inlet 41 place that valve seat 43 is fixedly connected on joint for sealing connecting by barb 48 and draw-in groove 49.Valve seat 43 sidewall offers louver(-vre) 44, adjusting knob 42 inwall offers the air channel 45 coordinated with louver(-vre) 44, along with the rotation of regulating QI turn-knob 42, gas channel size between air channel 45 and louver(-vre) 44 constantly changes, change the negative pressure in cavity 5, thus change the speed of negative pressure suction device 6 from sucking-off flushing liquor in kidney aggregation system; The knob regulating valve structure of the present embodiment, is convenient to one-handed performance in surgical process, and highly sensitive, easy to operate, be easy to control, result of use is good.
Learn the size of gas channel according to the degree of rotation of adjusting knob 42 for the ease of doctor, to control the flow velocity of flushing liquor, in the present embodiment, pointer 46 is extended at the top sidewall of valve seat 43, corresponding louver(-vre) 44 position, adjusting knob 42 top is provided with pointer chute 47, by the position that pointer 46 is residing in pointer chute 47, doctor just can judge the degree that louver(-vre) 44 and air channel 45 align or offset, thus obtains negative pressure and the flushing liquor flow velocity of needs.
Above, be elaboration to utility model works principle and control procedure.
Obviously; the above embodiments and accompanying drawing are only preferred embodiment of the present utility model; and not all embodiments; those skilled in the art is under the prerequisite not paying creative work; can also obtain the technical scheme of other equivalent variations or replacement according to above-described embodiment, these distortion or the technical scheme of replacing all should belong to the protection domain of the application.Such as, for ease of machine-shaping, joint for sealing connecting 9 of the present utility model can also making one-body molded with ureteroscope sheath 7, like this, does not enumerate at this.

Claims (5)

1. the negative pressure adjusting device be connected with ureter sheath, it is characterized in that: this device comprises the joint for sealing connecting (9) be connected with ureter sheath (7) end, joint for sealing connecting (9) inner hollow forms cavity (5), it offers the connector (1) being communicated with described ureter sheath (7), connect the negative pressure access port (2) of negative pressure suction device (6), the mirror body access port (3) penetrated for ureteroscope (8) and the air inlet (41) being provided with air inlet adjustment valve (4), described air inlet adjustment valve (4) is by changing the gas channel size between described cavity (5) and air, realize regulating the vacuum magnitude in cavity (5), described mirror body access port (3) place is provided with seal cover, described seal cover is provided with the elastic packing hole (33) be sealed and matched with the tube of ureteroscope (8) (81) outer wall.
2. negative pressure adjusting device according to claim 1, it is characterized in that: the valve seat (43) that described air inlet adjustment valve (4) comprises air inlet (41) place being arranged on described joint for sealing connecting (9) and the adjusting knob (42) be set with valve seat (43) outer wall, described valve seat (43) sidewall offers louver(-vre) (44), described adjusting knob (42) inwall offers the air channel (45) coordinated with described louver(-vre) (44), by rotating described adjusting knob (42), control aligning or offseting of described louver(-vre) (44) and air channel (45), to change the gas channel size between described cavity (5) and air, realize regulating the vacuum magnitude in cavity (5).
3. negative pressure adjusting device according to claim 2, it is characterized in that: the top sidewall of described valve seat (43) extends pointer (46), corresponding louver(-vre) (44) position, described adjusting knob (42) top is provided with pointer chute (47), can judge by the position that pointer (46) is residing in pointer chute (47) negative pressure that louver(-vre) (44) and air channel (45) align or degrees of offset thus obtain needs.
4. the negative pressure adjusting device according to Claims 2 or 3, is characterized in that: described valve seat (43) is corresponding with described air inlet (41) place is provided with air inlet (41) place that described valve seat (43) is fixedly connected on described joint for sealing connecting by barb (48) and draw-in groove (49).
5. negative pressure adjusting device according to claim 1, it is characterized in that: described seal cover comprises Thin Elastic glue (31) and friction top (32), described elastic packing hole (33) is positioned on described Thin Elastic glue (31), and described Thin Elastic glue (31) is pressed abd fixed on described mirror body access port (3) place by described friction top (32).
CN201420607295.4U 2014-10-20 2014-10-20 A kind of negative pressure adjusting device be connected with ureter sheath Active CN204169926U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104398302A (en) * 2014-10-20 2015-03-11 周均洪 Negative pressure adjusting device connected with ureter sheath
CN104922742A (en) * 2015-07-03 2015-09-23 陈勇 Negative-pressure suction adjustment device for trans-sheath stone extraction with endoscope
CN105963809A (en) * 2016-05-26 2016-09-28 广州医科大学附属第医院 Visible percutaneous puncture irrigation and aspiration system and using method thereof

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104398302A (en) * 2014-10-20 2015-03-11 周均洪 Negative pressure adjusting device connected with ureter sheath
WO2016062196A1 (en) * 2014-10-20 2016-04-28 周均洪 Negative pressure adjusting device connected with ureter sheath
CN104922742A (en) * 2015-07-03 2015-09-23 陈勇 Negative-pressure suction adjustment device for trans-sheath stone extraction with endoscope
CN104922742B (en) * 2015-07-03 2018-04-27 重庆医科大学附属第一医院 Through sheath endoscopic stone extraction technique vacuum suction regulating device
CN105963809A (en) * 2016-05-26 2016-09-28 广州医科大学附属第医院 Visible percutaneous puncture irrigation and aspiration system and using method thereof
CN105963809B (en) * 2016-05-26 2018-11-13 广州医科大学附属第一医院 A kind of percutaneous puncture visually rinses attraction system and its application method

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