CN204863461U - Laser surgery apparatus with electricity congeals hematostatic function - Google Patents
Laser surgery apparatus with electricity congeals hematostatic function Download PDFInfo
- Publication number
- CN204863461U CN204863461U CN201520463307.5U CN201520463307U CN204863461U CN 204863461 U CN204863461 U CN 204863461U CN 201520463307 U CN201520463307 U CN 201520463307U CN 204863461 U CN204863461 U CN 204863461U
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- Prior art keywords
- endoscope
- laser surgery
- slide block
- fibre
- coagulation
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Abstract
The utility model relates to a laser surgery apparatus with electricity congeals hematostatic function, including operating handle and mirror sheath, operating handle include endoscope connecting seat, fixed handle, flexible handle, even board, slider, unable adjustment base, electricity congeal excellent pipe, fibre -optic catheter and endoscope pipe, unable adjustment base on be equipped with endoscope passageway, fiber channel and electricity and congeal excellent passageway, unable adjustment base and fixed handle link together, the mirror sheath be the cavity tubulose, one end is equipped with annular bulge. Its advantage shows: the utility model discloses a laser surgery apparatus is equipped with the fibre -optic catheter and the electricity congeals excellent pipe, and the electricity congeals the stick and has excellent hematostatic function, has compensatied and has used holmium laser cutting to organize the not good defect of hemostatic effect, and it is few to bleed during the operation, and the field of vision is clear, the utility model discloses can continue to use former holmium laser system, jointly use the electricity equipment of congealing commonly used, other laser system are purchase again to the cost that need not to spend the great number, practice thrift the cost greatly.
Description
Technical field
This utility model relates to medical instruments field, specifically, is a kind of laser surgery equipment with electric coagulation hemostasis function.
Background technology
The prostate that benign prostatic hyperplasia (benignprostatichyperplasia, BPH) shows as anatomically increases, and causes bladder outlet obstruction (BOO), produces the lower urinary tract symptoms such as trouble urinating, frequent micturition, urgent micturition.BPH is more common in elderly men, and in the male of 51 ~ 60 years old, sickness rate is 42%, within 61 ~ 70 years old, is 70%, and within 81 ~ 90 years old, is 90%.Along with the aging of Chinese society population, the prevalence of BPH progressively increases, and oneself becomes one of modal urological diseases of China.BPH causes that frequent micturition, urgent micturition, nocturia increase, urine retention etc., and the lighter affects patients ' life quality, causes the complication such as renal insufficiency time serious.
Transurethral holmium laser Enucleation of the prostate (homiumlaserenucleationofprostate, HoLEP) is the operation method that treatment BPH is newer.After per urethra inserts endoscopy reaching prostatic, utilize Bladder stone in prostate surgery peplos interfacial separation, the adenoma of hypertrophy is cuted out from surgery peplos and removes, be pushed in bladder and pulverize, finally the tissue of pulverizing is attracted out.Compare traditional Transurethral prostatic electroresection A, the treatment of this operation method is more thorough, handling safety, and patient's post-operative recovery is fast, recurrence probability is extremely low, in recent years at home and abroad extensively carries out gradually, is particularly useful for the patient that prostate volume is larger.
The laser surgery system of current HoLEP adopts PowerSuite100W (Ke Yi people company), the wavelength of its Bladder stone is 2100nm, for pulse type laser, have and good organize cutting power, but its anthemorrhagic performance is not good, easily hemorrhage during operation, affect surgical field of view, increase operating time and intraoperative hemorrhage.For this reason, Ke Yi people company have developed again " Gemini " laser system, and the basis of Bladder stone has been combined the good neodymium laser of hemostatic function, and Bladder stone is as cut cutter, and neodymium laser is as laser blood coagulation device.But " Gemini " laser system and Bladder stone system are two kinds of different equipment, for the hospital using or just buying Bladder stone system at present, the cost of cost great number buys " Gemini " laser system again, does not obviously calculate very much.
Therefore need badly and a kind ofly can assist the operation device stopped blooding in art when not changing Bladder stone system.About such device, yet there are no report.
Summary of the invention
The purpose of this utility model is, provides a kind of laser surgery equipment with electric coagulation hemostasis function.
For achieving the above object, the technical scheme that this utility model is taked is:
A kind of laser surgery equipment with electric coagulation hemostasis function, comprise operating grip and mirror sheath, described operating grip comprises endoscope's Connection Block, fixed handle, firm banking, flexible handle, connecting plate, slide block, coagulation rod conduit, fibre-optic catheter and endoscopic catheters; Described endoscope's Connection Block is fixedly connected with endoscopic catheters, the other end of endoscopic catheters is connected with firm banking, described firm banking is provided with endoscope path way, optical-fibre channel and coagulation rod passage, described firm banking and fixed handle link together, described mirror sheath is hollow tubular, and one end is provided with annular projection.
The centre of described flexible handle is fixed on slide block by the first bearing pin, and the other end of flexible handle is flexibly connected with connecting plate one end by the second bearing pin, and the other end of described connecting plate is fixed on endoscope's Connection Block by the 3rd bearing pin.
Described fibre-optic catheter is fixed together with slide block from optical-fibre channel through rear, and described coagulation rod conduit is fixed together with slide block from coagulation rod passage through rear, and described slide block is provided with fiber entrance and coagulation rod entrance.
Described slide block is slidably connected in endoscopic catheters.
Described endoscope's Connection Block is provided with the first projection and endoscopic port.
The annular projection of described mirror sheath one end is provided with the second projection, and the side of described mirror sheath annular projection is provided with water inlet and outlet.
This utility model advantage is:
1. laser surgery equipment of the present utility model is provided with fibre-optic catheter and coagulation rod conduit, and coagulation rod has excellent hemostatic function, compensate for and uses Bladder stone to cut and organize the not good defect of haemostatic effect, go out insufficiency of blood, clear visual field during operation.
2. one end of fibre-optic catheter is fixed on slide block, can control slide block and fibre-optic catheter move forward and backward by flexible handle, can be cut by control laser fiber easily when performing the operation.
3. this utility model can continue to use former Bladder stone system, the Electrocoagulation equipment that conbined usage is conventional, without the need to spending the cost of great number again to buy other laser systems, greatly cost-saving.
Accompanying drawing explanation
Accompanying drawing 1 is a kind of overall schematic with the laser surgery equipment of electric coagulation hemostasis function of this utility model.
Accompanying drawing 2 is structural representations of operating grip.
Accompanying drawing 3 is structural representations of firm banking.
Accompanying drawing 4 is structural representations of slide block.
Accompanying drawing 5 is enlarged drawings of A-A section in Fig. 1.
Accompanying drawing 6 is structural representations of mirror sheath.
Detailed description of the invention
Also with reference to accompanying drawing, this utility model is further described below in conjunction with embodiment.
The Reference numeral related in accompanying drawing and ingredient as follows:
1. fixed handle 11. firm banking
12. endoscope path way 13. coagulation tube passages
14. optical-fibre channel 2. flexible handles
3. slide block 31. fiber entrance
32. coagulation rod entrance 4. connecting plates
5. endoscope's Connection Block 51. first projection
6. coagulation rod conduit 7. fibre-optic catheter
8. endoscopic catheters 81. endoscope
91. first bearing pin 92. second bearing pins
93. the 3rd bearing pin 10. mirror sheaths
101. annular projection 102. second projections
103. water inlet 104. outlets.
Embodiment
Please refer to Fig. 1, Fig. 2, Fig. 3 and Fig. 4, Fig. 1 is a kind of overall schematic with the laser surgery equipment of electric coagulation hemostasis function of this utility model, Fig. 2 is the structural representation of operating grip, and Fig. 3 is the structural representation of firm banking, and Fig. 4 is the structural representation of slide block.Described laser surgery equipment comprises operating grip and mirror sheath, and described operating grip comprises endoscope's Connection Block 5, fixed handle 1, firm banking 11, flexible handle 2, slide block 3, connecting plate 4, coagulation rod conduit 6, fibre-optic catheter 7 and endoscopic catheters 8; Described endoscope's Connection Block 5 is fixedly connected with endoscopic catheters 8, the other end of endoscopic catheters 8 is connected with firm banking 11, described firm banking 11 is provided with endoscope path way 12, coagulation rod passage 13 and optical-fibre channel 14, described firm banking 11 links together with fixed handle 1, described coagulation rod conduit 6 passes from the coagulation rod passage 13 firm banking 11, and is fixed on slide block 3; Described slide block 3 is slidably connected in endoscopic catheters 8, and described mirror sheath 10 is hollow tubular, and one end is provided with annular projection 101, and annular projection 101 is threaded connection on firm banking 11.
Described endoscope's Connection Block 5 is provided with the first projection 51, and endoscope's Connection Block 5 is connected with endoscope by screw thread, and endoscope's Connection Block 5 is also provided with endoscopic port (not shown), for accessing endoscope.
The centre of described flexible handle 2 is fixed on slide block 3 by the first bearing pin 91, and the other end of flexible handle 2 is flexibly connected with connecting plate 4 one end by the second bearing pin 92, and the other end of described connecting plate 4 is fixed on endoscope's Connection Block 5 by the 3rd bearing pin 93.When pulling flexible handle 2, by the transmission of flexible handle 2 and connecting plate 4, slide block 3 slide anteroposterior in endoscopic catheters 8 can be controlled.
Slide block 3 is provided with fiber entrance 31 and coagulation rod entrance 32, described fibre-optic catheter 7 is fixed together with slide block 3 from optical-fibre channel 14 through rear, fiber entrance 31 communicates with fibre-optic catheter 7, during operation, laser fiber accesses from fiber entrance 31, through fibre-optic catheter 7, and expose a bit of from the other end of fibre-optic catheter 7; Because fibre-optic catheter 7 and slide block 3 are fixed together, when slide block 3 slides, fibre-optic catheter 7 moves forward and backward along with slide block 3, can be cut by control laser fiber easily when performing the operation; Coagulation rod entrance 32 communicates with coagulation rod conduit 6, and coagulation rod has good hemostatic capability, when observing hemorrhagic focus and Bladder stone haemostatic effect is bad, coagulation rod is accessed from coagulation rod entrance 32, pass from coagulation rod conduit 6, make coagulation rod move to bleed site, stopped blooding by coagulation.
Please refer to Fig. 5 and Fig. 6, Fig. 5 is the enlarged drawing of A-A section in Fig. 1, and Fig. 6 is the structural representation of mirror sheath.Described mirror sheath 10 is hollow tubular, and one end is provided with annular projection 101, and annular projection 101 is provided with the second projection 102, and the side of described annular projection 101 is provided with water inlet 103 and outlet 104.Coagulation rod conduit 6, fibre-optic catheter 7 and endoscope 8 can be placed in mirror sheath 10 simultaneously; be placed in after in mirror sheath 10 and leave gap between mirror sheath 10; during operation, water accesses from water inlet 103; space in mirror sheath 10 is flowed out and is filled the region of cut; the heat absorption that laser produces is fallen, and protection is organized normally not by damage from laser.Endoscope 81 is positioned at the top of laser fiber, can ensure that laser fiber is at visual field center position, facilitates surgical doctor to operate during operation.
It should be noted that, the external diameter of described mirror sheath 10 is 8-9mm, and internal diameter is 7-8mm, and the external diameter of described coagulation rod conduit 6 is 3mm, and internal diameter is 2mm, and the external diameter of described fibre-optic catheter 7 is 2mm, and internal diameter is 1mm, and the diameter of described endoscope 81 is 3-4mm.
A kind of using method with the laser surgery equipment of electric coagulation hemostasis function of this utility model is:
Coagulation rod conduit 6 on operating grip and fibre-optic catheter 7 are inserted through mirror sheath 10 mouth of pipe, the annular projection 101 on mirror sheath 10 is enclosed within firm banking 11, and endoscope 81 accesses from endoscopic port and passes mirror sheath 10; Insert near prostate position by mirror sheath 10 through patient's urethra, laser fiber accesses from fiber entrance 31, through fibre-optic catheter 7, and exposes a bit of from the other end of fibre-optic catheter 7; Be separated by cut between prostatauxe gland body with prostate surgery peplos under the observation of endoscope 81, hypertrophy body of gland cuted out gradually and removes; During operation, water accesses from water inlet 103, and the space in mirror sheath 10 is flowed out and filled the region of cut, and the heat absorption that laser produces is fallen, and protection is organized not by damage from laser normally; When observing hemorrhagic focus and Bladder stone haemostatic effect is bad, coagulation rod being accessed from coagulation rod entrance 32, passing from coagulation rod conduit 6, making coagulation rod move to bleed site, stopped blooding by coagulation.
Laser surgery equipment of the present utility model is provided with fibre-optic catheter 7 and coagulation rod conduit 6, and coagulation rod has excellent hemostatic function, compensate for and uses Bladder stone to cut and organize the not good defect of haemostatic effect, go out insufficiency of blood, clear visual field during operation; Fibre-optic catheter 7 is connected with slide block 3, by pulling flexible handle 2 can control the movable of slide block 3 and fibre-optic catheter 7, can be cut by control laser fiber easily when performing the operation; This utility model can continue to use former Bladder stone system, the Electrocoagulation equipment that conbined usage is conventional, without the need to spending the cost of great number again to buy other laser systems, greatly cost-saving.
Mirror sheath 10 of the present utility model also can be designed to the structure with inside and outside double-deck sheath, and enter irrigating solution in interior sheath, the space between interior epitheca goes out irrigating solution, dynamic to realize not arrheaing of intraoperative lavage liquid turnover mirror sheath.
The above is only preferred implementation of the present utility model; it should be pointed out that for those skilled in the art, under the prerequisite not departing from this utility model principle; can also make some improvement and supplement, these improve and supplement and also should be considered as protection domain of the present utility model.
Claims (6)
1. one kind has the laser surgery equipment of electric coagulation hemostasis function, comprise operating grip and mirror sheath, it is characterized in that, described operating grip comprises endoscope's Connection Block, fixed handle, firm banking, flexible handle, connecting plate, slide block, coagulation rod conduit, fibre-optic catheter and endoscopic catheters; Described endoscope's Connection Block is fixedly connected with endoscopic catheters, the other end of endoscopic catheters is connected with firm banking, described firm banking is provided with endoscope path way, optical-fibre channel and coagulation rod passage, described firm banking and fixed handle link together, described mirror sheath is hollow tubular, and one end is provided with annular projection.
2. the laser surgery equipment with electric coagulation hemostasis function according to claim 1, it is characterized in that, the centre of described flexible handle is fixed on slide block by the first bearing pin, the other end of flexible handle is flexibly connected with connecting plate one end by the second bearing pin, and the other end of described connecting plate is fixed on endoscope's Connection Block by the 3rd bearing pin.
3. the laser surgery equipment with electric coagulation hemostasis function according to claim 1, it is characterized in that, described fibre-optic catheter is fixed together with slide block from optical-fibre channel through rear, described coagulation rod conduit is fixed together with slide block from coagulation rod passage through rear, and described slide block is provided with fiber entrance and coagulation rod entrance.
4. the laser surgery equipment with electric coagulation hemostasis function according to claim 1, is characterized in that, described slide block is slidably connected in endoscopic catheters.
5. the laser surgery equipment with electric coagulation hemostasis function according to claim 1, is characterized in that, described endoscope's Connection Block is provided with the first projection and endoscopic port.
6. the laser surgery equipment with electric coagulation hemostasis function according to claim 1, is characterized in that, the annular projection of described mirror sheath one end is provided with the second projection, and the side of described mirror sheath annular projection is provided with water inlet and outlet.
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CN201520463307.5U CN204863461U (en) | 2015-07-01 | 2015-07-01 | Laser surgery apparatus with electricity congeals hematostatic function |
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CN201520463307.5U CN204863461U (en) | 2015-07-01 | 2015-07-01 | Laser surgery apparatus with electricity congeals hematostatic function |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106377313A (en) * | 2016-09-22 | 2017-02-08 | 上海交通大学医学院附属第九人民医院 | Prostate laser enucleation device |
CN106691589A (en) * | 2017-02-23 | 2017-05-24 | 爱科凯能科技(北京)股份有限公司 | Surgery endoscope device with feedable, retractable and orientation-rotatable laser emission window |
CN107049483A (en) * | 2017-05-16 | 2017-08-18 | 张鲲 | Laser surgery equipment for vascular surgery |
CN112120787A (en) * | 2020-09-23 | 2020-12-25 | 安徽医科大学第一附属医院 | High-power laser resectoscope and scouring control method thereof |
WO2022139075A1 (en) * | 2020-12-23 | 2022-06-30 | 영남대학교 산학협력단 | Apparatus for transurethral resection |
-
2015
- 2015-07-01 CN CN201520463307.5U patent/CN204863461U/en not_active Expired - Fee Related
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106377313A (en) * | 2016-09-22 | 2017-02-08 | 上海交通大学医学院附属第九人民医院 | Prostate laser enucleation device |
CN106377313B (en) * | 2016-09-22 | 2024-02-20 | 上海交通大学医学院附属第九人民医院 | Laser enucleation pushing and peeling device for prostate |
CN106691589A (en) * | 2017-02-23 | 2017-05-24 | 爱科凯能科技(北京)股份有限公司 | Surgery endoscope device with feedable, retractable and orientation-rotatable laser emission window |
CN106691589B (en) * | 2017-02-23 | 2024-03-29 | 爱科凯能科技(北京)股份有限公司 | Surgical endoscope device with laser knife edge capable of advancing and retracting and rotatable in direction |
CN107049483A (en) * | 2017-05-16 | 2017-08-18 | 张鲲 | Laser surgery equipment for vascular surgery |
CN112120787A (en) * | 2020-09-23 | 2020-12-25 | 安徽医科大学第一附属医院 | High-power laser resectoscope and scouring control method thereof |
WO2022139075A1 (en) * | 2020-12-23 | 2022-06-30 | 영남대학교 산학협력단 | Apparatus for transurethral resection |
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C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20151216 Termination date: 20200701 |
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CF01 | Termination of patent right due to non-payment of annual fee |