CN205649726U - Stone device is arranged fast to double -barrelled formula hydrologic cycle after flexible ureteroscope lithotrity - Google Patents

Stone device is arranged fast to double -barrelled formula hydrologic cycle after flexible ureteroscope lithotrity Download PDF

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Publication number
CN205649726U
CN205649726U CN201620006276.5U CN201620006276U CN205649726U CN 205649726 U CN205649726 U CN 205649726U CN 201620006276 U CN201620006276 U CN 201620006276U CN 205649726 U CN205649726 U CN 205649726U
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China
Prior art keywords
calculus
water injection
drainage catheter
flexible ureteroscope
lithotrity
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Expired - Fee Related
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CN201620006276.5U
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Chinese (zh)
Inventor
徐新建
陈万钵
吴娟
徐浩
季文斌
滕飞
朱芮
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Individual
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Individual
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Abstract

The utility model discloses a stone device is arranged fast to double -barrelled formula hydrologic cycle after flexible ureteroscope lithotrity, including associated drainage catheter (3), arrange water injection pipe (4) on associated drainage catheter (3) inside wall and be used for delivering to the pipe push rod (7) of the renal pelvis ureter portion of dividing a word with a hyphen at the end of a line, the water inlet department of water injection pipe (4) rear end lateral wall is connected with water injection pipe (2), the front end lateral wall of water injection pipe (4) is opened has a plurality of apopore (5), the front end lateral wall of associated drainage catheter (3) is opened has a plurality of can supply row's stone hole (6) that the rubble passes through. The utility model discloses not only improve the first phase and arranged stone efficiency, shortened operation time, widened the indication of flexible ureteroscope holmium lasertripsy simultaneously.

Description

After Flexible ureteroscope lithotrity, double hose water circulates quick calculus device
Technical field
This utility model relates to a kind of postoperative calculus device, and after specifically a kind of Flexible ureteroscope lithotrity, the circulation of double hose water is quickly Calculus device, belongs to postoperative calculus device technique field.
Background technology
At present, urinary system calculus is the commonly encountered diseases of Urology Surgery, frequently-occurring disease, and the people of the whole world about 5%-15% suffers from urinary system according to statistics Tying stone disease.Along with the development of tract endoscopic technic, rock crushing plant with take the most perfect of lapicide's tool, urinary system calculus Treatment there occurs revolutionary transition, the minimally-invasive treatment means that traditional open surgery is gradually representative with tract scope are replaced, Mainly treat renal calculus based on Laser lithotrity with Pi Shenjing holmium and Flexible ureteroscope.
Wherein, Laser lithotrity with Pi Shenjing holmium is presently believed to be and processes " goldstandard " more than 2cm renal calculus, the suitableeest For complicated renal calculi, but during actual operation, its complication is more, as in art, postoperative hemorrhage, leakage of urine, kidney week Abscess and postoperative renal cortex cicatrization etc., the most easily occur in art, post-operative hemorrhage volume, and its incidence rate is 2-4%, deals with improperly Easily jeopardize patient vitals.
And Flexible ureteroscope treatment renal calculus is to be driven in the wrong direction by human body urinary system nature tract for entering people's renal pelvis, renal calices and coordinate with holmium Laser lithotripsy, because it possesses Wicresoft, safely effectively feature, is just paid close attention to by increasing Urology Surgery doctor and uses, But currently mainly it is applied to the renal calculus less than 2cm, particularly solitary kidney calculi.But for diameter at the lower calyx of more than 2cm Calculus and complicated renal calculi, because of the restriction of ureter tube anatomical structure, after Flexible ureteroscope Ho.YAG laser lithotripsy, calculus is difficult to row Go out, in being easily caused ureter, form " stone street ".
Flexible ureteroscope treatment renal calculus is compared with Laser lithotrity with Pi Shenjing holmium, and a phase clear stone rate is relatively low, and retained calculus is easy Cause renal calculus recurs.It addition, existing Flexible ureteroscope Ho.YAG laser lithotripsy mostly takes " worm bites method " that calculus is broken into powder, Making its The book of Changes ureter discharge, but calculifragous efficiency is low, operating time is long, and infection rate is high.
Summary of the invention
The problem existed for above-mentioned prior art, this utility model provides double hose water circulation after a kind of Flexible ureteroscope lithotrity Quickly calculus device, can not only improve a phase calculus efficiency, shortens operating time, and can widen Flexible ureteroscope lithotrity Indication.
To achieve these goals, after a kind of Flexible ureteroscope lithotrity that this utility model uses, double hose water circulates quick calculus Device, the water injection conduit including drainage catheter, being arranged on drainage catheter medial wall and for conduit is delivered to renal pelvis ureters Dividing a word with a hyphen at the end of a line the push rod in portion, the water inlet of water injection conduit rear end sidewall connects has water injection pipe, if the front end side wall of water injection conduit has Dry apopore;The front end side wall of described drainage catheter has several and is available for the calculus hole that rubble passes through.
Described push rod is front end half elliptic pipe sample rod-like structure.
The caliber of described drainage catheter is 4-4.7mm, a diameter of 3.0mm in calculus hole, and the caliber of water injection conduit is 0.8-1.0mm, Described push rod caliber is 2.0-2.5mm, and described device length is 60-70cm.
The quantity in described calculus hole is three, is distributed in the front end of drainage catheter in class triangle relation.
The quantity of described apopore is three.
Compared with prior art, this device is delivered to from renal pelvis ureters divides a word with a hyphen at the end of a line from urethral orifice under the guiding of seal wire by this utility model, By water injection conduit water filling in renal pelvis, the water of injection is flowed out in " spurting " by the small side hole of water injection conduit front end, rinses Calculus granule in stirring renal pelvis, allows it and discharge by big side opening entrance drainage catheter with water and urine mixture.Whole process is grasped Make simple, little to the wound of human body, and the beneficially smooth discharge of calculus after lithotrity, ureter " stone street " can be prevented to be formed The renal calculus recurrence that the ureteral obstruction caused and retained calculus cause, releases the trouble and worry of patient.Finally, in the phase of raising Calculus efficiency, while shortening operating time, has widened the indication of Flexible ureteroscope Holmium YAG laser lithotripsy.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model;
Fig. 2 is the structural representation of this utility model push rod;
Fig. 3 is the enlarged diagram of this utility model head end.
In figure: 1, drainage tube chamber, 2, water injection pipe, 3, drainage catheter, 4, water injection conduit, 5, apopore, 6, calculus hole, 7, push rod, 8, push rod tube chamber.
Detailed description of the invention
The utility model is described in further detail with specific embodiment below in conjunction with the accompanying drawings.
As shown in Figure 1 to Figure 3, after a kind of Flexible ureteroscope lithotrity, double hose water circulates quick calculus device, including large aperture Drainage catheter 3, the small-bore water injection conduit 4 being arranged on drainage catheter 3 medial wall and for conduit is delivered to renal pelvis Ureter is divided a word with a hyphen at the end of a line the push rod 7 in portion, and the water inlet of water injection conduit 4 rear end sidewall connects has water injection pipe 2, before water injection conduit 4 Side wall has several apopores 5;The front end side wall of described drainage catheter 3 has several and is available for the calculus hole 6 that rubble passes through, The tail end of drainage catheter 3 connects drainage tube chamber 1.
Wherein, described push rod 7 can be designed to front end half elliptic pipe sample rod-like structure;The caliber of described drainage catheter 3 For 4-4.7mm, a diameter of 3.0mm in calculus hole 6, the caliber of water injection conduit 4 is 0.8-1.0mm, and described push rod 7 is managed Footpath is 2.0-2.5mm.
Preferably, the quantity in described calculus hole 6 is three, and is distributed in the front end of drainage catheter 3 in class triangle relation, and this sets Meter ensure that the stability of calculus device front end, increases drainage efficiency by increasing the area of conduction hole simultaneously.Preferably, The quantity of apopore 5 can also be three.
As further improvement of the utility model, can design drainage catheter caliber is 4.0mm, improves calculus efficiency;Can design Push rod caliber is 2.0-2.5mm, makes conduit be more easy to push to ureteropelvic junction, further reduces conduit and carried Resistance in journey, decreases injury of urinary tract.
When preparing that Flexible ureteroscope Ho.YAG laser lithotripsy postoperative patient person is carried out calculus, introduce seal wire (labelling urine output through Flexible ureteroscope Pipe soft lens tail end position on seal wire), while retaining seal wire, slowly withdraw from Flexible ureteroscope, by push rod 7 through drain Tube chamber 1 inserts drainage catheter 3, along seal wire, this device is delivered to ureteropelvic junction (this device tail end and seal wire mark Overlap i.e. can confirm that this device head end arrives precalculated position), pull out seal wire and push rod 7, the compression pump of normal saline will be installed It is connected to water injection pipe 2.According to calculus granular size and patient's renal pelvis volume, control flow and the flow velocity of normal saline, make water from Water injection conduit front end and apopore 5 flow out, and utilize current to be fully rinsed stirring;Meanwhile, at drainage tube chamber 1, connection is negative Pressure suction pump, makes the calculus granule in renal pelvis, normal saline and urine mixture enter from drainage catheter front end and calculus hole 6 and draws Conduit 3, is flowed out smoothly by drainage tube chamber 1, judges the whether emptying of calculus granule according to the limpid degree of drainage-fluid.If drawing During stream, drainage-fluid interrupts suddenly, it is considered to be probably blocking in drainage catheter 3, now can be by inserting push rod 7 by drain Tamper in conduit 3 pushes back in renal pelvis, continues to rinse, till drainage-fluid is limpid.In drainage process, patient can pass through Conversion position, makes calculus be more easy to discharge;Also incarceration can be made by injecting larger dose normal saline to water injection conduit 4 impact type Calculus granule be more easy to discharge;After calculus is completely exhausted out, extract this device.Whole process operation is simple, to human body Wound is little, and the beneficially smooth discharge of calculus after lithotrity, and ureter " stone street " can be prevented to form the ureteral obstruction caused And the recurrence of hepatolithiasis that retained calculus causes, release the trouble and worry of patient.
Use this device, calculus can be broken into the granule of diameter 1-2mm through this dress by suitably increasing the work efficiency of Bladder stone Put and excrete, and without calculus being broken into powder, calculus efficiency can be significantly improved, save operating time, reduce infection Incidence rate.It addition, by the calculus granule that renal calculus is broken into 1-2mm, the diameter renal calculus more than 2cm also becomes originally The indication of Flexible ureteroscope Holmium YAG laser lithotripsy, this has also widened its indication simultaneously.
From said structure, this utility model can be in the postoperative use of Flexible ureteroscope laser lithotripsy, should under the guiding of seal wire Device is delivered to from renal pelvis ureters divides a word with a hyphen at the end of a line from urethral orifice, and by water injection conduit water filling in renal pelvis, the water of injection passes through water injection conduit The small side hole of front end flows out in " spurting ", rinses calculus granule in stirring renal pelvis, allows it pass through big with water and urine mixture Side opening enters drainage catheter and discharges.Whole process operation is simple, little to the wound of human body, and beneficially calculus after lithotrity Discharge smoothly, ureter " stone street " can be prevented to form the ureteral obstruction caused and renal calculus recurrence that retained calculus causes, solve Trouble and worry except patient.
Described above is only to be described preferred implementation of the present utility model, not to spirit and scope of the present utility model It is defined.On the premise of without departing from this utility model design concept, this area ordinary person is to technical side of the present utility model Various deformation that case is made and improvement, all should drop into protection domain of the present utility model.

Claims (5)

1. after a Flexible ureteroscope lithotrity double hose water circulate quick calculus device, it is characterised in that include drainage catheter (3), The water injection conduit (4) that is arranged on drainage catheter (3) medial wall and for conduit being delivered to pushing away of ureteropelvic junction Sending bar (7), the water inlet of water injection conduit (4) rear end sidewall connects water injection pipe (2), the front end of water injection conduit (4) Sidewall has several apopores (5);The front end side wall of described drainage catheter (3) has several and is available for the row that rubble passes through Stone hole (6).
After a kind of Flexible ureteroscope lithotrity the most according to claim 1, double hose water circulates quick calculus device, its feature Being, described push rod (7) is front end half elliptic pipe sample rod-like structure.
After a kind of Flexible ureteroscope lithotrity the most according to claim 1, double hose water circulates quick calculus device, its feature Being, the caliber of described drainage catheter (3) is 4-4.7mm, a diameter of 3.0mm of calculus hole (6), water injection conduit (4) Caliber be 0.8-1.0mm, described push rod (7) caliber is 2.0-2.5mm.
After a kind of Flexible ureteroscope lithotrity the most according to claim 1, double hose water circulates quick calculus device, its feature Being, the quantity of described calculus hole (6) is three, is distributed in the front end of drainage catheter (3) in class triangle relation.
After a kind of Flexible ureteroscope lithotrity the most according to claim 1, double hose water circulates quick calculus device, its feature Being, the quantity of described apopore (5) is three.
CN201620006276.5U 2016-01-04 2016-01-04 Stone device is arranged fast to double -barrelled formula hydrologic cycle after flexible ureteroscope lithotrity Expired - Fee Related CN205649726U (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107261298A (en) * 2017-07-11 2017-10-20 广州优尼康通医疗科技有限公司 Visualize the prostate dilator of positioning
CN108209852A (en) * 2018-02-08 2018-06-29 庞广富 Side view lateral openings ureterorenoscope
CN111281369A (en) * 2020-03-18 2020-06-16 中国人民解放军南部战区总医院 Pressure measuring catheter in renal pelvis
CN111870218A (en) * 2020-08-31 2020-11-03 武汉佑康科技有限公司 Catheter cap for ureteroscope and ureteroscope catheter with same

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107261298A (en) * 2017-07-11 2017-10-20 广州优尼康通医疗科技有限公司 Visualize the prostate dilator of positioning
CN108209852A (en) * 2018-02-08 2018-06-29 庞广富 Side view lateral openings ureterorenoscope
CN111281369A (en) * 2020-03-18 2020-06-16 中国人民解放军南部战区总医院 Pressure measuring catheter in renal pelvis
CN111870218A (en) * 2020-08-31 2020-11-03 武汉佑康科技有限公司 Catheter cap for ureteroscope and ureteroscope catheter with same

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20161019

Termination date: 20170104

CF01 Termination of patent right due to non-payment of annual fee