CN209153968U - Enucleation of the prostate mirror - Google Patents

Abstract

The utility model provides a kind of enucleation of the prostate mirror, for carrying out blunt separation and cutting out to remove to prostata tissue, including the observation mirror body being set side by side up and down and cut out except bar, it cuts out except optical-fibre channel is equipped in bar, optical-fibre channel can be stretched out from the insertion end end cuted out except bar, and optical fiber is equipped in optical-fibre channel, it cuts out and cuts out except the insertion end of bar is equipped with except head, it cuts out except head is duck-bill type structure, cuts out and be connected except head with the handle for cutting out the non-intrusive end except bar is set to, pass through the controllable opening and closure cuted out except head of handle；It further include being set in observation mirror body and cutting out the epitheca in addition to bar, the middle part of epitheca is equipped with instrument channel, and the sheath wall of epitheca is double-layer structure, and gap is equipped in sheath wall, and the insertion end of epitheca is equipped with multiple holes.The utility model relates to enucleation of the prostate mirror can effectively avoid that compressing causes to damage for a long time to patient sphincter urethrae, while while the prostate to patient is removed, stopping blooding in time, facilitating operative treatment, effectively shorten operating time.

Description

Enucleation of the prostate mirror

Technical field

The utility model relates to medical instruments field, in particular to a kind of enucleation of the prostate mirror.

Background technique

Transurethral prostatectomy (TURP) be it is a kind of more safely, effectively, mitigate the operation method of patient's pain.It is Refer to that per urethra is inserted into resectoscope, the part of hyperplasia of prostate is cut off under direct-view.

Conventionally, as cutting out the design feature except mirror, it usually needs using the membranous part of urethra of patient, (urethra is included about Flesh) fulcrum as resectoscope, long-time urethra sphincter when operation is easy to produce the postoperative complications such as the urinary incontinence, together When anthemorrhagic difficulty, operation is more inconvenient.

Cut out as existing embodiment one provides a kind of multifunctional prostate except mirror, including mirror sheath and it is interior be placed on mirror sheath etc. Ion electric coagulation device, the electric coagulation device include operation hand piece and cut out except device, and operation hand piece includes supervisor and slides with supervisor outer surface The sliding block of dynamic cooperation, is cuted out except device and supervisor are arranged in parallel, including shank body and cutting out cuted out except head except head be cross section for arc spade Structure, front end of the shank body with cut out except tail end is fixedly connected, be provided with electrode tip holder on sliding block, shank body tail end is inserted into electrode tip holder and sliding block Secure fit is cuted out and is electrically connected by shank body with electrode tip holder except head；Shank body is arranged axially extending bore and forms optical-fibre channel, is arranged on sliding block Optical fiber import, optical fiber import are connected to the optical-fibre channel.

For another example existing embodiment two provides a kind of prostate laser and cuts out except pushing away stripping device.Comprising: a camera lens sheath body, A peephole is set inside the camera lens sheath body；One cuts out except bar epitheca, described to cut out except bar epitheca is arranged in the camera lens sheath body Bottom and be connected with the camera lens sheath body, cut out the intrathecal setting in addition to bar described and one cut out except bar and an optical-fibre channel, it is described to cut out Except the bottom of the optical-fibre channel is arranged in bar, an optical fiber is set in the optical-fibre channel, the optical fiber be used for organize into Row laser cutting；It cuts out described except one end setting one of bar is cuted out except head, described cut out is cuted out for described except bar epitheca except head process, described It cuts out except head is in spade, for carrying out blunt separation to tissue.

But existing embodiment is in the course of surgery, and gland tissue of hyperplasia etc. is easy to have an impact sight, pushes away stripping When visual field very little, to move back sem observation after pushing away stripping, extend surgical procedure.

Utility model content

The utility model discloses a kind of enucleation of the prostate mirrors, for carrying out blunt separation to prostata tissue and cutting out It removes, including the observation mirror body being set side by side up and down and cuts out except bar, observe mirror body rear end and be connected with observation eyepiece；Peephole is inserted The angle for entering the axis of end face and peephole is acute angle；It cuts out except bar is located at observation mirror body bottom, cuts out except logical equipped with optical fiber in bar Road, optical-fibre channel can be stretched out from the insertion end end cuted out except bar, optical fiber is equipped in optical-fibre channel, one end of optical fiber protrudes from optical fiber The other end of the insertion end in channel, optical fiber is connected with laser connector, and optical fiber is for cutting prostata tissue；It cuts out Except also extending through in bar equipped with instrument channel；It cuts out and cuts out except the insertion end of bar is equipped with except head, cut out except head is duck-bill type structure, including can open The fixing end and movable end opened or be closed cut out and are connected except head with the handle for cutting out the non-intrusive end except bar is set to, pass through hand The controllable opening and closure cuted out except head of handle；The utility model enucleation of the prostate mirror further include: be set in observation mirror body and cut out Epitheca in addition to bar, the inside of epitheca are equipped with instrument channel, and the insertion end of epitheca is equipped with opening, and object lens are cuted out except head and optical fiber are logical Road can be stretched out from opening；The sheath wall of epitheca is double-layer structure, and gap is equipped in sheath wall and (is communicated with apopore, for draining punching Washing lotion), the insertion end outer wall of epitheca is equipped with multiple holes, it cuts out except the non-intrusive end of bar epitheca is equipped with water inlet and water outlet, Water inlet is connected with instrument channel, and water outlet is connected with gap.

The utility model relates to enucleation of the prostate mirror due to removing when mirror body fulcrum Forward, can effectively avoid to patient Sphincter urethrae causes to damage, and while the prostate to patient is removed, stops blooding more convenient timely；Simultaneously in operation The visual field be more clear, further speeded up operation process.

Further, described to cut out except head is plasma coagulation ring.

Preferably, it cuts out except the movable end of head is identical as fixing end shape, the height of the two sides of movable end and fixing end is high Height in center.

Further, the insertion end for observing mirror body is equipped with light source, and the non-intrusive end for observing mirror body is equipped with cold light source connector, light Source is connected in the intracorporal optical fiber of peephole with cold light source connector by being arranged.

Preferably, the non-intrusive end of epitheca is equipped with drip ring.

Further, inlet valve and flowing water Valve are respectively equipped on water inlet and water outlet.

Preferably, the insertion end of optical-fibre channel is equipped with outlet, and the bore of outlet and the outer diameter of optical fiber are identical, and optical fiber is from outlet It stretches out.The non-intrusive end of optical fiber is equipped with optical fiber propulsion device, and when which pushes ahead, optical fiber is reached and cuted out except before head Face.

Further, which is characterized in that handle is scissors-type handle, and handle includes first handle and second handle, first Handle is connected with movable end, and second handle is connected with fixing end, first handle with cut out except bar is fixedly connected, second handle with First handle is flexibly connected.Second handle lower ends are equipped with jack, can be connected with plasma generator.

Preferably, spring is equipped between first handle and second handle.

Further, it observes mirror body and cuts out except the maximum outside diameter of bar is 20-22Fr.

Preferably, the maximum outside diameter of epitheca is 24-26Fr.

Further, in instrument channel it is telescopic be equipped with electric knife, electric knife can be stretched out out of described instrument channel or Retraction.

As above, the utility model relates to enucleation of the prostate mirror can effectively avoid patient's sphincter urethrae is caused to damage, Simultaneously while the prostate to patient is removed, the visual field is wider, and hemostasis is more convenient, at the same time it is easier to along prostate Coating removing, will effectively shorten operating time.

For the above content of the utility model can be clearer and more comprehensible, preferred embodiment is cited below particularly, and in conjunction with attached drawing, make Detailed description are as follows.

Detailed description of the invention

The utility model is introduced below in conjunction with attached drawing.

Fig. 1 is the overall structure diagram of the enucleation of the prostate mirror of the utility model；

Fig. 2 is the structural schematic diagram cuted out except first 21；

Fig. 3 is the partial sectional view cuted out except bar 2；

Fig. 4 is the sectional view cuted out except mirror after being arranged epitheca 5；

Fig. 5 is the structural schematic diagram of epitheca 5.

Component label instructions

1 peephole

11 eyepieces

12 cold light source connectors

13 end faces

2 cut out except bar

21 cut out except head

22 fixing ends

23 movable ends

3 optical-fibre channels

31 laser connectors and optical fiber propulsion device

4 handles

41 first handles

42 second handles

43 springs

44 plasma connectors (note: change and are placed on 42 lower sections)

5 epithecas

51 holes

52 water inlets

53 water outlets

54 drip rings

55 gaps

6 instrument tubes

7 steel wires

8 control devices

Specific embodiment

The embodiments of the present invention is illustrated by particular specific embodiment below, those skilled in the art can be by this theory The bright revealed content of book understands other advantages and effect of the utility model easily.

It should be noted that in the present invention, the upper and lower, left and right in attached drawing 1 are considered as described in this specification The upper and lower, left and right of enucleation of the prostate mirror.

The utility model provides a kind of enucleation of the prostate mirror, for carrying out blunt separation and cutting out to remove to prostata tissue, It not only can be with stability contorting optical fiber, but also is capable of providing the cutting out except first 21 of blunt separation, thus in conjunction with tissue by laser cutting and Blunt separation can also stop blooding while removing, so that operation carries out more glibly.

As depicted in figs. 1 and 2, enucleation of the prostate mirror involved in the utility model includes the peephole being set side by side up and down It body 1 and cuts out except bar 2, observes 1 rear end of mirror body and be connected with observation eyepiece 11；The insertion end for observing mirror body 1 is equipped with light source, peephole The non-intrusive end of body 1 is equipped with cold light source connector 12, and light source passes through the transmission line and cold light source connector 12 being arranged in observation mirror body 1 It is connected.In the present invention, light source is preferably LED light source, but the utility model is not limited merely to this, it also can be selected The light source of his any type of light source as observation mirror body 1.

Further, it is preferably observed to remove to prostate and cut out the process removed, preferably by peephole 1 The end face 13 of insertion end is set as an inclined-plane, i.e. the end face 13 of peephole insertion end and the angle of the axis of peephole 1 is sharp Angle, to increase the range of observation to patient's tissue side wall.In the present invention, angle is preferably 30 degree or 60 degree.

It cuts out except bar 2 is located at observation 1 bottom of mirror body, cuts out except 2 inside (as shown in Figure 3 and Figure 4) of bar or outside are equipped with optical fiber Channel 3, optical-fibre channel 3 can with cut out except bar 2 is fixedly installed, can also with cut out except the activity of bar 2 is arranged, can according to actual needs from It cuts out except the insertion end end of bar 2 is extended or retracted.Further, in the present invention, can be arranged on enucleation of the prostate mirror Control device can both be such that optical fiber or optical-fibre channel 3 moves axially.In the description, " forward movement " (or advance) Refer to that, towards the movement of orificium urethrae internum direction, " moving backward " (or retrogressing) refers to mobile towards orificium urethrae externum direction.

It cuts out except the insertion end of bar 2 is equipped with the stretching hole stretched out for optical-fibre channel 3, the insertion end of optical-fibre channel 3 is from cutting out Except the insertion end of bar 2 is stretched out；It may pass through optical fiber in optical-fibre channel 3, the insertion end of optical-fibre channel 3 is equipped with outlet, and optical fiber can be from out Mouth stretches out, and one end of optical fiber protrudes from the insertion end of optical-fibre channel 3, and the other end of optical fiber passes through laser connector and optical fiber Propulsion device 31 is connected with laser generator, and laser connector and optical fiber propulsion device 31 are set to and cut out except the non-intrusive end of bar 2, And optical fiber propulsion device 31 can be arranged in 4 rear end of handle (in the present invention, the right side of handle 4 is in Fig. 1 elasticly Rear end).Optical fiber can be used for cutting prostata tissue.When practical operation, by the laser generator of laser fiber and peripheral hardware It is connected, affected part can be cut by laser.In the present invention, it is preferred to use Bladder stone optical fiber is as operation optical fiber.

Further, in order to be assisted in the treatment of to patient, preferably cut out except in bar 2 through a piece instrument tube 6 of setting, benefit With instrument tube 6, other medical instruments can be protruded into Enucleation of the prostate, patient is treated.Further, in this reality In novel, telescopic preferably in instrument tube 6 to be equipped with electric knife, electric knife can be extended or retracted out of described instrument tube 6, And the flexible of electric knife is controlled using the controller being set on handle, to further be controlled patient It treats.

Further, it is preferable to will be connected with controller using steel wire electric knife, so as to control cutting by controller The stretching and retraction of knife.

In the present invention, it cuts out and cuts out except the insertion end of bar 2 is equipped with except first 21, cut out except first 21 be duck-bill type structure, including Expansible or closure fixing end 22 and movable end 23, cut out and are connected except first 21 with the handle 4 for cutting out the non-intrusive end except bar 2 is set to It connects, by the controllable opening and closure cuted out except first 21 of handle 4, realizes the blunt separation to prostata tissue；In order to preferably The folding cuted out except head 21 is controlled, preferably sets scissors-type handle for handle 4, specifically, handle 4 includes first-hand Handle 41 and second handle 42, second handle 42 are flexibly connected with first handle 41, first handle 41 with cut out the movable end except first 21 23 are connected, meanwhile, first handle 41 is also fixedly connected except bar 2 with cutting out, and can keep the stabilization of enucleation of the prostate mirror；Second handle 42 with cut out except first 21 fixing end 22 is connected, move horizontally first handle 41 by operating first handle 41, thus Make to cut out except first 21 movable end 23 is separated with 22 phase of fixing end.Preferably, in the present invention, first handle 41 and second-hand Handle 42 is connected by steel wire 7 with movable end 23 and fixing end 22 respectively.

Further, it is preferably provided with spring 43 between first handle 41 and second handle 42, handle 4 or opens one's hand when holding with a firm grip When handle 4, spring 43, which is compressed or stretched, occurs elastic deformation, after the external force that removal applies outside handle 4, passes through spring 43 Reset can rapidly be such that first handle 41 resets, and the convenience of operation greatly improved.

It should be noted that in the present invention, the handle 4 except first 21 being cuted out in control and be used to control optical-fibre channel 3 control device 8 is separately positioned on the bottom and top cuted out except bar 2, is separated from each other, and is independent of each other, so as to cut out except bar 2 independently It is mobile, so that cutting out except its respectively function is realized in first 21 and optical fiber.It in the course of surgery, can be with when operating control device The advance and retreat for controlling optical fiber or optical-fibre channel 3, so that the optical fiber be made to be cut by laser tissue；It, can when operation handle 4 To cut out the folding except first 21 described in control.Further, in use, it cuts out except first 21 are always positioned at visual field center, cuts out and remove The prostata tissue of first 21 pairs of hyperplasia carries out passivity and strips, due to being just not easy lost package using lower blunt separation mode is looked at straight Membrane interface, therefore the speed and safety cuted out during removing can be greatly increased.

In the present invention, it cuts out except first 21 movable end 23 is identical as 22 shape of fixing end, and movable end 23 and fixation The height of the two sides at end 22 is higher than the height at center, forms a recess portion cutting out the axial location except head 21, increases with before The contact area of column glandular tissue, more effectively to prostata tissue carry out blunt separation, push away stripping etc. movement.That is, edge It cuts out except head 21 will not block the visual field of doctor in the course of surgery, it is ensured that operation smoothly carries out.

Further, in the present invention, the fixing end 22 cuted out except first 21 is preferably made of metal with movable end 23, No matter cut out except first 21 open or closure, can carry out plasma electric coagulation hemostasis.As in one embodiment, cut out except bar 2 is non-intrusive The plasma connector 44 that end setting can be connected with the plasma electric coagulation device of peripheral hardware, is fixed except first 21 with the connector at this point, cutting out Connection, can will be cuted out by plasma connector 44 and be connected except first 21 with plasma electric coagulation device, make to cut out except first 21 generate plasma Body, to realize hemostatic function.In the present invention, plasma connector 44 can be set on first handle 41, can also be with It is arranged on second handle 42.

Further, in other embodiments, it is cutting out to reduce except excessive interface is arranged on bar 2 to further It reduces and cuts out diameter except bar 2, preferably the plasma connector 44 that can be connected with the plasma electric coagulation device of peripheral hardware is arranged the The end of two handles 42.

As shown in figure 5, the enucleation of the prostate mirror in the utility model further includes being set in observation mirror body 1 and cutting out except bar 2 Outer epitheca 5, the middle part of epitheca 5 are equipped with instrument channel, and the insertion end of epitheca 5 is equipped with opening, and object lens are cuted out except first 21 and optical fiber lead to Road 3 can be stretched out from opening；The sheath wall of epitheca 5 is double-layer structure, and gap 55 is equipped in sheath wall, and the insertion end of epitheca 5 is equipped with more The non-intrusive end in a hole 51, epitheca 5 is equipped with water inlet 52 and water outlet 53, and water inlet 52 is connected with instrument channel, is discharged Mouth 53 is connected with gap 55, and hole 51 is connected with gap 55.When specifically used, the physiological saline that is injected by water inlet 52 from Instrument channel is rinsed to orificium urethrae internum direction.And it is discharged and then enters in gap 55 from multiple holes 51 of epitheca 5, then arranged from apopore It is external out.The physiological saline injected at this time can by before object lens insertion end watery blood or tissue etc. influence the object of sight and wash open, make Doctor obtains the clearly visual field, facilitates the progress of operation.

Further, in order to which inflow and displacement are better controlled, preferably in water inlet 52 and water outlet Inlet valve and flowing water Valve are respectively equipped on 53.

Further, the water of patient's body or other dirts surprisingly flow out patient and pollute in vitro in order to prevent, excellent It is selected in the non-intrusive end setting drip ring 54 of epitheca 5, the position of drip ring 54 can be adjusted according to the actual situation, to obtain Preferable leak preventing effect.

It is in the present invention, excellent therefore as far as possible by the reduced diameter of enucleation of the prostate mirror for the sense of discomfort for reducing patient Choosing will observation mirror body 1 and cut out except the maximum outside diameter of bar 2 be set as 20-22Fr (Fr be conduit perimeter unit, as observation mirror body 1 Maximum perimeter with inspection bar 2 is 20-22mm), preferably 20Fr, and the maximum outside diameter of epitheca 5 is 22-24Fr, with as far as possible Mitigation pain and stimulation caused by patient.

To sum up, so as to complete to carry out blunt separation and laser cutting to prostata tissue, so that operation is more smooth Ground carries out, while fulcrum when carrying out sled stripping to prostata tissue being moved forward, and can avoid causing to hurt to the sphincter urethrae of patient Evil, reduces the generation of the postoperative urinary incontinence of patient, shortens the recovery time of patient, therefore, the enucleation of the prostate of the utility model Mirror is worth extensive promotion and application.

The above embodiments are only illustrative of the principle and efficacy of the utility model, and not for limitation, this is practical new Type.Anyone skilled in the art can all repair above-described embodiment under the spirit and scope without prejudice to the utility model Decorations change.Therefore, those skilled in the art without departing from the utility model it is revealed spirit with completed under technical idea All equivalent modifications or change, should be covered by the claim of the utility model.

Claims (3)

1. a kind of enucleation of the prostate mirror, for carrying out blunt separation and cutting out to remove to prostata tissue, which is characterized in that including cutting out Except bar, described cut out is cuted out except the insertion end of bar is equipped with except head, described to cut out except head is duck-bill type structure, including expansible or closure are fixed End and movable end, described cut out are connected except head with the handle for cutting out the non-intrusive end except bar is set to, and pass through the handle The controllable opening and closure cuted out except head；

The handle is scissors-type handle, and the handle includes first handle and second handle, the first handle with it is described solid Fixed end is connected, and the second handle is connected with the movable end, and the first handle is cuted out with described except bar is fixedly connected, institute Second handle is stated to be flexibly connected with the first handle；

Spring is equipped between the first handle and the second handle.

2. enucleation of the prostate mirror as described in claim 1, which is characterized in that described to cut out except head is plasma coagulation ring.

3. enucleation of the prostate mirror as claimed in claim 2, which is characterized in that the movable end cuted out except head and the fixing end Shape is identical, and the height of the two sides of the movable end and the fixing end is higher than the height at center.