CN209153970U - 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 that is set side by side up and down and cuts out except bar, the insertion end of the peephole is provided with camera and extremely A few light source, the camera and display are electrically connected；Cut out except bar be located at observation mirror body bottom, cut out except in bar be equipped with optical fiber Channel, 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 light The other end of the insertion end in fine channel, optical fiber is connected with laser connector, and optical fiber is for cutting prostata tissue； It cuts out to remove and also extend through in bar equipped with instrument tube；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, it cuts out except one side opposite between the fixing end and the movable end of head is equipped with anti-skid structure.

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, first handle is hinged with second handle, is equipped between first handle and the non-holding end of second handle Elastic component, the both ends of the elastic component are connected with the first handle with second handle respectively.

Further, elastic component is spring.

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

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

Preferably, telescopic in instrument tube to be equipped with electric knife, electric knife can be extended or retracted out of described instrument tube.

Further, camera is connected with display in wired or wireless form.

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 overall structure diagram of the enucleation of the prostate mirror of the handle 4 with another embodiment；

Fig. 3 is the structural schematic diagram for cutting out the insertion end except first 21 and peephole 1；

Fig. 4 is the partial sectional view cuted out except bar 2；Fig. 5 is the sectional view cuted out except mirror after being arranged epitheca 5；

Fig. 6 is the structural schematic diagram of epitheca 5.

Component label instructions

1 peephole

11 displays

12 cold light source connectors

13 light sources

14 cameras

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

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.

Enucleation of the prostate mirror according to the present invention including the observation mirror body being set side by side up and down and is cuted out except bar, peephole Insertion end is provided with camera and at least one light source, and camera and display are electrically connected；Cutting out can except the insertion end of bar It is releasably equipped with and cuts out except head, cut out and be connected except head with the handle for cutting out the non-intrusive end except bar is set to；Handle is scissors-type handle, Handle includes first handle and second handle, and first handle is hinged with second handle, first handle and second handle it is non- Holding is equipped with spring between end, and the both ends of spring are connected with first handle with second handle respectively.

It cuts out except head is plasma coagulation ring.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 are connected in the intracorporal optical fiber of peephole with cold light source connector by being arranged.

As shown in Figure 1-3, enucleation of the prostate mirror involved in the utility model includes 1 He of peephole being set side by side up and down Cut out except bar 2, peephole 1 for being monitored in real time to surgical procedure, the insertion end of peephole 1 be provided with camera 14 and At least one light source 13, camera 14 passes through the electric connection line being arranged in inside peephole 1 and display 11 is electrically connected, or It is equipped with wireless transmitter module in peephole 1, while corresponding wireless receiving module is set in display 11, makes to take the photograph It is connected in a manner of wireless connection with display 11 as first 14, by picture transmission taken by camera 14 to display 11 On；The insertion end of peephole 1 is equipped at least one light source 13, and light source 13 can according to actual needs or peephole 1 Outer diameter size carries out the adjusting of position and quantity, can be set around camera 14, that is, the insertion end end of peephole 1 is arranged in On face, also it can be set on the side wall of the close insertion end of peephole 1.Further, in the present invention, it preferably adopts Use LED light source as light source 13.The non-intrusive end of peephole 1 is equipped with cold light source connector 12, and light source is by being arranged in peephole 1 Interior transmission line is connected with cold light source connector 12.In the present invention, light source is preferably LED light source, but the utility model It is not limited merely to this, other light sources of any type of light source as peephole 1 also can be selected.

It cuts out except bar 2 is located at 1 bottom of peephole, cuts out except 2 inside (as shown in Figure 4 and Figure 5) of bar or outside are logical equipped with optical fiber Road 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 be according to actual needs from cutting out Except the insertion end end of bar 2 is extended or retracted.Further, in the present invention, control can be set on enucleation of the prostate mirror Device processed can both be such that optical fiber or optical-fibre channel 3 moves axially.In the description, " forward movement " (or advance) is 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 in optical-fibre channel 3 optical fiber (Bladder stone optical fiber), the insertion end of optical-fibre channel 3 is equipped with Mouthful, optical fiber can be stretched out from outlet, and one end of optical fiber protrudes from the insertion end of optical-fibre channel 3, and the other end of optical fiber is by swashing Light device connector and optical fiber propulsion device 31 are 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 4 rear end (in the present invention, Fig. 1 of handle can be arranged in optical fiber propulsion device 31 elasticly The right side of middle handle 4 is rear end).Optical fiber can be used for cutting prostata tissue.When practical operation, by laser fiber and outside If laser generator be connected, affected part can be cut by laser.In the present invention, it is preferred to use Bladder stone optical fiber is made For 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 except first 21 be set to 4 phase of handle for cutting out the non-intrusive end except bar 2 Connection realizes the blunt separation to prostata tissue by the controllable opening and closure cuted out except first 21 of handle 4；In order to more preferable Ground controls the folding cuted out except head 21, preferably sets scissors-type handle for handle 4, and specifically, handle 4 includes first Handle 41 and second handle 42, second handle 42 are flexibly connected with first handle 41, first handle 41 with cut out the activity except first 21 End 23 is connected, meanwhile, first handle 41 also with cut out except bar 2 is fixedly connected, the stabilization of enucleation of the prostate mirror can be kept；Second-hand Handle 42 with cut out except first 21 fixing end 22 is connected, move horizontally first handle 41 by operating first handle 41, from And 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 Handle 42 is connected by steel wire 7 with movable end 23 and fixing end 22 respectively.

Further, in one embodiment of the utility model, as shown in Figure 1, first handle 41 and second handle 42 are hinged, the non-holding end of first handle 41 and second handle 42 with cut out except the fixed or movable connection of bar 2, first handle 41 are equipped with elastic component between the one end that is connected except bar 2 with second handle 42 with cutting out, and in the present invention, elastic component is preferred For spring 43, the both ends of spring 43 are connected with first handle 41 with second handle 42 respectively, when handle 4 or the opening handle held with a firm grip When 4, spring 43, which is compressed or stretched, occurs elastic deformation, after the external force that removal applies outside handle 4, passes through answering for spring 43 Position can rapidly be such that first handle 41 resets, and the convenience of operation greatly improved.

In another embodiment of the utility model, as shown in Fig. 2, handle 4 can be used other shapes structure and Connection type only need to guarantee that second handle 42 is flexibly connected with first handle 41.Specifically, first handle 41 is removed with cutting out First 21 movable end 23 is connected, meanwhile, first handle 41 is also fixedly connected except bar 2 with cutting out, and can keep enucleation of the prostate mirror Stablize；Second handle 42 with cut out except first 21 fixing end 22 is connected, first handle 41 occurs by operating first handle 41 It moves horizontally, to make to cut out except first 21 movable end 23 is separated with 22 phase of fixing end.Wherein, first handle 41 and second handle 42 Between be preferably provided with spring 43, when holding handle 4 with a firm grip or opening handle 4, spring 43 compress or is stretched generation elastic deformation, when going After the external force applied in addition to handle 4, it so that first handle 41 is resetted by the reset of spring 43, behaviour greatly improved The convenience of work.

The handle of other various structures also can be used in the utility model, only need to guarantee to cut out the normal folding except first 21.

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 top and bottom cuted out except bar 2, is separated from each other, and is independent of each other, so as to cut out except bar 2 is independent Ground 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 when operating control device To control the advance and retreat of optical fiber or optical-fibre channel 3, so that the optical fiber be made to be cut by laser tissue；When operation handle 4, It can control and described cut out the folding except first 21.Further, in use, it cuts out except first 21 are always positioned at visual field center, cuts out It is stripped except the prostata tissue of first 21 pairs of hyperplasia carries out passivity, due to just not allowing easy to be lost using lower blunt separation mode is looked at straight Coating 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 fig. 6, the enucleation of the prostate mirror in the utility model further includes being set in peephole 1 and cutting out in addition to bar 2 Epitheca 5, the middle part of epitheca 5 is 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-fibre channel 3 can stretch 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 multiple The non-intrusive end in hole 51, epitheca 5 is equipped with water inlet 52 and water outlet 53, and water inlet 52 is connected with instrument channel, water outlet 53 are 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 is by peephole 1 and cuts out except the maximum outside diameter of bar 2 is set as 20-22Fr, preferably 20Fr, and the maximum outside diameter of epitheca 5 is 22-24Fr, to mitigate pain and stimulation caused by patient as far as possible.

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 biopsy to prostata tissue, which is characterized in that including what is be set side by side up and down It observes mirror body and cuts out except bar, the insertion end of the peephole is provided with camera and at least one light source, the camera It is electrically connected with display；

Described cut out is cuted out except the insertion end of bar is removably equipped with except head, it is described cut out except head be set to it is described cut out it is non-intrusive except bar The handle at end is connected；

The handle is scissors-type handle, and the handle includes first handle and second handle, the first handle and described the Two handles are hinged, and spring, the both ends of the spring are equipped between the first handle and the non-holding end of the second handle It is connected respectively with the first handle with 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 described in claim 1, which is characterized in that the insertion end of the observation mirror body is equipped with light source, It is described observation mirror body non-intrusive end be equipped with cold light source connector, the light source by setting the intracorporal optical fiber of the peephole with The cold light source connector is connected.