CN210408591U - A get stone basket of net for hard mirror holmium laser lithotripsy operation - Google Patents

A get stone basket of net for hard mirror holmium laser lithotripsy operation Download PDF

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Publication number
CN210408591U
CN210408591U CN201920756788.7U CN201920756788U CN210408591U CN 210408591 U CN210408591 U CN 210408591U CN 201920756788 U CN201920756788 U CN 201920756788U CN 210408591 U CN210408591 U CN 210408591U
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basket
inner core
head
seat
holmium laser
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贺亦峰
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Hunan Reborn Medical Science And Technology Development Co ltd
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Hunan Reborn Medical Science And Technology Development Co ltd
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Abstract

The utility model discloses a get stone basket for hard mirror holmium laser lithotripsy operation, including basket sheath pipe, inner core and basket seat, be equipped with input and output on the basket seat, the inside of basket seat is equipped with the intercommunication passageway with input and output intercommunication, and basket sheath pipe is linked together with the output of basket seat, and the input of basket seat is including being used for supplying inner core male inner core passway and being used for supplying optic fibre male optical fiber access mouth, and the inner core passes through the lumen of basket sheath pipe is worn to locate by inner core passway and intercommunication passageway, and the inner core is close to one of basket sheath pipe and serves to be equipped with the basket head that is used for emboliaing the pinning calculus. The utility model discloses a get stone basket can fix the calculus in the operation and the accurate calculus of smashing in position of the control optic fibre of being convenient for, can effectively prevent to hit the problem of disconnected basket because of misoperation results in the holmium laser, need not to repeat the mirror, has simplified operating procedure, has the advantage that can shorten operation treatment time, alleviate patient's misery, reduce the medical accident and take place.

Description

A get stone basket of net for hard mirror holmium laser lithotripsy operation
Technical Field
The utility model relates to the technical field of medical equipment, concretely relates to a get stone basket for hard mirror holmium laser lithotripsy operation.
Background
In recent years, ureteroscope lithotripsy is increasingly performed, in the traditional ureteroscope lithotripsy, when a calculus is sleeved by a calculus-taking basket, the lens needs to be withdrawn, the optical fiber is inserted into the lens again, if the calculus is sleeved for a plurality of times, the lens needs to be advanced and withdrawn for a plurality of times, the position of the optical fiber is difficult to control, a plurality of time is needed for adjusting the position of the optical fiber in the operation, the operation treatment time is long, meanwhile, the repeated lens causes a plurality of times of friction damage to the ureteral wall, in addition, the end part of the inserted laser optical fiber is difficult to position, the laser easily causes a plurality of times of burns to the mucous membrane in the ureter of a patient, the corresponding part generates edema and damage, the ureter forms scars, the ureter is narrow, the pain of the patient is increased, and if the operation is not proper, the laser can break the basket. Therefore, on the premise of accurate lithotripsy, how to quickly and accurately position the optical fiber and simplify the operation steps so as to shorten the operation treatment time, relieve the pain of a patient and reduce the occurrence of medical accidents is a problem to be solved.
SUMMERY OF THE UTILITY MODEL
The to-be-solved technical problem of the utility model is to overcome the not enough of prior art existence, provide a get stone basket for hard mirror holmium laser stone breaking operation, the utility model discloses a get the accurate calculus that smashes of position that stone basket can fix the calculus and be convenient for control optic fibre in the operation, can effectively prevent to lead to the holmium laser to hit the problem of breaking the basket because of the misoperation, need not to go into the mirror repeatedly, simplified operating procedure, have can shorten operation treatment time, alleviate patient's misery, reduce the advantage that medical accident takes place.
In order to solve the technical problem, the utility model provides a technical scheme does:
the utility model provides a get stone basket for hard mirror holmium laser lithotripsy operation, includes basket sheath pipe, inner core and basket seat, be equipped with input and output on the basket seat, the inside of basket seat be equipped with the intercommunication passageway of input and output intercommunication, the basket sheath pipe is linked together with the output of basket seat, and the input of basket seat is including being used for supplying inner core male inner core passway and being used for supplying optical fiber male fibre channel mouth, the inner core passes through inner core passway and intercommunication passageway wear to locate in the lumen of basket sheath pipe, one of inner core near the basket sheath pipe is served and is equipped with the basket head that is used for emboliaing the pinning calculus. When in use, one end of the inner core extends out of the basket sheath, the basket head is opened to be capable of sleeving, locking and fixing the stone, after the stone is fixed, the holmium laser fiber passes through the fiber passage port, the communication passage and the basket sheath and finally extends out of the basket sheath, because the inner core and the fiber are both arranged in the lumen of the basket sheath, the restriction effect of the lumen inner wall of the basket sheath only allows the relative horizontal movement of the inner core and the fiber, thereby having the restriction effect on the relative position of the inner core and the fiber, ensuring that the laser fiber can reach the central position of the basket head to accurately crush the stone as far as possible, and the basket sheath can restrict the position of the fiber, so that the position of the fiber is convenient to control in the operation process, the time for adjusting the position of the fiber is shortened, the operation time is shortened, and simultaneously the problems that the laser breaks the basket head or burns the mucous membrane in the ureter of a patient due to inaccurate adjustment of the position of the fiber, the pain of the patient is relieved, and the occurrence of medical accidents is reduced.
Preferably, the communicating channel between the inner core channel opening and the output end of the basket base and the lumen of the basket sheath tube are positioned on the same straight line. This structure can guarantee that the inner core also keeps the straight line to extend in intercommunication passageway and basket sheath pipe, and the inner core of being convenient for is adjusted at length direction because the tip of inner core is equipped with the basket head, and the elasticity of calculus is packed up and entangled to opening of basket head to the motion direct relation of inner core on length direction, consequently sets up to the straight line and avoids appearing buckling the regulation of influence to the basket head.
Preferably, the angle between the communicating channel at the opening of the inner core channel and the communicating channel at the opening of the optical fiber channel is theta, and theta is larger than or equal to 12 degrees and smaller than or equal to 60 degrees. The range of the included angle needs to consider the operability, the bending degree of the optical fiber and whether interference exists, interference cannot be formed between the inner core passage port and the optical fiber passage port within the range of the included angle, respective operation is not influenced, and meanwhile the optical fiber can be smoothly inserted from the angle and is easy to adjust.
Preferably, the input end of the basket base further comprises a water injection port for injecting physiological saline, and the water injection port is arranged close to the output end of the basket base. The water filling port is used for injecting normal saline, and when the calculus is broken by laser to cause the fuzzy visual field in the hard lens, the normal saline can be diluted, so that the observation and the operation of doctors are facilitated.
Preferably, the optical fiber is arranged in the lumen of the basket sheath tube in a penetrating manner through the optical fiber passage port and the communicating passage, and the tail end of the optical fiber is inserted into the space of the basket head for fetching the stone. When the calculus smashing device is used, calculus is taken in the space of the basket head, the tail end of the optical fiber protrudes out of the clamping part 5mm of the basket head close to one end of the basket sheath tube, so that the optical fiber fully extends into the middle space of the basket head to smash the calculus, and the phenomenon that the optical fiber is too close to the basket wire to smash the basket wire can be avoided.
Foretell a stone basket of getting for hard mirror holmium laser lithotripsy operation, it is preferred, inner core passway and fiber channel mouth department all are equipped with the regulator, the regulator is fixed including adjusting head, connecting piece and being used for through elastic deformation extrusion inner core or the elastic locking piece of optic fibre, the one end and inner core passway or fiber channel mouth threaded connection of connecting piece, the other end of connecting piece with the one end threaded connection who adjusts the head, it is used for the extrusion to adjust overhead being equipped with the extrusion head that is used for the extrusion elastic locking piece, the elastic locking piece is located in the connecting piece and with the extrusion head cooperatees, all be equipped with the passageway that supplies inner core or optic fibre to pass on adjusting head, connecting piece and the elastic locking piece. Inner core or optic fibre are in proper order from adjusting the head, elasticity locking piece and connecting piece pass and get into the intercommunication passageway, because it is threaded connection to adjust head and connecting piece, can drive when the relative position of rotatory regulation head regulation and connecting piece and extrude the head and be close to or keep away from elasticity locking piece, the soft packing ring that elasticity locking piece is made by silica gel, the extrusion that receives the extrusion head can warp, the passageway in the middle of the back of warping can diminish and then fix optic fibre or inner core under the condition of guaranteeing not damaging optic fibre or inner core, in order to ensure that basket head and optic fibre position are fixed and fixed effectual after adjusting well.
Foretell a calculus extraction basket for hard mirror holmium laser lithotripsy, it is preferred, the inner core is close to the one end of inner core passage mouth is equipped with brake valve lever, brake valve lever includes first handle portion and second handle portion, all be equipped with the confession on first handle portion and the second handle portion the passageway that the inner core passed, first handle portion and second handle portion threaded connection are equipped with the elasticity locking head that is used for through elastic deformation extrusion fixed inner core on the first handle portion, be equipped with on the second handle portion be used for with elasticity locking head matched with locking groove. Because the inner core diameter is little very thin, be not convenient for operate by hand, brake valve can fix on the inner core, be convenient for hand-held brake valve adjusts the position of inner core at length direction, and then the position of control basket head, the inner core passes from the passageway during use, the relative position through the relative position of the first handle portion of rotation regulation and second handle portion can control the relative position in elasticity locking head and locking groove, and then make the deformation of elasticity locking head compress tightly the inner core, realize the fixed connection with the inner core under the condition that does not harm the inner core, be convenient for directly use brake valve control inner core.
Preferably, the basket head is one of a spiral basket head, an olive basket head or a large-opening basket head; the spiral basket head consists of four basket wires, each basket wire is spiral under a natural opening state which is not restrained by external force, the four basket wires are uniformly arranged in parallel, and two ends of each basket wire are hooped to form a space for sleeving and taking the calculus; the olive-shaped basket head is composed of four basket wires, each basket wire is in a semi-elliptical shape under a natural opening state free from external force restraint, an included angle between a plane where each semi-elliptical basket wire is located and a plane where an adjacent basket wire is located is 90 degrees, the four basket wires are uniformly arranged in parallel, and two ends of the four basket wires are hooped tightly to form an olive-shaped space for nesting and taking calculus; the big-opening basket head is composed of four basket wires, each basket wire is in a semi-elliptical shape under a natural opening state which is not constrained by external force, an included angle between a plane where each semi-elliptical basket wire is located and a plane where one side of the basket wire is located is 60 degrees, an included angle between planes where the other side of the basket wire is located is 120 degrees, the four basket wires are arranged in parallel, and two ends of the four basket wires are hooped tightly to form a space for sleeving and taking calculus. The various net basket heads are arranged, so that a doctor can conveniently select according to the specific condition of a patient.
Foretell a calculus extraction basket for hard mirror holmium laser lithotripsy operation, it is preferred, calculus extraction basket still includes the mount, the mount includes the support body, is used for supporting and places the bracket of basket seat and be used for with hard mirror fixed connection's coupling mechanism, coupling mechanism fixed set up in the one end of support body, the bracket is located on the support body. During the use, will hard mirror and mount fixed connection through coupling mechanism, then penetrate the passageway of hard mirror with basket sheath pipe to fix the basket seat and place on the bracket, need not to take alone hard mirror another person to take the stone basket to operate, be convenient for operate hard mirror simultaneously alone and get the stone basket, it is more convenient to use the operation, and the location of the two is also more accurate.
The stone-taking basket for the hard mirror holmium laser lithotripsy operation is preferred, the bracket is arranged on the frame body in a sliding mode, a sliding groove is formed in the frame body, and a sliding block which is matched with the sliding groove and is in sliding connection with the sliding groove is arranged at the bottom of the bracket. The bracket of this structure can be followed length direction and slided on the spout, because hard mirror is motionless for the mount, consequently the bracket can drive basket seat and basket sheath pipe and adjust its and hard mirror between the distance to seek the best position apart from hard mirror light source tip, obtain the clearest field of vision, only need during the use can be fast accurate regulation well depth, convenient to use person operates along spout sliding bracket.
Compared with the prior art, the utility model has the advantages of:
the utility model discloses a calculus-taking basket is applicable to ureteroscope holmium laser lithotripsy operation, the basket head can be worn out from basket sheath pipe and embolias the calculus and lock fixedly in the use, and laser fiber finally also wears out from basket sheath pipe through fiber passage mouth and communicating channel, basket seat and basket sheath pipe can be simultaneously supplied inner core and fiber to enter, smash the calculus once only, avoid going into the mirror repeatedly, the operation steps are simplified, because inner core and laser fiber are all set up in the lumen of basket sheath pipe, basket sheath pipe has played the restriction effect to its relative position between the two, can guarantee that laser fiber can arrive the accurate crushing calculus of central position of basket head as far as possible, basket sheath pipe can restrict the position of fiber, the fiber position is convenient to control, the time of adjusting the fiber position is shortened, simultaneously the position of basket head and laser fiber is constantly adjusted according to the actual conditions in the operation process, the calculus can be discharged along with urine after being completely crushed, the calculus can be crushed in one operation process, the operation time is shortened, the problems that the basket head is broken by laser or mucous membranes in a ureter of a patient are burnt due to inaccurate adjustment of the position of the optical fiber can be prevented, the pain of the patient is relieved, and medical accidents are reduced.
Drawings
Fig. 1 is a schematic structural diagram of a stone extraction basket for holmium laser lithotripsy of a ureteroscope in example 1.
Fig. 2 is a partial cross-sectional view of the stone extraction basket for holmium laser lithotripsy of ureteroscope in example 1.
Fig. 3 is a partially enlarged view of a in fig. 2.
Fig. 4 is a sectional view of the control handle in embodiment 1.
Fig. 5 is a side view of the first handle portion of the control handle in embodiment 1.
Fig. 6 is a side view of a second handle portion of the control handle of example 1.
Fig. 7 is a front view of the basket head in embodiment 1.
Fig. 8 is a side view of the basket head of example 1.
Fig. 9 is a front view of the basket head in embodiment 2.
Fig. 10 is a top view of the basket head of example 2.
Fig. 11 is a side view of the basket head of embodiment 2.
Fig. 12 is a structural schematic diagram of the stone-taking basket for the holmium laser lithotripsy operation of ureteroscope in example 3.
Fig. 13 is a front view of the holder according to embodiment 3.
Fig. 14 is a plan view of the holder according to embodiment 3.
Fig. 15 is a front view of the basket head in embodiment 3.
Fig. 16 is a side view of the basket head of embodiment 3.
Illustration of the drawings:
1. a basket sheath tube; 2. an inner core; 3. a basket seat; 31. an inner core passage opening; 32. an optical fiber passage port; 33. a water injection port; 34. a communication channel; 4. an optical fiber; 5. a basket head; 51. basket net wires; 6. a regulator; 61. an adjustment head; 611. an extrusion head; 62. a connecting member; 63. a resilient locking member; 7. a control handle; 71. a first handle portion; 711. an elastic locking head; 72. a second handle portion; 721. a locking groove; 8. a fixed mount; 81. a frame body; 811. a chute; 82. a bracket; 83. and a connecting mechanism.
Detailed Description
In order to facilitate understanding of the present invention, the present invention will be described more fully and specifically with reference to the accompanying drawings and preferred embodiments, but the scope of the present invention is not limited to the following specific embodiments.
Example 1:
as shown in fig. 1 and fig. 2, the stone-taking basket for holmium laser lithotripsy of ureteroscope in this embodiment includes a basket sheath 1, an inner core 2 and a basket base 3, an input end and an output end are provided on the basket base 3, a communication channel 34 for communicating the input end with the output end is provided inside the basket base 3, the basket sheath 1 is communicated with the output end of the basket base 3, the input end of the basket base 3 includes an inner core passage port 31 for inserting the inner core 2 and an optical fiber passage port 32 for inserting the optical fiber 4, the inner core 2 is inserted into the lumen of the basket sheath 1 through the inner core passage port 31 and the communication channel 34, a basket head 5 for inserting and locking stones is provided on one end of the inner core 2 close to the basket sheath 1, the input end of the basket base 3 further includes a water injection port 33 for injecting physiological saline, the water injection port 33 is provided close to the output end of the basket base 3, and a water injection port cover is provided at the position of the water injection port 33, the water filling port cover is in threaded connection with the water filling port 33. Specifically, the input end of basket seat 3 is three luer, as inner core passway 31, fiber channel 32 and water filling port 33 respectively, basket sheath 1 is hollow tubular structure, the diameter of inner core 2 is 0.45mm, the diameter of optic fibre 4 is 0.3mm, the internal diameter of basket sheath 1 is 1mm, inner core 2 and optic fibre 4 can pass from basket sheath 1, basket sheath 1 can play fine restriction and constraint effect to the relative position between basket head 5 and optic fibre 4 of inner core 2 tip, because only need set up basket sheath 1 as the outer sheath, be favorable to reducing the diameter size of getting basket outer sheath, and the pipe diameter of ureteroscope only has 1.7mm, basket sheath 1 of this embodiment can insert the use in the ureteroscope smoothly, there is bigger accommodation space.
In this embodiment, the communicating channel 34 between the inner core channel port 31 and the output end of the basket base 3 and the lumen of the basket sheath 1 are located on the same straight line.
In the present embodiment, the angle θ between the communication passage 34 at the core passage port 31 and the communication passage 34 at the fiber passage port 32 is 15 °.
In this embodiment, the optical fiber 4 is inserted into the lumen of the basket sheath 1 through the optical fiber passage port 32 and the communication passage 34, and the end of the optical fiber 4 is inserted into the space of the basket head 5 for receiving the calculus. Specifically, when the calculus is broken, the tail end of the optical fiber 4 protrudes out of the hooping part 5mm of one end of the basket head 5 close to the basket sheath tube 1, and the laser optical fiber 4 is a holmium laser optical fiber.
As shown in fig. 3, in this embodiment, the regulator 6 is disposed at each of the inner core passage port 31 and the optical fiber passage port 32, the regulator 6 includes a regulating head 61, a connecting member 62, and an elastic locking member 63 for fixing the inner core 2 or the optical fiber 4 by elastic deformation and extrusion, one end of the connecting member 62 is in threaded connection with the inner core passage port 31 or the optical fiber passage port 32, the other end of the connecting member 62 is in threaded connection with one end of the regulating head 61, the regulating head 61 is provided with an extrusion head 611 for extruding the elastic locking member 63, the elastic locking member 63 is disposed in the connecting member 62 and is matched with the extrusion head 611, and the regulating head 61, the connecting member 62, and the elastic locking member 63 are provided with passages through which the inner core 2. Specifically, the elastic locking member 63 is a silicone cushion with an opening in the middle, the elastic locking member 63 is disposed at a step in the connecting member 62, one side of the elastic locking member 63 is limited by the step of the connecting member 62, and the other side of the elastic locking member 63 is extruded by the extrusion head 611 and then deformed to fix the inner core 2 or the optical fiber 4.
As shown in fig. 4 to 6, in this embodiment, a control handle 7 is disposed at one end of the inner core 2 close to the core passage opening 31, the control handle 7 includes a first handle portion 71 and a second handle portion 72, the first handle portion 71 and the second handle portion 72 are both provided with passages for the inner core 2 to pass through, the first handle portion 71 and the second handle portion 72 are connected by screw threads, the first handle portion 71 is provided with an elastic locking head 711 for fixing the inner core 2 by elastic deformation and extrusion, and the second handle portion 72 is provided with a locking groove 721 for matching with the elastic locking head 711. Specifically, the elastic locking head 711 is composed of four flap bodies, a gap exists between each flap body, each flap body deforms after being subjected to pressure from the inner wall of the locking groove 721, and the gap between the flaps is extruded to fix the inner core 2.
As shown in fig. 7 and 8, in the present embodiment, the basket head 5 is a spiral basket head, the spiral basket head is composed of four basket wires 51, each basket wire 51 is spiral in a natural open state without being constrained by an external force, the four basket wires 51 are uniformly arranged in parallel, and two ends of each basket wire 51 are hooped to form a space for extracting a stone. Concretely, basket wire 51 has specific shape, during the use, it can drive basket head 5 whole left movement to move inner core 2 left to remove, move to basket sheath 1 department after, basket wire 51 can be along with cramping portion indentation basket sheath 1, thereby receive basket head 5, move to calculus department after, move the whole right removal of basket head 5 that inner core 2 moved right, basket wire 51 can release from basket sheath 1 gradually, it opens naturally and resumes its original specific spiral to release the back, after the cramping portion of both sides all emits completely, basket head 5 is the form of opening and is used for the cover to get the calculus. Specifically, when the basket head 5 is released and is not constrained by external force and is completely and naturally opened, the distance between two ends of the hooped basket wire 51 is A, A is 2.5cm, the maximum distance between the oppositely arranged basket wires 51 is B, and B is 1.2 cm.
When the stone-taking basket is used for carrying out holmium laser lithotripsy operation of ureteroscope, a super-hydrophilic guide wire is arranged under direct vision and then a lens is put in along the guide wire to detect and crush stones, because the inner core 2 is arranged in the basket sheath tube 1, the inner core 2 in the basket sheath tube 1 and the basket head 5 in a contraction state are integrally inserted into a ureteroscope working channel until the basket head 5 reaches the position of stones, the inner core 2 is driven by adjusting the control handle 7, the basket head 5 is driven by the inner core 2 to be opened to a proper position and sleeved with and locked stones, then holmium laser fibers 4 are inserted from the fiber channel port 32 to reach the central position of the basket head 5 and protrude 5mm through the communicating channel 34 and the inside of the basket sheath tube 1 to crush stones, the crushed stones are further locked by adjusting the control handle 7 again and tightening the basket head 5, and the holmium laser is adopted to crush stones until the stones are completely crushed, the crushed calculus is discharged along with urine, if the liquid is turbid in the calculus crushing process to cause the fuzzy vision of a ureteroscope, normal saline can be injected through the water injection port 33, the liquid is diluted when the liquid reaches a calculus part through the communicating channel 34 and the basket sheath tube 1, so that a doctor can conveniently observe and operate the calculus crushing device, and after the calculus is crushed, the basket sheath tube 1, the inner core 2 and the holmium laser fiber 4 are withdrawn from the body through the ureteroscope channel.
Example 2:
the stone-taking basket for hard mirror holmium laser lithotripsy operation in the embodiment is basically the same as that in the embodiment 1, and mainly has the following differences: as shown in fig. 9 to 11, in this embodiment, the basket head 5 is a large-opening basket head, the large-opening basket head is composed of four basket wires 51, each basket wire 51 is in a semi-elliptical shape in a natural opening state without being constrained by an external force, an included angle between a plane where each semi-elliptical basket wire 51 is located and a plane where an adjacent basket wire 51 on one side is located is 60 °, an included angle between planes where adjacent basket wires 51 on the other side are located is 120 °, and the four basket wires 51 are arranged in parallel and both ends are tightened to form a space for sleeving and taking the stone. Specifically, under the state that the basket head 5 is not restrained by external force and is opened completely naturally, two basket wires 51 which are arranged oppositely are located on the same plane, two basket wires 51 which are arranged oppositely after the two ends of the basket head are tightened are formed into an elliptic closed ring on the plane, two basket wires 51 in pairs can form two elliptic closed rings together, one side, where the included angle between the planes of the two elliptic closed rings is small, is 60 degrees, one side, where the included angle is large, is 120 degrees, therefore, a space with a small opening is formed at one side, a space with a large opening is formed at one side, the distance between the two ends of the tightened basket wires 51 is E, the E is 2.5cm, the maximum distance between the adjacent basket wires 51 at one side, where the included angle is small is F, the F is 0.7cm, the maximum distance between the adjacent basket wires 51 at one side, where the included angle is large is G, and the G is 1.2 cm.
Example 3:
the stone-taking basket for hard mirror holmium laser lithotripsy operation in the embodiment is basically the same as that in the embodiment 1, and mainly has the following differences: as shown in fig. 15 and 16, in this embodiment, the basket head 5 is an olive-shaped basket head, the olive-shaped basket head is composed of four basket wires 51, each basket wire 51 is in a semi-elliptical shape in a natural opening state without being constrained by an external force, an included angle between a plane where each semi-elliptical basket wire 51 is located and a plane where an adjacent basket wire 51 is located is 90 °, the four basket wires 51 are uniformly arranged in parallel, and two ends of each basket wire 51 are tightly hooped to form an olive-shaped space for nesting and extracting stones. Specifically, under the state that basket head 5 is not retrained by external force and is opened completely naturally, two basket silk 51 that set up relatively lie in same plane, two basket silk 51 that set up relatively after both ends are cramped form an ellipse circular closed ring on this plane, two liang of a set of closed rings of two ellipse circular of constituteing of four basket silk 51 together, two ellipse circular closed ring place planes mutually perpendicular, the distance between the basket silk 51 both ends of cramping is C, C is 2.5cm, the maximum distance between the adjacent basket silk 51 is D, D is 1.2 cm.
As shown in fig. 12 to 14, in this embodiment, the stone-taking basket further includes a fixing frame 8, the fixing frame 8 includes a frame body 81, a bracket 82 for supporting and placing the basket seat 3, and a connecting mechanism 83 for fixedly connecting with the hard mirror, the connecting mechanism 83 is fixedly disposed at one end of the frame body 81, the bracket 82 is slidably disposed on the frame body 81, a sliding groove 811 is disposed on the frame body 81, and a sliding block which is slidably connected with the sliding groove 811 in a matching manner is disposed at the bottom of the bracket 82. Specifically, the frame body 81 is step-shaped, a sliding groove 811 is formed on the frame body 81 located on the left side in the drawing, the bracket 82 is slidably connected with the sliding groove 811, and the connection between the sliding block at the bottom of the bracket 82 and the sliding groove 811 belongs to the prior art, and is not limited to the structure of the embodiment, and any structure in the prior art that the bracket 82 can be slidably connected on the frame body 81 can be applied thereto, so detailed description is not given; four corners of the bracket 82 are provided with four limiting blocks, the four limiting blocks are arranged in pairs in an opposite way to form a group, a groove for placing the basket base 3 is reserved between the limiting blocks, and the basket base 3 is clamped into the groove, so that the basket base 3 can be fixed in the width direction; an avoidance hole (see fig. 14) is further formed in the middle of the frame body 81, and provides a space for inserting the basket sheath 1 into the hard mirror; the bottom surface on the right side of the frame 81 in the figure is provided with two sets of connecting mechanisms 83 for fixedly connecting with a hard mirror (not shown in the figure), specifically, the two sets of connecting mechanisms 83 are provided, one set is a pair of arc-shaped clamping jaws symmetrically arranged on the rightmost side of the frame and is clamped with a part on the hard mirror in a matching manner from the width direction, the other set is clamping edges symmetrically arranged on the right side of the frame 81, a main body structure in the length direction of the hard mirror can be clamped in a space between the two clamping edges, so that the hard mirror is fixedly connected with the hard mirror, the connecting mechanisms 83 only need to be capable of realizing the connection of the fixing frame 8 and the hard mirror, belong to the prior art and are in clamping connection limited in the embodiment, and any connecting mechanism capable of realizing the fixing frame 8 and the hard mirror in the prior art can.
In other embodiments, the inner core 2, the optical fiber 4 and the basket sheath 1 with appropriate diameters and sizes can be selected according to actual use conditions, and the size of the basket head 5 can be adjusted reasonably, including the adjustment of the distance between two ends of the tightened basket wire 51, the adjustment of the maximum distance between adjacent or opposite basket wires 51 and the like, so as to form an appropriate space for extracting stones, and meet different requirements.
Although the present invention has been described with reference to the preferred embodiments, it is not intended to limit the present invention. The technical solution of the present invention can be used by anyone skilled in the art to make many possible variations and modifications, or to modify equivalent embodiments, without departing from the scope of the technical solution of the present invention, using the technical content disclosed above. Therefore, any simple modification, equivalent change and modification made to the above embodiments by the technical entity of the present invention should fall within the protection scope of the technical solution of the present invention.

Claims (10)

1. The utility model provides a calculus extraction basket for hard mirror holmium laser lithotripsy operation which characterized in that: including basket sheath pipe (1), inner core (2) and basket seat (3), be equipped with input and output on basket seat (3), the inside of basket seat (3) is equipped with intercommunication passageway (34) of input and output intercommunication, basket sheath pipe (1) is linked together with the output of basket seat (3), and the input of basket seat (3) is including being used for supplying inner core (2) male inner core passway mouth (31) and being used for supplying optic fibre (4) male fibre channel mouth (32), inner core (2) pass through inner core passway mouth (31) and intercommunication passageway (34) are worn to locate in the lumen of basket sheath pipe (1), and inner core (2) are close to one of basket sheath pipe (1) and serve and are used for emboliaing basket head (5) that pin the calculus.
2. The stone extraction basket for hard mirror holmium laser lithotripsy, according to claim 1, characterized in that: the communicating channel (34) between the inner core channel port (31) and the output end of the basket seat (3) and the tube cavity of the basket sheath tube (1) are positioned on the same straight line.
3. The stone extraction basket for hard mirror holmium laser lithotripsy, according to claim 1, characterized in that: the included angle between the communication channel (34) at the inner core channel port (31) and the communication channel (34) at the optical fiber channel port (32) is theta, and theta is more than or equal to 12 degrees and less than or equal to 60 degrees.
4. The stone extraction basket for hard mirror holmium laser lithotripsy, according to claim 1, characterized in that: the input end of the basket seat (3) further comprises a water injection port (33) used for injecting physiological saline, and the water injection port (33) is close to the output end of the basket seat (3).
5. The stone extraction basket for hard mirror holmium laser lithotripsy, according to claim 1, characterized in that: the optical fiber (4) penetrates through the lumen of the basket sheath tube (1) through the optical fiber passage port (32) and the communication passage (34), and the tail end of the optical fiber (4) is inserted into the space for the basket head (5) to extract the calculus.
6. The stone extraction basket for hard mirror holmium laser lithotripsy, according to any one of claims 1 to 5, characterized in that: the inner core passage port (31) and the optical fiber passage port (32) are both provided with regulators (6), the adjuster (6) comprises an adjusting head (61), a connecting piece (62) and an elastic locking piece (63) for fixing the inner core (2) or the optical fiber (4) through elastic deformation and extrusion, one end of the connecting piece (62) is in threaded connection with the inner core passage port (31) or the optical fiber passage port (32), the other end of the connecting piece (62) is in threaded connection with one end of the adjusting head (61), the adjusting head (61) is provided with a squeezing head (611) used for squeezing the elastic locking piece (63), the elastic locking piece (63) is arranged in the connecting piece (62) and is matched with the extrusion head (611), and the adjusting head (61), the connecting piece (62) and the elastic locking piece (63) are respectively provided with a channel for the inner core (2) or the optical fiber (4) to pass through.
7. The stone extraction basket for hard mirror holmium laser lithotripsy, according to any one of claims 1 to 5, characterized in that: inner core (2) are close to the one end of inner core entrance (31) is equipped with brake valve lever (7), brake valve lever (7) are including first handle portion (71) and second handle portion (72), all be equipped with the confession on first handle portion (71) and second handle portion (72) the passageway that inner core (2) passed, first handle portion (71) and second handle portion (72) threaded connection are equipped with elasticity locking head (711) that are used for through elastic deformation extrusion fixed inner core (2) on first handle portion (71), be equipped with on second handle portion (72) be used for with elasticity locking head (711) matched with locking groove (721).
8. The stone extraction basket for hard mirror holmium laser lithotripsy, according to any one of claims 1 to 5, characterized in that: the basket head (5) is one of a spiral basket head, an olive basket head or a large-opening basket head;
the spiral basket head is composed of four basket wires (51), each basket wire (51) is spiral in a natural opening state which is not restrained by external force, the four basket wires (51) are uniformly arranged in parallel, and two ends of each basket wire are hooped to form a space for sleeving and taking calculus;
the olive-shaped basket head is composed of four basket wires (51), each basket wire (51) is in a semi-elliptical shape under a natural opening state which is not restrained by external force, an included angle between a plane where each semi-elliptical basket wire (51) is located and a plane where the adjacent basket wire (51) is located is 90 degrees, the four basket wires (51) are uniformly arranged in parallel, and two ends of each basket wire are hooped tightly to form an olive-shaped space for sleeving and taking out calculus;
the big-opening basket head is composed of four basket wires (51), each basket wire (51) is in a semi-elliptical shape under a natural opening state which is not constrained by external force, an included angle between a plane where each semi-elliptical basket wire (51) is located and a plane where one side of the basket wire (51) is adjacent is 60 degrees, an included angle between planes where the other side of the basket wire (51) is adjacent is 120 degrees, the four basket wires (51) are arranged in parallel, and two ends of the four basket wires (51) are hooped tightly to form a space for sleeving and taking stones.
9. The stone extraction basket for hard mirror holmium laser lithotripsy, according to any one of claims 1 to 5, characterized in that: get stone basket still includes mount (8), mount (8) include support body (81), are used for supporting and place bracket (82) of basket seat (3) and be used for with hard mirror fixed connection's coupling mechanism (83), coupling mechanism (83) fixed set up in the one end of support body (81), bracket (82) are located on support body (81).
10. The stone extraction basket for hard mirror holmium laser lithotripsy, according to claim 9, characterized in that: bracket (82) slide set up in on support body (81), be equipped with spout (811) on support body (81), the bottom of bracket (82) be equipped with spout (811) cooperation sliding connection's slider.
CN201920756788.7U 2019-05-23 2019-05-23 A get stone basket of net for hard mirror holmium laser lithotripsy operation Active CN210408591U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024078194A1 (en) * 2022-10-09 2024-04-18 上海市闵行区中心医院 Rigid ureteroscope with dual-chamber working channel

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024078194A1 (en) * 2022-10-09 2024-04-18 上海市闵行区中心医院 Rigid ureteroscope with dual-chamber working channel

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