DE2032501A1 - Device for rendering harmless preferably bladder, uretheric and renal pelvic stones - Google Patents
Device for rendering harmless preferably bladder, uretheric and renal pelvic stonesInfo
- Publication number
- DE2032501A1 DE2032501A1 DE19702032501 DE2032501A DE2032501A1 DE 2032501 A1 DE2032501 A1 DE 2032501A1 DE 19702032501 DE19702032501 DE 19702032501 DE 2032501 A DE2032501 A DE 2032501A DE 2032501 A1 DE2032501 A1 DE 2032501A1
- Authority
- DE
- Germany
- Prior art keywords
- probe
- cystoscope
- stones
- fragmentation
- piezoelectric transducer
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Mechanical Engineering (AREA)
- Surgical Instruments (AREA)
Description
Vorrichtung zBr Unschädlichmachung vorzugsweise von Blasen-, Urether- und Nierenbeckensteinen.Device e.g. for rendering harmless preferably bladder, urether- and pelvic stones.
Die Erfindung bezieht sich auf eine Erweiterung und Verbesserung der in der Hauptpatentanmeldung P 20 20 345o6 beschriebenen und gekennzeichneten Vorrichtung zur Unschädlichmachung vorzugsweise von Blasen-, Urether- und NierenbeckensteinenO Die Verbesserung besteht in der Hauptsache darin, anstelle der in der Hauptpatentanmeldung beschriebenen und gekennzeichneten zur Zertrümmerung der oOe e Steine dienenden Blindsonde, die nur unter Röntgenkontrolle einsetzbar ist, eine neuartige Sonde zu verwenden, die den Einsatz eines an sich bekannten Zystoscops in Verbindung mit einer Spüleinrichtung auch an sich bekannter Art ermöglicht. Der behandelnde Urologe kann auf Grund dieser Verbesserung die Lage und die Größe des Steines besser sehen und erkennen als mit Hilfe der Röntgenkontrolle0 Er kann somit die Zertrümmerungssonde mit Hilfe der Optik nach genauer Anfixierung des Steines schnell und sicher in die günstigste Angriffsstellung bringen.The invention relates to an extension and improvement of the in the main patent application P 20 20 345o6 described and marked device to render harmless, preferably bladder, uretheric and renal pelvic stones The improvement consists mainly in replacing that in the main patent application described and marked for smashing the oOe e stones Blind probe, which can only be used under X-ray control, a new type of probe to use in conjunction with the use of a known cystoscope a flushing device also allows known type. The treating urologist can see the location and size of the stone better because of this improvement and recognize as with the help of the X-ray control0 He can thus use the fragmentation probe with the help of the optics after precise fixation of the stone quickly and safely into the bring the most favorable attack position.
Die verbesserte Gesamtvorrichtung besteht aus einem, die lösbare Anordnung des Zystoscops ermöglichenden piezoelektrischen Wandler, einer in bekannter Weise mit dem Wandler zu verschraubenden hohlen Zertrümmerungssonde mit der von ihr aufzunehmenden stabförmigen Optik des Zystoscops und einer darüber zu ziehenden mit ihr in lösbare Verbindung zu bringenden Spülsonde, die vorzugsweise aus einem Kunststoffrohr besteht.The improved overall device consists of one, the detachable assembly of the cystoscope enabling piezoelectric transducers, one in a known manner with the converter to be screwed hollow fragmentation probe with the rod-shaped optics of the cystoscope and one above it pulling with her in detachable connection to be brought irrigation probe, which is preferably consists of a plastic tube.
Vor Einführung dieser Spülsonde wird dieselbe mit einem Mandrain bekannter Art versehen, um Verletzungen der Schleimhäute zu vermeiden und die Blase über die Spülsonde zu entleeren Das Wesen der Verbesserung wird darin erblickt, daß- sowohl der piezoelektrische Wandler als auch die mit diesem durch Verschraubung verbundene, in Schwingungen zu versetzende Sonde, in Längsrichtung verlaufende Bohrungen und lösbare Arretierungsmittel an sich bekannter Art aufweisen, die einmal zur AuSnahme und Durchführung eines Zystoscops und zum anderen zum Anschluß einer an sich bekannten Spülvorrichtung bestimmt sind. Zu diesem Zwecke ist der den piezoelektrischen Wandler durchdringenden Stahlbolzen mit einer Längsbohrung versehen und weist zadem eine Vorrichtung zur lösbaren Aufnahme eines Zystoscops auf. Die in Schwingungen zu versetzende Hohlsonde besitzt eine Arretierungsvorrichtung zur lösbaren Aufnahme einer Spülsonde und weist an ihrem freien Ende eine der Sicht durch das Zystoscop dienende entsprechendförmige Aussparung auf. Eine überetnstimmende, dem gleichen Zwecke dienende Aussparung besitzt auch das vorzugsweise aus Kunststoff bestehende Spülrohr.Before this irrigation probe is introduced, it becomes more familiar with a mandrain Kind to avoid injuring the mucous membranes and covering the bladder Empty Flushing Probe The essence of improvement is seen in that - both the piezoelectric transducer as well as the one connected to it by screwing, Probe to be set in vibration, bores running in the longitudinal direction and have releasable locking means of a known type, once for the reception and implementation of a cystoscope and on the other hand to connect a known per se Flushing device are intended. For this purpose it is the piezoelectric transducer penetrating steel bolt provided with a longitudinal bore and has zadem one Device for releasably receiving a cystoscope. The one to be set in vibration Hollow probe has a locking device for releasably receiving a rinsing probe and at its free end has a corresponding shape serving to view through the cystoscope Recess on. Has an overriding recess serving the same purpose also the flushing pipe, which is preferably made of plastic.
In der Zeichnung ist der Erfindungsgegenstand beispielsweise dargestellt. Es zeigt Fig. 1 den piezoelektrischen Wandler in Verbindung mit einem Zystoscop im Schnitt, Fig. 2 die hohle Zertrümmerungssonde teilweise im Schnitt, Fig. 2a das vergrößerte Endstück dieser Sonde, Fig. 3 die Spülsonde teilweise im Schnitt, Fig. 3a das Mendrain und Fig. 4 und 4a eine schnabelförmige Greif- und Haltevorrichtung.In the drawing, the subject matter of the invention is shown, for example. 1 shows the piezoelectric transducer in connection with a cystoscope in section, Fig. 2 the hollow fragmentation probe partially in section, Fig. 2a the enlarged end piece of this probe, Fig. 3 the irrigation probe partially in section, Fig. 3a the Mendrain and FIGS. 4 and 4a a beak-shaped gripping and holding device.
Nach der Zeichnung ist 1 der bereits in der Hauptpatentanmeldung beschriebene und gekennzeichnete piezoelektrische Wandler und 2 der mit einer Längsbohrung 2a versehene, durchgehende Stahlbolzen, der an seinem Vorderteil ein konisches Verbindungsglied 2a zur lösbaren Aufnahme eines Zystoscops 3 aufweist. Das die Leuchtkraft übertragende stabförmige Teil 3a mit dem Spiegelreflektor 3b des Zystoscops 3 wird durch diesen Stahlbolzen und die mit diesem verschraubte Zertrümmerungssonde 4 geführt, die an ihrem freien Ende eine ovale, der Sicht dienende Aussparung 4a und einen kleinen trichterförmigen Zertrümxerungskopf 4b besitzt. 5 ist das Innengewinde der Sonde 4 zur schraubbaren Verbindung mit dem Stahlbolzen 2 und 5a ,5b sind konische Verbindungsglieder zur lösbaren Aufnahme des Gegengliedes 6 der mit einem Zu-und Ablaufhahn 6b,6c versehenen Spülsonde 6a,7 und 7a.According to the drawing, 1 is the one already described in the main patent application and marked piezoelectric transducers and 2 with a longitudinal bore 2a provided, through steel bolts, which has a conical connecting link on its front part 2a for detachably accommodating a cystoscope 3. That which transmits the luminosity rod-shaped part 3a with the mirror reflector 3b of the cystoscope 3 is through this Steel bolts and the shattering probe 4 screwed to it, the its free end an oval, the view serving recess 4a and a small one has funnel-shaped crushing head 4b. 5 is the internal thread of the probe 4 for screwable connection with the steel bolts 2 and 5a, 5b are conical connecting links for releasably receiving the counter-member 6 of the one provided with an inlet and outlet cock 6b, 6c Flushing probe 6a, 7 and 7a.
Das Teil 7 der Spülsonde mit der Aussparung 7a ist vorzugsweise ein Kunststoffrohr, das mit dem Rohrstutzen 6a zOBO durch Verklebung fest verbunden ist. 8,8a, 9 und 10 ist ein an sich bekanntes Mandrain, das zur Schonung der Schleimhäute und zum Entleeren der Blase bekannterweise mit der Spülsonde eingeführt wird und dann zwecks Einführung der Zertrümmerungssonde 4 wieder herausgenommen wird. Die mit der Optik versehene Zertrümmerungssonde kann auch bei entsprechender Ausbildung und Anordnung des piezoelektrischen Wandlers mit einer manuell zu betätigenden schnabelförmigen Greifvorrichtung 11,via zum Erfassen des Steines wahlweise kombiniert werdenThe part 7 of the irrigation probe with the recess 7a is preferred a Plastic pipe that is firmly connected to the pipe socket 6a zOBO by gluing is. 8,8a, 9 and 10 is a well-known mandrain that is used to protect the mucous membranes and is known to be introduced with the irrigation probe for emptying the bladder and is then removed again for the purpose of introducing the fragmentation probe 4. the With the appropriate training, the fragmentation probe provided with the optics can also be used and arranging the piezoelectric transducer with a manually operated beak-shaped one Gripping device 11, via can be optionally combined for gripping the stone
Claims (6)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19702032501 DE2032501A1 (en) | 1970-07-01 | 1970-07-01 | Device for rendering harmless preferably bladder, uretheric and renal pelvic stones |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19702032501 DE2032501A1 (en) | 1970-07-01 | 1970-07-01 | Device for rendering harmless preferably bladder, uretheric and renal pelvic stones |
Publications (1)
Publication Number | Publication Date |
---|---|
DE2032501A1 true DE2032501A1 (en) | 1972-01-05 |
Family
ID=5775452
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19702032501 Pending DE2032501A1 (en) | 1970-07-01 | 1970-07-01 | Device for rendering harmless preferably bladder, uretheric and renal pelvic stones |
Country Status (1)
Country | Link |
---|---|
DE (1) | DE2032501A1 (en) |
Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE2922511A1 (en) * | 1979-05-31 | 1980-12-04 | Olympus Optical Co | Abdominal injector - with barbed claws on drive tube for slip free location of injection needle |
US4300564A (en) * | 1978-11-09 | 1981-11-17 | Olympus Optical Co., Ltd. | Forceps for extracting stones in the pelvis of a kidney |
EP0148304A1 (en) * | 1984-01-12 | 1985-07-17 | Storz, Karl, Dr.med. h.c. | Operating instrument with an ultrasonic drill probe |
FR2577130A1 (en) * | 1985-02-08 | 1986-08-14 | Wolf Gmbh Richard | ENDOSCOPE FOR THE EXAMINATION OF URETERA AND KIDNEY |
EP0567749A2 (en) * | 1992-04-29 | 1993-11-03 | Richard Wolf GmbH | Apparatus for lithotripsy |
EP0681457A1 (en) * | 1993-01-27 | 1995-11-15 | Ethicon Endo-Surgery, Inc. | Clamp coagulator/cutting system for ultrasonic surgical instruments |
WO1998014126A1 (en) * | 1996-10-04 | 1998-04-09 | United States Surgical Corporation | Ultrasonic dissection and coagulation system |
US5810859A (en) | 1997-02-28 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Apparatus for applying torque to an ultrasonic transmission component |
WO1998046146A1 (en) * | 1997-04-15 | 1998-10-22 | Ferton Holding S.A. | Metal probe for intracorporeal lithotripsy |
EP0897696A1 (en) * | 1997-08-14 | 1999-02-24 | United States Surgical Corporation | Ultrasonic dissection and coagulation system |
EP0908149A1 (en) * | 1997-10-10 | 1999-04-14 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having clamp arm tissue pad |
WO1999035982A1 (en) * | 1998-01-19 | 1999-07-22 | Michael John Radley Young | Ultrasonic cutting tool |
US5968060A (en) | 1997-02-28 | 1999-10-19 | Ethicon Endo-Surgery, Inc. | Ultrasonic interlock and method of using the same |
US5989275A (en) | 1997-02-28 | 1999-11-23 | Ethicon Endo-Surgery, Inc. | Damping ultrasonic transmission components |
US6024750A (en) * | 1997-08-14 | 2000-02-15 | United States Surgical | Ultrasonic curved blade |
US6274963B1 (en) | 1997-04-28 | 2001-08-14 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling the vibration of ultrasonic transmission components |
EP1163882A1 (en) * | 2000-06-15 | 2001-12-19 | Ferton Holding SA | Intracorporeal lithotripter for removal of calculi |
US6869439B2 (en) | 1996-09-19 | 2005-03-22 | United States Surgical Corporation | Ultrasonic dissector |
EP1698289A2 (en) * | 1996-10-04 | 2006-09-06 | United States Surgical Corporation | Instrument for cutting tissue |
US7361172B2 (en) | 2002-06-04 | 2008-04-22 | Sound Surgical Technologies Llc | Ultrasonic device and method for tissue coagulation |
-
1970
- 1970-07-01 DE DE19702032501 patent/DE2032501A1/en active Pending
Cited By (35)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4300564A (en) * | 1978-11-09 | 1981-11-17 | Olympus Optical Co., Ltd. | Forceps for extracting stones in the pelvis of a kidney |
DE2922511A1 (en) * | 1979-05-31 | 1980-12-04 | Olympus Optical Co | Abdominal injector - with barbed claws on drive tube for slip free location of injection needle |
EP0148304A1 (en) * | 1984-01-12 | 1985-07-17 | Storz, Karl, Dr.med. h.c. | Operating instrument with an ultrasonic drill probe |
FR2577130A1 (en) * | 1985-02-08 | 1986-08-14 | Wolf Gmbh Richard | ENDOSCOPE FOR THE EXAMINATION OF URETERA AND KIDNEY |
EP0567749A2 (en) * | 1992-04-29 | 1993-11-03 | Richard Wolf GmbH | Apparatus for lithotripsy |
EP0567749A3 (en) * | 1992-04-29 | 1994-03-16 | Wolf Gmbh Richard | |
EP0681457A1 (en) * | 1993-01-27 | 1995-11-15 | Ethicon Endo-Surgery, Inc. | Clamp coagulator/cutting system for ultrasonic surgical instruments |
EP0681457A4 (en) * | 1993-01-27 | 1996-11-06 | Ultracision Inc | Clamp coagulator/cutting system for ultrasonic surgical instruments. |
EP1433425A1 (en) * | 1993-01-27 | 2004-06-30 | Ethicon Endo-Surgery, Inc. | Clamp coagulator/cutting system for ultrasonic surgical instruments |
EP1125555A1 (en) * | 1993-01-27 | 2001-08-22 | Ethicon Endo-Surgery, Inc. | Clamp coagulator/cutting system for ultrasonic surgical instruments |
US6869439B2 (en) | 1996-09-19 | 2005-03-22 | United States Surgical Corporation | Ultrasonic dissector |
WO1998014126A1 (en) * | 1996-10-04 | 1998-04-09 | United States Surgical Corporation | Ultrasonic dissection and coagulation system |
EP1698289A2 (en) * | 1996-10-04 | 2006-09-06 | United States Surgical Corporation | Instrument for cutting tissue |
EP1698289A3 (en) * | 1996-10-04 | 2007-03-14 | United States Surgical Corporation | Instrument for cutting tissue |
US6063050A (en) * | 1996-10-04 | 2000-05-16 | United States Surgical Corp. | Ultrasonic dissection and coagulation system |
US6036667A (en) * | 1996-10-04 | 2000-03-14 | United States Surgical Corporation | Ultrasonic dissection and coagulation system |
US5989275A (en) | 1997-02-28 | 1999-11-23 | Ethicon Endo-Surgery, Inc. | Damping ultrasonic transmission components |
US5968060A (en) | 1997-02-28 | 1999-10-19 | Ethicon Endo-Surgery, Inc. | Ultrasonic interlock and method of using the same |
US5810859A (en) | 1997-02-28 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Apparatus for applying torque to an ultrasonic transmission component |
US6440123B1 (en) | 1997-04-15 | 2002-08-27 | Konrad Engel | Metal probe for use in intracorporeal lithotripsy |
WO1998046146A1 (en) * | 1997-04-15 | 1998-10-22 | Ferton Holding S.A. | Metal probe for intracorporeal lithotripsy |
US6752801B2 (en) | 1997-04-15 | 2004-06-22 | Konrad Engel | Metal probe for intracorporeal calculi crushing |
US6274963B1 (en) | 1997-04-28 | 2001-08-14 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling the vibration of ultrasonic transmission components |
US6024750A (en) * | 1997-08-14 | 2000-02-15 | United States Surgical | Ultrasonic curved blade |
US6468286B2 (en) | 1997-08-14 | 2002-10-22 | The United States Surgical Corporation | Ultrasonic curved blade |
US6682544B2 (en) | 1997-08-14 | 2004-01-27 | United States Surgical Corporation | Ultrasonic curved blade |
US6280407B1 (en) | 1997-08-14 | 2001-08-28 | United States Surgical Corporation | Ultrasonic dissection and coagulation system |
EP0897696A1 (en) * | 1997-08-14 | 1999-02-24 | United States Surgical Corporation | Ultrasonic dissection and coagulation system |
EP1334697A1 (en) * | 1997-10-10 | 2003-08-13 | Ethicon Endo-Surgery | Ultrasonic clamp coagulator apparatus having improved clamp arm tissue pad |
EP0908149A1 (en) * | 1997-10-10 | 1999-04-14 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having clamp arm tissue pad |
WO1999035982A1 (en) * | 1998-01-19 | 1999-07-22 | Michael John Radley Young | Ultrasonic cutting tool |
US6511485B2 (en) | 2000-06-15 | 2003-01-28 | Ferton Holding S.A. | Device for removal of calculi |
EP1163882A1 (en) * | 2000-06-15 | 2001-12-19 | Ferton Holding SA | Intracorporeal lithotripter for removal of calculi |
AU775592B2 (en) * | 2000-06-15 | 2004-08-05 | Ferton Holding S.A | Device for removal of calculi |
US7361172B2 (en) | 2002-06-04 | 2008-04-22 | Sound Surgical Technologies Llc | Ultrasonic device and method for tissue coagulation |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
E77 | Valid patent as to the heymanns-index 1977 |