JP7046336B2 - 軟性尿管鏡の導入装置及び腎盂尿管鏡システム - Google Patents
軟性尿管鏡の導入装置及び腎盂尿管鏡システム Download PDFInfo
- Publication number
- JP7046336B2 JP7046336B2 JP2020079664A JP2020079664A JP7046336B2 JP 7046336 B2 JP7046336 B2 JP 7046336B2 JP 2020079664 A JP2020079664 A JP 2020079664A JP 2020079664 A JP2020079664 A JP 2020079664A JP 7046336 B2 JP7046336 B2 JP 7046336B2
- Authority
- JP
- Japan
- Prior art keywords
- sheath
- flexible
- passage
- introduction
- ureteroscope
- 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.)
- Active
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00105—Constructional details of the endoscope body characterised by modular construction
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/307—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
- A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00147—Holding or positioning arrangements
- A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00096—Optical elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/015—Control of fluid supply or evacuation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
-
- 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
- A61B2017/22072—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 with an instrument channel, e.g. for replacing one instrument by the other
- A61B2017/22078—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 with an instrument channel, e.g. for replacing one instrument by the other for rotating the instrument within a channel, e.g. an optical fibre
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B2017/345—Cannulas for introduction into a natural body opening
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Biophysics (AREA)
- Urology & Nephrology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Vascular Medicine (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
潅流液を流し始めるステップ1)と、
前記軟性尿管鏡を搭載している導入シースユニットの導入シースをヒトの尿道口から尿道に挿入するステップ2)と、
軟性尿管鏡を搭載している導入シースを、尿道を経由して順に尿管及び腎盂口に進入させ、続いて前記導入シースの推し進めを中止し、前記軟性尿管鏡を、腎盂内に到達するまで、推し進めて続けるステップ3)とを含む。
Claims (6)
- 軟性尿管鏡の導入装置であって、前記導入装置は、導入シースユニット(20)を備え、前記導入シースユニット(20)は、弾性を有する導入シース(200)を含み、前記導入シース(200)は、前記軟性尿管鏡に合わせた長尺状管体であり、
前記導入シースユニット(20)は、前記導入シース(200)に接続されるガイドシース本体(210)を更に含み、前記軟性尿管鏡は、前記ガイドシース本体(210)を貫通して前記導入シース(200)に挿入することができ、前記ガイドシース本体(210)における前記導入シース(200)に近接する一端にガイドシース通路(211)が設けられ、前記ガイドシース本体(210)に排水通路(214)が更に設けられ、前記排水通路(214)は、前記ガイドシース通路(211)と連通し、
前記導入シースユニット(20)は、前記軟性尿管鏡を固定するための固定ホルダ(220)を更に含み、前記固定ホルダ(220)は、前記ガイドシース本体(210)における前記導入シース(200)から離れる一端に取り外し可能に係合し、前記軟性尿管鏡の内端部は、前記固定ホルダ(220)に取り外し可能に固定される、前記導入装置。 - 前記ガイドシース本体(210)の他端に、前記軟性鏡が貫通する凹溝(212)が設けられ、前記凹溝(212)は、前記ガイドシース通路(211)と連通し、前記ガイドシース通路(211)は、前記導入シース(200)と連通することを特徴とする
請求項1に記載の軟性尿管鏡の導入装置。 - 腎盂尿管鏡システムであって、前記腎盂尿管鏡システムは、軟性尿管鏡(10)と請求項1に記載の導入装置とを備え、前記軟性尿管鏡(10)は、前記導入シース(200)内に挿着され、前記軟性尿管鏡(10)の外端部は、前記導入シース(200)の外端部と面一であるか又は前記導入シース(200)の外端部から突出しており、
前記軟性尿管鏡(10)は、軟性鏡本体(100)と、軟性鏡ハンドル(110)とを備え、前記軟性鏡本体(100)の内端部は、前記軟性鏡ハンドル(110)に固定接続され、前記軟性鏡本体(100)は、ホース(102)と、屈曲部材(120)を介して前記ホース(102)の外端部に接続されるレンズユニットとを含み、
前記ホース(102)の外径寸法は、前記導入シース(200)の内径寸法及び前記ガイドシース通路(211)の径方向寸法よりも小さく、前記ホース(102)と前記導入シース(200)との間、前記ホース(102)と前記ガイドシース通路(211)の内壁との間にいずれも通水隙間が形成される、前記腎盂尿管鏡システム。 - 前記屈曲部材(120)とレンズユニットの外径寸法は、いずれも前記ホース(102)の外径寸法よりも大きいことを特徴とする
請求項3に記載の腎盂尿管鏡システム。 - 前記軟性鏡ハンドル(110)は、前記固定ホルダ(220)に取り外し可能に設けられ、前記軟性鏡本体(100)は、前記導入シース(200)内に設けられ、前記レンズユニットの外端部は、前記導入シース(200)の外端部と面一であるか又は前記導入シース(200)の外端部から突出していることを特徴とする
請求項3に記載の腎盂尿管鏡システム。 - 前記レンズユニットは、レンズホルダ(130)を含み、前記軟性尿管鏡(10)内に、作業通路(101)が設けられ、前記作業通路(101)は、前記軟性鏡ハンドル(110)から順に前記ホース(102)及び屈曲部材(120)を貫通し、前記レンズホルダ(130)内に入り込み、前記レンズホルダ(130)に、前記作業通路(101)と連通するための貫通孔(131)が設けられ、前記レンズユニットは、前記レンズホルダ(130)内に設けられる撮像通路(132)及び照明通路(133)を更に含み、前記撮像通路(132)内に、カメラ装置が設けられ、前記照明通路(133)内に、照明通路が設けられ、前記屈曲部材(120)は、スネークボーンユニットと、前記スネークボーンユニットの端部を固定するための固定ラック(121)とを含み、前記スネークボーンユニットの一端部は、前記固定ラック(121)を介して前記ホース(102)に接続され、前記スネークボーンユニットのもう1つの端部は、前記レンズホルダ(130)に接続されることを特徴とする
請求項5に記載の腎盂尿管鏡システム。
Applications Claiming Priority (8)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201910353948 | 2019-04-29 | ||
CN201910353948.8 | 2019-04-29 | ||
CN201911263637.9A CN110811525A (zh) | 2019-04-29 | 2019-12-11 | 一种输尿管肾盂镜系统及其置入方法 |
CN201911270216.9A CN110811492A (zh) | 2019-04-29 | 2019-12-11 | 一种软镜导入装置及其使用方法 |
CN201911263637.9 | 2019-12-11 | ||
CN201911270216.9 | 2019-12-11 | ||
CN202020641284.3U CN213309607U (zh) | 2019-04-29 | 2020-04-23 | 一种设有出水通道的输尿管肾盂镜系统 |
CN202020641284.3 | 2020-04-23 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2020182840A JP2020182840A (ja) | 2020-11-12 |
JP7046336B2 true JP7046336B2 (ja) | 2022-04-04 |
Family
ID=72839918
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2020079664A Active JP7046336B2 (ja) | 2019-04-29 | 2020-04-28 | 軟性尿管鏡の導入装置及び腎盂尿管鏡システム |
Country Status (5)
Country | Link |
---|---|
US (1) | US20200337548A1 (ja) |
JP (1) | JP7046336B2 (ja) |
CN (1) | CN218651745U (ja) |
DE (1) | DE102020111335A1 (ja) |
WO (1) | WO2020221221A1 (ja) |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2015181940A (ja) | 2014-03-21 | 2015-10-22 | テルモ株式会社 | 結石回収装置 |
US20170215707A1 (en) | 2016-01-29 | 2017-08-03 | Boston Scientific Scimed, Inc. | Sheath for an imaging device |
JP2017535314A (ja) | 2014-10-02 | 2017-11-30 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 尿管鏡のための取付けデバイス |
JP2018175291A (ja) | 2017-04-11 | 2018-11-15 | オリンパス株式会社 | シースセット及び内視鏡システム |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5556367A (en) * | 1993-03-05 | 1996-09-17 | Olympus Optical Co., Ltd. | Cover type endoscope apparatus |
DE60040221D1 (de) * | 1999-05-26 | 2008-10-23 | Boston Scient Ltd | Hülse für ein medizinisches Endoskop |
CN101019756A (zh) * | 2006-08-10 | 2007-08-22 | 陈志强 | 带硬鞘的软性输尿管肾镜 |
US8231658B2 (en) * | 2007-11-14 | 2012-07-31 | Boston Scientific Scimed, Inc. | Introducer device with locking adaptor |
FR2931599A1 (fr) * | 2008-05-26 | 2009-11-27 | Univ Pasteur | Dispositif de deplacement controle en translation d'un element allonge |
CN101933795B (zh) * | 2010-08-30 | 2012-09-26 | 武汉佑康科技有限公司 | 组合式软硬质内窥镜 |
CN201929938U (zh) * | 2011-01-28 | 2011-08-17 | 周均洪 | 一种组合式硬性输尿管镜 |
CN102961114A (zh) * | 2012-12-05 | 2013-03-13 | 中国人民解放军第二军医大学 | 伸缩型外鞘的末端可弯曲型输尿管镜 |
CN103405261B (zh) * | 2013-07-19 | 2016-02-03 | 孙颖浩 | 一种头端可弯曲的输尿管肾镜 |
CN104939797B (zh) * | 2015-07-16 | 2017-07-07 | 广州永士达医疗科技有限责任公司 | 可伸缩调节的内窥镜装置 |
CN210541477U (zh) * | 2019-04-29 | 2020-05-19 | 珠海市司迈科技有限公司 | 一种微型蛇骨组件 |
-
2020
- 2020-04-23 CN CN202120977842.8U patent/CN218651745U/zh active Active
- 2020-04-27 DE DE102020111335.8A patent/DE102020111335A1/de active Pending
- 2020-04-28 WO PCT/CN2020/087346 patent/WO2020221221A1/zh active Application Filing
- 2020-04-28 US US16/860,075 patent/US20200337548A1/en not_active Abandoned
- 2020-04-28 JP JP2020079664A patent/JP7046336B2/ja active Active
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2015181940A (ja) | 2014-03-21 | 2015-10-22 | テルモ株式会社 | 結石回収装置 |
JP2017535314A (ja) | 2014-10-02 | 2017-11-30 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 尿管鏡のための取付けデバイス |
US20170215707A1 (en) | 2016-01-29 | 2017-08-03 | Boston Scientific Scimed, Inc. | Sheath for an imaging device |
JP2018175291A (ja) | 2017-04-11 | 2018-11-15 | オリンパス株式会社 | シースセット及び内視鏡システム |
Also Published As
Publication number | Publication date |
---|---|
JP2020182840A (ja) | 2020-11-12 |
CN218651745U (zh) | 2023-03-21 |
WO2020221221A1 (zh) | 2020-11-05 |
DE102020111335A1 (de) | 2020-10-29 |
US20200337548A1 (en) | 2020-10-29 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US6447444B1 (en) | Video rectoscope | |
CN213309607U (zh) | 一种设有出水通道的输尿管肾盂镜系统 | |
EP1769717A1 (en) | Endoscope insert part, endoscope, and endoscope system | |
WO2015007233A1 (zh) | 一种头端可弯曲的输尿管肾镜 | |
KR20160065258A (ko) | 일회용 내시경 커버 본체와 그 커버 본체를 사용하는 내시경 | |
JP7046336B2 (ja) | 軟性尿管鏡の導入装置及び腎盂尿管鏡システム | |
CN218792221U (zh) | 一种肾镜 | |
JP2020530325A (ja) | 泌尿器外科用内視鏡検査鞘 | |
KR20090087464A (ko) | 경식도 심장초음파 (tee) 프로브를 위한 새로운 구부러지는 넥 | |
KR102220558B1 (ko) | 교차 감염 방지를 위한 일회용 내시경 구조 | |
US20160029880A1 (en) | Cystoscopic device and methods for operating same | |
KR100748639B1 (ko) | 삽입박막이 내장된 일회용 삽입부를 구비한 내시경 | |
CN113384229B (zh) | 一种电子膀胱镜 | |
JP3462597B2 (ja) | 超音波内視鏡の先端部 | |
CN113349727B (zh) | 一种电子输尿管内窥镜 | |
Biewenga et al. | Cystourethroscopy in the dog | |
CN113951809B (zh) | 电子胆道镜及电子胆道镜系统 | |
CN219109378U (zh) | 一种内窥镜成像装置 | |
WO2019075706A1 (zh) | 一种蜂巢结构的先端头部、内窥镜及其制造方法 | |
WO2019075707A1 (zh) | 大通道直插入内窥镜 | |
JPH042364A (ja) | 瘻孔形成管 | |
JPH02232043A (ja) | 超音波処置用内視鏡 | |
CZ20001618A3 (cs) | Videorektoskop |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20200428 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20200616 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20210226 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20210302 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20210526 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20210928 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20211224 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20220215 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20220311 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 7046336 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |