KR20080095061A - Calculus-removing device for medical - Google Patents

Calculus-removing device for medical Download PDF

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Publication number
KR20080095061A
KR20080095061A KR1020070039384A KR20070039384A KR20080095061A KR 20080095061 A KR20080095061 A KR 20080095061A KR 1020070039384 A KR1020070039384 A KR 1020070039384A KR 20070039384 A KR20070039384 A KR 20070039384A KR 20080095061 A KR20080095061 A KR 20080095061A
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South Korea
Prior art keywords
basket
stones
wire
metal wire
metal line
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KR1020070039384A
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Korean (ko)
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신경민
명병철
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(주) 태웅메디칼
신경민
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Priority to KR1020070039384A priority Critical patent/KR20080095061A/en
Publication of KR20080095061A publication Critical patent/KR20080095061A/en

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    • 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
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • 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
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00358—Snares for grasping
    • 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
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

A medical apparatus for removing a calculus is provided to reduce a manufacturing cost and improve a working convenience by removing a calculus efficiently through a tube body. A medical apparatus for removing a calculus includes a grasp body(2), a flexible tube body(3), a fixing unit(7), four metal line wires(6), a basket(5), a wire unit(4), a bar(8), and a grinding metal line(10). The wire unit is inserted into the flexible tube body is coupled to a front part of the grasp body. The wire unit forms the basket with four metal line wires coupled to the fixing unit. The wire unit is moved forward/backward by the bar. The grinding metal line is installed on the front part of the fixing unit of the basket. The grinding metal line is withdrawn to an external part through the tube body. The large stone captured with the basket is grinded by pulling the grinding metal line.

Description

의료용 결석 제거장치{Calculus-removing device for medical}Medical stone removal device {Calculus-removing device for medical}

도 1은 종래의 장치를 보여주는 구성도.1 is a block diagram showing a conventional device.

도 2는 본 발명의 장치를 보여주는 구성도.2 is a block diagram showing a device of the present invention.

도 3은 본 발명의 요부 확대도.Figure 3 is an enlarged view of the main part of the present invention.

도 4는 본 발명의 요부 확대 사시도.Figure 4 is an enlarged perspective view of the main portion of the present invention.

도 5는 본 발명의 작동 상태를 보여주는 요부 확대도.Figure 5 is an enlarged view of the main portion showing the operating state of the present invention.

**도면의 주요 부분에 대한 부호의 설명**** Description of the symbols for the main parts of the drawings **

2: 파지본체 3: 관체2: gripping body 3: body

4: 와이어부 5: 바스켓4: wire part 5: basket

6: 금속선 와이어 7: 고착부6: metal wire 7: fixing part

8: 밀대 10: 분쇄 금속선8: push rod 10: crushing metal wire

본 발명은 담석, 요석 등과 같은 결석을 제거하는 의료용 결석 제거장치에 관한 것으로서, 더욱 상세하게는 다수의 금속선으로 형성한 바스켓에 의해 결석을 포석하여 분리 인출하되, 상기 결석이 비교적 큰 경우에 상기 바스켓의 선단에 연결된 별도의 분쇄 금속선을 당김 작동하여 상기 바스켓에 포석된 큰 결석을 분쇄하여 제거하도록 하는 의료용 결석 제거장치에 관한 것이다.The present invention relates to a medical stone removal device for removing stones, such as gallstones, dolstones, etc. More specifically, the stones are separated and drawn out by a basket formed of a plurality of metal wires, but the basket when the stones are relatively large The present invention relates to a medical stone removal device for pulverizing and removing large stones laid in the basket by pulling a separate crushed metal wire connected to the tip of the basket.

일반적으로 결석은 유기질 이온이 pH의 변화에 따른 용해도 변화에 의해서 침착된 것으로서 결석이 발생하는 부위에 따라서 요 결석, 담 결석(담석) 등으로 구분된다.In general, stones are organic ions are deposited by the change in solubility according to the change in pH, it is divided into urine stones, gall stones (gallstones) according to the site where the stones occur.

이러한 결석은 정상적인 흐름의 장애를 유발하기 때문에 제거하는 것이 필요한데, 결석이 작게 형성된 경우에 세척 방법에 의해 제거할 수도 있으나 이로서 제거되지 않는 경우에 별도의 제거장치에 의한 물리적 제거방법이 사용된다.Such stones need to be removed because they cause a disturbance of normal flow. If the stones are formed small, they may be removed by a washing method, but when they are not removed, a physical removal method by a separate removal device is used.

상기한 종래의 결석 제거장치는 다양한 형태로 개시된 바 있다.The conventional stone removal apparatus described above has been disclosed in various forms.

일반적으로 널리 사용되는 기계식 결석 제거장치는 도 1에 도시된 바와 같이 파지본체(2) 전방으로 연결된 플렉시블 관체(3)로 선단에 고착부(7)로 연결된 네 가닥의 금속선 와이어(6)로 바스켓(5)을 형성하는 와이어부(4)를 내 삽입하고, 상기 와이어부(4)는 별도의 밀대(8)에 의해 전후 이동가능케 연결 구성하여 이루어진다.In general, a widely used mechanical stone removal device is a basket with four strands of metal wires (6) connected by a fastening portion (7) at the front end with a flexible tube (3) connected forwardly as shown in FIG. The wire part 4 which forms (5) is inserted in the said wire part 4, Comprising: The wire part 4 is made by connecting so that a back-and-front movement is possible by the separate rod 8.

이러한 결석 제거장치는 상기 네 가닥의 금속선 와이어(6)로 형성된 바스켓(5)을 벌린 상태로 바스켓 내부에 결석이 삽입되게 위치시켜 밀대(8)에 의해 와이어부(4)를 관체(3) 내부로 잡아 당김에 따라 상기 바스켓(5)이 조여져 결석을 고정시킨 상태로 계속해서 당겨 분리하므로 관체(3) 내부로 수거하게 되는 것이다.Such a stone removal device is positioned so that the stones are inserted into the basket in a state in which the basket 5 formed of the four strands of metal wires 6 is opened, and the wire part 4 is opened by the push rod 8 inside the tubular body 3. As the basket (5) is tightened and pulled to continue to pull out in a state in which the stones are fixed as it is to be collected into the tubular body (3).

그런데 상기한 종래의 결석 제거장치는 결석의 크기에 따른 사용상의 제약을 갖는 문제점이 있었다.By the way, the conventional stone removal device has a problem in terms of the use of the stone according to the size of the stone.

다시말해 상기 결석이 비교적 큰 경우에 바스켓(5)에 의해 조여 고정시킨 결석을 분리하고, 이를 관체(3) 내부로 수거하는 것이 곤란하였다.In other words, when the stones are relatively large, it is difficult to separate the stones which are tightened and fixed by the basket 5 and collect them into the tubular body 3.

이 경우에 상기 와이어부(4)를 더욱 당겨 바스켓(5)에 의해 조여진 결석이 관체(3) 입구에서 분쇄되는 경우도 있으나 상기 결석이 쉽게 분쇄되지 않는 경우에 그 제거가 곤란한 문제점이 있었다.In this case, the stones tightened further by the basket 5 may be pulverized at the inlet of the tubular body 3, but the removal of the stones is difficult when the stones are not easily crushed.

물론, 상기한 결석의 크기에 따른 사용상의 제약을 극복하고자 전기에너지에 의한 충격파로 상기 결석을 분쇄하는 전기수압쇄석장치가 개시된 바 있으나 이는 장치가 복잡해지는 단점과 함께 많은 수의 시술 인원, 그것도 숙련된 시술 인원이 요구되는 문제점이 있었다.Of course, the electrohydraulic crushing device has been disclosed for crushing the stone by shock waves due to electrical energy in order to overcome the limitations of use according to the size of the stone, but it has a disadvantage that the device is complicated, a large number of procedures, and also skilled There was a problem that required procedure personnel.

본 발명은 상기한 종래 기술이 갖는 제반 문제점을 해결하고자 안출된 것으로서, 결석이 비교적 큰 경우에 바스켓의 선단에 연결된 별도의 분쇄 금속선을 당김 작동하여 상기 바스켓에 포석된 큰 결석을 분쇄하여 제거하도록 하는데 그 목적이 있다.The present invention has been made to solve the above problems of the prior art, when the stones are relatively large to pull the separate grinding metal wire connected to the front end of the basket to grind and remove the large stones stoned in the basket The purpose is.

본 발명은 상기한 비교적 큰 결석의 분쇄를 간단한 구조에 의해 행하므로서 제조원가를 절감함은 물론 비숙련자에 의한 작업성을 간편하게 제공하는데 그 목적이 있었다.The present invention aims to reduce manufacturing costs and provide workability by non-skilled workers by performing the above-described relatively large stones by the simple structure.

이러한 본 발명은This invention is

파지본체 전방으로 연결된 플렉시블 관체로 선단에 고착부로 연결된 바스켓을 형성하는 와이어부를 내 삽입하여 별도의 밀대에 의해 전후 이동가능하게 연결 구성하되,By inserting the wire part forming a basket connected to the front end with a flexible pipe connected to the front of the gripping main body to be connected to the front and back by a separate push rod,

상기 바스켓의 선단 고착부에 별도의 분쇄 금속선을 연결 설치하여 상기 분쇄 금속선을 당김 작동함에 의해 바스켓에 포석된 큰 결석을 분쇄하도록 함에 그 특징이 있다.It is characterized in that a separate crushed metal wire is connected to the tip fixing portion of the basket to pulverize the large stones laid in the basket by pulling the crushed metal wire.

본 발명은 상기 관체를 마모, 손상을 방지하도록 플렉시블한 스텐레스재로 제작함에 그 특징이 있다.The present invention is characterized in that the tubular body is made of a flexible stainless steel material to prevent wear and damage.

이하, 상기한 본 발명의 바람직한 실시 예를 첨부도면을 참조하여 구체적으로 살펴보기로 한다.Hereinafter, with reference to the accompanying drawings, a preferred embodiment of the present invention will be described in detail.

즉, 본 발명의 결석 제거장치는 도 2 내지 도 4에 도시된 바와 같이, That is, the stone removing apparatus of the present invention, as shown in Figure 2 to 4,

파지본체(2) 전방으로 연결된 플렉시블 관체(3)로 선단에 고착부(7)로 연결된 네 가닥의 금속선 와이어(6)로 바스켓(5)을 형성하는 와이어부(4)를 내 삽입하고, 상기 와이어부(4)는 별도의 밀대(8)에 의해 전후 이동가능하게 연결 구성된 것에 있어서,Insert the wire part 4 which forms the basket 5 with the four strands of metal wire 6 connected by the fastening part 7 to the front end with the flexible pipe body 3 connected in front of the holding body 2, and said In the wire portion 4 is configured to be connected back and forth by a separate push rod 8,

상기 바스켓(5)의 선단 고착부(7)에 별도로 적어도 한 가닥 이상의 분쇄 금속선(10)을 더 연결 설치하고, 상기 분쇄 금속선(10)을 관체(3)를 통해 외부로 인 출하여 상기 분쇄 금속선을 당김 작동함에 의해 바스켓에 포석된 큰 결석을 분쇄하도록 이루어진다.At least one strand or more of the pulverized metal wire 10 is additionally installed and connected to the front end fixing portion 7 of the basket 5, and the pulverized metal wire 10 is drawn out to the outside through the tubular body 3. The pulling operation is performed to break up large stones laid out in the basket.

이때, 상기 관체(3)는 결석에 의해 마모, 손상을 최소화하기 위해 플렉시블한 스텐레스재로 제작함이 바람직하다.At this time, the tubular body (3) is preferably made of a flexible stainless steel material in order to minimize wear and damage caused by stones.

다음은 상기와 같이 구성되는 본 발명의 작동 및 작용에 대해 살펴보기로 한다.Next will be described the operation and action of the present invention configured as described above.

먼저, 본 발명의 관체(3)를 결석을 제거하고자 하는 부위로 삽입한다.First, the tubular body 3 of the present invention is inserted into a site to remove stones.

이때, 네 가닥의 금속선 와이어(6)로 형성된 바스켓(5)은 관체(3) 내부로 당겨 삽입한 상태로 사용한다.At this time, the basket 5 formed of four strands of metal wire 6 is used in a state in which the tube 3 is pulled into the tube 3 and inserted.

이와 같이하여 관체(3)가 결석 위치로 삽입되면, 파지본체(2)를 파지한 상태로 밀대(8)를 밀어 와이어부(4)를 밀어 내므로 상기 관체(3) 선단에서 바스켓(5)이 돌출하게 된다.When the tube 3 is inserted into the absent position in this manner, the pusher 8 pushes the wire part 4 while the gripping body 2 is gripped, thereby pushing the wire portion 4 to the basket 5 at the tip of the tube 3. Will protrude.

이와 같은 상태에서 상기 바스켓(5)의 네 가닥의 금속선 와이어(6) 사이로 결석이 삽입되게 위치시킨 후, 상기 밀대(8)에 의해 와이어부(4)를 관체(3) 내부로 잡아 당김에 따라 상기 바스켓(5)이 조여져 결석을 고정하게 된다.In this state, the stones are placed between the four strands of the metal wires 6 of the basket 5, and then the wire part 4 is pulled into the tubular body 3 by the push rod 8. The basket 5 is tightened to fix the stones.

즉, 상기 바스켓(5)에 의해 조여진 결석은 분리되어 관체(3) 내부를 통해 수거되는데, 상기 결석이 비교적 큰 경우에는 상기 관체(3)의 입구에 걸려 위치하게 된다.That is, the stones tightened by the basket 5 are separated and collected through the inside of the tubular body 3, and when the stones are relatively large, they are located at the entrance of the tubular body 3.

이와 같은 상태에서 본 발명의 바스켓 선단 고착부(7)에 별도 연결된 분쇄 금속선(10)을 외부에서 당김 작동하게 된다.In such a state, the pulverized metal wire 10 connected to the basket front fixing part 7 of the present invention is pulled from the outside.

이와 같이 분쇄 금속선(10)을 당김 작동하게 되면, 상기 바스켓(5)에 삽입되어 고정된 결석을 상기 분쇄 금속선이 움직이면서 마찰되어 서서히 분쇄하는 과정을 행하게 되는 것이다.When the pulverized metal wire 10 is operated as described above, the pulverized metal wire is moved and rubbed while the pulverized metal wire is moved to the stone which is inserted into the basket 5 and fixed.

이와 같이 상기 분쇄 금속선(10)의 작동으로 큰 결석이 분쇄되면, 이 분쇄된 결석을 관체(3) 내부로 당겨 수거하므로 제거하게 되는 것이다.As such, when the large stones are crushed by the operation of the crushed metal wire 10, the crushed stones are pulled into the tubular body 3 to be removed.

특히, 상기 관체(3)는 플렉시블한 스텐레스재로 제작되기 때문에 상기 결석과의 마찰에 의한 마모, 손상을 방지하므로 분쇄 금속선(10)의 결석 분쇄 및 수거가 효과적으로 제공될 수 있게 되는 것이다.In particular, since the tubular body 3 is made of a flexible stainless steel material, it prevents abrasion and damage due to friction with the stones, so that the crushing and collecting stones of the crushed metal wire 10 can be effectively provided.

이와 같이 관체(3) 내부로 바스켓(5)과 함께 결석의 수거가 완료되면 상기 관체(3)를 인출하므로 결석 제거작업을 완료하게 되는 것이다.As such, when the collection of stones is completed together with the basket 5 into the tube 3, the tube 3 is taken out to complete the stone removal operation.

이상에서 살펴본 바와 같이 본 발명의 결석 제거장치는 관체 내부로 삽입되는 와이어부 선단의 바스켓에 별도의 분쇄 금속선을 구비하므로 상기 바스켓에 의해 분리, 제거되는 결석이 비교적 큰 경우에 바스켓에 의해 결석을 조여 고정한 상태로 분쇄 금속선을 당김 작동하여 큰 결석을 분쇄하므로 관체를 통해 효과적으로 제거하므로 간단한 구조에 의한 제조원가를 절감함은 물론 비숙련자에 의한 작업성을 간편하게 제공하는 매우 유용한 발명임이 명백하다.As described above, the stone removing device of the present invention is provided with a separate crushed metal wire in the basket at the tip of the wire portion inserted into the tube, so that the stones are separated and removed by the basket, and the stones are tightened by the basket. It is obvious that it is a very useful invention that not only reduces the manufacturing cost by simple structure but also provides workability by the unskilled person because it effectively removes the large stones by pulling the crushed metal wire in a fixed state and crushing the large stones.

Claims (2)

파지본체(2) 전방으로 연결된 플렉시블 관체(3)로 선단에 고착부(7)로 연결된 네 가닥의 금속선 와이어(6)로 바스켓(5)을 형성하는 와이어부(4)를 내 삽입하고, 상기 와이어부(4)는 별도의 밀대(8)에 의해 전후 이동가능하게 연결 구성된 것에 있어서,Insert the wire part 4 which forms the basket 5 with the four strands of metal wire 6 connected by the fastening part 7 to the front end with the flexible pipe body 3 connected in front of the holding body 2, and said In the wire portion 4 is configured to be connected back and forth by a separate push rod 8, 상기 바스켓(5)의 선단 고착부(7)에 별도로 적어도 한 가닥 이상의 분쇄 금속선(10)을 더 연결 설치하고, 상기 분쇄 금속선(10)을 관체(3)를 통해 외부로 인출하여 상기 분쇄 금속선을 당김 작동함에 의해 바스켓에 포석된 큰 결석을 분쇄하도록 이루어진 것을 특징으로 하는 의료용 결석 제거장치.At least one strand or more of the pulverized metal wire 10 is additionally installed and connected to the front end fixing portion 7 of the basket 5, and the pulverized metal wire 10 is drawn out to the outside through the tubular body 3. Medical stone removal device, characterized in that made by pulverizing large stones laid in the basket by the pulling operation. 제1항에 있어서,The method of claim 1, 상기 관체(3)는 결석에 의해 마모, 손상을 방지하도록 플렉시블한 스텐레스재로 제작하여 이루어진 것을 특징으로 하는 의료용 결석 제거장치.The tubular body (3) is a medical stone removal device, characterized in that made of a flexible stainless steel material to prevent wear, damage by stones.
KR1020070039384A 2007-04-23 2007-04-23 Calculus-removing device for medical KR20080095061A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20190070689A (en) 2017-12-13 2019-06-21 동국대학교 산학협력단 Calculus removing device for medical
KR20200056195A (en) 2018-11-14 2020-05-22 건국대학교 글로컬산학협력단 Calculus removing device for medical

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20190070689A (en) 2017-12-13 2019-06-21 동국대학교 산학협력단 Calculus removing device for medical
KR20200056195A (en) 2018-11-14 2020-05-22 건국대학교 글로컬산학협력단 Calculus removing device for medical

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