US3557793A - Method for crushing stones in urinary bladder and instrument for same - Google Patents

Method for crushing stones in urinary bladder and instrument for same Download PDF

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Publication number
US3557793A
US3557793A US445879A US3557793DA US3557793A US 3557793 A US3557793 A US 3557793A US 445879 A US445879 A US 445879A US 3557793D A US3557793D A US 3557793DA US 3557793 A US3557793 A US 3557793A
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Prior art keywords
lithotrite
oscillations
urinary bladder
stone
electrical
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US445879A
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English (en)
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Jury Grigorievich Ediny
Oleg Gavrilovich Balaev
Boris Kirillovich Gostkin
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    • G—PHYSICS
    • G10—MUSICAL INSTRUMENTS; ACOUSTICS
    • G10K—SOUND-PRODUCING DEVICES; METHODS OR DEVICES FOR PROTECTING AGAINST, OR FOR DAMPING, NOISE OR OTHER ACOUSTIC WAVES IN GENERAL; ACOUSTICS NOT OTHERWISE PROVIDED FOR
    • G10K15/00—Acoustics not otherwise provided for
    • G10K15/04—Sound-producing devices
    • G10K15/06—Sound-producing devices using electric discharge
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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
    • A61B17/22022—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; 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 using electric discharge

Definitions

  • Another object of this invention is to provide an operation and which allows crushing of concretions in the urinary bladder by the said method.
  • the principal object of the invention is to develop a method for crushing concretions in the urinary bladder and to provide an instrument for realization of this method which would exert, on the stone to be crushed, remotely controlled actions varying in their character and intensity.
  • the method for crushing stones in the urinary bladder consists in that the concrstion to be broken is acted upon alternately by mechanical oscillations of ultrasonic frequency and a controlled hydraulic impact produced by an electric discharge in the liquid medium surrounding the concretion.
  • An instrument for crushing concretion by said method comprises, according to the invention, elongated elastic lithotrites, which are introduced into the urinary bladder through the operating cystoscope, one of which lithotrites is connected with the drive means producing mechanical oscillations at predominantly ultrasonic frequency, the other of said lithotrite being made in the form of coaxial insulated electrodes and coupled to a pulser means, said drive means and pulser means being operatively connected with a remote control device provided with a selector switch bywhich the required kind of operation is set and a timer by which the time of operation of each of said means is recorded.
  • the drive means preferably comprises a generator of ultrasonic oscillations, series connected with a remote control device through a grounding system which is connected with the cystoscope illuminating lamp supply circuit, a converter of electric oscillations to mechanical ones, and with a concentrator of mechanical oscillations, said concentrator being connected with the lithotrite which is provided at its end with a working organ in the form of a hollow cylinder having a side bypass opening.
  • Said pulser means consists mainly of pulse-forming dischargers connected with the lithotrite electrodes and an accumulating device with capacitors, supplied for instance from a power transformer, which is connected with a remote control device through the grounding system connected with the cystoscope illuminating lamp supply circuit.
  • FIG. 1 is a diagrammatic illustration of the instrument for crushing stones in the urinary bladder.
  • FIG. 2 is an electric circuit diagram of the instrument shown in FIG. I.
  • the instrument for crushing stones in the urinary bladder comprises a generator 1 or ultrasonic oscillations employing tubes 2 and 3, a magnetorestriction converter 4 of the electric oscillations to ultrasonic mechanical oscillations and an exponential concentrator 5 of said mechanical oscillations, said generator, converter and concentrator being connected in series.
  • concentrator 5 The output of concentrator 5 is connected by means of a low-melting link 6 with an elongated elastic lithotrite 7 carrying at its end a working organ 8 which comes into contact with the stone to be crushed.
  • the working organ 8 should preferably be made in the form of a hollow cylinder with a lateral bypass opening.
  • the shank of the working organ 8 and a portion of the lithotrite are enclosed in a hermetic protective catheter 9 tightly attached to the working organ 8.
  • the low-melting link 6 is enveloped with an with an electric heating element 10 supplied from a power source 11 and controlled from a time relay 12 connected with a pilot lamp 13.
  • the instrument has also another lithotrite 14 with two coaxial electrodes 15 and 16 insulated from each other.
  • Lithotrite 14 is connected with the electric pulse generator 17 comprising rectifier 18 assembled in accordance with a doubling circuit employing semiconductor elements 19, 20 and supplied form a power transformer 21.
  • an accummulating device with capacitors 22 and 23 whose charge is transmitted to the pulse-forming dischargers 24 made, for example, as two tungsten cylinders having plane-parallel discharge surfaces.
  • Electrodes 15, 16 Between the insulated ends of which an electric arc is formed as a result of which a shock wave is produced in the liquid medium surrounding the stone.
  • the mutual position of the ends of electrodes 15 and 16 can be arranged either in the same plane or in different planes.
  • Said lithotrites 7 and 14 are introduced into the urinary bladder through an operative cystoscope 25 having an illuminating lamp 26.
  • Generator 1 of ultrasonic oscillations and electric pulse generator 17 are associated with a general remote control device 27 through a grounding system connected with illuminating lamp 26 of cystoscope 25.
  • the grounding system has a grounding busbar 28 to which a semiannular clamp 29 is attached by means of two pins, viz. a stationary pin 30 insulated from the clamp 29 and a pin 31 connected with the clamp 29 by means of the thread.
  • a semiannular clamp 29 is attached by means of two pins, viz. a stationary pin 30 insulated from the clamp 29 and a pin 31 connected with the clamp 29 by means of the thread.
  • One of wires supplying power to the lamp 26 isso shorted through the grounding busbar 28 that the lamp 26 goes out when there is no contact in the grounding circuit. This will provide for the safety of operating with the instrument.
  • a remote control device 27 comprises a foot pedal 32, time recording unit or timer 33, actuated by an electromechanical relay 34 and a selector switch 35 which sets the required mode of operation.
  • a red pilot lamp 36 is lighted and the electromechanical relay 34 operates switch on the time recording unit (electric stopwatch) 33. Simultaneously, depending on the position of the selector switch 35, either the generator 1 of ultrasonic oscillations or the pulser 17 starts working together with either lithotrite] or 14 respectively.
  • a method for crushing stones in the urinary bladder comprising alternately applying mechanical action to a stone to be crushed by a working element vibrating at ultrasonic frequency and applying hydraulic impact by producing electrical discharges in a liquid medium surrounding the stone to be crushed.
  • An instrument for crushing stones in the urinary bladder in combination with an operative cystoscope having an illuminating lamp with power supply and comprising elongated lithotrites adapted for being introduced into the urinary bladder through said cystoscope to contact the stone to be crushed; one of said lithotrites being capable of transmitting ultrasonic oscillations for crushing the stone; the other lithotrite having coaxial electrodes and separating insulating material, drive means for generation and conversion of electrical oscillations into mechanical ultrasonic oscillations and their transmission to the first lithotrite; an electrical pulser means connected to said other lithotrite for producing electrical discharges between end faces of said coaxial electrodes in the liquid medium of the urinary bladder to cause the formation of hydraulic impacts crushing the stones; remote control means for said drive and electric pulser means, said remote control means including a selector switch, an operating time register for each of said drive means and said electric pulser means and means for turning the registers on and off successively and a grounding circuit connected to the power supply circuits of said cystoscope lamp and to said means for
  • An instrument for crushing stones in the urinary bladder in combination with an operative cystoscope having an illuminating lamp with power supply and comprising two elongated lithotrites adapted for being introduced alternatively into the urinary bladder through said cystoscope to contact the stone to be crushed;
  • the first lithotrite including at one end thereof a working element in the form of a hollow cylinder with a bypass opening, and a protective waterproof sheath on said cylinder capable of transmitting an ultrasonic vibration which crushes the stone
  • the second lithotrite including coaxial electrodes insulated the entire length up to the end face sur faces thereof by an insulation material with substantial electrical and impact strength;
  • a drive means for imparting to the first lithotrite mechanical strength ultrasonic oscillations said drive means comprising a generator of electric oscillations, a
  • An instrument for crushing stones in the urinary bladder in combination with an operative cystoscope having an illuminating lamp with power supply, and comprising two elongated lithotrites adapted for being introduced alternatively into the urinary bladder through said cystoscope to contact the stone to be crushed;
  • the first lithotrite including at an end thereof a working element in the form of a cylinder with a bypass opening, and a protective waterproof sheath capable of transmitting ultrasonic vibratory impacts for crushin the stone
  • the second lithotrite having coaxial electrodes msu ated the entire length thereof up to the end face surfaces by insulation material with high electric and impact strength;
  • a drive means for imparting mechanical ultrasonic oscillations to the first lithotrite said drive means comprising a generator of electrical oscillations, a converter of electrical oscillations into mechanical ultrasonic oscillations connected in series with said generator, a concentrator of mechanical oscillations connected to the first lithotrite by means of a fusible welding alloy;
  • an electrical electrical pulser means comprising

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Acoustics & Sound (AREA)
  • Multimedia (AREA)
  • Surgical Instruments (AREA)
  • Disintegrating Or Milling (AREA)
  • Battery Electrode And Active Subsutance (AREA)
US445879A 1965-04-06 1965-04-06 Method for crushing stones in urinary bladder and instrument for same Expired - Lifetime US3557793A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US44587965A 1965-04-06 1965-04-06

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US3557793A true US3557793A (en) 1971-01-26

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US445879A Expired - Lifetime US3557793A (en) 1965-04-06 1965-04-06 Method for crushing stones in urinary bladder and instrument for same

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US (1) US3557793A (en:Method)
BE (1) BE679101A (en:Method)
CH (1) CH470172A (en:Method)
GB (1) GB1102450A (en:Method)
NL (1) NL6611017A (en:Method)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3735764A (en) * 1970-11-23 1973-05-29 O Balev Instrument for crushing stones in urinary bladder
US3785382A (en) * 1971-05-14 1974-01-15 Wolf Gmbh Richard Device for destroying stones in the bladder, in the ureter, in the kidneys and the like
US3902499A (en) * 1974-01-02 1975-09-02 Hoffman Saul Stone disintegrator
US3927675A (en) * 1972-11-16 1975-12-23 Reimar Pohlman Device for fragmenting urinary calculus
US4227532A (en) * 1977-05-28 1980-10-14 U.S. Philips Corporation Device for crushing calculi in the urinary bladder
EP0204909A1 (de) * 1985-05-29 1986-12-17 Dornier Gmbh Elektrodenmaterial für eine Funkenstrecke
FR2666231A1 (fr) * 1990-09-04 1992-03-06 Cannon Robert Catheter et appareil pour le traitement notamment des embolies pulmonaires.
US10269340B2 (en) * 2012-06-15 2019-04-23 University Of Southern California Ultrasound beamformer with individual array element multiplexers

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3990452A (en) * 1975-06-13 1976-11-09 Fibra-Sonics, Inc. Medical machine for performing surgery and treating using ultrasonic energy

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2227727A (en) * 1938-04-11 1941-01-07 Leggiadro Vincent Lithotrite
US2764683A (en) * 1952-04-18 1956-09-25 Physical Medicine Products Co Low voltage electro-therapy generator
US2830578A (en) * 1957-01-31 1958-04-15 Mark E Degroff Electro-sonic apparatus
US3413976A (en) * 1963-07-29 1968-12-03 G Elektrotekhnichesky Zd Vef Arrangement for removal of concretions from urinary tract

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2227727A (en) * 1938-04-11 1941-01-07 Leggiadro Vincent Lithotrite
US2764683A (en) * 1952-04-18 1956-09-25 Physical Medicine Products Co Low voltage electro-therapy generator
US2830578A (en) * 1957-01-31 1958-04-15 Mark E Degroff Electro-sonic apparatus
US3413976A (en) * 1963-07-29 1968-12-03 G Elektrotekhnichesky Zd Vef Arrangement for removal of concretions from urinary tract

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3735764A (en) * 1970-11-23 1973-05-29 O Balev Instrument for crushing stones in urinary bladder
US3785382A (en) * 1971-05-14 1974-01-15 Wolf Gmbh Richard Device for destroying stones in the bladder, in the ureter, in the kidneys and the like
US3927675A (en) * 1972-11-16 1975-12-23 Reimar Pohlman Device for fragmenting urinary calculus
US3902499A (en) * 1974-01-02 1975-09-02 Hoffman Saul Stone disintegrator
US4227532A (en) * 1977-05-28 1980-10-14 U.S. Philips Corporation Device for crushing calculi in the urinary bladder
EP0204909A1 (de) * 1985-05-29 1986-12-17 Dornier Gmbh Elektrodenmaterial für eine Funkenstrecke
FR2666231A1 (fr) * 1990-09-04 1992-03-06 Cannon Robert Catheter et appareil pour le traitement notamment des embolies pulmonaires.
WO1992003975A1 (fr) * 1990-09-04 1992-03-19 Cannon Robert L Iii Catheter et appareil pour le traitement notamment des embolies pulmonaires
US10269340B2 (en) * 2012-06-15 2019-04-23 University Of Southern California Ultrasound beamformer with individual array element multiplexers

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Publication number Publication date
GB1102450A (en) 1968-02-07
BE679101A (en:Method) 1966-09-16
CH470172A (de) 1969-03-31
NL6611017A (en:Method) 1968-02-05

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