CN103431890B - Push type renal calyce calculus removing device - Google Patents
Push type renal calyce calculus removing device Download PDFInfo
- Publication number
- CN103431890B CN103431890B CN201310439628.7A CN201310439628A CN103431890B CN 103431890 B CN103431890 B CN 103431890B CN 201310439628 A CN201310439628 A CN 201310439628A CN 103431890 B CN103431890 B CN 103431890B
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- assembly
- mirror body
- calculus
- epitheca
- rubble
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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
- A61B17/22031—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
- A61B17/22—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
- A61B2017/22014—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 the ultrasound transducer being outside patient's body; with an ultrasound transmission member; with a wave guide; with a vibrated guide wire
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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)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a push type renal calyce calculus removing device. The push type renal calyce calculus removing device comprises a lens body and an outer sheath, wherein the outer sheath is arranged at one end of the lens body, a water inlet is formed in the lens body, and a water outlet valve, an eye lens and a light source are arranged on the lens body; one end of the outer sheath is connected with a pushing assembly, the pushing assembly is composed of a retractable frame body and an elastic cylinder film sheathed outside the retractable frame body, a closing assembly is arranged at the other end of the pushing assembly, and the retractable frame body and the closing assembly are driven by virtue of a driving assembly. A calculus crushing end of the push type renal calyce calculus removing device can be inserted into the interior of a renal calyce, a calculus in the renal calyce can be placed in an enclosed space and crushed, no calculus residue enters a human body, no calculus residue is produced, and no damage is caused to surrounding tissues; meanwhile, interference of calculus chips to view of an endoscope is small, operation efficiency and an operation result can be obviously improved, and pain and burden of a patient can be alleviated.
Description
Technical field
The present invention relates to medical equipment technical field, be specifically related to a kind of pusher calyceal calculi stone taking device.
Background technology
Renal calculus is the calculus betiding renal calices, renal pelvis and renal pelvis and ureter connecting portion, kidney Staghorn calculus, Calculus, calyceal calculi are the intractable calculus of kidney clinically, extracorporeal shock-wave lithotomy (ESWL) is very micro-to this type of calculus curative effect, and complication is more, open surgery is then to cause excess of the kidney matter laceration, kidney massive hemorrhage, and notably kidney excises.Because in the special construction of kidney and rubble process, calculus is in the special environment of renal calices, space in renal calices is less, general rubble apparatus is difficult to arrive in renal calices, cause the calculus in renal calices to get stone comparatively to bother, even if rubble machinery has entered in renal calices, in rubble process, calculus chip easily enters renal calices and causes residual stones, operation is not thorough, and therapeutic effect is bad.
Summary of the invention
The object of the invention is the deficiency for solving the problems of the technologies described above, a kind of pusher calyceal calculi stone taking device is provided, the rubble end of this stone taking device can stretch into renal calices inside, calculus in renal calices be placed in closed space and carry out rubble, calculus residue does not enter in body, calculus noresidue, and to surrounding tissue not damaged, the interference in the calculus chip endoscope visual field is little, can significantly improve procedure efficiency and effect, alleviates misery and the burden of patient.
The present invention is the deficiency solved the problems of the technologies described above, and the technical scheme adopted is: a kind of pusher calyceal calculi stone taking device, and comprise mirror body and epitheca, epitheca is arranged on one end of mirror body, mirror body is provided with water inlet, outlet valve, eyepiece and light source;
Described epitheca is connected with propulsion assembly away from one end of mirror body, propulsion assembly is made up of expansion bracket and the elastic cylinder thin film being set in expansion bracket external, the other end of propulsion assembly arranges closing assembly, flexible support body and closing assembly are undertaken stretching and closing by driven unit, rubble assembly and based endoscopic imaging assembly is provided with in flexible support body, described rubble assembly is ultrasound wave rubble assembly, and rubble assembly comprises supersonic generator and rubble bar;
Flexible support body comprises two side arms and at least one pair of support ring, article two, side arm is X-shaped after being hinged, one end of two adjusting rods is hinged respectively at two side arms, and the other end of two adjusting rods by hinge together, the semicircular ring that described often pair of support ring is oppositely arranged by two openings forms, two semicircular ring are separately positioned on two side arms, and on flexible support body, all support rings are arranged on phase the same side;
One end of elastic cylinder thin film is fixedly connected with epitheca, and the other end of elastic cylinder thin film is fixedly connected with a pair support ring of flexible support body away from mirror body one end;
Described closed cell comprises many closed bars, and one end of closed bar is provided with through hole, and closed bar is set on a pair support ring away from mirror body one end by this through hole, and the free-radial copolymering of all closed bars together, is arranged with elastic film outside closed bar;
Described driven unit comprises telescopic drive unit and closed driver element;
Telescopic drive unit is made up of drive rod I and flexible handle I, and closed driver element is made up of driving ring, drive link, drive rod II and flexible handle II;
Described flexible handle I and flexible handle II are arranged on the lower end of mirror body, and the lower end of described mirror body is also provided with fixed handle, and flexible handle I and flexible handle II are all arranged on mirror body by hinge;
Described drive rod I one end and flexible handle I hinged, the other end is hinged with closest to the jointed shaft of telescopic unit two side arms of mirror body;
Described every root closes bar to be had through hole one end and is all hinged with drive link, and one end and the closed bar of drive link are hinged, and on the hinged driving ring of the other end, driving ring is connected with flexible handle II by drive rod II.
The intracavity of described epitheca is provided with instrument channel pipe and optical-fibre channel pipe, the rubble bar of rubble assembly is arranged in instrument channel pipe, one end of laser fiber is stretched in the cavity of flexible support body, and based endoscopic imaging assembly is arranged in optical-fibre channel pipe, and its objective end is arranged on the port of epitheca.
The intracavity of described epitheca is also provided with intake tunnel pipe, and the water inlet on intake tunnel Guan Yujing body is connected, and the space in epitheca is exhalant canal, and exhalant canal is connected with the outlet valve be arranged on mirror body.
Described closing assembly closes the free-radial copolymering of bar together when off working state.
Described based endoscopic imaging assembly also comprises eyepiece, light source, luminous source optical fiber and imaging and returns optical fiber, eyepiece and light source are separately positioned on mirror body, one end that imaging returns optical fiber is connected with eyepiece, the other end is connected with object lens through optical-fibre channel pipe, one end of luminous source optical fiber is connected with light source, and the other end passes optical-fibre channel pipe and extends to the end of optical-fibre channel pipe.
beneficial effect
The rubble end of pusher calyceal calculi stone taking device of the present invention can stretch into renal calices inside, calculus in renal calices is placed in closed space and carries out rubble, calculus residue does not enter in body, calculus noresidue, and to surrounding tissue not damaged, the interference in the calculus chip endoscope visual field is little, can significantly improve procedure efficiency and effect, alleviates misery and the burden of patient.
Accompanying drawing explanation
Fig. 1 is the structural representation of the pusher calyceal calculi stone taking device of the present invention;
Fig. 2 is that the present invention stretches the structural representation of support body;
Fig. 3 is the structural representation of closing assembly of the present invention;
Fig. 4 is the principle schematic that driven unit of the present invention drives closing assembly action;
Fig. 5 is the structural representation I of telescopic drive unit of the present invention;
Fig. 6 is the structural representation II of telescopic drive unit of the present invention;
Fig. 7 is the structural representation I that the present invention closes driver element;
Fig. 8 is the structural representation II that the present invention closes driver element;
Labelling in figure: 1, mirror body, 2, water inlet, 3, elastic cylinder thin film, 4, eyepiece, 5, light source, 6, flexible support body, 601, side arm, 602, support ring, 603, adjusting rod, 7, closing assembly, 701, closed bar, 801, drive rod I, 802, flexible handle I, 803, drive link, 804, driving ring, 805, drive rod II, 806, flexible handle II, 9, epitheca.
Detailed description of the invention
As shown in Figure 1: a kind of pusher calyceal calculi stone taking device, comprise mirror body 1 and epitheca 9, epitheca 9 is arranged on one end of mirror body 1, mirror body 1 is provided with water inlet 2, outlet valve, eyepiece 4 and light source 5.Described epitheca 9 is connected with propulsion assembly away from one end of mirror body 1, propulsion assembly is made up of with the elastic cylinder thin film 3 be set in outside flexible support body 6 support body 6 that stretches, the other end of propulsion assembly arranges closing assembly 7, flexible support body 6 and closing assembly 7 are undertaken stretching and closing by driven unit, rubble assembly and based endoscopic imaging assembly is provided with in flexible support body 6, described rubble assembly is ultrasound wave rubble assembly, and rubble assembly comprises supersonic generator and rubble bar;
As shown in Figure 1, 2: flexible support body 6 can realize enlargement and contraction diametrically, flexible support body 6 comprises two side arms 601 and at least one pair of support ring 602, article two, side arm 601 is X-shaped after being hinged, one end of two adjusting rods 603 is hinged respectively at two side arms 601, and the other end of two adjusting rods 603 by hinge together, the semicircular ring that described often pair of support ring 602 is oppositely arranged by two openings forms, two semicircular ring are separately positioned on two side arms 601, and on flexible support body 6, all support rings 602 are arranged on phase the same side;
One end of elastic cylinder thin film 3 is fixedly connected with epitheca 9, and the other end of elastic cylinder thin film 3 is fixedly connected with a pair support ring 602 of flexible support body 6 away from mirror body 1 one end;
The intracavity of described epitheca 9 is provided with instrument channel pipe and optical-fibre channel pipe, the rubble bar of rubble assembly is arranged in instrument channel pipe, one end of laser fiber is stretched in the cavity of flexible support body 6, and based endoscopic imaging assembly is arranged in optical-fibre channel pipe, and its objective end is arranged on the port of epitheca 9.
The intracavity of described epitheca 9 is also provided with intake tunnel pipe, and the water inlet 2 on intake tunnel Guan Yujing body 1 is connected, and the space in epitheca 9 is exhalant canal, and exhalant canal is connected with the outlet valve be arranged on mirror body 1.
Described based endoscopic imaging assembly also comprises eyepiece 4, light source 5, luminous source optical fiber and imaging and returns optical fiber, eyepiece 4 and light source 5 are separately positioned on mirror body 1, one end that imaging returns optical fiber is connected with eyepiece 4, the other end is connected with object lens through optical-fibre channel pipe, one end of luminous source optical fiber is connected with light source 5, and the other end passes optical-fibre channel pipe and extends to the end of optical-fibre channel pipe.
As shown in Figure 3: described closing assembly 7 comprises many closed bars 701, one end of closed bar 701 is provided with through hole, closed bar 701 is set on a pair support ring 602 away from mirror body 1 one end by this through hole, the free-radial copolymering of all closed bars 701 together, be arranged with elastic film outside closed bar 701, described closing assembly 7 closes the free-radial copolymering of bar 701 together when off working state.
As Figure 4-8: described driven unit 8 comprises telescopic drive unit and closed driver element; Telescopic drive unit is made up of drive rod I 801 and flexible handle I 802, and closed driver element is made up of drive link 803, driving ring 804, drive rod II 805 and flexible handle II 806; Described flexible handle I 802 and flexible handle II 806 are arranged on the lower end of mirror body 1, and the lower end of described mirror body 1 is also provided with fixed handle 807, and flexible handle I 802 and flexible handle II 806 are all arranged on mirror body 1 by hinge; Described drive rod I 801 one end and flexible handle I 802 hinged, the other end is hinged with closest to the jointed shaft of telescopic unit two side arms 601 of mirror body 1; Described every root closes bar 701 to be had through hole one end and is all hinged with drive link 803, and one end and the closed bar 701 of drive link 803 are hinged, and on the hinged driving ring 804 of the other end, driving ring 804 is connected with flexible handle II 806 by drive rod II 805.
During use, introduce in the renal calices of calculus patient by getting Shi Jing, the rubble end getting Shi Jing is made to arrive calculus place by image-forming assembly, because the space in renal calices is narrower and small, pulling flexible handle I 802 makes flexible support body 6 expand, pull flexible handle II 806 makes closing assembly 7 be in open state simultaneously, the sidewall of renal calices is close to by the closed bar 701 of closing assembly 7, promoting mirror body 1 makes calculus enter in the cavity of closing assembly 7, then decontroling flexible handle II 806 makes closing assembly 7 under the effect of elastic film, opening shrinks automatically, now calculus is in a closed space, calculus can be pulverized in rubble operating process by rubble assembly is carry out in this enclosed space, calculus residue can not enter in renal calices, postoperative calculus noresidue, damage can not be caused to surrounding tissue, and the interference in the calculus chip endoscope visual field is less, little for operation process impact, procedure efficiency and effect can be significantly improved, obviously alleviate misery and the burden of patient.
Claims (5)
1. a pusher calyceal calculi stone taking device, comprise mirror body (1) and epitheca (9), epitheca (9) is arranged on one end of mirror body (1), mirror body (1) is provided with water inlet (2), outlet valve, eyepiece (4) and light source (5), it is characterized in that:
Described epitheca (9) is connected with propulsion assembly away from one end of mirror body (1), propulsion assembly is by the support body that stretches (6) and be set in flexible support body (6) elastic cylinder thin film (3) outward and form, the other end of propulsion assembly arranges closing assembly (7), flexible support body (6) and closing assembly (7) are undertaken stretching and closing by driven unit (8), rubble assembly and based endoscopic imaging assembly is provided with in flexible support body (6), described rubble assembly is ultrasound wave rubble assembly, and rubble assembly comprises supersonic generator and rubble bar;
Flexible support body (6) comprises two side arms (601) and at least one pair of support ring (602), article two, side arm (601) is X-shaped after being hinged, one end of two adjusting rods (603) is hinged respectively at two side arms (601), and the other end of two adjusting rods (603) by hinge together, the semicircular ring that the often pair of support ring (602) is oppositely arranged by two openings forms, two semicircular ring are separately positioned on two side arms (601), and the upper all support rings (602) of flexible support body (6) are arranged on phase the same side;
One end of elastic cylinder thin film (3) is fixedly connected with epitheca (9), and the other end of elastic cylinder thin film (3) is fixedly connected with a pair support ring (602) of flexible support body (6) away from mirror body (1) one end;
Described closing assembly (7) comprises many closed bars (701), one end of closed bar (701) is provided with through hole, closed bar (701) is set on a pair support ring (602) away from mirror body (1) one end by this through hole, the free-radial copolymering of all closed bars (701) together, is arranged with elastic film outside closed bar (701);
Described driven unit (8) comprises telescopic drive unit and closed driver element;
Telescopic drive unit is made up of drive rod I (801) and flexible handle I (802), and closed driver element is made up of drive link (803), driving ring (804), drive rod II (805) and flexible handle II (806);
Described flexible handle I (802) and flexible handle II (806) are arranged on the lower end of mirror body (1), the lower end of described mirror body (1) is also provided with fixed handle (807), and flexible handle I (802) and flexible handle II (806) are all arranged on mirror body (1) by hinge;
Described drive rod I (801) one end and flexible handle I (802) hinged, the other end is hinged with closest to the jointed shaft of telescopic unit two side arms (601) of mirror body (1);
Every root closes bar (701) to be had through hole one end and is all hinged with drive link (803), one end and the closed bar (701) of drive link (803) are hinged, on the hinged driving ring of the other end (804), driving ring (804) is connected with flexible handle II (806) by drive rod II (805).
2. a kind of pusher calyceal calculi stone taking device as claimed in claim 1, it is characterized in that: the intracavity of described epitheca (9) is provided with instrument channel pipe and optical-fibre channel pipe, the rubble bar of rubble assembly is arranged in instrument channel pipe, one end of laser fiber is stretched in the cavity of flexible support body (6), based endoscopic imaging assembly is arranged in optical-fibre channel pipe, and its objective end is arranged on the port of epitheca (9).
3. a kind of pusher calyceal calculi stone taking device as claimed in claim 1, it is characterized in that: the intracavity of described epitheca (9) is also provided with intake tunnel pipe, water inlet (2) on intake tunnel Guan Yujing body (1) is connected, space in epitheca (9) is exhalant canal, and exhalant canal is connected with the outlet valve be arranged on mirror body (1).
4. a kind of pusher calyceal calculi stone taking device as claimed in claim 1, is characterized in that: described closing assembly (7) closes the free-radial copolymering of bar (701) together when off working state.
5. a kind of pusher calyceal calculi stone taking device as claimed in claim 1, it is characterized in that: described based endoscopic imaging assembly also comprises eyepiece (4), light source (5), luminous source optical fiber and imaging and returns optical fiber, eyepiece (4) and light source (5) are separately positioned on mirror body (1), one end that imaging returns optical fiber is connected with eyepiece (4), the other end is connected with object lens through optical-fibre channel pipe, one end of luminous source optical fiber is connected with light source (5), and the other end passes optical-fibre channel pipe and extends to the end of optical-fibre channel pipe.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201310439628.7A CN103431890B (en) | 2013-09-25 | 2013-09-25 | Push type renal calyce calculus removing device |
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CN201310439628.7A CN103431890B (en) | 2013-09-25 | 2013-09-25 | Push type renal calyce calculus removing device |
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CN103431890A CN103431890A (en) | 2013-12-11 |
CN103431890B true CN103431890B (en) | 2015-06-17 |
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CN201310439628.7A Expired - Fee Related CN103431890B (en) | 2013-09-25 | 2013-09-25 | Push type renal calyce calculus removing device |
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Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104473674B (en) * | 2014-12-11 | 2017-03-08 | 武汉浩宏科技有限公司 | Stone crusher in a kind of many power body |
CN110711012B (en) * | 2019-09-20 | 2021-11-05 | 江西理工大学 | Closed ultrasonic composite stone crushing device |
CN115608442B (en) * | 2022-09-30 | 2023-08-18 | 国网山东省电力公司菏泽市定陶区供电公司 | Crushing device for waste electric pole |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101214163A (en) * | 2008-01-21 | 2008-07-09 | 上海市杨浦区中心医院 | Bladder renal pelvis stones extraction lens |
CN201542607U (en) * | 2009-11-27 | 2010-08-11 | 广州宝胆医疗器械科技有限公司 | Improved hard cystic duct microscope |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
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US6875220B2 (en) * | 2002-12-30 | 2005-04-05 | Cybersonics, Inc. | Dual probe |
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Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101214163A (en) * | 2008-01-21 | 2008-07-09 | 上海市杨浦区中心医院 | Bladder renal pelvis stones extraction lens |
CN201542607U (en) * | 2009-11-27 | 2010-08-11 | 广州宝胆医疗器械科技有限公司 | Improved hard cystic duct microscope |
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