CN105167737B - A kind of correcting device for correcting combination type Flexible ureteroscope surgical field of view - Google Patents

A kind of correcting device for correcting combination type Flexible ureteroscope surgical field of view Download PDF

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Publication number
CN105167737B
CN105167737B CN201510540341.2A CN201510540341A CN105167737B CN 105167737 B CN105167737 B CN 105167737B CN 201510540341 A CN201510540341 A CN 201510540341A CN 105167737 B CN105167737 B CN 105167737B
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district
kidney
indicate
indicates
correcting
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CN105167737A (en
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徐彦
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Jiangsu Provincial Hospital of Chinese Medicine
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Jiangsu Provincial Hospital of Chinese Medicine
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Abstract

The invention discloses a kind of correcting device for correcting combination type Flexible ureteroscope surgical field of view, it is a flat board being centrosymmetric, its surface configuration has with the central point of flat board as summit, indicates a district, right kidney to indicate 2nd district, left kidney to indicate a district and left kidney to indicate 2nd district in fan-shaped right kidney, wherein, right kidney indicates a district and 2nd district to be centrosymmetric, left kidney indicates a district and 2nd district to be centrosymmetric, right kidney indicates the base in a district to be 30 ° of angles with the horizontal line of plate center excessively, and another side is 50 ° of angles clockwise with horizontal line;Right kidney indicates a district and left kidney to indicate 2nd district about horizontal line axisymmetricly.The present invention has rebuild surgical field of view feature and the relatedness of upper, middle and lower small cup distribution arrangement in the direction of motion of soft lens end, kidney of soft lens, improve the visual field characteristic of combined lens, reach the visual field operative association similar with integral type Flexible ureteroscope, reduce operation easier, shorten learning curve.

Description

A kind of correcting device for correcting combination type Flexible ureteroscope surgical field of view
Technical field
The present invention relates to medical apparatus, be specifically related to a kind of correcting device for correcting combination type Flexible ureteroscope surgical field of view and application thereof.
Background technology
When using the operation of combination type Flexible ureteroscope, compared to its operation easier of integral type Flexible ureteroscope is big and learning curve is long.Tracing it to its cause, the surgical field of view feature of combination type Flexible ureteroscope is the most relevant with the relatedness of upper, middle and lower small cup distribution arrangement in the direction of motion of soft lens end, kidney.During operator operation integral type Flexible ureteroscope operation, operator needs to reverse the joystick of soft lens according to operation, mirror body and most advanced and sophisticated object lens can rotate, imaging CCD (or the photographic head connected with eyepiece) the also synchronous axial system being now fixed in soft lens, then show that the scenes such as renal calices in the visual field, renal papillae, calculus synchronize to rotate, and laser fiber occurs (such as Olympus URF-V all the time on fixing position, the visual field, no matter operator how rotating operation handle, laser fiber occurs in the 9 o'clock direction in the visual field all the time);Simultaneously during soft lens bent at its tip: be bent upwards 12 direction deflections in the visual field in display the most all the time, 6 direction deflections in the visual field in display the most all the time when being bent downwardly, such visual field feature is not rotated by soft lens and is affected.During operation, when patient reverses the joystick of soft lens, when making soft lens bent at its tip plane of movement overlap with kidney coronalplane (renal calices distribution plane), in display, 12 directions in the visual field are small cup direction, 6 directions are inferior calyx direction, operation soft lens bending, pointed end bending i.e. soft lens entrance inferior calyx direction, simultaneously the visual field in display 6 o'clock direction move.Thus the display process of each small cup in upper, middle and lower in the process that bends under upper phase of soft lens i.e. the visual field.In this mirror downward view direction and soft lens bending direction and kidney, dependency between upper, middle and lower small cup distribution arrangement three is more beneficial for operator by shorter learning process, grasps this technology.
And the optics of combination type Flexible ureteroscope is constituted when causing soft lens pointed end bend and is not secured to the direction deflection of 6 o'clock of the visual field, but rotating with soft lens and change, the position of the instrument appearance such as surgical field of view inner fiber simultaneously is not fixed.In this mirror downward view direction and soft lens bending direction and kidney, the independence between upper, middle and lower small cup distribution arrangement three causes abecedarian's operator to take longer for grasping the operation of combined lens.
Summary of the invention
Goal of the invention: for solving problems of the prior art, the present invention provides a kind of correcting device for correcting combination type Flexible ureteroscope surgical field of view.
The present invention also to solve the technical problem that the application being to provide above-mentioned correcting device.
Technical scheme: for realizing above-mentioned technical purpose, what the present invention proposed is a flat board being centrosymmetric for correcting the correcting device of combination type Flexible ureteroscope surgical field of view, described planar surface is provided with the central point of flat board as summit, a district is indicated in fan-shaped right kidney, right kidney indicates 2nd district, left kidney indicates a district and left kidney to indicate 2nd district, wherein, right kidney indicates a district and right kidney to indicate 2nd district to be centrosymmetric, left kidney indicates a district and left kidney to indicate 2nd district to be centrosymmetric, described right kidney indicates the base in a district to be 30 ° of angles with the horizontal line of plate center excessively, another side is 50 ° of angles clockwise with described horizontal line;Described right kidney indicates a district and described left kidney to indicate 2nd district about described horizontal line axisymmetricly, and described right kidney indicates a district, right kidney to indicate 2nd district, left kidney to indicate a district to indicate the color in 2nd district different from the color in other regions of flat board with left kidney.
Preferably, described right kidney indicates a district to indicate the color in 2nd district identical with right kidney, and described left kidney indicates a district to indicate the color in 2nd district identical with left kidney.
It is highly preferred that described right kidney indicates a district and right kidney to indicate the color in 2nd district for red, described left kidney indicates a district and left kidney to indicate the color in 2nd district for green, and the color in other regions of flat board is white or Lycoperdon polymorphum Vitt.By arranging light colour and dark-coloured difference, can be user-friendly for distinguishing.
Described flat board is the flat board or the scraps of paper being made up of plastic material.
The overall rounded or polygon of described flat board.
In one embodiment, operating for convenience of user, the described flat board back side is provided with folding handle, and one end of described handle is positioned at the center of flat board, and the other end is free end.
Present invention further proposes the application in correcting combination type Flexible ureteroscope surgical field of view of the above-mentioned correcting device.
During correcting combination type Flexible ureteroscope surgical field of view, comprise the steps:
During assembling split mirror, adjust soft lens handle fixed screw by operation side kidney in advance so that handle soft lens plane of bending when vertical position overlaps with renal calices distribution plane:
nullWhen being right kidney for operation side kidney,Correct as follows: unclamp soft lens handle fixed screw,Rotating soft lens mirror body makes handle when vertical position,Soft lens bending is pulled to control bracelet soft lens tip kidney lateral bend to the right,And plane of bending and coronalplane angulation 30~50 °,Now soft lens plane of bending overlaps with right kidney coronalplane substantially,I.e. overlap with renal calices distribution plane,Relock handle fixed screw,Regulation white balance and to real focus after,Use correcting device,By soft lens end field alignment adjustable plate center,Bending soft lens end,Its plane of bending visible is positioned at the right kidney of correcting device and indicates a district and right kidney to indicate 2nd district,The eyepiece photographic head being now rotationally connected with on fixed support,The right kidney in the soft lens visual field is made to indicate a district and right kidney to indicate 2nd district to be positioned at the lengthwise position of 12 o'clock to 6 o'clock in the display visual field,Under this state, the upper-lower position in the display visual field is consistent with soft lens bending direction,It is the most reclinate direction of soft lens;Soft lens is after UAS sheath is inserted in kidney, keep the vertical position of handle and pull soft lens bending to control bracelet, soft lens is most advanced and sophisticated to be bent to inferior calyx direction along renal calices distribution plane by upper small cup, and presents top-down motion in the display, and visual field feature is completely the same with integrated mirror;
nullWhen being left kidney for operation side kidney,Correct as follows: unclamp soft lens handle fixed screw,Rotating soft lens mirror body makes handle when vertical position,Soft lens bending is pulled to control bracelet soft lens tip kidney lateral bend to the left,And plane of bending and coronalplane angulation 30~50 °,Now soft lens plane of bending overlaps with left kidney coronalplane substantially,I.e. overlap with renal calices distribution plane,Relock handle fixed screw,Regulation white balance and to real focus after,Use correcting device,By soft lens end field alignment adjustable plate center,Bending soft lens end,Its plane of bending visible is positioned at the left kidney of correcting device and indicates a district and left kidney to indicate 2nd district,The eyepiece photographic head being now rotationally connected with on fixed support,The left kidney in the soft lens visual field is made to indicate a district and left kidney to indicate 2nd district to be positioned at the lengthwise position of 12 o'clock to 6 o'clock in the display visual field,Under this state, the upper-lower position in the display visual field is consistent with soft lens bending direction,It is the most reclinate direction of soft lens;Soft lens, after UAS sheath is inserted in kidney, keeps the vertical position of handle and pulls soft lens bending to control bracelet, and soft lens is most advanced and sophisticated to be bent to inferior calyx direction along renal calices distribution plane by upper small cup, and presents top-down motion in the display, and visual field feature is completely the same with integrated mirror
Beneficial effect: compared with prior art, the present invention is reasonable in design, the correcting device of the present invention has rebuild surgical field of view feature and the relatedness of upper, middle and lower small cup distribution arrangement in the direction of motion of soft lens end, kidney of combination type Flexible ureteroscope, improve the visual field characteristic of combined lens, before surgery according to this correcting device equipment adjustment combined lens, reach the visual field-operative association similar with integral type Flexible ureteroscope, reduce operation easier, shorten learning curve.
Accompanying drawing explanation
Fig. 1 is the overall structure schematic diagram of the present invention, and wherein, in figure, each label represents that corresponding component names is as follows: the right kidney of 1-indicates a district;The right kidney of 2-indicates 2nd district;The left kidney of 3-indicates a district;The left kidney of 4-indicates 2nd district;
Fig. 2 is the schematic diagram that flat panel contours is octagon as the present invention.
Detailed description of the invention
The present invention is described in detail below by specific embodiment.
In the present embodiment, correcting device is the plectane using plastic plate to make, wherein, as shown in Figure 1, being provided with right kidney on the front of this plectane indicates a district 1, right kidney to indicate two districts 2, left kidney to indicate a district 3 and left kidney to indicate two districts 4, and wherein, right kidney indicates a district 1 and right kidney to indicate the surface in two districts 2 for red, left kidney indicates a district 3 and left kidney to indicate the surface in two districts 4 for green, and plectane remainder is white.Be provided with folding handle (not shown) at the back side of plectane, one end of this handle is fixed on the center of plectane collapsibly.Wherein, right kidney indicates a district 1 and right kidney to indicate two districts 2 to be centrosymmetric, left kidney indicates a district 3 and left kidney to indicate two districts 4 to be centrosymmetric, and described right kidney indicates the base in a district 1 to be 30 ° of angles with the horizontal line of plate center excessively, and another side is 50 ° of angles clockwise with described horizontal line;Right kidney indicates a district 1 to indicate two districts 4 about described horizontal line axisymmetricly with left kidney.
The profile of correcting device can need to select, as being octagon, as shown in Figure 2 according to client.
The using method of the correcting device of the present invention is as follows:
During assembling split mirror, adjust soft lens handle fixed screw by operation side kidney in advance so that handle soft lens plane of bending when vertical position overlaps with renal calices distribution plane:
nullSpecifically,When being right kidney for operation side kidney,Unclamp soft lens handle fixed screw,Rotating soft lens mirror body makes handle when vertical position,Soft lens bending is pulled to control bracelet soft lens tip kidney lateral bend to the right,And plane of bending and coronalplane angulation 30~50 °,Now soft lens plane of bending overlaps with right kidney coronalplane substantially,I.e. overlap with renal calices distribution plane,Relock handle fixed screw,Regulation white balance and to real focus after,Use correcting device,By soft lens end field alignment adjustable plate center,Bending soft lens end,Its plane of bending visible is positioned at the right kidney of correcting device and indicates a district and right kidney to indicate 2nd district,The eyepiece photographic head being now rotationally connected with on fixed support,The right kidney in the soft lens visual field is made to indicate a district and right kidney to indicate 2nd district to be positioned at the lengthwise position of 12 o'clock to 6 o'clock in the display visual field,Under this state, the upper-lower position in the display visual field is consistent with soft lens bending direction,It is the most reclinate direction of soft lens;Soft lens, after UAS sheath is inserted in kidney, keeps the vertical position of handle and pulls soft lens bending to control bracelet, and soft lens is most advanced and sophisticated to be bent to inferior calyx direction along renal calices distribution plane by upper small cup, and presents top-down motion in the display, and visual field feature is completely the same with integrated mirror;
nullWhen being left kidney for operation side kidney,Unclamp soft lens handle fixed screw,Rotating soft lens mirror body makes handle when vertical position,Soft lens bending is pulled to control bracelet soft lens tip kidney lateral bend to the left,And plane of bending and coronalplane angulation 30~50 °,Now soft lens plane of bending overlaps with left kidney coronalplane substantially,I.e. overlap with renal calices distribution plane,Relock handle fixed screw,Regulation white balance and to real focus after,Use correcting device,By soft lens end field alignment adjustable plate center,Bending soft lens end,Its plane of bending visible is positioned at the left kidney of correcting device and indicates a district and left kidney to indicate 2nd district,The eyepiece photographic head being now rotationally connected with on fixed support,The left kidney in the soft lens visual field is made to indicate a district and left kidney to indicate 2nd district to be positioned at the lengthwise position of 12 o'clock to 6 o'clock in the display visual field,Under this state, the upper-lower position in the display visual field is consistent with soft lens bending direction,It is the most reclinate direction of soft lens;Soft lens is after UAS sheath is inserted in kidney, keep the vertical position of handle and pull soft lens bending to control bracelet, soft lens is most advanced and sophisticated to be bent to inferior calyx direction along renal calices distribution plane by upper small cup, and present top-down motion in the display, visual field feature is completely the same with integrated mirror, the regularity shown is conducive to operator summing up experience, shortens learning time.

Claims (6)

1. the correcting device being used for correcting combination type Flexible ureteroscope surgical field of view, it is characterised in that institute The correcting device stated is a flat board being centrosymmetric, and described planar surface is provided with the central point of flat board for top Point, a district, right kidney is indicated to indicate 2nd district, left kidney to indicate a district and left kidney to indicate 2nd district in fan-shaped right kidney, its In, right kidney indicates a district and right kidney to indicate 2nd district to be centrosymmetric, left kidney indicate a district and left kidney indicate 2nd district in Centrosymmetry, described right kidney indicates the base in a district to be 30 ° of angles with the horizontal line of plate center excessively, another Limit is 50 ° of angles clockwise with described horizontal line;Described left kidney indicates a side position in a district In along described horizontal line;Described right kidney indicates a district and described left kidney to indicate 2nd district to be axle pair about described horizontal line Claim, described right kidney indicate a district, right kidney indicate 2nd district, left kidney indicate a district and left kidney indicate the color in 2nd district with The color in other regions of flat board is different.
Correcting device for correcting combination type Flexible ureteroscope surgical field of view the most according to claim 1, It is characterized in that, described right kidney indicates a district to indicate the color in 2nd district identical with right kidney, described left kidney instruction one District indicates the color in 2nd district identical with left kidney.
Correcting device for correcting combination type Flexible ureteroscope surgical field of view the most according to claim 1, It is characterized in that, described right kidney indicates a district and right kidney to indicate the color in 2nd district for red, and described left kidney indicates one District and left kidney indicate the color in 2nd district to be green, and the color in other regions of flat board is white or Lycoperdon polymorphum Vitt.
Correcting device for correcting combination type Flexible ureteroscope surgical field of view the most according to claim 1, It is characterized in that, described flat board is the flat board or the scraps of paper being made up of plastic material.
Correcting device for correcting combination type Flexible ureteroscope surgical field of view the most according to claim 1, It is characterized in that, the overall rounded or polygon of described flat board.
Correcting device for correcting combination type Flexible ureteroscope surgical field of view the most according to claim 1, It is characterized in that, the described flat board back side is provided with folding handle, and one end of described handle is positioned at flat board Center, the other end is free end.
CN201510540341.2A 2015-08-28 2015-08-28 A kind of correcting device for correcting combination type Flexible ureteroscope surgical field of view Expired - Fee Related CN105167737B (en)

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CN204909378U (en) * 2015-08-28 2015-12-30 江苏省中医院 A correct device for correcting combination formula ureter soft lens operation field of vision

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