CN105251104A - Vibrating device for urethral repair - Google Patents
Vibrating device for urethral repair Download PDFInfo
- Publication number
- CN105251104A CN105251104A CN201510817415.2A CN201510817415A CN105251104A CN 105251104 A CN105251104 A CN 105251104A CN 201510817415 A CN201510817415 A CN 201510817415A CN 105251104 A CN105251104 A CN 105251104A
- Authority
- CN
- China
- Prior art keywords
- bougie
- urethral
- urethra
- vibrating device
- driver
- 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.)
- Pending
Links
- 230000008439 repair process Effects 0.000 title claims abstract description 19
- 210000003708 urethra Anatomy 0.000 claims abstract description 32
- 206010046442 Urethral dilatation Diseases 0.000 claims abstract description 24
- 229910052751 metal Inorganic materials 0.000 claims abstract description 22
- 239000002184 metal Substances 0.000 claims abstract description 22
- WHXSMMKQMYFTQS-UHFFFAOYSA-N Lithium Chemical compound [Li] WHXSMMKQMYFTQS-UHFFFAOYSA-N 0.000 claims abstract description 8
- 229910052744 lithium Inorganic materials 0.000 claims abstract description 8
- 238000005452 bending Methods 0.000 claims description 14
- 230000010355 oscillation Effects 0.000 claims description 4
- 240000009087 Crescentia cujete Species 0.000 claims description 3
- 235000005983 Crescentia cujete Nutrition 0.000 claims description 3
- 235000009797 Lagenaria vulgaris Nutrition 0.000 claims description 3
- 230000008878 coupling Effects 0.000 claims description 3
- 238000010168 coupling process Methods 0.000 claims description 3
- 238000005859 coupling reaction Methods 0.000 claims description 3
- 238000011282 treatment Methods 0.000 abstract description 20
- 230000000694 effects Effects 0.000 abstract description 14
- 206010065584 Urethral stenosis Diseases 0.000 abstract description 10
- 201000001988 urethral stricture Diseases 0.000 abstract description 10
- 238000000034 method Methods 0.000 abstract description 8
- 230000008569 process Effects 0.000 abstract description 7
- 230000007774 longterm Effects 0.000 abstract description 5
- 230000008901 benefit Effects 0.000 abstract description 3
- 238000011866 long-term treatment Methods 0.000 abstract description 2
- 239000000523 sample Substances 0.000 abstract 3
- 208000018672 Dilatation Diseases 0.000 abstract 1
- 230000001225 therapeutic effect Effects 0.000 description 5
- 238000005516 engineering process Methods 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 206010025482 malaise Diseases 0.000 description 3
- 230000002485 urinary effect Effects 0.000 description 3
- 210000002700 urine Anatomy 0.000 description 3
- 208000031481 Pathologic Constriction Diseases 0.000 description 2
- 206010046543 Urinary incontinence Diseases 0.000 description 2
- 230000000916 dilatatory effect Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 206010013990 dysuria Diseases 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 230000036262 stenosis Effects 0.000 description 2
- 208000037804 stenosis Diseases 0.000 description 2
- 230000001954 sterilising effect Effects 0.000 description 2
- CPKVUHPKYQGHMW-UHFFFAOYSA-N 1-ethenylpyrrolidin-2-one;molecular iodine Chemical compound II.C=CN1CCCC1=O CPKVUHPKYQGHMW-UHFFFAOYSA-N 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000019751 Anorectal disease Diseases 0.000 description 1
- 208000035473 Communicable disease Diseases 0.000 description 1
- 208000010228 Erectile Dysfunction Diseases 0.000 description 1
- 206010016717 Fistula Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010020524 Hydronephrosis Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 206010024434 Lichen sclerosus Diseases 0.000 description 1
- 229920000153 Povidone-iodine Polymers 0.000 description 1
- 208000001647 Renal Insufficiency Diseases 0.000 description 1
- 206010038381 Renal atrophy Diseases 0.000 description 1
- 208000026723 Urinary tract disease Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 201000003893 balanitis xerotica obliterans Diseases 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000013872 defecation Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 210000004392 genitalia Anatomy 0.000 description 1
- 206010021093 hypospadias Diseases 0.000 description 1
- 230000000642 iatrogenic effect Effects 0.000 description 1
- 201000001881 impotence Diseases 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 201000006370 kidney failure Diseases 0.000 description 1
- 238000012153 long-term therapy Methods 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000000386 microscopy Methods 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 230000008506 pathogenesis Effects 0.000 description 1
- 210000003899 penis Anatomy 0.000 description 1
- 229960001621 povidone-iodine Drugs 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000036299 sexual function Effects 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
Landscapes
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a vibrating device for urethral repair. The device comprises a metal probe and a machine body. The machine body comprises a shell, a power switch and a strength adjusting switch are installed on the surface of the shell, and a driver, a motor, a lithium battery and a circuit board are arranged in the shell. The lithium battery is used for supplying power to the motor. The circuit board, the power switch and the strength adjusting switch are matched and used for controlling starting and rotation frequency of the motor. The driver is connected with the motor and the metal probe and used for driving the metal probe to vibrate when the motor rotates. The vibrating device has the following advantages that the non-surgical urethral dilatation process is standardized, the treatment effect is guaranteed, automatic operation is achieved, treatment strength is adjusted according to types of patients, the long-term treatment effect of urethral stricture dilatation is improved, and the effect of gradually repairing the urethra is achieved. The learning curve of urethral dilatation is shortened and work efficiency is improved. By means of the device, non-surgical urethral dilatation treatment and repair serve as long-term means so as to achieve the aim of the long-term effect of non-surgical urethral stricture treatment.
Description
Technical field
The present invention relates to medical apparatus and instruments, particularly a kind of urethra repairs vibrating device.
Background technology
Urethral stricture is urinary system commonly encountered diseases, causes primarily of wound, iatrogenic operation (urethral catheterization, Transurethral Operation (TUR), hypospadias shaping postoperative stenosis) and inflammation (comprising balanitis xeroticaobliterans and infectious disease).Urethral stricture has difference because of its degree, scope and evolution, causes following consequence: 1) dysuria, gradually urinates smooth, and urine stream attenuates, and interruption of sometimes urinating, urinates dripping, even can not urinate; 2) urine retention; 3) urinary incontinence; 4) long-term dysuria causes upper uropathy rationality to change, hydronephrosis, renal atrophy, renal insufficiency; 5) sexual function state: can penis erect; 6) anus abnormal defecation.
In this sick male, sickness rate is high, and sickness rate increased along with the age.When male 25 years old, its sickness rate was 1/10000, and to when 65 years old up to 1/1000.
2, current treatment means
Urethral stricture due to its pathogenesis various, need repeatedly, long-term treatment, diagnosis and management mode is various.At present, urethral stricture treatment mainly comprises operative treatment and non-operative treatment two kinds of modes.
2.1 operative treatments are therapeutic modalities that a kind of technical requirement is higher.Preoperative must adequate preparation, operation plan must exact design, must regularly urethral dilatation, just can reach good therapeutic effect with anti-.Postoperative stenosis recurrence, urine fistula formation, sexual impotence, urinary incontinence etc. are more common complication.
2.2 non-operative treatments depend on urethral dilatation, even if the case after operative treatment also should regularly be expanded, prevent again narrow.
No matter be operative treatment or non-operative treatment, patient's urethral stricture easily recurs, and urinary function is not improved, and late result is not good, often needs urethral dilatation repeatedly or long-term urinary diversion, has a strong impact on the quality of life of patient.
3, Problems existing in No operation urethral dilatation treatment
In clinical position, the usual first-selected nonoperative urethral dilatation of Urology Surgery doctor, namely operator uses special bougie to carry out manual regular expansion to urethra, to reach the object improving late result.At present, there is following problem when carrying out urethral dilatation in doctor:
3.1 flow processs are lack of standardization.At present, the operation due to urethral dilatation is all according to the experience of operator oneself and implements the proficiency level that this technology is grasped, and the flow process of specification can be not for reference, causes dilation therapy effect and safety to be difficult to ensure.
3.2 treatment standards and parameter indefinite.Different operator are manually implementing in urethral dilatation process, and wobble frequency is different with amplitude, and treatment intensity is uncontrollable, Long term therapy effect is indefinite, and operational risk is large, and gently then therapeutic effect is very little, heavy then damage urethra, even need repeated multiple times operation may.
3.3 therapeutic efficiencies are low.When carrying out urethral dilatation, operator can only process a patient at every turn, and effectively can not process multidigit patient, each treatment needs cost tens minutes usually, causes efficiency to reduce simultaneously.
Summary of the invention
The present invention is directed to the defect of prior art, provide a kind of urethra and repair vibrating device, effectively can solve above-mentioned prior art Problems existing.
In order to realize above goal of the invention, the technical scheme that the present invention takes is as follows:
A kind of urethra repairs vibrating device, and comprise the metal bougie of leading portion and the fuselage of back segment, described fuselage comprises shell, and case surface is provided with on and off switch and dimmer switches, is provided with driver, motor, lithium battery, circuit board in shell; Described lithium battery is used for feeding electric motors, and described circuit board coordinates startup for controlling motor and rotational frequency with on and off switch and dimmer switches, and described driver connects motor and metal bougie, for the drive metal bougie rotation when electric machine rotation.
As preferably, described metal bougie comprises bougie bending section, bougie main body and bougie handle; Bougie handle and driver removably connect; Metal bougie diameter is 8Fr to 26Fr, and length is 150mm to 260mm;
As preferably, described bougie bending section front end is bending, radian 120 degree, and bending section is about 2cm to 2.5cm, and bougie circle in front end is blunt, slightly thinner than bougie main body, and when being convenient to urethral dilatation, bougie inserts urethra smoothly;
As preferably, bougie main body is the Main Function part of urethral dilatation, under the guiding of bending section, enter urethra, and whole urethra is all issued to expansion effect in the effect of bougie main body, and whole bougie body surfaces is smooth;
As preferably, bougie handle is a flat calabash shaped, and as urethral bougie and the chimeric coupling part of fuselage driver, the two removably connects.
As preferably, frequency of vibration when metal bougie rotates is 2HZ to 4HZ, and Oscillation Amplitude is 20mm to 50mm;
Compared with prior art the invention has the advantages that:
1, specification No operation urethral dilatation flow process, guarantees therapeutic effect.
2, manual operation is changed to micro computer automatic operation, can according to the age of patient, narrow positions, narrow length, the hologathy feelings adjustment for the treatment of intensity (frequency and amplitude) such as injured mechanism, whether existence foundation disease, decrease expansion failure or poor effect that anthropic factor causes, control operational risk.
3, improving current urethral dilatation curative effect holds time short, the present situation of weak effect, improves the late result of urethral stricture expansion, reaches the effect of progressively repairing urethra.
4, shorten the learning curve of urethral dilatation, improve work efficiency.
On the basis reaching emergency processing, by this device using the urethral dilatation of non-operative treatment and repair as long-term means, to reach the late result object of non-operative treatment urethral stricture.
Accompanying drawing explanation
Fig. 1 is the structural representation of the embodiment of the present invention;
Fig. 2 is practical application schematic diagram of the present invention.
Detailed description of the invention
For making object of the present invention, technical scheme and advantage clearly understand, to develop simultaneously embodiment referring to accompanying drawing, the present invention is described in further details.
As shown in Figure 1, a kind of urethra repairs vibrating device, comprises the metal bougie of leading portion and the fuselage of back segment, it is characterized in that: described fuselage comprises shell, case surface is provided with on and off switch and dimmer switches, is provided with driver, motor, lithium battery, circuit board in shell; Described lithium battery is used for feeding electric motors, and described circuit board coordinates startup for controlling motor and rotational frequency with on and off switch and dimmer switches, and described driver connects motor and metal bougie, for the drive metal bougie rotation when electric machine rotation.
Described metal bougie diameter is respectively 8Fr, 10Fr, 12Fr, 14Fr, 16Fr, 18Fr, 20Fr, 22Fr, 24Fr, 26Fr, and length is respectively 150mm, 200mm, 260mm.
Remarks: urethral bougie size count represents with the girth of caliber, is about three times of diameter, usually using legal system unit (Fr) as the unit representing urethral bougie thickness, are three times of diameter (mm).Diameter as the urethral bougie of 18Fr is 6mm.
Urethra prosthetic device is divided into two parts:
Part I is metal bougie, comprises bougie bending section, bougie main body and bougie handle.
First bougie bending section for insert bladder with partial, and this section of front end is bending, radian 120 degree, and bending section is about 2cm, and it is blunt to insert bladder end bougie circle, slightly thinner than bougie main body, and when being convenient to urethral dilatation, bougie inserts urethra smoothly;
Bougie main body is the Main Function part of urethral dilatation, under the guiding of bending section, enter urethra, and whole urethra is all issued to expansion effect in the effect of bougie main body, and whole bougie body surfaces is smooth;
Bougie handle is a flat calabash shaped, as operator's portion of the handle during conventional expansion, convenient operation and judge whether bougie inserts bladder smoothly, when using urethra to repair vibrating device as the coupling part that urethral bougie and prosthetic device driver are fitted together to, the two is demountable.
Part II is that urethra repairs vibrating device, ensures that urethral bougie rule in setpoint frequency, amplitude and time range swings, ensures expansion curative effect to greatest extent, reduce the generation of complication.
Frequency of vibration when described metal bougie rotates is 2HZ to 4HZ, and Oscillation Amplitude is 20mm to 50mm, and time of vibration is 3 to 5 minutes, and above-mentioned frequency of vibration, Oscillation Amplitude, time of vibration need to determine according to the type of patient.
Technical scheme for a better understanding of the present invention, is described in detail practical application step of the present invention below:
S1: urethrography or the clear and definite narrow positions of urethra microscopy, length.According to check result determination urethral dilatation mode, select recovery scenario: bougie size, frequency of vibration, amplitude and time;
S2: with povidone iodine sterilizing operation region (external genitalia and perineal position, emphasis is external orifice of urethra), sterilization is covered with hole towel, and carries out mucous membrane of urethra anesthesia;
S3: according to patient's urethral stricture situation, inserts the metal bougie of urethral dilatation according to number;
S4: be connected with fuselage by urethral bougie, carries out urethra vibration according to the frequency set and amplitude, as shown in Figure 2;
S5: after urethra repairs vibrating device closedown, disconnects the connection with urethral dilating sound, exits urethral dilating sound according to urethra is out of shape.
S6: check with or without hemorrhage, end operation.
Needs of patients carrying out the urethra reparation of an above-mentioned steps 2 to 3 weeks, until repair successfully.
Those of ordinary skill in the art will appreciate that, embodiment described here is to help reader understanding's implementation method of the present invention, should be understood to that protection scope of the present invention is not limited to so special statement and embodiment.Those of ordinary skill in the art can make various other various concrete distortion and combination of not departing from essence of the present invention according to these technology enlightenment disclosed by the invention, and these distortion and combination are still in protection scope of the present invention.
Claims (6)
1. a urethra repairs vibrating device, comprise the metal bougie of leading portion, it is characterized in that: the fuselage also comprising back segment, described fuselage comprises shell, case surface is provided with on and off switch and dimmer switches, is provided with driver, motor, lithium battery, circuit board in shell; Described lithium battery is used for feeding electric motors, and described circuit board coordinates startup for controlling motor and rotational frequency with on and off switch and dimmer switches, and described driver connects motor and metal bougie, for the drive metal bougie rotation when electric machine rotation.
2. a kind of urethra according to claim 1 repairs vibrating device, it is characterized in that: described metal bougie comprises bougie bending section, bougie main body and bougie handle; Bougie handle and driver removably connect; Metal bougie diameter is 8Fr to 26Fr, and length is 150mm to 260mm.
3. a kind of urethra according to claim 2 repairs vibrating device, it is characterized in that: described bougie bending section front end is bending, radian 120 degree, bending section is about 2cm to 2.5cm, bougie circle in front end is blunt, slightly thinner than bougie main body, and when being convenient to urethral dilatation, bougie inserts urethra smoothly.
4. a kind of urethra according to claim 3 repairs vibrating device, it is characterized in that: described bougie main body is the Main Function part for urethral dilatation, and whole bougie body surfaces is smooth.
5. a kind of urethra according to claim 4 repairs vibrating device, it is characterized in that: described bougie handle is a flat calabash shaped, and as the coupling part that urethral bougie and fuselage driver are fitted together to, driver removably connects with the two.
6. a kind of urethra according to claim 5 repairs vibrating device, it is characterized in that: frequency of vibration when metal bougie rotates is 2HZ to 4HZ, and Oscillation Amplitude is 20mm to 50mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510817415.2A CN105251104A (en) | 2015-11-20 | 2015-11-20 | Vibrating device for urethral repair |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510817415.2A CN105251104A (en) | 2015-11-20 | 2015-11-20 | Vibrating device for urethral repair |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105251104A true CN105251104A (en) | 2016-01-20 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510817415.2A Pending CN105251104A (en) | 2015-11-20 | 2015-11-20 | Vibrating device for urethral repair |
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| Country | Link |
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| CN (1) | CN105251104A (en) |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4911149A (en) * | 1984-06-18 | 1990-03-27 | Urological Instruments Research, Inc. | Vibratory treatment method and apparatus |
| CN2140715Y (en) * | 1992-11-30 | 1993-08-25 | 李栋 | Rotary cutter for use in urethratresia |
| CN201308707Y (en) * | 2008-12-03 | 2009-09-16 | 中国人民解放军第三军医大学 | Urethra dilator |
| CN101690837A (en) * | 2009-09-29 | 2010-04-07 | 中国人民解放军第三军医大学第一附属医院 | multifunctional catheter |
| CN103889299A (en) * | 2011-07-27 | 2014-06-25 | 奥林巴斯内镜科技美国公司 | Rotate-to-advance catheterization system |
| CN205127094U (en) * | 2015-11-20 | 2016-04-06 | 金涛 | Vibrating device is restoreed to urethra |
-
2015
- 2015-11-20 CN CN201510817415.2A patent/CN105251104A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4911149A (en) * | 1984-06-18 | 1990-03-27 | Urological Instruments Research, Inc. | Vibratory treatment method and apparatus |
| CN2140715Y (en) * | 1992-11-30 | 1993-08-25 | 李栋 | Rotary cutter for use in urethratresia |
| CN201308707Y (en) * | 2008-12-03 | 2009-09-16 | 中国人民解放军第三军医大学 | Urethra dilator |
| CN101690837A (en) * | 2009-09-29 | 2010-04-07 | 中国人民解放军第三军医大学第一附属医院 | multifunctional catheter |
| CN103889299A (en) * | 2011-07-27 | 2014-06-25 | 奥林巴斯内镜科技美国公司 | Rotate-to-advance catheterization system |
| CN205127094U (en) * | 2015-11-20 | 2016-04-06 | 金涛 | Vibrating device is restoreed to urethra |
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Effective date of registration: 20170207 Address after: 610041 Wuhou District, Chengdu, China, No. Guoxue lane, No. 37 Applicant after: West China Hospital of Sichuan University Address before: 610047 Sichuan city of Chengdu province Wuhou District Shuangnan confidence No. 8 North Street Huayi two 8 Building 3 unit 603 Applicant before: Jin Tao |
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Application publication date: 20160120 |