CN106901832A - A kind of Bladder stone TURP system for precisely treatment sinus - Google Patents
A kind of Bladder stone TURP system for precisely treatment sinus Download PDFInfo
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- CN106901832A CN106901832A CN201710247344.6A CN201710247344A CN106901832A CN 106901832 A CN106901832 A CN 106901832A CN 201710247344 A CN201710247344 A CN 201710247344A CN 106901832 A CN106901832 A CN 106901832A
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- 208000006568 Urinary Bladder Calculi Diseases 0.000 title claims abstract description 45
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/201—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser with beam delivery through a hollow tube, e.g. forming an articulated arm ; Hand-pieces therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00607—Coagulation and cutting with the same instrument
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B2018/2015—Miscellaneous features
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/002—Irrigation
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- Health & Medical Sciences (AREA)
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- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Electromagnetism (AREA)
- Optics & Photonics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Otolaryngology (AREA)
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- General Health & Medical Sciences (AREA)
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Abstract
The present invention relates to a kind of Bladder stone TURP system for precisely treatment sinus, described Bladder stone TURP system includes endoscope, wire guide, Bladder stone equipment, TURP equipment, hydraulic pressure rinse-system in expander, microlaser cavity；Described expander includes handle, connecting rod, expansion head；Endoscope includes mirror sheath, hydraulic pressure rinse-system, mirror sheath seat in described microlaser cavity；Instrument channel, intake tunnel, exhalant canal, cold light source channels are provided with inside the mirror sheath；Described hydraulic pressure rinse-system includes adapter sleeve, water inlet pipe, outlet pipe.Its advantage shows：Unsound fibrous scar tissue on lower accurate cutting sinus wall can be looked at straight; also farthest protect the health tissues around sinus while precisely treatment is carried out sinus; accurate, the minimally-invasive treatment of sinus are veritably accomplished; using simple to operate easy to learn; performed the operation in the case where hysteroscope amplifies visualized operation; be conducive to clinic to be widely popularized, allow popular benefited.
Description
Technical field
It is a kind of Bladder stone electricity for precisely treatment sinus specifically the present invention relates to technical field of medical instruments
Cutting system.
Background technology
Sinus (sinus) be caused due to the reason such as foreign matter or tissue infection, necrosis with the abnormal passage of body surface, its
Passage is often in straight trip, curved row and branch-like.Because persistently chronic tissue infection and fester secrete not smooth, surrounding soft tissue is caused
Cause stress reaction, sinus wall fibrous scar hyperplasia, surrounding skin tissue often can be rotten to the corn, and wound protracted course of disease is closed.Conditions of patients
Migration can further result in that again spirit, psychology because change, autonomic nervous dysfunction is caused indirectly, cause Hypothalamus-pituitary-
Intervention changes and the Spirit nerve symptoms of disease such as cause insomnia, anxiety, depression.
At present medically for sinus also without particularly preferred method and measure.The method of traditional treatment sinus is row sinus
Surrounding tissue expanded resection, or rule of thumb scraped with spatula row sinus is blind.Conventional therapy although have cure sinus can
Can, but drawback is apparent.Traditional operation is in order to be able to thoroughly cut off sinus first, it is to avoid postoperative recurrence is, it is necessary to large stretch of excision should
Normal structure (including nerve, muscle, connective tissue) around the sinus of reservation.Sinus week cutting tissue mistake during due to operation
Greatly, excessively, the operation scar that Post operation leaves often brings the wound of larger physiology and psychology to patient, secondly as traditional
Operation lacks the theory of precisely treatment, and thoroughly excision is pursued simply, causes the normal structure that should retain excessively to be cut off,
The particularly excision of the ligament of nerve, muscle and periarticular, it is excessive that these defects organized often result in wound defect, it is difficult to
Primary suture, even if suture reluctantly, excessive otch tension force can often split because of cough when abdominal distension, and nerve, muscle, ligament
Defect affected part when often resulting in chronic ache, body surface morphologic change, or joint moving obstacle.Rule of thumb with scraping
Row sinus is blind just becomes apparent from the drawbacks of scrape for spoon, is only applicable to the shallow wound of sinus table, and radical cure probability is low, and therapeutic effect is poor.
Chinese patent literature CN201520915024.X, applying date 2015.11.16, patent name is：One kind is for closing
The therapeutic equipment of sinus internal orifice, discloses a kind of therapeutic equipment for closing sinus internal orifice, including：One digestive endoscopy, one is socketed in
The sleeve pipe of the digestive endoscopy end and the set bundling device of described sleeve pipe termination outer wall is arranged on, described sleeve pipe tip bend.
The utility model further relates to a kind of therapeutic equipment for closing sinus internal orifice, including：One digestive endoscopy, one is socketed in the digestion
The sleeve pipe of scope end and the set bundling device of described sleeve pipe termination outer wall is arranged on, described sleeve pipe is straight tube and its end port
It is horn mouth.
Above-mentioned patent document is enough to carry out minimally-invasive treatment by digestive endoscopy, and patient suffering is small, can repeat operation, behaviour
Patient's course of disease can substantially be shortened after making successfully, mitigate patient suffering and financial burden.However, patent document can only be for right
Sinus internal orifice is closed, it is impossible to be enlarged excision to the tissue around sinus.
In sum, it is necessary to one kind can look at unsound fibrous scar tissue on lower accurate cutting sinus wall straight, can
The clear of open country is spied in ensureing, the slough that operation can be cut down again is timely developed from sinus, to sinus
Also the health tissues around sinus are farthest protected while carrying out precisely treatment, has veritably accomplished the essence of sinus
The Bladder stone TURP system for precisely treatment sinus of accurate, minimally-invasive treatment.And it is current also not on this laser TURP system
Appear in the newspapers.
The content of the invention
The purpose of the present invention is directed to deficiency of the prior art, there is provided one kind can be looked at straight on lower accurate cutting sinus wall
Unsound fibrous scar tissue, both can guarantee that it is interior spy on open country it is clear, the slough that operation can be cut down again is timely
Developed from sinus, carry out sinus also farthest protect around sinus while precisely treatment healthy group
Knit, veritably accomplished accurate, minimally-invasive treatment the Bladder stone TURP system for precisely treatment sinus of sinus.
To achieve the above object, the present invention is adopted the technical scheme that：
A kind of Bladder stone TURP system for precisely treatment sinus, described Bladder stone TURP system include expander,
Endoscope, wire guide, Bladder stone equipment, TURP equipment, hydraulic pressure rinse-system in microlaser cavity；Described expander includes hand
Handle, connecting rod, expansion head；Described connecting rod one end is connected with handle, and the connecting rod other end is set up by screw thread with expansion head and connected
Connect；The wire guide is provided with pitch；What the expander was made up of stainless steel metal；Endoscope bag in described microlaser cavity
Include mirror sheath, hydraulic pressure rinse-system, mirror sheath seat；Described mirror sheath near-end is located on mirror sheath seat, and apparatus is provided with inside the mirror sheath
Passage, intake tunnel, exhalant canal, cold light source channels；Described instrument channel, intake tunnel, exhalant canal, cold light source channels
Communicated with the external world in the distal end of mirror sheath；The instrument channel matches with wire guide, Bladder stone equipment, TURP equipment；Institute
The hydraulic pressure rinse-system stated includes adapter sleeve, water inlet pipe, outlet pipe；Described adapter sleeve is fixed on mirror sheath outer peripheral face；It is described
Water inlet pipe and outlet pipe are fixed on the both sides of adapter sleeve, the near-end of the intake tunnel on the internal cavities and mirror sheath of the water inlet pipe
Communicate, the internal cavities of the outlet pipe are communicated with the near-end of the exhalant canal on mirror sheath；Described mirror sheath seat is provided with cold light source
Joint and eyepiece；The cold light source joint is set up with cold light source and is connected；Light guide bundles, light guide bundles warp are provided with the cold light source joint
Cold light source channels extend into the distal end of mirror sheath, and the distal end of light guide bundles is provided with concavees lens；In the eyepiece and cold light source channels
Fiber image guide bundles is communicated.
As a kind of perferred technical scheme, the expansion head is oval or spherical or semicircle.
As a kind of perferred technical scheme, the outer peripheral face of described handle is provided with striped.
As a kind of perferred technical scheme, the wire guide is by by nickel, the shape-memory material such as alloy is made by the emperor himself.
As a kind of perferred technical scheme, described wire guide length is 30cm.
As a kind of perferred technical scheme, a diameter of 4F of the instrument channel.
As a kind of perferred technical scheme, the Bladder stone equipment is Bladder stone optical fiber；The TURP equipment for wait from
Sub- bipolar electrode.
As a kind of perferred technical scheme, described expansion head size is diameter 2F to 12F.
The invention has the advantages that：
1st, a kind of Bladder stone TURP system for precisely treatment sinus of the invention, can look at lower accurate cutting sinus straight
Unsound fibrous scar tissue on wall, both can guarantee that interior clear, the slough that operation can be cut down again for spying on open country
Timely developed from sinus, also farthest protected while carrying out sinus precisely treatment strong around sinus
Health tissue, has veritably accomplished accurate, the minimally-invasive treatment of sinus, and precisely treatment and the perfect adaptation of modern minimal invasive surgery, use
It is simple to operate easy to learn, performed the operation in the case where hysteroscope amplifies visualized operation, few with operative hemorrhage, operating time is short, cure rate
Height, the advantages of post-operative recovery is fast.And it is easy to learn to perform the operation, be conducive to clinic to be widely popularized, allow popular benefited；
2nd, be provided with expander, expand head shape be designed as it is oval, spherical, semicircle etc., according to tool sinus form
Selection, can be expanded for different sinus forms；
3rd, expansion head and connecting rod are detachably connected by screw thread, can conveniently be replaced and be sterilized, and reduce manufacturing cost；
4th, handle is provided with striped, for increasing frictional force, convenient operation；
5th, wire guide is made up of nickel shape-memory materials such as alloy of admiring, diameter about 2.7F so that wire guide is multiple
Remain to keep preferably reset condition after bending, reduce when wire guide is walked or the when of extraction resistance, reduce to sinus tissue
The contusion oozing of blood produced during colleague；
6th, wire guide is provided with multiple decreasing worm-pitch, with length mark effect, can be detected through wire guide when using
Sinus depth, obtains the length to sinus, and form is according to a preliminary estimate；
7th, be provided with hydraulic pressure rinse-system, both can guarantee that it is interior spy on the clear of open country, visual field interference when reducing operation, and can handle
The slough that surgical cut is got off timely is developed from sinus；In addition, what water inlet pipe and outlet pipe were separate from,
The drainage speed in operation can be accelerated, continuous water circulation is formed.
8th, eyepiece and cold light source joint etc. are provided with, unsound fibrous scar group on lower accurate cutting sinus wall can be looked at straight
Knit, visualize, the cutting and hemostasis accurately organized.Camera lens in operation can be operated with side, and side shooting, image can be stored up
Deposit, for being explained to family numbers of patients, or given lessons to student.
Brief description of the drawings
Accompanying drawing 1 is a kind of Bladder stone TURP system architecture diagram for precisely treatment sinus of the invention.
Accompanying drawing 2 is expander structural representation of the invention.
Accompanying drawing 3 is wire guide structural representation.
Accompanying drawing 4 is endoscope structure schematic diagram in microlaser cavity of the invention.
Accompanying drawing 5 is the H-H directional profile schematic diagrames of Fig. 4.
Accompanying drawing 6 is the K-K directional profile schematic diagrames of Fig. 5.
Accompanying drawing 7 is the A of Fig. 4 to structural representation.
Accompanying drawing 8 is the first the plasma bipolar electrode configurations schematic diagram in TURP system of the invention.
Accompanying drawing 9 is second plasma bipolar electrode configurations schematic diagram in TURP system of the invention.
Accompanying drawing 10 is the third plasma bipolar electrode configurations schematic diagram in TURP system of the invention.
Accompanying drawing 11 is the 4th kind of plasma bipolar electrode configurations schematic diagram in TURP system of the invention.
Specific embodiment
The specific embodiment that the present invention is provided is elaborated below in conjunction with the accompanying drawings.
The reference and part being related in accompanying drawing are as follows：
1. the handle of expander 11.
12. connecting rod 13. expands head
Endoscope in the microlaser cavity of 14. striped 2.
The intake tunnel of 21. mirror sheath 211.
The cold light source channels of 212. exhalant canal 213.
The hydraulic pressure rinse-system of 214. instrument channel 22.
The outlet pipe of 221. water inlet pipe 222.
The mirror sheath of 223. adapter sleeve 23. seat
The eyepiece of 231. cold light source joint 232.
3. the TURP equipment of Bladder stone equipment 4.
5. wire guide
For the ease of the clearer whole technical scheme of description, below description has used term " near-end " and " distal end ", its
In " near-end " insert internal one end for apparatus, " distal end " is one end of staff operation.
Fig. 1 is refer to, Fig. 1 is a kind of Bladder stone TURP system architecture diagram for precisely treatment sinus of the invention.
A kind of Bladder stone TURP system for precisely treatment sinus, described Bladder stone TURP system is included in expander 1, microlaser cavity
Endoscope 2, wire guide 5, Bladder stone equipment 3, TURP equipment 4, hydraulic pressure rinse-system 22.
Fig. 2 is refer to, Fig. 2 is the structural representation of expander of the invention 1.The expander 1 is made up of stainless steel metal
's；Described expander 1 includes handle 11, connecting rod 12, expansion first 13；The one end of the connecting rod 12 is connected with handle 11, even
The other end of extension bar 12 is set up by screw thread with expansion first 13 and is connected；The expansion first 13 can be oval, spherical, semicircle；Institute
The outer peripheral face of the handle 11 stated is provided with striped 14.
Fig. 3 is refer to, Fig. 3 is the structural representation of wire guide 5.The wire guide 5 is that the shape such as alloy is remembered by the emperor himself by nickel
Recall material to be made；The length 20-40cm of the wire guide 5, the preferably length of wire guide 5 are 30cm；On the wire guide 5
It is provided with multiple decreasing worm-pitch.
Fig. 4-Fig. 7 is refer to, Fig. 4 is the structural representation of endoscope 2 in microlaser cavity of the invention.Fig. 5 is the H-H side of Fig. 4
To generalized section.Fig. 6 is the K-K directional profile schematic diagrames of Fig. 5.Fig. 7 is the A of Fig. 4 to structural representation.Described microlaser cavity
Interior endoscope 2 includes mirror sheath 21, hydraulic pressure rinse-system 22, mirror sheath seat 23；Endoscope 2 is about 40cm in described microlaser cavity, its
The diameter about 8F of middle mirror sheath 21；The described near-end of mirror sheath 21 is located on mirror sheath seat 23, apparatus is provided with inside the mirror sheath 21 and is led to
Road 214, intake tunnel 211, exhalant canal 212, cold light source channels 213；Described instrument channel 214, intake tunnel 211, go out
Aquaporin 212, cold light source channels 213 are communicated in the distal end of mirror sheath 21 with the external world；
A diameter of 4F of the instrument channel 214, the instrument channel 214 and wire guide 5, Bladder stone equipment 3, TURP
Equipment 4 matches.Such as Bladder stone optical fiber and curved cutter.
Described hydraulic pressure rinse-system 22 includes adapter sleeve 223, water inlet pipe 221, outlet pipe 222；Described adapter sleeve 223
It is fixed on the outer peripheral face of mirror sheath 21；The water inlet pipe 221 and outlet pipe 222 are fixed on the both sides of adapter sleeve 223, the water inlet pipe
221 internal cavities are communicated with the near-end of the intake tunnel 211 on mirror sheath 21, internal cavities and the mirror sheath of the outlet pipe 222
The near-end of the exhalant canal 212 on 21 is communicated；
Described mirror sheath seat 23 is provided with cold light source joint 231 and eyepiece 232；The cold light source joint 231 is built with cold light source
Vertical connection；Light guide bundles is provided with the cold light source joint 231, light guide bundles extend into the distal end of mirror sheath 21 through cold light source channels 213,
And the distal end of light guide bundles is provided with concavees lens；The eyepiece 232 is communicated with the fiber image guide bundles in cold light source channels 213.
It should be noted that：
Described expander 1 includes handle 11, connecting rod 12, expansion first 13；Wherein, the shape of expansion first 13 is designed as ellipse
It is circular, spherical, semicircle etc., selected according to tool sinus form, can be expanded for different sinus forms.Expansion first 13
Size is made up of the component that do not wait of diameter 2F to 12F, sinus can be expanded into different size.Expansion first 13 is logical with connecting rod 12
Cross what screw thread was detachably connected, can conveniently replace and sterilize, reduce manufacturing cost.Handle 11 is provided with striped 14, for increasing
Frictional force, convenient operation.
Described wire guide 5 is made up of nickel shape-memory materials such as alloy of admiring, diameter about 2.7F so that wire guide 5
Remain to keep preferably reset condition after multiple bending, reduce when wire guide 5 is walked or the when of extraction resistance, reduce to sinus
The contusion oozing of blood that road tissue is produced when going together；Wire guide 5 is provided with multiple decreasing worm-pitch, with length mark effect, uses
The probing sinus tract depth of Shi Kejing wire guides 5, obtains the length to sinus, and form is according to a preliminary estimate.Also can sinus be inserted into leading
Silk, then x ray photograph, understands sinus form, wound direction.
Endoscope 2 includes mirror sheath 21, hydraulic pressure rinse-system 22, mirror sheath seat 23 in described microlaser cavity；Wherein, in mirror sheath 21
Portion is provided with instrument channel 214, intake tunnel 211, exhalant canal 212, cold light source channels 213；Described instrument channel 214, enter
Aquaporin 211, exhalant canal 212, cold light source channels 213 are communicated in the distal end of mirror sheath 21 with the external world；The distal end of mirror sheath 21 is direct
Connect with sinus, can cross passage can realize different operations, realize more intuitively, accurately operating.
Described instrument channel 214 matches with wire guide 5, Bladder stone equipment 3, TURP equipment 4, by instrument channel
214, Bladder stone equipment 3, the underwent operative instrument channel 214 of TURP equipment 4 can be entered working region, and Bladder stone equipment 3, TURP
Equipment 4 be current clinic commonly use can cut the operating theater instruments organized and stop blooding, can realize inside deep enough sinus
The accurate cutting of focus.Wherein, sinus tissue is cut using Bladder stone, cuts tissue with Bladder stone equipment thin layer and stop rapidly
The functions such as blood；TURP equipment 4 is preferably plasma bipolar electrode, and plasma bipolar electrode includes working electrode, loop electrode, electricity
Flow back to road；Structure and annexation according to working electrode, loop electrode and current loop can be constituted such as Fig. 8-Figure 11
Plasma bipolar electrode.Doctor can be selected as needed in art.The principle of plasma bipolar electrode is as follows：Work as working electrode
Electric current discharges RF energy when producing a current loop through conductive medium and loop electrode；And be situated between for conductor by the RF energy for discharging
Matter (physiological saline) is converted into one around the focusing plasma area high of electrode.Plasma slab be by ion, electronics or without
The particle composition electroneutral of electricity, the gas of height ionization, are a kind of material shapes distinguished with solid, liquid and nominal gas
State, this plasma slab is made up of high ionization particle, and there is these ionic particles enough energy will have in target tissue
Machine molecular link is interrupted, and large biological molecule is disintegrated and is produced micro-molecular gas, such as CO, CO2、O2、H2、CH4、N2Deng so as to produce
Gasification result.
Unhealthy tissue is pinched in TURP system of the invention by plasma bipolar electrode cutting sinus to have the following effects that：
1. using physiological saline as conducting liquid, it is to avoid being cleaned with non-electrolytic solution for a long time in art causes water intoxication (TURP)
Generation；2. the working electrode and loop electrode for carrying out TURP are respectively positioned in TURP ring, without negative plate, so as to effectively keep away
Exempt from electric current by human body to cardiac electrical influence, effectively prevent sinus neural reflex and the sinus damage for thereby resulting in, only
Blood effect is good；3. due to using plasma cutter system, accurate and non-stick knife is cut, cutting sinus tissue is accurate, while also having
The characteristics of thering is vaporization to stop blooding；The effect of plasma is relevant with impedance, in sinus cutting tissue, because of unsound tissue and strong
The impedance of the tissue of health has certain difference so that unsound cutting tissue efficiency high, and sinus cutting organization security is good.
Described hydraulic pressure rinse-system 22 includes adapter sleeve 223, water inlet pipe 221, outlet pipe 222, the inside of water inlet pipe 221
Cavity is communicated with the near-end of the intake tunnel 211 on mirror sheath 21, the exhalant canal on the internal cavities and mirror sheath 21 of outlet pipe 222
212 near-end is communicated, and result in formation of water flow circuits, by the hydraulic pressure in injection sinus when using, both can guarantee that and interior has been spied on open country
Clear, visual field interference when reducing operation, the slough that operation can be cut down again timely flushes out from sinus
Come；In addition, what water inlet pipe 221 and outlet pipe 222 were separate from, the drainage speed in operation can be accelerated, form continuous
Water circulation.
Described mirror sheath seat 23 is provided with cold light source joint 231 and eyepiece 232, and the cold light source joint 231 is built with cold light source
Vertical connection；Light guide bundles is provided with the cold light source joint 231, light guide bundles extend into the distal end of mirror sheath 21 through cold light source channels 213,
And the distal end of light guide bundles is provided with concavees lens；The eyepiece 232 is communicated with the fiber image guide bundles in cold light source channels 213；Can be straight
Depending on unsound fibrous scar tissue, visualization, the cutting and hemostasis accurately organized on lower accurate cutting sinus wall.Into
As principle is as follows：When cold light source joint 231 is connected with cold light source equipment, the illumination in cold light source equipment is transmitted through light guide bundles
To the concavees lens of light guide bundles distal end, sinus tissue adherence face is irradiated in, these are irradiated to the light i.e. quilt on sinus tissue adherence face
Reflection, these reflected lights lead pixel and pass to eyepiece 232 through fiber, and then are imaged.
It is of the invention it is a kind of for precisely treatment sinus Bladder stone TURP System Utilization Procedure be：
The probing sinus tract depth of wire guide 5 is first used, there is different length scale marker on wire guide 5.Obtain to sinus
Length, form according to a preliminary estimate, also can sinus be inserted into wire guide 5, then x ray photograph understands sinus form, wound side
To；With the sinus expander 1 of different size, sinus is expanded to suitable diameter, is inserted into miniature inner chamber endoscope, open light
Source, opens Water filling valve, to water filling in sinus, supports big sinus, and sinus is checked under direct-view；Bladder stone equipment is used under the conditions of visual
3, TURP equipment 4, such as using Bladder stone cutting, or the principle that the trimming of electric knife electric arc side is stopped blooding, by sinus wall unhealthy tissue
Precisely excision, does not stay dead space.Water filling simultaneously, jettison gear can in time rinse the fragment of tissue for cutting down, and rinse in the visual field
Bloodstain.
A kind of Bladder stone TURP system for precisely treatment sinus of the invention, can look at lower accurate cutting sinus wall straight
Upper unsound fibrous scar tissue, both can guarantee that it is interior spy on the clear of open country, the slough that operation can be cut down again and
When developed from sinus, also farthest protect health around sinus while carrying out sinus precisely treatment
Tissue, has veritably accomplished accurate, the minimally-invasive treatment of sinus, and precisely treatment and the perfect adaptation of modern minimal invasive surgery, use behaviour
Make easy to learn, performed the operation in the case where hysteroscope amplifies visualized operation, few with operative hemorrhage, operating time is short, and cure rate is high,
The advantages of post-operative recovery is fast.And it is easy to learn to perform the operation, be conducive to clinic to be widely popularized, allow popular benefited；Expander 1 is provided with,
Expansion first 13 shape be designed as it is oval, spherical, semicircle etc., according to tool sinus form and select, different sinus can be directed to
Road form is expanded；Expansion first 13 is detachably connected with connecting rod 12 by screw thread, can conveniently be replaced and be sterilized, and is reduced
Manufacturing cost；Handle 11 is provided with striped 14, for increasing frictional force, convenient operation；Wire guide 5 is admired the shapes such as alloy by nickel
Memory material is made, diameter about 2.7F so that wire guide 5 remains to keep preferably reset condition after multiple bending, reduces
Resistance when wire guide 5 is walked or when extracting, the contusion oozing of blood that reduction is produced when being gone together to sinus tissue；On wire guide 5
Multiple decreasing worm-pitch are provided with, with length mark effect, can be obtained to sinus through the probing sinus tract depth of wire guide 5 when using
Length, form is according to a preliminary estimate；Be provided with hydraulic pressure rinse-system 22, both can guarantee that it is interior spy on open country it is clear, reduce operation when
The visual field is disturbed, and the slough that operation can be cut down again is timely developed from sinus；In addition, the He of water inlet pipe 221
What outlet pipe 222 was separate from, the drainage speed in operation can be accelerated, form continuous water circulation.It is provided with the He of eyepiece 232
Cold light source joint 231 etc., can look at unsound fibrous scar tissue on lower accurate cutting sinus wall straight, visualize, accurately
The cutting and hemostasis organized.Camera lens in operation can be operated with side, side shooting, and image can be stored, for patient family
Category explanation, or given lessons to student.
The above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
Member, on the premise of the inventive method is not departed from, can also make some improvement and supplement, and these are improved and supplement also should be regarded as
Protection scope of the present invention.
Claims (8)
1. it is a kind of for the accurate Bladder stone TURP system for treating sinus, it is characterised in that described Bladder stone TURP system bag
Include endoscope in expander, microlaser cavity, wire guide, Bladder stone equipment, TURP equipment, hydraulic pressure rinse-system；Described expansion
Device includes handle, connecting rod, expansion head；Described connecting rod one end is connected with handle, and the connecting rod other end passes through spiral shell with expansion head
Line sets up connection；The wire guide is provided with pitch；What the expander was made up of stainless steel metal；In described microlaser cavity
Endoscope includes mirror sheath, hydraulic pressure rinse-system, mirror sheath seat；Described mirror sheath near-end is located on mirror sheath seat, inside the mirror sheath
It is provided with instrument channel, intake tunnel, exhalant canal, cold light source channels；It is described instrument channel, intake tunnel, exhalant canal, cold
Light source channels are communicated in the distal end of mirror sheath with the external world；The instrument channel and wire guide, Bladder stone equipment, TURP equipment phase
It is supporting；Described hydraulic pressure rinse-system includes adapter sleeve, water inlet pipe, outlet pipe；Described adapter sleeve is fixed on mirror sheath outer peripheral face
On；The water inlet pipe and outlet pipe are fixed on the both sides of adapter sleeve, and internal cavities and the water inlet on mirror sheath of the water inlet pipe are led to
The near-end in road is communicated, and the internal cavities of the outlet pipe are communicated with the near-end of the exhalant canal on mirror sheath；Described mirror sheath seat sets
There are cold light source joint and eyepiece；The cold light source joint is set up with cold light source and is connected；Light guide bundles is provided with the cold light source joint,
Light guide bundles extend into the distal end of mirror sheath through cold light source channels, and the distal end of light guide bundles is provided with concavees lens；The eyepiece and cold light source
Fiber image guide bundles in passage is communicated.
2. it is according to claim 1 for the accurate Bladder stone TURP system for treating sinus, it is characterised in that the expansion
Head is oval or spherical or semicircle.
3. it is according to claim 1 and 2 for the accurate Bladder stone TURP system for treating sinus, it is characterised in that described
The outer peripheral face of handle be provided with striped.
4. it is according to claim 1 for the accurate Bladder stone TURP system for treating sinus, it is characterised in that the metal
Seal wire is by by nickel, the shape-memory material such as alloy is made by the emperor himself.
5. it is according to claim 1 for the accurate Bladder stone TURP system for treating sinus, it is characterised in that described gold
Category guidewire length is 30cm.
6. it is according to claim 1 for the accurate Bladder stone TURP system for treating sinus, it is characterised in that the apparatus
A diameter of 4F of passage.
7. according to any described Bladder stone TURP systems for precisely treatment sinus of claim 1-6, it is characterised in that institute
Bladder stone equipment is stated for Bladder stone optical fiber；The TURP equipment is plasma bipolar electrode.
8. it is according to claim 1 for the accurate Bladder stone TURP system for treating sinus, it is characterised in that described expansion
It is diameter 2F to 12F to open head size.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710247344.6A CN106901832A (en) | 2017-04-14 | 2017-04-14 | A kind of Bladder stone TURP system for precisely treatment sinus |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201710247344.6A CN106901832A (en) | 2017-04-14 | 2017-04-14 | A kind of Bladder stone TURP system for precisely treatment sinus |
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| CN201710247344.6A Pending CN106901832A (en) | 2017-04-14 | 2017-04-14 | A kind of Bladder stone TURP system for precisely treatment sinus |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112168217A (en) * | 2020-09-07 | 2021-01-05 | 武汉大学中南医院 | Plasma bipolar resectoscope with flushing device |
| CN115634042A (en) * | 2022-12-26 | 2023-01-24 | 北京智愈医疗科技有限公司 | Laser and water jet cooperative cutting device and control method |
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| CN205041867U (en) * | 2015-08-22 | 2016-02-24 | 合肥德铭电子有限公司 | Acute visual downright bad kitchen wicresoft scavenge system of severe pancreatitis |
| CN205814416U (en) * | 2016-05-19 | 2016-12-21 | 成都美创医疗科技股份有限公司 | A kind of anal fistula operating knife |
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| CN2527295Y (en) * | 2001-11-14 | 2002-12-25 | 庞尔君 | Progressive type serial enteroexpander |
| US20100204609A1 (en) * | 2009-02-10 | 2010-08-12 | Howard Worth | Microendoscope and methods of use |
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| CN112168217A (en) * | 2020-09-07 | 2021-01-05 | 武汉大学中南医院 | Plasma bipolar resectoscope with flushing device |
| CN115634042A (en) * | 2022-12-26 | 2023-01-24 | 北京智愈医疗科技有限公司 | Laser and water jet cooperative cutting device and control method |
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Application publication date: 20170630 |