CN208864418U - A kind of kidney stone therapeutic equipment - Google Patents

A kind of kidney stone therapeutic equipment Download PDF

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Publication number
CN208864418U
CN208864418U CN201820510413.8U CN201820510413U CN208864418U CN 208864418 U CN208864418 U CN 208864418U CN 201820510413 U CN201820510413 U CN 201820510413U CN 208864418 U CN208864418 U CN 208864418U
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China
Prior art keywords
sacculus
drip tube
instillation
kidney stone
controller
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CN201820510413.8U
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Chinese (zh)
Inventor
董雪
薛萍
董涛
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Shenzhen shenghang Medical Co., Ltd
SHENZHEN XISIKAI TECHNOLOGY Co.,Ltd.
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Shenzhen Heath Kai Technology Co Ltd
Shenzhen Sheng Hang Technology Co Ltd
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Priority to CN201820510413.8U priority Critical patent/CN208864418U/en
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Abstract

The utility model discloses a kind of kidney stone therapeutic equipments, the kidney stone therapeutic equipment includes instillator, drip tube is equipped in instillator, the front tube wall of drip tube is equipped with instillation hole, drip tube is being located at the following outer cover in instillation hole equipped with sacculus casing, the leading portion and drip tube of sacculus casing are fitted close, the internal diameter of sacculus casing after close-fitting leading portion is greater than the outer diameter of drip tube, gap between drip tube and sacculus casing is independent control balloon inflation, the fluid pipeline of contraction, drip tube is provided with seal wire, the both ends of seal wire are stretched out outside drip tube respectively, and the leading portion of seal wire and drip tube are fitted close, the interface of sacculus controller and the interface of instillation controller are respectively equipped in the other end of drip tube and sacculus casing, it will be in one end merging human body in hole of instiling when instillation, it will be in the interface end and minim pipette of sacculus controller Portion out of the human body is arranged in interface end equipped with instillation controller.

Description

A kind of kidney stone therapeutic equipment
Technical field
The utility model relates to the field of medical instrument technology, and in particular to a kind of kidney stone therapeutic equipment and be controlled with kidney stone Treat the molten method except kidney stone of equipment.
Background technique
Calculi in urinary system is summarized: calculi in urinary system is more common in any position of kidney, ureter, bladder and urethra, with Kidney is relatively conventional with ureteral calculi.Lithiasis is easier to recur, and 1 year recurrence rate of calcium oxalate kidney stone is 10%, 5 according to statistics Year, recurrence rate was 35%, and 10 years recurrence rates are 50%.
Kidney stone falls into ureter, and causes ureteral obstruction and colic pain occurs.About due to ureter relatively narrower (wherein renal plevis and urine output pipe jointing part, bladder and urine output pipe jointing part be about), size existsIt ties below Stone, when exclusion painless, accessible sense, is largely less thanCalculus symptom occur 1 month after can be automatically drained out, and It is greater thanCalculus can not be automatically drained out, be greater thanCalculus there is more than half not to be automatically drained out.
Naturally stone or drug row's stone are arranged, row's stone purpose, extracorporeal shock wave lithotripsy and operation is extremely difficult to compared with maximum size to volume Stone is taken, therapeutic effect is bad, and the period is long, and wound is larger.
Medical worker is when treating kidney stone patient, in medical level at this stage, mostly uses body Then the method for outer rubble is excreted by patient from being about to intracorporal rubble, but due to external stone crushing when is mostly direct By calculus by falling off on kidney, calculus block may be bigger, is easy blocking patient's urethra, brings pain to patient, therefore cannot be very The good a variety of exclusive requirements when treating to kidney stone patient at this stage that meet if things go on like this considerably increase medical matters The work difficulty of personnel.
Utility model content
The purpose of this utility model is that overcome defect existing in the prior art, provide a kind of structure it is simple, using just Victory, therapeutic effect are good, will be explained and are dissolved using solvent, and solvent is set by the kidney stone treatment of one of the utility model aim It is standby import two of calculus lesions position and the purpose of this utility model in kidney kidney stone is dissolved by solvent after, pass through urethra Excrete the molten method except kidney stone.
To achieve the above object, the technical solution of the utility model first is that design a kind of kidney stone therapeutic equipment, it is described Kidney stone therapeutic equipment includes instillator, and drip tube is equipped in instillator, and the front tube wall of drip tube is equipped with instillation hole, instils Pipe is being located at the following outer cover in instillation hole equipped with sacculus casing, and the leading portion and drip tube of sacculus casing are fitted close, are fitted close Leading portion after the internal diameter of sacculus casing be greater than the outer diameter of drip tube, gap between drip tube and sacculus casing is independent control Balloon inflation processed, contraction fluid pipeline, drip tube is provided with seal wire, and the both ends of seal wire are stretched out outside drip tube respectively, and seal wire Leading portion and drip tube be fitted close, be respectively equipped with the interface and drop of sacculus controller in the other end of drip tube and sacculus casing The interface for infusing controller will be in the interface end and minim pipette of sacculus controller by one end merging human body in hole of instiling when instillation Portion out of the human body is arranged in interface end equipped with instillation controller.
For the ease of the instillation hole of drip tube leading portion is transported to lesions position, preferred technical solution is the instillation Pipe is plastics pipe fitting made of semi-rigid material.
For the ease of with seal wire by sacculus casing by ureteroscope mirror it is intrathecal be pushed in ureter, make its leading portion with it is defeated The mirror sheath of urinary catheter mirror is detached from, and the leading portion of seal wire is made not depart from drip tube, and further preferred technical solution is, described to lead The front end of silk is ball head structure.
For the ease of the instillation hole of drip tube leading portion is transported to lesions position, further preferred technical solution in addition, The front of the drip tube is straight tube or the bend pipe for being prefabricated into arc line shaped.
Expansion and liquid can be extracted out at sphere shape after filling liquid for the ease of the sacculus portion on control sacculus casing The prototype of sacculus casing can be reverted to afterwards, and further preferred technical solution is in addition, the sacculus casing intervenes hand using conventional Art balloon material is made.
For the ease of sacculus casing is brought into human body ureter with ureteroscope, further preferred technical solution is also Have, the outer diameter of the instillator and sacculus casing is less than the internal diameter of the mirror sheath of ureteroscope.
For the ease of litholysis liquid to be transported to the calculus affected area in kidney, further preferred technical solution is also Have, the sacculus controller and instillation controller are electronic, pneumatic, manually lysate promotes pump.
Kidney stone method is removed with kidney stone therapeutic equipment is molten the invention also discloses a kind of, it is described molten except kidney stone Method includes the following steps: that wholistic therapy scheme divides three phases: I, being put into drip tube;II, instillation lysate, row's stone;III, it removes Except drip tube;
I, instillator is placed;
A, suitable, mature soft lens ureteroscope or hard mirror ureteroscope are selected;
B, first that the mirror of instillator insertion ureteroscope is intrathecal;
C, the urethra by ureteroscope through human body, bladder import ureter, are advanced into the pyelolithiasis disease close in ureter At stove or nearly kidney position stops;
(1) instillator sacculus portion of sacculus casing in mirror sheath importing process is in close state;
(2) it controls in vitro, seal wire is promoted by the interface end of instillator, so that before the instillator inserted with seal wire is by mirror sheath Section stretches out mirror sheath, and extends in kidney;
(3) it controls in vitro, the ball on sacculus casing is opened by control injection liquid by the interface end of sacculus controller Capsule, so that the gap between drip tube and sacculus casing, is expanded to sacculus to top by the interface end of sacculus controller, So that the outer wall of sacculus is squeezed the tube wall of ureter, for increasing the frictional force between sacculus and ureter on sacculus casing, prevents Instillator is carried over when only ureteroscope exits;
(4) then ureteroscope is slowly exited, leaves instillator;
(5) liquid in sacculus is evacuated to close the sacculus of instillator;
(6) catheter is nested in the outside of instillator, and is inserted into bladder 8 by the urethra through human body;
II, instillation lysate, row's stone;
A, the interface that lysate is accessed with propulsion pump by delivery outlet to the instillation controller on drip tube, starts dissolution of instiling Liquid instils 48~240 hours;
B, pass through any one detection dissolve stone situation in B ultrasound, X-ray machine, CT, nuclear-magnetism, DSA radiography, DSA after the completion of instiling Radiography directly changes dissolve stone agent for DSA contrast solution when detecting;
III, drip tube is removed;
A, the sacculus that sacculus casing is first opened when removing catheter is completed in treatment;
B, instillator is slowly extracted, will be brought into molten rear remaining microlith in ureter using the sacculus on sacculus casing Bladder;
C, the sacculus of instillator, i.e. liquid in extraction sacculus are closed;
D, finally by catheter and instillator by being pulled out in human body.
For the ease of pyelolithiasis lysate to be transported to the pyelolithiasis affected area in kidney, preferred technical solution is also Have, in vitro, propulsion pump is to be electric-only propulsion pump or is that pneumatic propulsion pump (in special circumstances may be used for the propulsion pump setting of the lysate Manually), pump is promoted to place together with urine bag.
For the ease of pyelolithiasis lysate to be transported to the pyelolithiasis affected area in kidney, preferred technical solution is also Have, the seal wire in the instillator is preset to mirror is intrathecal kind of a method: the first, the head of the seal wire of instillator is from mirror sheath tail Portion's insertion, is suitable for straight peen seal wire;Second, the tail portion of the seal wire of instillator is inserted into from mirror sheath head, is suitable for elbow seal wire.
Dissolution row's stone principle of the utility model is:
Kidney, ureteral calculi ingredient have calcium oxalate, calcium phosphate, lithate etc., wherein 70%~80% or so for grass Sour calcium dissolves in hydrochloric acid, citric acid or other Solution liquid.
The utility model using can it is molten remove kidney stone device, pass through human body natural's cavity be inserted into kidney, place instillation Instrument, so that litholysis volume becomes smaller or is completely dissolved, is realized molten except calculus directly to stone location instillation lysate.
Advantages and beneficial effects of the utility model lie in that the kidney stone therapeutic equipment and its molten kidney stone method of removing have Structure is simple, easy to use, therapeutic effect is good, using solvent by explain dissolve, and solvent be by the utility model aim it One kidney stone therapeutic equipment imports two of calculus lesions position and the purpose of this utility model in kidney by solvent for kidney stone After dissolution, excreted by urethra.
Litholysis lithagogue method described in the utility model has the further advantage that
1, stone location can be accurately positioned: by means of mature endoscopic technique, is observed in insertion;
2, can reach it is complete, thoroughly take stone: after calculus is completely dissolved in solvent or is dissolved as particulate solid;
3, hurtless measure, without operation and be hospitalized: instrument is inserted by human body natural's cavity, without operating on and other additional wounds Wound, naturally drains after dissolution with urine, without being hospitalized;
4, without side-effects: calculus is in dissolution and after dissolution without other any side effects;
5, therapeutic process patient suffering sense is small.
The molten of the utility model is compared as follows table with other lithagogue methods except kidney stone method:
Detailed description of the invention
Fig. 1 is calculi in urinary system schematic diagram;
In Fig. 1: 1, renal plevis;2, pyelolithiasis;3, renal plevis and urine output pipe jointing part;4, ureter;5, ureteral calculi;6, Vesicoureteral interconnecting piece;7, inside ureter;8, bladder;9, vesical calculus;10, urethra;11, urethral calculus;
Fig. 2 is the structural schematic diagram of sacculus casing closed state in the utility model kidney stone therapeutic equipment;
Fig. 3 is the structural schematic diagram of sacculus casing open state in the utility model kidney stone therapeutic equipment;
Fig. 2, in 3: 12, instillator;13, drip tube;14, instillation hole;15, sacculus casing;15-1, sacculus control liquid line Road;15-2, sacculus;16, seal wire;16-1, leading portion;17, the interface of sacculus controller;18, the interface of instillation controller;
Fig. 4-1 is one of the structural schematic diagram that the utility model kidney stone therapeutic equipment and ureteroscope are used cooperatively;
Fig. 4-2 is the second structural representation that the utility model kidney stone therapeutic equipment and Flexible ureteroscope are used cooperatively;
In Fig. 4: 19, ureteroscope;20, mirror sheath;.
Fig. 5 is the structural schematic diagram of the utility model kidney stone therapeutic equipment access kidney;
Fig. 6 is the structural schematic diagram of outer body in the utility model kidney stone therapeutic equipment
In Fig. 5, Fig. 6: 21, catheter;22, urine bag.
Specific embodiment
With reference to the accompanying drawings and examples, specific embodiment of the present utility model is further described.Implement below Example is only used for clearly illustrating the technical solution of the utility model, and cannot be used as a limitation the protection model of limitation the utility model It encloses.
As shown in figures 2-3, the utility model is a kind of kidney stone therapeutic equipment, and the kidney stone therapeutic equipment includes drop Device 12 is infused, drip tube 13 is equipped in instillator 12, the front tube wall of drip tube 13 is equipped with instillation hole 14, and drip tube 13 is being located at 14 or less outer cover of instillation hole is equipped with sacculus casing 15, and the leading portion and drip tube 13 of sacculus casing 15 are fitted close, are fitted close Leading portion after sacculus casing 15 internal diameter be greater than drip tube 13 outer diameter, the seam between drip tube 13 and sacculus casing 15 Gap is the fluid pipeline 15-1 of independent control balloon inflation, contraction, and drip tube 13 is provided with seal wire 16, the both ends difference of seal wire 16 It stretches out outside drip tube, and the leading portion 16-1 of seal wire 16 and drip tube 13 are fitted close, in the another of drip tube 13 and sacculus casing 15 One end is respectively equipped with the interface 17 of sacculus controller and the interface 18 of instillation controller, and the one end in instillation hole 14 is placed in by when instillation In human body, 17 end of interface of sacculus controller and minim pipette are equipped with 18 end of the interface setting of instillation controller out of the human body Portion.
As shown in figures 2-3, for the ease of the instillation hole of 13 leading portion of drip tube is transported to lesions position, the utility model Preferred embodiment is that the drip tube 13 is plastics pipe fitting made of semi-rigid material.
As shown in figures 2-3, for the ease of sacculus casing intrathecal is pushed to ureter by the mirror of ureteroscope with seal wire It is interior, it is detached from the mirror sheath of its leading portion and ureteroscope, and the leading portion 16-1 of seal wire 16 is made not depart from drip tube 13, this reality It is that the front end of the seal wire 16 is ball head structure with novel further preferred embodiment.
As shown in figures 2-3, for the ease of the instillation hole 14 of 13 leading portion of drip tube is transported to lesions position, this is practical new Type further preferred embodiment is in addition, the front of the drip tube 13 is straight tube or the bend pipe for being prefabricated into arc line shaped.
As shown in figures 2-3, for the ease of control sacculus casing 15 on sacculus portion 15-2 can after filling liquid expansion at Sphere shape, and the prototype of sacculus casing 15 can be reverted to after liquid is extracted out, the utility model further preferred embodiment In addition, the sacculus casing 15 is made of conventional intervention operation balloon material.
As figures 2-6, for the ease of sacculus casing 15 is brought into human body ureter with ureteroscope, this is practical Novel further preferred embodiment is in addition, the outer diameter of the instillator 13 and sacculus casing 15 is less than the mirror of ureteroscope 19 The internal diameter of sheath 20.
As shown in figures 2-3, for the ease of litholysis liquid to be transported to the calculus affected area in kidney, the utility model Further preferred embodiment is in addition, the sacculus controller and instillation controller can be electronic, pneumatic, manually lysate Promote pump.
Another embodiment of the utility model is
As shown in figs. 1 to 6, a kind of to remove kidney stone method with kidney stone therapeutic equipment is molten, the molten method except kidney stone Include the following steps: that wholistic therapy scheme divides three phases: I, being put into drip tube;II, instillation lysate, row's stone;III, drop is removed Note pipe;
I, instillator 12 is placed;
A, suitable, mature soft lens ureteroscope 19 or hard mirror ureteroscope are selected;
B, first instillator 12 is inserted into the mirror sheath 20 of ureteroscope 9;
C, the urethra 10 by ureteroscope 19 through human body, bladder 8 import ureter 4, are advanced into close to renal plevis in ureter 4 2 affected area of calculus or nearly kidney position stop;
(1) the sacculus portion of sacculus casing 15 in 20 importing process of mirror sheath of instillator 12 is in close state;
(2) it controls in vitro, seal wire 16 is promoted by the interface end of instillator 12, so that the instillator 12 inserted with seal wire 16 Mirror sheath 20 is stretched out by 20 leading portion of mirror sheath, and is extended in kidney;
(3) it controls, is opened on sacculus casing 15 by 17 end of interface of sacculus controller by control injection liquid in vitro Sacculus so that the gap between drip tube 13 and sacculus casing 15, by 17 end of interface of sacculus controller to top It is expanded to sacculus 15-2, so that the outer wall of sacculus 15-2 is squeezed the tube wall of ureter 4, for increasing the sacculus on sacculus casing 15 Frictional force between 15-2 and ureter 4, instillator 12 is carried over when preventing ureteroscope 19 from exiting;
(4) then ureteroscope 19 is slowly exited, leaves instillator 12;
(5) liquid in sacculus 15-2 is evacuated to close the sacculus of instillator 12;
(6) catheter 21 is nested in the outside of instillator 12, and is inserted into bladder 8 by the urethra 10 through human body;
II, instillation lysate, row's stone;
A, the interface 18 that lysate is accessed with propulsion pump by delivery outlet to the instillation controller on drip tube 13, starts to instil Lysate instils 48~240 hours;
B, dissolve stone situation can be detected by any one in B ultrasound, X-ray machine, CT, nuclear-magnetism, DSA radiography after the completion of instillation, DSA radiography directly changes dissolve stone agent for DSA contrast solution when detecting;
III, drip tube is removed;
A, the sacculus 15-2 that sacculus casing 15 is first opened when removing catheter 21 is completed in treatment;
B, instillator 12 is slowly extracted, using the sacculus 15-2 on sacculus casing 15 will in ureter 4 it is molten after it is remaining Microlith brings bladder 8 into;
C, the sacculus 15-2 of instillator 12, i.e. liquid in extraction sacculus 15-2 are closed;
D, finally by catheter 21 and instillator 12 by being pulled out in human body.
For the ease of pyelolithiasis lysate to be transported to the pyelolithiasis affected area in kidney, the utility model is preferred In addition, the propulsion pump of the lysate is arranged in vitro, propulsion pumps to be electric-only propulsion pump or being that pneumatically propulsion pumps embodiment, pushes away It is placed together into pump with urine bag 22.
For the ease of pyelolithiasis lysate to be transported to the pyelolithiasis affected area in kidney, the utility model is preferred Embodiment is in addition, the seal wire 16 in the instillator 12, which is preset in mirror sheath 20,2 kinds of methods: the first, instillator The head of seal wire 16 is inserted into from 20 tail portion of mirror sheath, is suitable for straight peen seal wire 16;Second, the tail portion of the seal wire 16 of instillator is from mirror The insertion of 20 head of sheath, is suitable for elbow seal wire.
Dissolution row's stone principle of the utility model is:
Kidney, ureteral calculi ingredient have calcium oxalate, calcium phosphate, lithate etc., wherein 70%~80% or so for grass Sour calcium, calcium oxalate dissolve in hydrochloric acid, citric acid or other Solution liquid.
The utility model using can it is molten remove kidney stone device, pass through human body natural's cavity be inserted into kidney, place instillation Instrument, so that litholysis volume becomes smaller or is completely dissolved, is realized molten except calculus directly to stone location instillation lysate.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art For art personnel, without deviating from the technical principle of the utility model, several improvements and modifications can also be made, these change It also should be regarded as the protection scope of the utility model into retouching.

Claims (7)

1. a kind of kidney stone therapeutic equipment, which is characterized in that the kidney stone therapeutic equipment includes instillator, is equipped in instillator Drip tube, the front tube wall of drip tube are equipped with instillation hole, and drip tube is being equipped with sacculus casing positioned at the following outer cover in instillation hole, The leading portion and drip tube of sacculus casing are fitted close, and the internal diameter of the sacculus casing after close-fitting leading portion is greater than drip tube Outer diameter, the gap between drip tube and sacculus casing are the fluid pipeline of independent control balloon inflation, contraction, and drip tube is provided with The both ends of seal wire, seal wire are stretched out outside drip tube respectively, and the leading portion of seal wire and drip tube are fitted close, in drip tube and sacculus set The other end of pipe is respectively equipped with the interface of sacculus controller and the interface of instillation controller, and the one end in hole of instiling is placed in by when instillation In human body, portion out of the human body is arranged in the interface end that the interface end of sacculus controller and minim pipette are equipped with instillation controller.
2. kidney stone therapeutic equipment as described in claim 1, which is characterized in that the drip tube is made of semi-rigid material Plastics pipe fitting.
3. kidney stone therapeutic equipment as claimed in claim 2, which is characterized in that the front end of the seal wire is ball head structure.
4. kidney stone therapeutic equipment as claimed in claim 3, which is characterized in that the front of the drip tube is straight tube or prefabricated At the bend pipe of arc line shaped.
5. kidney stone therapeutic equipment as claimed in claim 4, which is characterized in that the sacculus casing is using conventional intervention operation Balloon material is made.
6. the kidney stone therapeutic equipment as described in any one of claim 1 to 5, which is characterized in that the instillator and ball The outer diameter of cuff pipe is less than the internal diameter of the mirror sheath of ureteroscope.
7. kidney stone therapeutic equipment as claimed in claim 6, which is characterized in that the sacculus controller and instillation controller are It is electronic, pneumatic, manually lysate promote pump.
CN201820510413.8U 2018-04-11 2018-04-11 A kind of kidney stone therapeutic equipment Active CN208864418U (en)

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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108378898A (en) * 2018-04-11 2018-08-10 深圳盛航科技有限公司 A kind of kidney stone is molten except device and molten except method

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108378898A (en) * 2018-04-11 2018-08-10 深圳盛航科技有限公司 A kind of kidney stone is molten except device and molten except method

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Effective date of registration: 20200422

Address after: 518000 internal pr18-pr21, phase II, international student entrepreneurship building, No. 29, Gaoxin South Ring Road, high tech Zone community, Yuehai street, Nanshan District, Shenzhen City, Guangdong Province

Co-patentee after: SHENZHEN XISIKAI TECHNOLOGY Co.,Ltd.

Patentee after: Shenzhen shenghang Medical Co., Ltd

Address before: Nanshan District Guangdong streets of science and technology of Shenzhen city in Guangdong province 518000 two Shenzhen software park two building 14 704K70

Co-patentee before: SHENZHEN XISIKAI TECHNOLOGY Co.,Ltd.

Patentee before: SHENZHEN SHENGHANG TECHNOLOGY Co.,Ltd.