CN102551886B - Calculus breaking and clearing attraction probe device with cohesively aligned laser fibers - Google Patents
Calculus breaking and clearing attraction probe device with cohesively aligned laser fibers Download PDFInfo
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- CN102551886B CN102551886B CN201210087499.5A CN201210087499A CN102551886B CN 102551886 B CN102551886 B CN 102551886B CN 201210087499 A CN201210087499 A CN 201210087499A CN 102551886 B CN102551886 B CN 102551886B
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- feeler lever
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Abstract
The invention discloses a calculus breaking and clearing attraction probe device with cohesively aligned laser fibers, comprising a hollow probe, wherein a tail end of the hollow probe is connected with a vacuum extractor through a connection pipe; a front end of the hollow probe is provided with a protruded structure on the upper part; and at least one fiber channel capable of containing at least two laser fibers is installed inside the hollow probe; the fiber channel is provided with a cohesive fiber outlet on the protruded structure and a fiber inlet on the tail end of the hollow probe; and front end of each laser fiber in the fiber channel is slightly bent to round up to be arranged on the cohesive fiber outlet to form a cohesive fiber calculus breaking and clearing structure, and the hollow probe is formed by a slotted probe and a slotless probe equipped at the end of the slotted probe. The device provided by the invention is featured by large calculus impact area, high calculus breaking efficiency, good calculus breaking effect regardless of hard or soft calculus and long service life, and is capable of rapidly breaking the calculus and removing broken pieces by absorbing.
Description
Technical field
The present invention relates to probe, more particularly, relate to a kind of clear stone of the cohesion arranged type rubble of laser fiber for urinary system calculus intracavity rubble and removing rubble and attract feeler lever device.
Background technology
Urinary system calculus is China's commonly encountered diseases, frequently-occurring disease.Although urinary system calculus treatment has been entered to the Minimally Invasive Surgery epoch by open surgery both at home and abroad at present, postoperative residual stones rate is high is still distinct issues in clinical position.
At present, existing pneumatic ballistic lithotripsy, lithotrity effect is better, but belongs to physical method, and impulsive force has more caused hemorrhage and has been difficult to control chip size, calculus and bounces greatly everywhere and be difficult to location because of impulsive force.Ultrasonic rubble has certain effect, but almost feels simply helpless for accounting for calculus that the hardness such as most calcium oxalate are larger in urinary calculi disease, and ultrasonic bar easily generate heat deformation effect ultrasonic energy delivery, easily fracture be not durable, cost performance is low.Alternately add that weak effect is often wanted Repeated Operation by the loaded down with trivial details length consuming time of method of air pressure trajectory associating rubble, effect and social cost's burden are all not satisfactory.Existingly through urinary system chamber mirror, put into laser fiber rubble, lithotrity effect highly significant can only be got a duck eye but optical fiber is tiny at every turn, and the scope of attack is too little, rubble overlong time.More than become the major issue of a puzzlement urologist and vast urinary system calculus sufferer.Also there is no at present that a kind of energy is simple and easy by chamber endoscopic technic, no matter soft or hard calculus lithotrity effect is splendid, the scope of attack large, can control that calculus fragment is more tiny, visual area rapid heat dissipation, absorb that fragment does not block, long-lived desirable calculi breaking device self does not generate heat fast.
Summary of the invention
The object of the present invention is to provide that a kind of operation is simple and easy, no matter soft or hard calculus lithotrity effect is splendid, the scope of attack large, fast rubble, absorb fragment and the clear stone attraction of the cohesion arranged type rubble of long-lived laser fiber feeler lever device.
To achieve these goals, the present invention has adopted following technical scheme:
The clear stone of the cohesion arranged type rubble of a kind of laser fiber attracts feeler lever device, it comprises hollow structure feeler lever, at this hollow structure feeler lever end, by a connection tube, be connected with a vacuum extractor, lug structure before this hollow structure feeler lever upper front end is provided with, and, in this hollow structure feeler lever, be provided with the optical-fibre channel that can hold at least 2 strands of laser fibers, this optical-fibre channel has and is opened in the structural cohesion formula optical fiber outlet of prolapse and has the optical fiber entrance that is opened in hollow structure feeler lever end, the slight bending gathering of each laser fiber leading section in described optical-fibre channel is arranged in cohesion formula optical fiber and exports and a clear stone structure of cohesion formula optical fiber rubble of formation, described hollow structure feeler lever is by by groove section feeler lever and be located at this slotless section feeler lever by groove section feeler lever end and form, it is described that to have groove section feeler lever be have the outer surface of groove section feeler lever to be provided with along its length at least one outer surface groove and have groove section feeler lever inner surface be provided with along its length at least one inner surface recesses and form at this at this.
At the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, attract in feeler lever device, at the outer surface of described hollow structure feeler lever, be provided with at least one outer surface groove.
At the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, attract in feeler lever device, at the inner surface of described hollow structure feeler lever, be all provided with at least one inner surface recesses.
At the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, attract in feeler lever device, described laser fiber is 3 strands or 4 strands.
At the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, attract in feeler lever device, described connection tube is lower bending shape connection tube.
At the clear stone of the cohesion arranged type rubble of above-mentioned a kind of laser fiber, attract, in feeler lever device, on described lower bending shape connection tube, to be provided with Laser emission switch, the vacuum suction switch of controlling laser energy transmitting.
The present invention is after adopting said structure, and it has following beneficial effect:
By utilizing the bending of multiply laser fiber to draw in to be arranged in, cohesion formula optical fiber outlet is upper forms a clear stone structure of cohesion formula optical fiber rubble calculus is hit in the present invention, therefore, its scope of attack is large, calculifragous efficiency is high, changed traditional shortcoming that the laser single strand optical fiber rubble scope of attack is little, calculifragous efficiency is poor, also changed the current popular poor shortcoming of ultrasonic rubble confrontation scleroma stone lithotrity effect, the present invention's soft or hard calculus lithotrity effect is all splendid, and it is rubble and absorption fragment fast.Because laser fiber takes up space seldom, therefore the caliber that can relatively increase hollow structure probe less shortcoming of attraction channel when changing popular ultrasonic in combination pneumatic ballistic lithotripsy; The optical fiber rubble of the clear stone structure of cohesion formula optical fiber rubble can be controlled fragment in 0.1CM left and right, more even, easily absorbs.The outer surface groove of hollow structure feeler lever outer surface, can make the faster and unlikely obstruction of liquid stream in lithotriptoscepe operating walk way that hollow structure feeler lever passes through, the better heat-radiation effect in rubble.The inner surface recesses of hollow structure feeler lever inner surface can avoid vacuum extractor when negative pressure sucking-off calculus fragment, to cause obstruction.Contrast echo feeler lever technology, feeler lever of the present invention is not the carrier that energy passes through, and himself does not generate heat, therefore feeler lever of the present invention can be durable in use, its application life is longer.The present invention can reduce remnant gallstone rate owing to having above advantage, thereby improves operation safety.
After reading by reference to the accompanying drawings the detailed description of embodiments of the present invention, it is clearer that the features and advantages of the invention will become.
Accompanying drawing explanation
Fig. 1 is the structural representation of embodiments of the invention one;
Fig. 2 is that the master of the hollow structure feeler lever of embodiment mono-looks schematic diagram;
Fig. 3 is the arrangement schematic diagram of 4 strands of laser fibers of embodiment mono-;
Fig. 4 is the structural representation of embodiments of the invention two;
Fig. 5 is the schematic diagram that has groove section feeler lever and endoscope chamber of embodiment bis-;
Fig. 6 is the slotless section feeler lever of embodiment bis-and the schematic diagram in endoscope chamber.
The specific embodiment
With two embodiment, the present invention is further detailed explanation below, but should illustrate, protection scope of the present invention is not limited only to this.
Embodiment mono-:
Refer to Fig. 1 to Fig. 3, the clear stone of the cohesion arranged type rubble of a kind of laser fiber attracts feeler lever device, it comprises hollow structure feeler lever 1, is connected lug structure 11 before this hollow structure feeler lever 1 upper front end is provided with at this hollow structure feeler lever 1 end by a connection tube 2 with a vacuum extractor 3.In this hollow structure feeler lever 1, be provided with the optical-fibre channel 12 that can hold at least 2 strands of laser fibers 4; if the laser fiber 4 in Fig. 3 is 4 strands; certainly laser fiber 4 also can be for other quantity do not affect protection scope of the present invention, and this optical-fibre channel 12 has and is opened in the cohesion formula optical fiber outlet 121 on front lug structure 11 and has the optical fiber entrance (not shown) that is opened in hollow structure feeler lever 1 end.The slight bending of each laser fiber 4 leading section in described optical-fibre channel 12 is drawn in to be arranged in and in cohesion formula optical fiber outlet 121, is formed a clear stone structure of cohesion formula optical fiber rubble, wherein, each optical fiber is slightly to draw close cohesionly, and it can greatly increase the strength of rubble.Before adopting, lug structure 11 can make the fragment after optical fiber rubble easily fall down, and is convenient to the observation in operation, more convenient operation.
In the present embodiment, can be provided with at the outer surface of hollow structure feeler lever 1 at least one outer surface groove 13, outer surface groove 13 can be accelerated to make flushing liquor to flow and make the faster and unlikely obstruction of liquid stream in lithotriptoscepe operating walk way, make the better heat-radiation effect in rubble, make operation visual area more clear, make operation technique convenient.Can all be provided with at the inner surface of hollow structure feeler lever 1 at least one inner surface recesses 14, inner surface recesses 14 can prevent from causing the passage in hollow structure feeler lever 1 to block compared with ratchel, is more convenient to draw calculus stone fragment.Above-mentioned outer surface groove 13 and the quantity of inner surface recesses 14 can be for not being restricted arbitrarily.Connection tube 2 can be lower bending shape connection tube, adopts lower bending shape connection tube to be more convenient to hand-held, and, also can on lower bending shape connection tube, be provided with the switch, vacuum suction switch etc. of controlling laser energy transmitting.
When present embodiment is specifically used, after endoscopy reaching surgery location, by sight glass passage and the given operation video frequency of corresponding imaging system, hollow structure feeler lever 1 proceeds to calculus place through sight glass passage, as inserted 3 strands of laser fibers 4 by optical-fibre channel 12, laser fiber 4 head ends approach calculus relative fixed position, and lower bending shape connection tube connects vacuum extractor 3.When starting liquid, endoscope opens Laser emission switch and vacuum suction switch, now, utilize multiply laser fiber 4 to coordinate crushed stone, utilize vacuum extractor 3 that calculus fragment is attracted out simultaneously, thereby reach the object of efficient broken calculus and removing calculus.
Embodiment bis-:
Consult Fig. 4 to Fig. 6, the function that the present embodiment and embodiment mono-realize is constant, and its difference is only:
In embodiment mono-, the outer surface groove 13 of hollow structure feeler lever 1, inner surface recesses 14 make described hollow structure feeler lever 1 be actually groove section feeler lever 15, and in the present embodiment, except having to have, also have slotless section feeler lever 16 groove section feeler lever 15.Be that hollow structure feeler lever 1 is by by groove section feeler lever 15 and be located at this slotless section feeler lever 16 by groove section feeler lever 15 ends and form specifically; Described to have groove section feeler lever 15 be have the outer surface of groove section feeler lever 15 to be provided with along its length at least one outer surface groove 13 and have groove section feeler lever 15 inner surfacies be provided with along its length at least one inner surface recesses 14 and form at this at this, and above-mentioned outer surface groove 13 and the quantity of inner surface recesses 14 can be for not being restricted arbitrarily.
The benefit that increases slotless section feeler lever 16 is: at hollow structure feeler lever 1, penetrating behind endoscope chamber 5, by increasing slotless section feeler lever 16, can make this part of hollow structure feeler lever 1 and the sealing water cap being arranged in endoscope be sealed and matched, thereby avoid the generation of drainage.
Although described by reference to the accompanying drawings embodiments of the invention; but those skilled in the art can make various distortion or modification within the scope of the appended claims; as long as be no more than the described protection domain of claim of the present invention, all should be within protection scope of the present invention.
Claims (4)
1. the clear stone of the cohesion arranged type rubble of laser fiber attracts feeler lever device, it is characterized in that: it comprises hollow structure feeler lever (1), at this hollow structure feeler lever (1) end, by a connection tube (2), be connected with a vacuum extractor (3), in this hollow structure feeler lever (1) upper front end, be provided with front lug structure (11), and, in this hollow structure feeler lever (1), be provided with the optical-fibre channel (12) that can hold at least 2 strands of laser fibers (4), this optical-fibre channel (12) has the cohesion formula optical fiber being opened on front lug structure (11) and exports (121) and have the optical fiber entrance that is opened in hollow structure feeler lever (1) end, the slight bending of each laser fiber (4) leading section in described optical-fibre channel (12) is drawn in and is arranged in cohesion formula optical fiber outlet (121) above and a clear stone structure of cohesion formula optical fiber rubble of formation, described hollow structure feeler lever (1) has the slotless section feeler lever (16) of groove section feeler lever (15) end to form by having groove section feeler lever (15) and being located at this, it is described that to have groove section feeler lever (15) be have the outer surface of groove section feeler lever (15) to be provided with along its length at least one outer surface groove (13) and have groove section feeler lever (15) inner surface be provided with along its length at least one inner surface recesses (14) and form at this at this.
2. the clear stone of the cohesion arranged type rubble of laser fiber according to claim 1 attracts feeler lever device, it is characterized in that: described laser fiber (4) is 3 strands or 4 strands.
3. the clear stone of the cohesion arranged type rubble of laser fiber according to claim 2 attracts feeler lever device, it is characterized in that: described connection tube (2) is lower bending shape connection tube.
4. the clear stone of the cohesion arranged type rubble of laser fiber according to claim 3 attracts feeler lever device, it is characterized in that: on described lower bending shape connection tube, be provided with Laser emission switch and the vacuum suction switch of controlling laser energy transmitting.
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CN201210087499.5A CN102551886B (en) | 2012-03-28 | 2012-03-28 | Calculus breaking and clearing attraction probe device with cohesively aligned laser fibers |
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CN201210087499.5A CN102551886B (en) | 2012-03-28 | 2012-03-28 | Calculus breaking and clearing attraction probe device with cohesively aligned laser fibers |
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CN102551886A CN102551886A (en) | 2012-07-11 |
CN102551886B true CN102551886B (en) | 2014-08-13 |
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CN103169444A (en) * | 2013-04-02 | 2013-06-26 | 夏永强 | Laser fiber guiding and water absorption tube used for nephroscope |
WO2015113315A1 (en) * | 2014-01-30 | 2015-08-06 | 上海林超医疗设备科技有限公司 | Ureteroscope |
CN111544112B (en) * | 2020-05-14 | 2021-03-09 | 山东大学第二医院 | Holmium laser ultrasonic stone crushing and removing device |
Citations (4)
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US4718406A (en) * | 1982-06-28 | 1988-01-12 | The United States Of America As Represented By The Secretary Of The Navy | Fiber optics image scope (micro-endoscope), ureteroscope |
US5972416A (en) * | 1993-11-10 | 1999-10-26 | Mentor Corporation | Bipolar electrosurgical instrument and method for making the instrument |
CN101491459A (en) * | 2008-01-25 | 2009-07-29 | 令狐恩强 | Laser optical fiber tool for bile-duct laser stone-breaking |
CN202505483U (en) * | 2012-03-28 | 2012-10-31 | 叶向东 | Laser fiber cohesion arrangement type calculus crushing and removal attraction probe device |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
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US7618428B2 (en) * | 2005-03-02 | 2009-11-17 | Arthrex, Inc. | Endoscopic rotary abrader |
US20110004215A1 (en) * | 2005-09-12 | 2011-01-06 | Bradley James P | Labrum retracting burr |
US8986291B2 (en) * | 2008-12-01 | 2015-03-24 | Percutaneous Systems, Inc. | Methods and systems for capturing and removing urinary stones from body cavities |
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2012
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Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4718406A (en) * | 1982-06-28 | 1988-01-12 | The United States Of America As Represented By The Secretary Of The Navy | Fiber optics image scope (micro-endoscope), ureteroscope |
US5972416A (en) * | 1993-11-10 | 1999-10-26 | Mentor Corporation | Bipolar electrosurgical instrument and method for making the instrument |
CN101491459A (en) * | 2008-01-25 | 2009-07-29 | 令狐恩强 | Laser optical fiber tool for bile-duct laser stone-breaking |
CN202505483U (en) * | 2012-03-28 | 2012-10-31 | 叶向东 | Laser fiber cohesion arrangement type calculus crushing and removal attraction probe device |
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