CN103405272A - Tissue morcellation lithotriptoscope - Google Patents
Tissue morcellation lithotriptoscope Download PDFInfo
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- CN103405272A CN103405272A CN2013103774989A CN201310377498A CN103405272A CN 103405272 A CN103405272 A CN 103405272A CN 2013103774989 A CN2013103774989 A CN 2013103774989A CN 201310377498 A CN201310377498 A CN 201310377498A CN 103405272 A CN103405272 A CN 103405272A
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- operation pipe
- lithotriptoscepe
- pulverized
- tissue
- mirror sheath
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Abstract
The invention discloses a tissue morcellation lithotriptoscope which comprises an operation pipe, an endoscope, a lighting channel and a scope sheath, an operation channel is axially arranged on the operation pipe, the endoscope and the lighting channel are arranged on the operation pipe, the scope sheath is detachably sleeved on the front section of the operation pipe and can be matched with a resectoscope, a water passing channel is formed between the outer wall of the operation pipe and the inner wall of the scope sheath, and a water inlet channel communicated with the water passing channel is axially arranged on the wall of the operation pipe. Firstly, by the aid of the tissue morcellation lithotriptoscope, only the scope sheath needs to be inserted into a urethra once in the whole surgery process, multiple injuries of the urethra due to the fact that instruments such as the resectoscope and the lithotriptoscope repeatedly enter the urethra are avoided, and the amount of bleeding is greatly reduced. Secondly, 1/3-1/2 surgical time can be saved in the whole surgery process, the labor intensity of doctors is greatly relieved, and the risk and the pain of a patient are greatly reduced. Thirdly, morcellated tissues and broken stones can be simultaneously exenterated by the aid of different water circulation, and a novel surgical operation mode is developed.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, particularly a kind of many tissues for operation on urinary system are pulverized and lithotriptoscepe.
Background technology
Urinary system calculus, prostate hyperplasia and hypertrophy are the high common diseases of middle-aging male sickness rate.One of effective ways of processing calculus in prior art are sucking-offs after adopting lithotrite (claiming again pulverizer) that calculus is pulverized, and it is the most effective Therapeutic Method that prostate hyperplasia and hypertrophy are carried out to excision.By the inventor, be 201010000543.5 multifunctional prostate operation mirrors of putting down in writing in the patent No. of invention in 2010 patented protection, be widely used in clinical owing to having the efficiency advantages of higher.
For the patient who suffers from simultaneously calculus, prostate hyperplasia and hypertrophy, usually need to once in operation, process and treat.Therapeutic Method is: sucking-off after first utilizing lithotrite to enter urethra calculus is pulverized, and then change the tissue powder millstone tool such as resectoscope prostate hyperplasia or hypertrophy are partly carried out to TURP processing and treatment.But, usually in the electrocision process, find that there is the residual calculus particle diameter larger, can't separate out smoothly or find that untreated calculus need to process again, now just the pulverizing apparatuses such as resectoscope need to be taken out, again lithotrite is inserted to urethra and perform the operation, in particular cases need repeatable operation repeatedly.The disadvantage of this modus operandi is: the first, and repeatedly change the meetings such as lithotrite and resectoscope urethra is caused to even multi damage of secondary, three times, cause urethrorrhagia and infection, bring complication.The second, the operation process complexity, increase doctor's labor intensity and the amount of labour, extended operating time greatly.
For above-mentioned deficiency, need a kind of operating theater instruments of development, avoid in operation process repeatedly changing the multi damage that apparatus causes urethra, can save operating time simultaneously, reduce doctor's labor intensity.
Summary of the invention
In view of this, the purpose of this invention is to provide a kind of tissue pulverizes and lithotriptoscepe, in disposable calculus and prostate hyperplasia or hypertrophy electrocision process, avoid repeatedly changing the multi damage that apparatus causes urethra, simultaneously can save operating time, reduce doctor's labor intensity, and greatly shorten operating time.
The objective of the invention is to be achieved through the following technical solutions: a kind of tissue is pulverized and lithotriptoscepe, comprise setting operation passage vertically the operation pipe, be arranged on endoscope and daylighting passage on the operation pipe, also comprise be sheathed on removably operation pipe leading portion and can with the matching used mirror sheath of resectoscope, between described operation pipe outer wall and mirror sheath inwall, formed aquaporin, the tube wall of operation pipe arranges the intake tunnel be connected with the mistake aquaporin vertically.
Further, the described radial height of crossing aquaporin is 3mm-8mm.
Further, described intake tunnel arranges water intaking valve near water inlet one end.
Further, the tail end of described operation pipe arranges control valve.
Further, described mirror sheath is connected by screw thread or buckle between pipe with operation.
Further, the position of described operation Guan Shangyu mirror sheath inwall contact arranges sealing ring.
Further, on the tube wall of described mirror sheath front end, a plurality of apopores are set.
Beneficial effect of the present invention: tissue of the present invention is pulverized and lithotriptoscepe, comprise setting operation passage vertically the operation pipe, be arranged on endoscope and daylighting passage on the operation pipe, also comprise be sheathed on removably operation pipe leading portion and can with the matching used mirror sheath of resectoscope, between described operation pipe outer wall and mirror sheath inwall, formed aquaporin, the tube wall of operation pipe arranges the intake tunnel be connected with the mistake aquaporin vertically.Its operation principle and operational approach are: for being diagnosed as benign prostatic hyperplasia and cystolithic patient being arranged, use the pulverizing of this tissue and lithotriptoscepe once to perform the operation and carry out simultaneously per urethra reserve part urethra antetheca enucleation of the prostate pulverizing art and bladder rubble lithotomy.Operating procedure is: 1, this tissue is pulverized and the mirror sheath of lithotriptoscepe or the mirror sheath (the two structure is identical, all can be complementary with resectoscope) of existing resectoscope, inserted resectoscope, observe prostatic hyperplasia and vesical calculus situation.2, take out electric prostate-cutting mirror, but epitheca is stayed in urethra; The mirror body of 3, inserting tissue pulverizing and lithotriptoscepe divides, finally by the operation pipe, the rubble electrode is inserted to bladder again, vesical calculus is crushed into to the Microlithiasis below 0.6cm, with irrigator, go out the Microlithiasis after pulverizing, it is complete that the bladder rubble is got the stone operation, and resectoscope epi mirror sheath is still stayed in urethra; 4, insert electric prostate-cutting mirror, the hypertrophy prostata tissue is divided into to two and cuts out and remove and push intravesical; 5, taking-up electric prostate-cutting mirror, insert tissue pulverizing and lithotriptoscepe mirror body and divide, and will organize pulverizer to insert bladder by the operation pipe, will cut out and remove free also sucking-off of prostata tissue pulverizing, then it is complete after with resectoscope, thoroughly stopping blooding, to perform the operation.
Its beneficial effect is: first, adopt tissue of the present invention to pulverize and lithotriptoscepe, whole operation process only needs the mirror sheath is inserted to urethra once, compares with traditional operation, avoid resectoscope and the repeated multiple times urethras that enter of apparatus such as pulverizing mirror to cause multi damage to it, greatly less amount of bleeding; The second, whole operation process can be saved the operating time of 1/3-1/2, has greatly alleviated doctor's labor intensity and patient's misery; The 3rd, by different water cycles, can reach the multipurpose of cutting out simultaneously except pulverizing tissue and rubble, opened up a kind of brand-new operation technique pattern.
The accompanying drawing explanation
The invention will be further described below in conjunction with drawings and Examples:
Fig. 1 is the structural representation of tissue pulverizing of the present invention and lithotriptoscepe.
The specific embodiment
As shown in Figure 1, the tissue of the present embodiment is pulverized and lithotriptoscepe, comprise setting operation passage vertically operation pipe 2, be arranged on endoscope 1 and daylighting passage 3 on the operation pipe, also comprise be sheathed on removably operation pipe leading portion and can with the matching used mirror sheath 4 of resectoscope, especially the interface section of mirror sheath, can be used in conjunction with operation pipe of the present invention, also can be used in conjunction with each other with the port of existing resectoscope; Certainly, the structure of this mirror sheath also can be identical with existing resectoscope structure, specifically can connect by modes such as screw thread or buckles.Assembly and disassembly are changed convenient, form aquaporin 6 between described operation pipe outer wall and mirror sheath inwall, and the described radial height of crossing aquaporin 6 is 3mm-8mm, namely is equivalent to gap length, usually gets 3mm, 6mm or 8mm etc.; Getting suitable gap length can guarantee that water and other pulverizing are organized smoothly and separate out.For example, when existing mirror sheath internal diameter adopted 26D, operation pipe front end external diameter must be less than 24D; The tube wall of operation pipe 2 arranges the intake tunnel 9 be connected with mistake aquaporin 6 vertically.Described intake tunnel 9 arranges water intaking valve 8 near water inlet one end.Water intaking valve is set and can controls the opening and closing of intake tunnel, easy to use; The tail end of described operation pipe 2 arranges control valve 10.The control valve switching of control operation pipe flexibly is set; The position contacted with mirror sheath 4 inwalls on described operation pipe 2 arranges sealing ring 5.Increase sealing effectiveness, prevent from leaking.
As to further improvement in the technical proposal, a plurality of apopores 7 are set on the tube wall of described mirror sheath 4 front ends.Water outlet is even, when organizing sucking-off, can prevent from simultaneously stopping up.
Finally explanation is, above embodiment is only unrestricted in order to technical scheme of the present invention to be described, although with reference to preferred embodiment, the present invention is had been described in detail, those of ordinary skill in the art is to be understood that, can modify or be equal to replacement technical scheme of the present invention, and not breaking away from aim and the scope of technical solution of the present invention, it all should be encompassed in the middle of claim scope of the present invention.
Claims (7)
1. a tissue is pulverized and lithotriptoscepe, comprise setting operation passage vertically operation pipe (2), be arranged on endoscope (1) and daylighting passage (3) on the operation pipe, it is characterized in that: also comprise be sheathed on removably operation pipe leading portion and can with the matching used mirror sheath of resectoscope (4), between described operation pipe outer wall and mirror sheath inwall, formed aquaporin (6), the tube wall of operation pipe (2) arranges the intake tunnel (9) be connected with mistake aquaporin (6) vertically.
2. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: the described radial height of crossing aquaporin (6) is 3mm-8mm.
3. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: described intake tunnel (9) arranges water intaking valve (8) near water inlet one end.
4. tissue according to claim 1 is pulverized and lithotriptoscepe, and it is characterized in that: the tail end of described operation pipe (2) arranges control valve (10).
5. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: described mirror sheath (4) is managed between (2) and is connected by screw thread or buckle with operation.
6. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: the upper position contacted with mirror sheath (4) inwall of described operation pipe (2) arranges sealing ring (5).
7. tissue according to claim 1 is pulverized and lithotriptoscepe, it is characterized in that: on the tube wall of described mirror sheath (4) front end, a plurality of apopores (7) are set.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310377498.9A CN103405272B (en) | 2013-08-26 | 2013-08-26 | Tissue is pulverized and lithotriptoscepe |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310377498.9A CN103405272B (en) | 2013-08-26 | 2013-08-26 | Tissue is pulverized and lithotriptoscepe |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103405272A true CN103405272A (en) | 2013-11-27 |
| CN103405272B CN103405272B (en) | 2015-12-23 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310377498.9A Expired - Fee Related CN103405272B (en) | 2013-08-26 | 2013-08-26 | Tissue is pulverized and lithotriptoscepe |
Country Status (1)
| Country | Link |
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| CN (1) | CN103405272B (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103932656A (en) * | 2014-04-28 | 2014-07-23 | 乔晋琳 | Endoscope component and medical equipment |
| CN103961157A (en) * | 2014-04-21 | 2014-08-06 | 邓学斌 | Bladder stone breaking and taking sheath |
| CN104523305A (en) * | 2014-12-30 | 2015-04-22 | 武汉唐济科技有限公司 | Special sheath for prostate endoscopic surgical instrument |
| CN106420050A (en) * | 2016-10-31 | 2017-02-22 | 上海瑞柯恩激光技术有限公司 | Tissue crusher cutter head and laser treatment device |
| CN111870218A (en) * | 2020-08-31 | 2020-11-03 | 武汉佑康科技有限公司 | Catheter cap for ureteroscope and ureteroscope catheter with same |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1054892A (en) * | 1991-04-17 | 1991-10-02 | 苏天安 | Lasar prostate excision mirror |
| EP0741996A2 (en) * | 1995-05-08 | 1996-11-13 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
| US6669685B1 (en) * | 1997-11-06 | 2003-12-30 | Biolase Technology, Inc. | Tissue remover and method |
| WO2005007202A2 (en) * | 2003-07-08 | 2005-01-27 | Board Of Regents, The University Of Texas System | Surgical cutting tools and related methods |
| CN200951098Y (en) * | 2006-05-11 | 2007-09-26 | 张家华 | Multi-functional and electric meatoscope with cutter used for operation to treat adult anterior and electric urethrostenosis |
| CN101108138A (en) * | 2006-07-21 | 2008-01-23 | 王水良 | Vaporization electric excision scope for medical purpose |
| CN101744652A (en) * | 2010-01-13 | 2010-06-23 | 张家华 | Multifunctional prostate operation mirror |
| CN202505312U (en) * | 2012-04-09 | 2012-10-31 | 广州医学院第一附属医院 | Multi-purpose endoscope |
| CN203408100U (en) * | 2013-08-26 | 2014-01-29 | 张家华 | Tissue smashing and lithotriptoscope |
-
2013
- 2013-08-26 CN CN201310377498.9A patent/CN103405272B/en not_active Expired - Fee Related
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1054892A (en) * | 1991-04-17 | 1991-10-02 | 苏天安 | Lasar prostate excision mirror |
| EP0741996A2 (en) * | 1995-05-08 | 1996-11-13 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
| US6669685B1 (en) * | 1997-11-06 | 2003-12-30 | Biolase Technology, Inc. | Tissue remover and method |
| WO2005007202A2 (en) * | 2003-07-08 | 2005-01-27 | Board Of Regents, The University Of Texas System | Surgical cutting tools and related methods |
| CN200951098Y (en) * | 2006-05-11 | 2007-09-26 | 张家华 | Multi-functional and electric meatoscope with cutter used for operation to treat adult anterior and electric urethrostenosis |
| CN101108138A (en) * | 2006-07-21 | 2008-01-23 | 王水良 | Vaporization electric excision scope for medical purpose |
| CN101744652A (en) * | 2010-01-13 | 2010-06-23 | 张家华 | Multifunctional prostate operation mirror |
| CN202505312U (en) * | 2012-04-09 | 2012-10-31 | 广州医学院第一附属医院 | Multi-purpose endoscope |
| CN203408100U (en) * | 2013-08-26 | 2014-01-29 | 张家华 | Tissue smashing and lithotriptoscope |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103961157A (en) * | 2014-04-21 | 2014-08-06 | 邓学斌 | Bladder stone breaking and taking sheath |
| CN103932656A (en) * | 2014-04-28 | 2014-07-23 | 乔晋琳 | Endoscope component and medical equipment |
| CN104523305A (en) * | 2014-12-30 | 2015-04-22 | 武汉唐济科技有限公司 | Special sheath for prostate endoscopic surgical instrument |
| CN104523305B (en) * | 2014-12-30 | 2017-09-26 | 武汉唐济科技有限公司 | A kind of special epitheca of prostate endoscope operation instruments |
| CN106420050A (en) * | 2016-10-31 | 2017-02-22 | 上海瑞柯恩激光技术有限公司 | Tissue crusher cutter head and laser treatment device |
| CN111870218A (en) * | 2020-08-31 | 2020-11-03 | 武汉佑康科技有限公司 | Catheter cap for ureteroscope and ureteroscope catheter with same |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103405272B (en) | 2015-12-23 |
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Granted publication date: 20151223 Termination date: 20170826 |