CN103989503A - Visible multifunctional kidney stone removing device - Google Patents
Visible multifunctional kidney stone removing device Download PDFInfo
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- CN103989503A CN103989503A CN201410234948.3A CN201410234948A CN103989503A CN 103989503 A CN103989503 A CN 103989503A CN 201410234948 A CN201410234948 A CN 201410234948A CN 103989503 A CN103989503 A CN 103989503A
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- clamp handle
- handle
- head
- binding clip
- pliers
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- 208000000913 Kidney Calculi Diseases 0.000 title claims description 13
- 206010029148 Nephrolithiasis Diseases 0.000 title claims description 13
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 18
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 3
- 239000000741 silica gel Substances 0.000 claims description 3
- 229910002027 silica gel Inorganic materials 0.000 claims description 3
- 239000000835 fiber Substances 0.000 claims 1
- 229960001866 silicon dioxide Drugs 0.000 claims 1
- 239000004575 stone Substances 0.000 abstract description 40
- 210000000244 kidney pelvis Anatomy 0.000 abstract description 14
- 238000001356 surgical procedure Methods 0.000 abstract description 11
- 210000003734 kidney Anatomy 0.000 abstract description 5
- 239000012528 membrane Substances 0.000 abstract description 5
- 230000000694 effects Effects 0.000 abstract description 2
- 238000005286 illumination Methods 0.000 abstract description 2
- 238000004904 shortening Methods 0.000 abstract description 2
- 206010037660 Pyrexia Diseases 0.000 abstract 1
- 210000000080 chela (arthropods) Anatomy 0.000 description 19
- 238000000034 method Methods 0.000 description 5
- 239000013307 optical fiber Substances 0.000 description 5
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 238000000605 extraction Methods 0.000 description 3
- 230000000007 visual effect Effects 0.000 description 3
- 238000009212 extracorporeal shock wave lithotripsy Methods 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000003205 diastolic effect Effects 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 231100000857 poor renal function Toxicity 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
本发明涉及一种可视多功能肾脏取石装置,包括通过销轴连接左钳柄和右钳柄,左钳柄和右钳柄的头端分别一体设有左钳头和右钳头,左钳柄和右钳柄均为中空结构,左钳柄和右钳柄的相对面上设有啮合的齿,左钳头和右钳头上均设有孔,孔处均覆盖有弹性膜,右钳头与右钳柄相连接处设有微型摄像头和微型LED灯,左钳头远离左钳柄一端设置有出水口,左钳柄上设置有进水口。本发明在取石装置上设置了微型LED灯,在进行肾内取石手术时可对肾盂、肾盏内进行照明,提高了可视性,从而缩短了取石时间,降低了手术的危险性,减轻患者痛苦,很好地达到手术的效果,且照明度稳定,无发热现象,使用安全可靠。
The present invention relates to a visible multifunctional device for removing stones from the kidney. Both the handle and the right pliers handle are hollow structures, the opposite surfaces of the left pliers handle and the right pliers handle are provided with meshing teeth, the left pliers head and the right pliers head are provided with holes, and the holes are covered with elastic membranes, the right pliers A miniature camera and a miniature LED light are arranged at the joint between the head and the right pliers handle, a water outlet is arranged at the end of the left pliers head away from the left pliers handle, and a water inlet is arranged on the left pliers handle. The present invention is equipped with a micro-LED light on the stone removal device, which can illuminate the renal pelvis and calices during the stone removal operation in the kidney, thereby improving visibility, thereby shortening the stone removal time, reducing the risk of surgery, and reducing the risk for patients. Painful, well achieve the effect of surgery, and the illumination is stable, no fever, safe and reliable to use.
Description
技术领域 technical field
本发明涉及医疗器械技术领域,具体涉及一种可视多功能肾脏取石装置。 The present invention relates to the technical field of medical devices, in particular to a visual multifunctional kidney stone removal device.
背景技术 Background technique
在人体肾脏结石治疗方式中。目前,常采用体外震波碎石术(ESWL)和手术治疗,其中手术治疗分开放手术和微创手术,但肾结石如合并肾功能差,仍需开放手术,特别是在我国县级医院和贫困地区,不能开展微创手术,多以开放手术为主。肾结石最常用的手术方式是肾盂切口取石。现有临床上所使用的肾脏取石装置其取石面为有浅横纹的平面,用它夹取肾脏结石,取石装置与结石接触面小,特别是结石位于肾盏内时,常是结石尖端露出在肾盂内或朝向肾盂,肾盂、肾盏结石周围空间有限,取石装置仅能夹住结石一端,结石易滑脱。有时为防结石滑脱,用大力钳夹,将结石一部分夹碎,有时医务人员手工捏持结石,这样操作起来十分麻烦、费时费力,给医务人员增加了极大的工作难度。 In the treatment of human kidney stones. At present, extracorporeal shock wave lithotripsy (ESWL) and surgical treatment are commonly used. Among them, surgical treatment is divided into open surgery and minimally invasive surgery. However, if kidney stones are combined with poor renal function, open surgery is still required, especially in county-level hospitals and poor people in my country. In some areas, minimally invasive surgery cannot be carried out, and open surgery is the main method. The most commonly used surgical method for kidney stones is stone removal through renal pelvis incision. The stone extraction surface of the existing clinically used kidney stone removal device is a flat surface with shallow horizontal stripes, and it is used to clamp kidney stones. The contact surface between the stone removal device and the stone is small, especially when the stone is located in the calices, the tip of the stone is often exposed In the renal pelvis or toward the renal pelvis, the space around the renal pelvis and calices is limited, and the stone removal device can only clamp one end of the calculus, and the calculus is easy to slip. Sometimes in order to prevent the calculi from slipping, forceps are used to clamp a part of the calculus, and sometimes the medical staff pinches the calculus manually, which is very cumbersome, time-consuming and laborious to operate, and adds great work difficulty to the medical staff.
发明内容 Contents of the invention
本发明的目的是为解决上述技术问题的不足,提供一种可视多功能肾脏取石装置。 The purpose of the present invention is to provide a visual and multifunctional kidney stone removal device to solve the above-mentioned technical problems.
本发明为解决上述技术问题的不足,所采用的技术方案是: The present invention is for solving the deficiencies of the above-mentioned technical problems, and the technical scheme adopted is:
一种可视多功能肾脏取石装置,包括通过销轴连接左钳柄和右钳柄,左钳柄和右钳柄的头端分别一体设有左钳头和右钳头,左钳柄和右钳柄的尾端均设有套环,所述左钳柄和右钳柄均为中空结构,左钳柄和右钳柄的相对面上设有啮合的齿,左钳头和右钳头上均设有孔,左、右钳头的孔处均覆盖有弹性膜,所述右钳头与右钳柄相连接处设有微型摄像头和微型LED灯,微型摄像头和微型LED灯分别通过光纤导线与显示器和电源连接,所述左钳头远离左钳柄一端设置有出水口,左钳柄上设置有进水口。 A visible multi-functional device for removing stones from the kidney. The tail ends of the pliers handles are provided with collars, the left pliers handles and the right pliers handles are both hollow structures, the opposite surfaces of the left pliers handles and the right pliers handles are provided with meshing teeth, and the left pliers heads and the right pliers heads are Both are provided with holes, and the holes of the left and right pliers are covered with an elastic film. The connection between the right pliers and the right pliers handle is provided with a miniature camera and a miniature LED light. It is connected with the monitor and the power supply, the end of the left pliers head away from the left pliers handle is provided with a water outlet, and the left pliers handle is provided with a water inlet.
所述的弹性膜由医用硅胶制成。 The elastic membrane is made of medical silica gel.
所述的左钳头和右钳头为椭圆形、方形或圆形。 The left pincer head and the right pincer head are oval, square or round.
使用时,将左钳头和右钳头置入肾脏内,手握操作左、右钳柄及套环,打开微型LED灯和微型摄像头使其工作,照亮肾盂、肾盏,这样在有光照的情况下,将左钳头和右钳头移至结石处并夹住结石,此刻弹性膜根据结石大小扩张,紧紧兜住结石使其不产生滑动,拉出左钳头和右钳头即可从肾盂、肾盏取出结石,此过程同时利用微型摄像头和光纤导线传递的数据,医务人员可通过显示器观察肾盂、肾盏内的具体情况,能够准确地操作取石装置进行钳取石头,大大地缩短了取石时间,而且通过显示器的显示能够准确的了解到肾盂、肾盏内是否还有结石残留,避免了术后结石残留现象发生。 When in use, put the left and right forceps heads into the kidney, hold the left and right forceps handles and collars, turn on the micro LED lights and micro cameras to make them work, and illuminate the renal pelvis and calyces. In the case of the stone, move the left and right pincers to the stone and clamp the stone. At this moment, the elastic membrane expands according to the size of the stone and tightly wraps the stone so that it does not slip. Pull out the left and right pincers. Stones can be removed from the renal pelvis and calyces. This process uses the data transmitted by the micro-camera and optical fiber wires at the same time. The medical staff can observe the specific conditions in the renal pelvis and calyces through the monitor, and can accurately operate the stone removal device to forceps the stones, which greatly improves the The stone removal time is shortened, and through the display of the monitor, it can be accurately known whether there are stones remaining in the renal pelvis and calyces, which avoids the occurrence of stone residues after surgery.
当遇到取石装置周围有血迹影响观测时,可通过注水孔向左钳柄内注水,左钳头顶端的出水孔出水清除血迹,方便观测。 When the observation is affected by blood stains around the stone extraction device, water can be injected into the left pliers handle through the water injection hole, and the water outlet hole at the top of the left pliers head will discharge water to remove the blood stains, which is convenient for observation.
有益效果Beneficial effect
1)、本发明在取石装置上设置了微型LED灯,在进行肾内取石手术时可对肾盂、肾盏内进行照明,提高了可视性,从而缩短了取石时间,降低了手术的危险性,减轻患者痛苦,很好地达到手术的效果,且照明度稳定,无发热现象,使用安全可靠; 1) In the present invention, a micro-LED light is installed on the stone removal device, which can illuminate the renal pelvis and calices during the intrarenal stone removal operation, which improves visibility, thereby shortening the stone removal time and reducing the risk of surgery , reduce the pain of patients, achieve the effect of surgery well, and the illumination is stable, no heating phenomenon, safe and reliable to use;
2)、本发明通过弹性膜容受性舒张套取结石,取石方便,大大地提高了医务人员的工作效率; 2). The invention adopts the receptive diastolic sleeve of the elastic membrane to remove stones, which is convenient for removing stones and greatly improves the work efficiency of medical staff;
3)、本发明结构合理,设计新颖,实用性强,使用寿命长,使用既方便快捷,又安全卫生。 3) The present invention has reasonable structure, novel design, strong practicability, long service life, convenient and fast use, and safety and sanitation.
附图说明 Description of drawings
图1为本发明的肾脏取石装置结构示意图; Fig. 1 is a schematic structural diagram of a kidney stone removal device of the present invention;
图2为本发明的右钳头的结构示意图; Fig. 2 is the structural representation of the right pincer head of the present invention;
图3为本发明的左钳头的结构示意图; Fig. 3 is the structural representation of left pliers head of the present invention;
图中标记: 1、左钳柄,2、右钳柄,3、销轴,4、套环,5、右钳头,6、齿,7、弹性膜,8、微型摄像头,9、微型LED灯,10、光纤导线,11、进水口,12、出水口,13、左钳头。 Marks in the picture: 1. Left pliers handle, 2. Right pliers handle, 3. Pin shaft, 4. Collar, 5. Right pliers head, 6. Teeth, 7. Elastic film, 8. Micro camera, 9. Micro LED Light, 10, optical fiber wire, 11, water inlet, 12, water outlet, 13, left pincer head.
具体实施方式 Detailed ways
如图所示:一种可视多功能肾脏取石装置,包括通过销轴3连接左钳柄1和右钳柄2,左钳柄1和右钳柄2顶部分别一体设有左钳头13和右钳头5,左钳柄1和右钳柄2底部分别设有套环4,右钳头5下方设有微型摄像头8和微型LED灯9,微型摄像头8和微型LED灯9分别通过光纤导线10与显示器和电源连接。左钳头13和右钳头5上皆设有孔,左钳头13和右钳头5的相向面上设有啮合的齿6,左钳头13和右钳头5的孔处固设有弹性膜7,弹性膜7由医用硅胶制成,左钳头13和右钳头5为椭圆形,右钳柄2为中空结构,光纤导线10一端位于右钳柄2中空部内,另一端在销轴3处穿出右钳柄2,左钳柄1为中空结构,销轴3上端的左钳柄1上设有进水口11,左钳头13的顶部设有出水口12,进水口11和出水口12通过左钳柄1中空部连通。 As shown in the figure: a visual multi-functional kidney stone removal device, including connecting the left forceps handle 1 and the right forceps handle 2 through the pin shaft 3, and the tops of the left forceps handle 1 and the right forceps handle 2 are respectively provided with a left forceps head 13 and a The right clamp head 5, the left clamp handle 1 and the bottom of the right clamp handle 2 are respectively provided with a collar 4, and the right clamp head 5 is provided with a miniature camera 8 and a miniature LED lamp 9, and the miniature camera 8 and the miniature LED lamp 9 pass through the optical fiber wire respectively. 10 Connect with display and power supply. The left pincer 13 and the right pincer 5 are all provided with holes, the opposite faces of the left pincer 13 and the right pincer 5 are provided with meshing teeth 6, and the holes of the left pincer 13 and the right pincer 5 are fixed with The elastic film 7, the elastic film 7 is made of medical silica gel, the left clamp head 13 and the right clamp head 5 are oval, the right clamp handle 2 is a hollow structure, one end of the optical fiber wire 10 is located in the hollow part of the right clamp handle 2, and the other end is in the pin The right pincer handle 2 passes through the shaft 3, and the left pincer handle 1 is a hollow structure. The left pincer handle 1 at the upper end of the pin shaft 3 is provided with a water inlet 11, and the top of the left pincer head 13 is provided with a water outlet 12, and the water inlet 11 and The water outlet 12 communicates through the hollow part of the left pincer handle 1 .
使用时,将左钳头13和右钳头5置入肾脏内,手握操作左钳柄1和右钳柄2及相应的套环4,打开微型LED灯9和微型摄像头8使其工作,照亮肾盂、肾盏,这样在有光照的情况下,将左钳头13和右钳头5移至结石处并夹住结石,此刻弹性膜7根据结石大小扩张,紧紧兜住结石使其不产生滑动,拉出左钳头13和右钳头5即可从肾盂、肾盏取出结石,此过程同时利用微型摄像头8和光纤导线10传递的数据,医务人员可通过显示器观察肾盂、肾盏内的具体情况,能够准确的操作取石装置进行钳取石头,大大地缩短了取石时间,而且通过显示器的显示能够准确地了解到肾盂、肾盏内是否还有结石残留,避免了术后结石残留现象发生。 When in use, put the left clamp head 13 and the right clamp head 5 into the kidney, hold and operate the left clamp handle 1 and the right clamp handle 2 and the corresponding collar 4, turn on the micro LED light 9 and the micro camera 8 to make it work, Illuminate the renal pelvis and calices, so that under the condition of light, move the left forceps head 13 and right forceps head 5 to the stone and clamp the stone. At this moment, the elastic membrane 7 expands according to the size of the stone, tightly wrapping the stone so that it Without slippage, the stones can be removed from the renal pelvis and calyces by pulling out the left forceps head 13 and the right forceps head 5. This process uses the data transmitted by the micro-camera 8 and the optical fiber wire 10 at the same time, and the medical staff can observe the renal pelvis and calyces through the monitor. According to the specific situation in the hospital, the stone removal device can be accurately operated to extract stones, which greatly shortens the stone removal time, and through the display of the monitor, it can accurately know whether there are stones left in the renal pelvis and calyces, so as to avoid stone residues after surgery phenomenon occurs.
当遇到取石装置周围有血迹影响观测时,可通过注水孔向左钳柄1内注水,左钳头13顶端的出水孔出水清除血迹,方便观测。 When there is blood stain affecting observation around the stone extraction device, water can be poured into the left pincer handle 1 through the water injection hole, and the water outlet hole at the top of the left pincer head 13 is discharged to remove the blood stain, which is convenient for observation.
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US4088134A (en) * | 1976-08-05 | 1978-05-09 | Joseph A. Caprini | Forceps |
DE3006027A1 (en) * | 1980-02-18 | 1981-11-26 | Rudolf Dr.med. 8360 Deggendorf Pfab | Kidney-stone surgical forceps - have elastic jaw surface beyond which metal tip protrudes to grip stone |
CN202740080U (en) * | 2012-08-11 | 2013-02-20 | 山东省立医院 | Bladder stone forceps |
CN202821513U (en) * | 2012-08-28 | 2013-03-27 | 柳翠萍 | Biliary tract lithotomy forceps |
CN103431891A (en) * | 2013-09-25 | 2013-12-11 | 刘丹青 | Visible biliarystone removal forceps |
CN203354602U (en) * | 2013-07-05 | 2013-12-25 | 中国人民解放军第三军医大学第二附属医院 | Bile duct stone removal device with visual shooting system |
CN203852400U (en) * | 2014-05-30 | 2014-10-01 | 河南科技大学第一附属医院 | Multifunctional and visual kidney calculus removing device |
-
2014
- 2014-05-30 CN CN201410234948.3A patent/CN103989503A/en active Pending
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4088134A (en) * | 1976-08-05 | 1978-05-09 | Joseph A. Caprini | Forceps |
DE3006027A1 (en) * | 1980-02-18 | 1981-11-26 | Rudolf Dr.med. 8360 Deggendorf Pfab | Kidney-stone surgical forceps - have elastic jaw surface beyond which metal tip protrudes to grip stone |
CN202740080U (en) * | 2012-08-11 | 2013-02-20 | 山东省立医院 | Bladder stone forceps |
CN202821513U (en) * | 2012-08-28 | 2013-03-27 | 柳翠萍 | Biliary tract lithotomy forceps |
CN203354602U (en) * | 2013-07-05 | 2013-12-25 | 中国人民解放军第三军医大学第二附属医院 | Bile duct stone removal device with visual shooting system |
CN103431891A (en) * | 2013-09-25 | 2013-12-11 | 刘丹青 | Visible biliarystone removal forceps |
CN203852400U (en) * | 2014-05-30 | 2014-10-01 | 河南科技大学第一附属医院 | Multifunctional and visual kidney calculus removing device |
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Application publication date: 20140820 |