CN113081163B - Minimally invasive type lithangiuria operation integrated system - Google Patents

Abstract

The invention relates to a comprehensive system for minimally invasive urolithiasis surgery. The inside of the equipment pipe is hollow, the top of the middle section of the equipment pipe is provided with a circlip groove, and a pipe jacking pipe is also opened at the corresponding position passing through the circlip groove; the inner wall of the bottom of the pipe jacking pipe is provided with an internal thread screw, a needle set The outer wall is provided with an external thread screw; the needle set is screwed into the pipe jacking pipe; the needle set is hollow, and a positioning needle is inserted into the cavity, and the top of the locking needle is a needle top cover , there is a short spring sheet in contact with the needle top cover, the beneficial effect of the present invention is that the flexible tube that is inserted into the patient's urethra is used for improvement, so that the steering of the controlled micro-device module can be controlled in at most 8 directions, and the minimally invasive The purpose of accurately positioning the patient’s stone part during surgery; secondly, the device adopts micro-processing, and multiple modules such as camera module, negative pressure module, high-frequency oscillation module, and electrosurgical module can be integrated into the entire inserted tube, so the device is extremely versatile. powerful.

Description

A minimally invasive integrated system for urolithiasis surgery

technical field

The invention relates to a comprehensive system for minimally invasive urolithiasis surgery.

Background technique

Minimally invasive is a feature of modern medical surgical treatment applications, that is, the technology that only causes minimal trauma to the patient during the surgical treatment process and leaves only minimal wounds after surgery, which is a scientific and technological achievement compared to traditional surgery. Therefore, minimally invasive is a word specially connected with surgery and surgery, such as minimally invasive surgery, minimally invasive surgery, etc. There is no precise definition of minimally invasive. Urolithiasis is a general term for calculi in various parts of the urinary system, and is a common disease of the urinary system. According to the location of the stone, it is divided into kidney stones, ureteral stones, bladder stones, and urethral stones. The formation of this disease is closely related to environmental factors, systemic diseases and diseases of the urinary system. Its typical clinical manifestations include waist and abdominal cramps, hematuria, or symptoms of urinary tract obstruction and infection such as frequent urination, urgency, and dysuria.

The traditional minimally invasive urolithiasis surgery is directly accessed by the patient's urethra through the stone extraction device. This is actually a relatively painful process, and the patient often needs to receive general anesthesia; and it is prone to internal bleeding after surgery. The main reason is to control Urinary tract stone extraction equipment is not smart enough and not precise enough.

SUMMARY OF THE INVENTION

The purpose of the present invention is to provide a minimally invasive integrated system for urolithiasis surgery.

The present invention solves the above-mentioned technical problems by adopting the following technical solutions: a minimally invasive urolithiasis operation integrated system, which is mainly structured as follows: a tail cone cap, an equipment pipe fitting, an expansion pipe, a pipe jacking pipe, a circlip groove, The first tightening sleeve, the second tightening sleeve, the spring seat, the top tube, the tube slot, the top sleeve, the composite optical fiber tube, the optical fiber core, the first control fiber wire, the first ring member, the Nth ring parts, Nth control fiber filament, micro device module, ultra-thin silicone tube, silicone ring sleeve, positioning protection sleeve, ring sleeve protection tube, pick, pick hole, push button, height-fixing hole, card position pin, The short spring piece, the headspace pipe fitting, and the needle set are characterized in that: the equipment pipe fitting is hollow inside, the top of the middle section of the equipment pipe fitting is provided with a circlip groove, and a pipe jacking pipe is also opened at the corresponding position passing through the circlip groove;

The inner wall of the bottom of the pipe jacking pipe is provided with an inner thread screw thread, and the outer wall of the needle set is provided with an external thread screw thread; the needle set is screwed into the pipe jacking pipe; the needle set is hollow inside and is built in the cavity A positioning needle is inserted, the top of the positioning needle is a needle top cover, a short spring sheet is in contact with the needle top cover, and the bottom of the short spring sheet is fixed by the headspace pipe fitting;

A push button is vertically inserted into the snap-ring groove, and the lower part of the push button is provided with a height-fixing hole; the paddle is provided with a paddle hole;

A silicone ring sleeve is inserted into the opening at the front end of the equipment pipe, and a positioning protective sleeve is arranged in the central position of the silicone ring sleeve, and the positioning protective sleeve is hollow;

The inner socket of the silicone ring sleeve is inserted with a ring sleeve protection tube;

The lower part of the front section of the equipment pipe is provided with an expansion pipe, and the expansion pipe is connected with the inner space of the equipment pipe;

The opening of the rear end of the equipment pipe is disposed and fixed with a top casing, and a top pipe runs through the top casing, and the top pipe is divided into three sections, which are respectively a first section, a middle section, and a tail section; The diameter of the pipe section decreases in turn, the tail section of the top pipe is provided with a pipe slot transversely; the middle section is sleeved with a spring seat, and the top sleeve is screwed with the second tightening sleeve thread , and a second tightening sleeve is in contact with the rear end of the spring seat to limit its position; the tail section of the top pipe is sleeved with a first tightening sleeve, and the first tightening sleeve is covered by the tail cone cap; The tail cone cap is screwed with the end of the equipment pipe through a screw thread;

The first tightening sleeve, the second tightening sleeve, the spring seat, the jacking pipe, the pipe slot and the jacking sleeve are assembled in sequence to form a pipe fitting push module;

The equipment pipe fittings are sequentially installed with the components of the pipe fitting pushing module, the pick, the push button, and the silicone ring sleeve; the composite optical fiber tube sequentially penetrates the components installed in the equipment pipe fitting;

The composite optical fiber tube is composed of: a micro-equipment module is installed on the top of the optical fiber core, and a first support ring is arranged at a distance of 1.5-3 cm from the micro-equipment module. An Nth ring member is provided; a first position-controlling filament is fixed on the micro-equipment module, and the first position-controlling filament passes through the first ring member in turn, and a plurality of the Nth support ring;

A plurality of the Nth position-controlling fiber filaments are evenly distributed around the first ring piece and the Nth thru-ring piece; an ultra-thin silicone tube is inserted into the Nth position-controlling fiber filament jacket;

The hole of the pick is covered with a flexible silica gel ring; the diameter of the flexible silica gel ring is between 1.8-2.2 times the diameter of the composite optical fiber tube.

The pick piece is welded to the bottom of the inner wall of the equipment pipe, the pick piece has an arched structure, and the back arch part abuts one end of the top sleeve;

The locking pin is in contact with the bottom of the push button.

Further, the headspace tube is composed of a metal part of the headspace tube and a silicone ring sleeve.

Further, the number of N in the Nth ring stretcher is 2-80; the number of N in the Nth position-controlling filament is 4-12.

Further, the ultra-thin silicone tube is filled with non-toxic lubricant.

Further, the integrated modules of the micro-device module include: a camera module, a negative pressure module, a high-frequency oscillation module, and an electrosurgery module.

Further, the optical fiber core is divided into an optical fiber body and a pipeline channel.

Further, the ends of the Nth control fiber filaments are all connected to the medical equipment console.

The beneficial effects of the present invention are as follows: the flexible tube that is inserted into the patient's urethra is used for improvement, so that the steering of the controlled micro-device module can be controlled in eight directions at most, and the purpose of accurately locating the patient's stone part in the minimally invasive surgery is achieved; secondly, the device Micro-processing is adopted, and multiple modules such as camera module, negative pressure module, high-frequency oscillation module, electrosurgery module can be integrated into the whole inserted pipe fitting, so the equipment is extremely versatile.

Description of drawings

FIG. 1 is an overall structural diagram of a comprehensive system for minimally invasive urolithiasis surgery according to the present invention.

FIG. 2 is a structural diagram of the whole (removing tail cone cap) of a comprehensive system for minimally invasive urolithiasis surgery according to the present invention.

FIG. 3 is an exploded structural diagram of an integrated system for minimally invasive urolithiasis surgery according to the present invention.

4 is a cross-sectional view of a composite fiber optic tube of a minimally invasive integrated system for urolithiasis surgery according to the present invention.

Figure 5 is a right side view of a minimally invasive integrated system for urolithiasis surgery according to the present invention.

FIG. 6 is a cross-sectional structural view at the point A-A of FIG. 5 .

7 is a schematic structural diagram of a composite optical fiber tube of a minimally invasive integrated system for urolithiasis surgery according to the present invention.

8 is a structural diagram of a silicone ring sleeve of a minimally invasive integrated system for urolithiasis surgery according to the present invention.

In the picture 1- tail cone cap, 2- equipment pipe fitting, 21- expansion pipe, 22- top pipe pipe, 23- spring groove, 3- first tightening sleeve, 4- second tightening sleeve, 5- spring seat , 6-top tube, 62-tube slot, 7-top sleeve, 8-composite optical fiber tube, 81-fiber core, 82-first control fiber filament, 83-first ring piece, 84-th Nth Support ring piece, 85-Nth control fiber filament, 86-Micro device module, 9-Silicone ring sleeve, 91-Positioning protective sleeve, 10-Ring sleeve protection tube, 11-Pick, 111-Pick hole, 12-Press button, 121-Height-fixing hole, 13-Position pin, 14-Short spring piece, 15-Headspace fitting, 16-Needle set.

Detailed ways

The specific embodiments of the present invention will be described in detail below with reference to the accompanying drawings 1-8.

Example: a minimally invasive integrated system for urolithiasis surgery, its main structure includes: tail cone cap 1, equipment pipe fittings 2, expansion pipe 21, pipe jacking pipe 22, spring groove 23, first tightening sleeve 3, The second tightening sleeve 4, the spring seat 5, the top tube 6, the tube slot 61, the top tube 7, the composite optical fiber tube 8, the optical fiber core 81, the first control fiber 82, the first expansion ring member 83, the first N support ring 84, Nth position control fiber 85, micro device module 86, ultra-thin silicone tube 87, silicone ring sleeve 9, positioning protective sleeve 91, ring sleeve protection tube 10, pick 11, pick hole 111 , push button 12, height-fixing hole 121, positioning needle 13, short spring piece 14, headspace pipe fitting 15, needle kit 16, characterized in that: the equipment pipe fitting 2 is hollow inside, and the top of the middle section of the equipment pipe fitting 2 is opened with The circlip groove 23 is connected with the circlip groove 23, and a pipe jacking pipe 22 is also opened at the corresponding position;

The inner wall of the bottom of the pipe jacking pipe 22 is provided with an internal thread thread, and the outer wall of the needle set 16 is provided with an external thread thread; the needle set 16 is screwed into the pipe top pipe 22; the needle set 16 is hollow inside, And a positioning needle 13 is built into the cavity. The top of the positioning needle 13 is a needle top cover, and a short spring piece 14 is in contact with the needle top cover. The ferrule is fixed;

The snap-ring groove 23 is vertically inserted with a push button 12, and the lower part of the push button 12 is provided with a height-fixing hole 121; the paddle 11 is provided with a paddle hole 111;

A silicone ring sleeve 9 is inserted into the front end opening of the equipment pipe fitting 2, and a positioning protective sleeve 91 is provided in the central position of the silicone ring sleeve 9, and the positioning protective sleeve 91 is hollow;

A ring sleeve protection tube 10 is inserted into the silicone ring sleeve 9;

An expansion pipe 21 is opened at the lower part of the front section of the equipment pipe fitting 2, and the expansion pipe 21 communicates with the inner space of the equipment pipe fitting 2;

The opening of the rear end of the equipment pipe fitting 2 is disposed and fixed with a top casing 7, and the top casing 7 has a top pipe 6 running through it. The top pipe 6 is divided into three sections, which are respectively the first section and the middle section. and the pipe diameters of the three sections decrease in turn, the tail section of the top pipe 6 is provided with a pipe slot 61 transversely; the middle section is sleeved with a spring seat 5, and the top casing 7 and the Two tightening sleeves and 4 cylinders are screwed together, and a second tightening sleeve 4 is in contact with the rear end of the spring seat 5 to limit its position; the tail section of the top tube 6 is sleeved with a first tightening sleeve 3, The first tightening sleeve 3 is covered by the tail cone cap 1; the tail cone cap 1 is screwed with the end of the equipment pipe fitting 2 through a screw thread;

The first tightening sleeve 3, the second tightening sleeve 4, the spring seat 5, the jacking pipe 6, the pipe slot 61, and the jacking sleeve 7 are assembled in sequence to form a pipe fitting push module;

The equipment pipe fitting 2 is sequentially installed with the components of the pipe fitting pushing module, the pick 11, the pressing button 12, and the silicone ring sleeve 9; the composite optical fiber tube 8 sequentially penetrates the components installed in the equipment pipe fitting 2;

The composite optical fiber tube 8 is composed of: a micro-equipment module 86 is installed at the top of the optical fiber core 81, and a first support ring member 83 is provided at a distance of 1.5-3 cm from the micro-device module 86. After the first support ring member 83, every interval 2-3 centimeters are all provided with an Nth ring member 84; the micro-device module 86 is fixed with a first position-controlling filament 82, and the first position-controlling filament 82 passes through the first stretcher in sequence piece 83, and a plurality of the Nth support ring pieces 84;

A plurality of the Nth position-controlling fiber filaments 85 are evenly distributed around the first ring support member 83 and the Nth position-controlling member 84; the Nth position-controlling fiber yarn 85 is covered with an ultra-thin silicone tube 87;

The pick hole 111 is covered with a flexible silica gel ring; the diameter of the flexible silica gel ring is between 1.8-2.2 times the diameter of the composite optical fiber tube 8 .

The pick 11 is welded to the bottom of the inner wall of the equipment pipe fitting 2, the pick 11 is an arched structure, and the back arch part is against one end of the top sleeve 7;

The locking pin 13 abuts against the bottom of the push button 12 .

The headspace tube 15 is composed of a metal part of the headspace tube and a silicone ring sleeve.

The number of N in the Nth ring stretcher 84 is 2-80; the number of N in the Nth position-controlling filament 85 is 4-12.

The ultra-thin silicone tube 87 is filled with non-toxic lubricant.

The integrated modules of the micro-device module 86 include: a camera module, a negative pressure module, a high-frequency oscillation module, and an electrosurgery module.

The optical fiber core 81 is divided into an optical fiber body and a pipeline channel.

The ends of the Nth control fiber filaments 85 are all connected to the medical equipment console.

The present invention mainly has the following cores in principle:

The first point: the composition of the composite optical fiber tube 8, the optical fiber body in the optical fiber core 81 in the structure provides a channel for the transmission of light source and image information data; and the pipeline channel provides a device that can be integrated by the micro device module 86. installed wiring channels. In the control of the micro-device module 86 at the end of the composite optical fiber tube 8, 4-12 Nth control fiber filaments 85 are used. This design is combined with the medical equipment console. The stretch or retraction control of the N-controlled fiber filament 85 can accurately realize the positioning of the micro-device module 86 in any spatial position; thus, it can more effectively cooperate with the medical operation.

The second point: the structure of the pipe fitting push module, the purpose of its structure is mainly to provide a carrier for the composite optical fiber tube 8 to move in and out of the equipment pipe fitting 2. When the arched end of the paddle 11 touches one end of the top tube 6, its spring The seat 5 is compressed, and at the same time the entire top tube 6 is pushed towards the first tightening sleeve 3, and since the first tightening sleeve 3 is covered by the tail cone cap 1, when the top tube 6 is pushed To the first tightening sleeve 3, the first tightening sleeve 3 can only be sleeved on the pipe slot 61 on the top pipe 6, and the gap of the pipe slot 61 at this time is gradually closed, so as to clamp the whole described Composite fiber optic tube 8; this process is to locate composite fiber optic tube 8.

The third point: because the height-fixing hole 121 in the push button 12 is penetrated by the composite optical fiber tube 8, and the bottom of the push button 12 is pushed up by the positioning needle 13; therefore, in the natural state, the push button 12 is in the pop-up state , is also used to limit the composite optical fiber tube 8 .

Fourth point: a through extension pipe 21 is opened at the front end of the equipment pipe fitting 2, and the extension pipe 21 provides a cleaning port for removing some blood stains or pollutants after using the equipment.

The medical equipment console mentioned in this case is a large-scale control system. Since this case only applies for a comprehensive system for minimally invasive urolithiasis surgery, there is no detailed description. The medical equipment console cooperates with this set of equipment to precisely control each The pulling or loosening of the fiber filaments is controlled, thereby realizing the steering operation of the micro-device module 86 at any spatial position.

The foregoing has shown and described the basic principles, main features and advantages of the present invention. Those skilled in the art should understand that the present invention is not limited by the above-mentioned embodiments. The above-mentioned embodiments and descriptions only illustrate the principle of the present invention. Without departing from the spirit and scope of the present invention, the present invention will also have Various changes and modifications fall within the scope of the claimed invention. The claimed scope of the present invention is defined by the appended claims and their equivalents.

Claims (7)

1. A minimally invasive lithangiuria surgery integrated system mainly comprises: tail cone cap (1), equipment pipe fitting (2), extension pipeline (21), push pipe pipeline (22), jump ring groove (23), first lacing sleeve (3), second lacing sleeve (4), spring holder (5), push pipe (6), tube slot (61), top sleeve pipe (7), compound optic fibre pipe (8), optical fiber core (81), first accuse position cellosilk (82), first ring piece (83), N ring piece (84), N accuse position cellosilk (85), micro-device module (86), ultra-thin silicone tube (87), silica gel ring cover (9), location lag (91), ring cover protection pipe (10), plectrum (11), plectrum hole site (111), press button (12), level hole (121), screens needle (13), short spring leaf (14), headspace pipe fitting (15), needle cover spare (16), its characterized in that: the equipment pipe fitting (2) is hollow, a clamp spring groove (23) is formed in the top of the middle section of the equipment pipe fitting (2), and a pipe jacking pipeline (22) is formed in the position corresponding to the clamp spring groove (23) in a penetrating mode;

the inner wall of the bottom of the pipe-jacking pipeline (22) is provided with an internal thread, and the outer wall of the needle sleeve piece (16) is provided with an external thread; the needle suite (16) is screwed into the pipe jacking pipeline (22); the needle sleeve member (16) is hollow, a clamping needle (13) is arranged in the cavity, the top of the clamping needle (13) is a needle top cover, a short spring piece (14) is abutted to the needle top cover, and the bottom of the short spring piece (14) is fixed by a hollow pipe fitting (15) in a sleeved mode;

a pressing button (12) is vertically arranged in the clamp spring groove (23), and a height fixing hole (121) is formed in the lower part of the pressing button (12); a plectrum hole site (111) is arranged in the plectrum (11);

a silica gel ring sleeve (9) is inserted into an opening at the front end of the equipment pipe fitting (2), a positioning protective sleeve (91) is arranged at the center in the silica gel ring sleeve (9), and the positioning protective sleeve (91) is hollow;

a ring sleeve protection pipe (10) is inserted in the silica gel ring sleeve (9);

an expansion pipeline (21) is arranged at the lower part of the front section of the equipment pipe fitting (2), and the expansion pipeline (21) is communicated with the hollow part of the equipment pipe fitting (2);

a top sleeve (7) is fixedly arranged at an opening at the rear end of the equipment pipe fitting (2), a top pipe (6) penetrates through the top sleeve (7), and the top pipe (6) is divided into three sections, namely a first section, a middle section and a tail section; the pipe diameters of the three sections are sequentially decreased progressively, and a pipe seam groove (61) is transversely formed at the tail section of the top pipe (6); the middle section is sleeved with a spring seat (5), the top sleeve (7) is screwed with the second tightening sleeve (4) through threads, and the tail end of the spring seat (5) is abutted with the second tightening sleeve (4) to limit the spring seat; the tail section of the top pipe (6) is sleeved with a first tightening sleeve (3), and the first tightening sleeve (3) is sleeved with a tail cone cap (1); the tail cone cap (1) is screwed with the tail end of the equipment pipe fitting (2) through a screw thread;

the first tightening sleeve (3), the second tightening sleeve (4), the spring seat (5), the top pipe (6), the pipe seam groove (61) and the top sleeve (7) are assembled in sequence to form a pipe pushing module;

the equipment pipe fitting (2) is internally provided with a pipe fitting pushing module, a shifting piece (11), a pressing button (12) and a silica gel ring sleeve (9) in sequence; the composite optical fiber pipe (8) sequentially penetrates through components arranged in the equipment pipe fitting (2);

the composite optical fiber tube (8) comprises: a micro equipment module (86) is installed at the top end of the optical fiber core (81), a first supporting ring piece (83) is sleeved outside the optical fiber core 1.5-3 cm away from the micro equipment module (86), and an N supporting ring piece (84) is arranged at the position 2-3 cm away from the first supporting ring piece (83); a first position control fiber yarn (82) is fixed on the micro equipment module (86), and the first position control fiber yarn (82) sequentially passes through a first supporting ring piece (83) and a plurality of N-th supporting ring pieces (84);

a plurality of the Nth position control fiber yarns (85) are uniformly distributed on the first ring supporting piece (83) and the Nth ring supporting piece (84) in a circle; an ultrathin silica gel tube (87) is sleeved outside the Nth position control fiber (85);

a flexible silica gel ring is covered in the plectrum hole site (111); the aperture of the flexible silica gel ring is 1.8-2.2 times of the diameter of the composite optical fiber tube (8);

the shifting piece (11) is welded at the bottom of the inner wall of the equipment pipe fitting (2), the shifting piece (11) is of an arch structure, and the back arch part is abutted against one end of the top sleeve (7); the clamping needle (13) props against the bottom of the pressing button (12).

2. The integrated system of claim 1, wherein said headspace tube (15) is formed from a headspace tube metal component and a silicone cuff.

3. The integrated system of minimally invasive urolithiasis surgery as recited in claim 1, wherein said N-th brace member (84) has N numbers of 2-80; the number of N in the Nth position control fiber yarn (85) is 4-12.

4. The integrated system for minimally invasive urinary tract stone surgery of claim 1, wherein the ultra-thin silicone tube (87) is filled with a non-toxic lubricant.

5. The integrated system of claim 1, wherein the microdevice module (86) integrates: the device comprises a camera module, a negative pressure module, a high-frequency oscillation module and an electrotome module.

6. The integrated system of claim 1, wherein the fiber core (81) is divided into a fiber body and a conduit channel.

7. The integrated system of minimally invasive urolithiasis surgery as recited in claim 1, wherein said N-th position controlling filament (85) has its distal end connected to a medical device console.

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