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Bladder calculus lithotripter

A technique for bladder stones and lithotripsy, applied in cystoscopy, medical science, endoscopy, etc., can solve the problems of easy urethral injury, thick resectoscope, inconvenient operation, etc., to prevent gas and liquid backflow, reduce urethral The probability of stenosis, the effect of reducing urethral injury

Pending Publication Date: 2020-06-05
SHANGHAI JINGAN DISTRICT SHIBEI HOSPITAL
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  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0002] At present, holmium laser lithotripsy under cystoscopy or improved holmium laser lithotripsy under resectoscope is used for most bladder stones, which can use holmium laser lithotripsy, but pneumatic lithotripsy cannot be used; The ballistic lithotripsy method can only be replaced by ureteroscopy, and the lithotripsy of larger stones cannot be performed
In addition, most of bladder calculus lithotripsy adopts holmium laser lithotripsy under cystoscope, without circulating water washing, and the intraoperative vision is not clear, especially when encountering prostate and bladder bleeding, the clarity is poor, and stones are easily missed; while the improved Holmium laser lithotripsy under the resectoscope of the prostate, on the one hand, the resectoscope is thicker, F26 size, which is easy to damage the urethra; The probe rod should be bent, which is easy to rub against the mirror body and reduce the energy of lithotripsy, so pneumatic lithotripsy under modified resectoscope is rarely used clinically
Most hospitals only have one lithotripsy tool, and cystoscopic lithotripsy has many disadvantages, and improved resectoscope can only use holmium laser
There are still many units without holmium laser equipment, only pneumatic ballistics, and pneumatic ballistic lithotripsy can only be replaced by ureteroscopes, which is inconvenient to operate and even less clear
[0003] Chinese patent application: CN104434309A discloses a portable lithotripsy all-in-one machine, including three energy output ports, namely ultrasonic output interface, air pressure output interface, and holmium laser output interface, so that the treatment can be flexibly selected according to needs. stone; and includes an accessory placement assembly, the accessory placement assembly includes a support ear, a support ear two, and an optical fiber receiver, the support ear is used to place a collection bottle, and the support ear two is used to place Ultrasonic handle and pneumatic ballistic handle, the optical fiber receiver is used to place the optical fiber, so that each component is placed in a proper position in an orderly manner, which is more convenient when it needs to be used, and the energy output of the lithotripsy equipment is relatively simple, so that it cannot The inter-conversion of the various crushing means leads to the more cumbersome problem when replacing the crushing means, but it does not solve the problem of single function of the operation end and low flexibility

Method used

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Examples

Experimental program
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Effect test

Embodiment 1

[0045] A lithotripsy device for bladder calculi, comprising a lithotripsy outer sheath 1, a lithotripsy inner sheath 2, a multifunctional endoscope 3, and an obturator 4; the lithotripsy outer sheath 1 and the lithotripsy inner sheath 2 , multifunctional endoscope 3, and obturator 4 are made of medical stainless steel; please refer to the attached figure 1 ; attached figure 1 It is a three-dimensional schematic diagram of the lithotripsy outer sheath of a bladder stone lithotripsy device of the present invention. Its mirror body of described lithotripsy mirror outer sheath 1 adopts the design of No. Fr24 mirror body, comprises outer sheath conduit 11, water outlet valve seat 12, water inlet valve seat 13, and described water outlet valve seat 12 is provided with water outlet valve 121 on it, The water inlet valve seat 13 is provided with a water inlet valve 131, and the water outlet valve seat 12 and the water inlet valve seat 13 are alternately arranged, and the water outlet...

Embodiment 2

[0049] Please see attached Figure 10 , with Figure 10 It is a three-dimensional schematic diagram of another bladder calculus lithotripsy device of the present invention. This embodiment is basically the same as Embodiment 1, the difference is that the gravel channel 35 is provided with a first control valve 5, a second control valve 6, and a third control valve 7 in the lateral direction on both sides of the end. , open the first control valve 5, close the second control valve 6, and inject perfusion fluid into it through the lithotripsy channel 35, which can prevent the mixed fluid with stone fragments, fragment powder and mucosal bleeding from backwashing into the lithotripsy channel. Within 35, the channel is blocked, and the circulation channel can be used to ensure a clear surgical field of view. After the operation, the first control valve 5 can be closed and the second control valve 6 can be opened to empty the perfusate and speed up the emptying rate; The third co...

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Abstract

The present invention relates to a bladder calculus lithotripter. The bladder calculus lithotripter comprises a lithotriptoscope outer sheath, a lithotriptoscope inner sheath, a multifunctional endoscope and a hole obturator, the lithotriptoscope outer sheath comprises an outer sheath conduit, a water outlet valve seat and a water inlet valve seat; a circulating channel can be formed between the water outlet valve seat and the water inlet valve seat; the lithotriptoscope inner sheath comprises an inner sheath conduit and an inner sheath base seat; the hole obturator comprises a guide head anda hole obturator base seat; the multifunctional endoscope comprises an endoscope conduit and an operating handle; the multifunctional endoscope is also provided with a light source system, an inward vision system and a lithotriptic channel; and the lithotriptic channel is used for placing an air pressure trajectory probe rod or an optical fiber. Advantages are as follows: the bladder calculus lithotripter can provide a treatment channel for a holmium laser lithotripsy, can also be used for carrying out an air pressure trajectory lithotripsy, forms a water circulation loop, can keep clear visual field, is moderate in thickness, can reduce probability of urethral stricture, reduces urethral injury, and is safe to use, convenient to operate and beneficial to washing.

Description

technical field [0001] The invention relates to the technical field of medical devices, in particular to a bladder calculus lithotripsy device. Background technique [0002] At present, holmium laser lithotripsy under cystoscopy or improved holmium laser lithotripsy under resectoscope is used for most bladder stones, which can use holmium laser lithotripsy, but pneumatic lithotripsy cannot be used; The ballistic lithotripsy method can only be replaced by ureteroscopy, and the lithotripsy of larger stones cannot be performed. In addition, most of bladder calculus lithotripsy adopts holmium laser lithotripsy under cystoscope, without circulating water washing, and the intraoperative vision is not clear, especially when encountering prostate and bladder bleeding, the clarity is poor, and stones are easily missed; while the improved Holmium laser lithotripsy under the resectoscope of the prostate, on the one hand, the resectoscope is thicker, F26 size, which is easy to damage t...

Claims

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Application Information

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IPC IPC(8): A61B1/307A61B17/22A61B18/22A61B1/015A61B1/018A61B1/06A61B1/12
CPCA61B1/00105A61B1/00128A61B1/015A61B1/018A61B1/0676A61B1/0684A61B1/126A61B1/307A61B17/22A61B18/22
Inventor 琚建军
Owner SHANGHAI JINGAN DISTRICT SHIBEI HOSPITAL
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