Enucleation crushing device for operation

Abstract

The utility model provides an enucleation crushing device for an operation, and belongs to the technical research field of medical instruments. In order to solve the problems that an existing enucleation device is tedious in operation and inconvenient to use, a sealing piece is additionally arranged at the tail end of a water inlet and outlet channel, a laser enucleation channel is additionally arranged in the water inlet channel, and an endoscope channel is additionally arranged in a water outlet channel; when the laser enucleation device is used, the laser enucleation device is fixed in the laser enucleation channel through the third sealer, so that enucleation operation is started under the assistance of a cystoscope; after the enucleation is finished, the cystoscope is replaced by the nephroscope, the pulverizator is inserted into the first sealer through the first sealer for pulverizing operation, the laser enucleation device does not need to be pulled out in the operation process, the operation is simple, the negative pressure control device connected with the negative pressure aspirator does not need to be closed, water flow in the body of the patient can be always kept flowing, and the enucleation efficiency is improved. And therefore, the internal pressure of the surgical part of the patient can be kept stable, the use steps are simple, and the operation safety is high.

Description

Technical Field

[0001] The utility model belongs to the technical research field of medical instruments, and particularly relates to an enucleation and comminution device for surgery. Background Art

[0002] Prostatic hyperplasia is a common disease. At present, in the clinical prostatic hyperplasia surgery, generally, enucleation means enucleating the entire hyperplastic prostate, then comminuting the enucleated prostate with an instrument, and flushing the comminuted prostate out of the bladder with a rinser. However, during the operation, it is often necessary to use a cystoscope to assist in the operation during the enucleation process, and during the comminution process, the cystoscope needs to be replaced with a nephroscope to assist in the comminution.

[0003] The patent with the patent number CN116570365A discloses an instrument for holmium laser prostate enucleation, including an outer sheath, an inner sheath and a working handle; wherein, the working handle includes a scope protection tube, a laser beam protection tube and a laser cutting assembly; the laser cutting assembly is arranged in the laser beam protection tube; the laser beam protection tube is arranged in the inner sheath. When in use, the hyperplastic prostate gland is cut through the laser cutting assembly. After the cutting is completed, the user pulls out the inner sheath and the working handle together from the outer sheath tube. Then, the user installs the large-channel endoscope in place with the outer sheath, that is, the locking device I is locked with the locking part, and then inserts the execution end of the shaving system into the shaving system channel and into the outer sheath tube. Under the monitoring of the large-channel endoscope, the execution end of the shaving system comminutes the cut hyperplastic prostate gland into smaller particles and sucks them out of the patient's body through the execution end of the shaving system; finally, the outer sheath tube is pulled out to complete the enucleation of the hyperplastic prostate.

[0004] However, in the above technical solution, after the cutting is completed, it is necessary to pull out the inner sheath and the working handle provided with the laser cutting assembly together from the outer sheath tube before the shaving system can be inserted into the outer sheath tube, which is cumbersome to operate and inconvenient to use; during the replacement process, it is necessary to turn off the water source and the negative pressure aspirator to prevent water from flowing out of the outer sheath tube. Summary of the Utility Model

[0005] The purpose of the utility model is to overcome the problems of cumbersome operation and inconvenient use of the existing enucleation device.

[0006] To achieve the above object, the technical concept adopted by the present utility model is as follows: a sealing piece is added at the end of the water inlet and outlet channels, a laser enucleation channel is added in the water inlet channel, and an endoscope channel is added in the water outlet channel; during use, the second seal on the sealing piece is opened to insert the cystoscope into the endoscope channel for real-time monitoring; at the same time, after the laser enucleator is inserted into the laser enucleation channel, the laser enucleator is sealed and fixed through the third seal on the sealing piece, and the enucleation operation is started with the assistance of the cystoscope; after the enucleation operation is completed, the cystoscope is replaced with a nephroscope, and the pulverizer is inserted into the pulverizer interface through the first seal to pulverize the enucleated hyperplastic tissue so as to discharge the enucleated tissue out of the body; during use, in the present utility model, the laser enucleator does not need to be pulled out during the enucleation operation, and the negative pressure control device connected to the negative pressure aspirator does not need to be closed, and the water flow in the patient's body can be kept flowing all the time, thereby maintaining the pressure stability inside the patient's surgical site. The use steps are simple and the operation safety is high.

[0007] Based on the above technical concept, the technical solution adopted by the present utility model is as follows:

[0008] A surgical enucleation and pulverization device includes an operation cylinder and a partition piece disposed inside the operation cylinder. The inside of the operation cylinder is divided into a water inlet channel and a water outlet channel by the partition piece, and further includes:

[0009] A sealing piece is disposed at the end of the operation cylinder, and a pulverizer interface is provided thereon;

[0010] A first seal is connected to the sealing piece through a telescopic connecting pipe and is located above the pulverizer interface;

[0011] An endoscope channel is disposed in the water inlet channel, and its end is connected to an endoscope;

[0012] An enucleation channel is disposed in the water outlet channel, and its end is connected to an enucleator.

[0013] For further limitation of the above technical solution, preferably, the telescopic connecting pipe is a deformable structure.

[0014] For the telescopic connecting pipe in the above technical solution, further, the telescopic connecting pipe is a corrugated pipe bent upward.

[0015] For further limitation of the above technical solution, the pulverizer interface is a cross-shaped opening.

[0016] For further limitation of the above technical solution, the first seal includes an annular threaded seal port and a second seal cap;

[0017] The annular threaded seal port and the second seal cap are threadedly connected.

[0018] A further limitation of the above technical solution further includes a second seal; the second seal is disposed at the connection between the sealing piece and the endoscope channel and is connected to the sealing piece.

[0019] Advantages of the present utility model:

[0020] By adding a sealing piece at the end of the water inlet and outlet channels, a laser enucleation channel in the water inlet channel, and an endoscope channel in the water outlet channel, the present utility model can be used as follows: when in use, the second seal provided on the sealing piece is opened to insert the cystoscope into the endoscope channel for real-time monitoring; at the same time, after the laser enucleator is inserted into the laser enucleation channel, the laser enucleator is sealed and fixed through the third seal provided on the sealing piece, and the enucleation operation is started with the assistance of the cystoscope; after the enucleation operation is completed, the cystoscope is replaced with a nephroscope, and the crusher is inserted into the crusher interface through the first seal to crush the enucleated hyperplastic tissue so as to discharge the enucleated tissue out of the body; during the use process, the present utility model does not need to pull out the laser enucleator during the enucleation operation, and the negative pressure control device connected to the negative pressure aspirator does not need to be closed, and the water flow in the patient's body can be kept flowing all the time, thereby keeping the pressure inside the surgical site of the patient stable. The use steps are simple and the operation safety is high.

[0021] In addition, the first seal, the second seal and the third seal have the same structure, and each includes an annular threaded seal port and a seal cap matching the annular threaded seal port; when in use, the annular threaded seal port and the endoscope or the crusher can be clamped by rotating the seal cap to prevent the water flow for negative pressure aspiration in the operation cylinder from flowing out.

[0022] Moreover, a telescopic connecting pipe is provided between the first seal and the second seal respectively connected to the sealing piece. In this way, during the process of replacing the endoscope or inserting the crusher, the telescopic connecting pipe can be bent upward so that the openings of the first seal or the second seal face upward to prevent the water flow for negative pressure aspiration from flowing out. Description of the Drawings

[0023] In order to more clearly illustrate the technical solutions in the embodiments of the present utility model or the prior art, the following will briefly introduce the drawings required for the description of the embodiments or the prior art. Obviously, the drawings in the following description are only some embodiments of the present utility model. For those of ordinary skill in the art, other drawings can be obtained based on these drawings without creative efforts.

[0024] Figure 1 It is a schematic structural diagram of a surgical enucleation and crushing device proposed by the present utility model;

[0025] Figure 2 It is Figure 1Left view of the surgical enucleation and comminution device shown;

[0026] Figure 3 is Figure 1 Schematic structural diagram of the surgical enucleation and comminution device from another perspective shown;

[0027] Figure 4 is Figure 3 Cross-sectional view of the surgical enucleation and comminution device shown;

[0028] Figure 5 is the usage state diagram when replacing the endoscope;

[0029] Figure 6 is the usage state diagram when connecting the comminutor;

[0030] Figure 7 is the schematic structural diagram of the comminutor interface;

[0031] Figure 8 is the schematic structural diagram of the annular threaded seal port;

[0032] Figure 9 is the schematic structural diagram of the first sealing cap;

[0033] Figure 10 is the schematic structural diagram of the second sealing cap;

[0034] Figure 11 is the cross-sectional view of the cooperation between the annular threaded seal port and the second sealing cap.

[0035] Among them, 1. sealing sheet; 2. endoscope channel; 3. enucleation channel; 4. water inlet channel; 5. water outlet channel; 6. comminutor interface; 7. first seal; 71. annular threaded seal port; 72. first sealing cap; 73. second sealing cap; 8. light source access through hole; 9. endoscope; 10. second seal; 11. partition sheet; 12. third seal; 13. telescopic connecting pipe; 14. operation cylinder; 15. water inlet; 16. water outlet; 17. handheld part; 18. enucleator; 19. comminutor. Detailed implementation manners

[0036] In the description of the present utility model, it should be understood that the orientation or positional relationship indicated by the terms "length direction", "upper", "lower", "front", "rear", "left", "right", "top", "bottom", "inner", "outer", "axial", "radial", "circumferential", etc. is based on the orientation or positional relationship shown in the drawings, and is only for the convenience of describing the present utility model and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore should not be construed as a limitation to the present utility model. In the description of the present utility model, unless otherwise specified, the meaning of "a plurality of" is two or more.

[0037] In the description of the present utility model, it should be noted that unless otherwise clearly specified and defined, the terms "installation", "connection", and "coupling" should be understood in a broad sense. For example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, and it can be the communication inside two components. For those of ordinary skill in the art, the specific meanings of the above terms in the present utility model can be understood according to specific circumstances.

[0038] To make the objectives, technical solutions, and advantages of the embodiments of the present utility model clearer, the technical solutions in the embodiments of the present utility model will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present utility model.

[0039] As Figures 1-11 shown, a surgical enucleation and comminution device provided by the present utility model includes a sealing piece 1, an endoscope channel 2, an enucleation channel 3, a first seal 7, and an operating cylinder 14.

[0040] Among them, a partition piece 11 is provided inside the operating cylinder 14 for dividing the central cavity of the operating cylinder 14 into a water inlet channel 4 and a water outlet channel 5. Among them, the partition piece 11 is an arc-shaped structure. Specifically, the longitudinal cross-sectional area of the water inlet channel 4 is smaller than that of the water outlet channel 5. In this way, when the water flows into the patient's body from the water inlet 15 of the water inlet channel 4 and flows out from the water outlet 16 of the water outlet channel 5, it can ensure to the greatest extent that the water outlet channel 5 will not be blocked by the tissues enucleated in the water flow.

[0041] In practical applications, a negative pressure device is connected to the water outlet 16.

[0042] As Figure 2 shown, the endoscope channel 2 is arranged at the center of the water inlet channel 4, and the water inlet 15 is arranged on one side of the endoscope channel 2. In this way, the endoscope channel 2 does not block the water inlet 15, ensuring that the water flows smoothly into the operating cylinder 14.

[0043] The enucleation channel 3 is arranged in the water outlet channel 5, and the end of its channel is hermetically fixed by a third seal 12.

[0044] The sealing piece 1 is arranged at the end of the operating cylinder 14 for sealing the ends of the operating cylinder 14, the endoscope channel 2, and the enucleation channel 3.

[0045] To improve the sealing performance of the endoscope channel 2 and the enucleation channel 3, sealing connectors are provided at the joints of the enucleation channel 3 and the endoscope channel 2 with the sealing piece 1. Specifically, a second seal 10 is provided at the joint of the sealing piece 1 and the endoscope channel 2, and a third seal 12 is provided at the joint of the sealing piece 1 and the enucleation channel 3.

[0046] To facilitate the shredder 19 in shredding the excised tissue, a shredder interface 6 is provided at the horizontal position of the sealing piece 1 and the water outlet channel 5. The shredder interface 6 has a cross-shaped opening. Specifically, the material of the shredder interface 6 is medical silica gel. During use, the front end of the shredder 19 is inserted into the shredder interface 6, and then it is sealed and fixed by a first seal 7 provided above the shredder interface 6.

[0047] The first seal 7, the second seal 10, and the third seal 12 in the embodiments of the present utility model have the same structure, and each includes an annular threaded seal opening, a first seal cap 72, and a second seal cap 73. Among them, Figures 7-10 Taking the first seal 7 as an example for illustration. When not in use, the annular threaded seal opening is connected to the first seal cap 72 to prevent the liquid in the operating cylinder from flowing out. When in use, the annular threaded seal opening is connected to the second seal cap 73 to facilitate the passage of surgical instruments.

[0048] As Figure 7 shown, a plurality of arc-shaped opening pieces are provided at the opening of the annular threaded seal opening 71, and there are gaps between the plurality of arc-shaped opening pieces. Among them, the material of the arc-shaped opening pieces is medical silica gel.

[0049] The second seal cap 73 has a frustum-shaped cavity with a larger upper part and a smaller lower part inside, and the volume of the frustum-shaped cavity is smaller than the cavity formed by the arc-shaped opening pieces. A cylindrical cavity is also provided at the frustum-shaped cavity with the smallest longitudinal area. In this way, when in use, the second seal cap 73 and the annular threaded seal opening are mutually matched by threads. The frustum-shaped cavity of the second seal cap 73 presses the arc-shaped opening pieces inward, so that the arc-shaped opening pieces are tightly pressed between the cylindrical cavity and the shredder 19, thereby realizing the sealing and fixing at the connection between the shredder 19 and the sealing piece 1.

[0050] During the surgical process, when it is necessary to replace the cystoscope with a nephroscope, and when inserting the shredder 19 into the shredder interface 6, in order to prevent water from flowing out of the shredder interface 6 and the second seal 10, further, a telescopic connecting pipe 13 is also provided between the first seal 7 and the sealing piece 1, and between the second seal 10 and the sealing piece 1. In this way, when replacing the endoscope and inserting the shredder 19, the telescopic connecting pipe 13 can be first stretched and bent upward to make the opening of the first seal 7 or the second seal 10 face upward, preventing the water flow in the operating cylinder from flowing out. Then, the endoscope can be inserted into the telescopic connecting pipe 13, and then the second seal cap 73 is connected to the annular threaded seal opening to complete the replacement of the endoscope; or, the shredder 19 is inserted into the shredder interface 6, and then the second seal cap 73 is connected to the annular threaded seal opening to complete the insertion and fixing operation of the shredder 19.

[0051] Among them, the telescopic connecting pipe 13 is made of medical PVC material. Specifically, the telescopic connecting pipe 13 is integrally connected to the sealing piece 1 and the first seal 72 respectively. Among them, the telescopic connecting pipe 13 is a deformable structure. Further, the telescopic connecting pipe 13 is a bellows that can be bent upward and is similar to a straw.

[0052] Application case:

[0053] Yang, due to prostate hyperplasia for many years, has frequent symptoms such as difficult urination, frequent urination, and nocturia. The effect of drug treatment is not obvious, and he undergoes a prostate hyperplasia surgery.

[0054] Before the operation starts, the doctor inserts the enucleator 18 into the enucleation channel 3 from the third seal 12, and then fixes the enucleator 18 in the enucleation channel 3 through the third seal 12; further, inserts the cystoscope into the endoscope channel 4 through the second seal 10, connects the water inlet 15 with the water inlet device, and connects the water outlet 16 with the negative pressure device to complete the preparation before the operation.

[0055] Step 1: Start the enucleation operation;

[0056] Step 2: After the enucleation operation is completed, the doctor holds the handheld end 17 with one hand, and rotates the second sealing cap on the second seal 10 with the other hand. Then, stretch and bend the telescopic connecting pipe 13 connected to the second seal 10 upward to take out the cystoscope;

[0057] Step 3: Insert the nephroscope successively through the second sealing cap 73 and the telescopic connecting pipe 13 connected to the second seal 10 and then into the endoscope channel 2;

[0058] Step 4: Rotate the second sealing cap 73 connected to the second seal 10;

[0059] Step 5: Compress the telescopic connecting pipe 13 connected to the second seal 10 to its initial state. At this time, the replacement of the cystoscope with the nephroscope is completed;

[0060] Step 6: Stretch and bend the telescopic connecting pipe connected to the first seal 7 upward, then rotate out the first sealing cap 7 on the crusher interface 6, and then insert the crusher 19 successively through the second sealing cap 73 connected to the first seal 7 and the telescopic connecting pipe connected to the first seal 7. The front end of the crusher 19 is located at the interface of the crusher interface 6, and then tighten the second sealing cap 73 connected to the first seal 7;

[0061] Step 7: Compress the telescopic connecting pipe connected to the first seal 7 so that the crusher 19 enters the enucleation channel 3. At this time, the installation of the crusher 19 is completed;

[0062] Step Eight: Start the crushing operation to crush the excised tissue so that the crushed tissue flows out of the patient's body through the water outlet 16.

[0063] The content not described in detail in this specification belongs to the prior art well known to those skilled in the art.

Claims

1. A surgical enucleation and comminution device, comprising an operating cylinder (14) and a partition piece (11) disposed inside the operating cylinder (14). The partition piece (11) divides the interior of the operating cylinder (14) into a water inlet channel (4) and a water outlet channel (5). It is characterized in that, Further comprising: A sealing piece (1), provided at the end of the operation cylinder (14), and having a crusher interface (6) thereon; A first seal (7), connected to the sealing piece (1) through a telescopic connecting pipe (13), and located above the crusher interface (6); An endoscope channel (2), arranged in the water inlet channel (4), and its end is connected to an endoscope; An enucleation channel (3), arranged in the water outlet channel (5), and its end is connected to an enucleator.

2. The enucleation and comminution device for surgery according to claim 1, wherein The telescopic connecting pipe (13) is a deformable structure.

3. The enucleation and comminution device for surgery according to claim 2, wherein The telescopic connecting pipe (13) is a corrugated pipe bent upward.

4. The surgical enucleation and fragmentation device according to claim 3, wherein The crusher interface (6) is a cross-shaped opening.

5. The surgical enucleation and fragmentation device according to claim 4, wherein, The first seal (7) includes an annular threaded seal port (71) and a second seal cap (73); The annular threaded seal port (71) and the second seal cap (73) are threadedly connected.

6. The surgical enucleation and fragmentation device according to claim 5, characterized in that, Further comprising a second seal (10); The second seal (10) is arranged at the connection between the sealing piece (1) and the endoscope channel (2), and is connected to the sealing piece (1).

Images