CN101744652B - Multifunctional prostate operation mirror - Google Patents
Multifunctional prostate operation mirror Download PDFInfo
- Publication number
- CN101744652B CN101744652B CN2010100005435A CN201010000543A CN101744652B CN 101744652 B CN101744652 B CN 101744652B CN 2010100005435 A CN2010100005435 A CN 2010100005435A CN 201010000543 A CN201010000543 A CN 201010000543A CN 101744652 B CN101744652 B CN 101744652B
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- mirror
- slide block
- resectoscope
- head
- tail end
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Abstract
The invention discloses a multifunctional prostate operation mirror which comprises a mirror sheath and a resectoscope sleeved inside the mirror sheath. The resectoscope comprises an operation handle and an enucleation tool, wherein the operation handle comprises a main pipe and a slide block which is in sliding match with the outer surface of the main pipe; the enucleation tool is parallel to the main pipe and comprises a stem and an enucleation head; the enucleation head has an arc shovel-shaped structure of the cross section; the front end of the stem is fixedly connected with the tail end of the enucleation head; an electrode seat is arranged on the slide block; the tail end of the stem is inserted into the slide block and is fixedly matched with the slide block; the enucleation head is connected with the electrode seat by the stem; the stem is provided with axial through holes so as to form an optical fiber channel; and the slide block is provided with an optical fiber inlet which is communicated with the optical fiber channel. The mirror of the invention can be applied in both electrotomy and laser cutting operation. The mirror further comprises a crashing mirror which is matched with the mirror sheath. The mirror of the invention has the advantages of wide application, multifunction, convenient operation, efficiently promoted operation efficiency, relieved pain of patient, and decreased capability of secondarily hurting the patient.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, particularly a kind of multifunctional prostate operation mirror that is applicable to multiple operation on prostate.
Background technology
Prostate hyperplasia, hypertrophy are the high common diseases of middle-aging male sickness rate, and the excision that undergos surgery is the most effective Therapeutic Method.Traditional open surgery is to cut an otch at patient's hypogastric region, cuts bladder again and takes out prostate, and this is very big to normal urethra physiological structure damage.Along with the development of modern medicine, resectoscope, laser ablation mirror occur, pulverized the operation mirror that mirror etc. is used for urinary system, wherein resectoscope is because have the advantage easy to operate, that expense is lower, effective, and clinical practice is more and more widely.
The resectoscope of prior art generally is made up of endoscope, operation hand piece and electrode, operation hand piece is made up of body and slide block, body comprises to be responsible for and handle, be placed in the endoscope in the person in charge, be used for the operation chamber is observed, slide block is coated at the person in charge and is slidingly matched with the person in charge, can be along charge shaft to reciprocatingly sliding, by the electrode tip holder that electrode end is inserted slide block electrode is installed on the slide block, electrode can be along charge shaft to reciprocatingly sliding under the driving of slide block, the operation of being convenient to undergo surgery.Resectoscope is connected with high frequency generator, produces high-voltage pulse electricity, iontophoresis electrode by high frequency generator, the electrode front end produces high-density current at cut tissue place, electrode front end tissue is on every side gasified rapidly, and cell membrane is promptly cut apart incision, realizes the excision to prostatic hyperplasia.
But the front end of existing electrode is generally made by tungsten filament, thinner, the section processes poor effect that prostatic hyperplasia is contacted with prostate surgery peplos inwall, residual is often arranged on inwall, and existing excision mode is little by little prostatic hyperplasia to be cut into pieces, sucking-off then, this operation need be carried out TURP and sucking-off operation repeatedly, and efficient is lower.
Developed the Lasar prostate enucleation in nearly 10 years, and prostate integral body was cuted out remove, with the kidney mirror hypertrophy prostate is pulverized then and gone out.Resectoscope and kidney mirror are used alternatingly, and cause the urethra secondary damage easily, and inefficiency.
Therefore, need the operation hand piece and the electrode of existing resectoscope be improved, adopt same operation hand piece can implement electrotomy and laser ablation art, improve the excision effect of electrode simultaneously, reduce the number of times of changing operation mirror in the operation, improve operation efficient, reduce patient's misery, reduce the probability of patient's secondary damage.
Summary of the invention
In view of this, the invention provides a kind of multifunctional prostate operation mirror, its TURP better effects if, adopt same operation hand piece can implement electrotomy and laser ablation art, reduce the number of times of changing operation mirror in the operation, improve operation efficient, reduce patient's misery, reduce the probability of patient's secondary damage.
Multifunctional prostate operation mirror of the present invention, comprise the mirror sheath and in be placed in the resectoscope of mirror sheath, described resectoscope comprises operation hand piece and cuts out except that device, operation hand piece comprises the person in charge and the slide block that is slidingly matched with person in charge's outer surface, described cutting out except that device and the person in charge be arranged in parallel, comprise the handle body and cut out except that head, describedly cut out that to remove head be that cross section is arcual scoop structure, handle body front end is fixedlyed connected with cutting out to remove to hold end to end, described slide block is provided with electrode tip holder, handle body tail end inserts electrode tip holder and slide block secure fit, cuts out except that head passes through the handle body to be electrically connected with electrode tip holder; The handle body is provided with axially extending bore and forms optical-fibre channel, and the optical fiber import is set on the described slide block, and the optical fiber import is communicated with described optical-fibre channel.
Further, described mirror sheath tail end along the circumferential direction is provided with draw-in groove, and the resectoscope outer surface is provided with and the corresponding radial protrusion of draw-in groove, and resectoscope and mirror sheath are by screwing in the draw-in groove clamping with radial protrusion I;
Also comprise the pulverizing mirror that can be used alternatingly with resectoscope, described pulverizing mirror outer surface also is provided with and the corresponding radial protrusion II of draw-in groove;
Further, described mirror sheath tail end along the circumferential direction is rotatably assorted swivel base is set, and described draw-in groove is arranged on the swivel base;
Further, also comprise the right angle needle electrode, described right angle needle electrode comprises horizontal segment and vertical section, and the horizontal segment tail end is corresponding with electrode tip holder, fixedlys connected at right angles with vertical section one an end end in horizontal segment front end end, and described horizontal segment outer surface is provided with insulating barrier.
Beneficial effect of the present invention: the present invention is improved to cutting out of shovel shape with traditional electrode and removes device, utilization is cuted out and is removed head except that cutting out of device and can carry out machine cuts, be connected with high frequency generator and can implement electrotomy, optical-fibre channel can be led to laser fiber and be carried out the laser ablation art, the mirror sheath both can cooperate with resectoscope, can cooperate with the pulverizing mirror again, the present invention can implement prostate and cut out except that electrotomy, cut out to remove and pulverize art, green laser is cuted out the degassifying art, green laser is cuted out to remove and is pulverized art, holmium laser is cuted out to remove and is pulverized art, 2 microns laser are cuted out and are removed operation methods such as pulverizing art, applied range, conscientiously reach multi-functional, and it is more convenient to operate, can effectively improve operation efficient, reduce patient's misery, reduce the probability of patient's secondary damage.
Description of drawings
Below in conjunction with the drawings and specific embodiments the present invention is further described.
Fig. 1 is a structural representation of the present invention;
Fig. 2 is the resectoscope structural representation;
Fig. 3 is that the A-A of Fig. 1 is to view;
Fig. 4 is for pulverizing the mirror structural representation;
Fig. 5 is for cutting out except that the device structural representation;
Fig. 6 is the left view of Fig. 5;
Fig. 7 is the structural representation of mirror sheath;
Fig. 8 is a right angle needle electrode structural representation.
The specific embodiment
Fig. 1 is a structural representation of the present invention, and Fig. 2 is the resectoscope structural representation; Fig. 3 is that the A-A of Fig. 1 is to view; Fig. 4 is for pulverizing the mirror structural representation; Fig. 5 is for cutting out except that the device structural representation; Fig. 6 is the left view of Fig. 5; Fig. 7 is the structural representation of mirror sheath; Fig. 8 is a right angle needle electrode structural representation.As shown in the figure: the multifunctional prostate operation mirror of present embodiment, comprise mirror sheath 1 and in be placed in the resectoscope 2 of mirror sheath 1, described resectoscope 2 comprises operation hand piece and cuts out except that device 4, operation hand piece comprises the person in charge 5 and the slide block 6 that is slidingly matched with the person in charge's 5 outer surfaces, be responsible for inner chamber and be used to hold resectoscope, the also fixedly connected front hand grip that is provided with on the person in charge, slide block is fixedlyed connected with back handle, under the clamping action of pro-back handle, slide block can endwisely slip along the person in charge.Described cutting out except that device 4 be arranged in parallel with the person in charge, as shown in Figure 5, cuts out except that device and comprises handle body 41 and cut out and remove 42, and cutting out and removing 42 is that cross section is arcual scoop structure, and the cutting out of this shape removed head and cooperated with prostate surgery peplos inwall cambered surface, cuts out except that effective; Handle body 41 front ends remove 42 tail end and fixedly connected with cutting out, and described front end is meant that operation mirror stretches into an end in the body, cut out to remove head and the handle body can be welded as a whole, and also can directly make one, all can realize purpose of the present invention.As shown in Figure 3, slide block 6 is provided with electrode tip holder 7, and handle body 41 tail ends insert electrode tip holder 7 and slide block 6 secure fit, can be along charge shaft to reciprocatingly sliding under the drive of slide block.Cut out and remove head and is electrically connected with electrode tip holder, when electrode tip holder is communicated with high frequency generator, can cut out, make to cut out except that front end tissue on every side and gasify rapidly, carry out TURP and electric coagulation hemostasis except that a front end generation high-density current by the handle body.When no power, can between prostate surgery peplos inwall and prostatic hyperplasia, insert, carry out integral body and cut out and remove.As shown in Figure 6, handle body 41 is provided with axially extending bore and forms optical-fibre channel 43, and optical-fibre channel can be coaxial with the handle body, also can disalignment, and should make to cut out as far as possible and remove head and fixedly connected with handle body edge, make it not influence laser fiber and pass in and out; On the described slide block 6 optical fiber import 8 is set, optical fiber import 8 is communicated with described optical-fibre channel 43, can feed medical laser optical fiber commonly used such as green laser, holmium laser, 2 microns laser in optical-fibre channel, to carry out the laser ablation art.
In the present embodiment, as shown in Figure 2, described mirror sheath 1 tail end along the circumferential direction is provided with draw-in groove 9, resectoscope 2 outer surface settings and draw-in groove 9 corresponding radial protrusion I 10, and resectoscope 2 passes through radial protrusion I 10 is screwed in draw-in grooves 9 clampings with mirror sheath 1.As shown in Figure 4, also comprise the pulverizing mirror 11 that can be used alternatingly with resectoscope 2, described pulverizing mirror 11 outer surfaces also are provided with and draw-in groove 9 corresponding radial protrusion II 12, make the mirror sheath become a shared sheath, when in patient's body, inserting the mirror sheath, need not take out the mirror sheath and can realize resectoscope and pulverize being used alternatingly of mirror, remove the step of taking out and insert the mirror sheath repeatedly from, avoid in the intubate process damaging patient's urethra.Pulverize mirror and comprise the optic visual tube of top and the pulverizer passage of below, when pulverizing mirror and mirror sheath coupling, utilize high-frequency electrical or laser to cut out except that behind the prostate, available pulverizer is pulverized tissue, and it is gone out.This apparatus both can be used for resection of prostate, and available again high-frequency electrical or laser are cuted out and removed and pulverize outgrowth prostate.
In the present embodiment, as shown in Figure 7, described mirror sheath 1 tail end along the circumferential direction is rotatably assorted transposase 11 3 is set, and described draw-in groove 9 is arranged on the transposase 11 3, and this structure can rotate in a circumferential direction mounted operation mirror around the mirror sheath, is convenient to observe and operation technique.
In the present embodiment, as shown in Figure 8, also comprise right angle needle electrode 14, described right angle needle electrode 14 comprises horizontal segment 15 and vertical section 16, horizontal segment 15 tail ends are corresponding with electrode tip holder 7, fixedly connected at right angles with vertical section 16 1 end ends in horizontal segment 15 front end ends, described horizontal segment 15 outer surfaces are provided with insulating barrier.Can take off and cut out except that device, the right angle needle electrode is inserted electrode tip holder, and can carry out line cutting after high frequency generator is connected, when situations such as neck of bladder cicatricial contracture, the anti-right angle needle electrode that pushes away energising can be got through narrow positions with narrow neck of bladder radial incision.
Explanation is at last, above embodiment is only unrestricted in order to the explanation the technical solution of the utility model, although this utility model is had been described in detail with reference to preferred embodiment, those of ordinary skill in the art is to be understood that, can make amendment or be equal to replacement the technical solution of the utility model, and not breaking away from the aim and the scope of technical solutions of the utility model, it all should be encompassed in the middle of the claim scope of the present utility model.
Claims (4)
1. multifunctional prostate operation mirror, comprise mirror sheath (1) and in be placed in the resectoscope (2) of mirror sheath (1), it is characterized in that: described resectoscope (2) comprises operation hand piece and cuts out except that device (4), operation hand piece comprises the person in charge (5) and the slide block (6) that is slidingly matched with the person in charge's (5) outer surface, described cutting out except that device (4) and the person in charge be arranged in parallel, comprise handle body (41) and cut out and remove head (42), describedly cut out that to remove head (42) be that cross section is arcual scoop structure, handle body (41) front end removes head (a 42) tail end and fixedlys connected with cutting out, described slide block (6) is provided with electrode tip holder (7), handle body (41) tail end inserts electrode tip holder (7) and slide block (6) secure fit, cuts out except that head (42) passes through handle body (41) to be electrically connected with electrode tip holder (7); Handle body (41) is provided with axially extending bore and forms optical-fibre channel (43), and optical fiber import (8) is set on the described slide block (6), and optical fiber import (8) is communicated with described optical-fibre channel (43).
2. multifunctional prostate operation mirror according to claim 1, it is characterized in that: described mirror sheath (1) tail end along the circumferential direction is provided with draw-in groove (9), resectoscope (2) outer surface setting and the corresponding radial protrusion I of draw-in groove (9) (10), resectoscope (2) passes through radial protrusion I (10) is screwed in draw-in groove (9) clamping with mirror sheath (1);
Also comprise the pulverizing mirror (11) that can be used alternatingly with resectoscope (2), described pulverizing mirror (11) outer surface also is provided with and the corresponding radial protrusion II of draw-in groove (9) (12).
3. multifunctional prostate operation mirror according to claim 2 is characterized in that: described mirror sheath (1) tail end along the circumferential direction is rotatably assorted swivel base (13) is set, and described draw-in groove (9) is arranged on the swivel base (13).
4. according to each described multifunctional prostate operation mirror of claim 1 to 3, it is characterized in that: also comprise right angle needle electrode (14), described right angle needle electrode (14) comprises horizontal segment (15) and vertical section (16), horizontal segment (15) tail end is corresponding with electrode tip holder (7), fixedly connected at right angles with vertical section (16) one end ends in horizontal segment (15) front end end, described horizontal segment (15) outer surface is provided with insulating barrier.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010100005435A CN101744652B (en) | 2010-01-13 | 2010-01-13 | Multifunctional prostate operation mirror |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010100005435A CN101744652B (en) | 2010-01-13 | 2010-01-13 | Multifunctional prostate operation mirror |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101744652A CN101744652A (en) | 2010-06-23 |
| CN101744652B true CN101744652B (en) | 2011-06-15 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2010100005435A Expired - Fee Related CN101744652B (en) | 2010-01-13 | 2010-01-13 | Multifunctional prostate operation mirror |
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| Country | Link |
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| CN (1) | CN101744652B (en) |
Families Citing this family (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102626339B (en) * | 2012-04-19 | 2014-06-11 | 申屠丙花 | Diagnosis system for prostatic disorders |
| CN103405272B (en) * | 2013-08-26 | 2015-12-23 | 张家华 | Tissue is pulverized and lithotriptoscepe |
| CN103830003A (en) * | 2014-03-11 | 2014-06-04 | 青岛市城阳区人民医院 | Prostate resectoscope |
| CN104224310A (en) * | 2014-09-03 | 2014-12-24 | 张家华 | Tissue trepanning pulverizator |
| CN104799941B (en) * | 2015-05-14 | 2017-11-10 | 上海圣博艾医疗科技有限公司 | Tissue cutting and reducing mechanism and operation mirror |
| 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 |
| CN106264668A (en) * | 2016-10-31 | 2017-01-04 | 上海瑞柯恩激光技术有限公司 | Tissue pulverizer cutter head and device for laser therapy |
| CN106420009B (en) * | 2016-10-31 | 2023-07-28 | 上海瑞柯恩激光技术有限公司 | Tissue grinder cutter head and laser treatment device |
| CN106667580A (en) * | 2017-02-10 | 2017-05-17 | 中国医学科学院北京协和医院 | Resectoscope clamping device for transurethral resection of prostate |
| CN106691589B (en) * | 2017-02-23 | 2024-03-29 | 爱科凯能科技（北京）股份有限公司 | Surgical endoscope device with laser knife edge capable of advancing and retracting and rotatable in direction |
| CN108403210B (en) * | 2018-05-21 | 2018-11-02 | 上海英诺伟医疗器械有限公司 | Enucleation of the prostate mirror |
| CN109717952B (en) * | 2019-02-01 | 2024-03-26 | 微智医疗器械有限公司 | Holder of retina prosthesis microelectrode fixing nail |
| WO2021136557A1 (en) * | 2019-12-31 | 2021-07-08 | 广西医科大学第一附属医院 | Prostate gland removal device and removal method |
| CN113116463B (en) * | 2019-12-31 | 2023-07-28 | 广西医科大学第一附属医院 | Prostate gland removal apparatus |
| CN111358547B (en) * | 2020-02-28 | 2021-07-09 | 杭州市第一人民医院 | Transurethral minimally invasive prostate operation handle |
| CN112120788B (en) * | 2020-09-23 | 2021-11-26 | 安徽医科大学第一附属医院 | Small-caliber laser resectoscope |
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| CN1049287A (en) * | 1989-05-24 | 1991-02-20 | 住友电气工业株式会社 | The treatment conduit |
| CN1054892A (en) * | 1991-04-17 | 1991-10-02 | 苏天安 | Lasar prostate excision mirror |
| EP0741996B1 (en) * | 1995-05-08 | 2004-02-25 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
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| 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 |
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| CN101744652A (en) | 2010-06-23 |
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