The present application claims the benefit of Chinese Patent Application Nos. 201910353948.8 filed on Apr. 29, 2019, 201911263637.9 and 201911270216.9 filed on Dec. 11, 2019, 202020641284.3 filed on Apr. 23, 2020. All the above are hereby incorporated by reference. the contents of which are incorporated herein by reference in their entirety.
The invention relates to the technical field of medical apparatus and instruments, and in particular to a leading-in device of a disposable flexible ureteroscope and a using method thereof and a uretero-pyeloscope system.
In recent years, a uretero-pyeloscope has become a commonly used auxiliary device for diagnosing and treating kidney diseases such as kidney stones, which changes a situation that a ureteral site is difficult to be visually inspected for a long time and a ureteral disease must be treated with an open-type operation. At present, there are separate flexible ureteroscope and inflexible ureteroscope on the market. The inflexible ureteroscope is convenient to operate, and may easily reach a renal pelvis through a ureter, However, because a front end of the inflexible ureteroscope is not flexible, it may not adjust a direction to enter various groups of renal calices for various diagnosis and treatment after entering the renal pelvis; and although a front end of the flexible ureteroscope may be mono-directionally or multi-directionally bended and turned at a large angle, it is difficult to enter the renal pelvis and the renal calices through the ureter. Although it may enter the renal pelvis and the renal calices under the guidance of an x-ray, the x-ray causes great damage to doctors and patients.
In an existing technology, the uretero-pyeloscope enters a body from a human urethra, and multiple repetitive operations are required to put the flexible ureteroscope in place: a first step, the inflexible ureteroscope with a lens is inserted to find a predetermined position from the human urethra, usually the predetermined position is a position where a lesion is located or a position close to the lesion, for example, reaching the ureter; a second step, a zebra guidewire is inserted into a position (may be observed through the lens) of the renal pelvis through a working channel of the inflexible ureteroscope; a third step, the inflexible ureteroscope is withdrew, but the zebra guidewire is kept in the position of the renal pelvis, until the inflexible ureteroscope is completely withdrew; a fourth step, a leading-in sheath component with a small round head is pushed to the position of the renal pelvis along the zebra guidewire (no lens monitoring at this moment, which belongs to blind insertion); a fifth step, a guiding sheath in the leading-in sheath component is pulled out, the zebra guidewire is pulled out too at the same time, and a leading-in sheath is kept in the human body; and a sixth step, the flexible ureteroscope is inserted to a portion of the renal pelvis along the leading-in sheath. This method greatly increases operating steps of a doctor and a degree of damage to an organ of a patent, the operation is complicated, the work efficiency is low, the operation cost is high, and the using effect is not good.
In order to overcome deficiencies of the existing technology, the invention aims to provide a leading-in device of a flexible ureteroscope. The leading-in device is capable of reducing operating steps of an operation, and improving work efficiency.
A technical scheme used by the invention is as follows.
A leading-in device of a flexible ureteroscope, the leading-in device includes a leading-in sheath component, the leading-in sheath component includes a leading-in sheath with elasticity, and the leading-in sheath is a strip-type tube body matched with the flexible ureteroscope. While the flexible ureteroscope is inserted and connected in the leading-in sheath, an outer end part of the flexible ureteroscope is aligned with an outer end part of the leading-in sheath or slightly protruded out of the outer end part of the leading-in sheath.
In the leading-in device, the flexible ureteroscope has functions of an inflexible ureteroscope, the leading-in sheath by which the flexible ureteroscope is carried enters a ureter to a renal pelvis orifice through a urethral canal, and then the leading-in sheath stops being pushed, the flexible ureteroscope is continuously pushed into a renal pelvis.
Preferably, an outer diameter of the leading-in sheath is 2-8 mm.
Preferably, the leading-in sheath component further includes a guiding sheath main body connected with the leading-in sheath, the flexible ureteroscope may pass through the guiding sheath main body and may be inserted in the leading-in sheath, an outer end part of the flexible ureteroscope is aligned with an outer end part of the leading-in sheath or slightly protruded out of the outer end part of the leading-in sheath, the leading-in sheath component further includes a fixing support for fixing the flexible ureteroscope, the fixing support is connected to the other end of the guiding sheath main body, and an inner end part of the flexible ureteroscope is detachably fixed on the fixing support.
Preferably, one end, adjacent to the leading-in sheath, of the guiding sheath main body is provided with a guiding sheath channel, the other end of the guiding sheath main body is provided with a groove through which the flexible ureteroscope passes, the groove is communicated with the guiding sheath channel, and the guiding sheath channel is communicated with the leading-in sheath.
Preferably, the guiding sheath main body is further provided with a water outlet channel, the water outlet channel is communicated with the guiding sheath channel.
Preferably, a position, close to the groove, on the guiding sheath channel is provided with a guiding sheath seal for sealing the flexible ureteroscope and the guiding sheath channel, and the guiding sheath seal is in interference fit with the guiding sheath channel.
Preferably, an end part of the guiding sheath main body is provided with a fixing rib, a corresponding end part of the fixing support is provided with a fixing button matched with the fixing rib, the fixing support is detachably connected with the guiding sheath main body through fastening of the fixing rib and the fixing button.
Preferably, a side face of the guiding sheath main body is provided with a guiding sheath handle.
The other purpose of the invention is to provide a using method for the above leading-in device.
The using method includes the following steps:
1) opening perfusion liquid;
2) a leading-in sheath of a leading-in sheath component by which the flexible ureteroscope is carried is inserted from a urethral orifice of a human body into a urethral canal; and
3) the leading-in sheath by which the flexible ureteroscope is carried successively enters a ureter and a renal pelvis orifice through the urethral canal, and then the leading-in sheath is stopped to be pushed, and the flexible ureteroscope is continuously pushed, until reaching a renal pelvis.
Another purpose of the invention is to provide a uretero-pyeloscope system.
The uretero-pyeloscope system includes a flexible ureteroscope and the above leading-in device, the flexible ureteroscope is inserted and connected in the leading-in sheath, an outer end part of the flexible ureteroscope is aligned with an outer end part of the leading-in sheath or slightly protruded out of the outer end part of the leading-in sheath.
In the uretero-pyeloscope system, the leading-in sheath is used for carrying the flexible ureteroscope and enters a ureter to a renal pelvis orifice through a urethral canal, and then the leading-in sheath is stopped to be pushed, and the flexible ureteroscope is continuously pushed until reaching a renal pelvis.
Preferably, the flexible ureteroscope includes a flexible ureteroscope main body and a flexible ureteroscope handle, the flexible ureteroscope main body includes a flexible tube and a lens component which is connected to an outer end part of the flexible tube through a bending part, an inner end part of the flexible tube is fixedly connected with the flexible ureteroscope handle, and the lens component is positioned on an outer end part of the flexible ureteroscope.
Preferably, an inner diameter size of the leading-in sheath is uniform, outer diameter sizes of the bending part and the lens component are greater than an outer diameter size of the flexible tube, the outer diameter size of the flexible tube is less than the inner diameter of the leading-in sheath and a radial size of the guiding sheath channel, and water passing clearances are formed between the flexible tube and the leading-in sheath, and between the flexible tube and the guiding sheath channel, liquid and operation fragments in the renal pelvis are discharged through the water passing clearances and the water outlet channel. Preferably, the outer diameter sizes of the bending part and the lens component are 2.5-4.5 mm, and the outer diameter size of the flexible tube is 1.5-4.0 mm.
Preferably, while the leading-in sheath component includes the fixing support, the flexible ureteroscope handle is detachably installed on the fixing support, the flexible ureteroscope main body is installed in the leading-in sheath, an outer end part of the lens component is aligned with an outer end part of the leading-in sheath or slightly protruded out of the outer end part of the leading-in sheath.
Preferably, the lens component includes a lens support, the flexible ureteroscope is internally provided with a working channel, the working channel successively passes through the flexible tube and the bending part from the flexible ureteroscope handle, and is stretched into the lens support, the lens support is provided with a through hole communicated with the working channel, the through hole is used for inputting the perfusion liquid; the lens component further includes an image pickup channel and an illumination channel which are installed in the lens support, the image pickup channel is internally provided with a camera device, the illumination channel is internally provided with an illumination device; the bending part includes a snake-like bone component and a fixing frame for fixing an end part of the snake-like bone component; and one end part of the snake-like bone component is connected with the flexible tube through the fixing frame, and another end part of the snake-like bone component is connected with the lens support.
Compared with the existing technology, the beneficial effects of the invention are as follows.
The invention provides a uretero-pyeloscope system, through enabling the flexible ureteroscope to be fixed on an inflexible leading-in sheath component, the flexible ureteroscope has the hardness and functions of the inflexible ureteroscope, so the flexible ureteroscope may reach the position of the renal pelvis rapidly; at the same time, the lens component, such as a camera, at the front end of the flexible ureteroscope is used for observing in real time, so that an inserting process is performed under endoscopy, and the accuracy and reliability of the operation may be further guaranteed; after the inflexible leading-in sheath component by which the flexible ureteroscope is carried enters the renal pelvis orifice, a character that the front end of the flexible ureteroscope may be controlled to be bended is used, the flexible ureteroscope enters the renal pelvis in complicated structure to examine and treat, in the whole process, the operating step of the doctor only needs one step, operative instruments are not required to be replaced, the operation is simple and rapid, the work efficiency is high, equipment used is less, disinfection steps are less, the loss is less, the operation cost is greatly reduced, and operation time is reduced, so the damage to the body of the patient is reduced and the probability of cross infection is reduced.
The invention is further described below in detail in combination with the drawings and the detailed description of the embodiments.
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The flexible tube 102 is preferably made by cutting a metal hard tube into an elastomer, that is a flexible metal tube is formed after an outer surface of the metal hard tube is spirally grooved along an axial direction thereof, the flexible tube 102 is guaranteed to have certain structural strength, and have good flexibility at the same time, so that the flexible ureteroscope main body 100 may achieve continuous bending. The flexible ureteroscope main body 100 further includes a flexible tube seal 103, the flexible tube seal 103 is installed on an outer surface of the flexible tube 102, and has sealing and protecting effects to the flexible tube 102. The flexible tube 102 and the flexible tube seal 103 may be sealed and fixed by using a mode of an adhesive, or a heat-shrink tube may be used as the flexible tube seal 103, the flexible tube seal 103 is fixed on the outer surface of the flexible tube 102 through a mode of heat shrinkage, it is sealed and fixed to effectively prevent the flexible tube 102 from being corroded.
The bending part 120 has at least one degree of freedom of oscillation, so a bending direction thereof may be adjusted by a steering steel wire, so that an entrance of the working channel 101 accurately reach a position of a renal pelvis, this requires that the bending part 120 may be bended randomly. In the embodiment, the bending part 120 includes a snake-like bone component and a fixing frame 121 for fixing an end part of the snake-like bone component, the specific connection relationship is as follows:
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One preferable implementation mode is as shown in
After the flexible ureteroscope 10 and the leading-in sheath component 20 are fixed, a using method for the leading-in device specifically includes the following steps:
1) opening the perfusion liquid, opening the camera device and the illumination device, so a display screen connected with the flexible ureteroscope 10 displays a real-time image at the front end of the lens support 130 in real time;
2) the leading-in sheath 200 of the leading-in sheath component 20 is inserted from a urethral orifice of a human body into a urethral canal, and the flexible ureteroscope main body 100 is placed in the body along with the leading-in sheath 200 at the same time: the doctor only needs to grasp the guiding sheath handle 215 and enable the leading-in sheath 200 and the flexible ureteroscope main body 100 to be inserted into the body of the patient, in an inserting process, a situation of the whole inserting process is observed through the display screen, and direction and speed of inserting are adjusted in time; and
3) after passing through a bladder, finding out an entrance of a lower end of the ureter, and continuously pushing in the ureter by a certain distance until reaching the renal pelvis orifice, the leading-in sheath component 20 is stopped to be forwards pushed and pre-fixed, the flexible ureteroscope handle 110 on the fixing support 220 is taken down, the flexible ureteroscope main body 100 is continuously forwards pushed along the leading-in sheath 200, and enters the renal pelvis, so the examination or operation may be performed.
Thus It may be seen from this, the invention is capable of, through enabling the flexible ureteroscope 10 to be fixed on the leading-in sheath component 20, enabling the flexible ureteroscope 10 to be carried on the leading-in sheath component 20, compared with an existing pyeloscope, it only needs one-step operation to accurately reach the position of the renal pelvis, the operation is simple and rapid, the work efficiency is greatly improved, equipment, such as a zebra guiding wire, is not required, the equipment used is less, the operation cost is effectively reduced, operation time is saved, and the damage to the patient is reduced. At the same time, because the camera device and the illumination device are always installed at the front end of the lens support 130, the whole inserting process and operation process are visible.
The principle and structure of the soft-hard combined uretero-pyeloscope system used in the invention may also be applied to other endoscopes, such as a cystoscope, an enteroscope or a hysteroscope, and an application range is wider.
The above implementation modes are only preferable implementation modes of the invention, and may not be used to limit a scope of protection of the invention, any non-substantial changes and replacements made by those skilled in the art on the basis of the invention shall fall within the scope of protection required by the invention.
Number | Date | Country | Kind |
---|---|---|---|
201910353948.8 | Apr 2019 | CN | national |
201911263637.9 | Dec 2019 | CN | national |
201911270216.9 | Dec 2019 | CN | national |
202020641284.3 | Apr 2020 | CN | national |