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CN114533262A - Negative pressure optical fiber fixing suction tube connected with ureteroscope - Google Patents

Negative pressure optical fiber fixing suction tube connected with ureteroscope Download PDF

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Publication number
CN114533262A
CN114533262A CN202111587942.0A CN202111587942A CN114533262A CN 114533262 A CN114533262 A CN 114533262A CN 202111587942 A CN202111587942 A CN 202111587942A CN 114533262 A CN114533262 A CN 114533262A
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negative pressure
optical fiber
fixed end
negative
fiber fixing
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CN114533262B (en
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黄海
黄韵源
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Sun Yat Sen Memorial Hospital Sun Yat Sen University
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Sun Yat Sen Memorial Hospital Sun Yat Sen University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A61B18/245Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter for removing obstructions in blood vessels or calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2205Characteristics of fibres

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Abstract

The invention relates to the technical field of medicine, in particular to a negative pressure optical fiber fixing and attracting tube connected with a ureteroscope, which comprises a negative pressure tube and a laser optical fiber, wherein the laser optical fiber is fixedly arranged in the negative pressure tube; the optical fiber fixing device comprises a fixing end and a connecting end, the fixing end comprises a first support frame, a sleeve and a first thread section, the first support frame is fixedly arranged in the fixing end, the sleeve is fixedly arranged on the first support frame, and the first thread section is fixedly arranged on the inner wall of the fixing end; the connecting end comprises a second supporting frame, an elastic rod, a chuck and a second thread section, the second supporting frame is fixedly installed inside the connecting end, the two ends of the elastic rod are fixedly connected with the second supporting frame and the chuck respectively, the second thread section is fixedly arranged inside the connecting end, and the first thread section is in threaded connection with the second thread section. The application solves the defect that the laser fiber slides due to the accidental pulling outside in the operation to influence the ureteral lithotripsy operation.

Description

一种连接输尿管镜的负压光纤固定吸引管A negative pressure optical fiber fixed suction tube connected to a ureteroscope

技术领域technical field

本发明涉及医学技术领域,具体是涉及一种连接输尿管镜的负压光纤固定吸引管。The invention relates to the technical field of medicine, in particular to a negative pressure optical fiber fixed suction tube connected to a ureteroscope.

背景技术Background technique

输尿管硬镜下碎石取石术面临以下问题,结石容易上行到肾,需要二次手术或者软镜手术或者体外冲击波碎石,增加患者痛苦和负担。常用的结石封堵器、套石篮等使用有局限性;输尿管硬镜下碎石不敢冲水太快,否则结石易上行到肾盂,但冲水慢会引起激光碎石过程中局部温度过高,产生“水煮输尿管”,之后继发输尿管狭窄等严重并发症,导致肾功能丧失;目前的硕通镜等器械虽然可以用负压吸引,减少结石上行和冲水缓慢的问题,但是硕通镜外鞘较粗,部分患者无法置入,且每套费用较高。Rigid ureteroscopic lithotripsy is faced with the following problems. Stones are easy to ascend to the kidney, which requires secondary surgery or flexible endoscopic surgery or extracorporeal shock wave lithotripsy, which increases the pain and burden of patients. The commonly used stone occluder, stone basket, etc. have limitations; under rigid ureteroscope, the stone cannot be flushed too fast, otherwise the stone will easily ascend to the renal pelvis, but the slow flushing will cause the local temperature to be too high during the laser lithotripsy process. High, resulting in "boiled ureter", followed by serious complications such as ureteral stenosis, resulting in loss of renal function; although the current equipment such as Shuotong mirror can be suctioned with negative pressure to reduce the problems of stone ascending and slow flushing, but the The outer sheath of the open endoscope is thick, which cannot be placed in some patients, and the cost of each set is high.

中国专利CN202110115876.0公开了一种用于输尿管镜手术的可接负压吸引的内冲洗不锈钢鞘,其通过设置负压引流机构,当需要对输尿管内的结石碎屑进行清理时,将负压引流机构通过引流接入管接入输尿管内,接着开启负压泵将输尿管内的结石碎屑通过引流接入管导入负压装槽内,导入后可通过开启导出泵将结石碎屑通过顶端的导出口导出,达到清理输尿管内结石碎屑的效果,同时产生的负压能够很好的达到减压的功能。Chinese patent CN202110115876.0 discloses an inner flushing stainless steel sheath that can be connected to negative pressure suction for ureteroscopic surgery. By setting a negative pressure drainage mechanism, when the stone debris in the ureter needs to be cleaned, the negative pressure The drainage mechanism is connected to the ureter through the drainage access pipe, and then the negative pressure pump is turned on to introduce the stone debris in the ureter into the negative pressure tank through the drainage access pipe. The outlet is led out to achieve the effect of cleaning the stone debris in the ureter, and the negative pressure generated at the same time can well achieve the function of decompression.

但是其在碎石过程中激光光纤易滑动,损伤输尿管及输尿管镜;因此亟需设计一种能稳定固定光纤的负压光纤固定吸引管,在手术中防止激光光纤由于外部不经意的拉动使其发生滑动,进而影响输尿管碎石操作。However, the laser fiber is easy to slide during the lithotripsy process, which damages the ureter and ureteroscope. Therefore, it is urgent to design a negative pressure fiber fixed suction tube that can stably fix the fiber to prevent the laser fiber from being accidentally pulled outside during surgery. Sliding, thereby affecting the ureteral lithotripsy.

发明内容SUMMARY OF THE INVENTION

基于此,有必要针对现有技术问题,提供一种连接输尿管镜的负压光纤固定吸引管。Based on this, it is necessary to provide a negative pressure optical fiber fixed suction tube connected to a ureteroscope to solve the problems in the prior art.

为解决现有技术问题,本发明采用的技术方案为:In order to solve the prior art problem, the technical scheme adopted in the present invention is:

一种连接输尿管镜的负压光纤固定吸引管,包括负压管和激光光纤,激光光纤固定安装在负压管内,激光光纤的轴线与负压管的轴线共线;还包括光纤固定器,光纤固定器包括固定端和连接端,固定端和连接端为直圆管,固定端包括第一支撑架、套筒和第一螺纹段,第一支撑架固定安装在固定端内部,套筒固定安装在第一支撑架上,套筒呈喇叭状,第一螺纹段固定设置在固定端内壁;连接端包括第二支撑架、弹性杆、夹头和第二螺纹段,第二支撑架固定安装在连接端内部,弹性杆设有多个,多个弹性杆沿连接端的轴线中心对称设置,弹性杆两端分别与第二支撑架和夹头固定连接,第二螺纹段固定设置在连接端外部,第一螺纹段和第二螺纹段螺纹连接。A negative pressure optical fiber fixed suction tube connected to a ureteroscope, comprising a negative pressure tube and a laser optical fiber, the laser optical fiber is fixedly installed in the negative pressure tube, and the axis of the laser optical fiber is collinear with the axis of the negative pressure tube; it also includes an optical fiber holder, an optical fiber The fixer includes a fixed end and a connecting end, the fixed end and the connecting end are straight round pipes, the fixed end includes a first support frame, a sleeve and a first threaded section, the first support frame is fixedly installed inside the fixed end, and the sleeve is fixedly installed On the first support frame, the sleeve is in the shape of a horn, and the first threaded section is fixedly arranged on the inner wall of the fixed end; the connecting end includes a second support frame, an elastic rod, a chuck and a second threaded section, and the second support frame is fixedly installed on Inside the connecting end, a plurality of elastic rods are arranged, and the plurality of elastic rods are arranged symmetrically along the axis of the connecting end. The first thread segment and the second thread segment are threadedly connected.

优选的,还包括接头固定组件,接头固定组件包括安装架、柔性锥块和限位块,安装架滑动安装在连接端上,柔性锥块的细端与连接端远离第二螺纹段的一端固定连接,柔性锥块的粗端与限位块固定连接,限位块的外径大于柔性锥块的粗端。Preferably, it also includes a joint fixing assembly, the joint fixing assembly includes a mounting frame, a flexible cone and a limit block, the mounting frame is slidably installed on the connecting end, and the thin end of the flexible cone is fixed to the end of the connecting end away from the second thread segment connection, the thick end of the flexible taper block is fixedly connected with the limit block, and the outer diameter of the limit block is larger than the thick end of the flexible taper block.

优选的,接头固定组件还包括连接杆和弹性件,连接杆设有多个,多个连接杆沿安装架的轴线中心对称设置,连接杆与安装架固定连接,弹性件设有多个且与连接杆一一对应,弹性件两端分别与连接杆和连接端固定连接。Preferably, the joint fixing assembly further includes a connecting rod and an elastic member, there are multiple connecting rods, the multiple connecting rods are symmetrically arranged along the axis of the mounting frame, the connecting rods are fixedly connected to the mounting frame, and the elastic members are provided with a plurality of them and are connected with the mounting frame. The connecting rods are in one-to-one correspondence, and the two ends of the elastic piece are respectively fixedly connected with the connecting rod and the connecting end.

优选的,负压管包括负压吸引口和负压泵,负压吸引口固定设置在负压管主管上且与负压管连通,负压泵固定安装在负压吸引口上。Preferably, the negative pressure pipe includes a negative pressure suction port and a negative pressure pump, the negative pressure suction port is fixedly arranged on the main pipe of the negative pressure pipe and communicated with the negative pressure pipe, and the negative pressure pump is fixedly installed on the negative pressure suction port.

优选的,还包括摄像组件,摄像组件包括安装环和摄像头,安装环固定套接在负压管上,摄像头固定安装在安装环上。Preferably, it also includes a camera assembly, the camera assembly includes a mounting ring and a camera, the mounting ring is fixedly sleeved on the negative pressure tube, and the camera is fixedly mounted on the mounting ring.

优选的,固定端还包括防滑纹,防滑纹固定设置在固定端的外表面。Preferably, the fixed end further includes an anti-slip pattern, and the anti-slip pattern is fixedly arranged on the outer surface of the fixed end.

优选的,接头固定组件还包括旋转密封环,旋转密封环固定安装在安装架上,当固定端与安装架接触时,旋转密封环位于安装架和固定端之间。Preferably, the joint fixing assembly further includes a rotary sealing ring, the rotary sealing ring is fixedly mounted on the mounting frame, and when the fixed end is in contact with the mounting frame, the rotary sealing ring is located between the mounting frame and the fixed end.

优选的,负压吸引口和负压管为一体成型的不锈钢薄壁直圆管。Preferably, the negative pressure suction port and the negative pressure pipe are integrally formed stainless steel thin-walled straight round pipe.

优选的,光纤固定器还包括喇叭套口,喇叭套口细口端与固定端的端部固定连接。Preferably, the optical fiber holder further comprises a flared socket, and the thin end of the flared socket is fixedly connected with the end of the fixed end.

优选的,夹头为柔性材质制成的圆球。Preferably, the chuck is a ball made of flexible material.

本申请相比较于现有技术的有益效果是:The beneficial effects of the present application compared to the prior art are:

1.本申请通过负压管、激光光纤和光纤固定器实现了在碎石过程中固定激光光纤位置,防止损伤输尿管和输尿管镜的功能,解决了手术中激光光纤由于外部不经意的拉动使其发生滑动,影响输尿管碎石操作的缺陷。1. The application realizes fixing the position of the laser fiber in the lithotripsy process through a negative pressure tube, a laser fiber and an optical fiber holder, preventing damage to the function of the ureter and the ureteroscope, and solving the problem that the laser fiber in the operation is caused by external inadvertent pulling to cause it to occur. Sliding, defects affecting ureteral lithotripsy operations.

2.本申请通过安装架、柔性锥块和限位块实现了快速将连接端稳定固定到负压管上的功能,解决了光纤固定器依然具有本申请设备为一次性使用,因此每次使用时需要将连接端安装到负压管上,从而通过连接端和固定端配合来固定激光光纤位置,而连接端与负压管的连接可能不够稳定导致激光光纤松动的缺陷。2. The application realizes the function of quickly and stably fixing the connection end to the negative pressure tube through the mounting frame, the flexible cone block and the limit block, and solves the problem that the optical fiber holder still has the equipment of the application for one-time use, so every use When the connection end needs to be installed on the negative pressure tube, the position of the laser fiber can be fixed by matching the connection end and the fixed end, and the connection between the connection end and the negative pressure tube may not be stable enough to cause the laser fiber to loosen.

3.本申请通过连接杆和弹性件实现了安装架自动复位的功能,解决了在拆卸光纤固定器时,需要手动将接头固定组件中的安装架复位,步骤较为复杂的缺陷。3. The present application realizes the function of automatic reset of the mounting frame through the connecting rod and the elastic member, which solves the defect that the mounting frame in the joint fixing assembly needs to be manually reset and the steps are complicated when disassembling the optical fiber holder.

4.本申请通过负压吸引口和负压泵实现了产生负压,将结石吸到激光光纤周围的功能,解决了负压管如何实现产生负压以形成水循环,防止水流将碎石冲到肾盂的技术问题。4. The application realizes the function of generating negative pressure through the negative pressure suction port and the negative pressure pump, and sucking the stone around the laser fiber, and solves how the negative pressure pipe realizes the generation of negative pressure to form a water circulation, preventing the water flow from rushing the gravel to the surface. Technical problems with the renal pelvis.

5.本申请通过安装环和摄像头组成的摄像组件实现了实时观测负压管周围画面的功能,解决了本申请依然具有碎石手术中,操作人员仅能观测光纤周围画面,而无法观测负压管工作过程中具体情况的缺陷。5. The application realizes the function of real-time observation of the picture around the negative pressure tube through the camera assembly composed of the installation ring and the camera, which solves the problem that the application still has a lithotripsy operation, and the operator can only observe the picture around the optical fiber, but cannot observe the negative pressure. Deficiencies in the specific circumstances of the work process.

6.本申请通过防滑纹实现了提高固定端外表面防滑能力的功能,解决了旋转固定端时需要提高用力强度以防止打滑的缺陷。6. The present application achieves the function of improving the anti-skid ability of the outer surface of the fixed end through the anti-skid pattern, and solves the defect that the force strength needs to be increased to prevent slipping when the fixed end is rotated.

7.本申请通过旋转密封环实现了提高安装架和固定端连接处密封性的功能,解决了接头固定组件中安装架和固定端之间连接处密封性不足的缺陷。7. The present application achieves the function of improving the tightness of the connection between the mounting frame and the fixed end by rotating the sealing ring, and solves the defect of insufficient tightness of the connection between the mounting frame and the fixed end in the joint fixing assembly.

8.本申请通过将负压吸引口和负压管一体化成型实现了增强负压管结构稳定性的功能,解决了负压管结构不稳定的缺陷。8. The present application achieves the function of enhancing the structural stability of the negative pressure pipe by integrally forming the negative pressure suction port and the negative pressure pipe, and solves the defect of the unstable structure of the negative pressure pipe.

9.本申请通过喇叭套口实现了简化一种连接输尿管镜的负压光纤固定吸引管进入输尿管操作通道,到达结石处的功能,解决了固定端光纤不易进入输尿管操作通道的缺陷。9. The present application realizes the function of simplifying a negative pressure optical fiber fixed suction tube connected to a ureteroscope to enter the ureteral operation channel through the bell sleeve mouth, and reaches the function of the calculus, and solves the defect that the fixed end optical fiber is not easy to enter the ureteral operation channel.

10.本申请通过将夹头设计为柔性材质制成的圆头,解决操作人员将固定端拧的过紧,导致夹头将激光光纤夹伤的缺陷。10. In the present application, by designing the collet as a round head made of a flexible material, the defect that the operator tightens the fixed end too tightly, causing the collet to pinch the laser fiber.

附图说明Description of drawings

图1是本申请的立体图;1 is a perspective view of the application;

图2是本申请的分离立体图;Fig. 2 is the separation perspective view of the present application;

图3是本申请图2中A处的局部放大图;Fig. 3 is the partial enlarged view of A in Fig. 2 of the present application;

图4是本申请固定端的立体图;4 is a perspective view of a fixed end of the present application;

图5是本申请连接端的正视图;Fig. 5 is the front view of the connection end of the present application;

图6是本申请连接端的分离立体图;Fig. 6 is the separation perspective view of the connection end of the present application;

图7是本申请图6中C处的局部放大图;Fig. 7 is the partial enlarged view of C in Fig. 6 of the present application;

图8是本申请摄像装置的立体图;8 is a perspective view of a camera device of the present application;

图9是本申请的正视图;Figure 9 is a front view of the application;

图10是本申请光纤固定器的左视图;Fig. 10 is the left side view of the optical fiber holder of the present application;

图中标号为:The label in the figure is:

1-负压管;1a-负压吸引口;1b-负压泵;1-negative pressure pipe; 1a-negative pressure suction port; 1b-negative pressure pump;

2-激光光纤;2-laser fiber;

3-光纤固定器;3a-固定端;3a1-第一支撑架;3a2-套筒;3a3-第一螺纹段;3a4-防滑纹; 3b-连接端;3b1-第二支撑架;3b2-弹性杆;3b3-夹头;3b4-第二螺纹段;3c-喇叭套口;3-fiber holder; 3a-fixed end; 3a1-first support frame; 3a2-sleeve; 3a3-first thread segment; Rod; 3b3 - collet; 3b4 - second thread segment; 3c - flare socket;

4-接头固定组件;4a-安装架;4b-柔性锥块;4c-限位块;4d-连接杆;4e-弹性件;4f-旋转密封环;4-joint fixing assembly; 4a-mounting frame; 4b-flexible cone; 4c-limiting block; 4d-connecting rod; 4e-elastic part; 4f-rotating sealing ring;

5-摄像组件;5a-安装环;5b-摄像头。5-camera assembly; 5a-installation ring; 5b-camera.

具体实施方式Detailed ways

为能进一步了解本发明的特征、技术手段以及所达到的具体目的、功能,下面结合附图与具体实施方式对本发明作进一步详细描述。In order to further understand the features, technical means, and specific goals and functions of the present invention, the present invention will be described in further detail below with reference to the accompanying drawings and specific embodiments.

如图1-5和图10所示:As shown in Figure 1-5 and Figure 10:

一种连接输尿管镜的负压光纤固定吸引管,包括负压管1和激光光纤2,激光光纤2固定安装在负压管1内,激光光纤2的轴线与负压管1的轴线共线;还包括光纤固定器3,光纤固定器3包括固定端3a和连接端3b,固定端3a和连接端3b为直圆管,固定端3a包括第一支撑架3a1、套筒3a2和第一螺纹段3a3,第一支撑架3a1固定安装在固定端3a内部,套筒3a2 固定安装在第一支撑架3a1上,套筒3a2呈喇叭状,第一螺纹段3a3固定设置在固定端3a内壁;连接端3b包括第二支撑架3b1、弹性杆3b2、夹头3b3和第二螺纹段3b4,第二支撑架 3b1固定安装在连接端3b内部,弹性杆3b2设有多个,多个弹性杆3b2沿连接端3b的轴线中心对称设置,弹性杆3b2两端分别与第二支撑架3b1和夹头3b3固定连接,第二螺纹段3b4 固定设置在连接端3b的外部,第一螺纹段3a3和第二螺纹段3b4螺纹连接。A negative pressure optical fiber fixed suction tube connected to a ureteroscope, comprising a negative pressure tube 1 and a laser optical fiber 2, the laser optical fiber 2 is fixedly installed in the negative pressure tube 1, and the axis of the laser optical fiber 2 is collinear with the axis of the negative pressure tube 1; Also includes an optical fiber holder 3, the optical fiber holder 3 includes a fixed end 3a and a connecting end 3b, the fixed end 3a and the connecting end 3b are straight round pipes, and the fixed end 3a includes a first support frame 3a1, a sleeve 3a2 and a first thread segment 3a3, the first support frame 3a1 is fixedly installed inside the fixed end 3a, the sleeve 3a2 is fixedly installed on the first support frame 3a1, the sleeve 3a2 is trumpet-shaped, and the first threaded section 3a3 is fixedly arranged on the inner wall of the fixed end 3a; the connecting end 3b includes a second support frame 3b1, an elastic rod 3b2, a collet 3b3 and a second threaded section 3b4. The second support frame 3b1 is fixedly installed inside the connecting end 3b, and there are multiple elastic rods 3b2, and the plurality of elastic rods 3b2 are connected along the The axis center of the end 3b is symmetrically arranged, the two ends of the elastic rod 3b2 are fixedly connected with the second support frame 3b1 and the collet 3b3 respectively, the second thread segment 3b4 is fixedly arranged on the outside of the connection end 3b, the first thread segment 3a3 and the second thread Segment 3b4 threaded connection.

基于上述实施例,本申请想要解决的技术问题是如何在手术过程中防止激光光纤2受外力影响发生滑动。为此,本申请通过负压管1、激光光纤2和光纤固定器3实现了在碎石过程中固定激光光纤2的位置,防止损伤输尿管和输尿管镜的功能,解决了手术中激光光纤由于外部不经意的拉动使其发生滑动,影响输尿管碎石操作的缺陷。所述负压管1与控制器电连接;操作人员首先将激光光纤2插入负压管1主管,然后将连接端3b安装到负压管1上,接着将固定端3a旋转到连接端3b上,通过第一螺纹段3a3和第二螺纹段3b4的螺纹配合将固定端3a拧紧到连接端3b上,随着固定端3a向连接端3b靠近,第一支撑架3a1也与第二支撑架3b1靠近,当套筒3a2与夹头3b3接触时,随着套筒3a2继续移动而挤压夹头3b3,随着夹头3b3的挤压而拉扯弹性杆3b2,弹性杆3b2受力后形变,从而带动夹头3b3相互靠近,从而挤压激光光纤2,将激光光纤2固定,最后将负压光纤固定吸引管置入输尿管镜操作通道,接着通过操作通道和负压光纤固定吸引管之间的间隙进水,并通过控制器发送信号给负压管1 和激光光纤2,激光光纤2收到信号后执行碎石步骤,负压管1收到信号后产生负压,将结石吸到光纤周周,形成水循环,防止水流将碎石冲到肾盂,本申请整体设备简单,成本低,一次性使用。Based on the above embodiments, the technical problem to be solved by the present application is how to prevent the laser fiber 2 from sliding under the influence of external force during the operation. For this reason, the present application realizes fixing the position of the laser fiber 2 during the lithotripsy process through the negative pressure tube 1, the laser fiber 2 and the fiber holder 3, preventing damage to the ureter and the function of the ureteroscope, and solving the problem that the laser fiber in the operation is caused by external Inadvertent pulling makes it slip, affecting the defects of ureteral lithotripsy. The negative pressure tube 1 is electrically connected to the controller; the operator first inserts the laser fiber 2 into the main tube of the negative pressure tube 1, then installs the connecting end 3b on the negative pressure tube 1, and then rotates the fixed end 3a to the connecting end 3b , screw the fixed end 3a to the connection end 3b through the threaded cooperation of the first thread segment 3a3 and the second thread segment 3b4. As the fixed end 3a approaches the connection end 3b, the first support frame 3a1 is also connected to the second support frame 3b1. When the sleeve 3a2 is in contact with the collet 3b3, the collet 3b3 is squeezed as the sleeve 3a2 continues to move, and the elastic rod 3b2 is pulled along with the extrusion of the collet 3b3, and the elastic rod 3b2 is deformed after being stressed, thereby Drive the chucks 3b3 to approach each other, thereby squeezing the laser fiber 2, fixing the laser fiber 2, and finally placing the suction tube fixed by the negative pressure optical fiber into the ureteroscope operating channel, and then fixing the gap between the suction tube through the operating channel and the negative pressure optical fiber Water enters, and the controller sends a signal to the negative pressure tube 1 and the laser fiber 2. After the laser fiber 2 receives the signal, the stone crushing step is performed. After the negative pressure tube 1 receives the signal, it generates a negative pressure and sucks the stone around the fiber. , forming a water circulation, preventing the water flow from rushing the gravel to the renal pelvis, the overall equipment of the present application is simple, the cost is low, and it is disposable.

进一步的,本申请提供的光纤固定器3依然具有本申请设备为一次性使用,因此每次使用时需要将连接端3b安装到负压管1上,从而通过连接端3b和固定端3a配合来固定激光光纤2位置,而连接端3b与负压管1的连接可能不够稳定,导致激光光纤2松动的缺陷,为了解决这一问题,如图5-6所示:Further, the optical fiber holder 3 provided by the present application still has the device of the present application for one-time use. Therefore, the connecting end 3b needs to be installed on the negative pressure tube 1 each time it is used, so that the connecting end 3b and the fixed end 3a are matched together. Fix the position of the laser fiber 2, but the connection between the connecting end 3b and the negative pressure tube 1 may not be stable enough, which may lead to the defect of the loose laser fiber 2. In order to solve this problem, as shown in Figure 5-6:

本申请还包括接头固定组件4,接头固定组件4包括安装架4a、柔性锥块4b和限位块4c,安装架4a滑动安装在连接端3b上,柔性锥块4b的细端与连接端3b远离第二螺纹段3b4的一端固定连接,柔性锥块4b的粗端与限位块4c固定连接,限位块4c的外径大于柔性锥块4b 的粗端。The present application also includes a joint fixing assembly 4. The joint fixing assembly 4 includes a mounting bracket 4a, a flexible taper block 4b and a limit block 4c. The mounting bracket 4a is slidably mounted on the connecting end 3b, and the thin end of the flexible taper block 4b is connected to the connecting end 3b. One end away from the second threaded segment 3b4 is fixedly connected, and the thick end of the flexible taper block 4b is fixedly connected with the limit block 4c, the outer diameter of the limit block 4c is larger than the thick end of the flexible taper block 4b.

基于上述实施例,本申请想要解决的技术问题是如何快速将连接端3b固定到负压管1上。为此,本申请通过安装架4a、柔性锥块4b和限位块4c实现了快速将连接端3b稳定固定到负压管1上的功能。操作人员将固定端3a旋转到连接端3b上,随着固定端3a的移动,会推动安装架4a,安装架4a沿连接端3b滑动而挤压柔性锥块4b,柔性锥块4b受到挤压产生形变,从而紧贴负压管1,从而将连接端3b固定到负压管1上,操作简单、迅速。Based on the above embodiments, the technical problem to be solved by the present application is how to quickly fix the connecting end 3b to the negative pressure pipe 1 . To this end, the present application achieves the function of quickly and stably fixing the connecting end 3b to the negative pressure pipe 1 through the mounting bracket 4a, the flexible cone block 4b and the limiting block 4c. The operator rotates the fixed end 3a to the connecting end 3b, and with the movement of the fixed end 3a, the mounting bracket 4a will be pushed, and the mounting bracket 4a will slide along the connecting end 3b to squeeze the flexible cone 4b, and the flexible cone 4b will be squeezed Deformation is generated, so as to be close to the negative pressure pipe 1, so as to fix the connecting end 3b on the negative pressure pipe 1, and the operation is simple and fast.

进一步的,本申请提供的接头固定组件4在拆卸光纤固定器3时依然存在需要手动将安装架4a复位,步骤较为复杂的缺陷,为了解决这一问题,如图5-7所示:Further, the connector fixing assembly 4 provided by the present application still has the defect that the installation frame 4a needs to be manually reset when the optical fiber holder 3 is disassembled, and the steps are relatively complicated. In order to solve this problem, as shown in Figure 5-7:

接头固定组件4还包括连接杆4d和弹性件4e,连接杆4d设有多个,多个连接杆4d沿安装架4a的轴线中心对称设置,连接杆4d与安装架4a固定连接,弹性件4e设有多个且与连接杆4d一一对应,弹性件4e两端分别与连接杆4d和连接端3b固定连接。The joint fixing assembly 4 also includes a connecting rod 4d and an elastic member 4e. There are multiple connecting rods 4d. The multiple connecting rods 4d are symmetrically arranged along the axis of the mounting frame 4a. The connecting rod 4d is fixedly connected to the mounting frame 4a. The elastic member 4e There are a plurality of the connecting rods 4d corresponding to each other, and the two ends of the elastic member 4e are respectively fixedly connected with the connecting rod 4d and the connecting end 3b.

基于上述实施例,本申请想要解决的技术问题是如何简化光纤固定器3的拆卸步骤。为此,本申请通过连接杆4d和弹性件4e实现了安装架4a自动复位的功能。操作人员将激光光纤2插入负压管1主管,然后将连接端3b安装到负压管1上,接着将固定端3a旋转到连接端3b上,通过第一螺纹段3a3和第二螺纹段3b4的螺纹配合将固定端3a拧紧到连接端3b上,随着固定端3a向连接端3b靠近,第一支撑架3a1也与第二支撑架3b1靠近,当套筒3a2与夹头3b3接触时,随着套筒3a2继续移动而挤压夹头3b3,随着夹头3b3的挤压而拉扯弹性杆 3b2,弹性杆3b2受力后形变,从而带动夹头3b3相互靠近,从而挤压激光光纤2,将激光光纤2固定,同时随着固定端3a的移动推动安装架4a,安装架4a带动连接杆4d移动,连接杆 4d挤压弹性件4e,弹性件4e受力缩短,安装架4a沿连接端3b滑动而挤压柔性锥块4b,柔性锥块4b受到挤压产生形变,从而紧贴负压管1,将连接端3b固定到负压管1上,操作简单、迅速;然后将负压光纤固定吸引管置入输尿管镜的操作通道,接着通过操作通道和负压光纤固定吸引管之间的间隙进水,再通过控制器发送信号给负压管1和激光光纤2,激光光纤2 收到信号后执行碎石步骤,负压管1收到信号后产生负压,将结石吸到光纤周周,形成水循环,防止水流将碎石冲到肾盂;在碎石手术完成后需要拆卸光纤固定器3,因此操作人员需要反向旋转固定端3a,将固定端3a拧下,然后弹性件4e通过弹力驱动连接杆4d,连接杆4d 带动安装架4a复位。Based on the above embodiments, the technical problem to be solved by the present application is how to simplify the disassembly steps of the optical fiber holder 3 . Therefore, the present application realizes the function of automatic reset of the mounting bracket 4a through the connecting rod 4d and the elastic member 4e. The operator inserts the laser fiber 2 into the main pipe of the negative pressure pipe 1, then installs the connecting end 3b on the negative pressure pipe 1, and then rotates the fixed end 3a to the connecting end 3b, through the first threaded section 3a3 and the second threaded section 3b4 screw the fixed end 3a to the connecting end 3b, as the fixed end 3a approaches the connecting end 3b, the first support frame 3a1 also approaches the second support frame 3b1, when the sleeve 3a2 contacts the collet 3b3, As the sleeve 3a2 continues to move, the collet 3b3 is squeezed, and as the collet 3b3 is squeezed, the elastic rod 3b2 is pulled, and the elastic rod 3b2 is deformed after being stressed, thereby driving the collets 3b3 to approach each other, thereby squeezing the laser fiber 2 , fix the laser fiber 2, at the same time push the mounting frame 4a with the movement of the fixed end 3a, the mounting frame 4a drives the connecting rod 4d to move, the connecting rod 4d squeezes the elastic member 4e, the elastic member 4e is shortened by force, and the mounting frame 4a moves along the connection The end 3b slides to squeeze the flexible cone 4b, and the flexible cone 4b is squeezed and deformed, so as to be close to the negative pressure pipe 1, and the connecting end 3b is fixed to the negative pressure pipe 1, the operation is simple and fast; then the negative pressure The optical fiber fixed suction tube is placed into the operation channel of the ureteroscope, and then water enters through the gap between the operation channel and the negative pressure optical fiber fixed suction tube, and then sends a signal to the negative pressure tube 1 and the laser fiber 2 through the controller, and the laser fiber 2 receives After the signal arrives, perform the lithotripsy step. After receiving the signal, the negative pressure tube 1 generates negative pressure, sucks the calculus around the fiber, and forms a water circulation to prevent the water flow from rushing the calculus to the renal pelvis. After the lithotripsy operation is completed, the fiber needs to be removed to fix it. Therefore, the operator needs to reversely rotate the fixed end 3a, unscrew the fixed end 3a, and then the elastic member 4e drives the connecting rod 4d through elastic force, and the connecting rod 4d drives the mounting frame 4a to reset.

进一步的,为了解决负压管1如何实现产生负压以形成水循环,防止水流将碎石冲到肾盂的技术问题,如图2所示:Further, in order to solve the technical problem of how the negative pressure tube 1 can generate negative pressure to form a water circulation and prevent the water flow from rushing the gravel to the renal pelvis, as shown in Figure 2:

负压管1包括负压吸引口1a和负压泵1b,负压吸引口1a固定设置在负压管1主管上且与负压管1连通,负压泵1b固定安装在负压吸引口1a上。The negative pressure pipe 1 includes a negative pressure suction port 1a and a negative pressure pump 1b, the negative pressure suction port 1a is fixedly arranged on the main pipe of the negative pressure pipe 1 and communicated with the negative pressure pipe 1, and the negative pressure pump 1b is fixedly installed in the negative pressure suction port 1a. superior.

基于上述实施例,本申请想要解决的技术问题是负压管1如何产生负压形成水循环,防止水流将碎石冲到肾盂。为此,本申请通过设置负压吸引口1a和负压泵1b来产生负压,实现了将结石吸到激光光纤2周围的功能。所述负压泵1b与控制器电连接;操作人员首先将激光光纤2插入负压管1主管,然后将连接端3b安装到负压管1上,接着将固定端3a旋转到连接端3b上,通过第一螺纹段3a3和第二螺纹段3b4的螺纹配合将固定端3a拧紧到连接端3b上,随着固定端3a向连接端3b靠近,第一支撑架3a1也与第二支撑架3b1靠近,当套筒 3a2与夹头3b3接触时,随着套筒3a2继续移动而挤压夹头3b3,随着夹头3b3的挤压而拉扯弹性杆3b2,弹性杆3b2受力后形变,从而带动夹头3b3相互靠近,从而挤压激光光纤2,将激光光纤2固定,同时随着固定端3a的移动推动安装架4a,安装架4a带动连接杆4d移动,连接杆4d挤压弹性件4e,弹性件4e受力缩短,安装架4a沿连接端3b滑动而挤压柔性锥块 4b,柔性锥块4b受到挤压产生形变,从而紧贴负压管1,将连接端3b固定到负压管1上,操作简单、迅速;然后将负压光纤固定吸引管置入输尿管镜操作通道,接着通过操作通道和负压光纤固定吸引管之间的间隙进水,再通过控制器发送信号给负压泵1b和激光光纤2,激光光纤2收到信号后执行碎石步骤,负压泵1b收到信号后在负压吸引口1a处产生负压,吸引水流的同时将结石吸到光纤周周,因此形成水循环,防止水流将碎石冲到肾盂;在碎石手术完成后需要拆卸光纤固定器3,因此操作人员需要反向旋转固定端3a,将固定端3a拧下,然后弹性件4e通过弹力驱动连接杆4d,连接杆4d带动安装架4a复位。Based on the above embodiments, the technical problem to be solved by the present application is how to generate negative pressure in the negative pressure tube 1 to form a water circulation, so as to prevent the water flow from rushing the gravel to the renal pelvis. Therefore, in the present application, a negative pressure suction port 1 a and a negative pressure pump 1 b are provided to generate negative pressure, so as to realize the function of sucking the stones around the laser fiber 2 . The negative pressure pump 1b is electrically connected to the controller; the operator first inserts the laser fiber 2 into the main pipe of the negative pressure tube 1, then installs the connecting end 3b on the negative pressure tube 1, and then rotates the fixed end 3a to the connecting end 3b , screw the fixed end 3a to the connection end 3b through the threaded cooperation of the first thread segment 3a3 and the second thread segment 3b4. As the fixed end 3a approaches the connection end 3b, the first support frame 3a1 is also connected to the second support frame 3b1. When the sleeve 3a2 is in contact with the collet 3b3, the collet 3b3 is squeezed as the sleeve 3a2 continues to move, and the elastic rod 3b2 is pulled along with the extrusion of the collet 3b3, and the elastic rod 3b2 is deformed after being stressed, thereby The chucks 3b3 are driven to approach each other, thereby squeezing the laser fiber 2 and fixing the laser fiber 2. At the same time, with the movement of the fixed end 3a, the mounting bracket 4a is pushed, and the mounting bracket 4a drives the connecting rod 4d to move, and the connecting rod 4d squeezes the elastic member 4e. , the elastic member 4e is shortened by force, the mounting bracket 4a slides along the connecting end 3b and squeezes the flexible cone 4b, the flexible cone 4b is squeezed and deformed, so as to be close to the negative pressure tube 1, and the connecting end 3b is fixed to the negative pressure On tube 1, the operation is simple and fast; then the negative pressure optical fiber fixed suction tube is placed into the operation channel of the ureteroscope, and then water is fed through the gap between the operation channel and the negative pressure optical fiber fixed suction tube, and then a signal is sent to the negative pressure through the controller. The pressure pump 1b and the laser fiber 2, the laser fiber 2 performs the stone crushing step after receiving the signal, and the negative pressure pump 1b generates a negative pressure at the negative pressure suction port 1a after receiving the signal, and sucks the water flow while sucking the stone around the fiber. , thus forming a water circulation to prevent the water flow from rushing the gravel to the renal pelvis; after the lithotripsy operation is completed, the optical fiber holder 3 needs to be disassembled, so the operator needs to reversely rotate the fixed end 3a, unscrew the fixed end 3a, and then the elastic piece 4e passes through The elastic force drives the connecting rod 4d, and the connecting rod 4d drives the mounting frame 4a to reset.

进一步的,本申请依然具有碎石手术中,操作人员仅能观测光纤周围画面,而无法观测负压管工作过程中具体情况的缺陷,为了解决这一问题,如图1和图8所示:Further, the present application still has the defect that in the lithotripsy operation, the operator can only observe the picture around the optical fiber, but cannot observe the specific situation in the working process of the negative pressure tube. In order to solve this problem, as shown in Figure 1 and Figure 8:

本申请还包括摄像组件5,摄像组件5包括安装环5a和摄像头5b,安装环5a固定套接在负压管1上,摄像头5b固定安装在安装环5a上。The present application also includes a camera assembly 5, the camera assembly 5 includes a mounting ring 5a and a camera head 5b, the mounting ring 5a is fixedly sleeved on the negative pressure pipe 1, and the camera head 5b is fixedly mounted on the mounting ring 5a.

基于上述实施例,本申请想要解决的技术问题是如何在碎石手术中实时观测具体情况。为此,本申请通过安装环5a和摄像头5b组成的摄像组件5实现了实时观测具体画面的功能。摄像头5b与控制器电连接;操作人员将激光光纤2插入负压管1主管,然后将连接端3b安装到负压管1上,接着将固定端3a旋转到连接端3b上,通过第一螺纹段3a3和第二螺纹段3b4的螺纹配合将固定端3a拧紧到连接端3b上,随着固定端3a向连接端3b靠近,第一支撑架3a1也与第二支撑架3b1靠近,当套筒3a2与夹头3b3接触时,随着套筒3a2继续移动而挤压夹头3b3,随着夹头3b3的挤压而拉扯弹性杆3b2,弹性杆3b2受力后形变,从而带动夹头3b3相互靠近,从而挤压激光光纤2,将激光光纤2固定,同时随着固定端3a的移动推动安装架4a,安装架4a带动连接杆4d移动,连接杆4d挤压弹性件4e,弹性件4e受力缩短,安装架4a沿连接端3b滑动而挤压柔性锥块4b,柔性锥块4b受到挤压产生形变,从而紧贴负压管1,将连接端3b固定到负压管1上,操作简单、迅速;然后将负压光纤固定吸引管置入输尿管镜操作通道,接着通过操作通道和负压光纤固定吸引管之间的间隙进水,再通过控制器发送信号给负压泵1b和摄像头5b,摄像头5b收到信号后启动,操作人员根据摄像头5b 传回的画面观测结石位置和状态,接着控制器发送信号给激光光纤2,激光光纤2收到信号后执行碎石步骤,负压泵1b收到信号后在负压吸引口1a处产生负压,将结石吸到光纤周周,形成水循环,防止水流将碎石冲到肾盂;在碎石手术完成后需要拆卸光纤固定器3,因此操作人员需要反向旋转固定端3a,将固定端3a拧下,然后弹性件4e通过弹力驱动连接杆4d,连接杆4d带动安装架4a复位。Based on the above embodiments, the technical problem to be solved by the present application is how to observe the specific situation in real time during lithotripsy surgery. To this end, the present application realizes the function of observing a specific picture in real time through the camera assembly 5 composed of the installation ring 5a and the camera head 5b. The camera 5b is electrically connected to the controller; the operator inserts the laser fiber 2 into the main pipe of the negative pressure tube 1, then installs the connecting end 3b on the negative pressure tube 1, and then rotates the fixed end 3a to the connecting end 3b, through the first thread The thread fit of the segment 3a3 and the second thread segment 3b4 tightens the fixed end 3a to the connection end 3b. As the fixed end 3a approaches the connection end 3b, the first support frame 3a1 also approaches the second support frame 3b1. When 3a2 is in contact with the collet 3b3, the collet 3b3 is squeezed as the sleeve 3a2 continues to move, and the elastic rod 3b2 is pulled along with the extrusion of the collet 3b3, and the elastic rod 3b2 deforms after being stressed, thereby driving the collet 3b3 to mutually approach, thereby squeezing the laser fiber 2, fixing the laser fiber 2, and at the same time pushing the mounting frame 4a along with the movement of the fixed end 3a, the mounting frame 4a drives the connecting rod 4d to move, the connecting rod 4d squeezes the elastic member 4e, and the elastic member 4e receives When the force is shortened, the mounting bracket 4a slides along the connecting end 3b to squeeze the flexible cone 4b, and the flexible cone 4b is squeezed and deformed, so as to be close to the negative pressure pipe 1, and the connecting end 3b is fixed to the negative pressure pipe 1. Operation Simple and fast; then place the negative pressure optical fiber fixed suction tube into the operation channel of the ureteroscope, and then enter the water through the gap between the operation channel and the negative pressure optical fiber fixed suction tube, and then send a signal to the negative pressure pump 1b and the camera through the controller 5b, the camera 5b starts after receiving the signal. The operator observes the position and state of the stone according to the picture returned by the camera 5b, and then the controller sends a signal to the laser fiber 2. After the laser fiber 2 receives the signal, the stone crushing step is performed, and the negative pressure pump 1b After receiving the signal, a negative pressure is generated at the suction port 1a, and the stone is sucked into the circumference of the fiber to form a water circulation to prevent the water flow from rushing the stone to the renal pelvis; The operator needs to reversely rotate the fixed end 3a, unscrew the fixed end 3a, and then the elastic member 4e drives the connecting rod 4d through the elastic force, and the connecting rod 4d drives the mounting frame 4a to reset.

进一步的,本申请提供的固定端3a需要通过旋转固定端3a来固定或拆卸激光光纤2,但旋转时可能出现打滑的缺陷,为了解决这一问题,如图4所示:Further, the fixed end 3a provided by the present application needs to fix or disassemble the laser fiber 2 by rotating the fixed end 3a, but the defect of slippage may occur during rotation. In order to solve this problem, as shown in Figure 4:

固定端3a还包括防滑纹3a4,防滑纹3a4固定设置在固定端3a的外表面。The fixed end 3a further includes an anti-slip pattern 3a4, and the anti-slip pattern 3a4 is fixedly arranged on the outer surface of the fixed end 3a.

基于上述实施例,本申请想要解决的技术问题是如何防止旋转固定端3a时用力过小出现打滑的情况。为此,本申请通过防滑纹3a4实现了提高固定端3a外表面防滑能力的功能。操作人员将激光光纤2插入负压管1主管,然后将连接端3b安装到负压管1上,接着将固定端 3a旋转到连接端3b上,通过防滑纹3a4提高固定端3a外表面的摩擦系数防止旋转时出现打滑现象,并通过第一螺纹段3a3和第二螺纹段3b4的螺纹配合将固定端3a拧紧到连接端3b 上,随着固定端3a向连接端3b靠近,第一支撑架3a1也与第二支撑架3b1靠近,当套筒3a2与夹头3b3接触时,随着套筒3a2继续移动而挤压夹头3b3,随着夹头3b3的挤压而拉扯弹性杆3b2,弹性杆3b2受力后形变,从而带动夹头3b3相互靠近,从而挤压激光光纤2,将激光光纤2固定,同时随着固定端3a的移动推动安装架4a,安装架4a带动连接杆4d移动,连接杆4d挤压弹性件4e,弹性件4e受力缩短,安装架4a沿连接端3b滑动而挤压柔性锥块4b,柔性锥块4b受到挤压产生形变,从而紧贴负压管1,将连接端3b固定到负压管1上,操作简单、迅速;然后将负压光纤固定吸引管置入输尿管镜操作通道,接着通过操作通道和负压光纤固定吸引管之间的间隙进水,再通过控制器发送信号给负压泵1b和摄像头5b,摄像头5b 收到信号后启动,操作人员根据摄像头5b传回的画面观测结石位置和状态,接着控制器发送信号给激光光纤2,激光光纤2收到信号后执行碎石步骤,负压泵1b收到信号后在负压吸引口1a处产生负压,将结石吸到光纤周周,形成水循环,防止水流将碎石冲到肾盂;在碎石手术完成后需要拆卸光纤固定器3,因此操作人员需要反向旋转固定端3a,将固定端3a拧下,然后弹性件4e通过弹力驱动连接杆4d,连接杆4d带动安装架4a复位。Based on the above-mentioned embodiments, the technical problem to be solved by the present application is how to prevent the situation from slipping when the fixed end 3a is rotated with too little force. For this reason, the present application achieves the function of improving the anti-skid ability of the outer surface of the fixed end 3a through the anti-skid pattern 3a4. The operator inserts the laser fiber 2 into the main pipe of the negative pressure tube 1, then installs the connecting end 3b on the negative pressure tube 1, then rotates the fixed end 3a to the connecting end 3b, and improves the friction on the outer surface of the fixed end 3a through the anti-skid pattern 3a4 The coefficient prevents slippage during rotation, and tightens the fixed end 3a to the connecting end 3b through the threaded cooperation of the first threaded section 3a3 and the second threaded section 3b4. As the fixed end 3a approaches the connecting end 3b, the first support frame 3a1 is also close to the second support frame 3b1. When the sleeve 3a2 is in contact with the collet 3b3, the collet 3b3 is squeezed as the sleeve 3a2 continues to move, and the elastic rod 3b2 is pulled along with the extrusion of the collet 3b3. The rod 3b2 is deformed after being stressed, thereby driving the chucks 3b3 to approach each other, thereby squeezing the laser fiber 2 and fixing the laser fiber 2, and at the same time, with the movement of the fixed end 3a, the mounting frame 4a is pushed, and the mounting frame 4a drives the connecting rod 4d to move, The connecting rod 4d squeezes the elastic piece 4e, the elastic piece 4e is shortened by force, the mounting bracket 4a slides along the connecting end 3b to squeeze the flexible cone 4b, and the flexible cone 4b is squeezed and deformed, so as to be close to the negative pressure tube 1, The connecting end 3b is fixed on the negative pressure tube 1, and the operation is simple and rapid; then the negative pressure optical fiber fixed suction tube is placed into the ureteroscope operation channel, and then water is fed through the gap between the operation channel and the negative pressure optical fiber fixed suction tube, Then, the controller sends a signal to the negative pressure pump 1b and the camera 5b. The camera 5b starts after receiving the signal. The operator observes the position and state of the stone according to the picture returned by the camera 5b, and then the controller sends a signal to the laser fiber 2. The laser fiber 2. Perform the lithotripsy step after receiving the signal. After receiving the signal, the negative pressure pump 1b will generate negative pressure at the negative pressure suction port 1a to suck the calculus to the circumference of the optical fiber to form a water circulation to prevent the water flow from rushing the calculus to the renal pelvis; After the lithotripsy operation, the fiber holder 3 needs to be disassembled. Therefore, the operator needs to reversely rotate the fixed end 3a and unscrew the fixed end 3a. Then the elastic member 4e drives the connecting rod 4d through elastic force, and the connecting rod 4d drives the mounting frame 4a to reset.

进一步的,本申请提供的接头固定组件4依然具有安装架4a和固定端3a之间连接处密封性不足的缺陷,为了解决这一问题,如图6所示:Further, the joint fixing assembly 4 provided by the present application still has the defect of insufficient sealing at the connection between the mounting frame 4a and the fixed end 3a. In order to solve this problem, as shown in FIG. 6 :

接头固定组件4还包括旋转密封环4f,旋转密封环4f固定安装在安装架4a上,当固定端3a与安装架4a接触时,旋转密封环4f位于安装架4a和固定端3a之间。The joint fixing assembly 4 further includes a rotary sealing ring 4f, which is fixedly mounted on the mounting bracket 4a. When the fixed end 3a is in contact with the mounting bracket 4a, the rotary sealing ring 4f is located between the mounting bracket 4a and the fixed end 3a.

基于上述实施例,本申请想要解决的技术问题是如何提高安装架4a和固定端3a连接处的密封性的同时不影响固定端3a旋转。为此,本申请通过旋转密封环4f实现了提高安装架 4a和固定端3a连接处密封性的功能。由于固定端3a与安装架4a之间会发生相对旋转,因此无法使用普通密封圈来提高固定端3a和安装架4a连接处的密封性能,而旋转密封环4f具有耐高压,耐磨损,耐高温,摩擦力小的特点。Based on the above embodiments, the technical problem to be solved by the present application is how to improve the sealing performance of the connection between the mounting bracket 4a and the fixed end 3a without affecting the rotation of the fixed end 3a. Therefore, the present application achieves the function of improving the sealing performance of the connection between the mounting bracket 4a and the fixed end 3a by rotating the sealing ring 4f. Due to the relative rotation between the fixed end 3a and the mounting bracket 4a, it is not possible to use a common sealing ring to improve the sealing performance of the connection between the fixed end 3a and the mounting bracket 4a, while the rotary sealing ring 4f has high pressure resistance, wear resistance, resistance to High temperature and low friction.

进一步的,本申请提供的负压管1依然具有结构不稳定的缺陷,为了解决这一问题,如图1-2所示:Further, the negative pressure tube 1 provided by the present application still has the defect of unstable structure. In order to solve this problem, as shown in Figure 1-2:

负压吸引口1a和负压管1为一体成型的不锈钢薄壁直圆管。The negative pressure suction port 1a and the negative pressure tube 1 are integrally formed stainless steel thin-walled straight round tubes.

基于上述实施例,本申请想要解决的技术问题是如何提高负压管1的结构强度。为此,本申请通过将负压吸引口1a和负压管1一体化成型实现了增强负压管1结构稳定性的功能;操作人员将激光光纤2插入负压管1主管,然后将连接端3b安装到负压管1上,接着将固定端3a旋转到连接端3b上,通过防滑纹3a4提高固定端3a外表面的摩擦系数防止旋转时出现打滑现象,并通过第一螺纹段3a3和第二螺纹段3b4的螺纹配合将固定端3a拧紧到连接端3b 上,随着固定端3a向连接端3b靠近,第一支撑架3a1也与第二支撑架3b1靠近,当套筒3a2与夹头3b3接触时,随着套筒3a2继续移动而挤压夹头3b3,随着夹头3b3的挤压而拉扯弹性杆3b2,弹性杆3b2受力后形变,从而带动夹头3b3相互靠近,从而挤压激光光纤2,将激光光纤2固定,同时随着固定端3a的移动推动安装架4a,安装架4a带动连接杆4d移动,连接杆4d挤压弹性件4e,弹性件4e受力缩短,安装架4a沿连接端3b滑动而挤压柔性锥块4b,柔性锥块4b受到挤压产生形变,从而紧贴负压管1,将连接端3b固定到负压管1上,操作简单、迅速;然后将负压光纤固定吸引管置入输尿管镜操作通道,接着通过操作通道和负压光纤固定吸引管之间的间隙进水,再通过控制器发送信号给负压泵1b和摄像头5b,摄像头5b 收到信号后启动,操作人员根据摄像头5b传回的画面观测结石位置和状态,接着控制器发送信号给激光光纤2,激光光纤2收到信号后执行碎石步骤,负压泵1b收到信号后在负压吸引口1a处产生负压,将结石吸到光纤周周,形成水循环,防止水流将碎石冲到肾盂;在碎石手术完成后需要拆卸光纤固定器3,因此操作人员需要反向旋转固定端3a,将固定端3a拧下,然后弹性件4e通过弹力驱动连接杆4d,连接杆4d带动安装架4a复位;本申请通过一体化成型的负压管1和负压吸引口1a提高了结构稳定性。Based on the above embodiments, the technical problem to be solved by the present application is how to improve the structural strength of the negative pressure pipe 1 . For this reason, the present application achieves the function of enhancing the structural stability of the negative pressure tube 1 by integrally molding the negative pressure suction port 1a and the negative pressure tube 1; the operator inserts the laser fiber 2 into the main pipe of the negative pressure tube 1, and then connects the 3b is installed on the negative pressure pipe 1, and then the fixed end 3a is rotated to the connecting end 3b, and the friction coefficient of the outer surface of the fixed end 3a is improved by the anti-skid pattern 3a4 to prevent slippage during rotation. The screw fit of the two threaded segments 3b4 tightens the fixed end 3a to the connecting end 3b. As the fixed end 3a approaches the connecting end 3b, the first support frame 3a1 also approaches the second support frame 3b1. When the sleeve 3a2 and the collet When 3b3 is in contact, the collet 3b3 is squeezed as the sleeve 3a2 continues to move, and the elastic rod 3b2 is pulled as the collet 3b3 is squeezed. Press the laser fiber 2 to fix the laser fiber 2, and at the same time push the mounting frame 4a with the movement of the fixed end 3a, the mounting frame 4a drives the connecting rod 4d to move, the connecting rod 4d squeezes the elastic member 4e, the elastic member 4e is shortened by force, and the installation The frame 4a slides along the connecting end 3b to squeeze the flexible taper block 4b, and the flexible taper block 4b is squeezed and deformed, so as to be in close contact with the negative pressure tube 1, and the connecting end 3b is fixed on the negative pressure tube 1, the operation is simple and fast; Then put the negative pressure optical fiber fixed suction tube into the ureteroscope operation channel, and then enter the water through the gap between the operation channel and the negative pressure optical fiber fixed suction tube, and then send a signal to the negative pressure pump 1b and the camera 5b through the controller, and the camera 5b After receiving the signal, it starts. The operator observes the position and state of the stone according to the picture returned by the camera 5b, and then the controller sends a signal to the laser fiber 2. After the laser fiber 2 receives the signal, the stone crushing step is performed, and the negative pressure pump 1b receives the signal. Then, negative pressure is generated at the negative pressure suction port 1a to suck the stone around the fiber to form a water circulation, preventing the water flow from rushing the stone to the renal pelvis; after the lithotripsy operation is completed, the fiber holder 3 needs to be removed, so the operator needs to reverse Rotate the fixed end 3a, unscrew the fixed end 3a, and then the elastic member 4e drives the connecting rod 4d through the elastic force, and the connecting rod 4d drives the mounting frame 4a to reset; the present application adopts the integrated negative pressure tube 1 and negative pressure suction port 1a Improved structural stability.

进一步的,本申请提供的固定端3a依然具有光纤不易进入输尿管操作通道的缺陷,为了解决这一问题,如图2所示:Further, the fixed end 3a provided by the application still has the defect that the optical fiber is not easy to enter the ureteral operation channel, in order to solve this problem, as shown in Figure 2:

光纤固定器3还包括喇叭套口3c,喇叭套口3c细口端与固定端3a的端部固定连接。The optical fiber holder 3 further includes a bell socket 3c, and the thin end of the horn socket 3c is fixedly connected with the end of the fixed end 3a.

基于上述实施例,本申请想要解决的技术问题是如何使光纤更容易进入输尿管操作通道。为此,本申请通过喇叭套口3c实现了确保负压光纤固定吸引管顺利进入输尿管操作通道,到达结石处的功能。由于输尿管通道通常弯曲起伏,为了防止负压光纤固定吸引管在输尿管通道内移动时出现卡顿,通过喇叭套口3c的扩口为负压光纤固定吸引管导向,使激光光纤2更容易的进入输尿管通道。Based on the above embodiments, the technical problem to be solved by the present application is how to make the optical fiber easier to enter the ureteral operation channel. For this reason, the present application realizes the function of ensuring that the negative pressure optical fiber fixed suction tube smoothly enters the ureteral operation channel and reaches the calculus through the bell sleeve port 3c. Since the ureteral channel is usually curved and undulating, in order to prevent the negative pressure optical fiber fixed suction tube from being stuck when moving in the ureteral channel, the negative pressure optical fiber fixed suction tube is guided through the flaring of the horn sleeve 3c, so that the laser fiber 2 can enter more easily Ureteric channel.

进一步的,本申请提供的夹头3b3依然具有操作人员可能将固定端3a拧的过紧,导致夹头3b3将激光光纤2夹伤的缺陷,为了解决这一问题,如图2、图3和图10所示:Further, the collet 3b3 provided by the present application still has the defect that the operator may over-tighten the fixed end 3a, causing the collet 3b3 to pinch the laser fiber 2. In order to solve this problem, see Figures 2, 3 and 3. As shown in Figure 10:

夹头3b3为柔性材质制成的圆球。The chuck 3b3 is a ball made of flexible material.

基于上述实施例,本申请想要解决的技术问题是如何防止激光光纤2被夹头3b3夹伤。为此,本申请通过柔性材质制成的夹头3b3实现了避免夹伤激光光纤2的功能。操作人员将激光光纤2插入负压管1主管,然后将连接端3b安装到负压管1上,接着将固定端3a旋转到连接端3b上,通过第一螺纹段3a3和第二螺纹段3b4的螺纹配合将固定端3a拧紧到连接端3b上,随着固定端3a向连接端3b靠近,第一支撑架3a1也与第二支撑架3b1靠近,当套筒3a2与夹头3b3接触时,随着套筒3a2继续移动而挤压夹头3b3,随着夹头3b3的挤压而拉扯弹性杆3b2,弹性杆3b2受力后形变,从而带动夹头3b3相互靠近,从而挤压激光光纤2,夹头3b3受到反作用力产生相应形变,防止将激光光纤2夹伤,同时将激光光纤2固定,然后将负压光纤固定吸引管置入输尿管镜操作通道,接着通过操作通道和负压光纤固定吸引管之间的间隙进水,再通过控制器发送信号给负压管1和激光光纤2,激光光纤2收到信号后执行碎石步骤,负压管1收到信号后产生负压,将结石吸到光纤周周,形成水循环,防止水流将碎石冲到肾盂。Based on the above embodiments, the technical problem to be solved by the present application is how to prevent the laser fiber 2 from being pinched by the chuck 3b3. For this reason, the present application realizes the function of preventing the laser fiber 2 from being pinched by the collet 3b3 made of flexible material. The operator inserts the laser fiber 2 into the main pipe of the negative pressure pipe 1, then installs the connecting end 3b on the negative pressure pipe 1, and then rotates the fixed end 3a to the connecting end 3b, through the first threaded section 3a3 and the second threaded section 3b4 screw the fixed end 3a to the connecting end 3b, as the fixed end 3a approaches the connecting end 3b, the first support frame 3a1 also approaches the second support frame 3b1, when the sleeve 3a2 contacts the collet 3b3, As the sleeve 3a2 continues to move, the collet 3b3 is squeezed, and as the collet 3b3 is squeezed, the elastic rod 3b2 is pulled, and the elastic rod 3b2 is deformed after being stressed, thereby driving the collets 3b3 to approach each other, thereby squeezing the laser fiber 2 , the chuck 3b3 is deformed by the reaction force to prevent the laser fiber 2 from being pinched, and the laser fiber 2 is fixed at the same time, and then the negative pressure fiber fixed suction tube is placed into the ureteroscope operation channel, and then fixed through the operation channel and the negative pressure fiber Water enters the gap between the suction tubes, and then sends a signal to the negative pressure tube 1 and the laser fiber 2 through the controller. After the laser fiber 2 receives the signal, the stone crushing step is performed. The stone is sucked around the fiber, forming a water circulation, preventing the water flow from rushing the stone to the renal pelvis.

以上实施例仅表达了本发明的一种或几种实施方式,其描述较为具体和详细,但并不能因此而理解为对本发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准。The above examples only represent one or several embodiments of the present invention, and the descriptions thereof are specific and detailed, but should not be construed as a limitation on the scope of the patent of the present invention. It should be pointed out that for those of ordinary skill in the art, without departing from the concept of the present invention, several modifications and improvements can also be made, which all belong to the protection scope of the present invention. Therefore, the protection scope of the patent of the present invention should be subject to the appended claims.

Claims (10)

1. A negative pressure optical fiber fixing suction tube connected with a ureteroscope comprises a negative pressure tube (1) and a laser optical fiber (2), wherein the laser optical fiber (2) is fixedly arranged in the negative pressure tube (1), and the axis of the laser optical fiber (2) is collinear with the axis of the negative pressure tube (1);
the optical fiber fixing device is characterized by further comprising an optical fiber fixing device (3), wherein the optical fiber fixing device (3) comprises a fixed end (3a) and a connecting end (3b), the fixed end (3a) and the connecting end (3b) are straight round tubes, the fixed end (3a) comprises a first support frame (3a1), a sleeve (3a2) and a first thread section (3a3), the first support frame (3a1) is fixedly installed inside the fixed end (3a), the sleeve (3a2) is fixedly installed on the first support frame (3a1), the sleeve (3a2) is horn-shaped, and the first thread section (3a3) is fixedly arranged on the inner wall of the fixed end (3 a); the connecting end (3b) comprises a second supporting frame (3b1), an elastic rod (3b2), a chuck (3b3) and a second thread section (3b4), the second supporting frame (3b1) is fixedly installed inside the connecting end (3b), the elastic rod (3b2) is provided with a plurality of elastic rods (3b2) symmetrically arranged along the axis center of the connecting end (3b), two ends of the elastic rod (3b2) are respectively fixedly connected with the second supporting frame (3b1) and the chuck (3b3), the second thread section (3b4) is fixedly arranged outside the connecting end (3b), and the first thread section (3a3) is in threaded connection with the second thread section (3b 4).
2. The negative-pressure optical fiber fixing suction tube connected with the ureteroscope according to claim 1, further comprising a joint fixing assembly (4), wherein the joint fixing assembly (4) comprises a mounting frame (4a), a flexible conical block (4b) and a limiting block (4c), the mounting frame (4a) is slidably mounted on the connecting end (3b), the thin end of the flexible conical block (4b) is fixedly connected with one end, far away from the second thread section (3b4), of the connecting end (3b), the thick end of the flexible conical block (4b) is fixedly connected with the limiting block (4c), and the outer diameter of the limiting block (4c) is larger than that of the thick end of the flexible conical block (4 b).
3. The negative-pressure optical fiber fixing suction tube connected with the ureteroscope according to claim 2, wherein the joint fixing assembly (4) further comprises a plurality of connecting rods (4d) and elastic pieces (4e), the connecting rods (4d) are arranged symmetrically along the axis center of the mounting rack (4a), the connecting rods (4d) are fixedly connected with the mounting rack (4a), the elastic pieces (4e) are arranged in a plurality and correspond to the connecting rods (4d) one by one, and two ends of each elastic piece (4e) are respectively and fixedly connected with the connecting rods (4d) and the connecting ends (3 b).
4. The negative pressure optical fiber fixing suction tube connected with the ureteroscope according to claim 1, wherein the negative pressure tube (1) comprises a negative pressure suction port (1a) and a negative pressure pump (1b), the negative pressure suction port (1a) is fixedly arranged on a main tube of the negative pressure tube (1) and is communicated with the negative pressure tube (1), and the negative pressure pump (1b) is fixedly arranged on the negative pressure suction port (1 a).
5. The negative-pressure optical fiber fixing suction tube connected with the ureteroscope according to claim 1, further comprising a camera assembly (5), wherein the camera assembly (5) comprises a mounting ring (5a) and a camera (5b), the mounting ring (5a) is fixedly sleeved on the negative-pressure tube (1), and the camera (5b) is fixedly mounted on the mounting ring (5 a).
6. The negative-pressure optical fiber fixing suction tube for connecting the ureteroscope according to claim 1, wherein the fixed end (3a) further comprises an anti-slip line (3a4), and the anti-slip line (3a4) is fixedly arranged on the outer surface of the fixed end (3 a).
7. The negative-pressure optical fiber fixing suction tube connected with the ureteroscope according to claim 3, wherein the connector fixing assembly (4) further comprises a rotary sealing ring (4f), the rotary sealing ring (4f) is fixedly installed on the installation frame (4a), and when the fixed end (3a) is in contact with the installation frame (4a), the rotary sealing ring (4f) is located between the installation frame (4a) and the fixed end (3 a).
8. The negative pressure optical fiber fixing suction tube connected with the ureteroscope according to claim 4, wherein the negative pressure suction port (1a) and the negative pressure tube (1) are integrally formed stainless steel thin-wall straight circular tubes.
9. The negative-pressure optical fiber fixing suction tube connected with the ureteroscope according to claim 1, wherein the optical fiber fixer (3) further comprises a horn socket (3c), and the thin end of the horn socket (3c) is fixedly connected with the end of the fixed end (3 a).
10. The negative-pressure optical fiber fixing suction tube connected with the ureteroscope according to claim 1, wherein the clamping head (3b3) is a round ball made of flexible material.
CN202111587942.0A 2021-12-23 2021-12-23 Negative pressure optical fiber fixing suction tube connected with ureteroscope Active CN114533262B (en)

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WO2004006789A1 (en) * 2002-07-12 2004-01-22 Cook Urological, Incorporated Flexible cannula shaft
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CN103431910A (en) * 2013-09-25 2013-12-11 河南科技大学 Push type ureter calculus removing device
EP2933668A1 (en) * 2014-04-17 2015-10-21 Reichle & De-Massari AG Connector device
CN107898486A (en) * 2017-11-07 2018-04-13 杭州无创光电有限公司 Ureter sheath and its head end cap
CN108201469A (en) * 2018-02-23 2018-06-26 夏永强 Assist Ho.YAG laser lithotripsy safety device under ureteroscope
CN208838086U (en) * 2017-11-07 2019-05-10 杭州无创光电有限公司 A kind of ureter sheath and its head end cap
CN109875681A (en) * 2019-03-18 2019-06-14 赣州市人民医院 A suction rigid endoscope
CN110037646A (en) * 2019-05-22 2019-07-23 刘伟 Ureteroscope, liquid stream conduit
US20200397507A1 (en) * 2019-06-23 2020-12-24 Yishuai Xiong Laser Fiber Probe with Suction

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004006789A1 (en) * 2002-07-12 2004-01-22 Cook Urological, Incorporated Flexible cannula shaft
CN101073514A (en) * 2007-06-25 2007-11-21 西安远鸿科技有限责任公司 Invivo-lithotriptor electrode or fiberoptic positioner
CN103431910A (en) * 2013-09-25 2013-12-11 河南科技大学 Push type ureter calculus removing device
EP2933668A1 (en) * 2014-04-17 2015-10-21 Reichle & De-Massari AG Connector device
CN107898486A (en) * 2017-11-07 2018-04-13 杭州无创光电有限公司 Ureter sheath and its head end cap
CN208838086U (en) * 2017-11-07 2019-05-10 杭州无创光电有限公司 A kind of ureter sheath and its head end cap
CN108201469A (en) * 2018-02-23 2018-06-26 夏永强 Assist Ho.YAG laser lithotripsy safety device under ureteroscope
CN109875681A (en) * 2019-03-18 2019-06-14 赣州市人民医院 A suction rigid endoscope
CN110037646A (en) * 2019-05-22 2019-07-23 刘伟 Ureteroscope, liquid stream conduit
US20200397507A1 (en) * 2019-06-23 2020-12-24 Yishuai Xiong Laser Fiber Probe with Suction

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