Prostate enucleation and tissue smashing integrated device based on laser technologyTechnical Field
The invention relates to the technical field of prostate treatment equipment, in particular to a laser technology-based integrated device for enucleation of prostate and tissue disruption.
Background
The laser enucleation is a minimally invasive operation for precisely cutting the tissue of the hyperplasia prostate by utilizing a laser technology, laser is conducted through insertion of optical fibers into the urethra, the hyperplasia glands are peeled off and enucleated along the coating layer, meanwhile, the blood vessels are effectively sealed, little bleeding or even no bleeding is realized in the operation, and the operation has the advantages of little bleeding, quick recovery, low recurrence rate and the like, and is particularly suitable for elderly and high-risk patients.
The patent with the application number of CN202221647271.2 discloses a double-lens combine harvester for the enucleation of the prostate, which comprises an outer sheath and a working piece inserted in the outer sheath, wherein a gap is formed between the outer sheath and the working piece, the outer sheath and the working piece are fixedly and hermetically connected, an optical fiber channel is formed in the working piece along the axial direction of the working piece, a laser optical fiber is penetrated in the working piece, one end of the laser optical fiber is suspended at the front end of the working piece, a pulverizer channel is formed in the working piece along the axial direction of the working piece and is positioned at one side of the optical fiber channel, a pulverizer is inserted in the pulverizer channel, the working end of the pulverizer is suspended at the front end of the working piece, and when the enucleation of the prostate is implemented by using the existing enucleation tool of the prostate, enucleation and the pulverizing recovery work needs to be carried out step by step, so that the defects of low operation safety and low operation efficiency are caused. Because of different situations, the electric cutting device is sometimes replaced in clinical operation, and especially for a novice doctor, the electric cutting and the laser cutting mode are unbalanced, and a single cutting tool brings a plurality of inconveniences.
In the conventional tissue morcellating device, the suction force of the suction port is often too concentrated in a certain area due to the fixation of the position of the tissue suction port, and when large or sticky tissues are encountered, they are not easily sucked smoothly and pass through the fixed suction port, so that the tissues are accumulated near the suction port to form a blockage. In addition, the axial position of the conventional suction port and the internal morcellator are relatively fixed, resulting in limited coverage of the suction port, which may require multiple adjustments of the device position or angle to attempt to capture all target tissue while treating irregularly shaped tissue, thereby increasing the complexity and time costs of the procedure, and, while facing less proliferating tissue, the physician tends to employ electro-ablation for speed, but conventional devices require the laser ablation device to be withdrawn prior to the electro-ablation device replacement, which significantly compromises operational flexibility.
In view of this, we propose an integrated device for enucleation of prostate and tissue disruption based on laser technology.
Disclosure of Invention
The invention aims to provide a laser technology-based integrated device for enucleation of prostate and tissue disruption, which solves the problems in the prior art.
In order to achieve the above purpose, the present invention provides the following technical solutions:
The integrated prostate enucleation and tissue crushing device based on the laser technology comprises an outer pin, a tissue crushing system and a laser cutting system which are sequentially arranged from front to back, wherein a driving motor is arranged below the tissue crushing system;
The outer pin comprises an outer insertion pipe, an inner insertion pipe arranged in the inner insertion pipe of the outer insertion pipe and an outer sleeve arranged at the rear end of the outer insertion pipe, and a partition plate is integrally formed in the outer sleeve to divide the inner space of the outer sleeve into a water inlet area and a water drainage area;
the tissue crushing system comprises a fixing part, an outer rotating part arranged in the fixing part, an inner rotating part rotating along with the integral rotation of the outer rotating part and a telescopic part arranged at the front end position of the outer rotating part;
the fixing part comprises a fixing tube, an outer tube, a lower protruding rod, a worm and an intermediate gear, wherein the outer tube is arranged at the front end of the fixing tube and inserted into the outer pin, the lower protruding rod is arranged at the inner tube wall of the outer tube and is close to the front end, the worm rotates along with the starting of a driving motor, and the intermediate gear is arranged on the inner side wall of the rear end of the fixing tube;
The outer rotating part comprises an outer rotating pipe rotating along with the rotation of the worm, a connecting pipe rotating along with the outer rotating pipe and a plurality of limit convex strips regularly distributed on the inner pipe wall at the front end of the connecting pipe;
The inner rotating part comprises an inner rotating pipe rotating along with the rotation of the outer rotating pipe, a material blocking ring arranged at a position, close to the middle, of the outer side wall of the inner rotating pipe, a plurality of scraping plates regularly distributed at the front end of the material blocking ring and a plurality of crushing teeth arranged on the outer side wall of the front end of the inner rotating pipe;
the telescopic part comprises a telescopic pipe and an inner inserting pipe integrally formed at the rear end of the telescopic pipe, and a pipe wall convex groove for providing a moving interval for the lower convex rod is formed in the outer side wall of the telescopic pipe;
the laser cutting system comprises a handheld pipe, a probe rod arranged at the front end of the handheld pipe, a limit circular plate arranged at the front end of the probe rod and a laser fiber arranged in the probe rod;
The electric cutting mechanism comprises a fixed joint, a tubular column, a fixed ring, a telescopic bracket and an electrode sleeve arranged at the rear of the telescopic bracket, wherein the fixed joint, the tubular column, the fixed ring and the telescopic bracket are sequentially arranged from front to back.
In the technical scheme of the invention, a plurality of regularly distributed water outlet holes and placing holes for fixing the camera are formed in the pipe wall at the front end of the inserted outer pipe, the inserted outer pipe is welded and fixed on the outer side wall of the inserted inner pipe, and pipe wall through grooves which penetrate up and down are formed in the bottom surface of the pipe wall at the rear end of the inserted inner pipe.
In the technical scheme of the invention, a gap for liquid flow is reserved between the inserted outer pipe and the inserted inner pipe, the outer sleeve pipe is clamped and fixed on the outer side wall of the inserted inner pipe, a water outlet groove which is communicated from front to back is formed in the front end pipe wall of the outer sleeve pipe, a water inlet pipe is clamped on the outer side pipe wall of the outer sleeve pipe above the water inlet area, and a water outlet pipe is clamped on the lower side of the water outlet area.
In the technical scheme of the invention, pipe wall convex rods are uniformly formed on the inner pipe walls at the upper end and the lower end of the fixed pipe, the outer pipe is welded and fixed with the fixed pipe, and pipe wall grooves which are matched with the pipe wall through grooves in size and correspond to the pipe wall through grooves in position are formed on the outer pipe wall of the outer pipe.
In the technical scheme of the invention, the lower protruding rod is welded and fixed on the inner side wall of the outer extending pipe, the worm is rotationally connected between the upper pipe wall protruding rod and the lower pipe wall protruding rod, the intermediate gear is rotationally connected on the rear pipe wall of the fixed pipe, and the bottom end of the worm is coaxially connected with the output shaft of the driving motor.
In the technical scheme of the invention, the outer rotating pipe is rotationally connected to the inside of the outer rotating pipe, the connecting pipe is fixedly welded with the outer rotating pipe, the end part of the connecting pipe is positioned at the rear end position of the pipe orifice at the front end of the outer rotating pipe, a plurality of regularly distributed and internally and externally communicated discharging grooves are formed in the outer side wall of the connecting pipe, the positions of the discharging grooves correspond to the grooved positions of the pipe wall, and the limiting raised strips and the connecting pipe are integrally formed.
In the technical scheme of the invention, the outer side wall of the outer rotating pipe is fixedly welded with pipe outer ring teeth meshed with the worm, and the pipe inner ring teeth meshed with the intermediate gear are fixedly clamped on the pipe wall of the inner side of the outer rotating pipe.
In the technical scheme of the invention, the inner rotating pipe is rotatably connected to the inner pipe wall of the fixed pipe, the position, close to the rear end, of the outer side wall of the inner rotating pipe is fixedly clamped with the butt joint ring teeth meshed with the intermediate gear, and the material blocking ring, the scraping plates and the crushing teeth are welded and fixed with the inner rotating pipe.
In the technical scheme of the invention, a tissue suction groove which is internally and externally penetrated is formed in the outer pipe wall of the telescopic pipe, the inner pipe diameter of the telescopic pipe is matched with the outer dimension of the crushing teeth, the inner pipe is connected in a sliding manner in the connecting pipe, a limiting chute for providing a sliding interval for the limiting convex strip is formed in the outer side wall of the inner pipe, the probe rod is fixedly clamped with the handheld pipe, the size of the probe rod is matched with the inner pipe diameter of the inner pipe, the limiting circular plate is fixedly clamped at the end part of the probe rod, and round holes which are respectively used for allowing the camera and the laser fiber to pass through are formed in the limiting circular plate.
In the technical scheme of the invention, a connecting pipe at the front end of the fixed joint extends into the probe rod, two ends of the pipe column are respectively clamped and fixed with two ends of the fixed joint and the fixed ring, the bottom end of a fixed frame at the front end of the telescopic bracket is rotationally connected to the rear side wall of the fixed ring, one end of a telescopic bracket at the rear end of the telescopic bracket is rotationally connected with the end of the fixed frame, the other end of the telescopic bracket is slidingly connected to the outer side of the electrode sleeve, and a grab handle and a holding ring are respectively clamped and fixed on the outer side walls of the fixed frame at the front end of the telescopic bracket.
Compared with the prior art, the invention has the beneficial effects that:
1. This a prostate is enucleated out and integrative device is smashed to tissue based on laser technology, after driving motor starts, through the intermediate gear, can let the whole rotation that takes place the opposite rotation direction of outer commentaries on classics portion whole with the interior commentaries on classics portion whole, the tissue inhales the groove at this in-process, self position constantly changes, not only prevented the tissue and has taken place the jam near it effectively, still greatly promoted the use convenience of device, let the medical staff need not to adjust its angle again manually in order to seek the tissue that cuts down in the use, simultaneously, the medical staff can also be according to the specific condition of patient's prostate, the power that will be connected with laser excision system is to the inside of electric cutting mechanism, and then carry out electric cutting through electric cutting mechanism to the position that the patient is proliferated, the flexibility of whole equipment when in-service use is further improved.
2. This prostate enucleates out and integrative device is smashed to tissue based on laser technology, has seted up the pipe wall tongue on the lateral wall of flexible pipe, and when flexible pipe took place to rotate, the cooperation extended to the lower protruding pole in the pipe wall tongue, can let flexible pipe pivoted back and forth reciprocating motion, and let the tissue inhale the groove and can cover more extensive region, and catch and inhale the prostate tissue of different positions more easily to effectively handle irregularly shaped's tissue.
3. The device is internally matched with two sets of cutting systems of electric cutting and laser cutting, can be rapidly adapted to various conditions when in use, especially a novice doctor can select one mode for operation, and can switch the other cutting mode according to clinical actual conditions. Because the electrotomy has the advantages of small wound, quick recovery, good surgical effect and the like. However, the electrotomy has a certain bleeding in the operation, and longer operation time and recovery period may be needed for the large hyperplasia of the prostate gland, and the laser enucleation operation is a new operation mode formed later than the electrotomy, so that the resected prostate gland is more, the operation effect is better than that of the electrotomy, the control of the operation time is more flexible, and the postoperative urinary control effect is better. However, enucleation requires a very familiar internal anatomy of the prostate and a strong ability to identify the capsule, which is otherwise prone to getting lost, leading to complications such as perforation. The electric cutting operation and the laser enucleation operation have advantages and disadvantages, which operation mode is selected according to the specific condition of a patient and the expertise of a doctor, in clinical operation, the clinical actual condition of the patient is often different from the preoperative evaluation, and the doctor state is different from each operation, so the device can adapt to the conditions, can select electric cutting and also can select laser enucleation, is matched with a tissue smashing device, can better and more accurately treat the prostate, and realizes the function of three-in-one equipment.
Drawings
Fig. 1 is a schematic diagram of the overall structure of the present invention.
FIG. 2 is a schematic cross-sectional view of the overall structure of the present invention.
Fig. 3 is a schematic view of the structure of the outer pin of the present invention.
Fig. 4 is a schematic view of a partial structure of an outer pin in the present invention in section.
Fig. 5 is a schematic view of a part of the structure of the outer pin in the present invention.
FIG. 6 is a schematic view of a tissue morcellating system in accordance with the present invention in a cut-away view.
Fig. 7 is a schematic sectional view of a fixing portion according to the present invention.
Fig. 8 is an enlarged schematic view of portion a of fig. 7 in accordance with the present invention.
Fig. 9 is a schematic structural view of an outer rotating part in the present invention.
FIG. 10 is a second schematic diagram of the outer rotary part of the present invention.
FIG. 11 is a schematic view of the structure of the inner rotor according to the present invention.
Fig. 12 is a schematic structural view of a telescopic part in the present invention.
Fig. 13 is a schematic view of a laser ablation system according to the present invention.
Fig. 14 is a schematic structural view of the electric cutting mechanism in the present invention.
Reference numerals illustrate:
100. Outer pin, 110, outer pipe, 111, water outlet hole, 112, placing hole, 120, inner pipe, 121, pipe wall through groove, 130, outer pipe, 131, water outlet groove, 132, partition plate, 140, water inlet pipe, 150, water outlet pipe;
200. A tissue disruption system; 210, fixing part, 211, fixing pipe, 2110, pipe wall convex rod, 212, outer pipe, 2120, pipe wall slot, 213, lower convex rod, 214, worm, 215, intermediate gear, 220, outer rotating part, 221, outer rotating pipe, 222, connecting pipe, 2220, discharge groove, 223, limit convex strip, 224, pipe outer ring tooth, 225, pipe inner ring tooth, 230, inner rotating part, 231, inner pipe, 232, butt ring tooth, 233, material blocking ring, 234, scraper, 235, breaking tooth, 240, telescopic part, 241, telescopic pipe, 2410, pipe wall convex groove, 2411, tissue suction groove, 242, inner pipe, 2420, limit chute;
300. a laser ablation system; 310 parts of a handheld pipe, 320 parts of a probe rod, 330 parts of a limiting circular plate, 340 parts of a laser fiber, 400 parts of a driving motor;
500. the electric cutting mechanism comprises 510 parts of fixed connectors, 511 parts of handles, 520 parts of tubular columns, 530 parts of fixed rings, 540 parts of telescopic supports, 541 parts of holding rings, 550 parts of electrode sleeves.
Detailed Description
The following description of the embodiments of the present invention will be made more apparent and fully hereinafter with reference to the accompanying drawings, in which some, but not all embodiments of the invention are shown. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Referring to fig. 1 to 14, the present embodiment provides a technical solution:
An integrated device for enucleation of prostate and tissue disruption based on laser technology comprises an outer pin 100, a tissue disruption system 200 and a laser excision system 300 which are sequentially arranged from front to back, wherein a driving motor 400 is arranged below the tissue disruption system 200;
In this embodiment, as shown in fig. 3 to 5, the outer pin 100 includes an outer insertion tube 110, an inner insertion tube 120 inserted into the outer insertion tube 110, and an outer sleeve 130 disposed at the rear end of the outer insertion tube 110, and a partition plate 132 is integrally formed inside the outer sleeve 130 to divide the inner space thereof into a water inlet area and a water outlet area;
Specifically, a plurality of regularly distributed water outlet holes 111 and placing holes 112 for fixing a camera are formed in the front pipe wall of the inserted outer pipe 110, the inserted outer pipe 110 is welded and fixed on the outer side wall of the inserted inner pipe 120, and a pipe wall through groove 121 penetrating up and down is formed in the bottom surface of the rear pipe wall of the inserted inner pipe 120.
Further, a gap for flowing liquid is left between the outer tube 110 and the inner tube 120, the outer tube 130 is clamped and fixed on the outer side wall of the inner tube 120, the front end tube wall of the outer tube 130 is provided with a water outlet groove 131 which is penetrated from front to back, the outer tube wall of the outer tube 130 is clamped and connected with a water inlet tube 140 above the water inlet region, and a water outlet tube 150 is clamped and connected below the water outlet region.
Further, the outer tube 110 is inserted to be matched with the inner tube 120 for ensuring the overall strength of the outer pin 100, the inner space of the inner tube 120 is inserted for providing an insertion area for the tissue pulverizing system 200, the water outlet hole 111 is used for discharging the washing liquid inserted into the gaps between the outer tube 110 and the inner tube 120 into the prostate of the patient, the tube wall through groove 121 is used for allowing the pulverized tissue to be discharged into the outer tube 130, and the outer tube 130 is used for providing a fixed base point for the water inlet tube 140 and the water outlet tube 150.
In this embodiment, as shown in fig. 6 to 8, the tissue morcellating system 200 includes a fixed portion 210, an outer rotating portion 220 disposed inside the fixed portion 210, an inner rotating portion 230 rotating with the outer rotating portion 220 integrally rotating, and a telescopic portion 240 disposed at a front end position of the outer rotating portion 220;
specifically, the fixing portion 210 includes a fixing tube 211, an outer tube 212 disposed at a front end of the fixing tube 211 and inserted into the outer pin 100, a lower protruding rod 213 disposed at an inner wall of the outer tube 212 and near the front end, a worm 214 rotating with the start of the driving motor 400, and an intermediate gear 215 disposed on an inner wall of a rear end of the fixing tube 211.
Further, pipe wall protruding rods 2110 are uniformly formed on inner pipe walls at the upper end and the lower end of the fixed pipe 211, the outer pipe 212 is welded and fixed with the fixed pipe 211, and pipe wall grooves 2120 which are matched with the pipe wall through grooves 121 in size and correspond to the pipe wall through grooves in position are formed on the outer pipe wall of the outer pipe 212.
Further, the lower protruding rod 213 is welded and fixed to the inner side wall of the outer tube 212, the worm 214 is rotatably connected between the upper and lower tube wall protruding rods 2110, the intermediate gear 215 is rotatably connected to the rear tube wall of the fixed tube 211, and the bottom end of the worm 214 is coaxially connected to the output shaft of the driving motor 400.
Further, the fixing tube 211 is used for ensuring the overall strength of the fixing portion 210, the tube wall protruding rod 2110 is used for providing a rotating platform for the worm 214, the outer tube 212 is used for providing a rotating section for the outer rotating portion 220, and the output shaft of the driving motor 400 rotates to drive the worm 214 to rotate.
In this embodiment, as shown in fig. 9-10, the outer rotating part 220 includes an outer rotating pipe 221 rotating along with the rotation of the worm 214, a connecting pipe 222 rotating along with the outer rotating pipe 221, and a plurality of limiting protruding strips 223 regularly distributed on the inner pipe wall at the front end of the connecting pipe 222;
Specifically, the outer rotating tube 221 is rotatably connected to the inside of the outer tube 212, the connecting tube 222 is welded to the outer rotating tube 221, the end of the connecting tube 222 is located at the rear end of the front end tube of the outer tube 212, a plurality of regularly distributed and internally and externally through discharge grooves 2220 are formed in the outer side wall of the connecting tube 222, the positions of the discharge grooves 2220 correspond to the positions of the tube wall grooves 2120, and the limit protruding strips 223 and the connecting tube 222 are integrally formed.
Further, the outer wall of the outer rotating pipe 221 is welded and fixed with a pipe outer ring gear 224 meshed with the worm 214, and the inner pipe wall of the outer rotating pipe 221 is clamped and fixed with a pipe inner ring gear 225 meshed with the intermediate gear 215.
Further, after the worm 214 rotates, it contacts with the outer ring gear 224 and drives it to rotate together, so as to drive the outer rotating tube 221 to rotate together with the connecting tube 222, at this time, after the inner ring gear 225 on the inner tube wall of the outer rotating tube 221 contacts with the intermediate gear 215, it drives it to rotate, and the limiting protruding strip 223 is used for limiting the whole telescopic section of the telescopic section 240, and the connecting tube 222 can drive the whole telescopic section 240 to rotate together.
In this embodiment, as shown in fig. 11, the inner rotating part 230 includes an inner rotating pipe 231 rotating along with the rotation of the outer rotating pipe 221, a material blocking ring 233 disposed at a position near the middle of the outer side wall of the inner rotating pipe 231, a plurality of scraping plates 234 regularly distributed at the front end of the material blocking ring 233, and a plurality of crushing teeth 235 disposed on the outer side wall of the front end of the inner rotating pipe 231;
Specifically, the inner rotating pipe 231 is rotatably connected to the inner pipe wall of the fixed pipe 211, and the abutting ring teeth 232 meshed with the intermediate gear 215 are fixedly clamped at the position of the outer side wall of the inner rotating pipe 231 near the rear end, and the material blocking ring 233, the scraping plate 234 and the crushing teeth 235 are welded and fixed with the inner rotating pipe 231.
Further, after the rotating intermediate gear 215 contacts with the abutting ring teeth 232, the inner rotating tube 231 is driven to rotate in the opposite direction to the rotating direction of the outer rotating tube 221, the material blocking ring 233 is used for placing the cut tissue to flow backwards, after the broken tissue moves to the position of the material blocking ring 233, the plurality of rotating scraping plates 234 discharge the cut tissue from the discharge groove 2220 and pour into the water outlet tube 150, and the high-speed rotating breaking teeth 235 are used for completing the cutting of the tissue.
In this embodiment, as shown in fig. 12, the telescopic part 240 includes a telescopic tube 241 and an inner tube 242 integrally formed at the rear end thereof, and a tube wall convex groove 2410 for providing a moving section for the lower convex rod 213 is formed on the outer side wall of the telescopic tube 241;
Specifically, the outer tube wall of the telescopic tube 241 is provided with a tissue suction groove 2411 penetrating inside and outside, the inner tube diameter of the telescopic tube 241 is matched with the outer dimension of the crushing teeth 235, the inner tube 242 is slidably connected to the inside of the connecting tube 222, and the outer side wall of the inner tube 242 is provided with a limiting chute 2420 for providing a sliding section for the limiting convex strip 223.
Further, the connecting tube 222 rotates along with the outer rotating tube 221, and drives the inner cannula 242 and the telescopic tube 241 to rotate, at this time, the contact position between the wall of the tube wall convex groove 2410 and the lower convex rod 213 is continuously changed, so that the telescopic tube 241 reciprocates back and forth while rotating, and the external water pump sucks the liquid in the prostate from the gap between the inner cannula 231 and the connecting tube 222 after forming negative pressure in the water outlet tube 150, and generates suction force on the tissue at the tissue suction groove 2411.
In this embodiment, as shown in fig. 13, the laser ablation system 300 includes a hand-held tube 310, a probe 320 disposed at the front end of the hand-held tube 310, a limit circular plate 330 disposed at the front end of the probe 320, and a laser fiber 340 disposed inside the probe 320;
Specifically, the probe rod 320 is fastened and fixed to the hand-held tube 310, the size of the probe rod 320 is matched with the size of the inner tube diameter of the inner tube 231, the limiting circular plate 330 is fastened and fixed to the end portion of the probe rod 320, and circular holes for allowing the camera and the laser fiber 340 to pass through are formed in the limiting circular plate 330.
Further, the hand-held tube 310 is used for facilitating a medical staff to hold the probe 320, the probe 320 is used for smoothly guiding the laser fiber 340 and the camera into the prostate of a patient, and the limit circular plate 330 is used for ensuring tightness of the inner rotating tube 231 and the front end tube opening of the telescopic tube 241.
In this embodiment, as shown in fig. 14, the electric cutting mechanism 500 includes a fixed joint 510, a tubular column 520, a fixed ring 530, a telescopic bracket 540, and an electrode sleeve 550 disposed behind the telescopic bracket 540, which are sequentially disposed from front to back;
Specifically, the connecting pipe at the front end of the fixed joint 510 extends into the probe 320, two ends of the pipe column 520 are respectively clamped and fixed with two ends of the fixed joint 510 and the fixed ring 530, the bottom end of the fixed frame at the front end of the telescopic bracket 540 is rotationally connected to the rear side wall of the fixed ring 530, one end of the telescopic bracket 540 at the rear end of the telescopic bracket is rotationally connected with the end of the fixed frame, the other end of the telescopic bracket is slidingly connected to the outer side of the electrode sleeve 550, and the outer side walls of the fixed frames at the front ends of the fixed joint 510 and the telescopic bracket 540 are respectively clamped and fixed with the grab handle 511 and the holding ring 541.
Further, the fixing joint 510 is matched with the tubular column 520 and the fixing ring 530 to ensure the strength of the whole structure of the electric cutting mechanism 500, in the use process, a medical staff converts the power supply connected with the laser cutting system 300 into the electric cutting mechanism 500 according to the specific condition of the prostatic hyperplasia part of a patient, then inserts the end part of the electrode sleeve 550 into the position of the front end of the connecting tube of the fixing joint 510, and when the prostatic hyperplasia part is cut, pulls the holding ring 541 to drive the front end fixing frame of the telescopic bracket 540 to rotate by taking the bottom end as the center of a circle, and the inclined top end of the fixing frame drives the position of the telescopic bracket at the rear end of the telescopic bracket 540 to change, drives the bottom end of the telescopic bracket to move backwards outside the electrode sleeve 550, and further drives the position of the electrode inside the electrode sleeve 550 to change, so that the position of the electrode end part inside the prostatic hyperplasia part of the patient is finely adjusted.
Finally, it should be noted that, the driving motor 400 according to the present invention is a general standard component or a component known to those skilled in the art, the structure and principle thereof are all known by those skilled in the art or known by conventional experimental methods, at the idle position of the device, the driving motor 400 is connected to an external power source through a wire, the specific connection means should refer to the working principle in the present invention, and the electrical connection between the electrical devices is completed according to the sequential working order, and the detailed connection means are all known in the art.
When the integrated device for enucleating and smashing the prostate based on the laser technology is used, firstly, the outer tube 110 inserted into the outer pin 100 is extended into the prostate of a patient, and the water inlet tube 140 and the water outlet tube 150 are respectively arranged on the outer side wall of the outer tube 130;
Next, the probe 320 of the laser ablation system 300 is inserted into the inner tube 231 of the inner rotating part 230, the limit circular plate 330 is fixed at the end position of the probe 320, and the front end of the fixing part 210 of the tissue pulverizing system 200 is extended into the inner tube 120;
Then, after the medical staff inserts the laser fiber 340 into the probe 320 and extends the end to the front end of the limit circular plate 330, the laser enucleation is carried out on the proliferated part according to the specific condition of the prostate hyperplasia part of the patient;
During the laser enucleation play, normal saline is injected into the outer sleeve 130 through the water inlet pipe 140, then flows into the gap between the outer tube 110 and the inner tube 120 through the water outlet groove 131, and is injected into the prostate of a patient through the water outlet hole 111 at the end part of the outer tube 110, and at the same time, negative pressure is formed in the water outlet pipe 150 through the external water pump, so that the liquid in the prostate is sucked out from the gap between the inner tube 231 and the connecting tube 222, and the overfilling of the prostate of the patient is avoided;
After the medical staff completes the cutting work of the tissue with the hyperplasia of the prostate, the rest laser fiber 340 is extracted, and the driving motor 400 is started, so that the output shaft of the driving motor drives the worm 214 in the fixing part 210 to rotate;
The worm 214 rotates to contact with the outer ring gear 224 and drive the outer ring gear 224 to rotate together, at this time, after the inner ring gear 225 on the inner side wall of the outer rotating pipe 221 contacts with the intermediate gear 215, the inner ring gear 225 is driven to rotate, and then the intermediate gear 215 contacts with the abutting ring gear 232, so that the inner rotating pipe 231 is driven to rotate in the opposite direction to the outer rotating pipe 221;
The connecting pipe 222 rotates along with the outer rotating pipe 221 and drives the inner cannula 242 and the telescopic pipe 241 to rotate, at this time, the contact position of the groove wall of the pipe wall convex groove 2410 and the lower convex rod 213 is continuously changed, so that the telescopic pipe 241 rotates and simultaneously moves back and forth in a reciprocating manner;
The cut prostate tissue is sucked into the tissue suction groove 2411 along with the flowing direction of the liquid, at this time, the sucked part of the tissue is cut by the crushing teeth 235 rotating at high speed, and the crushed tissue is discharged from the discharge groove 2220 and is poured into the water outlet pipe 150 after moving to the position of the material blocking ring 233;
After the prostate tissue is cleaned, the tissue morcellating system 200, along with the laser ablation system 300, is removed from the outer pin 100, and the outer pin 100 is removed from the patient's prostate.
The foregoing descriptions of specific exemplary embodiments of the present invention are presented for purposes of illustration and description. It is not intended to limit the invention to the precise form disclosed, and obviously many modifications and variations are possible in light of the above teaching. The exemplary embodiments were chosen and described in order to explain the specific principles of the invention and its practical application to thereby enable one skilled in the art to make and utilize the invention in various exemplary embodiments and with various modifications as are suited to the particular use contemplated. The scope of the invention is intended to be defined by the description and equivalents thereof.