Abstract: An instrument for extracting stones from the urinary tract of a patient comprising a urological catheter (12) and a stone-extracting basket (26) formed from resilient wires and slidingly inserted into catheter (12). The instrument has a drive unit (18) which is connected to the basket via a rod (22). Drive unit (18) transmits to the rod rotation and axial vibrations, which in turn are transmitted to the basket. When rod (22) rotates, curved portion (21) generates radial vibrations which are transmitted to the basket. In order to prevent basket (26) from rotating, but to transmit to it only axial and radial vibrations, rod (24) is connected to basket (26) through a spherical joint (42). On its front end the basket has a filiform (38) which facilitates insertion of the instrument into the urinary tract. In use, after insertion of the catheter to a position in which the basket is aligned with the location of the stone, the basket is released from the catheter and expands.

Abstract: A vibratory method for treating female voiding dysfunctions by applying to the inner walls of the urethra radial expansion forces combined with axial friction forces. This improves blood circulation, trains the urethral sphincters, and produces massaging action on the urethral walls. A device for realization of the method comprises a probe (12) formed of two rods (16) and (18) and a drive unit (14). Drive unit (14) have two output elements, which reciprocate simultaneously in mutually opposite directions. Each rod (16, 18) is connected to a respective drive unit. On their inner or mating surfaces the rods have respective cams (32, 34) and curved grooves (36, 38). During reciprocation of the rods, the cams and grooves interact and thus provide radial expansions of probe (12). Massaging action is provided by serrations (40) which are formed on the outer surface of the rods and massage the inner walls of the urethra through application of friction forces.

Abstract: A mechanically-expandable urethral bougie (10) especially useful for dilation of urethral strictures comprises a probe formed from two elongated rods (12, 14) connected at their one end, the rods having a semicircular cross-section and grooves at the mating surfaces. These grooves form a guide slot 26 for a core element (28) which has wedging elements (34, 36) engageable with camming surface of the rods. The end of the probe opposite to the connected ends of the rods is provided with a drive mechanism for axial movement of core element (28). When the core elements move in the axial direction, engagement of its wedging elements (34, 36) with camming surfaces of the rods causes expansion or dilation of the probe, depending on the direction of movement. At its front end, the bougie is provided with a leader (52) of a smaller diameter and higher flexibility than the rest of the probe. The leader facilitates the insertion of the bougie into the patient's urethra.

Abstract: A method and apparatus for treating internal muscle and connective tissue disorders is disclosed. The method includes the steps of inserting a vibration source into a body cavity and applying vibratory massage in the form of expansions and contractions of the body cavity at a predetermined frequency. The apparatus includes a probe shaped for insertion into a body cavity, an actuator for causing the probe to expand and contract, and a mechanism for adjusting the frequency with which the probe expands and contracts.

Abstract: A vibrational method and apparatus for accelerating and increasing in efficiency of passage of stones from the ureter comprises introducing into the ureter (U) of a catheter (10) with a vibrating head (12) which imparts radial oscillations to the walls of the ureter at a distance of 0 to 30 mm from the areas where the stone (S) is lodged. Catheter (10) is a flexible tube which has a head (12) which is expandable radially and axially by means of an oscillating element (24) driven from a reciprocating vibrational drive (26). Drive (26) has a tapering end (32) which, during its reciprocations, causes expansions and constrictions of the resilient head, due to its interaction with inner projections (18) and (20). The apparatus is universal in its application and can be used without any changes for pushing the stone, located in the upper part of the ureter, back to the kidney, where the stone can be more readily disintegrated by means of subsequent extracorporeal shock wave lithotripsy.