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CN105266748A - Anti-tissue damage endoscope obturator - Google Patents

Anti-tissue damage endoscope obturator Download PDF

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Publication number
CN105266748A
CN105266748A CN201410487688.0A CN201410487688A CN105266748A CN 105266748 A CN105266748 A CN 105266748A CN 201410487688 A CN201410487688 A CN 201410487688A CN 105266748 A CN105266748 A CN 105266748A
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obturator
tissue damage
outer sheath
endoscopic
push rod
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CN105266748B (en
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孙颖浩
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Abstract

本发明提供一种防组织损伤内窥镜闭孔器,可从内窥镜的外鞘拔出或插入,其特征在于,包括:外径略小于外鞘内径的推杆,以及连接在推杆前方能够穿过并伸出外鞘前端的封闭头。其中,封闭头由柔性材料制成,封闭头遇外周轴向阻力会发生形变并在外鞘前端的周围形成圆滑弧面,从而遮挡外鞘前端。本发明的防组织损伤内窥镜闭孔器能够降低周边组织的损伤发生率。

The invention provides an endoscope obturator for preventing tissue damage, which can be pulled out or inserted from the outer sheath of the endoscope, and is characterized in that it comprises: a push rod whose outer diameter is slightly smaller than the inner diameter of the outer sheath, and The front can pass through and stretch out the closure head of the outer sheath front end. Wherein, the sealing head is made of flexible material, and the sealing head will deform when meeting the axial resistance of the outer periphery and form a smooth arc surface around the front end of the outer sheath, thereby blocking the front end of the outer sheath. The tissue damage-preventing endoscope obturator of the present invention can reduce the incidence of peripheral tissue damage.

Description

防组织损伤内窥镜闭孔器Atraumatic endoscopic obturator

技术领域technical field

本发明涉及一种防组织损伤内窥镜闭孔器,属于医疗器械领域。The invention relates to an endoscopic obturator for preventing tissue damage, which belongs to the field of medical instruments.

背景技术Background technique

在传统内窥镜领域,为了使得内窥镜外鞘能够顺利而安全的插入到目标脏器内,通常会在内窥镜外鞘内插入闭孔器,用来弥补内窥镜外鞘中空的腔体,并利用闭孔器圆滑的末端与内窥镜外鞘形成一个比较圆润的头端,以最大限度的降低内窥镜外鞘插入人体时所造成的损伤,但是目前所有的内窥镜闭孔器均为刚性材料制成,其与外鞘末端之间仍存在与外鞘材料厚度等尺寸的阶梯,该阶梯会造成外鞘表面不光滑而有尖锐的边缘,从而会对周围的组织造成一定程度的刮伤或刺伤。In the field of traditional endoscopes, in order to make the endoscope sheath smoothly and safely inserted into the target organ, an obturator is usually inserted into the endoscope sheath to make up for the hollowness of the endoscope sheath. cavity, and use the smooth end of the obturator to form a relatively round head end with the endoscope sheath to minimize the damage caused when the endoscope sheath is inserted into the human body, but all current endoscopes The obturator is made of rigid material, and there is still a step of the same size as the thickness of the sheath material between it and the end of the sheath, which will cause the surface of the sheath to be rough and have sharp edges, which will damage the surrounding tissue. Inflict some degree of scratching or stabbing.

发明内容Contents of the invention

本发明是为了解决上述问题而进行的,目的在于提供一种能够降低周边组织的损伤发生率的防组织损伤内窥镜闭孔器。The present invention was made to solve the above problems, and an object of the present invention is to provide a tissue damage-preventing endoscopic obturator capable of reducing the incidence of damage to peripheral tissues.

本发明为了实现上述目的,采用了以下结构:In order to achieve the above object, the present invention adopts the following structure:

本发明提供一种防组织损伤内窥镜闭孔器,可从内窥镜的外鞘拔出或插入,其特征在于,包括:外径略小于外鞘内径的推杆,以及连接在推杆前方能够穿过并伸出外鞘前端的封闭头。The invention provides an endoscope obturator for preventing tissue damage, which can be pulled out or inserted from the outer sheath of the endoscope, and is characterized in that it comprises: a push rod whose outer diameter is slightly smaller than the inner diameter of the outer sheath, and a The front can pass through and stretch out the closure head of the outer sheath front end.

其中,封闭头由柔性材料制成,封闭头遇外周轴向阻力会发生形变并在外鞘前端的周围形成圆滑弧面,从而遮挡外鞘前端的边缘。Wherein, the sealing head is made of flexible material, and the sealing head will deform when meeting the axial resistance of the outer periphery and form a smooth arc surface around the front end of the outer sheath, thereby covering the edge of the front end of the outer sheath.

另外,在本发明的防组织损伤内窥镜闭孔器中,还可以具有这样的特征:其中,防组织损伤内窥镜闭孔器插入人体组织时,封闭头可随组织或器官的形状而随形变化。In addition, in the tissue damage-preventing endoscopic obturator of the present invention, it can also have such a feature: wherein, when the tissue damage-preventing endoscopic obturator is inserted into human tissue, the sealing head can be adjusted according to the shape of the tissue or organ. Change with shape.

另外,在本发明的防组织损伤内窥镜闭孔器中,还可以具有这样的特征:其中,柔性材料为硅胶、硅胶改性材料、橡胶、橡胶改性材料、聚氨酯、聚氨酯改性材料、热塑性弹性体或热塑性弹性体改性材料中的任意一种或者至少两种的组合。In addition, in the tissue damage-preventing endoscope obturator of the present invention, it can also have such a feature: wherein, the flexible material is silica gel, silica gel modified material, rubber, rubber modified material, polyurethane, polyurethane modified material, Any one or a combination of at least two of thermoplastic elastomers or thermoplastic elastomer modified materials.

另外,在本发明的防组织损伤内窥镜闭孔器中,还可以具有这样的特征:其中,封闭头的末端设置表面具有外螺纹的柱状凸起,推杆的前端设置与凸起相配合且表面具有内螺纹的凹槽,外螺纹和内螺纹互相配合。In addition, in the tissue damage-preventing endoscope obturator of the present invention, it may also have such a feature: wherein, the end surface of the closing head is provided with a columnar protrusion of external thread, and the front end of the push rod is provided to cooperate with the protrusion. And the surface has grooves of internal threads, and the external threads and the internal threads cooperate with each other.

发明作用与效果Invention function and effect

根据本发明的防组织损伤内窥镜闭孔器,由于封闭头由柔性材料制成,因此当防组织损伤内窥镜闭孔器插入人体组织时,封闭头遇外周轴向阻力会发生形变并在外鞘前端的周围形成圆滑弧面,能够遮挡外鞘前端,使得外鞘表面不会暴露尖锐的边缘,从而降低周边组织的损伤发生率。According to the tissue damage-preventing endoscopic obturator of the present invention, since the sealing head is made of flexible material, when the tissue-damage-preventing endoscopic obturator is inserted into the human tissue, the sealing head will be deformed when it encounters the peripheral axial resistance. A smooth arc surface is formed around the front end of the outer sheath, which can cover the front end of the outer sheath, so that sharp edges are not exposed on the surface of the outer sheath, thereby reducing the incidence of damage to surrounding tissues.

附图说明Description of drawings

图1是本发明的防组织损伤内窥镜闭孔器在实施例中的立体结构示意图;Fig. 1 is the three-dimensional structure schematic diagram of the anti-tissue damage endoscopic obturator in an embodiment of the present invention;

图2是本发明的防组织损伤内窥镜闭孔器在实施例中的结构示意图;Fig. 2 is the structural representation of the anti-tissue damage endoscopic obturator in an embodiment of the present invention;

图3是本发明的防组织损伤内窥镜闭孔器在实施例中的剖面示意图;Fig. 3 is a schematic cross-sectional view of an embodiment of the tissue damage-preventing endoscopic obturator in an embodiment;

图4是本发明的防组织损伤内窥镜闭孔器在封闭头发生整体弯曲时的剖面示意图;Fig. 4 is a schematic cross-sectional view of the anti-tissue damage endoscopic obturator of the present invention when the sealing head is bent as a whole;

图5是本发明的防组织损伤内窥镜闭孔器在封闭头发生变形时的结构示意图;Fig. 5 is a structural schematic diagram of the anti-tissue damage endoscopic obturator of the present invention when the sealing head is deformed;

图6是本发明的防组织损伤内窥镜闭孔器在封闭头发生变形时的局部示意图;Fig. 6 is a partial schematic view of the anti-tissue damage endoscopic obturator of the present invention when the sealing head is deformed;

图7是本发明的防组织损伤内窥镜闭孔器插入体内的结构示意图;以及Fig. 7 is a schematic view of the structure of the anti-tissue damage endoscopic obturator of the present invention inserted into the body; and

图8是本发明的防组织损伤内窥镜闭孔器插入体内的局部示意图。Fig. 8 is a partial schematic diagram of the endoscopic obturator for preventing tissue damage inserted into the body of the present invention.

具体实施方式detailed description

以下参照附图对本发明所涉及的防组织损伤内窥镜闭孔器做详细阐述。The endoscopic obturator for preventing tissue damage involved in the present invention will be described in detail below with reference to the accompanying drawings.

图1是本发明的防组织损伤内窥镜闭孔器在实施例中的立体结构示意图。Fig. 1 is a schematic perspective view of the three-dimensional structure of the endoscopic obturator for preventing tissue damage in an embodiment of the present invention.

如图1所示,防组织损伤内窥镜闭孔器10包括推杆1和封闭头2。As shown in FIG. 1 , an endoscopic obturator 10 for preventing tissue damage includes a push rod 1 and a closing head 2 .

图2是本发明的防组织损伤内窥镜闭孔器在实施例中的结构示意图。Fig. 2 is a schematic structural view of an embodiment of the tissue damage-preventing endoscopic obturator of the present invention.

图3是本发明的防组织损伤内窥镜闭孔器在实施例中的剖面示意图。Fig. 3 is a schematic cross-sectional view of an embodiment of the tissue damage-preventing endoscopic obturator of the present invention.

如图3所示,推杆1前端的外径略小于外鞘3的内径。如图2和图3所示,当推杆1插入外鞘3时,推杆1前端刚好能够与外鞘3吻合。推杆1中段的直径小于前端,使得推杆1插入或拔出外鞘3时,阻力较小。As shown in FIG. 3 , the outer diameter of the front end of the push rod 1 is slightly smaller than the inner diameter of the outer sheath 3 . As shown in FIG. 2 and FIG. 3 , when the push rod 1 is inserted into the outer sheath 3 , the front end of the push rod 1 can just coincide with the outer sheath 3 . The diameter of the middle section of the push rod 1 is smaller than the front end, so that when the push rod 1 is inserted into or pulled out of the outer sheath 3, the resistance is small.

封闭头2连接在推杆1的前方,推杆1能够带动封闭头2从内窥镜的外鞘3拔出或插入,使得封闭头2能够穿过外鞘3,并刚好伸出外鞘3前端。The closing head 2 is connected in front of the push rod 1, and the push rod 1 can drive the closing head 2 to be pulled out or inserted from the outer sheath 3 of the endoscope, so that the closing head 2 can pass through the outer sheath 3 and just extend out of the front end of the outer sheath 3 .

如图1所示,推杆1的末端设置倒圆台11,倒圆台11的斜面上设置一圈凸轮111。如图3所示,推杆1末端的结构刚好与外鞘3末端的内部空腔配合,使得封闭头2刚好伸出外鞘3前端时,推杆1能够固定在外鞘3上。倒圆台11的后面还设置手柄12,位于外鞘的外部,方便使用者控制推杆。As shown in FIG. 1 , a rounding table 11 is provided at the end of the push rod 1 , and a circle of cams 111 is provided on the slope of the rounding table 11 . As shown in FIG. 3 , the structure at the end of the push rod 1 just matches the inner cavity at the end of the outer sheath 3 , so that when the closing head 2 just extends out of the front end of the outer sheath 3 , the push rod 1 can be fixed on the outer sheath 3 . A handle 12 is also arranged on the back of the rounding table 11, which is located outside the outer sheath, which is convenient for the user to control the push rod.

封闭头2的末端设置表面具有外螺纹的柱状凸起22,推杆1的前端设置与凸起22相配合且表面具有内螺纹的凹槽,凸起22上的外螺纹和凹槽中内螺纹互相配合。这样使得封闭头2容易从推杆1上拆卸和更换。The end of the closing head 2 is provided with a cylindrical protrusion 22 with external thread on the surface, and the front end of the push rod 1 is provided with a groove that matches the protrusion 22 and has an internal thread on the surface. The external thread on the protrusion 22 and the internal thread in the groove Co-ordination. This makes it easy to disassemble and replace the closing head 2 from the push rod 1 .

封闭头2表面光滑,尖端为平滑圆头,中段为坡度较小的圆台状,这样的结构有利于封闭头2在组织器官中向前推进。The surface of the sealing head 2 is smooth, the tip is a smooth round head, and the middle section is in the shape of a truncated cone with a small slope. Such a structure is conducive to the advancement of the sealing head 2 in tissues and organs.

图4是本发明的防组织损伤内窥镜闭孔器在封闭头发生整体弯曲时的剖面示意图。Fig. 4 is a schematic cross-sectional view of the endoscopic obturator for preventing tissue damage of the present invention when the sealing head is bent as a whole.

如图4所示,封闭头2由柔性材料制成的,柔性材料为硅胶。当收到外力时,封闭头2能发生整体弯曲,以便随组织或器官的形状而随形变化。As shown in Fig. 4, the sealing head 2 is made of flexible material, and the flexible material is silicone. When external force is received, the sealing head 2 can be bent as a whole so as to follow the shape of the tissue or organ.

图5是本发明的防组织损伤内窥镜闭孔器在封闭头发生变形时的结构示意图。Fig. 5 is a schematic structural view of the tissue damage-preventing endoscopic obturator of the present invention when the sealing head is deformed.

图6是本发明的防组织损伤内窥镜闭孔器在封闭头发生变形时的局部示意图。图6是图5中虚线圆圈内结构的放大图。Fig. 6 is a partial schematic view of the tissue damage-preventing endoscopic obturator of the present invention when the sealing head is deformed. FIG. 6 is an enlarged view of the structure enclosed by the dotted circle in FIG. 5 .

如图5和图6所示,封闭头2遇外周轴向阻力F时,会发生形变并在末端向前延伸出一小段凸缘21,凸缘21填充在外鞘3前端的周围形成圆弧滑面,遮挡了外鞘3末端的厚度阶梯,从而使得外鞘3末端表面尖锐的边缘不被暴露。As shown in Fig. 5 and Fig. 6, when the sealing head 2 encounters the axial resistance F of the outer periphery, it will be deformed and a small section of flange 21 will extend forward at the end, and the flange 21 will be filled around the front end of the outer sheath 3 to form a circular arc slip. The surface covers the thickness step at the end of the outer sheath 3, so that the sharp edge of the end surface of the outer sheath 3 is not exposed.

使用过程:Use process:

当需要观察人体内的组织器官时,首先将封闭头2与推杆1旋合。手柄12被抓住向前推进,将防组织损伤内窥镜闭孔器10插入外鞘3内,直至封闭头2刚好伸出外鞘3前端。接着,推杆1被旋动,使得推杆1末端和外鞘3末端锁紧在一起。When it is necessary to observe the tissues and organs in the human body, at first the sealing head 2 and the push rod 1 are screwed together. The handle 12 is grasped and pushed forward, and the anti-tissue damage endoscopic obturator 10 is inserted into the outer sheath 3 until the closing head 2 just extends out of the front end of the outer sheath 3 . Then, the push rod 1 is rotated so that the end of the push rod 1 and the end of the outer sheath 3 are locked together.

图7是本发明的防组织损伤内窥镜闭孔器插入体内的结构示意图。Fig. 7 is a schematic diagram of the structure of the tissue damage-preventing endoscopic obturator inserted into the body of the present invention.

图8是本发明的防组织损伤内窥镜闭孔器插入体内的局部示意图。图8是图7中虚线圆圈内结构的放大图。Fig. 8 is a partial schematic diagram of the endoscopic obturator for preventing tissue damage inserted into the body of the present invention. FIG. 8 is an enlarged view of the structure inside the dotted circle in FIG. 7 .

如图7和图8所示,封闭头2与推杆1一起被插入组织器官,封闭头2遇到来自人体组织的阻力,会跟随组织或器官的形状而随形变化,而且会在外鞘3前端的周围形成圆滑弧面,从而遮挡外鞘3的前端。As shown in Figure 7 and Figure 8, the sealing head 2 is inserted into the tissue organ together with the push rod 1, the sealing head 2 encounters the resistance from the human body tissue, it will follow the shape of the tissue or organ, and it will be in the outer sheath 3 A smooth arc surface is formed around the front end, thereby covering the front end of the outer sheath 3 .

当外鞘3到达目标位置后,旋动推杆1,推杆1末端和外鞘3末端松开,手柄12被拉动,使得推杆1带动封闭头2退出外鞘3,外鞘3被留在体内,等待后续操作。When the outer sheath 3 reaches the target position, turn the push rod 1, the end of the push rod 1 and the end of the outer sheath 3 are loosened, and the handle 12 is pulled, so that the push rod 1 drives the closing head 2 to exit the outer sheath 3, and the outer sheath 3 is left In vivo, waiting for follow-up operations.

实施例作用与效果Function and effect of embodiment

根据本实施例所涉及的防组织损伤内窥镜闭孔器,由于封闭头由柔性材料制成,因此当防组织损伤内窥镜闭孔器插入人体组织时,封闭头遇外周轴向阻力会发生形变并在外鞘前端的周围形成圆滑弧面,能够遮挡外鞘前端,使得外鞘表面不会暴露尖锐的边缘,从而降低周边组织的损伤发生率。According to the anti-tissue damage endoscopic obturator involved in this embodiment, since the sealing head is made of flexible material, when the tissue damage-preventing endoscopic obturator is inserted into human tissue, the sealing head will meet the peripheral axial resistance. Deformation occurs and a smooth arc surface is formed around the front end of the sheath, which can cover the front end of the sheath so that sharp edges are not exposed on the surface of the sheath, thereby reducing the incidence of damage to surrounding tissues.

另外,因为防组织损伤内窥镜闭孔器插入人体组织时,封闭头可随组织或器官的形状而随形变化,而不会与周边的组织发生抵触,所以柔性封闭头很容易在组织里前行,使得内窥镜外鞘能更顺利抵插入到目标脏器内,而且也进一步降低了周边组织的损伤发生率。In addition, when the anti-tissue damage endoscopic obturator is inserted into human tissue, the sealing head can change with the shape of the tissue or organ without conflicting with the surrounding tissue, so the flexible sealing head is easy to be inserted into the tissue. Moving forward, the endoscope outer sheath can be inserted into the target organ more smoothly, and the incidence of damage to surrounding tissues is further reduced.

当然,本发明涉及的防组织损伤内窥镜闭孔器并不仅仅限定于以上实施例中的描述。柔性材料还可以为硅胶、硅胶改性材料、橡胶、橡胶改性材料、聚氨酯、聚氨酯改性材料、热塑性弹性体或热塑性弹性体改性材料中的任意一种或者至少两种的组合。Of course, the tissue damage-preventing endoscopic obturator involved in the present invention is not limited to the description in the above embodiments. The flexible material can also be any one or a combination of at least two of silica gel, silica gel modified material, rubber, rubber modified material, polyurethane, polyurethane modified material, thermoplastic elastomer or thermoplastic elastomer modified material.

Claims (4)

1.一种防组织损伤内窥镜闭孔器,可从内窥镜的外鞘拔出或插入,其特征在于,包括:1. An anti-tissue damage endoscope obturator, which can be extracted or inserted from the outer sheath of the endoscope, is characterized in that, comprising: 外径略小于所述外鞘内径的推杆,以及a push rod having an outer diameter slightly smaller than the inner diameter of said sheath, and 连接在所述推杆前方能够穿过并伸出所述外鞘前端的封闭头,A closed head connected to the front of the push rod and capable of passing through and extending out from the front end of the outer sheath, 其中,所述封闭头由柔性材料制成,所述封闭头遇外周轴向阻力会发生形变并在所述外鞘前端的周围形成圆滑弧面,从而遮挡所述外鞘前端的边缘。Wherein, the sealing head is made of flexible material, and the sealing head will deform when encountering the axial resistance of the outer periphery and form a smooth arc surface around the front end of the outer sheath, thereby covering the edge of the front end of the outer sheath. 2.根据权利要求1所述的防组织损伤内窥镜闭孔器,其特征在于:2. The anti-tissue damage endoscopic obturator according to claim 1, characterized in that: 其中,所述防组织损伤内窥镜闭孔器插入人体组织时,所述封闭头可随组织或器官的形状而随形变化。Wherein, when the tissue damage-preventing endoscopic obturator is inserted into human tissue, the sealing head can follow the shape of the tissue or organ. 3.根据权利要求1所述的防组织损伤内窥镜闭孔器,其特征在于:3. The anti-tissue damage endoscopic obturator according to claim 1, characterized in that: 其中,所述柔性材料为硅胶、硅胶改性材料、橡胶、橡胶改性材料、聚氨酯、聚氨酯改性材料、热塑性弹性体或热塑性弹性体改性材料中的任意一种或者至少两种的组合。Wherein, the flexible material is any one or a combination of at least two of silica gel, silica gel modified material, rubber, rubber modified material, polyurethane, polyurethane modified material, thermoplastic elastomer or thermoplastic elastomer modified material. 4.根据权利要求1所述的防组织损伤内窥镜闭孔器,其特征在于:4. The anti-tissue damage endoscopic obturator according to claim 1, characterized in that: 其中,所述封闭头的末端设置表面具有外螺纹的柱状凸起,所述推杆的前端设置与所述凸起相配合且表面具有内螺纹的凹槽,所述外螺纹和所述内螺纹互相配合。Wherein, the end surface of the closing head is provided with a columnar protrusion with external threads, and the front end of the push rod is provided with a groove that matches the protrusion and has internal threads on the surface, and the external threads and the internal threads Co-ordination.
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