CN110301882A - Bendable fetal soft mirror - Google Patents
Bendable fetal soft mirror Download PDFInfo
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- CN110301882A CN110301882A CN201910712170.5A CN201910712170A CN110301882A CN 110301882 A CN110301882 A CN 110301882A CN 201910712170 A CN201910712170 A CN 201910712170A CN 110301882 A CN110301882 A CN 110301882A
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- 230000001605 fetal effect Effects 0.000 title claims abstract description 25
- 238000003780 insertion Methods 0.000 claims abstract description 41
- 230000037431 insertion Effects 0.000 claims abstract description 41
- 230000005540 biological transmission Effects 0.000 claims abstract description 13
- 238000005452 bending Methods 0.000 claims description 12
- 229910000831 Steel Inorganic materials 0.000 claims description 5
- 239000010959 steel Substances 0.000 claims description 5
- 238000011282 treatment Methods 0.000 abstract description 8
- 238000003745 diagnosis Methods 0.000 abstract description 5
- 238000000034 method Methods 0.000 abstract description 4
- 230000003287 optical effect Effects 0.000 abstract description 2
- 210000004291 uterus Anatomy 0.000 description 7
- 210000003754 fetus Anatomy 0.000 description 6
- 210000002826 placenta Anatomy 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 230000003902 lesion Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 239000007779 soft material Substances 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 1
- 206010000210 abortion Diseases 0.000 description 1
- 231100000176 abortion Toxicity 0.000 description 1
- 210000001691 amnion Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000005058 metal casting Methods 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
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Abstract
本发明涉及一种可弯曲胎儿软镜,具有软镜主体,所述的软镜主体包括:操作部,所述的操作部设置工作通道入口、用于与所述的导光部相连接的导光部接口、可旋转手轮;插入部,所述的插入部的第一端与所述的操作部相连接,所述的插入部的第二端设置工作通道出口、图像传输通道出口及导光通道出口,所述的插入部的内部设置牵引件,所述的牵引件与所述的可旋转手轮相连接,使得通过旋转所述的可旋转手轮,所述的牵引件带动所述的插入部的第二端的向上弯曲或向下弯曲。采用了本发明的可弯曲胎儿软镜,可由操作者按照手术需要主动弯曲,诊疗过程中不留死角。
The invention relates to a flexible fetal soft mirror, which has a main body of the soft mirror. The main body of the soft mirror includes: an operation part, and the operation part is provided with an entrance of a working channel, and a guide for connecting with the light guide part. Optical part interface, rotatable hand wheel; insertion part, the first end of the insertion part is connected with the operation part, and the second end of the insertion part is provided with the outlet of the working channel, the outlet of the image transmission channel and the guide At the exit of the light channel, a traction piece is arranged inside the insertion part, and the traction piece is connected with the rotatable handwheel so that by rotating the rotatable handwheel, the traction piece drives the The second end of the insertion portion is bent upwards or bent downwards. The flexible fetal soft mirror of the present invention can be actively bent by the operator according to the needs of the operation, and no dead angle is left during the diagnosis and treatment process.
Description
技术领域technical field
本发明涉及医疗器械技术领域,具体是指一种用于胎儿医学等检查与治疗的可弯曲软镜。The invention relates to the technical field of medical devices, in particular to a flexible flexible mirror used for examination and treatment of fetal medicine and the like.
背景技术Background technique
胎儿外科是逐渐兴起的朝阳学科,手术过程主要通过胎儿镜,对子宫内的胎儿患者进行外科手术治疗,目前仅在有限的具有资质的医院中开展。随着科学的发展,随着治疗关口的前移,该技术终将得到广泛的推广应用。Fetal surgery is a rising discipline that is gradually emerging. The surgical treatment of fetal patients in the womb is mainly carried out through fetoscopy. Currently, it is only carried out in limited qualified hospitals. With the development of science and the advancement of treatment barriers, this technology will eventually be widely promoted and applied.
目前胎儿手术的临床器械非常有限,手术径路主要依靠胎儿镜,在母体腹部做一个小切口,将胎儿镜通过体表,放入子宫、羊膜,在直视下给胎儿开展手术。而现有的胎儿镜都是金属材质的硬镜。其缺点,一是材质坚硬,由金属铸造,操作过程中容易损伤子宫、胎盘或胎儿,造成孕妇创伤,或引发胎儿流产;二是镜体不能弯曲,操作过程中,不能对子宫、胎盘或胎儿进行全方位的观察或治疗,尤其当病变位于子宫前壁时,观察或治疗的难度极大,易造成漏诊或治疗的遗漏。At present, the clinical instruments for fetal surgery are very limited. The surgical approach mainly relies on a fetoscope. A small incision is made in the mother's abdomen, and the fetoscope is passed through the body surface and placed into the uterus and amniotic membrane, and the fetus is operated on under direct vision. And existing fetoscope all is the rigid mirror of metal material. Its disadvantages are: firstly, the material is hard, and it is made of metal casting. It is easy to damage the uterus, placenta or fetus during operation, causing trauma to pregnant women, or causing fetal abortion; secondly, the mirror body cannot be bent. All-round observation or treatment, especially when the lesion is located on the anterior wall of the uterus, is extremely difficult to observe or treat, which may easily lead to missed diagnosis or missed treatment.
因此,需要一种便于手术操作、能够弯曲、避免对胎儿、胎盘或子宫造成的损伤的可弯曲胎儿软镜。Therefore, there is a need for a flexible flexible fetal scope that is convenient for surgical operation, capable of bending, and avoiding damage to the fetus, placenta or uterus.
发明内容Contents of the invention
本发明的目的在于针对现有技术的不足,提供一种便于手术操作、能够弯曲、避免对胎儿、胎盘或子宫造成的损伤的可弯曲胎儿软镜。The object of the present invention is to address the deficiencies of the prior art, and provide a flexible fetal soft scope that is convenient for operation, capable of bending, and avoiding damage to the fetus, placenta or uterus.
为了实现上述目的,本发明的一种可弯曲胎儿软镜,具有软镜主体,所述的软镜主体包括:In order to achieve the above object, a flexible fetal soft mirror of the present invention has a soft mirror main body, and the soft mirror main body includes:
操作部,所述的操作部设置工作通道入口、用于与所述的导光部相连接的导光部接口、可旋转手轮;An operation part, the operation part is provided with a working channel entrance, a light guide interface for connecting with the light guide part, and a rotatable hand wheel;
插入部,所述的插入部的第一端与所述的操作部相连接,所述的插入部的第二端设置工作通道出口、图像传输通道出口及导光通道出口,所述的插入部的内部设置牵引件,所述的牵引件与所述的可旋转手轮相连接,使得通过旋转所述的可旋转手轮,所述的牵引件带动所述的插入部的第二端的向上弯曲或向下弯曲。An insertion part, the first end of the insertion part is connected to the operation part, the second end of the insertion part is provided with the outlet of the working channel, the outlet of the image transmission channel and the outlet of the light guide channel, and the outlet of the insertion part A traction piece is arranged inside, and the traction piece is connected with the rotatable handwheel, so that by rotating the rotatable handwheel, the traction piece drives the upward bending of the second end of the insertion part or bend down.
较佳地,所述的牵引件包括第一部分和第二部分,所述的第一部分呈U型固定于所述的可旋转手轮,所述的第二部分具有上牵引段和下牵引段,所述的上牵引段的一端与所述的插入部的第二端的上部相连接,所述的上牵引段的另一端与所述的第一部分的上端相连接,所述的下牵引段的一端与所述的插入部的第二端的下部相连接,所述的下牵引段的另一端与所述的第一部分的下端相连接。Preferably, the traction member includes a first part and a second part, the first part is U-shaped and fixed to the rotatable handwheel, and the second part has an upper traction section and a lower traction section, One end of the upper traction section is connected to the upper part of the second end of the insertion part, the other end of the upper traction section is connected to the upper end of the first part, and one end of the lower traction section It is connected with the lower part of the second end of the insertion part, and the other end of the lower traction section is connected with the lower end of the first part.
较佳地,所述的可旋转手轮的一端具有把手,所述的可旋转手轮的另一端设置牵引座,所述的牵引件的第一部分绕设于所述的牵引座,使得在旋转所述的把手时,带动所述的牵引座的旋转,所述的牵引座的旋转带动所述的牵引件的移动,实现所述的插入部的第二端向上弯曲或向下弯曲。Preferably, one end of the rotatable hand wheel has a handle, the other end of the rotatable hand wheel is provided with a traction seat, and the first part of the traction member is wound around the traction seat, so that when rotating When the handle is used, it drives the rotation of the traction seat, and the rotation of the traction seat drives the movement of the traction member, so that the second end of the insertion part bends upward or downward.
较佳地,所述的上牵引段与所述的第一部分的上端通过第一固定套相连接,所述的下牵引段与所述的第一部分的下端通过第二固定套相连接。Preferably, the upper traction section is connected to the upper end of the first part through a first fixing sleeve, and the lower traction section is connected to the lower end of the first part through a second fixing sleeve.
较佳地,所述的插入部为柔性插入部。Preferably, the insertion part is a flexible insertion part.
较佳地,所述的牵引件为钢丝绳。Preferably, the traction member is a steel wire rope.
较佳地,所述的导光部设置图像传输通道入口和导光通道入口,所述的导光通道入口用于与冷光源连接,导光通道内设置用于传输光的光束,图像传输通道内设置用于传输图像信号的电缆。Preferably, the light guide part is provided with an image transmission channel entrance and a light guide channel entrance, the light guide channel entrance is used to connect with a cold light source, a light beam for transmitting light is arranged in the light guide channel, and the image transmission channel Cables for transmitting image signals are set inside.
较佳地,所述的插入部的图像传输通道出口设置图像传感器。Preferably, an image sensor is provided at the outlet of the image transmission channel of the insertion part.
较佳地,所述的图像传感器的前端设置透镜组,所述的透镜组包括2片或2片透镜。Preferably, the front end of the image sensor is provided with a lens group, and the lens group includes 2 or 2 lenses.
采用了本发明的可弯曲胎儿软镜,可由操作者按照手术需要主动弯曲,诊疗过程中不留死角。The flexible fetal soft mirror of the present invention can be actively bent by the operator according to the needs of the operation, and no dead angle is left during the diagnosis and treatment process.
附图说明Description of drawings
图1为本发明的可弯曲胎儿软镜的结构示意图。Fig. 1 is a schematic structural view of the flexible fetal soft mirror of the present invention.
图2为本发明的可弯曲胎儿软镜的部分示意图。Fig. 2 is a partial schematic view of the flexible flexible fetal scope of the present invention.
图3为图2中沿A向的插入部的第二端的示意图。FIG. 3 is a schematic view of the second end of the insertion part along the direction A in FIG. 2 .
图4为图2中圆圈I处的局部剖视图。FIG. 4 is a partial cross-sectional view at circle I in FIG. 2 .
具体实施方式Detailed ways
为了能够更清楚地描述本发明的技术内容,下面结合具体实施例来做进一步的描述。In order to describe the technical content of the present invention more clearly, further description will be made below in conjunction with specific embodiments.
如图1~4所示,为本发明的一种可弯曲胎儿软镜的具体实施例,其中,该软镜具有软镜主体,所述的软镜主体包括:操作部1,所述的操作部1设置工作通道入口5、用于与所述的导光部3相连接的导光部接口4、可旋转手轮6;插入部2,所述的插入部优选柔性可弯曲的材质制成,所述的插入部2的第一端与所述的操作部1相连接,所述的插入部2的第二端7设置工作通道出口11、图像传输通道出口12及导光通道出口13,图像传输通道出口12设置图像传感器,用于采集和传输图像,所述的插入部2的内部设置牵引件,所述的牵引件与所述的可旋转手轮6相连接,使得通过旋转所述的可旋转手轮,所述的牵引件带动所述的插入部的第二端的弯曲。其中,相关器械由工作通道入口5插入,经操作部、插入部,最后从工作通道出口11伸出,可对病灶处进行诊断、治疗等微创处理。As shown in Figures 1 to 4, it is a specific embodiment of a flexible fetal soft mirror of the present invention, wherein the soft mirror has a soft mirror main body, and the soft mirror main body includes: an operation part 1, and the operation Part 1 is provided with a working channel entrance 5, a light guide interface 4 for connecting with the light guide 3, and a rotatable hand wheel 6; an insertion part 2, the insertion part is preferably made of a flexible and bendable material , the first end of the insertion part 2 is connected to the operation part 1, the second end 7 of the insertion part 2 is provided with a working channel outlet 11, an image transmission channel outlet 12 and a light guide channel outlet 13, The exit 12 of the image transmission channel is provided with an image sensor for collecting and transmitting images, and the inside of the insertion part 2 is provided with a traction member, and the traction member is connected with the rotatable hand wheel 6, so that by rotating the The rotatable hand wheel, the traction part drives the bending of the second end of the insertion part. Among them, related instruments are inserted through the working channel entrance 5, pass through the operation part, the insertion part, and finally protrude from the working channel exit 11, so as to perform minimally invasive treatments such as diagnosis and treatment on the lesion.
如图1和3所示,所述的导光部1设置图像传输通道入口和导光通道入口,所述的导光通道入口用于与冷光源连接导光通道内设置用于传输光的光束,导光部连接冷光源后供给光束照明,图像传输通道内设置用于传输图像信号的电缆。As shown in Figures 1 and 3, the light guide part 1 is provided with the entrance of the image transmission channel and the entrance of the light guide channel, and the entrance of the light guide channel is used to connect with the cold light source and set the beam for transmitting light in the light guide channel , the light guide part is connected to the cold light source to supply light beam illumination, and a cable for transmitting image signals is arranged in the image transmission channel.
如图4所示,所述的牵引件包括第一部分和第二部分,所述的第一部分呈U型固定于所述的可旋转手轮的牵引座上,所述的第二部分具有上牵引段8和下牵引段9,所述的上牵引段8的右端与所述的插入部2的第二端7的上部相连接,所述的上牵引段8的左端与所述的第一部分的上端通过固定套10相连接,所述的下牵引段9的右端与所述的插入部2的第二端7的下部相连接,所述的下牵引段9的左端通过固定套与所述的第一部分的下端相连接。所述的牵引件优选钢丝绳,也可以选择其他材质具有一定强度的绳子。其中,第一部分可以通过焊接等固定方式安装于可旋转手轮的牵引座上,上牵引段8的右端和下牵引段9的右端可以分别通过固定连接方式或可拆卸方式安装于插入部2的第二端7的上部和下部。为适应插入部的外径,上牵引段8和下牵引段9的钢丝绳直径可以比第一部分的钢丝绳直径小。固定套10用于将两个钢丝绳端部连接,固定套10可以使用现有的可拆卸固定方式将两个钢丝绳端部连接起来。为便于产品安装,先将第一部分固定于可旋转手轮的牵引座,上牵引段和下牵引段固定于插入部的第二端,再用固定套将钢丝绳的端部连接起来。As shown in Figure 4, the traction member includes a first part and a second part, the first part is U-shaped and fixed on the traction seat of the rotatable handwheel, and the second part has an upper traction Section 8 and the lower traction section 9, the right end of the upper traction section 8 is connected with the upper part of the second end 7 of the insertion part 2, the left end of the upper traction section 8 is connected with the first part of the The upper end is connected through a fixed sleeve 10, the right end of the lower traction section 9 is connected with the lower part of the second end 7 of the insertion part 2, and the left end of the lower traction section 9 is connected with the described lower traction section 9 through a fixed sleeve. The lower ends of the first parts are connected. The traction member is preferably a steel wire rope, and other materials with a certain strength can also be selected. Wherein, the first part can be fixedly installed on the traction seat of the rotatable handwheel by welding or the like, and the right end of the upper traction section 8 and the right end of the lower traction section 9 can be installed on the inserting part 2 by fixed connection or detachable respectively. The upper and lower parts of the second end 7. In order to adapt to the outer diameter of the insertion part, the diameter of the wire ropes of the upper traction section 8 and the lower traction section 9 may be smaller than that of the first part. The fixing sleeve 10 is used to connect the ends of the two steel wire ropes, and the fixing sleeve 10 can use an existing detachable fixing method to connect the ends of the two steel wire ropes. In order to facilitate product installation, the first part is first fixed on the traction seat of the rotatable hand wheel, the upper traction section and the lower traction section are fixed on the second end of the insertion part, and then the ends of the wire rope are connected by a fixing sleeve.
如图2所示,所述的可旋转手轮6的一端具有把手,所述的可旋转手轮的另一端设置牵引座,所述的牵引件的第一部分绕设于所述的牵引座,使得在旋转所述的把手时,带动所述的牵引座的旋转,所述的牵引座的旋转带动所述的牵引件的移动,实现所述的插入部的第二端向上或向下弯曲。如图2所示,顺时针或逆时针拨动可旋转手轮6的把手,通过牵引座、钢丝绳的作用,使得钢丝绳能前后往复地运动,可使插入部2的第二端7向上or向下弯曲,向上弯曲或向下弯曲的角度优选设置为≤210度。As shown in Figure 2, one end of the rotatable hand wheel 6 has a handle, the other end of the rotatable hand wheel is provided with a traction seat, and the first part of the traction member is wound around the traction seat, So that when the handle is rotated, the rotation of the traction seat is driven, and the rotation of the traction seat drives the movement of the traction member, so that the second end of the insertion part is bent upward or downward. As shown in Figure 2, turn the handle of the rotatable hand wheel 6 clockwise or counterclockwise, through the action of the traction seat and the wire rope, the wire rope can move back and forth, and the second end 7 of the insertion part 2 can be turned upward or in the direction The angle of downward bending, upward bending or downward bending is preferably set to be ≤210 degrees.
所述的图像传感器的前端设置透镜组,所述的透镜组包括2片或2片透镜。当光线在空气中传播当遇到不同介质时,由于介质的折射率不同会改变其传播方向。本申请采用多片式物镜组,由2~3片普通的透镜组成,其成像原理是通过控制透镜表面的曲率,利用产生的光程差使光线汇聚成一点。The front end of the image sensor is provided with a lens group, and the lens group includes 2 or 2 lenses. When light travels in the air and encounters different media, the direction of propagation will be changed due to the different refractive index of the media. This application adopts a multi-piece objective lens group, which is composed of 2 to 3 common lenses. The imaging principle is to control the curvature of the lens surface and use the generated optical path difference to converge the light into one point.
本发明提供的可弯曲的胎儿软镜,其镜体可以采用软质材料制造,镜头可弯曲,可以在宫腔内做到360°无死角的诊断与观察,借助配套的软质手术器械,可对宫腔内及胎儿的的病变部位进行全方位的手术治疗。镜体的弯曲属于被动弯曲,主要由软质材料实现,在子宫内受到阻碍时会弯曲,避免对胎儿、胎盘或子宫的损伤。镜头的弯曲由手轮上的操控按实现,属于主动弯曲,由术者操作,完成各个角度的手术操作。The flexible fetal soft mirror provided by the present invention can be made of soft materials, and the lens can be bent, so that 360° diagnosis and observation without dead angle can be achieved in the uterine cavity. With the help of matching soft surgical instruments, it can A full range of surgical treatment is performed on the lesions in the uterine cavity and the fetus. The bending of the lens body is a passive bending, which is mainly realized by soft materials, and it will bend when it is obstructed in the uterus, so as to avoid damage to the fetus, placenta or uterus. The bending of the lens is realized by the control button on the hand wheel, which belongs to active bending and is operated by the operator to complete the operation at various angles.
本发明已参照其特定的实施例作了描述。但是,很显然仍可以作出各种修改和变换而不背离本发明的精神和范围。因此,说明书和附图应被认为是说明性的而非限制性的。The invention has been described with reference to specific embodiments thereof. However, it is obvious that various modifications and changes can be made without departing from the spirit and scope of the invention. Accordingly, the specification and drawings are to be regarded as illustrative rather than restrictive.
Claims (9)
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