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CN113499029A - Flexible electronic nephroscope with bendable tail end - Google Patents

Flexible electronic nephroscope with bendable tail end Download PDF

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Publication number
CN113499029A
CN113499029A CN202110935804.0A CN202110935804A CN113499029A CN 113499029 A CN113499029 A CN 113499029A CN 202110935804 A CN202110935804 A CN 202110935804A CN 113499029 A CN113499029 A CN 113499029A
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China
Prior art keywords
bending
fixedly connected
assembly
mirror
nephroscope
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Pending
Application number
CN202110935804.0A
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Chinese (zh)
Inventor
陈志强
唐焜
姜道明
詹鹰
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Shenyang Shenda Endoscope Co ltd
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Shenyang Shenda Endoscope Co ltd
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Priority to CN202110935804.0A priority Critical patent/CN113499029A/en
Publication of CN113499029A publication Critical patent/CN113499029A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/313Instruments 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 for introducing through surgical openings, e.g. laparoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055Constructional details of insertion parts, e.g. vertebral elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • A61B1/0057Constructional details of force transmission elements, e.g. control wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/04Instruments 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/06Instruments 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
    • A61B1/0661Endoscope light sources
    • A61B1/0684Endoscope light sources using light emitting diodes [LED]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/06Instruments 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
    • A61B1/07Instruments 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 using light-conductive means, e.g. optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/307Instruments 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 for the urinary organs, e.g. urethroscopes, cystoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • 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
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22072Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3445Cannulas used as instrument channel for multiple instruments
    • 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
    • A61B2018/00982Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes

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  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
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  • Orthopedic Medicine & Surgery (AREA)
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  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)

Abstract

本发明涉及电子肾镜技术领域,且公开了一种末端可弯曲的柔性电子肾镜,包括镜体以及与镜体相匹配的光源和摄像集成系统,镜体包括镜管和手柄操镜部,镜管包括主软管,主软管的左端固定连接有弯曲部保护管,弯曲部保护管的内部设置有弯曲组件,手柄操作部的内部设置有用于控制弯曲组件的操控机构,弯曲组件包括弯曲蛇骨,弯曲蛇骨的左端和右端分别固定连接有左端片和右端片,通过拨动弯角钮,带动转轮转动,即可使柔性钢丝拉动左端片的一端,使弯曲蛇骨带动镜管弯曲,镜管主动弯曲部为前后两方向弯曲,弯曲角度为200°±10°,弯曲无阻尼,能方便的到达肾盂及各个肾盏、碎石取石不留死角的末端可弯曲的柔性电子肾镜。

Figure 202110935804

The invention relates to the technical field of electronic nephroscope, and discloses a flexible electronic nephroscope with a bendable end, comprising a mirror body, a light source and a camera integrated system matched with the mirror body, the mirror body comprising a mirror tube and a handle and a mirror manipulation part, The mirror tube includes a main hose, the left end of the main hose is fixedly connected with a bending part protection tube, a bending component is arranged inside the bending part protection tube, and a manipulation mechanism for controlling the bending component is arranged inside the handle operation part, and the bending component includes a bending part. Snake bone, the left end and the right end of the curved snake bone are fixedly connected with a left end piece and a right end piece respectively. By turning the corner button to drive the runner to rotate, the flexible wire can pull one end of the left end piece, so that the curved snake bone drives the mirror tube Bending, the active bending part of the mirror tube is bent in both front and rear directions, the bending angle is 200°±10°, the bending has no damping, and it can easily reach the renal pelvis and various calyces, and the end of the lithotripsy and stone extraction without leaving a dead angle. Flexible electronic kidney mirror.

Figure 202110935804

Description

Flexible electronic nephroscope with bendable tail end
Technical Field
The invention relates to the technical field of electronic nephroscopes, in particular to a flexible electronic nephroscope with a bendable tail end.
Background
With the development of scientific technology, instruments used in surgical operations have changed day by day. The improvement of the surgical instrument can lead a doctor to better complete the operation, lead the operation time to be shorter and lead the trauma to the patient to be smaller. Urolithiasis is one of the common conditions of urology surgery and often requires treatment by surgery. At present, percutaneous nephrolithotomy is a standard treatment mode for kidney stones with the diameter of more than 2 cm, and almost all kidney stones with the diameter of more than 2 cm can be treated. However, antler stones (parallel calyx stones) are still a difficulty in percutaneous nephrolithotomy, and are limited by the anatomical morphology of a kidney assembly system, when antler stones (parallel calyx stones) are treated, a plurality of percutaneous renal puncture channels are often required to be established under the existing mainstream instruments, so that a large wound is brought to a patient, and the difficulty and the risk of the operation are increased. In addition, with the continuous progress of the technology, the puncture channel of the percutaneous nephrolithotomy becomes smaller and smaller, and the higher requirement is put on the design of the instrument while the trauma is reduced. Chinese patents are disclosed in the prior art documents: the 'electronic pyeloscope (CN 203369935U) with a bendable head end' comprises an operating handle, a scope tube and a light guide structure. The endoscope tube comprises an endoscope tube, a bending part and a tip part which are connected in sequence, and the bending part is controlled by a bending handle positioned on the operating handle. An instrument channel, a light guide channel and an imaging channel which are parallel to each other are arranged in the endoscope tube, and the instrument channel is larger than the light guide channel and the imaging channel. Another Chinese patent: "a percutaneous nephroscope (CN 207220791U) with bendable distal end" includes a hard distal end portion on the endoscope main body side and a bendable soft distal end portion. However, the joint of the hard part and the bent part of the combined bendable nephroscope structure at the tail (head) end is easy to be damaged, so that the combined bendable nephroscope structure cannot be completely suitable for complex anatomical structures of renal pelvis and calyx, particularly, the observation and lithotripsy effects on stones in parallel calyx beside a channel are poor, the tearing bleeding of a puncture calyx is caused by an overlarge swinging angle of the hard part of an endoscope main body, and the combined bendable nephroscope structure is not suitable for micro-channel percutaneous nephrolithotripsy lithotomy. In addition, Chinese patents are available: the percutaneous kidney electronic soft lens (CN 203539315U) comprises a lens body and an operation part connected with the lens body; the operating part comprises a rotatable corner hand wheel; the mirror body comprises a first mirror section and a second mirror section, and the head end surface is an inclined surface vertical to the axis of the first mirror section. However, the head end of the percutaneous kidney electronic soft lens is an inclined surface, and the straight direction and the visual angle direction of the instrument are not consistent along with the change of the bending angle of the lens, so that the calculus cannot be shot when the instrument is seen; on the other hand, the bending radius of the endoscope body is large, the tail end of the endoscope body cannot be sharply turned, the observation and lithotripsy effects on the parallel renal calyx calculus with puncture renal calyx are poor, and in order to solve the problems, the flexible electronic nephroscope with the bendable tail end is particularly provided.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides the flexible electronic nephroscope with the bendable tail end, which has simple and reliable structure, high degree of freedom, proper bending angle and bending radius, and can conveniently reach the renal pelvis, each renal calyx and the lithotripsy without dead angles; the combined percutaneous nephroscope solves the technical problems that a terminal bendable combined percutaneous nephroscope existing in the prior art is easy to damage, the bending radius of the existing electronic nephroscope is large, the tail end of a scope body cannot turn sharply, the operation and the visual field are inconvenient to be not clear enough in the renal calyx with a complex structure, and the observation and the stone breaking effect on parallel renal calyx stones puncturing the renal calyx are not good.
In order to realize the purpose, the invention provides the following technical scheme: the utility model provides a flexible electron nephroscope of terminal flexible, includes the mirror body and with mirror body assorted light source and the integrated system that makes a video recording, the mirror body includes mirror tube and handle operation portion, the mirror tube includes main hose, the right-hand member of main hose is pegged graft mutually through the tapered sleeve subassembly with the link of handle operation portion, the left end fixedly connected with flexion protection tube of main hose, the flexion protection tube is initiative flexion, the left end of flexion protection tube is provided with tip seat subassembly, the inside of flexion protection tube is provided with crooked subassembly, the inside of handle operation portion is provided with the mechanism of controlling that is used for controlling crooked subassembly.
Preferably, the crooked subassembly includes crooked snake bone, crooked snake bone is cup jointed to the crooked protection tube of portion, the left end and the right-hand member of crooked snake bone are fixedly connected with left end piece and right-hand member piece respectively, and the left end of left end piece and the right-hand member fixed connection of tip seat subassembly, the outer wall of right-hand member piece and the left end inner wall fixed connection of main hose, crooked snake bone comprises the articulated constitution of a plurality of snake bone piece, the bone piece rope hole has all been seted up to the front portion and the rear portion of snake bone piece, the end piece rope hole has all been seted up to the front portion and the rear portion of right-hand member piece, it is crooked to control the crooked snake bone of mechanism control.
Preferably, the handle operation portion includes handle operation portion main part, the upper portion fixed mounting of the inner chamber of handle operation portion main part has a drum wheel seat, and the upper end of drum wheel seat runs through handle operation portion main part, control the mechanism and include the pivot, the lower part outer wall of pivot and the upper portion inner wall of drum wheel seat rotate to be connected, the bottom fixedly connected with runner of pivot, the outer wall meshing of runner is connected with the toothed chain, the both ends of toothed chain are all through traction joint subassembly fixedly connected with flexible steel wire, two the homonymy is all run through in proper order to the left end of flexible steel wire end piece rope hole and bone piece rope hole to with the right flank fixed connection of left end piece.
Preferably, the upper end of pivot runs through drum wheel seat and fixedly connected with push rod, the outer end fixedly connected with bent angle button of push rod.
Preferably, the left side fixedly connected with fixed plate of the inner chamber of handle operation portion main part, the equal fixedly connected with protection spring pipe in front portion and the rear portion of fixed plate, two are equallyd divide at the both ends of toothed chain and do not run through two protection spring pipe.
Preferably, the end seat assembly comprises an end seat, the right end of the end seat is fixedly connected with the left end of the bending portion protection tube, light guide holes are formed in the front portion and the rear portion of the end seat, a light window glass is fixedly connected to the inner wall of the left end of each light guide hole, a light guide bundle assembly is arranged inside each light guide hole, a light guide pipe connecting seat is arranged on the lower portion of the handle operating portion main body, the light guide bundle assembly is fixedly connected with a light guide hose assembly through the light guide pipe connecting seat, the light guide hose assembly is connected with an external light source and a camera shooting integrated system through a fine mirror integrated light guide plug, and a miniature camera module is arranged on the upper portion of the end seat.
Preferably, the inside of mirror tube is provided with the apparatus water injection pipe, the left end of apparatus water injection pipe passes through tee bend subassembly fixedly connected with water injection pipe and apparatus pipeline, and the left end of water injection pipe and apparatus pipeline all runs through the end base subassembly, the left side of handle operation portion main part is provided with pincers way intubate subassembly, the right-hand member of apparatus water injection pipe and the lower part fixed connection of pincers way intubate subassembly, the upper portion of pincers way intubate subassembly is provided with ooff valve.
Preferably, the diameter of the mirror tube is 8-14 Fr, and the length of the mirror tube is 30-50 cm.
Preferably, the bending angle of the bending assembly is 200 ° ± 10 °.
Compared with the prior art, the invention provides the flexible electronic nephroscope with the bendable tail end, which has the following beneficial effects:
1. the proper bending angle and bending radius of the active bending part of the mirror tube ensure that the tail end part can smoothly enter all renal calyces, particularly the parapathway parallel renal calyces, and calculus in all renal calyces can be removed by utilizing a percutaneous renal pathway. In a specific operation, the operations of crushing stones, taking stones, indwelling a ureteral stent tube and the like can be conveniently completed, the number of channels is reduced, the kidney injury is reduced, and the operation difficulty and the bleeding risk are reduced;
2. has a larger instrument channel, and can meet the requirements of laser lithotripsy and stone taking in and out of the stone basket.
3. The instrument opening is just matched with the diameter of the optical fiber or the stone-covering basket, and the instrument is stable in the stone breaking process.
4. The relative position of the camera and the instrument opening is not changed in the stone breaking process, the camera always shoots the optical fiber at a fixed angle and distance, the change of the bending angle of the lens is avoided, and the whole process is ensured to be in a good visual field.
5. Has proper diameter and length, and is suitable for micro-channel percutaneous nephrolithotomy.
Drawings
FIG. 1 is a schematic front view of the present invention;
FIG. 2 is a schematic view of the lens tube and its connection structure of the present invention;
FIG. 3 is a front cross-sectional view of the end mount assembly of the present invention;
FIG. 4 is a top cross-sectional view of the end mount assembly of the present invention;
FIG. 5 is a left side view of the end mount assembly of the invention;
FIG. 6 is a schematic view of the water injection tube and its connection structure of the instrument of the present invention;
FIG. 7 is a schematic view of the bending assembly of the present invention;
FIG. 8 is a schematic view of an inventive active bending control structure;
FIG. 9 is a front cross-sectional view of the handle operating portion of the present invention;
FIG. 10 is a bottom cross-sectional view of the handle operating portion of the present invention.
In the figure:
1. a mirror tube; 101. a main hose; 102. a tapered sleeve assembly; 103. a bending part protection tube;
2. a handle operating part; 201. a handle operation part main body; 202. a drum seat; 203. a fixing plate; 204. protecting the spring tube; 205. a light pipe connecting seat; 206. a clamp path cannula assembly; 207. opening and closing the valve;
3. a bending assembly; 301. bending the snake bone; 302. a left end piece; 303. a right end piece; 304. snake bone slices; 305. bone fragment string holes; 306. end piece rope holes;
4. an end seat assembly; 401. an end seat; 402. a light guide hole; 403. a light window glass;
5. an operating mechanism; 501. a rotating shaft; 502. a rotating wheel; 503. a toothed chain; 504. a hitch coupler assembly; 505. a flexible steel wire;
6. a light guide hose assembly;
7. the thin mirror is an integrated light guide plug;
8. a miniature camera module;
9. an appliance water injection pipe;
10. a tee assembly;
11. a water injection pipe;
12. an instrument conduit;
13. a light guide bundle assembly.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example one
Referring to fig. 1-10, a flexible electronic nephroscope with a bendable tail end comprises a scope body, a light source and a camera integrated system, the scope body comprises a scope tube 1 and a handle operation part 2 which are matched, the diameter of the scope tube 1 is 8-14 Fr, the length is 30-50 cm, the scope tube 1 has a proper diameter and length and is suitable for micro-channel percutaneous nephroscope lithotomy, the scope tube 1 comprises a main hose 101, the right end of the main hose 101 is inserted into the left end of the handle operation part 2 through a conical hose part 102, the left end of the main hose 101 is fixedly connected with a bending part protection tube 103, the bending part protection tube 103 is an active bending part, the left end of the bending part protection tube 103 is provided with an end seat part assembly 4, the bending part 103 is internally provided with a control mechanism 5 for controlling the bending part 3, the control mechanism 5 controls the bending angle and the bending radius of the bending part 3, the end part of the electronic nephroscope can smoothly enter all renal calyces, particularly parallel renal calyces beside the channel, and stones in all renal calyces are removed by utilizing a percutaneous renal channel. In a specific operation, the operations of crushing stones, taking stones, indwelling a ureteral stent tube and the like can be conveniently completed, the number of channels is reduced, the kidney injury is reduced, and the operation difficulty and the bleeding risk are reduced;
the crooked subassembly 3 includes crooked snake bone 301, the left end and the right-hand member of crooked snake bone 301 are fixedly connected with left end piece 302 and right end piece 303 respectively, and the left end of left end piece 302 and the right-hand member fixed connection of end base subassembly 4, the outer wall of right-hand member piece 303 and the left end inner wall fixed connection of main hose 101, crooked snake bone 301 comprises a plurality of snake bone piece 304 is articulated, bone piece rope hole 305 has all been seted up to the front portion and the rear portion of snake bone piece 304, end piece rope hole 306 has all been seted up to the front portion and the rear portion of right-hand member piece 303, it is crooked to control crooked snake bone 301 of mechanism 5 control.
The handle operation portion 2 includes handle operation portion main part 201, the upper portion fixed mounting of the inner chamber of handle operation portion main part 201 has drum wheel seat 202, and the upper end of drum wheel seat 202 runs through handle operation portion main part 201, control mechanism 5 includes pivot 501, the lower part outer wall of pivot 501 and the upper portion inner wall of drum wheel seat 202 rotate to be connected, the bottom fixedly connected with runner 502 of pivot 501, the outer wall meshing of runner 502 is connected with chain wheel 503, the both ends of chain wheel 503 all are through traction joint subassembly 504 fixedly connected with flexible steel wire 505, the left end of two flexible steel wires 505 all runs through homonymy end piece rope hole 306 and bone piece rope hole 305 in proper order, and with the right flank fixed connection of left end piece 302, drum wheel seat 202 and fixedly connected with push rod 506 are run through to the upper end of pivot 501, the outer end fixedly connected with bent angle button 507 of push rod 506.
As shown in fig. 8, by dialing the corner button 507, the turning wheel 502 is driven to rotate, so as to move the toothed chain 503, and further the flexible steel wire 505 pulls one end of the left end plate 302, so as to make the bent snake bone 301 drive the endoscope tube 1 to bend, specifically, when the turning wheel 502 is rotated clockwise, the front flexible steel wire 505 is loosened, the rear flexible steel wire 505 pulls the rear end of the left end plate 302, the active bending portion of the endoscope tube 1 bends backwards, on the contrary, when the turning wheel 502 is rotated counterclockwise, the active bending portion of the endoscope tube 1 bends forwards and backwards, the bending angle is 200 ± 10 °, and the bending is undamped.
The left side of the inner cavity of the handle operation part main body 201 is fixedly connected with a fixing plate 203, the front part and the rear part of the fixing plate 203 are both fixedly connected with a protection spring tube 204, and two ends of the toothed chain 503 respectively penetrate through the two protection spring tubes 204, so that the protection spring tubes 204 limit the toothed chain 503.
Referring to fig. 1-6, the end seat assembly 4 includes an end seat 401, a right end of the end seat 401 is fixedly connected to a left end of the bending portion protection tube 103, a light guide hole 402 is formed in each of a front portion and a rear portion of the end seat 401, a window glass 403 is fixedly connected to an inner wall of a left end of the light guide hole 402, a light guide bundle assembly 13 is disposed inside the light guide hole 402, a light guide tube connecting seat 205 is disposed at a lower portion of the handle operating portion main body 201, the light guide bundle assembly 13 is fixedly connected to a light guide hose assembly 6 through the light guide tube connecting seat 205, and the light guide hose assembly 6 is connected to an external light source and a camera integrated system through a thin mirror integrated light guide plug 7;
the upper portion of end seat 401 is provided with miniature camera module 8, and after miniature camera module 8 converted the image of shooing into the signal of telecommunication, by inside cable conductor, through mirror pipe 1, control structure 2, light guide hose subassembly 6 and the integrative leaded light plug 7 of thin mirror get into light source and formation of image integrated system, the video signal of being exported by this system is through external display device display image.
Referring to fig. 6 and 10, an instrument water injection pipe 9 is disposed inside an endoscope tube 1, a water injection pipe 11 and an instrument pipeline 12 are fixedly connected to the left end of the instrument water injection pipe 9 through a three-way assembly 10, the left ends of the water injection pipe 11 and the instrument pipeline 12 both penetrate through an end base assembly 4, the instrument pipeline 12 is coaxial with the instrument water injection pipe 9, the diameter of the instrument pipeline 12 matches that of a conventional optical fiber or a stone-covered basket, instruments are stable during a stone breaking process, the instrument pipeline 12 is larger than the water injection pipe 11, a larger instrument channel can meet the requirement of getting stones out and in of the laser stone-covered basket, insertion of medical instruments is facilitated, a forceps channel intubation assembly 206 is disposed on the left side of a handle operation portion main body 201, the right end of the instrument water injection pipe 9 is fixedly connected to the lower portion of the forceps channel intubation assembly 206, a switch valve 207 is disposed on the upper portion of the forceps channel intubation assembly 206, and the switch valve 207 can prevent lavage fluid from leaking when closed, when the valve is opened, surgical instruments such as a laser fiber and a stone-covering basket can enter the valve, and extend out of the endoscope through an instrument pipeline 12 with a larger inner diameter along the instrument water injection pipe 9 so as to carry out operations such as stone breaking and stone taking.
As shown in fig. 5, the micro camera module 8, the water injection pipe 11, the instrument pipe 12 and the light guide bundle assembly 13 are all arranged on the end seat assembly 4, so that the relative position between the camera and the instrument opening is not changed in the stone breaking process, the camera always shoots the optical fiber at a fixed angle and distance, the change of the bending angle of the lens is avoided, and the whole course is ensured to be in a good view.
The working principle is as follows: when the flexible electronic nephroscope is used, the light guide hose assembly 6 is connected with an external light source and a camera integrated system through the thin mirror integrated light guide plug 7, the external display device is connected with the external display device, the lavage device is connected with the clamp channel intubation assembly 206, the endoscope tube 1 is inserted into the percutaneous renal channel sheath, the end seat assembly 4 can directly reach the renal pelvis of a patient, a high-brightness LED cold light source arranged inside the light source and camera integrated system can emit optical fibers to guide illuminating light to an operation area through the light guide hose assembly 6, the handle operation part 2 and the endoscope tube 1 through an optical socket, the miniature camera module 8 arranged on the end seat assembly 4 carries out real-time shooting, image signals are converted into electric signals and then are transmitted to the external light source and the image integrated system through an internal cable, video signals output by the system display images through the external display device, the switch valve 207 is opened, and the laser optical fibers are used, The surgical instruments such as a stone-covering basket enter the instrument water injection pipe 9 from the forceps channel intubation component 206, extend out of the endoscope along the instrument pipeline 12 with a larger inner diameter and are used for carrying out operations such as stone breaking and taking, during the operation, the bending button 206 on the handle operation part 2 can be pulled, the flexible steel wire 505 pulls one end of the left end piece 302, so that the bent snake bone 301 drives the endoscope pipe 1 to bend, all renal calyces can enter through the bending action of the tail end and the rotation and movement of the endoscope body, stones can be conveniently found, especially stones parallel to the kidney, and further in the specific operation, the operations such as stone breaking, stone taking, ureteral stent indwelling and the like can be effectively completed, the number of channels is reduced, the bleeding risk is reduced, and the loss of nephrons is reduced;
in the operation, the electric excision or laser enucleation of the renal pelvis tumor can be effectively finished, and the aim of reserving the kidney can be achieved.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (9)

1.一种末端可弯曲的柔性电子肾镜,包括镜体以及与镜体相匹配的光源和摄像集成系统,所述镜体包括镜管(1)和手柄操作部(2),其特征在于:所述镜管(1)包括主软管(101),所述主软管(101)的右端通过锥形套管组件(102)与手柄操作部(2)的连接端相插接,所述主软管(101)的左端固定连接有弯曲部保护管(103),弯曲部保护管(103)为主动弯曲部,所述弯曲部保护管(103)的左端设置有端部座组件(4),所述弯曲部保护管(103)的内部设置有弯曲组件(3),所述手柄操作部(2)的内部设置有用于控制弯曲组件(3)的操控机构(5)。1. a flexible electronic nephroscope with a bendable end, comprising a mirror body and a light source and a camera integrated system matching the mirror body, the mirror body comprising a mirror tube (1) and a handle operation part (2), it is characterized in that : The mirror tube (1) includes a main hose (101), and the right end of the main hose (101) is inserted into the connection end of the handle operating part (2) through the conical sleeve assembly (102), so The left end of the main hose (101) is fixedly connected with a bending part protection pipe (103), the bending part protection pipe (103) is an active bending part, and the left end of the bending part protection pipe (103) is provided with an end seat assembly (103). 4), a bending assembly (3) is provided inside the bending part protection tube (103), and a manipulation mechanism (5) for controlling the bending assembly (3) is disposed inside the handle operating part (2). 2.根据权利要求1所述的一种末端可弯曲的柔性电子肾镜,其特征在于:所述弯曲组件(3)包括弯曲蛇骨(301),所述弯曲部保护管(103)套接弯曲蛇骨(301),所述弯曲蛇骨(301)的左端和右端分别固定连接有左端片(302)和右端片(303),且左端片(302)的左端与端部座组件(4)的右端固定连接,所述右端片(303)的外壁与主软管(101)的左端内壁固定连接,所述弯曲蛇骨(301)由若干个蛇骨片(304)铰接构成,所述蛇骨片(304)的前部和后部均开设有骨片绳孔(305),所述右端片(303)的前部和后部均开设有端片绳孔(306),所述操控机构(5)控制弯曲蛇骨(301)弯曲。2. A flexible electronic nephroscope with a bendable end according to claim 1, characterized in that: the bending component (3) comprises a bending snake bone (301), and the protection tube (103) of the bending part is sleeved A curved snake bone (301), the left end and the right end of the curved snake bone (301) are respectively fixedly connected with a left end piece (302) and a right end piece (303), and the left end of the left end piece (302) and the end seat assembly (4) ), the outer wall of the right end piece (303) is fixedly connected to the left inner wall of the main hose (101), and the curved snake bone (301) is hingedly formed by a number of snake bone pieces (304). The front part and the rear part of the snake bone piece (304) are provided with bone piece rope holes (305), and the front part and the rear part of the right end piece (303) are provided with end piece rope holes (306). The mechanism (5) controls the bending of the curved snake bone (301). 3.根据权利要求2所述的一种末端可弯曲的柔性电子肾镜,其特征在于:所述手柄操作部(2)包括手柄操作部主体(201),所述手柄操作部主体(201)的内腔的上部固定安装有鼓轮座(202),且鼓轮座(202)的上端贯穿手柄操作部主体(201),所述操控机构(5)包括转轴(501),所述转轴(501)的下部外壁与鼓轮座(202)的上部内壁转动连接,所述转轴(501)的底端固定连接有转轮(502),所述转轮(502)的外壁啮合连接有齿链(503),所述齿链(503)的两端部均通过牵引接头组件(504)固定连接有柔性钢丝(505),两根所述柔性钢丝(505)的左端均依次贯穿同侧所述端片绳孔(306)和骨片绳孔(305),并与左端片(302)的右侧面固定连接。3. A flexible electronic nephroscope with a bendable end according to claim 2, wherein the handle operation part (2) comprises a handle operation part main body (201), and the handle operation part main body (201) A drum wheel seat (202) is fixedly installed on the upper part of the inner cavity of the device, and the upper end of the drum wheel seat (202) penetrates the main body (201) of the handle operating part, and the control mechanism (5) includes a rotating shaft (501), and the rotating shaft ( The lower outer wall of 501) is rotatably connected with the upper inner wall of the drum seat (202), the bottom end of the rotating shaft (501) is fixedly connected with a runner (502), and the outer wall of the runner (502) is meshed and connected with a toothed chain (503), both ends of the tooth chain (503) are fixedly connected with flexible steel wires (505) through the traction joint assembly (504), and the left ends of the two flexible steel wires (505) pass through the same side in turn. The end piece rope hole (306) and the bone piece rope hole (305) are fixedly connected with the right side of the left end piece (302). 4.根据权利要求3所述的一种末端可弯曲的柔性电子肾镜,其特征在于:所述转轴(501)的上端贯穿鼓轮座(202)并固定连接有推杆(506),所述推杆(506)的外端固定连接有弯角钮(507)。4. A flexible electronic nephroscope with a bendable end according to claim 3, characterized in that: the upper end of the rotating shaft (501) penetrates the drum seat (202) and is fixedly connected with a push rod (506), so An angle button (507) is fixedly connected to the outer end of the push rod (506). 5.根据权利要求3所述的一种末端可弯曲的柔性电子肾镜,其特征在于:所述手柄操作部主体(201)的内腔的左侧固定连接有固定板(203),所述固定板(203)的前部和后部均固定连接有保护弹簧管(204),所述齿链(503)的两端均分别贯穿两个所述保护弹簧管(204)。5. A flexible electronic nephroscope with a bendable end according to claim 3, characterized in that: a fixing plate (203) is fixedly connected to the left side of the inner cavity of the handle operating part main body (201), and the The front part and the rear part of the fixing plate (203) are fixedly connected with protective spring tubes (204), and both ends of the toothed chain (503) respectively penetrate through the two protective spring tubes (204). 6.根据权利要求3所述的一种末端可弯曲的柔性电子肾镜,其特征在于:所述端部座组件(4)包括端部座(401),所述端部座(401)的右端与弯曲部保护管(103)的左端固定连接,所述端部座(401)的前部和后部均开设有导光孔(402),所述导光孔(402)的左端内壁固定连接有光窗玻璃(403),所述导光孔(402)的内部设置有导光束组件(13),所述手柄操作部主体(201)的下部设置有导光管连接座(205),所述导光束组件(13)通过导光管连接座(205)固定连接有导光软管组件(6),导光软管组件(6)通过细镜一体导光插头(7)与外部光源及摄像集成系统连接,所述端部座(401)的上部设置有微型摄像机模组(8)。6. A flexible electronic nephroscope with a bendable end according to claim 3, characterized in that: the end seat assembly (4) comprises an end seat (401), and the end seat (401) has a The right end is fixedly connected with the left end of the protection tube (103) of the curved part, the front part and the rear part of the end seat (401) are provided with light guide holes (402), and the inner wall of the left end of the light guide hole (402) is fixed A light window glass (403) is connected, a light guide assembly (13) is arranged inside the light guide hole (402), and a light guide pipe connection seat (205) is arranged on the lower part of the handle operating part main body (201), The light guide assembly (13) is fixedly connected with a light guide hose assembly (6) through a light guide pipe connecting seat (205), and the light guide hose assembly (6) is connected to an external light source through a thin mirror integrated light guide plug (7). and a camera integrated system, and a miniature camera module (8) is arranged on the upper part of the end seat (401). 7.根据权利要求3所述的一种末端可弯曲的柔性电子肾镜,其特征在于:所述镜管(1)的内部设置有器械注水管(9),所述器械注水管(9)的左端通过三通组件(10)固定连接有注水管(11)和器械管道(12),且注水管(11)和器械管道(12)的左端均贯穿端部座组件(4),所述手柄操作部主体(201)的左侧设置有钳道插管组件(206),所述器械注水管(9)的右端与钳道插管组件(206)的下部固定连接,所述钳道插管组件(206)的上部设置有开关阀门(207)。7. A flexible electronic nephroscope with a bendable end according to claim 3, characterized in that: the inside of the mirror tube (1) is provided with an instrument water injection pipe (9), and the instrument water injection pipe (9) The left end of the water injection pipe (11) and the instrument pipe (12) are fixedly connected with the water injection pipe (11) and the instrument pipe (12) through the tee assembly (10), and the left ends of the water injection pipe (11) and the instrument pipe (12) pass through the end seat assembly (4). The left side of the handle operating part main body (201) is provided with a forceps intubation assembly (206), and the right end of the device water injection pipe (9) is fixedly connected with the lower part of the forceps intubation assembly (206). The upper part of the pipe assembly (206) is provided with an on-off valve (207). 8.根据权利要求1所述的一种末端可弯曲的柔性电子肾镜,其特征在于:所述镜管(1)的直径为8~14Fr,长度为30~50cm。8 . The flexible electronic nephroscope with a bendable end according to claim 1 , wherein the diameter of the mirror tube ( 1 ) is 8-14 Fr and the length is 30-50 cm. 9 . 9.根据权利要求1所述的一种末端可弯曲的柔性电子肾镜,其特征在于:所述弯曲组件(3)的弯曲角度为200°±10°。9 . The flexible electronic nephroscope with a bendable end according to claim 1 , wherein the bending angle of the bending component ( 3 ) is 200°±10°. 10 .
CN202110935804.0A 2021-08-16 2021-08-16 Flexible electronic nephroscope with bendable tail end Pending CN113499029A (en)

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Application publication date: 20211015