CN118203286A - Endoscope structure - Google Patents
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- 210000000707 wrist Anatomy 0.000 abstract description 4
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- 238000005452 bending Methods 0.000 description 12
- 210000000988 bone and bone Anatomy 0.000 description 7
- 238000010586 diagram Methods 0.000 description 5
- 238000003780 insertion Methods 0.000 description 4
- 230000037431 insertion Effects 0.000 description 4
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- WYTGDNHDOZPMIW-RCBQFDQVSA-N alstonine Natural products C1=CC2=C3C=CC=CC3=NC2=C2N1C[C@H]1[C@H](C)OC=C(C(=O)OC)[C@H]1C2 WYTGDNHDOZPMIW-RCBQFDQVSA-N 0.000 description 2
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- 102100023591 Polyphosphoinositide phosphatase Human genes 0.000 description 1
- 101100012902 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) FIG2 gene Proteins 0.000 description 1
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- 230000009471 action Effects 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
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- 230000007547 defect Effects 0.000 description 1
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- 238000005476 soldering Methods 0.000 description 1
- 239000004575 stone Substances 0.000 description 1
- 238000001356 surgical procedure 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
- A61B1/005—Flexible endoscopes
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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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/0011—Manufacturing of endoscope parts
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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
- A61B1/0052—Constructional details of control elements, e.g. handles
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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
- A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
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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
- A61B1/012—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 characterised by internal passages or accessories therefor
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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
- A61B1/012—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 characterised by internal passages or accessories therefor
- A61B1/018—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 characterised by internal passages or accessories therefor for receiving instruments
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Abstract
Description
技术领域Technical Field
本发明涉及医疗器械技术领域,尤其涉及一种内窥镜结构。The present invention relates to the technical field of medical instruments, and in particular to an endoscope structure.
背景技术Background technique
内窥镜是一种常用的医疗器械,包括手柄和插入道,通过手柄控制插入管经由人体的天然孔道或手术形成的孔道进入体内。An endoscope is a commonly used medical device, including a handle and an insertion channel. The handle controls an insertion tube to enter the body through a natural orifice of the human body or a channel formed by surgery.
手柄内设置有供插入管通过的连接通道和器械通道,器械通道用于如活检钳、导丝等各种医疗器械进出。The handle is provided with a connecting channel and an instrument channel for the insertion tube to pass through. The instrument channel is used for the entry and exit of various medical instruments such as biopsy forceps and guide wires.
现有技术中,内窥镜通常采用钢丝绳牵引蛇骨弯曲转向来实现头端部的弯曲,用户在操作内窥镜时,通过手腕的旋转带动手柄对头端部的镜头进行旋转,但因手腕旋转角度有限,不能进行整周的旋转。且若直接对手柄外的管道进行扭动,势必造成管道扭转,从而损坏管道,还会缩小管道内部的通过面积,使得医疗器械无法通过。专利CN214157255U中旋转旋钮虽然可带动硬质鞘管旋转,但硬质鞘管的旋转会带动器械连接器的旋转,造成管道扭转,此时由于拨轮会相对于器械连接器旋转造成对医疗器械造成损害。In the prior art, endoscopes usually use a wire rope to pull the snake-bend turning to achieve the bending of the head end. When the user operates the endoscope, the handle is driven by the rotation of the wrist to rotate the lens at the head end, but due to the limited rotation angle of the wrist, it cannot rotate a full circle. And if the pipe outside the handle is twisted directly, it will inevitably cause the pipe to twist, thereby damaging the pipe, and will also reduce the passing area inside the pipe, making it impossible for medical devices to pass. Although the rotating knob in patent CN214157255U can drive the hard sheath to rotate, the rotation of the hard sheath will drive the rotation of the instrument connector, causing the pipe to twist. At this time, the dial wheel will rotate relative to the instrument connector, causing damage to the medical device.
发明内容Summary of the invention
为了克服上述现有技术所述的至少一种缺陷,本发明的目的是提供一种内窥镜结构,以解决现有技术中操作内窥镜旋转时造成管道扭转使器械无法通过的问题。In order to overcome at least one of the defects of the prior art described above, an object of the present invention is to provide an endoscope structure to solve the problem in the prior art that when the endoscope is rotated, the pipe is twisted so that the instrument cannot pass through.
本发明为解决其问题所采用的技术方案是:一种内窥镜结构,包括手柄以及鞘管,所述手柄上设置有可转动的拨轮,所述拨轮与所述鞘管相互固定,所述手柄上固定设置有器械连接器,所述器械连接器包括连接器接头,以及与所述连接器接头连接的连接导管;所述连接导管的远端有直管段,所述直管段与所述拨轮可旋转的连接,所述直管段的中心轴与所述拨轮的旋转中心轴位于同一条直线上。The technical solution adopted by the present invention to solve the problem is: an endoscope structure, including a handle and a sheath, the handle is provided with a rotatable thumbwheel, the thumbwheel and the sheath are fixed to each other, the handle is fixedly provided with an instrument connector, the instrument connector includes a connector joint, and a connecting catheter connected to the connector joint; the distal end of the connecting catheter is provided with a straight tube section, the straight tube section is rotatably connected to the thumbwheel, and the central axis of the straight tube section and the rotation central axis of the thumbwheel are located on the same straight line.
可选的,所述连接导管为直线型结构或者非直线型结构;所述连接导管为非直线型结构时,所述连接导管的远端至少有一段为直管段。Optionally, the connecting conduit is a linear structure or a non-linear structure; when the connecting conduit is a non-linear structure, at least one section of the distal end of the connecting conduit is a straight tube section.
可选的,所述拨轮内设置有旋转接头,所述旋转接头连通所述连接导管和所述内管,其中,所述旋转接头、所述鞘管及拨轮同轴设置。Optionally, a rotating joint is provided in the thumbwheel, and the rotating joint connects the connecting catheter and the inner tube, wherein the rotating joint, the sheath tube and the thumbwheel are coaxially arranged.
可选的,所述手柄与所述鞘管可转动连接,所述器械连接器与所述鞘管可转动连接,所述连接器接头与所述连接导管的内部形成有与外界连通的器械通道,所述鞘管形成有内部通道,所述器械通道通过所述旋转接头与所述内部通道连通。Optionally, the handle is rotatably connected to the sheath, the instrument connector is rotatably connected to the sheath, the connector joint and the interior of the connecting catheter form an instrument channel connected to the outside, the sheath forms an internal channel, and the instrument channel is connected to the internal channel through the rotating joint.
可选的,所述旋转接头内形成有连接通道,所述内部通道、所述连接通道及所述器械通道依次连通,其中,所述器械通道贯通所述直管段,所述直管段部分或全部地插入至所述连接通道使得所述连接通道与所述器械通道连通。Optionally, a connecting channel is formed in the rotary joint, and the internal channel, the connecting channel and the instrument channel are connected in sequence, wherein the instrument channel passes through the straight pipe section, and the straight pipe section is partially or fully inserted into the connecting channel so that the connecting channel is connected to the instrument channel.
可选的,所述旋转接头设有与所述连接通道连通的连接孔,所述连接孔内还设有密封圈,所述器械连接器的直管段连接于所述连接孔,所述密封圈用于密封所述器械连接器的直管段与所述连接孔之间的缝隙。Optionally, the rotary joint is provided with a connecting hole connected to the connecting channel, a sealing ring is further provided in the connecting hole, the straight pipe section of the instrument connector is connected to the connecting hole, and the sealing ring is used to seal the gap between the straight pipe section of the instrument connector and the connecting hole.
可选的,所述手柄内设有旋转凹槽,所述拨轮上设置有与所述旋转凹槽配合的旋转凸起。Optionally, a rotation groove is provided in the handle, and a rotation protrusion that cooperates with the rotation groove is provided on the dial wheel.
可选的,所述拨轮外还开设有限位凹槽,所述手柄设有限位凸起,所述限位凹槽内还设置有弹性阻尼件,所述限位凸起位于所述限位凹槽内并挤压所述弹性阻尼件。Optionally, a limiting groove is further provided outside the thumbwheel, a limiting protrusion is provided on the handle, an elastic damping member is further provided in the limiting groove, and the limiting protrusion is located in the limiting groove and squeezes the elastic damping member.
可选的,所述手柄上设置有第一零点定位凸块,所述拨轮外在对应所述第一零点定位凸块的位置设置有第二零点定位凸块。Optionally, a first zero point positioning protrusion is provided on the handle, and a second zero point positioning protrusion is provided outside the dial wheel at a position corresponding to the first zero point positioning protrusion.
可选的,所述手柄内设有零点凹槽,所述拨轮上固定有能够与所述零点凹槽配合的弹性凸起。Optionally, a zero-point groove is provided in the handle, and an elastic protrusion capable of cooperating with the zero-point groove is fixed on the dial wheel.
可选的,所述弹性凸起设置于弹性簧片上,所述手柄内还设置有弧形的过渡结构,所述过渡结构在所述零点凹槽的圆周方向的两侧分别设置一个,当所述弹性凸起随所述拨轮旋转沿所述过渡结构朝所述零点凹槽移动时,所述过渡结构能够逐步压缩所述弹性簧片。Optionally, the elastic protrusion is arranged on the elastic spring sheet, and an arc-shaped transition structure is also arranged in the handle, and one transition structure is arranged on both sides of the circumferential direction of the zero point groove respectively. When the elastic protrusion moves along the transition structure toward the zero point groove as the dial wheel rotates, the transition structure can gradually compress the elastic spring sheet.
由上述技术方案可知,本发明实施例至少具有如下优点和积极效果:It can be seen from the above technical solutions that the embodiments of the present invention have at least the following advantages and positive effects:
通过将直管段的中心轴与拨轮的旋转中心轴位于同一直线上以避免拨轮相对于器械连接器旋转时,带动器械连接器一起旋转或者扭转器械连接器,以降低对器械连接器内部的医疗器械的影响。By placing the central axis of the straight tube section and the rotation central axis of the thumbwheel on the same straight line, the thumbwheel can be prevented from rotating or twisting the instrument connector relative to the instrument connector, thereby reducing the impact on the medical device inside the instrument connector.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为本发明一个或多个实施例内窥镜结构的结构示意图一;FIG1 is a structural schematic diagram 1 of an endoscope structure according to one or more embodiments of the present invention;
图2是图1中A-A面的剖视图;Fig. 2 is a cross-sectional view taken along the A-A plane in Fig. 1;
图3为本发明一个或多个实施例内窥镜结构的结构示意图二;FIG3 is a second structural schematic diagram of an endoscope structure according to one or more embodiments of the present invention;
图4是图3中B-B面的剖视图;Fig. 4 is a cross-sectional view taken along the B-B plane in Fig. 3;
图5是图3中C-C面的剖视图;Fig. 5 is a cross-sectional view taken along the C-C plane in Fig. 3;
图6a是图4中D部的放大图;Fig. 6a is an enlarged view of portion D in Fig. 4;
图6b是图6a中一部分结构的示意图。FIG. 6 b is a schematic diagram of a portion of the structure in FIG. 6 a .
图6c是图6a中又一部分结构的示意图。FIG. 6c is a schematic diagram of another part of the structure in FIG. 6a .
图6d是图6a中还一部分结构的示意图。FIG. 6d is a schematic diagram of another part of the structure in FIG. 6a .
其中,附图标记含义如下:The meanings of the reference numerals are as follows:
1、手柄;101、旋转凹槽;102、限位凸起;103、第一壳体;104、第二壳体;105、第一零点定位凸块;106、零点凹槽;107、过渡结构;108、限位筋;1081、限位槽;2、鞘管;200、内部通道;201、内管;202、外管;203、可控蛇骨段;204、被动弯曲段;3、器械连接器;300、器械通道;301、连接器接头;302、连接导管;3021、直管段;4、拨轮;400、连接通道;401、连接孔;402、第一限位卡块;4021、卡槽;403、第二限位卡块;4031、连接通孔;404、旋转凸起;405、限位凹槽;406、第二零点定位凸块;407、弹性凸起;5、密封圈;6、旋转接头;7、弹性阻尼件;8、弹性簧片;9、控制件;10、第一牵引线;11、第二牵引线;13、限位件;1301、过线槽;M、中心线。1. Handle; 101. Rotation groove; 102. Limiting protrusion; 103. First shell; 104. Second shell; 105. First zero point positioning protrusion; 106. Zero point groove; 107. Transition structure; 108. Limiting rib; 1081. Limiting groove; 2. Sheath; 200. Internal channel; 201. Inner tube; 202. Outer tube; 203. Controllable snake bone segment; 204. Passive bending segment; 3. Instrument connector; 300. Instrument channel; 301. Connector joint; 302. Connecting catheter; 3021. Straight Pipe section; 4, dial wheel; 400, connecting channel; 401, connecting hole; 402, first limit block; 4021, slot; 403, second limit block; 4031, connecting through hole; 404, rotating protrusion; 405, limit groove; 406, second zero point positioning protrusion; 407, elastic protrusion; 5, sealing ring; 6, rotating joint; 7, elastic damping member; 8, elastic spring; 9, control member; 10, first traction line; 11, second traction line; 13, limit member; 1301, wire groove; M, center line.
具体实施方式Detailed ways
为了更好地理解和实施,下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述。For better understanding and implementation, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention.
在本发明的描述中,需要说明的是,术语“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“外”、“远”、“近”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。具体的,文中“远端”指远离操作者的方位,“近端”指靠近操作者的方位。In the description of the present invention, it should be noted that the terms "upper", "lower", "front", "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inside", "outside", "far", "near" and the like indicate positions or positional relationships based on the positions or positional relationships shown in the accompanying drawings, and are only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a limitation on the present invention. Specifically, the "distal end" herein refers to a position away from the operator, and the "proximal end" refers to a position close to the operator.
除非另有定义,本文所使用的所有的技术和科学术语与属于本发明的技术领域的技术人员通常理解的含义相同。本文中在本发明的说明书中所使用的术语只是为了描述具体的实施例的目的,不是旨在限制本发明。Unless otherwise defined, all technical and scientific terms used herein have the same meaning as those commonly understood by those skilled in the art of the present invention. The terms used in the specification of the present invention herein are only for the purpose of describing specific embodiments and are not intended to limit the present invention.
参阅图1至图4,本发明公开了一种内窥镜结构,包括手柄1以及鞘管2,手柄1与鞘管2可转动连接,手柄1上可转动地设置有拨轮4,拨轮4与鞘管2相互固定,手柄1上固定设置有器械连接器3,器械连接器3与所述鞘管2可转动连接,器械连接器3包括连接器接头301,以及与连接器接头301连接的连接导管302。连接导管302远端形成有直管段3021以与拨轮4连接,直管段3021的中心轴与拨轮4的旋转中心轴位于同一条直线(即图6a、图6b、图6c以及图6d的中心线M)上。应理解的是,直管段3021为连接导管302的一部分。Referring to FIGS. 1 to 4 , the present invention discloses an endoscope structure, including a handle 1 and a sheath tube 2, wherein the handle 1 is rotatably connected to the sheath tube 2, a thumbwheel 4 is rotatably provided on the handle 1, the thumbwheel 4 and the sheath tube 2 are fixed to each other, an instrument connector 3 is fixedly provided on the handle 1, the instrument connector 3 is rotatably connected to the sheath tube 2, and the instrument connector 3 includes a connector joint 301 and a connecting catheter 302 connected to the connector joint 301. A straight tube section 3021 is formed at the distal end of the connecting catheter 302 to connect with the thumbwheel 4, and the central axis of the straight tube section 3021 and the rotation central axis of the thumbwheel 4 are located on the same straight line (i.e., the central line M of FIGS. 6a , 6b , 6c and 6d ). It should be understood that the straight tube section 3021 is a part of the connecting catheter 302.
其中,虽然在一些实施方式中,如图4所示,连接器接头301部分外露于手柄1外,而部分仍位于手柄内。但连接器接头301也可以完全外露于手柄外,本公开不作具体限制。In some embodiments, as shown in FIG4 , the connector joint 301 is partially exposed outside the handle 1 and partially inside the handle. However, the connector joint 301 may also be completely exposed outside the handle, and the present disclosure does not impose any specific limitation thereto.
应理解的是,如图1所示,鞘管2与手柄1从远端往近端依次连接。此外,虽然在一些实施方式中,内部通道200沿从近端往远端的方向贯通鞘管2,但本公开并没有限制贯通的方向以及位置。如在一些实施方式中,内部通道200的远端开口并没有位于鞘管2的最远端(如头端部或者先驱部),而是位于鞘管2靠近远端的位置的侧壁上。而一般情况下,鞘管2的最远端主要用于安装光学传感器等设备以捕获图像。It should be understood that, as shown in Figure 1, the sheath tube 2 is connected to the handle 1 in sequence from the distal end to the proximal end. In addition, although in some embodiments, the internal channel 200 penetrates the sheath tube 2 in the direction from the proximal end to the distal end, the present disclosure does not limit the direction and position of the penetration. For example, in some embodiments, the distal opening of the internal channel 200 is not located at the farthest end (such as the head end or the pioneer part) of the sheath tube 2, but is located on the side wall of the sheath tube 2 near the far end. In general, the farthest end of the sheath tube 2 is mainly used to install equipment such as optical sensors to capture images.
需要说明的是,由于拨轮4与手柄1相互可转动,而器械连接器3固定设置于手柄1上,所以器械连接器3与拨轮4是可相互转动的。上述方案中通过将直管段3021的中心轴与拨轮4的旋转中心轴共同位于中心线M上以避免拨轮4相对于器械连接器3旋转时,带动器械连接器3一起旋转或者扭转器械连接器3,以降低对器械连接器3内部的医疗器械的影响。It should be noted that, since the thumbwheel 4 and the handle 1 are rotatable with each other, and the instrument connector 3 is fixedly arranged on the handle 1, the instrument connector 3 and the thumbwheel 4 are rotatable with each other. In the above scheme, the central axis of the straight tube section 3021 and the rotation central axis of the thumbwheel 4 are co-located on the center line M to prevent the thumbwheel 4 from rotating relative to the instrument connector 3, driving the instrument connector 3 to rotate or twist the instrument connector 3, so as to reduce the impact on the medical device inside the instrument connector 3.
可选的,连接导管302为直线结构或者非直线结构。而连接导管为非直线型结构时,所连接导管的远端至少有一段为直管段。需要说明的是,非直线结构包括很多种,如弧线形结构,弯折形结构等,本公开不作具体限制。而直线结构可以理解为沿单一方向延伸的结构。而非直线结构则是指除直线结构外的结构。Optionally, the connecting conduit 302 is a linear structure or a non-linear structure. When the connecting conduit is a non-linear structure, at least one section of the distal end of the connected conduit is a straight tube section. It should be noted that there are many types of non-linear structures, such as arc-shaped structures, bent structures, etc., which are not specifically limited in the present disclosure. The linear structure can be understood as a structure extending in a single direction. The non-linear structure refers to a structure other than the linear structure.
具体而言,参阅图4、图6a、图6b、图6c以及图6d,连接器接头301与连接导管302的内部形成有与外界连通的器械通道300,器械通道300贯通直管段3021,拨轮4内设置有连接通道400,直管段3021部分或全部地插入至连接通道400使得连接通道400与器械通道300连通。Specifically, referring to Figures 4, 6a, 6b, 6c and 6d, the connector joint 301 and the connecting catheter 302 form an instrument channel 300 that is connected to the outside world. The instrument channel 300 passes through the straight pipe section 3021. The dial wheel 4 is provided with a connecting channel 400. The straight pipe section 3021 is partially or completely inserted into the connecting channel 400 so that the connecting channel 400 is connected to the instrument channel 300.
具体而言,连接导管302的一端与连接器接头301固定,连接导管302的另一端形成有直管段3021。而由于直管段3021部分或全部地插入至连接通道400,使得连接通道400与器械通道300连通。Specifically, one end of the connecting conduit 302 is fixed to the connector joint 301, and the other end of the connecting conduit 302 is formed with a straight tube section 3021. Since the straight tube section 3021 is partially or completely inserted into the connecting channel 400, the connecting channel 400 is connected to the instrument channel 300.
由于直管段3021部分或全部地插入至连接通道400,所以拨轮4相对于手柄1旋转时,拨轮4以及拨轮4的连接通道400是绕直管段3021插入至连接通道400的部分旋转。此时,由于旋转远后连接通道400与直管段3021依旧保持沿中心线M延伸,故位于连接通道400与器械通道300内部的医疗器械不会跟随连接通道400一并旋转,造成损坏。Since the straight tube section 3021 is partially or completely inserted into the connecting channel 400, when the thumbwheel 4 rotates relative to the handle 1, the thumbwheel 4 and the connecting channel 400 of the thumbwheel 4 rotate around the portion where the straight tube section 3021 is inserted into the connecting channel 400. At this time, since the connecting channel 400 and the straight tube section 3021 still extend along the center line M after the rotation, the medical device located inside the connecting channel 400 and the instrument channel 300 will not rotate along with the connecting channel 400 to cause damage.
可选的,所述连接导管302插入至所述连接通道400的部分为刚性圆管结构。具体而言,连接导管302为刚性圆管结构。由于连接导管302具有一定刚性,故拨轮4绕连接导管302旋转时,连接导管302不容易受力变形,以更好地保护连接导管302内部的医疗器械。Optionally, the portion of the connecting conduit 302 inserted into the connecting channel 400 is a rigid circular tube structure. Specifically, the connecting conduit 302 is a rigid circular tube structure. Since the connecting conduit 302 has a certain rigidity, when the thumbwheel 4 rotates around the connecting conduit 302, the connecting conduit 302 is not easily deformed by force, so as to better protect the medical device inside the connecting conduit 302.
连接导管302与连接器接头301的连接不限于粘结、卡扣连接或者通过现有技术中常见的固定结构连接。The connection between the connecting conduit 302 and the connector joint 301 is not limited to bonding, snap connection or connection through a common fixing structure in the prior art.
而在一些实施例中,器械连接器3也可以与手柄1一体成型。In some embodiments, the instrument connector 3 may also be integrally formed with the handle 1 .
具体而言,内部通道200通过连接通道400与器械通道300连通,而且连接通道400与器械通道300可相互转动,且器械连接器3与鞘管2旋转时,器械通道300保持与内部通道200连通。通过旋转拨轮4,能够带动鞘管2相对于手柄1旋转,达到调整鞘管2远端方向的目的,从而能增大鞘管2的抓握面积,在实际运用中,方便鞘管2的旋转。Specifically, the internal channel 200 is connected to the instrument channel 300 through the connecting channel 400, and the connecting channel 400 and the instrument channel 300 can rotate with each other, and when the instrument connector 3 and the sheath tube 2 rotate, the instrument channel 300 remains connected to the internal channel 200. By rotating the dial 4, the sheath tube 2 can be driven to rotate relative to the handle 1 to achieve the purpose of adjusting the distal direction of the sheath tube 2, thereby increasing the gripping area of the sheath tube 2, and facilitating the rotation of the sheath tube 2 in actual use.
而且在鞘管2与拨轮4相对于手柄1旋转的过程中,鞘管2的内部通道200以及拨轮4的连接通道400会跟器械通道300相互旋转且内部通道200与连接通道400能够与器械通道300保持连通,满足实际运用过程对鞘管2远端的方向进行绕自身轴线旋转的调节需要。Moreover, during the rotation of the sheath 2 and the dial 4 relative to the handle 1, the internal channel 200 of the sheath 2 and the connecting channel 400 of the dial 4 will rotate with the instrument channel 300, and the internal channel 200 and the connecting channel 400 can remain connected with the instrument channel 300, meeting the need to adjust the direction of the distal end of the sheath 2 around its own axis during actual use.
器械通道300作为与手柄1外部连通的通道,供医疗器械穿入,例如医用钬激光导丝、取石篮等。而在一些实施方式中,医疗器械经过鞘管2的内部通道200、从鞘管2的远端穿出直到人体的体内。The instrument channel 300 is a channel connected to the outside of the handle 1 for inserting medical instruments, such as medical holmium laser guide wires, stone removal baskets, etc. In some embodiments, the medical instrument passes through the internal channel 200 of the sheath tube 2 and passes out from the distal end of the sheath tube 2 until it enters the human body.
为减少打滑,在拨轮4绕其旋转方向的表面上还设置有防滑凹槽(图中未标注)。In order to reduce slipping, anti-skid grooves (not marked in the figure) are also provided on the surface of the thumbwheel 4 around its rotation direction.
参阅图6a,在一个实施例中,拨轮4设有与连接通道400连通的连接孔401,连接孔401内还设有密封圈5,器械连接器3连接于连接孔401内,密封圈5用于密封器械连接器3与连接孔401之间的缝隙。具体而言,密封圈5用于密封连接导管302与连接孔401之间的缝隙。Referring to Fig. 6a, in one embodiment, the thumbwheel 4 is provided with a connection hole 401 communicating with the connection channel 400, a sealing ring 5 is further provided in the connection hole 401, the instrument connector 3 is connected in the connection hole 401, and the sealing ring 5 is used to seal the gap between the instrument connector 3 and the connection hole 401. Specifically, the sealing ring 5 is used to seal the gap between the connecting conduit 302 and the connection hole 401.
由此,实现拨轮4可相对于手柄1旋转,也即相对于器械连接器3可旋转,通过密封圈5对器械连接器3与连接孔401之间的缝隙进行密封。Thereby, the thumbwheel 4 can rotate relative to the handle 1 , that is, relative to the instrument connector 3 , and the gap between the instrument connector 3 and the connecting hole 401 is sealed by the sealing ring 5 .
具体而言,连接导管302的直管段3021插入连接孔401中并使密封圈5套于直管段3021外,以实现器械通道300与连接通道400的连通、密封以及拨轮4可相对于连接导管302旋转。Specifically, the straight tube section 3021 of the connecting catheter 302 is inserted into the connecting hole 401 and the sealing ring 5 is sleeved on the straight tube section 3021 to achieve the communication and sealing between the instrument channel 300 and the connecting channel 400 and the rotation of the thumbwheel 4 relative to the connecting catheter 302 .
密封圈5可选为O型圈。The sealing ring 5 can be an O-ring.
参阅图6b与图6c,在一些可选实施例中,拨轮4内设置有旋转接头6,旋转接头6连通连接导管302和内管201。旋转接头6和鞘管2、拨轮4同轴设置,即旋转接头6和鞘管2、拨轮4的转动轴位于同一条直线上。连接通道400以及连接孔401均设置于旋转接头6,拨轮4内设有两个相对设置的第一限位卡块402以及第二限位卡块403,第一限位卡块402上开设有用于固定旋转接头6的卡槽4021,第二限位卡块403与旋转接头6的端部抵接,且第二限位卡块403上开设有与连接孔401连通的连接通孔4031,直管段3021能经连接通孔4031插入连接孔401中,也即器械连接器3能穿过连接通孔4031后连接于连接孔401中,使得器械通道300与连接通道400能够连通。通过第一限位卡块402以及第二限位卡块403实现对旋转接头6良好的固定。6b and 6c, in some optional embodiments, a rotary joint 6 is provided in the thumbwheel 4, and the rotary joint 6 communicates with the connecting catheter 302 and the inner tube 201. The rotary joint 6, the sheath tube 2, and the thumbwheel 4 are coaxially arranged, that is, the rotation axes of the rotary joint 6, the sheath tube 2, and the thumbwheel 4 are located on the same straight line. The connection channel 400 and the connection hole 401 are both arranged on the rotary joint 6. Two first limit blocks 402 and second limit blocks 403 are arranged opposite to each other in the dial wheel 4. The first limit block 402 is provided with a slot 4021 for fixing the rotary joint 6. The second limit block 403 abuts against the end of the rotary joint 6. The second limit block 403 is provided with a connection through hole 4031 connected with the connection hole 401. The straight pipe section 3021 can be inserted into the connection hole 401 through the connection through hole 4031, that is, the instrument connector 3 can be connected to the connection hole 401 after passing through the connection through hole 4031, so that the instrument channel 300 can be connected with the connection channel 400. The rotary joint 6 is well fixed by the first limit block 402 and the second limit block 403.
同时连接孔401的开口大于连接通道400的开口,使得直管段3021更容易插入连接孔401内,实现连接通道400与器械通道300的连通。At the same time, the opening of the connecting hole 401 is larger than the opening of the connecting channel 400 , so that the straight tube section 3021 is easier to insert into the connecting hole 401 , thereby achieving communication between the connecting channel 400 and the instrument channel 300 .
参阅图6a与图6b,在一个实施例中,手柄1内设有旋转凹槽101,拨轮4上设置有与旋转凹槽101配合的旋转凸起404。Referring to FIG. 6 a and FIG. 6 b , in one embodiment, a rotation groove 101 is provided in the handle 1 , and a rotation protrusion 404 cooperating with the rotation groove 101 is provided on the dial 4 .
通过旋转凸起404与旋转凹槽101配合后能够相对旋转,从而实现拨轮4与手柄1之间的转动连接,进而实现鞘管2能够相对于手柄1旋转。The rotation protrusion 404 and the rotation groove 101 can rotate relative to each other after being matched, so as to realize the rotation connection between the dial wheel 4 and the handle 1, and further realize the sheath tube 2 can rotate relative to the handle 1.
参阅图6a与图6c,在一个实施例中,拨轮4外还开设有限位凹槽405,手柄1设有限位凸起102,限位凹槽405内还设置有弹性阻尼件7,第一壳体103位于限位凹槽405内并挤压弹性阻尼件7。6 a and 6 c , in one embodiment, a limiting groove 405 is further provided outside the dial wheel 4 , a limiting protrusion 102 is provided on the handle 1 , an elastic damping member 7 is further provided in the limiting groove 405 , and the first shell 103 is located in the limiting groove 405 and squeezes the elastic damping member 7 .
通过设置限位凸起102与限位凹槽405配合,避免拨轮4沿其轴线方向窜动。而由于设置了弹性阻尼件7,限位凸起102在挤压弹性阻尼件7后,弹性阻尼件7能为限位凸起102以及限位凹槽405之间提供一个反向的弹性力,以增大拨轮4旋转的阻力,为拨轮4提供阻尼,避免出现误操作的现象。应理解的是,弹性阻尼件7可以为O型橡胶圈、塑料或金属弹片。By setting the limiting protrusion 102 to cooperate with the limiting groove 405, the dial wheel 4 is prevented from moving along its axis. Since the elastic damping member 7 is provided, after the limiting protrusion 102 squeezes the elastic damping member 7, the elastic damping member 7 can provide a reverse elastic force between the limiting protrusion 102 and the limiting groove 405 to increase the resistance to the rotation of the dial wheel 4, provide damping for the dial wheel 4, and avoid the phenomenon of misoperation. It should be understood that the elastic damping member 7 can be an O-shaped rubber ring, a plastic or metal spring.
参阅图3,为便于加工,将手柄1由第一壳体103和第二壳体104拼合形成。Referring to FIG. 3 , for the convenience of processing, the handle 1 is formed by combining a first shell 103 and a second shell 104 .
参阅图1以及图3,在一个实施例中,手柄1上设置有第一零点定位凸块105,拨轮4外在对应第一零点定位凸块105的位置设置有第二零点定位凸块406。Referring to FIG. 1 and FIG. 3 , in one embodiment, a first zero point positioning protrusion 105 is disposed on the handle 1 , and a second zero point positioning protrusion 406 is disposed outside the dial wheel 4 at a position corresponding to the first zero point positioning protrusion 105 .
通过设置第一零点定位凸块105和第二零点定位凸块406,当第一零点定位凸块105与第二零点定位凸块406对齐时,可直观地观察拨轮4回转到初始的零位位置,方便复位对齐。By providing the first zero point positioning protrusion 105 and the second zero point positioning protrusion 406, when the first zero point positioning protrusion 105 is aligned with the second zero point positioning protrusion 406, it is possible to visually observe that the thumbwheel 4 rotates to the initial zero position, which facilitates reset and alignment.
参阅图5,在一个实施例中,手柄1内设有零点凹槽106,拨轮4上固定有能够与零点凹槽106配合的弹性凸起407。Referring to FIG. 5 , in one embodiment, a zero point groove 106 is provided in the handle 1 , and an elastic protrusion 407 capable of cooperating with the zero point groove 106 is fixed on the dial wheel 4 .
通过拨轮4旋转时,可带动弹性凸起407随其旋转,当弹性凸起407与零点凹槽106配合时,则拨轮4回到起始的零点位置,且弹性凸起407与零点凹槽106配合后,还能起到一定的定位固定的作用,避免拨轮4出现误转的现象。When the dial wheel 4 rotates, the elastic protrusion 407 can be driven to rotate with it. When the elastic protrusion 407 cooperates with the zero point groove 106, the dial wheel 4 returns to the initial zero point position. After the elastic protrusion 407 cooperates with the zero point groove 106, it can also play a certain positioning and fixing role to avoid the dial wheel 4 from rotating accidentally.
此外,在回归零位的过程中,弹性凸起407与零点凹槽106配合时可明显增大阻力,操作人员可据此感知拨轮4已回归零位。In addition, during the process of returning to the zero position, the elastic protrusion 407 can significantly increase the resistance when cooperating with the zero point groove 106, so that the operator can sense that the dial wheel 4 has returned to the zero position.
参阅图5,在一个实施例中,弹性凸起407设置于弹性簧片8上,手柄1内还设置有弧形的过渡结构107,过渡结构107在零点凹槽106的圆周方向的两侧分别设置一个。Referring to FIG. 5 , in one embodiment, the elastic protrusion 407 is disposed on the elastic spring sheet 8 , and an arc-shaped transition structure 107 is further disposed in the handle 1 . The transition structure 107 is disposed on both sides of the zero-point groove 106 in the circumferential direction.
当弹性凸起407随拨轮4旋转沿过渡结构107朝零点凹槽106移动时,过渡结构107能够逐步压缩弹性簧片8。让弹性簧片8可以顺利地穿过过渡结构107到达零点凹槽106。When the elastic protrusion 407 moves along the transition structure 107 toward the zero point groove 106 as the dial wheel 4 rotates, the transition structure 107 can gradually compress the elastic spring 8, so that the elastic spring 8 can smoothly pass through the transition structure 107 to reach the zero point groove 106.
在弹性凸起407与零点凹槽106卡接的过程中,过渡结构107能够起到引导的作用,当弹性凸起407沿过渡结构107朝零点凹槽106移动的过程中,弹性簧片8将逐渐受压而发生弹性变形,直到弹性凸起407经过过渡结构107而与零点凹槽106卡接,弹性凸起407与零点凹槽106卡接时,弹性凸起407复位并产生声音或振感,操作人员可据此感知拨轮4已回归零位。During the process of the elastic protrusion 407 being engaged with the zero point groove 106, the transition structure 107 can play a guiding role. When the elastic protrusion 407 moves along the transition structure 107 toward the zero point groove 106, the elastic reed 8 will gradually be compressed and elastically deformed until the elastic protrusion 407 passes through the transition structure 107 and is engaged with the zero point groove 106. When the elastic protrusion 407 is engaged with the zero point groove 106, the elastic protrusion 407 is reset and produces a sound or vibration, so that the operator can sense that the dial 4 has returned to the zero position.
当对拨轮4施加较大的作用力时,可使弹性凸起407从零点凹槽106脱离,进而能够使得拨轮4相对于手柄1旋转。When a large force is applied to the thumbwheel 4 , the elastic protrusion 407 can be disengaged from the zero-point groove 106 , thereby enabling the thumbwheel 4 to rotate relative to the handle 1 .
一个实施例中,零点凹槽106呈V字形,弹性凸起407对应零点凹槽106的形状设置。In one embodiment, the zero-point groove 106 is V-shaped, and the elastic protrusion 407 is arranged to correspond to the shape of the zero-point groove 106 .
参阅图4与图6a,在一个实施例中,鞘管2包括可控蛇骨段203以及被动弯曲段204,被动弯曲段204位于可控蛇骨段203与拨轮4之间,内部通道200穿过被动弯曲段204到达可控蛇骨段203。4 and 6 a , in one embodiment, the sheath 2 includes a controllable snake segment 203 and a passive bending segment 204 , the passive bending segment 204 is located between the controllable snake segment 203 and the thumbwheel 4 , and the internal channel 200 passes through the passive bending segment 204 to reach the controllable snake segment 203 .
而内窥镜结构还包括用于控制可控蛇骨段203弯曲的第一牵引线10以及第二牵引线11。需要说明的是,由于可控蛇骨段203通过被动弯曲段204与拨轮4连接,所以当第一牵引线10、第二牵引线11带动可控蛇骨段203弯曲时,受外力作用被动弯曲段204也会随之弯曲。The endoscope structure also includes a first traction line 10 and a second traction line 11 for controlling the bending of the controllable snake segment 203. It should be noted that since the controllable snake segment 203 is connected to the dial wheel 4 through the passive bending segment 204, when the first traction line 10 and the second traction line 11 drive the controllable snake segment 203 to bend, the passive bending segment 204 will also bend accordingly under the action of external force.
进一步地,内窥镜结构还包括控制件9,第一牵引线10的一端与控制件9连接,第一牵引线10的另一端与可控蛇骨段203连接,第二牵引线11的一端与控制件9连接,第二牵引线11的另一端与可控蛇骨段203连接,控制件9用于调整第一牵引线10以及第二牵引线11的松紧以控制可控蛇骨段203弯曲。Furthermore, the endoscope structure also includes a control member 9, one end of the first traction line 10 is connected to the control member 9, the other end of the first traction line 10 is connected to the controllable serpentine segment 203, one end of the second traction line 11 is connected to the control member 9, the other end of the second traction line 11 is connected to the control member 9, and the control member 9 is used to adjust the tightness of the first traction line 10 and the second traction line 11 to control the bending of the controllable serpentine segment 203.
参阅图2与图4,在一个实施例中,鞘管2包括内管201以及外管202,外管202套设在内管201外,该可控蛇骨段203位于外管202位于远离手柄1的一端,被动弯曲段204位于外管202靠近手柄1的一端。外管202与拨轮4固定,且内管201与拨轮4内的连接通道400连通。具体而言,内部通道200形成于内管201内。Referring to FIG. 2 and FIG. 4 , in one embodiment, the sheath tube 2 includes an inner tube 201 and an outer tube 202, the outer tube 202 is sleeved outside the inner tube 201, the controllable snake bone section 203 is located at the end of the outer tube 202 away from the handle 1, and the passive bending section 204 is located at the end of the outer tube 202 close to the handle 1. The outer tube 202 is fixed to the thumbwheel 4, and the inner tube 201 is connected to the connecting channel 400 in the thumbwheel 4. Specifically, the internal channel 200 is formed in the inner tube 201.
而在另一些实施方式中,被动弯曲段204的内部通孔为内部通道200的一部分,即内部通道200不仅用于供医疗器械穿入,还能用于供第一牵引线10与第二牵引线11穿过。In other embodiments, the internal through hole of the passive bending section 204 is a part of the internal channel 200 , that is, the internal channel 200 is not only used for the insertion of medical devices, but also for the passage of the first traction line 10 and the second traction line 11 .
可选的,如图2所示,外管202固定有两个限位件13,两个限位件13分别用于限制第一牵引线10与第二牵引线11的活动位置,限位件13上开设有过线槽1301,第一牵引线10和第二牵引线11分别穿过对应的限位件13的过线槽1301。限位件13的作用在于限制第一牵引线10与第二牵引线11的活动以保护第一牵引线10与第二牵引线11。限位件13可以避免第一牵引线10与第二牵引线11大幅度活动而脱离原有位置,以避免第一牵引线10与第二牵引线11无法牵引可控蛇骨段203弯曲或者遭受损伤。Optionally, as shown in FIG2 , the outer tube 202 is fixed with two stoppers 13, and the two stoppers 13 are used to limit the movable positions of the first traction line 10 and the second traction line 11, respectively. The stoppers 13 are provided with wire grooves 1301, and the first traction line 10 and the second traction line 11 respectively pass through the wire grooves 1301 of the corresponding stoppers 13. The function of the stoppers 13 is to limit the movement of the first traction line 10 and the second traction line 11 to protect the first traction line 10 and the second traction line 11. The stoppers 13 can prevent the first traction line 10 and the second traction line 11 from moving significantly and leaving their original positions, so as to prevent the first traction line 10 and the second traction line 11 from being unable to pull the controllable snake bone segment 203 to bend or be damaged.
在一个实施例中,控制件9采用转盘,第一牵引线10的一端与转盘连接,另一端穿过拨轮4后与可控蛇骨段203连接,第二牵引线11的一端与转盘连接,另一端穿过拨轮4后与可控蛇骨段203连接,第一牵引线10与第二牵引线11相对地设置在可控蛇骨段203的两侧。In one embodiment, the control member 9 adopts a turntable, one end of the first traction line 10 is connected to the turntable, and the other end is connected to the controllable snake bone segment 203 after passing through the dial wheel 4, one end of the second traction line 11 is connected to the turntable, and the other end is connected to the controllable snake bone segment 203 after passing through the dial wheel 4, and the first traction line 10 and the second traction line 11 are relatively arranged on both sides of the controllable snake bone segment 203.
通过旋转转盘,可带动拉伸第一牵引线10、收缩第二牵引线11或者拉伸第二牵引线11、收缩第二牵引线11,从而调节可控蛇骨段203的弯曲方向。By rotating the turntable, the first traction line 10 can be stretched and the second traction line 11 can be contracted, or the second traction line 11 can be stretched and the second traction line 11 can be contracted, so as to adjust the bending direction of the controllable snake bone segment 203.
在其他实施例中,控制件9还可以采用现有技术中其他的能够牵引第一牵引线10和第二牵引线11的结构代替。In other embodiments, the control member 9 may also be replaced by other structures in the prior art that are capable of pulling the first pulling line 10 and the second pulling line 11 .
第一牵引线10和第二牵引线11与可控蛇骨段203远端的一个位置固定连接。需要说明的是:上述固定连接包含但不限于激光焊接、电焊、锡焊、胶水粘接,或者通过其他零件间接固定连接。The first traction line 10 and the second traction line 11 are fixedly connected to a position at the distal end of the controllable snake segment 203. It should be noted that the above fixed connection includes but is not limited to laser welding, electric welding, soldering, glue bonding, or indirect fixed connection through other parts.
综上,本发明的内窥镜结构能通过旋转拨轮4来补偿手腕旋转的角度,起到旋转鞘管2远端方向的目的,还避免鞘管2发生扭转变形,此外,设置零位指示,便于旋转摆轮回位。In summary, the endoscope structure of the present invention can compensate for the angle of wrist rotation by rotating the dial wheel 4, thereby achieving the purpose of rotating the sheath 2 in the distal direction and avoiding torsional deformation of the sheath 2. In addition, a zero position indication is provided to facilitate the return of the rotating balance wheel.
本发明方案所公开的技术手段不仅限于上述实施方式所公开的技术手段,还包括由以上技术特征任意组合所组成的技术方案。应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也视为本发明的保护范围。The technical means disclosed in the scheme of the present invention are not limited to the technical means disclosed in the above-mentioned implementation mode, but also include technical schemes composed of any combination of the above-mentioned technical features. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principle of the present invention, and these improvements and modifications are also regarded as the protection scope of the present invention.
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CN202211616859.6A CN118203286A (en) | 2022-12-15 | 2022-12-15 | Endoscope structure |
PCT/CN2023/139071 WO2024125630A1 (en) | 2022-12-15 | 2023-12-15 | Endoscope structure |
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