CN202505312U - Multi-purpose endoscope - Google Patents
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Abstract
本实用新型涉及一种医疗器械。一种多用途内窥镜,包括镜管,镜管连接有主体,主体上设有导光束插入口和观察系统,在所述的镜管外套接有镜鞘,镜鞘包括鞘体和鞘管,在鞘体上设有进水口,进水口镜管内的注水通道相连,在鞘体上设有水流调节阀,在镜管内设有与注水通道平行的器械通道和光学通道,其中器械通道的另一端穿过主体与主体上的器械进口和出水口连接。本实用新型提供了手术过程中水循环是自动的,能够配合多种碎石系统进行使用,安全性好,能有效减轻病人痛苦的多用途内窥镜;解决了现有技术中存在的碎石过程中,水循环不方便,不能有效减轻病人痛苦,适配性不好的技术问题。
The utility model relates to a medical appliance. A multi-purpose endoscope, comprising a mirror tube, the mirror tube is connected with a main body, the main body is provided with a light guide insertion port and an observation system, and a mirror sheath is connected outside the mirror tube, and the mirror sheath includes a sheath body and a sheath tube , a water inlet is provided on the sheath, and the water injection channel in the mirror tube of the water inlet is connected. One end passes through the main body and is connected with the instrument inlet and water outlet on the main body. The utility model provides a multi-purpose endoscope with automatic water circulation in the operation process, which can be used in conjunction with various lithotripsy systems, has good safety, and can effectively relieve patients'pain; it solves the problem of the lithotripsy process in the prior art Among them, the water circulation is inconvenient, the patient's pain cannot be effectively relieved, and the technical problems of poor adaptability.
Description
技术领域 technical field
本实用新型涉及一种医疗器械,尤其涉及一种多用途内窥镜。 The utility model relates to a medical device, in particular to a multipurpose endoscope.
背景技术 Background technique
随着医疗技术的快速发展,内窥镜在医疗领域的应用也越来越广泛。内窥镜一般包括镜体、光学镜头组件、观察窗口等部件。在现有的文献中,公开的关于内窥镜的文件很多,如中国专利:“手持式数码显示内窥镜(CN201740919U)”,它包括图像感应器镜管、图像感应器镜管外轴承、液晶显示屏转轴、壳体部分、液晶显示屏、转轴连接头、连接器、转角镜,其特征在于:它还包括手轮转轴、套设于手轮转轴外的限位转动装置、位于手轮转轴尾部的手轮,所述的手轮转轴通过连接器与图像感应器镜管同轴连接,在手轮转轴的中间位置处设有限位转动装置,手轮、手轮转轴、限位转动装置位于壳体内。内窥镜的应用很广,在人体内的输尿管、肾、胆囊和膀胱出现结石,可以通过内窥镜的帮助,将体内的这些结石击碎,以至溶解,从而消除人体的病痛。如现在的专利文件中公开的一种碎石装置,如授权公告号为:“膀胱结石腔内碎石操作器(CN201542686U)”,它包括后端固定有内窥镜连接座,内窥镜连接座的前部固定有电切镜外鞘连接座的内窥镜插管,内窥镜插管上固定有操作手柄,操作手柄前部设有固定在内窥镜插管的外壁上的碎石探针直导管,碎石探针直导管的后端与设在操作手柄上后端斜向伸出的碎石探针弧形导管的前端想连通。但是这种结构水循环效果不好,而且只能适用一种碎石方式,容易造成患者的痛苦。 With the rapid development of medical technology, the application of endoscopes in the medical field is becoming more and more extensive. An endoscope generally includes components such as a mirror body, an optical lens assembly, and an observation window. In the existing literature, there are many open documents about endoscopes, such as the Chinese patent: "Handheld Digital Display Endoscope (CN201740919U)", which includes an image sensor mirror tube, an image sensor mirror tube outer bearing, The rotating shaft of the liquid crystal display, the shell part, the liquid crystal display, the joint of the rotating shaft, the connector, and the corner mirror are characterized in that: it also includes a rotating shaft of the hand wheel, a limit rotation device sleeved outside the rotating shaft of the hand wheel, and a The hand wheel at the tail of the rotating shaft. The rotating shaft of the hand wheel is coaxially connected with the mirror tube of the image sensor through a connector, and a limit rotating device is provided at the middle position of the rotating shaft of the hand wheel. The hand wheel, the rotating shaft of the hand wheel, and the limiting rotating device located inside the housing. Endoscopes are widely used. Stones appear in the ureter, kidney, gallbladder and bladder in the human body. With the help of the endoscope, these stones in the body can be crushed and even dissolved, thereby eliminating the pain of the human body. For example, a lithotripsy device disclosed in the current patent document, such as the authorized announcement number: "Bladder calculus intracavitary lithotripsy manipulator (CN201542686U)", it includes an endoscope connection seat fixed at the rear end, and the endoscope connection The endoscopic intubation tube of the resectoscope outer sheath connection seat is fixed on the front part of the seat, the operating handle is fixed on the endoscopic intubation tube, and the gravel is fixed on the outer wall of the endoscopic intubation tube at the front of the operating handle. Probe straight conduit, the rear end of the gravel probe straight conduit is connected with the front end of the gravel probe arc conduit that is located at the rear end on the operating handle and protrudes obliquely. However, the water circulation effect of this structure is not good, and only one kind of stone crushing method can be applied, which is easy to cause the pain of the patient.
发明内容 Contents of the invention
本实用新型提供了手术过程中水循环是自动的,能够配合多种碎石系统进行使用,安全性好,能有效减轻病人痛苦的多用途内窥镜;解决了现有技术中存在的碎石过程中,水循环不方便,不能有效减轻病人痛苦,适配性不好的技术问题。 The utility model provides a multi-purpose endoscope with automatic water circulation in the operation process, which can be used in conjunction with various lithotripsy systems, has good safety, and can effectively relieve patients' pain; it solves the problem of the lithotripsy process in the prior art Among them, the water circulation is inconvenient, the pain of the patient cannot be effectively relieved, and the technical problems of poor adaptability.
本实用新型的上述技术问题是通过下述技术方案解决的:一种多用途内窥镜,包括镜管,镜管连接有主体,主体上设有导光束插入口和观察系统,其特征在于:在所述的镜管外套接有镜鞘,镜鞘包括鞘体和鞘管,在鞘体上设有进水口,进水口镜管内的注水通道相连,在鞘体上设有水流调节阀,在镜管内设有与注水通道平行的器械通道和光学通道,其中器械通道的另一端穿过主体与主体上的器械进口和出水口连接。内窥镜可以连接不同的碎石系统,如弹道碎石,激光碎石或者超声碎石系统,在鞘体上通过水流调节阀来控制水流大小,方便对不同要求的碎石系统进行水流控制,注水通道与器械通道形成水流回路,可以方便碎石的流出,增加手术的安全性,减少手术的并发症,而且由鞘管形成两个通道,可以方便水循环和器械进出。 The above-mentioned technical problems of the utility model are solved by the following technical solutions: a multipurpose endoscope, comprising a mirror tube, the mirror tube is connected with a main body, the main body is provided with a light guide insertion port and an observation system, and is characterized in that: A mirror sheath is connected outside the mirror tube. The mirror sheath includes a sheath body and a sheath tube. A water inlet is provided on the sheath body. The water injection channel in the mirror tube of the water inlet port is connected. An instrument channel and an optical channel parallel to the water injection channel are arranged in the mirror tube, wherein the other end of the instrument channel passes through the main body and is connected with the instrument inlet and water outlet on the main body. The endoscope can be connected to different lithotripsy systems, such as ballistic lithotripsy, laser lithotripsy or ultrasonic lithotripsy, and the water flow is controlled by a water flow regulating valve on the sheath, which is convenient for water flow control of different lithotripsy systems. The water injection channel and the instrument channel form a water flow circuit, which can facilitate the outflow of gravel, increase the safety of the operation, and reduce the complications of the operation. Moreover, two channels are formed by the sheath tube, which can facilitate the water circulation and the entry and exit of the instrument.
作为优选,所述器械进口和出水口位于同一水平面内,所述的器械进口与主体的中心线重合,所述的出水口与主体之间设有夹角,出水口与主体相接处采用圆弧过渡连接,器械进口与出水口之间的夹角为锐角。器械进口和出水口都位于主体的同一端,且两个开口位于同一水平面内,方便与器械通道的连接,同时方便开口的布置,不影响手术的操作。器械通道穿过主体一分为二,同时连接器械进口和出水口,出水口与主体圆弧过渡,方便将碎石更顺畅的吸出,提高手术的可靠性。 Preferably, the inlet and outlet of the instrument are located in the same horizontal plane, the inlet of the instrument coincides with the center line of the main body, an included angle is set between the outlet and the main body, and a circle is used at the joint between the outlet and the main body. Arc transition connection, the angle between the instrument inlet and the water outlet is an acute angle. Both the instrument inlet and the water outlet are located at the same end of the main body, and the two openings are located in the same horizontal plane, which facilitates the connection with the instrument channel and facilitates the arrangement of the openings without affecting the operation of the operation. The instrument channel passes through the main body and is divided into two parts, connecting the instrument inlet and water outlet at the same time. The water outlet and the main body have a circular arc transition, which facilitates the smooth suction of gravel and improves the reliability of the operation.
作为优选,所述的水流调节阀包括位于鞘体外的旋转钮,旋转钮连接有锥形柱塞,在柱塞的中心开设有进水孔,进水孔与镜管内的注水通道相连,在柱塞的外圆周表面开设有水流调节槽,水流调节槽与鞘体上进水孔相连。通过调整旋转钮来使得锥形柱塞绕轴线选择,从而使得水流调整槽的不同宽度的位置与注水通道连通,实现调整水流大小的效果。 Preferably, the water flow regulating valve includes a rotary knob located outside the sheath, the rotary knob is connected with a tapered plunger, and a water inlet hole is opened in the center of the plunger, and the water inlet hole is connected with the water injection channel in the mirror tube. The outer peripheral surface of the plug is provided with a water flow regulating groove, and the water flow regulating groove is connected with the water inlet hole on the sheath body. The tapered plunger is selected around the axis by adjusting the rotary knob, so that the positions of different widths of the water flow adjustment groove are communicated with the water injection channel, and the effect of adjusting the size of the water flow is realized.
作为优选,所述的镜体内的光学系统通道的两侧各设有一个与光学通道平行的进液通道,所述的光学系统的中心与两个进液通道的中心的连线形成等腰三角形。对称布置的进液通道方便与外部的进水口相接,同时三个通道的中心呈等腰三角形,节省空间的同时,镜管内的三个通道布置也更为合理。镜管的上下表面为圆弧面,形成月牙形状。 As a preference, a liquid inlet channel parallel to the optical channel is provided on both sides of the optical system channel in the mirror body, and the line connecting the center of the optical system and the centers of the two liquid inlet channels forms an isosceles triangle . The symmetrically arranged liquid inlet channels are convenient to connect with the external water inlet. At the same time, the centers of the three channels are in an isosceles triangle shape, which saves space and the arrangement of the three channels in the mirror tube is also more reasonable. The upper and lower surfaces of the mirror tube are arc surfaces, forming a crescent shape. the
作为更优选,所述的等腰三角形的底角为20°~40°。保证两侧的进液通道方便的与鞘管上的进水口连通,同时进液通道位于光学系统通道下方,光学系统位于中心方便观察结石,进行碎石,两边的进液通道的进水能方便的冲洗碎石。 More preferably, the base angle of the isosceles triangle is 20°-40°. Ensure that the liquid inlet channels on both sides are conveniently connected to the water inlet on the sheath tube. At the same time, the liquid inlet channels are located under the channel of the optical system. The optical system is located in the center to facilitate observation of stones and crush stones. wash gravel.
作为优选,所述的镜体与鞘体相接处套接有鞘锁。采用鞘锁的固定方式,结构简单,装拆方便。 Preferably, a sheath lock is sleeved at the junction of the mirror body and the sheath body. The fixing method of the sheath lock is adopted, the structure is simple, and the assembly and disassembly are convenient.
作为优选,所述的观察系统包括位于主体上的观察管,观察管倾斜的设置在主体上,在观察管上设有眼罩。眼罩上可以连接摄像系统,将内窥镜观察的物象在显示器上呈现,方便观察和诊断治疗。 Preferably, the observation system includes an observation tube located on the main body, the observation tube is arranged obliquely on the main body, and an eye mask is arranged on the observation tube. The eye mask can be connected with a camera system, and the object image observed by the endoscope can be presented on the monitor, which is convenient for observation, diagnosis and treatment.
因此,本实用新型的多用途内窥镜具备下述优点:内窥镜可以配合不同的碎石系统进行使用,功能多,适配性强,将鞘管分为内窥镜的镜管通道和碎石器械进出的器械通道,分为两个通道,在节省空间的同时保证器械通道最大,碎石和内窥镜互不干涉,减轻患者痛苦;内窥镜的镜管通道内的进液通道与进水口相连,器械通道与出水口相连,形成自动水循环通道,碎石冲洗方便,减少并发症。 Therefore, the multipurpose endoscope of the present utility model has the following advantages: the endoscope can be used in conjunction with different lithotripsy systems, has many functions and strong adaptability, and the sheath tube is divided into the mirror tube channel of the endoscope and the The instrument channel for the entry and exit of lithotripsy instruments is divided into two channels, which ensures the largest instrument channel while saving space. The lithotripsy and endoscope do not interfere with each other, reducing the pain of patients; It is connected to the water inlet, and the instrument channel is connected to the water outlet to form an automatic water circulation channel, which is convenient for washing gravel and reduces complications. the
附图说明 Description of drawings
图1是本实用新型的多用途内窥镜的示意图。 Fig. 1 is the schematic diagram of multipurpose endoscope of the present utility model.
图2是图1内的镜鞘的示意图。 FIG. 2 is a schematic diagram of the mirror sheath in FIG. 1 .
图3是图1内的内窥镜示意图。 Fig. 3 is a schematic diagram of the endoscope in Fig. 1 .
图4是图3的左视图。 Fig. 4 is a left side view of Fig. 3 .
图5是图4的A-A剖视图。 Fig. 5 is a sectional view taken along line A-A of Fig. 4 .
图6是水流调节阀处的放大示意图。 Fig. 6 is an enlarged schematic view of the water flow regulating valve.
具体实施方式 Detailed ways
下面通过实施例,并结合附图,对实用新型的技术方案作进一步具体的说明。 Below by embodiment, in conjunction with accompanying drawing, the technical scheme of utility model is described further in detail.
实施例: Example:
如图1所示,多用途内窥镜,包括内窥镜1和套接在内窥镜1上的镜鞘2。如图2所示,镜鞘2包括鞘体3和与鞘体3连接的鞘管4,在鞘体3上端焊接有进水口11,在鞘体3的侧面安装有水流调节阀13。如图3所示,内窥镜1包括主体5和与主体5的一端相连的镜管6,鞘体3套接在主体5上,鞘体与主体通过设置在主体5上的鞘锁10连接。鞘管4套接在镜管6外。在主体5的上端连接有观察管21和光束插入口9,观察管的端部连接有眼罩7。眼罩7倾斜的固定在镜体5上,眼罩与摄像系统相连接,使被观察物在显示器上显示。镜体5另一端的端部开设有器械进口8和出水口12,器械进口8和出水口12位于同一水平面内,器械进口8的中心线与主体5的中心线重合,出水口12位于器械进口8的左侧(如图4所示),出水口12与器械进口8的中心线夹角为锐角,出水口12与主体5通过圆弧过渡连接。如图4所示,镜管6内有三个相互平行的通道,包括位于中心的光学系统通道17,在光学通道17的两侧对称的布置有注水通道18,注水通道18通过鞘体3上的水流调节阀13与鞘体3上的进水口11相连。光学通道17与两个注水通道18的中心构成等腰三角形,等腰三角形的底角为35°。在光学通道的下方为器械通道19,光学通道17、器械通道19和注水通道18的中心线相互平行。
As shown in FIG. 1 , the multipurpose endoscope includes an
如图5所示,器械通道穿过主体,然后一分为二,其中一个直通到主体外延伸为器械进口8,另一个向一侧倾斜延伸为出水口12。
As shown in FIG. 5 , the instrument passage passes through the main body, and then is divided into two parts, one of which extends straight to the outside of the main body and is an
如图6所示,水流调节阀13包括位于鞘体3外的旋转钮14,旋转钮14连接有锥形柱塞15,在柱塞15的中心开有进水孔16,进水孔16与镜管内的注水通道18相连,在柱塞15的外圆周表面开设有水流调节槽20,水流调节槽20与鞘体上的进水口11相连。
As shown in Figure 6, the water
使用时,把内窥镜放入镜鞘内,然后把镜鞘经皮进入肾脏内,使肾脏内碎石在可视状态下进行。内窥镜的光束插入口接导光束,光源通过导光束与内窥镜相连接,使光源发出的光通过内窥镜导引照射到被观察物,通过内窥镜的光学系统对被观察物成像,通过内窥镜的眼罩与摄像系统相连接,使被观察物在监视器上显示。内窥镜的镜管与镜鞘的鞘管形成的器械通道可通过内窥镜的器械进口置入的碎石系统。当在监视器上看到结石时,就可用碎石系统进行碎石。当内窥镜与镜鞘在工作时,镜鞘上的进水口接水源,出水口进负压吸引器,操作的整个过程中始终有水在循环工作。根据手术的情况,用手指拨动鞘体上的旋钮,可以对水循环进行控制,将水流减小或停止。 When in use, put the endoscope into the mirror sheath, and then insert the mirror sheath into the kidney percutaneously, so that the stone crushing in the kidney can be carried out in a visible state. The light beam insertion port of the endoscope is connected to the light guide, and the light source is connected to the endoscope through the light guide, so that the light emitted by the light source is guided by the endoscope to irradiate the object to be observed, and the object to be observed is irradiated by the optical system of the endoscope. For imaging, the eyecup of the endoscope is connected with the camera system, so that the observed object is displayed on the monitor. The instrument channel formed by the mirror tube of the endoscope and the sheath tube of the mirror sheath can be inserted into the lithotripsy system through the instrument inlet of the endoscope. When stones are seen on the monitor, they can be crushed with the lithotripsy system. When the endoscope and the mirror sheath are working, the water inlet on the mirror sheath is connected to the water source, and the water outlet is fed into the negative pressure suction device, and there is always water circulating in the whole process of operation. According to the operation situation, the water circulation can be controlled by turning the knob on the sheath body with fingers, and the water flow can be reduced or stopped.
Claims (9)
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