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CN203417182U - Multifunction alimentary-canal endoscopic-surgery medical equipment - Google Patents

Multifunction alimentary-canal endoscopic-surgery medical equipment Download PDF

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CN203417182U
CN203417182U CN201320353795.5U CN201320353795U CN203417182U CN 203417182 U CN203417182 U CN 203417182U CN 201320353795 U CN201320353795 U CN 201320353795U CN 203417182 U CN203417182 U CN 203417182U
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endoscopic
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熊大曦
杨西斌
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Suzhou Institute of Biomedical Engineering and Technology of CAS
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Abstract

The utility model discloses multifunction alimentary-canal endoscopic-surgery medical equipment. The multifunction alimentary-canal endoscopic-surgery medical equipment comprises an endoscope body and an endoscope probe, the endoscope body is provided with a catheter, air outlet valves, a light source port, an observation mirror, air inlet valves and countercurrent revisiting caps, the endoscope body is connected with the endoscope probe through the catheter, and the light source port is connected with a narrow-band multispectral LED light source. The narrow-band multispectral LED light source emits exciting light and white light to a light-homogenizing coupling module, the exciting light and the white light are transmitted to tissue to be detected, reflected light and fluorescent light which are emitted by the tissue to be detected are transmitted to a signal extraction portion, the signal extraction portion transmits extracted signal light to a signal noise-removal portion, and the signal noise-removal portion transmits noise-removed signal light to a white-light image generating portion, a narrow-band image generating portion and a fluorescent-light image generating portion. When used for conducting an alimentary-canal operation, the multifunction alimentary-canal endoscopic-surgery medical equipment can provide clear affected-part images which can be freely switched over before high-resolution white-light images, narrow-band images and fluorescent-light images.

Description

一种多功能消化道内窥手术医疗器械A multifunctional medical device for digestive tract endoscopic surgery

技术领域 technical field

本实用新型涉及一种微创手术医疗器械,具体涉及的是一种多功能消化道内窥手术医疗器械。  The utility model relates to a minimally invasive surgical medical instrument, in particular to a multifunctional digestive tract endoscopic surgical medical instrument. the

背景技术 Background technique

内窥镜是一种通常可插入到人体自然腔道,如胃肠管道、呼吸管道和泌尿管道内,辅助医生进行疾病诊断与治疗的手术设备,是现代医学中医生的“眼睛”。目前,内窥镜已被越来越多地用于内窥镜手术中,国外文献中被广泛称为“NOTES”( 经自然腔道内窥镜手术,Nature Orifice Translumenal Endoscopic Surgery),与传统手术相比,存在如下优点:(1)对病人体内环境干扰最小;(2)不需住院或只需极短时间的住院;(3)创伤小,一般只需在关键部位开3个孔即可。  Endoscope is a kind of surgical equipment that can usually be inserted into the natural cavity of the human body, such as gastrointestinal tract, respiratory tract and urinary tract, to assist doctors in the diagnosis and treatment of diseases. It is the "eye" of doctors in modern medicine. At present, endoscope has been used more and more in endoscopic surgery, and it is widely called "NOTES" (Nature Orifice Translumenal Endoscopic Surgery) in foreign literatures. Compared with other methods, it has the following advantages: (1) Minimal interference to the internal environment of the patient; (2) No need for hospitalization or only a very short period of hospitalization; (3) Small trauma, generally only need to open 3 holes in key parts. the

目前,以腹腔镜内窥手术为代表的微创手术已经比较成熟,如胆囊切除等已经在国外较为普遍。  At present, minimally invasive surgery represented by laparoscopic endoscopic surgery is relatively mature, such as cholecystectomy, which is more common in foreign countries. the

北美专利US 5,797,835 描述了一种用于在内窥镜和内窥镜手术中使用的手术装置,该手术装置通过病人身体内的外部切口,在两个不同的入口点进行内窥手术操作。手术操作灵活,但是成像方式为白光成像,内窥镜狭小的视野和二维成像能力限制了医生的精确判断能力。  North American Patent US 5,797,835 describes a surgical device for use in endoscopic and endoscopic surgery through external incisions in the patient's body to perform endoscopic surgical procedures at two distinct points of entry. The operation is flexible, but the imaging method is white light imaging, and the narrow field of view and two-dimensional imaging capability of the endoscope limit the doctor's ability to make accurate judgments. the

中国专利201180008583.7公布了一种荧光内窥镜装置,通过对生物体组织照射激励光并根据从上述生物体组织产生的荧光来观察生物体组织的病变部,与单纯的白光成像相比,具有较强的病变组织分辨能力,但是不能集成目前先进的窄带光成像技术,不具备复合光成像能力。  Chinese patent 201180008583.7 discloses a fluorescent endoscope device, which observes the lesion of the biological tissue by irradiating excitation light to the biological tissue and observing the lesion of the biological tissue according to the fluorescence generated from the above-mentioned biological tissue. Strong ability to distinguish diseased tissue, but it cannot integrate the current advanced narrow-band optical imaging technology, and does not have the ability to compound optical imaging. the

实用新型内容 Utility model content

本实用新型的目的在于克服现有技术存在的以上问题,提供一种多功能消化道内窥手术医疗器械,该内窥手术医疗器械集成高分辨率白光成像、窄带成像和荧光成像三种成像模式,改变了传统内窥设备成像模式单一,对患病组织成像特异性不高的问题。  The purpose of this utility model is to overcome the above problems existing in the prior art, and to provide a multifunctional digestive tract endoscopic surgery medical device, which integrates three imaging modes of high-resolution white light imaging, narrow-band imaging and fluorescence imaging, It has changed the problem of single imaging mode of traditional endoscopic equipment and low specificity of diseased tissue imaging. the

为实现上述技术目的,达到上述技术效果,本实用新型通过以下技术方案实现:  In order to achieve the above-mentioned technical purpose and achieve the above-mentioned technical effect, the utility model is realized through the following technical solutions:

    一种多功能消化道内窥手术医疗器械,内窥镜体和内窥探头,所述内窥镜体上依次设置导管、出气阀门、光源接口、观察镜、进气阀门和抗逆流帽,所述内窥镜体通过所述导管连接所述内窥探头,所述光源接口接入窄带多谱段LED光源,所述窄带多谱段LED光源发出激发光和白光至匀光耦合模块传输至待测组织,待测组织发射出反射光和荧光通过光纤传输到信号提取部,所述信号提取部将提取到得信号光传输至信号去噪部,所述信号去噪部将去噪后的信号光传输至白光图像生成部、窄带图像生成部和荧光图像生成部,所述白光图像生成部、窄带图像生成部和荧光图像生成部将生产的图像反馈到所述观察镜。 A multifunctional digestive tract endoscopic surgery medical instrument, an endoscope body and an endoscope probe, the endoscope body is sequentially provided with a catheter, an air outlet valve, a light source interface, an observation mirror, an air inlet valve and an anti-reflux cap. The endoscope body is connected to the endoscopic probe through the catheter, and the light source interface is connected to a narrow-band multi-spectral LED light source, and the narrow-band multi-spectral LED light source emits excitation light and white light to the uniform light coupling module and transmits it to the Tissue, the reflected light and fluorescence emitted by the tissue to be measured are transmitted to the signal extraction part through the optical fiber, and the signal extraction part transmits the extracted signal light to the signal denoising part, and the signal denoising part denoises the denoised signal light transmitted to the white light image generation unit, the narrowband image generation unit and the fluorescence image generation unit, which feed back the produced images to the observation mirror.

    进一步的,所述内窥探头包括成像探头、若干个预留通道和若干个手术钳,所述手术钳通过进气孔与所述进气阀门相通,所述进气阀门设置气体压力表,所述手术钳为机械手术钳、电凝钳、超声手术刀中的一种,所述内窥探头的头部端部为可弯曲的柔性结构,所述内窥探头的进气孔设置有气压感知元件。  Further, the endoscopic probe includes an imaging probe, several reserved channels and several surgical forceps, and the surgical forceps communicates with the air intake valve through the air intake hole, and the air intake valve is provided with a gas pressure gauge, so The surgical forceps are one of mechanical surgical forceps, electrocoagulation forceps, and ultrasonic scalpels. The head end of the endoscopic probe is a bendable flexible structure, and the air inlet of the endoscopic probe is provided with an air pressure sensor. element. the

    进一步的,所述白光图像生成部接收反射的宽谱白光信号后形成白光图像,所述窄带图像生成部接收窄带多谱段LED发出的窄带光形成窄带图像,所述荧光图像生成部接收激发光照射组织产生的荧光形成荧光图像。  Further, the white light image generation part receives the reflected wide-spectrum white light signal to form a white light image, the narrowband image generation part receives the narrowband light emitted by the narrowband multi-spectral LED to form a narrowband image, and the fluorescence image generation part receives the excitation light The fluorescence generated by the illuminated tissue forms a fluorescent image. the

进一步的,所述抗逆流帽内设置单向抗逆流瓣,所述单向抗逆流瓣为单层或双层结构。  Further, a unidirectional anti-reflux flap is provided in the anti-reflux cap, and the unidirectional anti-reflux flap has a single-layer or double-layer structure. the

本实用新型的有益效果是:  The beneficial effects of the utility model are:

(1)集成三种成像模式,可在高分辨率白光图像、窄带图像和荧光图像之间自由切换,保证医生根据患病组织特点,自由选择合适的成像方式,保证了内窥手术的精确性; (1) Integrates three imaging modes, which can be freely switched between high-resolution white light images, narrow-band images and fluorescence images, ensuring that doctors can freely choose appropriate imaging methods according to the characteristics of diseased tissues, ensuring the accuracy of endoscopic surgery ;

(2)导管的内窥探头设计,只需在人体开一个空洞,即可进行微创手术,减小了对人体创伤; (2) The endoscopic probe design of the catheter only needs to open a cavity in the human body to perform minimally invasive surgery, reducing the trauma to the human body;

(3)内窥探头及导管的柔性化设计,使用灵活,克服了传统腹腔镜手术采用硬镜不能弯曲对手术带来的不便。 (3) The flexible design of the endoscopic probe and catheter enables flexible use, which overcomes the inconvenience caused by the inability to bend hard mirrors in traditional laparoscopic surgery.

附图说明 Description of drawings

图1为本实用新型的结构图;  Fig. 1 is the structural diagram of the present utility model;

图2为本实用新型的原理图; Fig. 2 is a schematic diagram of the utility model;

图3为本实用新型的探头的结构图。 Fig. 3 is a structural diagram of the probe of the present invention.

图中标号说明:1、窄带多谱段LED光源,2、匀光耦合模块,3、信号提取部,4、信号去噪部,5、白光图像生成部,6、窄带图像生成部,7、荧光图像生成部,8、白光图像,9、窄带图像,10、荧光图像,11、导管,12、出气阀门,13、光源接口,14、观察镜,15、抗逆流帽,16、进气阀门,17、成像探头,18、预留通道,19、手术钳。  Explanation of symbols in the figure: 1. Narrowband multi-spectral LED light source, 2. Uniform light coupling module, 3. Signal extraction part, 4. Signal denoising part, 5. White light image generation part, 6. Narrowband image generation part, 7. Fluorescent image generation unit, 8. White light image, 9. Narrowband image, 10. Fluorescent image, 11. Catheter, 12. Outlet valve, 13. Light source interface, 14. Observation mirror, 15. Anti-reflux cap, 16. Intake valve , 17, imaging probe, 18, reserved channel, 19, surgical forceps. the

具体实施方式 Detailed ways

下面将参考附图并结合实施例,来详细说明本实用新型。  The utility model will be described in detail below with reference to the accompanying drawings and in conjunction with the embodiments. the

    参照图1、图2、图3所示,一种多功能消化道内窥手术医疗器械,内窥镜体和内窥探头,所述内窥镜体上依次设置导管11、出气阀门12、光源接口13、观察镜14、进气阀门16和抗逆流帽15所述内窥镜体通过所述导管11连接所述内窥探头,所述光源接口接入窄带多谱段LED光源1,所述窄带多谱段LED光源1发出激发光和白光至匀光耦合模块2传输至待测组织,待测组织发射出反射光和荧光通过光纤传输到信号提取部3,所述信号提取部3将提取到得信号光传输至信号去噪部4,所述信号去噪部4将去噪后的信号光传输至白光图像生成部5、窄带图像生成部6和荧光图像生成部7,所述白光图像生成部5、窄带图像生成部6和荧光图像生成部7将生产的图像反馈到所述观察镜14。  With reference to Fig. 1, Fig. 2, shown in Fig. 3, a kind of multifunctional digestive tract endoscopic operation medical device, endoscopic body and endoscopic probe, described endoscopic body is provided with catheter 11, air outlet valve 12, light source interface successively 13. The observation mirror 14, the intake valve 16 and the anti-reflux cap 15. The endoscope body is connected to the endoscopic probe through the catheter 11, and the light source interface is connected to a narrow-band multi-band LED light source 1. The narrow-band The multi-spectral LED light source 1 emits excitation light and white light to the uniform light coupling module 2 and transmits them to the tissue to be measured. The reflected light and fluorescence emitted by the tissue to be measured are transmitted to the signal extraction part 3 through optical fibers, and the signal extraction part 3 extracts the The obtained signal light is transmitted to the signal denoising part 4, and the signal denoising part 4 transmits the denoised signal light to the white light image generating part 5, the narrowband image generating part 6 and the fluorescence image generating part 7, and the white light image generating part Section 5 , narrowband image generation section 6 and fluorescence image generation section 7 feed back the produced images to the observation mirror 14 . the

    进一步的,所述内窥探头包括成像探头17、若干个预留通道18和若干个手术钳19,所述手术钳19通过进气孔与所述进气阀门16相通,该进气孔还可以设置在内窥探头专门的进气通道中,所述手术钳19为机械手术钳、电凝钳、超声手术刀中的一种。进气阀门设置有气体压力表,或者内窥探头的进气孔位置设置有气压感知元件,实时监控体腔内的充气气压。  Further, the endoscopic probe includes an imaging probe 17, several reserved channels 18 and several surgical forceps 19, and the surgical forceps 19 communicate with the air intake valve 16 through an air inlet, and the air inlet can also be Arranged in the special air intake channel of the endoscopic probe, the surgical forceps 19 are one of mechanical surgical forceps, electrocoagulation forceps, and ultrasonic scalpels. The air intake valve is provided with a gas pressure gauge, or the position of the air intake hole of the endoscopic probe is provided with an air pressure sensing element to monitor the inflation air pressure in the body cavity in real time. the

    进一步的,所述白光图像生成部5接收反射的宽谱白光信号后形成白光图像8,所述窄带图像生成部6接收窄带多谱段LED发出的窄带光形成窄带图像9,所述荧光图像生成部7接收激发光照射组织产生的荧光形成荧光图像10。  Further, the white light image generation part 5 receives the reflected broad-spectrum white light signal to form a white light image 8, the narrowband image generation part 6 receives the narrowband light emitted by the narrowband multi-spectral LED to form a narrowband image 9, and the fluorescence image generates The part 7 receives the fluorescence generated by the tissue irradiated by the excitation light to form a fluorescence image 10 . the

进一步的,所述抗逆流帽15内设置单向抗逆流瓣,所述单向抗逆流瓣为单层或双层结构  Further, a unidirectional anti-reflux flap is set inside the anti-reflux cap 15, and the unidirectional anti-reflux flap has a single-layer or double-layer structure

进一步的,所述内窥探头的端部为可弯曲的柔性结构。 Further, the end of the endoscopic probe is a bendable flexible structure.

本实用新型的原理:  The principle of the utility model:

医生在进行手术时,可以通过操作手柄,在三种成像模式间进行自由切换。内窥镜体后部的进气阀门实现充气(通常为CO2气体),通过进气阀门,进入导管,充满整个待测组织所处的空间,将组织撑开以实现成像。待气体压力达到设定的阈值,并且已经有足够的空间可以实现内窥手术时,停止充气。抗逆流帽内设置有单向抗逆流瓣,防止气体逆流,并保持导管密封。LED发出的光能量,通过光源接口,耦合到内窥镜体,并通过光传输介质传输到成像探头,对目标组织形成照明。观察镜为光信号输出端口,外接CCD或者配以专门的成像镜头,通过眼睛直接观察光源接口接收从LED光源发出的光,实现照明。抗逆流帽的作用是防止气体倒流。观察镜连接CCD探测器或者通过眼睛直接观察。 During the operation, the doctor can freely switch among the three imaging modes by operating the handle. The air intake valve at the rear of the endoscope body is inflated (usually CO 2 gas), through the intake valve, enters the catheter, fills the space where the tissue to be measured is located, and stretches the tissue to achieve imaging. When the gas pressure reaches the set threshold and there is enough space to realize the endoscopic operation, the inflation is stopped. A one-way anti-reflux flap is set inside the anti-reflux cap to prevent gas from regurgitating and keep the catheter sealed. The light energy emitted by the LED is coupled to the endoscope body through the light source interface, and transmitted to the imaging probe through the light transmission medium to illuminate the target tissue. The observation mirror is an optical signal output port, connected to an external CCD or equipped with a special imaging lens, and directly observes the light source interface through the eyes to receive the light emitted from the LED light source to realize lighting. The function of the anti-reflux cap is to prevent gas from flowing back. The viewing mirror is connected to the CCD detector or observed directly through the eyes.

Claims (4)

1. 一种多功能消化道内窥手术医疗器械,其特征在于:内窥镜体和内窥探头,所述内窥镜体上依次设置导管(11)、出气阀门(12)、光源接口(13)、观察镜(14)、进气阀门(16)和抗逆流帽(15),所述内窥镜体通过所述导管(11)连接所述内窥探头,所述光源接口接入窄带多谱段LED光源(1),所述窄带多谱段LED光源(1)发出激发光和白光至匀光耦合模块(2)传输至待测组织,待测组织发射出反射光和荧光通过光纤传输到信号提取部(3),所述信号提取部(3)将提取到得信号光传输至信号去噪部(4),所述信号去噪部(4)将去噪后的信号光传输至白光图像生成部(5)、窄带图像生成部(6)和荧光图像生成部(7),所述白光图像生成部(5)、窄带图像生成部(6)和荧光图像生成部(7)将生产的图像反馈到所述观察镜(14)。 1. A multifunctional digestive tract endoscopic surgery medical instrument, characterized in that: an endoscope body and an endoscope probe, the endoscope body is sequentially provided with a catheter (11), an air outlet valve (12), and a light source interface (13 ), an observation mirror (14), an air intake valve (16) and an anti-reflux cap (15), the endoscope body is connected to the endoscopic probe through the catheter (11), and the light source interface is connected to a narrowband multiple Spectrum LED light source (1), the narrow-band multi-spectral LED light source (1) emits excitation light and white light to the homogeneous light coupling module (2) and transmits it to the tissue to be measured, and the tissue to be measured emits reflected light and fluorescence through optical fibers to the signal extraction part (3), the signal extraction part (3) transmits the extracted signal light to the signal denoising part (4), and the signal denoising part (4) transmits the denoised signal light to A white light image generation unit (5), a narrowband image generation unit (6) and a fluorescence image generation unit (7), the white light image generation unit (5), narrowband image generation unit (6) and fluorescence image generation unit (7) will The resulting image is fed back to the sight glass (14). 2.根据权利要求1所述的多功能消化道内窥手术医疗器械,其特征在于:所述内窥探头包括成像探头(17)、若干个预留通道(18)和若干个手术钳(19),所述手术钳(19)通过进气孔与所述进气阀门(16)相通,所述进气阀门设置气体压力表,所述手术钳(19)为机械手术钳、电凝钳、超声手术刀中的一种,所述内窥探头的头部端部为可弯曲的柔性结构,所述内窥探头的进气孔设置有气压感知元件。 2. The multifunctional medical device for digestive tract endoscopic surgery according to claim 1, characterized in that: the endoscopic probe includes an imaging probe (17), several reserved channels (18) and several surgical forceps (19) , the surgical forceps (19) communicate with the air intake valve (16) through the air inlet, and the air intake valve is provided with a gas pressure gauge, and the surgical forceps (19) are mechanical surgical forceps, electrocoagulation forceps, ultrasonic One of the scalpels, the head end of the endoscopic probe is a bendable flexible structure, and the air inlet hole of the endoscopic probe is provided with an air pressure sensing element. 3.根据权利要求1所述的多功能消化道内窥手术医疗器械,其特征在于:所述白光图像生成部(5)接收反射的宽谱白光信号后形成白光图像(8),所述窄带图像生成部(6)接收窄带多谱段LED发出的窄带光形成窄带图像(9),所述荧光图像生成部(7)接收激发光照射组织产生的荧光形成荧光图像(10)。 3. The multifunctional medical device for digestive tract endoscopic surgery according to claim 1, characterized in that: the white light image generating part (5) forms a white light image (8) after receiving the reflected wide-spectrum white light signal, and the narrow-band image The generating part (6) receives the narrow-band light emitted by the narrow-band multi-spectral LED to form a narrow-band image (9), and the fluorescent image generating part (7) receives the fluorescence generated by the tissue irradiated by the excitation light to form a fluorescent image (10). 4.根据权利要求1所述的多功能消化道内窥手术医疗器械,其特征在于:所述抗逆流帽(15)内设置单向抗逆流瓣,所述单向抗逆流瓣为单层或双层结构。 4. The multifunctional medical device for digestive tract endoscopic surgery according to claim 1, characterized in that: the anti-reflux cap (15) is provided with a one-way anti-reflux valve, and the one-way anti-reflux valve is single-layer or double-layered. layer structure.
CN201320353795.5U 2013-06-20 2013-06-20 Multifunction alimentary-canal endoscopic-surgery medical equipment Expired - Fee Related CN203417182U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103393391A (en) * 2013-06-20 2013-11-20 中国科学院苏州生物医学工程技术研究所 Multifunctional medical instrument for alimentary canal endoscopic surgery
CN103932782A (en) * 2014-04-09 2014-07-23 杨赞 Fluorescent development tweezers

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103393391A (en) * 2013-06-20 2013-11-20 中国科学院苏州生物医学工程技术研究所 Multifunctional medical instrument for alimentary canal endoscopic surgery
CN103932782A (en) * 2014-04-09 2014-07-23 杨赞 Fluorescent development tweezers

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