CN219183875U - Biopsy forceps with portable inspection equipment - Google Patents
Biopsy forceps with portable inspection equipment Download PDFInfo
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- CN219183875U CN219183875U CN202123336405.7U CN202123336405U CN219183875U CN 219183875 U CN219183875 U CN 219183875U CN 202123336405 U CN202123336405 U CN 202123336405U CN 219183875 U CN219183875 U CN 219183875U
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
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Abstract
本实用新型涉及医疗器械技术领域,公开了一种可携带检查设备的活检钳。本实用新型的可携带检查设备的活检钳,包括:外管、内管和夹钳,外管的两端分别设有手柄部和插入部,夹钳设置在插入部上,包括:第一钳取件和第二钳取件,内管设有贯穿的检查通道,内管可滑动的穿设在外管内,与第一钳取件和第二钳取件滑动连接。本实用新型的可携带检查设备的活检钳,共聚焦激光显微内镜等检查设备穿设在内管的检查通道内,活检钳伸入到人体的病灶部位,利用共聚焦激光显微内镜等检查设备对病灶部位检查,获得高分辨率的实时动态成像,在确定不正常组织后,第一钳取件和第二钳取件相互靠近,钳取对应位置的样本组织,保证取样的准确性,缩短了手术时间。
The utility model relates to the technical field of medical instruments and discloses a biopsy forceps which can carry inspection equipment. The biopsy forceps of the utility model, which can carry inspection equipment, comprises: an outer tube, an inner tube, and a clamp. The two ends of the outer tube are respectively provided with a handle portion and an insertion portion, and the clamp is arranged on the insertion portion, including: a first forceps For the pick-up piece and the second clamp pick-up piece, the inner tube is provided with a penetrating inspection channel, and the inner tube is slidably passed through the outer tube, and is slidably connected with the first clamp pick-up piece and the second clamp pick-up piece. The biopsy forceps of the utility model, which can carry inspection equipment, inspection equipment such as confocal laser microendoscope, etc., are installed in the inspection channel of the inner tube, and the biopsy forceps are inserted into the lesion parts of the human body. Wait for the inspection equipment to inspect the lesion and obtain high-resolution real-time dynamic imaging. After determining the abnormal tissue, the first forceps and the second forceps are close to each other, and the sample tissue at the corresponding position is clamped to ensure the accuracy of sampling. sex, shortening the operation time.
Description
技术领域technical field
本实用新型实施例涉及医疗器械技术领域,具体涉及一种可携带检查设备的活检钳。The embodiment of the utility model relates to the technical field of medical devices, in particular to a biopsy forceps capable of carrying inspection equipment.
背景技术Background technique
一次性的活检钳或活体组织取样钳,是消化道、呼吸道等内窥镜下活组织取样的常用工具。Disposable biopsy forceps or biopsy forceps are commonly used tools for sampling biopsies under endoscopes such as the digestive tract and respiratory tract.
活检钳的工作原理是:通过导航或其他定位装置定位病灶区域,再将活检钳经内窥镜送入人体病灶区域,在人体的病灶区域钳取适量的活体样本组织,进行后续的病理学分析研究。The working principle of the biopsy forceps is: locate the lesion area through navigation or other positioning devices, then send the biopsy forceps into the lesion area of the human body through the endoscope, and take an appropriate amount of living sample tissue in the lesion area of the human body for subsequent pathological analysis Research.
但目前临床上使用的活检钳,只有单一的取样功能,取样前并不能确认即将钳取的样本组织是否为病灶部位的不正常组织。若取样时钳取了病灶部位的正常组织,那么会导致错误的诊断;或者为了取到病灶部位的不正常组织,需尽可能多地钳取样本组织,导致手术时间增加,且增加了病人的痛苦;且定位后再送入活检钳,活检钳不能精确到达病灶区域。However, the biopsy forceps currently used clinically have only a single sampling function, and it cannot be confirmed whether the sample tissue to be clamped is an abnormal tissue at the lesion site before sampling. If the normal tissue of the lesion is taken by forceps during sampling, it will lead to wrong diagnosis; or in order to get the abnormal tissue of the lesion, it is necessary to forceps as much sample tissue as possible, which will increase the operation time and increase the patient's life expectancy. Pain; and after positioning, the biopsy forceps cannot reach the lesion area accurately.
实用新型内容Utility model content
本实用新型的目的在于提供一种可携带检查设备的活检钳,以解决上述背景技术中的问题。The purpose of this utility model is to provide a biopsy forceps with portable inspection equipment to solve the above-mentioned problems in the background technology.
本实用新型实施例提供一种可携带检查设备的活检钳,包括:外管、内管和夹钳;The embodiment of the utility model provides a biopsy forceps capable of carrying inspection equipment, including: an outer tube, an inner tube, and a clamp;
所述外管为挠性管,所述外管的近端和远端分别设有手柄部和插入部;The outer tube is a flexible tube, and the proximal end and the far end of the outer tube are respectively provided with a handle portion and an insertion portion;
所述手柄部用于握持;The handle portion is used for holding;
所述夹钳设置在所述插入部上,包括:第一钳取件和第二钳取件;The clamp is arranged on the insertion part, including: a first clamping part and a second clamping part;
所述内管设有贯穿的检查通道,所述检查通道用于供检查设备通过;The inner pipe is provided with a through inspection channel, and the inspection channel is used for passing inspection equipment;
所述内管可滑动的穿设在所述外管、所述手柄部和所述插入部内,与所述第一钳取件和所述第二钳取件滑动连接,所述内管在推拉时用于使所述第一钳取件和所述第二钳取件相互靠近和远离,所述第一钳取件和所述第二钳取件在相互远离时,用于供检查设备穿过,在相互靠近时用于钳取活检组织。The inner tube is slidably passed through the outer tube, the handle part and the insertion part, and is slidably connected with the first pincer part and the second pincer part, and the inner tube is pushed and pulled It is used to make the first clamping part and the second clamping part approach and move away from each other, and when the first clamping part and the second clamping part are far away from each other, it is used for inspection equipment However, it is used to take biopsy tissue when they are close to each other.
基于上述方案可知,本实用新型的可携带检查设备的活检钳,通过设置外管、内管和夹钳,外管的两端分别设有手柄部和插入部,夹钳设置在插入部上,包括:第一钳取件和第二钳取件,内管设有贯穿的检查通道,内管可滑动的穿设在外管内,与第一钳取件和第二钳取件滑动连接。本实用新型的可携带检查设备的活检钳,共聚焦激光显微内镜等检查设备穿设在内管的检查通道内,与活检钳组合在一起。活检钳借助内窥镜钳道伸入到人体的病灶部位。推拉内管,使第一钳取件和第二钳取件相互分离,利用共聚焦激光显微内镜等检查设备对病灶部位检查,获得高分辨率的实时动态成像,在分辨出不正常(病灶)组织后,再次推拉内管,使第一钳取件和第二钳取件相互靠近,有针对性的钳取对应位置的样本组织,保证取样的准确性,缩短了手术时间,减少了患者的痛苦。Based on the above scheme, it can be seen that the biopsy forceps of the portable inspection device of the present utility model is provided with an outer tube, an inner tube and a clamp, and the two ends of the outer tube are respectively provided with a handle part and an insertion part, and the clamp is arranged on the insertion part. It includes: a first forceps extractor and a second forceps extractor, the inner tube is provided with a penetrating inspection channel, the inner tube is slidably threaded in the outer tube, and is slidably connected with the first forceps extractor and the second forceps extractor. The biopsy forceps capable of carrying inspection equipment of the utility model, inspection equipment such as a confocal laser microendoscope are installed in the inspection channel of the inner tube, and are combined with the biopsy forceps. The biopsy forceps are inserted into the lesion site of the human body by means of the forceps of the endoscope. Push and pull the inner tube to separate the first forceps part and the second forceps part from each other, use confocal laser endoscopic microscope and other inspection equipment to inspect the lesion site, obtain high-resolution real-time dynamic imaging, and distinguish abnormal ( After the lesion) tissue, push and pull the inner tube again, so that the first forceps and the second forceps are close to each other, and the sample tissue at the corresponding position is targeted to ensure the accuracy of sampling, shorten the operation time, and reduce the patient suffering.
在一种可行的方案中,所述插入部包括:安装座和固定轴;In a feasible solution, the insertion part includes: a mounting seat and a fixed shaft;
所述安装座与所述外管固定连接,所述安装座设有矩形通槽;The mounting seat is fixedly connected to the outer tube, and the mounting seat is provided with a rectangular through groove;
所述固定轴设置在所述安装座的远端,位于所述矩形通槽内,所述固定轴设有通孔,所述通孔用于供检查设备穿过;The fixed shaft is arranged at the far end of the mounting seat and is located in the rectangular through groove, and the fixed shaft is provided with a through hole, and the through hole is used for inspection equipment to pass through;
所述第一钳取件和所述第二钳取件可转动的设置在所述固定轴上。采用此结构,方便夹钳与插入部的连接。The first clamping part and the second clamping part are rotatably arranged on the fixed shaft. With this structure, the connection between the clamp and the insertion part is facilitated.
在一种可行的方案中,所述第一钳取件和所述第二钳取件均包括:钳取罩和钳柄;In a feasible solution, both the first clamping part and the second clamping part include: a clamping cover and a forceps handle;
所述钳柄可转动的穿设在所述固定轴上,所述钳柄设有弧形通槽;The pliers handle is rotatably mounted on the fixed shaft, and the pliers handle is provided with an arc-shaped through groove;
所述内管包括:推拉管和连接杆;The inner tube includes: a push-pull tube and a connecting rod;
所述连接杆的两侧设有凸出柱;Protruding columns are provided on both sides of the connecting rod;
所述推拉管穿设在所述外管内,所述连接杆位于所述矩形通槽内,与所述推拉管连接,所述凸出柱可滑动的卡设在所述弧形通槽内,所述推拉管在推拉时用于带动所述第一钳取件和所述第二钳取件的安装座相互靠近和远离。采用此结构,实现内管与夹钳的联动。The push-pull tube is installed in the outer tube, the connecting rod is located in the rectangular slot and connected with the push-pull tube, and the protruding column is slidably clamped in the arc-shaped slot, The push-pull tube is used to drive the mounting seats of the first clamping part and the second clamping part to approach and move away from each other when being pushed and pulled. With this structure, the linkage between the inner tube and the clamp is realized.
在一种可行的方案中,所述连接杆的端部设有限位块,所述凸出柱设置在所述限位块上,所述限位块用于限制所述连接杆的移动。采用此结构,防止内管与夹钳脱离。In a feasible solution, a limit block is provided at the end of the connecting rod, the protruding column is arranged on the limit block, and the limit block is used to limit the movement of the connecting rod. With this structure, the inner tube is prevented from coming off from the clamp.
在一种可行的方案中,所述钳取罩设有观察孔。采用此结构,钳取活检组织时更方便。In a feasible solution, the clamp cover is provided with an observation hole. With this structure, it is more convenient to forceps biopsy tissue.
在一种可行的方案中,所述手柄部设有双指环套,用于供手指穿过;In a feasible solution, the handle part is provided with a double-finger ring sleeve for fingers to pass through;
所述手柄部的远端设有抗折管,所述外管穿设在所述抗折管内,与所述手柄部连接。采用此结构,方便多活检钳的握持。An anti-bending tube is provided at the far end of the handle part, and the outer tube is passed through the anti-bending tube and connected with the handle part. With this structure, it is convenient to hold multiple biopsy forceps.
在一种可行的方案中,所述内管的近端设有金属管、拇指推杆和加塞块;In a feasible solution, the proximal end of the inner tube is provided with a metal tube, a thumb push rod and a plugging block;
所述拇指推杆可滑动的穿设在所述手柄部内,所述拇指推杆设有拇指环和U型槽;The thumb push rod is slidably installed in the handle part, and the thumb push rod is provided with a thumb ring and a U-shaped groove;
所述加塞块卡设在所述U型槽内,所述金属管穿设在所述手柄部内,所述金属管的两端分别与所述推拉管和所述加塞块连接。采用此结构,方便对内管的推拉。The stopper block is fixed in the U-shaped groove, the metal tube is passed through the handle part, and the two ends of the metal tube are respectively connected with the push-pull tube and the stopper block. With this structure, it is convenient to push and pull the inner tube.
在一种可行的方案中,所述加塞块的端部设有端帽,所述端帽用于与所述拇指推杆的端面相抵持。采用此结构,防止内管与手柄部脱离。In a feasible solution, an end cap is provided at the end of the stopper, and the end cap is used to abut against the end surface of the thumb push rod. With this structure, the inner tube is prevented from coming off from the handle.
在一种可行的方案中,所述安装座与所述外管、所述固定轴与所述安装座通过激光焊接的方式固定连接。采用此结构,连接更牢固。In a feasible solution, the mounting seat is fixedly connected to the outer tube, and the fixed shaft is connected to the mounting seat by means of laser welding. With this structure, the connection is stronger.
在一种可行的方案中,所述外管包括:弹簧管和绝缘套;In a feasible solution, the outer tube includes: a spring tube and an insulating sleeve;
所述绝缘套套设在所述弹簧管上。采用此结构,使用更安全。The insulating sleeve is sleeved on the spring tube. With this structure, it is safer to use.
附图说明Description of drawings
为了更清楚地说明本实用新型实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作一简单地介绍,显而易见地,下面描述中的附图是本实用新型的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description The drawings are some embodiments of the utility model, and those skilled in the art can also obtain other drawings according to these drawings on the premise of not paying creative labor.
图1为本实用新型实施例中的可携带检查设备的活检钳的示意图;Fig. 1 is the schematic diagram of the biopsy forceps of portable examination equipment in the utility model embodiment;
图2为本实用新型实施例中的图1中的A处的放大图;Fig. 2 is the enlarged view of A place in Fig. 1 in the utility model embodiment;
图3为本实用新型实施例中的图1中的B处的放大图;Fig. 3 is the enlarged view of the B place in Fig. 1 in the utility model embodiment;
图4为本实用新型实施例中的活检钳的远端局部放大图;Fig. 4 is a partial enlarged view of the distal end of the biopsy forceps in the embodiment of the present invention;
图5为本实用新型实施例中的拇指推杆的示意图;Fig. 5 is the schematic diagram of the thumb push rod in the utility model embodiment;
图6为本实用新型实施例中的加塞块的示意图。Fig. 6 is a schematic diagram of the plugging block in the embodiment of the present invention.
图中标号:Labels in the figure:
1、外管;101、弹簧管;102、绝缘套;11、手柄部;111、双指环套;112、抗折管;12、插入部;121、安装座;1211、矩形通槽;122、固定轴;2、内管;21、推拉管;22、连接杆;23、金属管;24、拇指推杆;241、拇指环;242、U型槽;25、加塞块;251、端帽;221、凸出柱;222、限位块;3、夹钳;301、钳取罩;3011、观察孔;302、钳柄;3021、弧形通槽;31、第一钳取件;32、第二钳取件。1. Outer tube; 101. Spring tube; 102. Insulation sleeve; 11. Handle part; 111. Double finger ring sleeve; 112. Anti-bending tube; 12. Insertion part; 121. Mounting seat; 1211. Rectangular slot; 122. Fixed shaft; 2, inner tube; 21, push-pull tube; 22, connecting rod; 23, metal tube; 24, thumb push rod; 241, thumb ring; 242, U-shaped groove; 25, plugging block; 251, end cap; 221, protruding column; 222, limit block; 3, clamp; 301, clamp cover; 3011, observation hole; 302, clamp handle; Take the piece with the second forceps.
具体实施方式Detailed ways
为使本实用新型实施例的目的、技术方案和优点更加清楚,下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。In order to make the purpose, technical solutions and advantages of the embodiments of the utility model more clear, the technical solutions in the embodiments of the utility model will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the utility model. Obviously, the described The embodiments are some embodiments of the present utility model, but not all embodiments. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.
在本实用新型的描述中,需要理解的是,术语“中心”、“纵向”、“横向”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”、“内”、“外”、“轴向”、“径向”、“周向”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实用新型和简化描述,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实用新型的限制。In describing the present utility model, it should be understood that the terms "center", "longitudinal", "transverse", "upper", "lower", "front", "rear", "left", "right", The orientation or positional relationship indicated by "vertical", "horizontal", "top", "bottom", "inner", "outer", "axial", "radial", and "circumferential" are based on the drawings The orientation or positional relationship shown is only for the convenience of describing the present utility model and simplifying the description, and does not indicate or imply that the referred device or element must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be construed as a reference to the present invention. Utility model restrictions.
在本实用新型中,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”、“固定”等术语应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,也可以是成一体;可以是机械连接,也可以是电连接,也可以是通讯连接;可以是直接连接,也可以通过中间媒介的间接连接,可以是两个元件内部的连通或两个元件的相互作用关系,除非另有明确的限定。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本实用新型中的具体含义。In this utility model, unless otherwise clearly specified and limited, the terms "installation", "connection", "connection", "fixation" and other terms should be understood in a broad sense, for example, it can be a fixed connection or a detachable connection. A connection can also be integrated; it can be a mechanical connection, an electrical connection, or a communication connection; it can be a direct connection or an indirect connection through an intermediary, it can be the internal communication of two components or two Interaction relationship of elements, unless expressly defined otherwise. Those of ordinary skill in the art can understand the specific meanings of the above terms in the present utility model according to specific situations.
下面以具体地实施例对本实用新型的技术方案进行详细说明。下面这几个具体的实施例可以相互结合,对于相同或相似的概念或过程可能在某些实施例不再赘述。The technical scheme of the utility model is described in detail below with specific embodiments. The following specific embodiments may be combined with each other, and the same or similar concepts or processes may not be repeated in some embodiments.
如本申请背景技术中的描述,活检钳的工作原理是:通过导航或其他定位装置定位病灶区域,再将活检钳经内窥镜送入人体病灶区域,在人体的病灶区域钳取适量的活体样本组织,进行后续的病理学分析研究。As described in the background technology of this application, the working principle of the biopsy forceps is: locate the lesion area through navigation or other positioning devices, and then send the biopsy forceps into the lesion area of the human body through the endoscope, and take an appropriate amount of living body in the lesion area of the human body Sample tissue for subsequent pathological analysis.
检查设备如:共聚焦激光显微内镜(confocal laser endomicroscopy),简称CLE,是一种新的成像技术,在活体内可进行无创组织学检查,获得高分辨率的实时动态成像,包括针型共聚焦激光显微内镜eCLE和探头式共聚焦激光显微内镜pCLE。CLE在呼吸系统各种肺部疾病的探查和诊断上,具有众多天然的优势。CLE在活体内实现了细胞级别的高分辨率成像效果,使其成为了真正的“光学活检”技术,将共聚焦显微镜的观察范围拓宽到活体内。CLE同时具备高分辨率、实时成像、相对无创的特点,使其在慢性气道疾病的研究、肺部肿瘤的实时诊断、引导活检、肺部疾病动态评估和随访等方面发挥重要作用。尤其对于需要多点、多次病理取材但患者无法耐受的肺部病变的诊断,CLE具备独特优势。Inspection equipment such as: Confocal laser endomicroscopy (CLE for short), is a new imaging technology that can perform non-invasive histological examination in vivo and obtain high-resolution real-time dynamic imaging, including needle type Confocal laser endomicroscopy eCLE and probe confocal laser endomicroscopy pCLE. CLE has many natural advantages in the detection and diagnosis of various lung diseases in the respiratory system. CLE achieves high-resolution imaging at the cell level in vivo, making it a true "optical biopsy" technology that extends the observation range of confocal microscopy to in vivo. CLE also has high-resolution, real-time imaging, and relatively non-invasive features, making it play an important role in the research of chronic airway diseases, real-time diagnosis of lung tumors, guided biopsy, dynamic assessment and follow-up of lung diseases, etc. Especially for the diagnosis of lung lesions that require multiple points and multiple pathological samples but cannot be tolerated by patients, CLE has unique advantages.
本申请的发明人发现,目前临床上使用的活检钳,只有单一的取样功能,取样前并不能确认即将钳取的样本组织是否为病灶部位的不正常组织。若取样时钳取了病灶部位的正常组织,那么会导致错误的诊断;或者为了取到病灶部位的不正常组织,需尽可能多地钳取样本组织,导致手术时间增加,且增加了病人的痛苦;且定位后再送入活检钳,活检钳不能精确到达病灶区域。CLE也有一个缺陷,CLE在活体肺组织探查的部位难以实现重复性,难以做到CLE图像与活检标本组织学形成一对一的图谱。因此,如何将活检钳和针型共聚焦激光显微内镜eCLE等检查设备组合成一体使用,是本领域技术人员面临的问题。The inventors of the present application found that the biopsy forceps currently used clinically only have a single sampling function, and it is impossible to confirm whether the sample tissue to be clamped is abnormal tissue at the lesion site before sampling. If the normal tissue of the lesion is taken by forceps during sampling, it will lead to wrong diagnosis; or in order to get the abnormal tissue of the lesion, it is necessary to forceps as much sample tissue as possible, which will increase the operation time and increase the patient's life expectancy. Pain; and after positioning, the biopsy forceps cannot reach the lesion area accurately. CLE also has a defect. It is difficult for CLE to achieve repeatability in the area of living lung tissue exploration, and it is difficult to form a one-to-one map between CLE images and biopsy specimen histology. Therefore, it is a problem faced by those skilled in the art how to combine biopsy forceps and inspection equipment such as the needle-type confocal laser endoscope eCLE for integrated use.
为了解决上述问题,本申请发明人提出了本申请的技术方案,具体实施例如下:In order to solve the above problems, the inventor of the present application has proposed the technical scheme of the present application, and the specific embodiments are as follows:
图1为本实用新型实施例中的可携带检查设备的活检钳的示意图,图2为本实用新型实施例中的图1中的A处的放大图,图3为本实用新型实施例中的图1中的B处的放大图,图4为本实用新型实施例中的活检钳的远端局部放大图,图5为本实用新型实施例中的拇指推杆的示意图,图6为本实用新型实施例中的加塞块的示意图。Fig. 1 is a schematic diagram of the biopsy forceps of the portable inspection equipment in the embodiment of the present utility model, Fig. 2 is the enlarged view of A in Fig. 1 in the embodiment of the present utility model, Fig. 3 is in the embodiment of the present utility model The enlarged view of the B place in Fig. 1, Fig. 4 is the partial enlarged view of the distal end of the biopsy forceps in the embodiment of the utility model, Fig. 5 is the schematic diagram of the thumb push rod in the embodiment of the utility model, Fig. 6 is the utility model embodiment Schematic of the stopper block in the novel embodiment.
如图1至图6所示,本实施例的可携带检查设备的活检钳,包括:外管1、内管2和夹钳3。As shown in FIG. 1 to FIG. 6 , the biopsy forceps of the present embodiment, which can carry inspection equipment, includes: an
外管1为采用医用材质制成的、可以弯曲的挠性管体,外管1的近端设有手柄部11,方便对活检钳的握持,外管1的远端设有插入部12。手柄部11和插入部12分别与外管1的近端和远端固定连接,且手柄部11、外管1和插入部12设有相互连通的通道。The
夹钳3设置在外管1远端的插入部12上,夹钳3包括:第一钳取件31和第二钳取件32。The
内管2设有贯穿的检查通道,内管2的检查通道用于供CLE等检查设备穿过,使检查设备到达活检钳的远端。The
内管2可滑动的穿设在外管1、手柄部11和插入部12的通道内,内管2的远端与夹钳3的第一钳取件31和第二钳取件32滑动连接,内管2的近端伸出手柄部11,方便对内管2的推拉。The
本实施例中,共聚焦激光显微内镜(CLE)、超声小探头等检查设备穿设在内管的检查通道内,到达外管远端的插入部,外管的插入部通过内窥镜钳道送入人体的病灶区域。推拉内管,使第一钳取件和第二钳取件相互远离,检查设备伸出夹钳,对病灶区域扫描,并将信号传送到计算机上生成图像,以判断病灶区域组织的良恶性,在确定不正常组织后,检查设备后撤,拉动内管使第一钳取件和第二钳取件相互靠近,第一钳取件和第二钳取件在相互靠近时闭合,钳取活检组织,完成活检取样。In this embodiment, inspection equipment such as confocal laser endoscope (CLE) and small ultrasonic probe are installed in the inspection channel of the inner tube to reach the insertion part at the distal end of the outer tube, and the insertion part of the outer tube passes through the endoscope. The forceps are sent into the lesion area of the human body. Push and pull the inner tube to make the first forceps and the second forceps away from each other, the inspection equipment stretches out the clamps, scans the lesion area, and sends the signal to the computer to generate an image to judge the benign and malignant tissue of the lesion area. After the abnormal tissue is determined, the inspection equipment is withdrawn, the inner tube is pulled to bring the first forceps and the second forceps close to each other, the first forceps and the second forceps are closed when they are close to each other, and the forceps biopsy Tissue, complete biopsy sampling.
通过上述内容不难发现,本实施例的可携带检查设备的活检钳,通过设置外管、内管和夹钳,外管的两端分别设有手柄部和插入部,夹钳设置在插入部上,包括:第一钳取件和第二钳取件,内管设有贯穿的检查通道,内管可滑动的穿设在外管内,与第一钳取件和第二钳取件滑动连接。本实施例的可携带检查设备的活检钳,共聚焦激光显微内镜等检查设备穿设在内管的检查通道内,与活检钳组合在一起。活检钳借助内窥镜钳道伸入到人体的病灶部位,推拉内管,使第一钳取件和第二钳取件相互分离,利用共聚焦激光显微内镜等检查设备对病灶部位检查,获得高分辨率的实时动态成像,在分辨出不正常(病灶)组织后,再次推拉内管,使第一钳取件和第二钳取件相互靠近,有针对性的钳取对应位置的样本组织,保证取样的准确性,缩短了手术时间,减少了患者的痛苦。It is not difficult to find from the above content that the biopsy forceps of the portable inspection device in this embodiment is provided with an outer tube, an inner tube and a clamp, and the two ends of the outer tube are respectively provided with a handle part and an insertion part, and the clamp is arranged It includes: a first clamping part and a second clamping part, the inner tube is provided with a penetrating inspection channel, and the inner tube is slidably passed through the outer tube, and is slidably connected with the first clamping part and the second clamping part. In this embodiment, the biopsy forceps capable of carrying inspection equipment, inspection equipment such as a confocal laser endoscope are installed in the inspection channel of the inner tube, and combined with the biopsy forceps. The biopsy forceps are inserted into the lesion of the human body with the help of the endoscope channel, and the inner tube is pushed and pulled to separate the first forceps and the second forceps from each other, and the lesion is inspected by confocal laser microendoscopy and other inspection equipment. , to obtain high-resolution real-time dynamic imaging, after distinguishing the abnormal (focus) tissue, push and pull the inner tube again, so that the first forceps and the second forceps are close to each other, and the corresponding position is targeted The sample tissue ensures the accuracy of sampling, shortens the operation time, and reduces the pain of the patient.
可选的,如图2、图4所示,本实施例中的可携带检查设备的活检钳,插入部12包括:安装座121和固定轴122。Optionally, as shown in FIG. 2 and FIG. 4 , the
安装座121的一端与外管1固定连接,安装座121的中心设有通孔,安装座121的远端设有矩形通槽1211。One end of the mounting
固定轴122固定设置在安装座121的另一端(远端)端部,位于安装座121的矩形通槽1211内,固定轴122设有通孔,固定轴122的通孔与安装座121的通孔的中轴线相互重合,以供检查设备穿过。The fixed
夹钳3的第一钳取件31和第二钳取件32可转动的设置在固定轴122上,与内管2滑动连接。The
进一步的,本实施例中的可携带检查设备的活检钳,夹钳3的第一钳取件31和第二钳取件32均包括:钳取罩301和钳柄302。Furthermore, in the biopsy forceps capable of carrying inspection equipment in this embodiment, the
第一钳取件31和第二钳取件32的钳柄302可转动的穿设在固定轴122上,且钳柄302位于安装座121的矩形通槽1211处,钳柄302的侧壁设有弧形通槽3021。第一钳取件31和第二钳取件32的钳取罩301呈半圆弧形,位于安装座121的外侧,第一钳取件31和第二钳取件32在相互靠近时,两个钳取罩301相互闭合,钳取人体的活检组织。The pliers handle 302 of the
内管2包括:推拉管21和连接杆22。The
连接杆22的两侧侧壁设有凸出柱221。Two side walls of the connecting rod 22 are provided with protruding
推拉管21穿设在外管1内,连接杆22穿设在安装座121的通孔中,且伸入到安装座121的矩形通槽1211内。连接杆22与推拉管21固定连接,连接杆22两侧的凸出柱221分别可滑动的卡设在第一钳取件31和第二钳取件32的钳柄302的弧形通槽3021内。The push-
本实施例中,拉动推拉管,推拉管带动连接杆向远端移动时,连接杆左右的凸出柱从第一钳取件和第二钳取件的近端移向远端,使第一钳取件和第二钳取件的钳取罩逐渐张开。连接杆抵达固定轴时,第一钳取件和第二钳取件的张开角度达到最大,检查设备可以顺利地从连接杆的通道内穿出来,穿过固定轴的通孔,再从张开的两个钳取罩中间伸出,以对人体组织进行扫描检查。当连接杆向近端移动时,连接杆左右的凸出柱从第一钳取件和第二钳取件的远端移向近端,使第一钳取件和第二钳取件的钳取罩逐渐闭合。当连接杆离固定轴最远时,第一钳取件和第二钳取件的钳取罩紧紧闭合,钳取人体的活检组织,实现活检取样。In this embodiment, when the push-pull tube is pulled, and when the push-pull tube drives the connecting rod to move to the far end, the protruding columns on the left and right of the connecting rod move from the proximal end of the first forceps pick-up piece and the second clamp pick-up piece to the far end, so that the first clamp pick-up piece The clamping covers of the clamping piece and the second clamping piece are gradually opened. When the connecting rod reaches the fixed shaft, the opening angle of the first tong pick and the second tong pick reaches the maximum, and the inspection equipment can smoothly pass through the passage of the connecting rod, pass through the through hole of the fixed shaft, and then pass through the opening of the tensioner. Extend out from the middle of the two opened forceps to scan and inspect human tissues. When the connecting rod moved to the proximal end, the protruding posts on the left and right sides of the connecting rod moved to the proximal end from the far ends of the first clamping part and the second clamping part, so that the clamps of the first clamping part and the second clamping part moved toward the proximal end. Take the hood closed gradually. When the connecting rod is the farthest from the fixed shaft, the clamp covers of the first forceps extractor and the second forceps extractor are tightly closed, and the biopsy tissue of the human body is clamped to realize biopsy sampling.
进一步的,本实施例中的可携带检查设备的活检钳,连接杆22的远端端部设有方形的限位块222,凸出柱221设置在限位块222的两侧侧壁上,限位块222与安装座121的端面抵持时,限制连接杆22的移动,防止限位块上的凸出柱221滑出钳柄302的弧形通槽3021。Further, in the biopsy forceps that can carry inspection equipment in this embodiment, the distal end of the connecting rod 22 is provided with a
进一步的,本实施例中的可携带检查设备的活检钳,第一钳取件31和第二钳取件32的钳取罩301设有观察孔3011。检查设备可以穿出钳取罩上的观察孔,对活检钳钳取的组织进行观察,更加有利于活检取样的操作。Further, in the biopsy forceps of the portable inspection device in this embodiment, the grasping
进一步的,如图3、图5、图6所示,本实施例中的可携带检查设备的活检钳,手柄部11的侧壁设有双指环套111,操作者的两个手指穿过双指环套111,实现对活检钳的握持,使用更加方便。Further, as shown in Fig. 3, Fig. 5 and Fig. 6, in the biopsy forceps of the portable inspection device in this embodiment, the side wall of the
手柄部11的远端设有抗折管112,外管1的近端穿设在抗折管112内,与手柄部11固定连接。The distal end of the
进一步的,本实施例中的可携带检查设备的活检钳,内管2的近端设有金属管23、拇指推杆24和加塞块25。Furthermore, the proximal end of the
拇指推杆24可滑动的穿设在手柄部11的通道内,拇指推杆24的侧壁设有拇指环241,拇指环241设置在手柄部11的外侧,用于供操作者的手指穿过。The
拇指推杆24设有贯穿的U型槽242,加塞块25卡设在拇指推杆24的U型槽242内,金属管23穿设在加塞块25和抗折管112内,金属管23的两端分别与推拉管21和加塞块25固定连接。The
本实施例中,手指推拉拇指推杆,拇指推杆带动金属管、推拉管和连接杆移动,使连接杆靠近或远离固定轴,实现第一钳取件和第二钳取件的钳取罩的靠近或远离。In this embodiment, the fingers push and pull the thumb push rod, and the thumb push rod drives the metal pipe, the push-pull pipe and the connecting rod to move, so that the connecting rod is close to or away from the fixed shaft, so as to realize the clamping cover of the first clamping part and the second clamping part close or far away.
进一步的,本实施例中的可携带检查设备的活检钳,加塞块25的端部设有端帽251,端帽251与拇指推杆24的端面相抵持,防止加塞块与拇指推杆脱离。Further, in the biopsy forceps that can carry inspection equipment in this embodiment, the end of the plugging
进一步的,本实施例中的可携带检查设备的活检钳,插入部12的固定轴122与安装座121通过激光焊接的方式固定连接,安装座121与外管1也通过激光焊接的方式固定连接。Further, in the biopsy forceps that can carry inspection equipment in this embodiment, the fixed
进一步的,本实施例中的可携带检查设备的活检钳,外管1包括:弹簧管101和绝缘套102。Furthermore, the
绝缘套102套设包裹在弹簧管101的外壁上,在弹簧管101的外侧形成绝缘层,外管为挠性管体,便于伸入人体的支气管远端。当然,外管也可采用可弯曲的高分子塑料管代替。The insulating
本实用新型的可携带检查设备的活检钳,固定轴、安装座、外管、抗折管和手柄部依次固定连接,形成中空的外管结构。连接杆、推拉管、金属管和加塞件依次固定连接,形成中空的内管结构。针型共聚焦激光显微内镜nCLE穿设在内管结构的检测通道内,与活检钳组合成一体结构。组装好的光学活检钳经内窥镜进入人体,经nCLE在活体内实现细胞级别的高分辨率成像效果,分辨出非正常组织后,立刻用活检钳有针对性地钳取对应位置的样本组织,既能实时成像,又能使CLE图像与活检标本组织学形成一对一的图谱,可以实现精准定位较小病灶位置和在一次手术过程中多点多次病理取样。In the biopsy forceps of the utility model, which can carry inspection equipment, the fixed shaft, the mounting seat, the outer tube, the anti-bending tube and the handle part are fixedly connected in sequence to form a hollow outer tube structure. The connecting rod, the push-pull tube, the metal tube and the stopper are fixedly connected in sequence to form a hollow inner tube structure. The needle-type confocal laser endoscopic microscope nCLE is installed in the detection channel of the inner tube structure and combined with the biopsy forceps into an integrated structure. The assembled optical biopsy forceps enter the human body through the endoscope, and achieve high-resolution imaging at the cell level in the living body through nCLE. After distinguishing abnormal tissues, the biopsy forceps are used to specifically clamp the sample tissue at the corresponding position immediately. , which can not only perform real-time imaging, but also form a one-to-one map between CLE images and biopsy specimen histology, which can realize precise positioning of small lesions and multiple pathological sampling at multiple points during one operation.
活检钳的工作过程为:The working process of biopsy forceps is:
1、将针型共聚焦激光显微内镜nCLE从手柄部尾端的加塞块的孔中塞入,nCLE依次穿过金属管和推拉管以及连接杆共同形成的中空区域,到达活检钳头端第一钳取件、第二钳取件形成的腔内。1. Insert the needle-type confocal laser endoscope nCLE into the hole of the plugging block at the end of the handle, nCLE passes through the hollow area formed by the metal tube, the push-pull tube and the connecting rod in turn, and reaches the first end of the biopsy forceps head. In the cavity formed by the first clamping piece and the second clamping piece.
2、将已插入针型共聚焦激光显微镜的活检钳通过内窥镜送入大致病灶区域,确定位置后,推动拇指推杆打开第一钳取件和第二钳取件的钳取罩。2. Send the biopsy forceps inserted into the needle-type confocal laser microscope into the general lesion area through the endoscope. After the position is determined, push the thumb push rod to open the forceps extraction cover of the first forceps extraction part and the second forceps extraction part.
3、钳取罩打开后,将针型共聚焦激光显微内镜继续送入活检组织中,将信号传输到计算机,生成CLE图像,判断良恶性,再将nCLE后撤,推动拇指推杆带动推拉管及连接杆后退,闭合第一钳取件和第二钳取件的钳取罩进行取样。3. After the forceps extraction cover is opened, the needle-type confocal laser endoscopic microscope will continue to be sent into the biopsy tissue, and the signal will be transmitted to the computer to generate a CLE image to judge whether it is benign or malignant. The push-pull tube and the connecting rod retreat, and the clamp cover of the first forceps extraction part and the second forceps extraction part are closed for sampling.
4、取样后的组织标本进行病理学组织检查和CLE图像形成一对一的图谱。4. The tissue samples after sampling are subjected to pathological tissue examination and CLE images to form a one-to-one atlas.
5、如有多点需要多次病理取样,重复步骤2和步骤3。5. If multiple pathological samples are required for multiple points, repeat steps 2 and 3.
在本实用新型中,除非另有明确的规定和限定,第一特征在第二特征“上”或“下”可以是第一特征和第二特征直接接触,或第一特征和第二特征通过中间媒介间接接触。In the present invention, unless otherwise specified and limited, the first feature may be in direct contact with the second feature, or the first feature and the second feature may pass through Intermediary indirect contact.
而且,第一特征在第二特征“之上”、“上方”和“上面”可以是第一特征在第二特征正上方或斜上方,或仅仅表示第一特征水平高度高于第二特征。第一特征在第二特征“之下”、“下方”和“下面”可以是第一特征在第二特征正下方或斜下方,或仅仅表示第一特征水平高度低于第二特征。Moreover, "above", "above" and "above" the first feature on the second feature may mean that the first feature is directly above or obliquely above the second feature, or simply means that the first feature is higher in level than the second feature. "Below", "beneath" and "beneath" the first feature may mean that the first feature is directly below or obliquely below the second feature, or simply means that the first feature is lower in level than the second feature.
在本说明书的描述中,参考术语“一个实施例”、“一些实施例”、“示例”、“具体示例”或“一些示例”等的描述,意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本实用新型的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不必须针对的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任意一个或者多个实施例或示例中以合适的方式结合。此外,在不相互矛盾的情况下,本领域的技术人员可以将本说明书中描述的不同实施例或示例以及不同实施例或示例的特征进行结合和组合。In the description of this specification, reference to the description of the terms "one embodiment", "some embodiments", "example", "specific examples" or "some examples" means that specific features described in connection with the embodiment or example , structures, materials or features are included in at least one embodiment or example of the present invention. In this specification, the schematic representations of the above terms are not necessarily directed to the same embodiment or example. Furthermore, the described specific features, structures, materials or characteristics may be combined in any one or more embodiments or examples in a suitable manner. In addition, those skilled in the art can combine and combine different embodiments or examples and features of different embodiments or examples described in this specification without conflicting with each other.
最后应说明的是:以上各实施例仅用以说明本实用新型的技术方案,而非对其限制;尽管参照前述各实施例对本实用新型进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分或者全部技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本实用新型各实施例技术方案的范围。Finally, it should be noted that: the above embodiments are only used to illustrate the technical solutions of the present utility model, and are not intended to limit it; although the present utility model has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand : It is still possible to modify the technical solutions described in the foregoing embodiments, or perform equivalent replacements to some or all of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions depart from the various embodiments of the present invention Scope of technical solutions.
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