CN100337579C - Endoscope system of having one-off sheath - Google Patents

Endoscope system of having one-off sheath Download PDF

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Publication number
CN100337579C
CN100337579C CNB038221152A CN03822115A CN100337579C CN 100337579 C CN100337579 C CN 100337579C CN B038221152 A CNB038221152 A CN B038221152A CN 03822115 A CN03822115 A CN 03822115A CN 100337579 C CN100337579 C CN 100337579C
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endoscope
pipeline
opening
mirror body
separation sleeve
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CN1697624A (en
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姜克让
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00142Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with means for preventing contamination, e.g. by using a sanitary sheath
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features

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  • Optics & Photonics (AREA)
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  • Engineering & Computer Science (AREA)
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  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • Endoscopes (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)

Abstract

The present invention relates to an endoscope system with a disposable sheath, which belongs to the technical field of a medical appliance. The present invention aims at the serious results of iatrogenic cross infection, and the virus infection of AIDS, hepatitis and the like due to the fact that a medical endoscope is difficult to disinfect, particularly, all opening pipelines in an endoscope body are difficult to clean and sterilize, and thus, all opening pipelines in the endoscope body of the traditional endoscope are cancelled in the endoscope system of the present invention, the head of the endoscope body is contracted or reformed, and an isolation sheath sac is sheathed outside the endoscope body. An elastic end cap is arranged outside the isolation sheath sac. All the opening pipelines which are moved out from the endoscope body of the traditional endoscope are connected, and the outer diameter of the endoscope system is not increased due to the fact that all the opening pipelines are connected. After the endoscope system is used, the isolation sheath sac together with all the opening pipelines outside the isolation sheath sac and the like is replaced in a disposable mode to achieve the purpose of thorough disinfection. The endoscope body of an endoscope does not need to be cleaned or disinfected for a long time due to the fact that the endoscope body is protected, so that the life of the endoscope is prolonged. The turnover ratio and the utilization ratio of the endoscope are enhanced, and the safety of doctors and patients is ensured. The endoscope system is suitable for various flexible and rigid medical endoscopes.

Description

The endoscopic system that has disposible sheath
Technical field
The present invention is the improvement to conventional medical endoscope, solves its disposable sterilization problems, proposes a kind of complete endoscopic system that has disposible sheath, belongs to technical field of medical instruments, is suitable for hospital clinical and uses.
Background technology
But medical endoscope direct observation intracavity lesion and biopsy and enforcement Minimally Invasive Surgery not only provide and make a definite diagnosis foundation, also can excise focus and eradicate disease, have become the important technology that can not be substituted in the modern medicine field.But the nosocomial infection that can produce with regard to endoscopic procedure can not be ignored, especially by accidents such as blood, body fluid communication hepatitis, acquired immune deficiency syndrome (AIDS) may take place really worrying! In modern age, a lot of small-sized medical instrument change disposable use as far as possible into, with thorough solution sterilization problems.But medical endoscope can not be carried out disposable use because cost is higher, yet it is as intervention apparatus, sterilization is a big problem really, in recent years novel rigid endoscope is used high-temperature high-voltage sterilizing sterilizing, (though can shorten the service life of sight glass), but various soft mirrors then can not tolerate autoclave sterilization, and especially the various opening pipelines in the endoscope more are difficult to thoroughly cleaning and sterilization.In view of this, since twentyth century the nineties, all the someone begins to inquire into solution route both at home and abroad, and wherein (patent No. is respectively: 5,025,778 with the comparatively approaching three pieces of United States Patent (USP)s that have of the present invention; 5,483,951 and 5,876,329), they differ from one another, but all have it to be difficult for implementing part, and for example the patent No. is 5,025, though 778 United States Patent (USP) provides the schematic structure of multiple embodiments: wherein structure shown in Fig. 2 B is the full opening type opening of a sleeve pipe peripheral hardware pipeline, because its opening pipeline 54 front openings are open-shaped, scratches body cavity mucosa easily; 54 in opening pipeline shown in Figure 8 is opposite, and full pipe is in closed form, and this inserts the process of apparatus concerning the other pipeline of the mirror body that is in very long crooked body cavity, and pipeline is punctured danger; And the patent No. is 5,483, the mirror body structure of a kind of semicylinder of U.S. Patent Publication of 951 and the patent No. are 5,876, the axial C font of 329 United States Patent (USP) endoscope mirror body structure, the common defective of both soft mirrors all is that manufacture difficulty is big, because soft mirror needs bending to turn to, " snake bone " of the non-cylinder of free bend is difficult for making
The cost of sheath cover is also higher, must influence product and sell on market and use, so do not see popularization on the market so far.Other multiple patent documentation is then far apart with this patent content.
Summary of the invention
The objective of the invention is to overcome above-mentioned the deficiencies in the prior art, the conventional endoscope structure has been done substantial improvement, provided a kind of endoscopic system that has disposible sheath, this system shifts out endoscope's vulnerable to pollution and each the opening pipeline that is difficult for cleaning and sterilizing under the prerequisite of the cylindrical shape that does not change endoscope from endoscope body, thereby compressed the external diameter of special endoscope in this system, contract in only its head front end being carried out and change shape, put the separation sleeve capsule that adapts with the endoscope profile during clinical practice, utilize the space that compression deformation is vacateed in the above-mentioned excuse portion of special endoscope at last, with above-mentioned each opening pipeline that shifts out from endoscope's mirror body, be fixed on the head of the endoscope that is with the separation sleeve capsule through the elasticity end cap, each soft opening pipeline can be by thin-wall metal pipe separately with being connected of elasticity end cap; The elasticity end cap is cylinder, in establish the slot of mirror body head of D font and the jack that the anterior metal thin-wall of each opening pipeline is taken over, but slot and jack all dwindle to some extent at certain depth, all with elasticity end cap front end face certain distance are arranged to guarantee camera lens thin-wall metal pipe front anterior and each opening pipeline; Because endoscope's mirror body is protected by the separation sleeve capsule; after total system is used; separation sleeve capsule and outer each opening pipeline and elasticity end cap that is connected as a single entity with it and the nozzle etc. of cover capsule need only be given disposable replacing; make endoscope's mirror body stop pollution fully, reliable, convenient and practical, the favourable popularization of accomplishing conscientiously to sterilize.
Based on this design of outside that the various opening pipelines of vulnerable to pollution is moved on to the separation sleeve capsule that is with endoscope's mirror body from former endoscope mirror body, the head front end of endoscope described in the system of the present invention also can not change shape, promptly keep original common cylinder body, this utilization to original conventional endoscope is very important, the opening pipeline that be provided with this moment can directly be bonded in separation sleeve capsule outside, the edge of opening of opening pipeline front end can hotly join together with end periphery before the cover capsule with being linear shallow table coaxially, and the opening pipeline tapping is imposed temporary closure.In addition, also available soluble plug is with the temporary obstruction of opening of opening pipeline front end, when at this moment the opening pipeline then enters the human body body cavity with the separation sleeve capsule that is with endoscope, the opening of opening pipeline is because of having temporary closure or having the hemisphere head pro-of soluble plug can not scratch body cavity mucosa, only will temporary transient closed sealing when apparatus arrives the working position disclose out or soluble plug disclosed and just can work, the nontoxic soluble plug of release can dissolve in vivo; When opening pipeline such as need use as attraction, can after this pipeline enters body cavity, arrive and insert a suction catheter that quality is hard slightly when attracting the position again, this suction catheter also can be simultaneously as the operation pipe, this can make the open front of this pipe slide front and back, attract in the favourable visual field that suction catheter is placed viewing system, see clearlyer the attraction process.
The technology of the present invention solution is: comprise mirror body, opening pipeline and the separation sleeve capsule of being made by transparent sturdy material, this separation sleeve capsule is enclosed within inner not establishing on the mirror body of any opening pipeline, is provided with the elasticity end cap that each opening pipeline is connected as a single entity in the outside of separation sleeve capsule.The nose shape of wherein said mirror body can compress and changes shape, and for example a kind of end face of providing of the present invention is " D " font structure, promptly only makes the butt wedge shape at cylindrical mirror body head, forms the D font at end face; And also can not change shape to other endoscope, and only in endoscope's mirror body, do not establish any opening pipeline, thereby compressed the mirror body diameter yet, kept original common cylindrical, so that arthroscopic diagnosis apparatus such as various sleeve pipes is set outside the separation sleeve capsule; Conventional endoscope to existing built-in various opening pipelines also can be utilized this separation sleeve capsule and opening pipeline, realizes the purpose of disposable sterilization, and just mirror body diameter is big slightly; The rear portion of described mirror body can be provided with the water filling gas injection hands valve and the pump housing then as required: it is conveniently to be accustomed to only conventional endoscope being carried out the part improvement with considering for the facility that utilizes original mirror body handle that water filling gas injection hands valve is set; Water filling gas injection hands valve is not set, be for anti-sealing, gas contingency produce the pollution of flowing backwards and can occur better, the rear end of water filling this moment gas injecting pipe can be connected use by joint with syringe or disposable special-purpose water filling gas injection machine, replaces original nonexpondable water filling gas injection machine in cabinet; Endoscope's mirror body of this moment has been owing to cancelled each bigger opening pipeline of occupy-place, and greatly reduced the diameter of mirror body, only by viewing system (object lens, eyepiece, biography resemble bundle or CCD etc.), pass formations such as photosystem, directional control system and foreskin; The object lens front end face of described mirror body should be higher than other front end face of mirror body, and the inner surface that is beneficial to this object lens front end face and separation sleeve capsule front end is fitted closely, enters with preventing stray light.
The nose shape of described separation sleeve capsule is similar to the nose shape of mirror body, its size is advisable can appropriateness to pack into the mirror body, the rear portion is then loose than the mirror body, length is decided on hygienic requirements, can be enclosed within handle nearby, also handle all can be wrapped up, the separation sleeve capsule that adopts transparent sturdy material to make should guarantee that virus and bacteria can not see through.
Various opening pipelines in the system of the present invention, can by front end thinner, thin-wall metal pipe belled with it and elasticity end cap be connected as a single entity, front end is arranged on the elasticity end cap by certain position with the thin-wall metal pipe of the same flexibility in slope (with curved just curved) of the D font end face that constitutes mirror body head, its rear portion is connected with soft tube separately, and handle hole rear end of pipeline therein is provided with to be inserted jaw and attract joint (being isocon).To being provided with two pincers roads (dual operation hole pipe), wherein the near-end of a branch pipe(tube) links to each other with the apparatus socket, and another and attraction head link; And the near-end of the handle hole pipeline of only establishing a pincers road can be linked to each other with the shunting head, instrumentation and attraction can be carried out at a branch pipe(tube) simultaneously, the near-end of water filling gas injecting pipe, can be connected with the water filling gas injection hands valve on the endoscope handle, also can be connected with syringe, also can link to each other with the disposable water pump air pump of special use, they all are to nozzle water filling or gas injection (jet expansion points to the object lens position in the separation sleeve capsule front end face), the pollution that aqueous vapor from flowing backwards and can produce but the latter can better prevent.The separation sleeve capsule of system of the present invention, various opening pipeline, elasticity end cap, the first-class back of using of shunting are changed; only do disposable use; and the higher endoscope's mirror body of cost only needs a general routine disinfection just can use safely because of being subjected to the protection of separation sleeve capsule, has improved the service efficiency and the life-span of mirror body.
Compared with prior art, it is as follows that the present invention has the beneficial effect of endoscopic system of disposible sheath:
In order to solve medical endoscope thorough disinfection problem, the opening pipeline in the endoscope is moved to external, be convenient to once use.The U.S. 5,025 in 1991, and No. 778 patent has 24 width of cloth structure graphs, explained multiple way reaching the practice that endoscope's mirror body inner opening pipeline moves to the mirror external body, Fig. 2 A, and the content of 2B and Fig. 8 and Fig. 8 of the present invention-2 is close, but essential distinction is arranged:
1) U.S. 5,025, and No. 778 patents (shown in Fig. 2 B) operation flexible pipe is open-shaped at outside its front opening of sheath cover, and has double-deck material to constitute, and such opening is located at by the camera lens, and the swing of mirror body head very easily scratches body cavity mucosa when turning to; The whole piece opening pipeline of Fig. 2 A and Fig. 8 all is a closure state, to strut with utensil shown in Figure 10 before using because this pipeline along with the mirror body in the crooked tract of human body, the process that struts can make pipeline that the danger that is the worse for wear is arranged.Embodiments of the invention only carry out temporary closure to the front edge of opening pipeline, or with the temporary shutoff of soluble plug, and to avoid scratching body cavity mucosa when swinging with the mirror body, opening pipeline whole tube chambers except that the front opening edge are soft pipe body.Opening pipeline of the present invention both in the edge of opening closure, opened at tube chamber again; Neither all open, neither be all closed.Here it is and the essential distinction of described United States Patent (USP).Using biopsy forceps such as closed form to enter during use discloses out edge of opening or promotes molten plug work in the opening pipeline.Each opening pipeline of mirror external body enters the body cavity stenosis because all made by flexible pipe, can in fact more can be made reduced diameter by crowded flat during empty in pipe.
2) United States Patent (USP) (patent No.: 5,483,951 and 5,876,329) propose two kinds of mirror body structures of axial half-cylindrical mirror body and C font mirror body respectively.So as to vacateing the opening pipeline requisite space of mirror external body, but the two has all changed columniform mirror body, and its common drawback is that the bendable steering of non-cylindrical mirror body is partly made difficulty, and inconvenience is applied.The present invention only is out of shape at the front end head of endoscope's mirror body, make its head side be considered as the butt wedge shape, form the front end face of D font, be the front end head vacating space of outside each opening pipeline, realized front end head cylindrical of system by the elasticity end cap, be convenient to insert; And whole mirror bodies (comprising the bendable steering part) of back still are cylinder, but do not have because the distortion of head increases the manufacture difficulty of rear portion mirror body bight portion, and are easy to utilize.Compare with described United States Patent (USP), the characteristics of opening pipeline of the present invention are: the open front edge of opening of pipeline is implemented temporary stopping and is handled or use the soluble plug shutoff, disclose out or disclose with the biopsy forceps of closed form during use, the unlikely shape that opens because of front opening scratches body cavity, also can not disclosed the danger of holding and may break because of very long closed tube chamber.The remainder of opening pipeline still is the tubular of flexible software, can be during use because of the open opening of pipeline does not scratch mucosa, can not puncture the danger of pipeline and tract because of strutting pipeline yet.
Description of drawings
Fig. 1 has the structural representation of the flexible endoscope system head of disposible sheath for the present invention.
Fig. 2 A is the endoscope lens structural representation of United States Patent (USP) (patent No. is 5,025,778).
Fig. 2 B is another example structure sketch map of endoscope lens of United States Patent (USP) (patent No. is 5,025,778).
Fig. 2 C is the structural representation of endoscope's mirror body head of compression D font among Fig. 1.
Fig. 3 is the head construction sketch map of separation sleeve capsule among Fig. 1.
The structural representation that Fig. 4 combines as a whole for each opening pipeline among Fig. 1 and elasticity end cap.
Fig. 5 is the cutaway view of elasticity end cap among Fig. 1.
Fig. 6 is the total system structure chart of one embodiment of the invention, shows among the figure that the relevant outlet with mirror body handle portion in water filling air injection pipe rear end connects.
Fig. 7 is connected for water filling air injection pipe of the present invention and syringe etc. and overlaps the total system sketch map that wrap up at the capsule rear portion.
Fig. 8 is another example structure sketch map of United States Patent (USP) (patent No. is 5,025,778) endoscope lens.
Fig. 8-2 is the sketch map of the temporary closure of leading edge of the other opening pipeline of another embodiment of the present invention (mirror body nose shape is a plain cylindrical form) separation sleeve capsule.
Fig. 9 is the axial view of separation sleeve capsule shown in Fig. 8-2 and the temporary closure of opening pipeline opening part.
Figure 10 is another example structure sketch map of United States Patent (USP) (patent No. is 5,025,778) endoscope lens.
Figure 10-2 is a soluble plug outline drawing of the present invention.
Figure 11 for the front opening of opening pipeline of the present invention by the sketch map of the temporary shutoff of soluble plug.
Figure 12 is the axial sketch map that has soluble plug shown in Figure 11.
Figure 13 is one embodiment of the invention water filling air injection pipe and nozzle arrangements sketch map.
Figure 14 inserts the sketch map of another opening pipeline again in the opening pipeline for one embodiment of the invention.
Among the figure: 1 is endoscope's mirror body; 2 is the slope that constitutes the D font end face of mirror body head; 3 is the object lens front end face; 4 is the illuminator front end face; 5 is separation sleeve capsule head inclined-plane; 6 is the separation sleeve capsule; 7 is the front end face of separation sleeve capsule; 8 is thin-wall metal pipe; 9 are the water filling air injection pipe; 10 is the elasticity end cap; 11 is the mirror body head opening of elasticity end cap; 12 is the opening of elasticity end cap inner opening pipeline; 13 is the jack of opening pipeline; 14 is the slot of mirror body head; 15 are the operation pipeline; 16 is nozzle; 17 are water filling air injection pipe back end interface; 18 are water filling air injection pipe mirror body interface; 19 are operation pipeline occiput; 20 for attracting joint; 21 is Rubber end; 22 is instrument inserting port; 23 are water filling gas injection hands valve; 24 is opening pipeline holder; 25 is syringe; 26 is soluble plug; 27 is temporary closed mouthful of opening pipeline front end; 28 is at ducted another opening pipeline of opening; 29 is operating theater instruments; 30 is operating theater instruments hands handle; Wherein: the opening pipeline comprises water filling air injection pipe 9 and operation pipeline 15.
The specific embodiment
Below in conjunction with accompanying drawing concrete technical scheme of the present invention is described in further detail:
Shown in Fig. 1~5, the present invention has the endoscopic system of disposible sheath, comprise mirror body 1 (Fig. 2 C) and various opening pipeline such as water filling air injection pipe 9, operation pipeline 15, a separation sleeve capsule 6 (Fig. 3) of being made by transparent sturdy material also is set in the endoscopic system, this separation sleeve capsule 6 is enclosed within inner not establishing on the mirror body 1 of any opening pipeline, and the elasticity end cap 10 (Fig. 5) that each water filling air injection pipe 9, operation pipeline 15 are connected as a single entity is set in the outside of separation sleeve capsule 6.Fig. 1 shows, because various opening pipelines such as water filling air injection pipe 9 with endoscope's vulnerable to pollution, operation pipeline 15 takes out in mirror body 1, thereby compressed the diameter of endoscope 1, and contract in the head front end carried out and change shape, put the separation sleeve capsule 6 that adapts with the endoscope profile during clinical practice, and utilize the endoscope head compression to change the D font end face slope 2 that shape constitutes mirror body head, in the space that separation sleeve capsule head inclined-plane 5 is vacateed, can insert various water filling air injection pipe 9 in the original mirror body, the thin-wall metal pipe 8 of operation pipeline 15, and be fixed on forward end section of endoscope through elasticity end cap 10, the thin-wall metal pipe 8 of each opening pipeline and the soft water filling air injection pipe 9 of back separately, operation pipeline 15 links to each other, bring into play function separately, at this moment the girth that endoscopic system is total also is not more than original endoscope diameter, again because body cavities is a soft tissue, mirror body 1 of the present invention linked to each other with former each opening pipeline in mirror body inside, even be not cylinder completely, also can not increase the transverse pressure of body cavity, and each water filling air injection pipe 9, can be flattened during the narrow of operation pipeline 15 by body cavity and save the space.What endoscopic system shown in Figure 1 was expressed is the sketch map of the high-performance electronic colon endoscope in two pincers roads, tong hole, the major axis in its cross section is slightly larger than corresponding original electronics colon endoscope diameter under not by tract extruding situation, but just less than original electronics colon endoscope diameter, and the minor axis dimension of mirror body section is but much smaller than original electronics colon endoscope diameter through extruding; Fig. 2 C shows, the head front end of mirror body 1 has carried out compression and has changed shape, front end face is " D " font, 1 of endoscope's mirror body of this moment by viewing system (object lens, eyepiece, biography resemble bundle or CCD etc.), pass formations such as photosystem, directional control system and foreskin, owing to cancelled bigger each water filling air injection pipe 9, the operation pipeline 15 of occupy-place, and greatly reduced the diameter of mirror body 1.The object lens front end face 3 of mirror body 1 is higher than the front end face other parts of mirror body 1, is beneficial to this object lens front end face 3 and fits tightly with separation sleeve capsule front end inner surface 7, enters with preventing stray light; Fig. 3 shows, separation sleeve capsule 6 is to aim at protection endoscope mirror body 1 and design, be with highly transparent, tough and tensile, nontoxic and can not see through the material (as medical transparent polyvinyl chloride etc.) of virus, antibacterial, its nose shape 5 is complementary with the distortion nose shape 2 of mirror body 1, its size is advisable can appropriateness to pack into, and the rear portion is then loose than the mirror body, and length is decided on requiring, can be enclosed within handle nearby, also handle all can be wrapped up; Known to Fig. 4, each opening pipeline is the water filling air injection pipe of being cancelled by in the conventional endoscope mirror body 9, operation pipeline 15 is formed, its front end packs into thin-wall metal pipe 8 and is connected as a single entity with elasticity end cap 10, front end is arranged with the thin-wall metal pipe 8 of the same flexibility in slope (with curved just curved) of the D font end face that constitutes mirror body head and by being inserted on the elasticity end cap 10, its rear portion is connected with soft tube separately, elasticity end cap 10 profiles are short cylinder (Fig. 5), in each water filling air injection pipe 9 is arranged, the slot 14 of the jack 13 of operation pipeline 15 (or by thin-wall metal pipe 8) and the endoscope head of distortion, but this jack and slot all can not continue to insert in certain depth, are subjected to the mirror body head 11 of elasticity end cap, the opening 12 end smaller aperture due restrictions of elasticity end cap inner opening pipeline.The front end face 7 that the encapsulation of elasticity end cap 10 makes separation sleeve capsule 6 fits tightly with the end face 3 of object lens and does not advance veiling glare, and nozzle 16 is outlets of water filling gas injecting pipe 9 and is used to wash camera lens and supplies gas.
Fig. 6 shows the total system working condition that water filling air injection pipe 9 is connected with water filling gas injection hands valve 23, Fig. 7 shows that water filling air injection pipe 9 is connected and overlaps the total system working condition of capsule rear portion parcel with syringe 25, as Fig. 6~shown in Figure 7, the rear portion of endoscope as required, can be provided with or not be provided with water filling gas injection hands valve 23, water filling gas injection hands valve 23 is set, and is the water filling gas injection equipment that utilizes for convenience in original hands valve and the cabinet; It is in order to guard against water, gas just in case produce the pollution of flowing backwards and may occur better that water filling gas injection hands valve 23 is not set.Water filling gas injection hands valve 23 is not set, and the back end interface 17 of water filling gas injecting pipe 9 can be connected use with syringe 25 or disposable special-purpose water filling gas injection pump, replaces original water filling gas injection in cabinet, nonexpondable mechanism.Equally, the ducted operation pipeline of opening 15 rear ends are provided with can insert apparatus such as Rubber end 21 and attract operation pipeline occiput 19 joint 20, that play shunting action with instrument inserting port 22 with being connected, and done following processing respectively: 1. clamp and operation pipeline occiput 19 (being isocon), be shown in Fig. 6, Fig. 7, instrument inserting port 22 is located at rubber tip 21 opening parts, play sealing function, gas leakage and operation the time are leaked when avoiding attracting.Attract joint 20 to connect with attractor etc., the turnover apparatus can carry out simultaneously with attracting operation, also can carry out respectively; 2. the back end interface 17 of water filling gas injecting pipe 9 can be connected at the water filling air injection pipe mirror body interface 18 of mirror body handle near-end with the water filling gas injection hands valve 23 of former mirror body handle; Also can not establish water filling gas injection hands valve 23, and be connected, also be provided with bracelet at the rear portion of mirror body and opening pipeline, so that the various pipelines of postmedian and mirror body are tied up bundle together better as opening pipeline holder 24 with two syringes 25 of water filling and gas injection.
Fig. 8-2, Fig. 9, Figure 10-2, Figure 11~Figure 14 is the description of the present invention to another kind of embodiment, principle still as previously mentioned, the cylinder bodily form endoscope that does not change shape at head proposes, go for not establishing in the mirror body 1 various opening pipelines such as water filling air injection pipe 9, the new endoscopic of operation pipeline 15, each water filling air injection pipe 9, operation pipeline 15 moves to the outside of separation sleeve capsule 6, for avoiding front opening not scratch that body cavity mucosa imposes closed mouthful 27 in temporary shallow table with it or with soluble plug 26 temporary shutoff, when the anterior arrival of mirror body working position, in the time of need undergoing surgery by operation pipeline 15, the biopsy forceps head of available closed form is disclosed out temporary closed mouth 27 or soluble plug 26 or disclose.Nozzle 16 shown in Figure 13 is positions, object lens front end face 3 place of pointing to separation sleeve capsule 6 inner surfacies.The pressure of water filling gas injection handle 23 that can be by water filling air injection pipe 9 rear ends when needing or syringe 25 etc. sprays to the corresponding site of the front end face 7 of separation sleeve capsule 6.
Figure 14 shows that the present invention takes off rubber tip 21 and injects another branch ostium pipeline 28 sketch maps again in operation pipeline 15 pipes, described another branch ostium pipeline 28 also can forward and backward advance and retreat activity in operation pipeline 15 pipes, can will attract the position to place within the visual field during as attraction pipeline, attract still to coexist with the intracavity arthroscopic diagnosis and carry out in the pipe, operating theater instruments 29 is handled by the handle 30 at rear portion.
Present embodiment also is suitable for the utilization to existing conventional endoscope, and easier, just the diameter of separation sleeve capsule 6 is correspondingly big because have the bigger opening pipeline of various occupy-places such as water filling air injection pipe 9, operation pipeline 15 in the mirror body at this moment; The present invention also is suitable for the application of all rigid endoscopies, as is used in peritoneoscope, arthroscope etc., and only cover is just passable with the transparent separation sleeve capsule 6 that elasticity is strong, diameter dimension is slightly little on active length.Encapsulation is standby and suit with the form of condom, makes its outside that can be tightened in mirror body 1, and the protective glass body is not contaminated.The enforcement of above-mentioned variety of way, with after all separation sleeve capsule 6, each water filling air injection pipe 9, operation pipeline 15 and various external accessory to be carried out disposable replacing, and do harmless treatment, reach the disposable purpose of medical endoscope thus.

Claims (8)

1, a kind of endoscopic system that has disposible sheath, intravital each the opening pipeline of conventional endoscope mirror is placed the outside of mirror body, it is characterized in that: not changing described mirror body is under the cylinder situation, the opening and the preceding end periphery of separation sleeve capsule that are arranged on separation sleeve capsule outer opening pipeline front end fit together coaxially, that is: both in the edge of opening closure, open at tube chamber again, make opening pipeline front edge mouth be temporary closure, when apparatus reaches the working position pipeline edge of closure is disclosed out.
2, the endoscopic system that has disposible sheath according to claim 1, it is characterized in that: not changing described mirror body is under the cylinder situation, the opening that is arranged on separation sleeve capsule outer opening pipeline front end can carry out temporary shutoff with the soluble plug with hemispherical head, when system reached the working position, apparatus was released soluble plug.
3, according to the described endoscopic system that has disposible sheath of claim 1, it is characterized in that: not changing endoscope's mirror body is under the columniform condition, be the D font only with contracting or change shape in endoscope's mirror body head, put the separation sleeve capsule, and mirror body and each opening pipeline are connected as a single entity at system's head, make its front end still cylindrical.
4, according to the described endoscopic system that has disposible sheath of claim 3, it is characterized in that: the jack socket that can be with metal thin-wall adapter and elasticity end cap in each opening pipeline front portion.
5, the endoscopic system that has disposible sheath according to claim 3 is characterized in that: can insert a kind of opening pipeline again in the opening pipeline.
6, the endoscopic system that has disposible sheath according to claim 3 is characterized in that: the object lens front end face of mirror body is a little more than all the other end faces.
7, the endoscopic system that has disposible sheath according to claim 3, it is characterized in that: the near-end of ducted handle hole pipeline of the opening of separation sleeve capsule outside and attraction pipeline is respectively equipped with the joint that apparatus inserts and attracts, when handle hole pipeline and attraction pipeline are a pipeline, establish shunt head at the near-end of this pipeline.
8, the endoscopic system that has disposible sheath according to claim 1 is characterized in that: the outer surface that the separation sleeve capsule of the tough and tensile elastic apparent material of various endoscope's mirror body and functions of not establishing the opening pipeline is tightened in the mirror body.
CNB038221152A 2002-11-22 2003-09-08 Endoscope system of having one-off sheath Expired - Fee Related CN100337579C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CN02144895 2002-11-22
CN02144895.7 2002-11-22
PCT/CN2003/000760 WO2004047626A1 (en) 2002-11-22 2003-09-08 Endoscope assembly with disposable sheath

Publications (2)

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