CN101828959A - Surgical endoscope and disposable sheath thereof - Google Patents
Surgical endoscope and disposable sheath thereof Download PDFInfo
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- CN101828959A CN101828959A CN201010130606A CN201010130606A CN101828959A CN 101828959 A CN101828959 A CN 101828959A CN 201010130606 A CN201010130606 A CN 201010130606A CN 201010130606 A CN201010130606 A CN 201010130606A CN 101828959 A CN101828959 A CN 101828959A
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- endoscope
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- bladder
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
- A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
- A61B1/00137—End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/015—Control of fluid supply or evacuation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00142—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with means for preventing contamination, e.g. by using a sanitary sheath
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/307—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00505—Urinary tract
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00547—Prostate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Physics & Mathematics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- Radiology & Medical Imaging (AREA)
- Pathology (AREA)
- Optics & Photonics (AREA)
- Cardiology (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a surgical endoscope and a disposable sheath thereof. The surgical endoscope and the disposable sheath thereof are characterized in that the upper half part of the sheath is an endoscope channel made from hard materials; an endoscope body is arranged in the endoscope channel; a therapeutic channel made from soft materials is arranged in the lower half part of the sheath for surgical instruments to pass through; an air intake valve connected with a carbon dioxide source is arranged on one lateral surface of the sheath; and an end exposed from a porous channel on a rear end closer is connected with an anti-reflux cap. The surgical endoscope and the disposable sheath thereof can be used for not only surgeries of the urinary bladders but also the electrosection of prostate, the tumor removal of bladders, a hysteroscope, the diverticulum removal of bladders and the re-anastomosis of ureters and bladders. The surgical endoscope and the disposable sheath thereof have the advantages that: by perfusing carbon dioxide, the clear vision for a minimally invasive surgery can be maintained all the time; various surgical instruments can be inserted into the therapeutic channel made from the soft materials in the sheath; difficult operations such as removal, suture and the like can be completed by two hands so as to facilitate the surgery of doctors; and cross infection can be avoided by the disposable use of the outer sheath made from low-cost perishable articles.
Description
Technical field
The invention belongs to Minimally Invasive Surgery equipment technical field, be specifically related to a kind of operation endoscope and disposable sheath thereof.
Background technology
Over nearly 70 years, domestic and international 95% has abandoned the method for open operation treatment prostatic hyperplasia to go to the hospital, the less invasive techniques that all adopts per urethra to utilize the TURP ring cutting to remove to tumor of bladder disease, prostatoplasia diseases.
The per urethra resectoscope is to utilize the ring-type electric knife under spying on, and excises the sufferer tissue one by one, and has electricity to coagulate effect.But intraoperative hemorrhage is easily compatible with irrigating solution, and to cause the visual field unclear, and the observation in the visual field is poured into a large amount of expensive irrigating solution 5% mannitol of consumption or 5% glucose and realized by frequently discharging water, pouring water.As operation of resection of prostate, need the water of ten thousand milliliters of 3-4 approximately, the waste great lot of water resources; And exhausted water contains virus, pathogenic bacteria in the art, often overflow to operating room or flow into sewer to cause environmental pollution, even liquid spill pollutes the medical worker in the art; And liquid perfusion can not control intravesical pressure, and a large amount of perfusion fluids make intravesical pressure insist on height of continuing rising in the art, easily cause the water intoxication threat to life.Frequently make the bladder high pressure, low pressure has harmful effect to systemic blood kinetics.
And in the existing operation on prostate, use the TURP ring prostatic hyperplasia is excised, needing excision one by one, a blood vessel needs repeatedly to cut hemostasis again.Because of the TURP ring need be with digging out operational motion, capsula prostatica is more poor, wears capsula prostatica in order to prevent to cut, and be difficult to the outgrowth body of gland of complete excision with the TURP ring, and remaining body of gland is the root of long-term urinary system infection, and residual many persons cause the postoperative dysuria.Cutting and wear bladder neck, cut severe complications such as wearing capsula prostatica damage rectum may.The TURP ring cutting removes tissue and is strip, is difficult for differentiating the position of pathological changes, and excising a large amount of rule tissues increases Pathology Deparment's screening operation amount.
In the tumor of bladder excision, position difference because of the tumor of bladder growth, be difficult to operation as TURP rings such as posterior wall of urinary bladder, front and rear wall intersections, tumor resection is the excision of a slice a slice, be difficult to thoroughly excision during dark flesh layer tumor, whether more difficult thorough tumor resection when having obturator nerve reflection also is difficult to make a definite diagnosis the tumor substrate and excises complete on the pathology.
Sometimes easily cut because of the TURP ring and wear bladder, operating difficulty height, the TURP ring can not be in operations such as intravesical stitchings, and it is single to perform the operation, again can not be with reasons such as a kind of other diseases of mechanotherapy intravesical, and change the employing open operation into.
Summary of the invention
Technical problem to be solved by this invention provides a kind of operation endoscope, can insert multiple apparatus during operation, lesion image clearly can be provided, finish the various treatment operations of intravesical easily, the infection that crosses one another between the sufferer has been avoided in the disposable use of epitheca.
In order to solve above technical problem, the invention provides operation endoscope and disposable sheath thereof, comprise endoscope body and disposable sheath, it is characterized in that: the first half of disposable sheath is an endoscope path way, made by hard materials such as duroplastss, described endoscope body places described endoscope path way, the Lower Half of disposable sheath, the built-in treatment passage that supplies operating theater instruments to pass through is made by soft materials; The disposable sheath side is equipped with the air intake valve that is connected with carbon dioxide air source, and rearward end connects closer, and the end of exposing of running through the duct of closer is connected with the anti back-flow sealing cap.
Be equipped with sight glass and light source interface on the described endoscope body, sight glass and endoscope body are 90 ° of angles.Described sight glass is connected with display, and will show to display by the image signal transmission that the treatment passage transmits.
Described closer is equipped with 1～3 duct, can pass through for the apparatus that operation needs, and different designs can be done according to the operation needs with quantity in the aperture in duct.
The built-in gas passage of described treatment passage is connected with described air intake valve, utilizes existing pneumoperitoneum apparatus perfusion carbon dioxide, and the flow of may command air inlet and pressure remain getting a clear view of Minimally Invasive Surgery.
The invention is not restricted to operation in the bladder, also can remove as resection of prostate simultaneously, tumor of bladder hysterectomizes that mirror, diverticulum of bladder excision, Uretero-bladder coincide again, peritoneoscope etc.
Beneficial effect of the present invention is: change the liquid irrigating solution for using carbon dioxide as the perfusion medium, more clear affected part image is provided during operation, and the treatment passage that has soft material to constitute in the mirror sheath, can insert multiple operating theater instruments, highly difficult operations such as excision, stitching are finished in bimanualness, make things convenient for the doctor to undergo surgery, finish the treatment of intravesical various diseases.The mirror sheath is low-cost easily-consumed products, and the infection that crosses one another between the sufferer has been avoided in disposable use.
Description of drawings
Below in conjunction with the drawings and specific embodiments the present invention is described in further detail.
Fig. 1 operation endoscope structural representation of the present invention;
Fig. 2 disposable sheath decomposition texture sketch map.
Among the figure, the 1-endoscope body; The 2-sight glass; The 3-light source interface; The 4-air intake valve; The 5-endoscope path way; 6-treats passage; The 7-closer; The 8-duct.
The specific embodiment
Following examples are that example describes with operation in the bladder.
From as seen illustrated in figures 1 and 2, operation endoscope and disposable sheath thereof: comprise endoscope body 1 and disposable sheath, it is characterized in that: the first half of disposable sheath is an endoscope path way 5, is made by hard material such as duroplasts, and described endoscope body 1 places described endoscope path way 5; The Lower Half of disposable sheath, the built-in treatment passage 6 that supplies operating theater instruments to pass through is made by soft material; Described disposable sheath side is equipped with the air intake valve 4 that is connected with carbon dioxide air source, and rearward end connects closer 7, run through closer 7 the duct expose the end, be connected with the anti back-flow sealing cap.
Described sight glass 2 is connected with display, and will show to display by the image signal transmission that treatment passage 6 transmits.
By hard material described endoscope path way of making 5 and the treatment passage of making by soft materials 6, can be detachable connection, also can be integrated fixedly connected.
Sight glass 2 that is equipped with on the described endoscope body 1 and light source interface 3, described sight glass 2 is 90 ° with described endoscope body 1.
Described closer 7 is equipped with 1～3 duct 8, can pass through for following operating theater instruments: the electricity of spoon formula pincers, replaceable haircut is cut with fixed attention, needle holder, suction pump, prostate chopper.Different designs can be done according to the operation needs with the quantity in duct in the aperture in duct.
The built-in gas passage of described treatment passage is connected with described air intake valve, the present invention uses carbon dioxide as the perfusion medium, and intraoperative hemorrhage is not compatible with gas, and sight glass is observed in gas than observe the definition height in water, remain and get a clear view, have cheap advantage.Operation mirror utilizes existing pneumoperitoneum apparatus perfusion carbon dioxide in the described bladder of present embodiment, and the flow of may command air inlet and pressure do not need the punctio vesicae fistulation.
Operation mirror is that endoscope body is placed in the endoscope path way 5 of disposable sheath in the bladder.Soft treatment passage 6 working places are big, can put into pliers simultaneously and mention tumor, put into electric hook or electricity is cut complete tumor resection with fixed attention, even invade the tumor of dark flesh layer.Because of the perfusion carbon dioxide, can cut bladder holostrome (utilize pneumoperitoneum apparatus may command injection pressure, gas enters bladder week clearance pressure may command, can not enter in a large number, and gas is easily discharged simultaneously, can not cause the severe infections complication as liquid).Can in the described cystoscope of the embodiment of the invention, sew up wall of urinary bladder.To prostatic hyperplasia, the present invention be can use and Fructus Canarii albi ball-type pincers and prostate chopper utilized, complete dial-out prostate reaches complete excision effect.And these are inaccessiable with present resectoscope.
Present resectoscope can only be done prostatoplasia diseases or show the TURP of shallow tumor of bladder, and it is more single to perform the operation.Adopt operation endoscope and disposable sheath thereof in the bladder of the present invention, not only have a clear superiority in the above-mentioned two kinds of diseases of treatment, the application scenario also is not limited to operation in the bladder, also can be used as the resection of prostate mirror simultaneously, metroscope, arthroscope, various Minimally Invasive Surgery equipment such as peritoneoscope are used for the treatment of as other treatment of diseases of intravesical such as diverticulum of bladder excision, Uretero-bladder coincide again.
More than to the description of the specific embodiment, be intended to make those of ordinary skills can use the present invention in order to describe and the technical scheme that the present invention relates to be described.But should be appreciated that the present invention is not limited to above-mentioned embodiment, based on the conspicuous conversion of the present invention enlightenment or substitute, also should be considered to fall into protection scope of the present invention.
Claims (4)
1. operation endoscope and disposable sheath thereof, comprise endoscope body (1) and disposable sheath, it is characterized in that: the first half of described disposable sheath is endoscope path way (5), is made by hard material, and described endoscope body (1) places described endoscope path way (5); The bottom of disposable sheath, the built-in treatment passage (6) that supplies operating theater instruments to pass through is made by soft materials; Described disposable sheath side is equipped with the air intake valve (4) that is connected with carbon dioxide air source, and rearward end connects closer (7), runs through the duct (8) of closer (7), and the end of exposing is connected with the anti back-flow sealing cap.
2. according to described operation endoscope of claim 1 and disposable sheath thereof, it is characterized in that: be equipped with sight glass (2) and light source interface (3) on the described endoscope body (1), described sight glass (2) is 90 ° of angles with described endoscope body (1).
3. according to described operation endoscope of claim 1 and disposable sheath thereof, it is characterized in that: the quantity of described duct (8) is 1～3.
4. described operation endoscope of claim 1 and disposable sheath thereof is characterized in that: be used for prostate excision, tumor of bladder excision, metroscope, diverticulum of bladder excision and Uretero-bladder coincide again.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201010130606A CN101828959A (en) | 2010-03-23 | 2010-03-23 | Surgical endoscope and disposable sheath thereof |
| PCT/CN2011/000296 WO2011116619A1 (en) | 2010-03-23 | 2011-02-25 | Surgical endoscope and disposable sheath thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201010130606A CN101828959A (en) | 2010-03-23 | 2010-03-23 | Surgical endoscope and disposable sheath thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN101828959A true CN101828959A (en) | 2010-09-15 |
Family
ID=42713283
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201010130606A Pending CN101828959A (en) | 2010-03-23 | 2010-03-23 | Surgical endoscope and disposable sheath thereof |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN101828959A (en) |
| WO (1) | WO2011116619A1 (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2011097953A1 (en) * | 2010-02-12 | 2011-08-18 | 上海祥秀医药科技有限公司 | Prostatectomy device with carbon dioxide gas supply |
| WO2011110047A1 (en) * | 2010-03-12 | 2011-09-15 | 上海祥秀医药科技有限公司 | Disposable cystoscope sheath |
| WO2011116619A1 (en) * | 2010-03-23 | 2011-09-29 | 上海祥秀医药科技有限公司 | Surgical endoscope and disposable sheath thereof |
| CN103338718A (en) * | 2011-06-07 | 2013-10-02 | 波士顿科技西姆德股份有限公司 | Disposable sheath |
| CN103385686A (en) * | 2013-08-09 | 2013-11-13 | 广州宝胆医疗器械科技有限公司 | Cystoscope with inflating air sac |
| CN110141358A (en) * | 2018-02-12 | 2019-08-20 | 崔建春 | Fiberoptic ductoscopy mirror sheath electroblation biopsy device |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4991565A (en) * | 1989-06-26 | 1991-02-12 | Asahi Kogaku Kogyo Kabushiki Kaisha | Sheath device for endoscope and fluid conduit connecting structure therefor |
| US5503616A (en) * | 1991-06-10 | 1996-04-02 | Endomedical Technologies, Inc. | Collapsible access channel system |
| CN100339043C (en) * | 2004-12-14 | 2007-09-26 | 姜克让 | Endoscope system with disposible sheath, and and using method therefor |
| US20080045859A1 (en) * | 2006-08-19 | 2008-02-21 | Fritsch Michael H | Devices and Methods for In-Vivo Pathology Diagnosis |
| CN100569175C (en) * | 2008-07-21 | 2009-12-16 | 李英奎 | Disposal vesica urinaria examination mirror sheath |
| CN101803903A (en) * | 2010-03-12 | 2010-08-18 | 上海祥秀医药科技有限公司 | Disposable cystoscope sheath |
| CN101828959A (en) * | 2010-03-23 | 2010-09-15 | 上海祥秀医药科技有限公司 | Surgical endoscope and disposable sheath thereof |
-
2010
- 2010-03-23 CN CN201010130606A patent/CN101828959A/en active Pending
-
2011
- 2011-02-25 WO PCT/CN2011/000296 patent/WO2011116619A1/en active Application Filing
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2011097953A1 (en) * | 2010-02-12 | 2011-08-18 | 上海祥秀医药科技有限公司 | Prostatectomy device with carbon dioxide gas supply |
| WO2011110047A1 (en) * | 2010-03-12 | 2011-09-15 | 上海祥秀医药科技有限公司 | Disposable cystoscope sheath |
| WO2011116619A1 (en) * | 2010-03-23 | 2011-09-29 | 上海祥秀医药科技有限公司 | Surgical endoscope and disposable sheath thereof |
| CN103338718A (en) * | 2011-06-07 | 2013-10-02 | 波士顿科技西姆德股份有限公司 | Disposable sheath |
| CN103385686A (en) * | 2013-08-09 | 2013-11-13 | 广州宝胆医疗器械科技有限公司 | Cystoscope with inflating air sac |
| CN110141358A (en) * | 2018-02-12 | 2019-08-20 | 崔建春 | Fiberoptic ductoscopy mirror sheath electroblation biopsy device |
| CN110141358B (en) * | 2018-02-12 | 2024-04-16 | 崔建春 | Endoscopic sheath electric excision biopsy device for breast tube |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2011116619A1 (en) | 2011-09-29 |
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Application publication date: 20100915 |