CN102525395A - Rigid laser cholecystoscope system - Google Patents
Rigid laser cholecystoscope system Download PDFInfo
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- CN102525395A CN102525395A CN2010102280598A CN201010228059A CN102525395A CN 102525395 A CN102525395 A CN 102525395A CN 2010102280598 A CN2010102280598 A CN 2010102280598A CN 201010228059 A CN201010228059 A CN 201010228059A CN 102525395 A CN102525395 A CN 102525395A
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- cholecystoscope
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Abstract
The invention belongs to the field of medical appliances, and particularly discloses a rigid laser cholecystoscope system. The rigid laser cholecystoscope system comprises a rigid cholecystoscope, a cold light source host machine, a camera host machine and a monitor, wherein the cold light source host machine, the camera host machine and the monitor are connected with the rigid cholecystoscope; and the rigid cholecystoscope is provided with a laser scalpel operation device cooperating with treatment and a laser scalpel system host machine matched with the laser scalpel operation device. The rigid laser cholecystoscope system organically combines the cholecystoscope technology and the laser technology, and can be divided into a split type and an integrated type particularly. Because the laser scalpel technology has the capacity of generating high energy and realizing high order focusing within a short time, a function of treating gallbladder diseases (such as polypus and the like) can be fulfilled by selecting laser with adaptive wavelength according to the properties of pathological changes. The advanced laser scalpel technology is introduced into a cholecystoscope operation and organic designing combination is performed, so that the diagnosis technology of the cholecystoscope and the treatment effect of laser are superposed, and unexpected diagnosis and treatment effects can be achieved by utilizing the characteristics, such as smooth cut, less bleeding and infection prevention, of the laser scalpel.
Description
Technical field
The invention belongs to field of medical appliances, be specifically related to a kind of hard laser cholecystoscope system of scope gallbladder disease operation.
Background technology
In the prior art; Laser technology be widely used in general outer, breast outer, neural, burn, in the middle of the field such as urinary system; Substitute the conventional surgical cutter with laser; Laser has single direction property preferably, and energy density is high, can utilize cutting health diseased tissue such as its heat effect, photo effect and galvanomagnetic-effect.In addition, when undergoing surgery with laser scalpel, operative incision is level and smooth, goes out insufficiency of blood, and easy infection can not accomplished post-operative recovery preferably.At present, laser scalpel commonly used has carbon dioxide laser cutter, argon laser cutter etc.Therefore, advanced person's laser scalpel probe technologies is applied in the gallbladder videoendoscopic surgery, utilizes the advantage of laser scalpel to carry out the gallbladder videoendoscopic surgery, can increase operation effectiveness and safety coefficient.The technological endoscopic assistance that organically combines with the gallbladder mirror of laser scalpel still appears using at present.Therefore, a kind of hard laser gallbladder mirror technology that the laser scalpel technology is used in combination with the gallbladder mirror of design is extremely urgent.
Summary of the invention
The objective of the invention is to overcome the deficiency of prior art; A kind of hard laser cholecystoscope system is provided; This hard laser cholecystoscope system organically combines advanced person's laser scalpel technology with hard gallbladder mirror, can improve the cure rate of operation, accuracy effectively; Reduce relapse rate, improve quality of medical care and medical safety.
In order to realize above-mentioned technical purpose, the present invention realizes through following technical scheme:
Hard laser cholecystoscope system of the present invention; Comprise hard gallbladder mirror and the cold light source main frame that is connected with hard gallbladder mirror, shooting main frame, monitor and keyboard; Also be provided with the laser scalpel operating means that is used for partner treatment on the said hard gallbladder mirror, and with the laser scalpel system host that cooperates the laser scalpel operating means to use.
In the present invention, can be divided into following two kinds of structures according to laser scalpel operating means and hard gallbladder mirror structural relation:
First kind is: said laser scalpel operating means becomes the separate type design with hard gallbladder mirror, the hard laser gallbladder mirror that promptly is combined into is a separate type hard laser gallbladder mirror; Second kind is: said laser scalpel operating means and the design of being integral of hard gallbladder mirror formula, i.e. the two the integrated formula hard of hard laser gallbladder mirror laser gallbladder mirror that is combined into.
Wherein: the first, separate type hard laser cholecystoscope system, laser scalpel operating means become the separate type design with hard gallbladder mirror, said hard gallbladder mirror comprises hard scope end; The cold light source joint; The eyepiece input, instrument channel, intake tunnel and exhalant canal; Said laser scalpel device is the laser scalpel probe; It comprises laser scalpel probe work end, laser scalpel probe operating portion and data wire; The first end of said laser scalpel probe work end is a laser scalpel probe main portion; Instrument channel in the said hard gallbladder mirror is the linear type instrument channel, and said laser scalpel probe work end is passed this linear type instrument channel and can be stretched out from the first end of hard scope end.
As the further improvement of above-mentioned technology, said laser scalpel probe main portion adopts high temperature resistant, bright light-permeable and non-fragile rigid material to process, and material comprises quartz, gem etc.; Said laser scalpel probe main portion is connected with temperature sensor, and said laser scalpel probe main portion is provided with groove, places laser fiber in this groove, and the even said laser fiber skin that groove can help laser is enclosed with fin; The pipe shape that said laser scalpel probe work end is made by hard metal, its external diameter is less than 3.0mm, and length is greater than 300mm; Laser scalpel probe operation part is cylindric, and suitable hand grips, and said laser scalpel probe operation part is provided with and is used to control the laser controlling button that laser is opened; The data wire of said laser scalpel probe operation part rear end is connected with the laser scalpel system host; In the present invention, the laser system main frame can provide the laser scalpel probe apparatus multiple mode of operation, and all working pattern comprises cutting, irradiation and coagulation etc.; In addition, also be built-in with cooling system in the separate type hard laser cholecystoscope system.
The second, integrated type hard laser cholecystoscope system; Said laser scalpel operating means and the design of being integral of hard gallbladder mirror formula; Said laser scalpel operating means is for directly being integrated in the laser scalpel part on the hard gallbladder mirror, and said laser scalpel part combines being integrally formed of hard gallbladder mirror hard laser gallbladder mirror with hard gallbladder mirror is integrated; Said integral hard laser gallbladder mirror comprises hard scope end, cold light source joint, eyepiece input, data output end, intake tunnel and exhalant canal; Said laser scalpel part directly is integrated in hard scope end, and the first end of said hard scope end also is integrated with optical lens, light-conductive optic fibre, intake tunnel outlet and exhalant canal outlet; Said eyepiece is exported into end and is connected the external microwave coagulation treatment system host of said data output end with the shooting main frame.
Further improvement as above-mentioned technology; Be provided with the thrust unit that can laser scalpel partly be released scope elder generation end plane in the said laser scalpel part, this ejecting device can partly be released scope elder generation end 5mm at least with laser scalpel, so that treat; In addition; Laser scalpel part external diameter is less than 3.0mm, and must do sealing treatment between laser scalpel part and the scope elder generation end, with the air water contact inside and outside the isolated scope.
In the present invention; The length of the hard scope end of said integral hard laser gallbladder mirror is 250～300mm; Its external diameter is smaller or equal to 10mm, and scope elder generation end external diameter is 5.0～8.0mm, and the diameter of said intake tunnel outlet and exhalant canal outlet is 0.9～1.5mm; And the light path of this integral hard laser gallbladder mirror adopts 1.5～3.0mm optical system; Perhaps adopt the electronic CCD optical system of 1.5～3.0mm optical lens; Its CCD chip adopts≤1/4 ", the CCD of at least 48 universal effect pixels, 100 ° of the angles of view or more than.
Compared with prior art, the invention has the beneficial effects as follows:
The doctor implements hard gallbladder videoendoscopic surgery, and the laryngeal mask general anesthesia through the little otch direct-view of umbilical part held sheath pipe, is set up pneumoperitoneum; Place diameter 5mm laparoscopic approach abdominal cavity through the sheath pipe, under laparoscopically supervision, below right costal margin little otch (＜20mm) grasp gallbladder; Gallbladder bottom miniature incision (＜6mm), advance hard gallbladder mirror to the gallbladder chamber, remove thickness bile; Open intake tunnel makes to be full of brine media in the gallbladder, is platform with hard gallbladder mirror; Feed the laser scalpel probe through the custom-designed instrument channel of scope, select different treatment patterns, just can under the direct-view of optical system, carry out multi-form processing pathological changes according to the character of pathological changes.The present invention is through the combination of laser scalpel probe with hard gallbladder mirror; Offer the sharp weapon of a kind of novel execution gallbladder videoendoscopic surgery of doctor; Can improve the cure rate of operation, accuracy is to reach the purpose that reduces relapse rate; Improve quality of medical care and medical safety, can remedy the deficiency in the existing diagnosis and treatment gallbladder disease operation preferably.
Description of drawings
Fig. 1 is the embodiment of the invention one a described separate type hard laser cholecystoscope system sketch map.
Fig. 2 is the structure chart of hard gallbladder mirror in the embodiment of the invention one.
Fig. 3 is a hard gallbladder mirror end construction enlarged diagram in the embodiment of the invention one.
Fig. 4 is the structure chart of laser scalpel probe in the embodiment of the invention one.
Fig. 5 is the profile of laser scalpel probe work end in the embodiment of the invention one.
Fig. 6 is the embodiment of the invention two described integral hard laser cholecystoscope system sketch maps.
Fig. 7 is an integral hard laser gallbladder mirror structure chart in the embodiment of the invention two.
Fig. 8 is an integral hard laser gallbladder mirror end view one in the embodiment of the invention two.
Fig. 9 is an integral hard laser gallbladder mirror end view two in the embodiment of the invention two.
The specific embodiment
Below in conjunction with accompanying drawing the present invention is made further detailed description:
Embodiment one:
The described hard laser of present embodiment cholecystoscope system is a separate type hard laser cholecystoscope system; As shown in Figure 1; It comprises hard gallbladder mirror 1, laser scalpel probe 2; Also comprise the cold light source main frame 3, the shooting main frame 4 that are connected with hard gallbladder mirror 1, the laser scalpel system host 5, keyboard 6 and the monitor 7,8 that are connected with laser scalpel probe 2.
Like Fig. 2, in conjunction with shown in Figure 3, said hard laser gallbladder mirror 1 comprises hard scope end 11, cold light source joint 12, eyepiece input 13, instrument channel 14, intake tunnel 15 and exhalant canal 16.The external diameter of its hard scope end 11 is 250～300mm, and scope elder generation end 111 external diameters are 5.0～8.0mm, and the diameter of said intake tunnel outlet 151 and exhalant canal outlet 161 is 0.9～1.5mm, and the diameter of instrument channel outlet 141 is 2.0～3.0mm.The gallbladder of hard described in the present invention mirror 1; Its light path adopts 1.5～3.0mm optical system 131, perhaps adopts the electronic CCD optical system of 1.5～3.0mm optical lens 131, and its CCD chip adopts≤1/4 "; the CCD of at least 48 universal effect pixels, 100 ° of the angles of view or more than.
Like Fig. 4, shown in Figure 5; Said laser scalpel probe 2 comprises laser scalpel probe work end, laser scalpel probe operating portion and data wire; Laser scalpel probe 2 comprises laser scalpel probe work end 22; Laser scalpel probe operating portion 23 and data wire 24, the instrument channel 14 in the said hard gallbladder mirror is the linear type instrument channel, said laser scalpel probe work end 22 is passed this linear type instrument channel and can be stretched out from the first end of hard scope end 11.
In the present invention, said laser scalpel probe work end 22 is by the hard rigid material, and the first end of this laser scalpel probe work end 22 is a laser scalpel probe main portion 21; It adopts high temperature resistant; Light, light-permeable, not easily broken material manufacture; Material can be for comprising quartz, gem matter material etc.; In addition, laser scalpel probe main portion 21 connects temperature sensor 211, can accurately feed back the temperature of probe and return laser main frame 5, to reach the purpose of accurate control; Laser scalpel probe main portion 21 is designed with groove, places laser fiber 212 in the groove, and the function of groove helps the even dispersion of laser; Simultaneously, be used to conduct the laser fiber 212 outer parcel fin 213 of laser, can accomplish efficiently radiates heat through fin.The pipe shape that laser scalpel probe work end 22 is made by hard metal; Its external diameter is less than 3.0mm; Length is greater than 300mm, and laser scalpel probe operation part 23 is cylindric, and suitable hand grips; Also be provided with laser controlling button 25 on the laser scalpel probe operation part 23, can control the unlatching of laser; In addition, the Back end data line 24 of laser scalpel probe operation part 23 is connected with laser scalpel system host 5; Laser scalpel system host 5 can provide laser scalpel more than the 2 kind of mode of operation of popping one's head in, and mode of operation comprises cutting, irradiation, and coagulation etc., system is built-in with cooling system.Laser scalpel system host 5 can be operated through keyboard 6, and its display screen 7 provides comprehensively information such as all states and the parameter of laser scalpel work.
Embodiment two:
The difference of present embodiment and embodiment one is, in the present embodiment, is the laser scalpel part directly to be integrated in one with hard gallbladder mirror use, and is integral hard laser cholecystoscope system.
As shown in Figure 6, integral hard laser cholecystoscope system, it comprises integral hard laser gallbladder mirror 9, cold light source main frame 3, shooting main frame 4, laser scalpel system host 5 and keyboard 6, monitor 7,8.
As shown in Figure 7, described integral hard laser gallbladder mirror 9 comprises hard scope end 91, cold light source joint 92, eyepiece outfan 93, data output end 94, parts such as intake tunnel 95 and exhalant canal 96.Hard scope end 91 is integrated with optical lens 931, laser scalpel part 941, light-conductive optic fibre 921, intake tunnel outlet 951 and exhalant canal outlet 961.The external diameter of hard scope end 91 is smaller or equal to 10mm, and its length is 250～300mm.Its cold light source joint 92 external cold light source main frames 3, its eyepiece outfan 93 external shooting main frames 4, data output end 94 external laser scalpel system hosts 5.Described integral hard laser gallbladder mirror 9, its light path adopts the electronic CCD optical system of 1.5～3.0mm optical lens 932, its CCD chip adopts≤1/4 ", the CCD of at least 48 universal effect pixels, 100 ° of the angles of view or more than.
Like Fig. 8, shown in Figure 9; The first end 911 integrated laser scalpel parts 941 that are designed with of said integral hard laser gallbladder mirror 9 hard scope ends 91; Optical lens 931; Light-conductive optic fibre 921, intake tunnel outlet 951 and exhalant canal outlet 961, the diameter of said intake tunnel outlet 951 and exhalant canal outlet 961 is 0.9～1.5mm.Described laser scalpel part 941 is positioned at scope elder generation end 911; In the present embodiment; The structure of said laser scalpel part 941 is identical with laser scalpel probe work end 2 structures in the separate type hard laser gallbladder mirror, is designed with ejecting device in the laser scalpel part 941, can be under the driving of micromachine; Release 911 planes, scope elder generation end 5mm at least, treat then; Laser scalpel part 941 must be done sealing treatment, the air water contact that isolated scope is inside and outside.Laser scalpel part 941 external diameters are less than 3.0mm.。
The present invention is not limited to above-mentioned embodiment; If various changes of the present invention or modification are not broken away from the spirit and scope of the present invention; If these are changed and modification belongs within claim of the present invention and the equivalent technologies scope, then the present invention also comprises these changes and modification.
Claims (10)
1. hard laser cholecystoscope system; Comprise hard gallbladder mirror and the cold light source main frame that is connected with hard gallbladder mirror, shooting main frame, monitor; It is characterized in that: also be provided with the laser scalpel operating means that is used for partner treatment on the said hard gallbladder mirror, and with the laser scalpel system host that cooperates the laser scalpel operating means to use.
2. hard laser cholecystoscope system according to claim 1 is characterized in that: said laser scalpel operating means becomes the separate type design with hard gallbladder mirror,
Said hard gallbladder mirror comprises hard scope end, cold light source joint, eyepiece input, instrument channel, intake tunnel and exhalant canal;
Said laser scalpel device is the laser scalpel probe; It comprises laser scalpel probe work end, laser scalpel probe operating portion and data wire; The first end of said laser scalpel probe work end is a laser scalpel probe main portion; Instrument channel in the said hard gallbladder mirror is the linear type instrument channel, and said laser scalpel probe work end is passed this linear type instrument channel and can be stretched out from the first end of hard scope end.
3. hard laser cholecystoscope system according to claim 2; It is characterized in that: said laser scalpel probe main portion adopts high temperature resistant, bright light-permeable and non-fragile rigid material to process; Said laser scalpel probe main portion is connected with temperature sensor; Said laser scalpel probe main portion is provided with groove, places laser fiber in this groove, and said laser fiber skin is enclosed with fin.
4. hard laser cholecystoscope system according to claim 3; It is characterized in that: the pipe shape that said laser scalpel probe work end is made by hard metal; Its external diameter is less than 3.0mm, and length is greater than 300mm, and laser scalpel probe operation part is cylindric; Said laser scalpel probe operation part is provided with and is used to control the laser controlling button that laser is opened, and the data wire of said laser scalpel probe operation part rear end is connected with the laser scalpel system host.
5. according to each described hard laser cholecystoscope system of claim 2 to 4; It is characterized in that: the hard scope tip lengths of said hard gallbladder mirror is 250～300mm; Its external diameter is smaller or equal to 10mm; Scope elder generation end external diameter is 5.0～8.0mm, and the diameter of said intake tunnel outlet and exhalant canal outlet is 0.9～1.5mm, and the diameter of instrument channel outlet is 2.0～3.0mm;
The light path of said hard gallbladder mirror adopts 1.5～3.0mm optical system, perhaps adopts the electronic CCD optical system of 1.5～3.0mm optical lens, and its CCD chip adopts≤1/4 ", the CCD of at least 48 universal effect pixels, 100 ° of the angles of view or more than.
6. hard laser cholecystoscope system according to claim 1; It is characterized in that: said laser scalpel operating means and the design of being integral of hard gallbladder mirror formula; Said laser scalpel operating means is for directly being integrated in the laser scalpel part on the hard gallbladder mirror, and said laser scalpel part combines being integrally formed of hard gallbladder mirror hard laser gallbladder mirror with hard gallbladder mirror is integrated; Said integral hard laser gallbladder mirror comprises hard scope end, cold light source joint, eyepiece input, data output end, intake tunnel and exhalant canal; Said laser scalpel part directly is integrated in hard scope end, and the first end of said hard scope end also is integrated with optical lens, light-conductive optic fibre, intake tunnel outlet and exhalant canal outlet; Said data output end is connected with laser system main frame and shooting main frame.
7. hard laser cholecystoscope system according to claim 6 is characterized in that: be provided with the thrust unit that can laser scalpel partly be released scope elder generation end plane in the said laser scalpel part.
8. hard laser cholecystoscope system according to claim 7 is characterized in that: said laser scalpel part external diameter is less than 3.0mm, and laser scalpel part and the end sealing treatment design of scope elder generation.
9. hard laser cholecystoscope system according to claim 8 is characterized in that: said laser scalpel partly adopts high temperature resistant, bright light-permeable and non-fragile rigid material to process.
10. hard laser cholecystoscope system according to claim 6; It is characterized in that: the hard scope tip lengths of said integral hard laser gallbladder mirror is 250～300mm; Its external diameter is smaller or equal to 10mm; Scope elder generation end external diameter is 5.0～8.0mm, and the diameter of said intake tunnel outlet and exhalant canal outlet is 0.9～1.5mm, and the diameter of instrument channel outlet is 2.0～3.0mm;
The light path of said integral hard laser gallbladder mirror adopts 1.5～3.0mm optical system; Perhaps adopt the electronic CCD optical system of 1.5～3.0mm optical lens; Its CCD chip adopts≤1/4 ", the CCD of at least 48 universal effect pixels, 100 ° of the angles of view or more than.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010102280598A CN102525395A (en) | 2010-07-15 | 2010-07-15 | Rigid laser cholecystoscope system |
| PCT/CN2010/077021 WO2012006811A1 (en) | 2010-07-15 | 2010-09-17 | Rigid laser endoscope system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010102280598A CN102525395A (en) | 2010-07-15 | 2010-07-15 | Rigid laser cholecystoscope system |
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| CN102525395A true CN102525395A (en) | 2012-07-04 |
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| CN2010102280598A Pending CN102525395A (en) | 2010-07-15 | 2010-07-15 | Rigid laser cholecystoscope system |
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Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4409993A (en) * | 1980-07-23 | 1983-10-18 | Olympus Optical Co., Ltd. | Endoscope apparatus |
| US20030130575A1 (en) * | 1991-10-18 | 2003-07-10 | Ashvin Desai | Method and apparatus for tissue treatment with laser and electromagnetic radiation |
| CN101700182A (en) * | 2009-11-18 | 2010-05-05 | 广州宝胆医疗器械科技有限公司 | Hard multi-channel electronic cholecystoscope system |
| CN101703415A (en) * | 2008-10-10 | 2010-05-12 | 广州宝胆医疗器械科技有限公司 | Hard ultrasonic gallbladder endoscope system and using method thereof |
-
2010
- 2010-07-15 CN CN2010102280598A patent/CN102525395A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4409993A (en) * | 1980-07-23 | 1983-10-18 | Olympus Optical Co., Ltd. | Endoscope apparatus |
| US20030130575A1 (en) * | 1991-10-18 | 2003-07-10 | Ashvin Desai | Method and apparatus for tissue treatment with laser and electromagnetic radiation |
| CN101703415A (en) * | 2008-10-10 | 2010-05-12 | 广州宝胆医疗器械科技有限公司 | Hard ultrasonic gallbladder endoscope system and using method thereof |
| CN101700182A (en) * | 2009-11-18 | 2010-05-05 | 广州宝胆医疗器械科技有限公司 | Hard multi-channel electronic cholecystoscope system |
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Application publication date: 20120704 |