CN102631184B - Diagnosis and treat integral confocal cystoscope system - Google Patents
Diagnosis and treat integral confocal cystoscope system Download PDFInfo
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- CN102631184B CN102631184B CN201010227937.4A CN201010227937A CN102631184B CN 102631184 B CN102631184 B CN 102631184B CN 201010227937 A CN201010227937 A CN 201010227937A CN 102631184 B CN102631184 B CN 102631184B
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Abstract
The invention belongs to the field of medical machinery, and particularly relates to a diagnosis and treat integral confocal cystoscope system which comprises a hard cystoscope, wherein a treatment unit is arranged at the end part of a hard endoscope of the hard cystoscope, and a host machine of a treatment system is connected onto the hard cystoscope and correspondingly matched with the treatment device for use. The diagnosis and treat integral confocal cystoscope system is organically combined with a laser scalpel system or a microwave scalpel system through the hard cystoscope and a confocal laser scanning microscope system. The clinical application of the diagnosis and treat integral confocal cystoscope system can realize the effect of simultaneous diagnosis and treatment, and also can solve the problems of two aspects of patient diagnosis and treatment, the endoscope is prevented from being frequently changed, a large amount of operation time is saved, the pain of a patient is relieved, furthermore, the operation accuracy and safety are improved, and an unexpected effect is obtained.
Description
Technical field
The invention belongs to field of medical appliances, be specifically related to a kind of diagnosis and treatment integrated confocal cystoscope system of bladder disease videoendoscopic surgery.
Background technology
Cystoscope is widely used in the diagnosis and treatment operation of Urology Surgery at present, and the treatment of vesical calculus, bladder relevant diseases is played an important role.Doctor passes into cystoscope through patient's urethra, optical system observing that can be by scope is to the real conditions in bladder cavity, and pass into operating theater instruments etc. bladder pathological changes is treated, for in bladder cavity or the tumor of mucosa, the suspicious lesions such as inflammation, doctor often needs to pass into operating theater instruments and obtains tissue substance censorship as biopsy forceps etc., the process that censorship is tested expends significant period of time, tends to stop over the treatment time of patient's preciousness.After pathological changes is made a definite diagnosis, need frequently to pass into different types of apparatus, as laser scalpel probe excises pathological changes, microwave coagulation treatment probe carries out micro-wave therapeutic etc. to pathological changes, has increased patient's misery and a large amount of operating times of waste, is also unfavorable for carrying out smoothly of operation simultaneously
Because confocal laser scanning microscopic technology can be carried out the pathological tissues in patient's bladder cavity, confocal laser scanning is micro-is amplified to microstructure, pathological tissues is carried out to the observation of microstructure clearly, in the inspection of carrying out real-time live body, make scope doctor in operation technique and inspection to can pathological changes carrying out instant analysis and detection, clarify a diagnosis, overcome the drawback that Random Biopsies brings.
Along with further developing of science and operation, must need a kind of integrated cystoscope system with diagnosis and treatment dual-use function, when finding pathological changes and clarify a diagnosis in operation, carry out immediately operative treatment, to save operating time, to improve operation safety coefficient and accuracy, can guarantee better the healthy of sufferer; Therefore design that a kind of that confocal laser is scanned to microscopic diagnosis technology is extremely urgent with the burnt cystoscope system of diagnosis and treatment one copolymerization for the treatment of dual-use function.
Summary of the invention
The object of the invention is to overcome the deficiencies in the prior art, a kind of diagnosis and treatment integrated confocal cystoscope system is provided, this diagnosis and treatment integrated confocal cystoscope system is to organically combine confocal laser is scanned to micro-diagnostic techniques and laser therapy or micro-wave therapeutic technology, avoided changing frequently in art scope, when making to find pathological changes and can determine diagnosis in operation, can carry out operative treatment immediately, for treatment in time gains time, improve operation safety coefficient and accuracy, can guarantee better the healthy of sufferer; Greatly save operating time, improved accuracy rate and the safety of operation.
In order to reach above-mentioned technical purpose, the present invention is achieved through the following technical solutions:
A kind of diagnosis and treatment integrated confocal cystoscope system of the present invention, comprise hard cystoscope, the cold light source main frame being connected with hard cystoscope, shooting main frame, confocal laser scanning microscopic system main frame and monitor, described hard cystoscope comprises cystoscope main body and cystoscope sheath pipe; Described cystoscope main body comprises hard scope end, cold light source joint, view data outfan; Described hard scope end is provided with confocal scanning microscope head, confocal laser head, optical lens, light-conductive optic fibre, intake tunnel outlet and exhalant canal outlet, described hard scope end is provided with the therapy equipment being used for the treatment of, and is connected with the therapy system main frame being used in conjunction with this therapy equipment on described hard cystoscope.
In the present invention, described therapy equipment can have two kinds of forms, i.e. laser scalpel and microwave coagulation treatment.
The first: the therapy equipment of described hard scope end is laser scalpel part, described hard cystoscope is provided with laser scalpel control interface, described therapy system main frame is laser scalpel system host, described laser scalpel control interface is connected with laser scalpel system host by data wire, in described hard cystoscope, view data outfan connects respectively confocal laser scanning microscopic system main frame and shooting main frame by data wire, the confocal laser scanning external operation keyboard of microscopic system main frame and monitor, described shooting main frame external connection monitors, before performing a surgical operation, patient must inject the fluorescein sodium of doses, the signal producing under the excitation of the laser beam that fluorescein sodium goes out at confocal laser hair, the micro state of the tissue of wall of urinary bladder mucosa can be scanned to the processing of microscopic system main frame through confocal laser, in monitor, show.
As the further improvement of above-mentioned technology, described laser scalpel partly adopts high temperature resistant, bright light-permeable and non-fragile rigid material to make, and material comprises quartz, gem etc.; Described laser scalpel is partly connected with temperature sensor, and described laser scalpel is partly provided with groove, and this groove is placed laser fiber, and groove can be conducive to the even of laser, and described laser fiber skin is enclosed with fin; Its laser scalpel part external diameter is less than 3.0mm, and laser scalpel partial design has ejecting device, under the driving of micromachine, can release at least 5mm of the first end of scope, and treat.
In the present invention, described laser scalpel system host provides laser scalpel probe multiple-working mode, and pattern comprises cutting, irradiate, and coagulation etc., system is built-in with cooling system.The control of laser scalpel system host provides the comprehensively information such as all states of laser scalpel work and parameter.In addition, the external control foot switch of laser scalpel system host, is convenient to handling in when operation of doctor.
The second: the therapy equipment of described hard scope end is microwave coagulation treatment part, described hard cystoscope is provided with microwave coagulation treatment control interface, described therapy system main frame is microwave coagulation treatment system host, described microwave coagulation treatment control interface is connected with microwave coagulation treatment system host by data wire, the external operation keyboard of described microwave coagulation treatment system host and monitor, described view data outfan connects respectively confocal laser scanning microscopic system main frame and shooting main frame by data wire, the confocal laser scanning external operation keyboard of microscopic system main frame and monitor, shooting main frame external connection monitors.In addition, for the ease of operation, the external control foot switch of described microwave coagulation treatment system host.
Further improvement as above-mentioned technology, the external diameter of the work end of described microwave coagulation treatment part is less than or equal to 3.0mm, the external diameter of described microwave coagulation treatment probe work end is less than or equal to 3.0mm, the microwave coagulation treatment first end of popping one's head in is an insulation sleeve, described microwave coagulation treatment probe work end is insulation tube that coordinate with insulation sleeve and that be pressed into by hard material, described insulation tube maximum outside diameter is no more than 3.0mm, in described insulation tube, be provided with needle body, be divided into single-stage, bipolar and multipole needle body, bipolar and multipole needle body outer wrapping insulant, needle body adopts the stainless steel material of high conduction coefficient to make, it has efficient microwave conductivity.In addition, microwave coagulation treatment partial design has ejecting device, under the driving of micromachine, can release at least 5mm of the first end of scope, and treat.
In the present invention, described microwave coagulation treatment control interface connects microwave coagulation treatment system host by data wire, described microwave coagulation treatment system host, its power bracket is 0～60W, many grades of continuous stepless are adjustable, treatment pattern is divided into some patterns, has hemostasis, solidifies, burns and the various modes such as remove, the therapeutic frequency that various patterns are corresponding different.
In addition, in the present invention, in above-mentioned two kinds of different therapeutic modalities, the maximum outside diameter of described cystoscope sheath pipe is less than or equal to 12mm, the first end of described cystoscope sheath pipe is designed to obtuse, and the cystoscopic optical system of described hard 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 ten thousand valid pixels, 100 ° of the angles of view or more than.
Compared with prior art, the invention has the beneficial effects as follows:
Doctor implements diagnosis and treatment integrated confocal bladder videoendoscopic surgery, from patient's urethra, pass into diagnosis and treatment integrated confocal cystoscope, intake tunnel by scope is to bladder water filling, make filling of bladder, the cold light source of scope provides the brightness that optical system is enough, with the clear real time status of observing exactly in bladder cavity, suspicious lesions in bladder cavity can scan microscopic system by confocal laser does laser confocal scanning to it, to obtain its microstructure, diagnose, for bad pathological changes, can be in the situation that not changing scope, by laser scalpel system or microwave coagulation treatment system, carry out laser therapy or micro-wave therapeutic.Hard cystoscope and confocal laser scanning microscopic system, the organic assembling of laser scalpel system or microwave coagulation treatment system, has avoided changing frequently scope in art, has greatly saved operating time, improve accuracy rate and the safety of operation, in clinical, brought into play beyond thought effect.
Accompanying drawing explanation
Fig. 1 is the diagnosis and treatment integrated confocal cystoscope system structural representation described in the embodiment of the present invention one.
Fig. 2 is hard cystoscope in embodiment mono-(in conjunction with hard cystoscope and the laser scalpel part of confocal scanning microscope head, confocal laser head) structural representation.
Fig. 3 is hard scope end schematic perspective view in above-mentioned Fig. 2.
Fig. 4 is laser scalpel part-structure schematic diagram in embodiment mono-;
Fig. 5 is the diagnosis and treatment integrated confocal cystoscope system structural representation described in the embodiment of the present invention two.
Fig. 6 is hard cystoscope in embodiment bis-(in conjunction with hard cystoscope and the laser scalpel part of confocal scanning microscope head, confocal laser head) structural representation.
Fig. 7 is the cystoscopic hard scope of hard end schematic perspective view in above-mentioned Fig. 6.
Fig. 8 is microwave coagulation treatment part-structure schematic diagram in embodiment bis-.
The specific embodiment
Below in conjunction with two embodiment, the present invention is explained respectively, the hard cystoscope that wherein coordinates laser scalpel treatment technology to use in embodiment mono-is hard cystoscope 1; The hard cystoscope that coordinates microwave coagulation treatment treatment technology in embodiment bis-is hard cystoscope 2.
Embodiment mono-:
As shown in Figure 1, diagnosis and treatment integrated confocal cystoscope system of the present invention, comprise hard cystoscope 1, the cold light source main frame 3 being connected with hard cystoscope, shooting main frame 4, confocal laser scanning microscopic system main frame 5, laser scalpel system host 6, keyboard 7 and monitor 8,9.
As shown in Figure 2, hard cystoscope 1 of the present invention comprises cystoscope sheath pipe 11 and 12 two parts of cystoscope main body.Described cystoscope sheath pipe 11 maximum outside diameters are less than or equal to 12mm, and the first end 111 of described cystoscope sheath pipe 11 is designed to obtuse, avoids injuring urethral tissue.Described cystoscope main body 12, its structure comprises hard scope end 121, cold light source joint 122, view data outfan 123, laser scalpel control interface 124, the parts such as intake tunnel 125 and exhalant canal 126.Described view data outfan 123 connects respectively confocal laser scanning microscopic system main frame 5 and shooting main frame 4 by data wire, confocal laser scanning microscopic system main frame 5 external operation keyboard 7 and monitors 8, shooting main frame 4 external connection monitors 9, laser scalpel control interface 124 connects laser scalpel system host 6 by data wire, and laser scalpel system host 6 connects foot switch 61.
As shown in Figure 3, the first end of hard scope 111 Integrated designs have optical lens 1231, light-conductive optic fibre 1221, intake tunnel outlet 1251 and exhalant canal outlet 1261, laser scalpel part 1241, confocal laser scanning microscope, CLSM head 1232 and confocal laser head 1233 etc.The optical system of described hard cystoscope 1 is the electronic CCD optical system that adopts 1.5～3.0mm camera lens 1231, and its CCD chip adopts≤1/4 ", the CCD of at least 48 ten thousand valid pixels, 100 ° of the angles of view or more than.Described diagnosis and treatment integrated confocal cystoscope model 1, the diameter of its intake tunnel 125 and exhalant canal 126 is less than or equal to 3.0mm, and this intake tunnel 125 and exhalant canal 126 can be used as soft operating theater instruments and enter intravesical passage.
As shown in Figure 4, described laser scalpel part 1242 adopts high temperature resistant, bright light-permeable and non-fragile rigid material to make, and material comprises quartz, gem etc.; Described laser scalpel is partly connected with temperature sensor 12422, and described laser scalpel is partly provided with groove, places laser fiber 12424 in this groove, and groove can be conducive to the even of laser, and described laser fiber 12424 skins are enclosed with fin 12425; Its laser scalpel part 1242 external diameters are less than 3.0mm, and laser scalpel part 1242 is designed with ejecting device, under the driving of micromachine, can release at least 5mm of the first end of hard scope 111 planes, and treat.
Embodiment bis-:
The present embodiment and above-described embodiment one are basic identical, and its difference is:
As shown in Figure 5, diagnosis and treatment integrated confocal cystoscope system of the present invention, comprise hard cystoscope 2, the cold light source main frame 3 being connected with hard cystoscope, shooting main frame 4, confocal laser scanning microscopic system main frame 5, microwave coagulation treatment system host 10, keyboard 7 and monitor 8,9.
Shown in Fig. 6, described hard cystoscope 2 comprises cystoscope sheath pipe 21 and 22 two parts of cystoscope main body.The maximum outside diameter of described cystoscope sheath pipe 21 is less than or equal to 12mm, and the first end 211 of cystoscope sheath pipe 21 is designed to obtuse, avoids injuring urethral tissue.Described cystoscope main body 22, its structure comprises hard scope end 221, cold light source joint 222, view data outfan 223, microwave coagulation treatment control interface 224, the parts such as intake tunnel 225 and exhalant canal 226.Described view data outfan 223 connects respectively confocal laser scanning microscopic system main frame 5 and shooting main frame 4 by data wire, confocal laser scanning microscopic system main frame 5 external operation keyboard 7 and monitors 8, shooting main frame 4 external connection monitors 9, microwave coagulation treatment control interface 224 connects microwave coagulation treatment system host 10 by data wire, the external foot switch 101 of microwave coagulation treatment system host 10, convenient operation is used.
As Fig. 7 institute, the first end of described hard scope 221 Integrated designs have optical lens 2231, light-conductive optic fibre 2221, intake tunnel outlet 2251 and exhalant canal outlet 2261, microwave coagulation treatment part 2241, confocal laser scanning microscope, CLSM head 2232 and confocal laser head 2233 etc.The optical system of described hard cystoscope 2 adopts the electronic CCD optical system of 1.5～3.0mm camera lens 132, and its CCD chip adopts≤1/4 ", the CCD of at least 48 ten thousand valid pixels, 100 ° of the angles of view or more than.The diameter of described intake tunnel 225 and exhalant canal 226 is less than or equal to 3.0mm, and intake tunnel 225 and exhalant canal 226 can be used as soft operating theater instruments and enter intravesical passage.
As shown in Figure 8, the external diameter of stating the work end of microwave coagulation treatment part 2242 for the present invention is less than or equal to 3.0mm, there is an insulation sleeve 22426 its first end, with insulation sleeve 22426 precision-fit be the insulation tube 22422 of hard material compacting, its maximum outside diameter is no more than 3.0mm.In insulation tube, be provided with needle body 22423,22424 and 22425, be divided into single-stage, bipolar and multipole needle body, bipolar and multipole needle body outer wrapping insulant 22421, mutual insulating, needle body 22423,22424 and 22425 adopts the stainless steel material of high conduction coefficient to make, and has efficient microwave conductivity, and the present embodiment is very routine with three.Microwave coagulation treatment part 2242 is designed with ejecting device, under the driving of micromachine, can release at least 5mm of the first end of scope, and treat.
Claims (3)
1. a diagnosis and treatment integrated confocal cystoscope system, comprise hard cystoscope, the cold light source main frame being connected with hard cystoscope, shooting main frame, confocal laser scanning microscopic system main frame and monitor, described hard cystoscope comprises cystoscope main body and cystoscope sheath pipe; Described cystoscope main body comprises hard scope end, cold light source joint, view data outfan;
Described hard scope end is provided with confocal scanning microscope head, confocal laser head, optical lens, light-conductive optic fibre, intake tunnel outlet and exhalant canal outlet, it is characterized in that: described hard scope end is provided with the therapy equipment being used for the treatment of, on described hard cystoscope, be connected with the therapy system main frame being used in conjunction with this therapy equipment;
The therapy equipment of described hard scope end is microwave coagulation treatment part, and described hard cystoscope is provided with microwave coagulation treatment control interface, and described therapy system main frame is microwave coagulation treatment system host, and described microwave coagulation treatment control interface is connected with microwave coagulation treatment system host by data wire;
The external diameter of microwave coagulation treatment probe work end is less than or equal to 3.0mm, the microwave coagulation treatment first end of popping one's head in is an insulation sleeve, described microwave coagulation treatment probe work end is insulation tube that coordinate with insulation sleeve and that be pressed into by hard material, described insulation tube maximum outside diameter is no more than 3.0mm, in described insulation tube, be provided with needle body, needle body is divided into single-stage, bipolar and multipole needle body, bipolar and multipole needle body outer wrapping insulant, needle body adopts the stainless steel material of the high microwave coefficient of conductivity to make;
Described microwave coagulation treatment partial design has ejecting device.
2. diagnosis and treatment integrated confocal cystoscope system according to claim 1, it is characterized in that: described view data outfan connects respectively confocal laser scanning microscopic system main frame and shooting main frame by data wire, the confocal laser scanning external operation keyboard of microscopic system main frame and monitor, shooting main frame external connection monitors, microwave coagulation treatment system host external connection monitors; The external control foot switch of microwave coagulation treatment system host.
3. diagnosis and treatment integrated confocal cystoscope system according to claim 1, it is characterized in that: the maximum outside diameter of described cystoscope sheath pipe is less than or equal to 12mm, the first end of described cystoscope sheath pipe is designed to obtuse, the cystoscopic optical system of described hard adopts the electronic CCD optical system of 1.5～3.0mm optical lens, its CCD chip adopts≤1/4 〞, the CCD of at least 48 ten thousand valid pixels, 100 ° of the angles of view or more than.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201010227937.4A CN102631184B (en) | 2010-07-15 | 2010-07-15 | Diagnosis and treat integral confocal cystoscope system |
| PCT/CN2010/001570 WO2012006767A1 (en) | 2010-07-15 | 2010-10-08 | Therapeutic and diagnostic confocal microscopic rigid endoscope system |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201010227937.4A CN102631184B (en) | 2010-07-15 | 2010-07-15 | Diagnosis and treat integral confocal cystoscope system |
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| CN102631184A CN102631184A (en) | 2012-08-15 |
| CN102631184B true CN102631184B (en) | 2014-11-05 |
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Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101449963A (en) * | 2008-12-29 | 2009-06-10 | 浙江大学 | Laser co-focusing micro-endoscope |
| CN101518455A (en) * | 2008-11-05 | 2009-09-02 | 广州宝胆医疗器械科技有限公司 | Hard ultrasonic hysteroscope system |
| CN101606852A (en) * | 2009-06-30 | 2009-12-23 | 广州宝胆医疗器械科技有限公司 | Ultrasonic cystoscope |
| CN101716086A (en) * | 2009-12-11 | 2010-06-02 | 广州宝胆医疗器械科技有限公司 | Minitype ultrasound hard multichannel electronic cystoscope system |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7549424B2 (en) * | 1991-10-18 | 2009-06-23 | Pro Surg, Inc. | Method and apparatus for tissue treatment with laser and electromagnetic radiation |
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Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101518455A (en) * | 2008-11-05 | 2009-09-02 | 广州宝胆医疗器械科技有限公司 | Hard ultrasonic hysteroscope system |
| CN101449963A (en) * | 2008-12-29 | 2009-06-10 | 浙江大学 | Laser co-focusing micro-endoscope |
| CN101606852A (en) * | 2009-06-30 | 2009-12-23 | 广州宝胆医疗器械科技有限公司 | Ultrasonic cystoscope |
| CN101716086A (en) * | 2009-12-11 | 2010-06-02 | 广州宝胆医疗器械科技有限公司 | Minitype ultrasound hard multichannel electronic cystoscope system |
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