CN102657509A - Diagnosis-treatment integrated confocal arthroscope system - Google Patents
Diagnosis-treatment integrated confocal arthroscope system Download PDFInfo
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- CN102657509A CN102657509A CN2010102278935A CN201010227893A CN102657509A CN 102657509 A CN102657509 A CN 102657509A CN 2010102278935 A CN2010102278935 A CN 2010102278935A CN 201010227893 A CN201010227893 A CN 201010227893A CN 102657509 A CN102657509 A CN 102657509A
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Abstract
The invention belongs to the field of medical equipment. The invention specifically relates to a diagnosis-treatment integrated confocal arthroscope system, comprising a rigid arthroscope. A rigid endoscope end of the rigid arthroscope is provided with a treatment apparatus used for treatment. The rigid arthroscope is connected with a treatment system host which is used in conjunction with the treatment apparatus. Specifically, the rigid arthroscope and a confocal laser scanning microscopic system are combined with a laser knife system or a microwave knife system organically in the invention. Through the clinic application of the diagnosis-treatment integrated confocal arthroscope system, the effect of simultaneously carrying out diagnosis and treatment can be realized, one arthroscope can solve the problems in the aspects of diagnosis and treatment at the same time, frequent replacing of endoscopes can be avoided, corresponding treatment can be carried out immediately, a lot of operation time can be saved, the suffering of patients can be alleviated, and accuracy and security of operations can be further improved to achieve an unexpected result.
Description
Technical field
The invention belongs to field of medical appliances, be specifically related to a kind of burnt arthroscope system of the integrated copolymerization of diagnosis and treatment of scope joint disease operation.
Background technology
At present, arthroscope is significant for the shell operation of observing and treating joint injury.The doctor gets into arthroscope in articular cavity; Can observe the truth of pathological changes in the articular cavity through the help of optical system, the operating walk way that utilizes arthroscope to provide feeds various apparatuses, can solve some the known pathological changes in the articular cavity; The suspicious lesions that can not make a definite diagnosis for arthroscope; Then need send relevant departments' check to confirm its character, so just waste the valuable treatment time of considerable part through getting biopsy.
But in operation process; The doctor needs to select suitable device to get in the articular cavity and undergos surgery after finding pathological changes, needs the frequent change scope in the time of necessary; To get pathological tissues simultaneously and send to inspection; These have all wasted valuable operating time widely, have influenced the safety coefficient and the accuracy of operation, and what be unfavorable for performing the operation carries out smoothly.Because can carrying out confocal laser to the pathological tissues of patient's gallbladder intracavity, confocal laser scanning microscopic technology scans the micro-microstructure that is amplified to; Pathological tissues is carried out the observation of microstructure clearly; In the inspection of carrying out real-time live body; Make the scope doctor in operation technique and inspection to can pathological changes carrying out instant analysis and detection, clarify a diagnosis, overcome the drawback that biopsy at random brings.
Along with further developing of science and operation; Must need a kind of integral joint mirror system that has diagnosis and treatment dual-use function; When in operation, finding pathological changes and clarify a diagnosis; The treatment that undergos surgery immediately to save operating time, to improve operation safety coefficient and accuracy, can be guaranteed the healthy of sufferer better.Therefore design that a kind of that confocal laser is scanned the microscopic diagnosis technology is extremely urgent with the burnt arthroscope system of the diagnosis and treatment one copolymerization of treatment dual-use function.
Summary of the invention
The objective of the invention is to overcome the deficiency of prior art; Provide the integrated copolymerization of a kind of diagnosis and treatment burnt arthroscope system; The burnt arthroscope system of the integrated copolymerization of these diagnosis and treatment is that confocal laser is scanned micro-diagnostic techniques and laser therapy or micro-wave therapeutic technology to organically combine, and has avoided carrying out frequent replacing scope in the art, makes in operation, to find pathological changes and when confirming to diagnose; Treatment immediately can undergo surgery; For treatment in time gains time, improve operation safety coefficient and accuracy, can guarantee the healthy of sufferer better; Greatly save operating time, improved the accuracy rate and the safety of operation.
In order to reach above-mentioned technical purpose, the present invention realizes through following technical scheme:
The burnt hard capsule of the integrated copolymerization of diagnosis and treatment of the present invention mirror system; Comprise the hard arthroscope; The cold light source main frame that is connected with the hard arthroscope, shooting main frame, confocal laser scanning microscopic system main frame and monitor; Said hard arthroscope comprises hard scope end, cold light source joint, view data outfan, intake tunnel and exhalant canal, and wherein intake tunnel and exhalant canal can be used as the passage that soft operating theater instruments gets into the gallbladder intracavity.Said 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; Said hard scope end is provided with the therapy equipment that is used to treat, and is connected with the therapy system main frame that is used with this therapy equipment on the said hard arthroscope.
In the present invention, said therapy equipment can have two kinds of forms, i.e. laser scalpel and microwave coagulation treatment.
First kind: the therapy equipment of said hard scope end is the laser scalpel part; Said hard arthroscope is provided with the laser scalpel control interface; Said therapy system main frame is the laser scalpel system host, and said laser scalpel control interface is connected with the laser scalpel system host through data wire, and the view data outfan connects confocal laser scanning microscopic system main frame and shooting main frame respectively through data wire in the said hard arthroscope; Confocal laser scanning external operation keyboard of microscopic system main frame and monitor; Said shooting main frame external connection monitors, the fluorescein sodium of palpus injection doses before the patients underwent operation, the signal that fluorescein sodium produces under the excitation of the laser beam that the confocal laser hair goes out; Can the processing through confocal laser scanning microscopic system main frame of the micro state of the tissue of gallbladder wall mucosa be shown in monitor.
As the further improvement of above-mentioned technology, said laser scalpel partly adopts high temperature resistant, bright light-permeable and non-fragile rigid material to process, and material comprises quartz, gem etc.; Said laser scalpel partly is connected with temperature sensor, and said laser scalpel partly is provided with groove, and this groove is placed laser fiber, and groove can help the even of laser, and said laser fiber skin is enclosed with fin; Its laser scalpel part external diameter is less than 3.0mm, and the laser scalpel partial design has ejecting device, under the driving of micromachine, can release scope elder generation end 5mm at least, and treat.
Among the present invention, said laser scalpel system host provides the laser scalpel multiple mode of operation of popping one's head in, and pattern comprises cutting, irradiation, and coagulation etc., system is built-in with cooling system.The control of laser scalpel system host provides comprehensively information such as all states and the parameter of laser scalpel work.In addition, the external control foot switch of laser scalpel system host is convenient to doctor's handling in when operation.
Second kind: the therapy equipment of said hard scope end is the microwave coagulation treatment part; Said hard arthroscope is provided with the microwave coagulation treatment control interface; Said therapy system main frame is the microwave coagulation treatment system host; Said microwave coagulation treatment control interface is connected with the microwave coagulation treatment system host through data wire, external operation keyboard of said microwave coagulation treatment system host and monitor, and said view data outfan connects confocal laser scanning microscopic system main frame and shooting main frame respectively through data wire; 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 said microwave coagulation treatment system host.
As the further improvement of above-mentioned technology, the external diameter of the work end of said microwave coagulation treatment part is smaller or equal to 3.0mm, and the external diameter of said microwave coagulation treatment probe work end is smaller or equal to 3.0mm; The microwave coagulation treatment first end of popping one's head in is an insulation sleeve, the insulation tube of said microwave coagulation treatment probe work end for cooperating with insulation sleeve and be pressed into by hard material, and said insulation tube maximum outside diameter is no more than 3.0mm; Be provided with needle body in the said insulation tube; Be divided into single-stage, bipolar and multipole needle body, bipolar and multipole needle body outerwrap insulant; Needle body adopts the stainless steel material of high conduction coefficient to process, and it has microwave conductivity efficiently.In addition, the microwave coagulation treatment partial design has ejecting device, under the driving of micromachine, can release scope elder generation end 5mm at least, and treat.
In the present invention; Said microwave coagulation treatment control interface connects the microwave coagulation treatment system host through data wire, said microwave coagulation treatment system host, and its power bracket is 0～60W; Many grades of continuous stepless are adjustable; The treatment pattern is divided into some patterns, hemostasis is arranged, solidifies, burns and various modes such as remove, the therapeutic frequency that various patterns are corresponding different.
In addition, in these above-mentioned two kinds of different therapeutic modalities, the length of the Arthroscopic hard scope of said hard end is 150mm～200mm; The scope outer end diameter is smaller or equal to 12mm; The Arthroscopic optical system of said hard adopts the electronic CCD optical system more than or equal to the 3.0mm camera 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, the diameter of said intake tunnel and exhalant canal is smaller or equal to 3.0mm.
Compared with prior art, the invention has the beneficial effects as follows:
The doctor carries out the burnt arthrocsopic surgery of the integrated copolymerization of diagnosis and treatment; The burnt arthroscope of the integrated copolymerization of diagnosis and treatment is fed in patient's articular cavity, through the fact of case in the optical system observing articular cavity, for suspicious pathological changes; Carry out real-time biopsy like need; Can be through to patient infusion fluorescein sodium doses, and control confocal laser scanning microscopic system main frame carries out to the pathological tissues in patient's articular cavity that confocal laser scanning is micro-to be amplified to microstructure, pathological tissues carried out the inspections and examinations of microstructure; In case of treating to pathological tissues; Can be under the situation of not changing scope, the laser scalpel part or the microwave coagulation treatment part of control scope elder generation end are carried out laser therapy or micro-wave therapeutic to the pathological tissues between the articular cavity inwall.The present invention is owing to scan microscopic system with hard arthroscope and confocal laser, and laser scalpel system or microwave coagulation treatment system carry out organic assembling, have avoided carrying out in the art frequent replacing scope; Can accomplish timely treatment, greatly save operating time, improve the accuracy rate and the safety of operation; Guarantee the health of sufferer, in clinical, brought into play beyond thought effect.
Description of drawings
Fig. 1 is the burnt arthroscope system structural representation of the integrated copolymerization of the embodiment of the invention one described diagnosis and treatment.
Fig. 2 is hard arthroscope among the embodiment one (the hard arthroscope and the laser scalpel part that combine confocal scanning microscope head, a confocal laser head) structural representation.
Fig. 3 is a hard scope end generalized section among above-mentioned Fig. 2.
Fig. 4 is a hard scope end schematic perspective view among above-mentioned Fig. 2.
Fig. 5 is a laser scalpel part-structure sketch map among the embodiment one;
Fig. 6 is the burnt arthroscope system structural representation of the integrated copolymerization of the embodiment of the invention two described diagnosis and treatment.
Fig. 7 is hard arthroscope among the embodiment two (the hard arthroscope and the laser scalpel part that combine confocal scanning microscope head, a confocal laser head) structural representation.
Fig. 8 is the Arthroscopic hard scope of a hard end generalized section among above-mentioned Fig. 7.
Fig. 9 is the Arthroscopic hard scope of a hard end schematic perspective view among above-mentioned Fig. 7.
Figure 10 is a microwave coagulation treatment part-structure sketch map among the embodiment two.
The specific embodiment
The present invention is explained respectively that the hard arthroscope that wherein cooperates the laser scalpel treatment technology to use among the embodiment one is hard arthroscope 1 below in conjunction with two embodiment; Cooperating the hard arthroscope of microwave coagulation treatment treatment technology among the embodiment two is hard arthroscope 2.
Embodiment one:
As shown in Figure 1; The burnt arthroscope system of the integrated copolymerization of diagnosis and treatment of the present invention; Comprise hard arthroscope 1, the cold light source main frame 3 that is connected with hard arthroscope 1, 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 arthroscope 1 of the present invention comprises hard scope end 11, cold light source joint 12; View data outfan 13; Laser scalpel control interface 14, intake tunnel 15 and exhalant canal 16, intake tunnel 15 is selectable with exhalant canal 16 here.Wherein the length of hard scope end 11 is 150mm～200mm, and its external diameter is smaller or equal to 12mm.Said view data outfan 13 connects confocal laser scanning microscopic system main frame 5 and shooting main frame 4 respectively through data wire; Confocal laser scanning microscopic system main frame 5 external operation keyboards 7 and monitor 8; Shooting main frame 4 external connection monitors 9; Laser scalpel control interface 14 connects laser scalpel system host 6 through data wire, and laser scalpel system host 6 connects foot switch 61, so that manipulate.
Like Fig. 3, shown in Figure 4, the hard scope of said hard arthroscope 1 elder generation end 111 integrated optical lens 132, light-conductive optic fibre 121, intake tunnel outlet 151 and exhalant canal outlet 161, laser scalpel part 141, confocal laser scanning microscope, CLSM head 131 and the confocal laser heads 133 etc. of being designed with.The optical system of said hard arthroscope 1 adopts the electronic CCD optical system more than or equal to 3.0mm camera lens 132, 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.In the present embodiment, the diameter of said intake tunnel 15 and exhalant canal 16 is smaller or equal to 3.0mm, and intake tunnel 15 can be used as soft operating theater instruments with exhalant canal 16 and gets into the passage in the articular cavity.
As shown in Figure 5, in the present invention, said laser scalpel part 141 adopts high temperature resistant, bright light-permeable and non-fragile rigid material to process, and material comprises quartz, gem etc.; Be connected with temperature sensor 1412 on the said laser scalpel part 141, in addition, said laser scalpel part 141 is provided with groove; Place laser fiber 1414 in this groove; Groove can help the even of laser, and laser fiber 1414 skins also are enclosed with fin 1415, so that better radiating effect; Said laser scalpel part 141 external diameters are less than 3.0mm, and laser scalpel part 141 is designed with ejecting device, make under the driving of micromachine, can laser scalpel part 141 be released 111 planes, hard scope elder generation end 5mm at least, and treat.
Embodiment two:
Present embodiment and the foregoing description one are basic identical, and its difference is:
As shown in Figure 6; The burnt arthroscope system of the integrated copolymerization of diagnosis and treatment of the present invention; Comprise hard arthroscope 2, the cold light source main frame 3 that is connected with hard arthroscope 2, shooting main frame 4, confocal laser scanning microscopic system main frame 5, microwave coagulation treatment system host 10, keyboard 7 and monitor 8,9.As shown in Figure 7, said hard arthroscope 2 comprises hard scope end 21, cold light source joint 22, and view data outfan 23, microwave coagulation treatment control interface 24, intake tunnel 25 and exhalant canal 26, wherein intake tunnel 25 also is selectable with exhalant canal 26.The length of said hard scope end 21 is 150mm～200mm, and its external diameter is smaller or equal to 12mm.Said view data outfan 23 connects confocal laser scanning microscopic system main frame 5 and shooting main frame 4 respectively through data wire; Confocal laser scanning microscopic system main frame 5 external operation keyboards 7 and monitor 8; Shooting main frame 4 external connection monitors 9; Microwave coagulation treatment control interface 14 connects microwave coagulation treatment system host 10 through data wire, microwave coagulation treatment system host 10 external foot switchs 101, and handled easily uses.
Like Fig. 8, shown in Figure 9; The first end of the said hard scope 211 integrated optical lens 231 that are designed with, light-conductive optic fibre 221, intake tunnel outlet 251 and exhalant canal outlet 261; Microwave coagulation treatment part 241, confocal laser scanning microscope, CLSM head 231 and confocal laser head 233.The optical system of said hard arthroscope 1 adopts the electronic CCD optical system more than or equal to 3.0mm camera lens 232, 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.Described diagnosis and treatment integral joint mirror model 22, the diameter of its intake tunnel 25 and exhalant canal 26 are smaller or equal to 3.0mm, and intake tunnel 25 can be used as soft operating theater instruments with exhalant canal 26 and gets into the passage in the articular cavity.
As shown in Figure 9, the work end of said microwave coagulation treatment part 241, its external diameter is smaller or equal to 3.0mm, its first end is an insulation sleeve 2416, with insulation sleeve 2416 precision-fit be the insulation tube 2412 of hard material compacting, its maximum outside diameter is no more than 3.0mm.Be provided with needle body 2413,2414 and 2415 in the insulation tube; Be divided into single-stage, bipolar and multipole needle body, bipolar and multipole needle body outerwrap 2411 materials that insulate; Mutual insulating; Needle body 2413,2414 and 2415 adopts the stainless steel material of high conduction coefficient to process, and has microwave conductivity efficiently, and present embodiment is very routine with three.Microwave coagulation treatment part 241 is designed with ejecting device, under the driving of micromachine, can release scope elder generation end plane 5mm at least, and treat.
Claims (10)
1. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment; Comprise the hard arthroscope; The cold light source main frame that is connected with the hard arthroscope, shooting main frame, confocal laser scanning microscopic system main frame and monitor; Said hard arthroscope comprises that hard scope end, cold light source joint, view data outfan are or/and intake tunnel and exhalant canal; Said hard scope end is provided with confocal scanning microscope head, confocal laser head, optical lens; Light-conductive optic fibre is or/and intake tunnel outlet and exhalant canal export, and it is characterized in that: said hard scope end is provided with the therapy equipment that is used to treat, and is connected with the therapy system main frame that is used with this therapy equipment on the said hard arthroscope.
2. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment according to claim 1; It is characterized in that: the therapy equipment of said hard scope end is the laser scalpel part; Said hard arthroscope is provided with the laser scalpel control interface; Said therapy system main frame is the laser scalpel system host, and said laser scalpel control interface is connected with the laser scalpel system host through data wire.
3. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment according to claim 2; It is characterized in that: said laser scalpel partly is connected with temperature sensor; Said laser scalpel partly is provided with groove; Be placed with laser fiber in this groove, said laser fiber skin is enclosed with fin, and said laser scalpel partial design has ejecting device.
4. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment according to claim 3; It is characterized in that: the work outer end diameter of said laser scalpel part is less than 3.0mm; And the work end of this laser scalpel part adopts high temperature resistant, bright light-permeable and non-fragile rigid material to process, and material comprises quartz, gem.
5. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment according to claim 4; It is characterized in that: the view data outfan connects confocal laser scanning microscopic system main frame and shooting main frame respectively through data wire in the said hard arthroscope; Confocal laser scanning external operation keyboard of microscopic system main frame and monitor; Said shooting main frame external connection monitors, the laser scalpel system host is circumscribed with the foot switch of being convenient to operate.
6. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment according to claim 1; It is characterized in that: the therapy equipment of said hard scope end is the microwave coagulation treatment part; Said hard arthroscope is provided with the microwave coagulation treatment control interface; Said therapy system main frame is the microwave coagulation treatment system host, and said microwave coagulation treatment control interface is connected with the microwave coagulation treatment system host through data wire.
7. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment according to claim 6; It is characterized in that: the external diameter of said microwave coagulation treatment probe work end is smaller or equal to 3.0mm, and the microwave coagulation treatment first end of popping one's head in is an insulation sleeve, the insulation tube of said microwave coagulation treatment probe work end for cooperating with insulation sleeve and be pressed into by hard material; Said insulation tube maximum outside diameter is no more than 3.0mm; Be provided with needle body in the said insulation tube, needle body is divided into single-stage, bipolar and multipole needle body; Bipolar and multipole needle body outerwrap insulant, needle body adopt the stainless steel material of high conduction coefficient to process.
8. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment according to claim 7, it is characterized in that: said microwave coagulation treatment partial design has ejecting device.
9. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment according to claim 6; It is characterized in that: said view data outfan connects confocal laser scanning microscopic system main frame and shooting main frame respectively through data wire; 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.
10. the burnt arthroscope system of the integrated copolymerization of diagnosis and treatment according to claim 1; It is characterized in that: the length of said hard scope end is 150mm～200mm, and the scope outer end diameter is smaller or equal to 12mm, and the Arthroscopic optical system of said hard adopts the electronic CCD optical system more than or equal to the 3.0mm camera 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, the diameter of said intake tunnel and exhalant canal is smaller or equal to 3.0mm.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010102278935A CN102657509A (en) | 2010-07-15 | 2010-07-15 | Diagnosis-treatment integrated confocal arthroscope system |
| PCT/CN2010/001570 WO2012006767A1 (en) | 2010-07-15 | 2010-10-08 | Therapeutic and diagnostic confocal microscopic rigid endoscope system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010102278935A CN102657509A (en) | 2010-07-15 | 2010-07-15 | Diagnosis-treatment integrated confocal arthroscope system |
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| CN102657509A true CN102657509A (en) | 2012-09-12 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN2010102278935A Pending CN102657509A (en) | 2010-07-15 | 2010-07-15 | Diagnosis-treatment integrated confocal arthroscope system |
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Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0048402A1 (en) * | 1980-09-18 | 1982-03-31 | Olympus Optical Co., Ltd. | Endoscope apparatus |
| US5419312A (en) * | 1993-04-20 | 1995-05-30 | Wildflower Communications, Inc. | Multi-function endoscope apparatus |
| CN101773380A (en) * | 2010-02-04 | 2010-07-14 | 广州宝胆医疗器械科技有限公司 | Confocal microscopy hard cholecystoscope system |
-
2010
- 2010-07-15 CN CN2010102278935A patent/CN102657509A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0048402A1 (en) * | 1980-09-18 | 1982-03-31 | Olympus Optical Co., Ltd. | Endoscope apparatus |
| US5419312A (en) * | 1993-04-20 | 1995-05-30 | Wildflower Communications, Inc. | Multi-function endoscope apparatus |
| CN101773380A (en) * | 2010-02-04 | 2010-07-14 | 广州宝胆医疗器械科技有限公司 | Confocal microscopy hard cholecystoscope system |
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Application publication date: 20120912 |