CN102697465A - Diagnosis and treatment integral confocal anorectal enteroscope system - Google Patents
Diagnosis and treatment integral confocal anorectal enteroscope system Download PDFInfo
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- CN102697465A CN102697465A CN2010102280831A CN201010228083A CN102697465A CN 102697465 A CN102697465 A CN 102697465A CN 2010102280831 A CN2010102280831 A CN 2010102280831A CN 201010228083 A CN201010228083 A CN 201010228083A CN 102697465 A CN102697465 A CN 102697465A
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Abstract
The invention belongs to the field of medical appliances and particularly relates to a diagnosis and treatment integral confocal anorectal enteroscope system, which comprises a hard anorectal enteroscope, wherein the end part of a hard endoscope of the hard anorectal enteroscope is provided with a treatment device, and a treatment system host machine matched with the treatment device to be used is connected onto the hard anorectal enteroscope. The diagnosis and treatment integral confocal anorectal enteroscope system is concretely and organically combined with a laser cutter system or a microwave coagulator system through the hard anorectal enteroscope and a confocal laser scanning microscopy system. The diagnosis and treatment integral confocal anorectal enteroscope system can realize the effect that the diagnosis and the treatment are simultaneously carried out during the clinic application, an optical system and the confocal laser scanning microscopy system can be respectively used for observing the macroscopical conditions in the anorectum and the microscopic structures of the anorectal wall and the pathological changes to make accurate diagnosis, the laser cutter system or the microwave coagulator system can be used for carrying out laser treatment or microwave treatment on the pathological changes under the direct viewing condition through a monitor. When the diagnosis and treatment integral confocal anorectal enteroscope system is used for operation, the goal of simultaneously solving the problems in the diagnosis aspect and in the treatment aspect by one enteroscope can be realized, the frequent endoscope replacement is avoided, the operation time is greatly saved, the pain of patients is relieved, the accuracy and the safety of the operation are further improved, and effects beyond the imagination can be reached.
Description
Technical field
The invention belongs to field of medical appliances, be specifically related to a kind of burnt enteroscope system of the integrated copolymerization of diagnosis and treatment of scope anal and intestinal disease operation.
Background technology
At present, the anorectal mirror is significant for the treatment anal and intestinal disease.Traditional anorectal videoendoscopic surgery need feed the anorectal mirror from patient's anus, utilizes the pathological changes situation in the optical system observing anorectal road of anorectal mirror, after the discovery pathological changes; Need search certain tissue and censorship processing, the process need of censorship and check expends the regular hour, after having inspected; Then need handle pathological tissues according to assay; Processing form comprises laser treatment or microwave treatment etc., and traditional anorectal videoendoscopic surgery inevitably need be according to different processing maneuvers, and the frequent change scope perhaps feeds laser probe and microwave probe etc.; Increased patient's misery; Wasted treatment time, influenced safety coefficient and the accuracy of operation, what be unfavorable for performing the operation carries out smoothly.
In addition; Because can carrying out confocal laser to the pathological tissues of patient's anorectal 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 integrated enteroscope 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 is with the saving operating time; Improve operation safety coefficient and accuracy, can guarantee 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 enteroscope 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 enteroscope system; The burnt enteroscope system of the integrated copolymerization of these diagnosis and treatment is to organically combine confocal laser is scanned micro-diagnostic techniques and laser therapy or micro-wave therapeutic technology, has avoided carrying out frequent replacing scope in the art, makes that the discovery pathological changes also can be confirmed in the diagnosis in operation; 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 enteroscope system of the integrated copolymerization of diagnosis and treatment of the present invention; Comprise hard anorectal mirror; The cold light source main frame that is connected with hard anorectal mirror, shooting main frame, confocal laser scanning microscopic system main frame and monitor; Said hard anorectal mirror 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 soft operating theater instruments and get into the passage in the anorectal.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 anorectal mirror.
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 anorectal mirror 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 anorectal mirror; 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 anorectal 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 anorectal mirror 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 hard scope end of said hard anorectal mirror is 300～450mm, and hard scope outer end diameter is smaller or equal to 20mm, and the diameter of its intake tunnel and exhalant canal is smaller or equal to 3.0mm; The optical system of said hard anorectal mirror 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 with.
Compared with prior art, the invention has the beneficial effects as follows:
When the doctor implements integrated copolymerization Jiao of diagnosis and treatment anorectal videoendoscopic surgery; Feed the burnt anorectal mirror of the integrated copolymerization of diagnosis and treatment from patient's anus; Can observe the truth of anus intestinal walls through its optical system; Confocal laser scanning microscopic system can be carried out the microcosmic point observation to suspicious lesions, does real-time inspection.The burnt anorectal mirror of the integrated copolymerization of diagnosis and treatment can be under the situation of not changing scope, and 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 anorectal cavity wall.Hard anorectal mirror and confocal laser scanning microscopic system; The organic assembling of laser scalpel system or microwave coagulation treatment system has been avoided carrying out frequent replacing scope in the art, can accomplish timely treatment; Greatly saved operating time; Improve the accuracy rate and the safety of operation, guaranteed the health of sufferer, in clinical, brought into play beyond thought effect.
Description of drawings
Fig. 1 is the burnt enteroscope system structural representation of the integrated copolymerization of the embodiment of the invention one described diagnosis and treatment.
Fig. 2 is hard anorectal mirror among the embodiment one (the hard anorectal mirror 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 enteroscope system structural representation of the integrated copolymerization of the embodiment of the invention two described diagnosis and treatment.
Fig. 7 is hard anorectal mirror among the embodiment two (the hard anorectal mirror and the laser scalpel part that combine confocal scanning microscope head, a confocal laser head) structural representation.
Fig. 8 is the hard scope end generalized section of hard anorectal mirror among above-mentioned Fig. 7.
Fig. 9 is that the hard scope end of hard anorectal mirror among above-mentioned Fig. 7 is three-dimensional.
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 anorectal mirror that wherein cooperates the laser scalpel treatment technology to use among the embodiment one is hard anorectal mirror 1 below in conjunction with two embodiment; Cooperating the hard anorectal mirror of microwave coagulation treatment treatment technology among the embodiment two is hard anorectal mirror 2.
Embodiment one:
As shown in Figure 1; The burnt enteroscope system of the integrated copolymerization of diagnosis and treatment of the present invention; Comprise hard anorectal mirror 1, the cold light source main frame 3 that is connected with hard anorectal mirror, 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 anorectal mirror 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.Wherein the length of hard scope end 11 is 300～450mm, and external diameter is smaller or equal to 20mm.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.
Like Fig. 3, shown in Figure 4; The first end of the said hard scope 111 integrated optical lens 132 that are designed with, 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 confocal laser head 133 etc.The optical system of this hard anorectal mirror 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.The diameter of intake tunnel 15 and exhalant canal 16 is smaller or equal to 3.0mm, and intake tunnel 15 can be used as the passage that soft operating theater instruments gets into the anorectal intracavity with exhalant canal 16.
As shown in Figure 5, 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.; Said laser scalpel part 141 is connected with temperature sensor 1412, and said laser scalpel partly is provided with groove, places laser fiber 1414 in this groove, and groove can help the even of laser, and said laser fiber 1414 skins are enclosed with fin 1415; Its laser scalpel part 141 external diameters are less than 3.0mm, and laser scalpel part 141 is designed with ejecting device, under the driving of micromachine, can release scope elder generation end 111 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 enteroscope system of the integrated copolymerization of diagnosis and treatment of the present invention; Comprise hard anorectal mirror 2, the cold light source main frame 3 that is connected with hard anorectal mirror 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 anorectal mirror 2 comprises hard scope end 21, cold light source joint 22, view data outfan 23, microwave coagulation treatment control interface 24, intake tunnel 25 and exhalant canal 26.Wherein the length of hard scope end 21 is 300～450mm, and its external diameter is smaller or equal to 20mm.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, microwave coagulation treatment system host 10 external foot switchs 101 through data wire.
Like Fig. 8, shown in Figure 9; The hard scope elder generation end 211 integrated optical lens 231 that are designed with of said hard anorectal mirror 2, 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 etc.
In the present embodiment, optical system 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.The diameter of said intake tunnel 25 and exhalant canal 26 is smaller or equal to 3.0mm, and intake tunnel 25 can be used as the passage that soft operating theater instruments gets into the anorectal intracavity with exhalant canal 26.
Shown in figure 10, the external diameter of the work end of said microwave coagulation treatment part 241 is smaller or equal to 3.0mm, and its first end is provided with 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 5mm at least, and treat.
Claims (10)
1. the burnt enteroscope system of the integrated copolymerization of diagnosis and treatment; Comprise hard anorectal mirror; The cold light source main frame that is connected with hard anorectal mirror, shooting main frame, confocal laser scanning microscopic system main frame and monitor; Said hard anorectal mirror comprises hard scope end, cold light source joint, view data outfan, 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, intake tunnel outlet and exhalant canal outlet, 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 anorectal mirror.
2. the burnt enteroscope 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 anorectal mirror 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 enteroscope 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 enteroscope 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 enteroscope 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 anorectal mirror; 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 enteroscope 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 anorectal mirror 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 enteroscope 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 enteroscope 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 enteroscope 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 enteroscope system of the integrated copolymerization of diagnosis and treatment according to claim 1; It is characterized in that: the length of the hard scope end of said hard anorectal mirror is 300～450mm; Hard scope outer end diameter is smaller or equal to 20mm, and the diameter of its intake tunnel and exhalant canal is smaller or equal to 3.0mm; The optical system of said hard anorectal mirror 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 with.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010102280831A CN102697465A (en) | 2010-07-15 | 2010-07-15 | Diagnosis and treatment integral confocal anorectal enteroscope 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 |
|---|---|---|---|
| CN2010102280831A CN102697465A (en) | 2010-07-15 | 2010-07-15 | Diagnosis and treatment integral confocal anorectal enteroscope system |
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| CN102697465A true CN102697465A (en) | 2012-10-03 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN2010102280831A Pending CN102697465A (en) | 2010-07-15 | 2010-07-15 | Diagnosis and treatment integral confocal anorectal enteroscope system |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107951460A (en) * | 2017-11-30 | 2018-04-24 | 江苏合生电子科技有限公司 | A kind of electronics colonoscopy easy to detection |
| CN112842236A (en) * | 2021-01-21 | 2021-05-28 | 山东中医药大学附属医院 | Microwave probe for anorectal examination and control method thereof |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| 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 CN2010102280831A patent/CN102697465A/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 |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107951460A (en) * | 2017-11-30 | 2018-04-24 | 江苏合生电子科技有限公司 | A kind of electronics colonoscopy easy to detection |
| CN112842236A (en) * | 2021-01-21 | 2021-05-28 | 山东中医药大学附属医院 | Microwave probe for anorectal examination and control method thereof |
| CN112842236B (en) * | 2021-01-21 | 2024-03-15 | 山东中医药大学附属医院 | Microwave probe for anorectal examination and control method thereof |
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Application publication date: 20121003 |