CN103263246A - Percutaneous transhepatic choledochoscope system - Google Patents
Percutaneous transhepatic choledochoscope system Download PDFInfo
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- CN103263246A CN103263246A CN2013101506088A CN201310150608A CN103263246A CN 103263246 A CN103263246 A CN 103263246A CN 2013101506088 A CN2013101506088 A CN 2013101506088A CN 201310150608 A CN201310150608 A CN 201310150608A CN 103263246 A CN103263246 A CN 103263246A
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- mirror system
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Abstract
The invention belongs to the technical field of medical instruments, and particularly discloses a percutaneous transhepatic choledochoscope system. The system specifically comprises a sheath, a percutaneous transhepatic choledochoscope matching with the sheath, an image pickup system, a monitor and a light source host. The image pickup system, the monitor and the light source host are externally connected to the percutaneous transhepatic choledochoscope. The percutaneous transhepatic choledochoscope comprises a working end, a main endoscope body, an instrument passage, a switching valve of the instrument passage, an eyepiece output end and a light source output end, or a water inlet passage and a water outlet passage. An instrument passage outlet, an optical lens and a light guide optical fiber, or a water inlet passage outlet and a water outlet passage outlet are arranged at the front end of the working end. The system further comprises surgical accessories matching with the percutaneous transhepatic choledochoscope for performing surgeries. The percutaneous transhepatic choledochoscope system is capable of completing percutaneous transhepatic biliary tract surgeries innovatively and integrally, and is a standard instrument for the percutaneous transhepatic biliary tract surgeries and beneficial to popularization of the surgeries; and surgery safety is guaranteed effectively.
Description
Technical field
The present invention relates to field of medical appliances, specifically is that a kind of percutaneous is through liver and gall road mirror system.
Background technology
Gallbladder disease is a kind of common disease, and gallbladder can suffer from multiple disease, and as cholecystitis, cholelithiasis, cystic polyp, carcinoma of gallbladder etc., patient is tormented for this reason and by every means.The need that have repeatedly undergo surgery, and the need that have are accepted Drug therapy for a long time, have because of the untimely life that promoted of going to a doctor, everything has all greatly influenced people's physical and mental health.It is the wherein a kind of efficient ways that solves cholecystopathy that percutaneous carries out operation on gallbladder through liver, but also do not have at present a kind of special at this type of surgery and the equipment of designed system, so cause the doctor implementing percutaneous in the operation of liver and gall road, often lack the apparatus support of specialty and can only select the endoscopic assistance of other types and operating theater instruments to wait to put up with use, thus, operation just relies on doctor's technology itself more, and will cause the uncertainty of many operations, also restrict carrying out and extensively popularization of this technology more, can not reach the purpose of better curing the sickness to save the patient.
Summary of the invention
Technical problem to be solved by this invention provides a kind of percutaneous of system combination through liver and gall road mirror system, this percutaneous can innovatively, intactly be finished percutaneous through liver and gall road mirror system and perform the operation through the liver and gall road, become percutaneous through the standard apparatus of liver and gall road operation, guaranteed the safety of operation effectively, and the popularization that is conducive to perform the operation, accomplish the purpose of better curing the sickness to save the patient.
In order to reach above-mentioned technical purpose, the present invention is achieved by the following technical programs:
A kind of percutaneous of the present invention is through liver and gall road mirror system, specifically comprise the sheath pipe, with the supporting percutaneous of sheath pipe through the liver choledochoscope and be external in percutaneous through camera system, monitor and the light source main frame of liver choledochoscope, described camera system, monitor and light source main frame and percutaneous organically combine through the liver choledochoscope, and the image of percutaneous through liver choledochoscope high-resolution is provided.Described percutaneous comprises work end, scope main part, instrument channel and controlled valve thereof, eyepiece outfan, light source outfan through the liver choledochoscope, or intake tunnel and exhalant canal, the front end of described work end is provided with instrument channel outlet, optical lens, light-conductive optic fibre, or intake tunnel outlet and exhalant canal outlet, also comprise with percutaneous cooperating the operation accessory that undergos surgery through the liver choledochoscope.
As the further improvement of above-mentioned technology, described sheath pipe comprises the sheath tube body and cooperates the inner core that is used for puncture with the sheath tube body that described inner core external diameter matches with the sheath inside pipe wall; The metal material manufacturing that described sheath pipe and inner core thereof use disposable material or can sterilize and use repeatedly; Described sheath length of tube scope is 120-180mm, and its external diameter scope is 2.5-7.5mm; It is logical or be not provided with intake tunnel and exhalant canal that described sheath tube body is provided with intake tunnel and water outlet.
In the present invention, described percutaneous is hard work end through the work end of liver choledochoscope or is soft work end, when being hard work end, its leading section external diameter scope is 2.0-3.5mm, length range 180-300mm, 10 °-15 ° of the angles of described optical lens, the diameter range 0.5-2.0mm of optical lens.
The front end 30-50mm of described hard work end is non-circular, and angled section is made in the first end of its hard work end, and the cross section top bit is equipped with blunt type projection, the length≤20mm of this blunt type projection.
In the present invention, when percutaneous when the liver choledochoscope is provided with intake tunnel and exhalant canal, the set-up mode of described intake tunnel and exhalant canal and instrument channel can be following two kinds:
First kind is, described intake tunnel and exhalant canal and instrument channel be totally one passage;
Second kind is, described intake tunnel, exhalant canal and instrument channel are independent respectively, the internal diameter 0.5-1.5mm of its intake tunnel and exhalant canal, and the controlled valve of intake tunnel, exhalant canal and instrument channel and eyepiece output are in same direction.
Further improve as above-mentioned technology, described instrument channel is linear type, and its internal diameter is more than or equal to 1.6mm.
In the present invention, described operation accessory comprise drainage tube, biopsy forceps, electric coagulation forceps, electricity coagulate rod, rubble excellent, get stone case and negative pressure equipment.
Described drainage tube can be divided into the band air bag and not be with two types of air bag, and these two kinds of forms possess the various ranges of models that the hepatology drainage tube is arranged, and in having the type of air bag, the optional scope of the length of its air bag is 2-15mm.
Described biopsy forceps can be divided into two kinds of soft and hard, and its external diameter soft or hard work end matches with the internal diameter of percutaneous through the instrument channel of liver choledochoscope.
Described electric coagulation forceps and electricity coagulate rod, and the external diameter of its work end matches with the internal diameter of percutaneous through the instrument channel of liver choledochoscope.
Described rubble rod is equipped with the rubble main frame, and the form of rubble is not limit, and the external diameter of rubble rod matches with the internal diameter of percutaneous through the instrument channel of liver choledochoscope.
The described stone case of getting, material are the silica gel of the suitable hardness of softness, for straight tube-like designs, are placed in percutaneous through the first end of liver choledochoscope.
Described negative pressure equipment is connected percutaneous through the exhalant canal of liver choledochoscope, and the power of percutaneous through liver choledochoscope suction district liquid and absorption calculus is provided.
Compared with prior art, beneficial effect of the present invention is:
Percutaneous of the present invention is through liver and gall road mirror system, suitable percutaneous a whole set of operation accessory apparatus through the operation of liver and gall road is provided, the doctor can perform the operation through the liver and gall road by using this cover system to carry out percutaneous exactly, because operating theater instruments is to design specially for performing the operation, so should use the operating habit that meets very much the doctor, so just can guarantee the safety of operation, the popularization that is more conducive to perform the operation.
Description of drawings
Fig. 1 is that percutaneous of the present invention is through liver and gall road mirror system structural representation.
Fig. 2 is that percutaneous of the present invention cooperates sketch map through the liver choledochoscope with the sheath pipe.
Fig. 3 A is that the percutaneous of first kind of structure among the present invention is through liver choledochoscope (be provided with instrument channel intake tunnel and exhalant canal independently are set respectively) schematic appearance.
Fig. 3 B is that the percutaneous of second kind of structure among the present invention is through the schematic appearance of liver choledochoscope (be provided with instrument channel intake tunnel and the exhalant canal of totally one passage).
Fig. 3 C is that the percutaneous of the third structure of the present invention is through the schematic appearance of liver choledochoscope (no intake tunnel and exhalant canal).
Fig. 4 A be among the present invention above-mentioned first kind of structure percutaneous through the end view of liver choledochoscope.
Fig. 4 B be among the present invention above-mentioned second kind and the third percutaneous through liver choledochoscope elder generation end sketch map.
Fig. 4 C be among the present invention percutaneous through liver choledochoscope elder generation end side view.
Fig. 5 A is first kind of sheath tube exterior sketch map among the present invention.
Fig. 5 B is second kind of sheath tube exterior sketch map among the present invention.
Fig. 6 A-6H is the difference operation accessory sketch map that uses among the present invention.
The specific embodiment
The present invention is described in further detail below in conjunction with accompanying drawing:
Fig. 1 is that percutaneous of the present invention is formed sketch map through liver and gall road mirror system, and its system is divided into percutaneous through liver choledochoscope and sheath pipe 1, light source main frame 2, shooting main frame 3 and monitor 4.
Be illustrated in figure 2 as percutaneous of the present invention and cooperate sketch map through the liver choledochoscope with the sheath pipe, it comprises that sheath pipe 11 and percutaneous are through liver choledochoscope 12.
Shown in Fig. 3 A, 3B and 3C, shown in Fig. 4 A and 4B, be three kind multi-form sketch maps and the first end sketch map of the percutaneous under the present invention through liver choledochoscope 12.
First kind, as shown in Figure 3A, described percutaneous comprises hard work end 121, scope main part, instrument channel 126 and controlled valve thereof, eyepiece outfan 123, light source outfan 122, intake tunnel 124 and exhalant canal 125 through liver choledochoscope 12, in this structure, described intake tunnel 124 and exhalant canal 125 independent settings, the internal diameter 0.5-1.5mm of this intake tunnel 124 and exhalant canal 125, and the controlled valve of intake tunnel 124, exhalant canal 125 and instrument channel 126 and eyepiece outfan 123 are in same direction.
Shown in Fig. 4 A, the first end of hard work end 121 is provided with that the outlet of its instrument channel is 1261, intake tunnel outlet 1241, exhalant canal outlet 1251, optical lens 1261 and light-conductive optic fibre 1221.The external diameter scope of described hard work end 121 leading sections is 2.0-3.5mm, length range 180-300mm, 10 °-15 ° of the angles of described optical lens 1261, the diameter range 0.5-2.0mm of optical lens 1261.
Second kind, as described in Fig. 3 B, the percutaneous of this kind structure through liver choledochoscope 12 with above-mentioned first kind basic identical, difference is that described intake tunnel 124, exhalant canal 125 share passages with instrument channel 126.
The third, shown in figure Fig. 3 C, the percutaneous of this kind structure is not have intake tunnel and exhalant canal through liver choledochoscope 12 with above-mentioned first kind, second kind difference.
Shown in figure Fig. 4 B, the first end of this hard work end 121 comprises instrument channel outlet 1261, optical lens 1261 and light-conductive optic fibre 1221.
Be depicted as percutaneous through the first end of liver choledochoscope 12 1211 side views as Fig. 4 C, angled section is made in described first end 1211, and the tip position in described cross section is provided with blunt type projection, the length≤20mm of this blunt type projection.
Be depicted as percutaneous through two kinds of forms of the supporting sheath pipe 11 of liver choledochoscope 12 as Fig. 5 A, 5B:
Wherein, be depicted as the not form of tape channel as Fig. 5 A, described sheath pipe 11 comprises sheath tube body 111 and inner core 112, and the external diameter of described inner core 112 matches with the inwall of sheath tube body 111; The metal material manufacturing that described sheath tube body 111 and inner core 112 thereof use disposable material or can sterilize and use repeatedly; The length range of described sheath pipe 11 is 120-180mm, and its external diameter scope is 2.5-7.5mm.
Be the form with passage 1111 and 1112 as Fig. 5 B, sheath pipe 11 comprises sheath tube body 111, inner core 112 and passage 1111,1112.
Below specify different operation accessory structures with reference to the accompanying drawings:
(1) the operation accessory is drainage tube: as Fig. 6 A, shown in Fig. 6 B, this operation accessory is the sketch map of drainage tube 51/52.
In Fig. 6 A, described drainage tube 51 no air bag structures.
In Fig. 6 B, described drainage tube 52 is provided with air bag 521, and the optional scope of the length of its air bag 521 is that 2-15mm and 52 is divided into band air bag 52 and is not with 51 two types of air bag, and above-mentioned two kinds of forms possess the various models that hepatology drainage tube 51 and 52 are arranged.
(2) the operation accessory is biopsy forceps: shown in Fig. 6 C, 6D, described operation accessory is biopsy forceps, described biopsy forceps can be divided into 62 two kinds of soft biopsy forceps 61 and hard biopsy forcepss, and the external diameter of the soft or hard work end of this soft biopsy forceps 61 and hard biopsy forceps 62 correspondences matches with the internal diameter of percutaneous through the instrument channel 126 of liver choledochoscope 12.
(3) the operation accessory is that electric coagulation forceps 7 and electricity coagulate rod 8, and shown in Fig. 6 E, 6F, described electric coagulation forceps 7 and electricity coagulate rod 8, and the external diameter of its work end matches with the internal diameter of percutaneous through the instrument channel of liver choledochoscope.
(4) described operation accessory is rubble rod 9, and shown in Fig. 6 G, rubble rod 9 of the present invention is equipped with the rubble main frame, and the form of rubble is not limit, and the external diameter of rubble rod matches with the internal diameter of percutaneous through the instrument channel of liver choledochoscope.
(5) described operation accessory is for getting the stone case, and shown in Fig. 6 H, the stone case 10 of getting of the present invention, material are the silica gel of the suitable hardness of softness, for straight tube-like designs, are placed in percutaneous through the first end of liver choledochoscope 12.
The present invention is not limited to above-mentioned embodiment, every 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 means and comprises these changes and modification.
Claims (10)
1. a percutaneous is through liver and gall road mirror system, specifically comprise the sheath pipe, with the supporting percutaneous of sheath pipe through the liver choledochoscope and be external in percutaneous through the camera system of liver choledochoscope, monitor and light source main frame, it is characterized in that: described percutaneous comprises the work end through the liver choledochoscope, the scope main part, instrument channel and controlled valve thereof, the eyepiece outfan, the light source outfan, or intake tunnel and exhalant canal, the front end of described work end is provided with the instrument channel outlet, optical lens, light-conductive optic fibre, or intake tunnel outlet and exhalant canal outlet, also comprise with percutaneous cooperating the operation accessory that undergos surgery through the liver choledochoscope.
2. percutaneous according to claim 1 is characterized in that through liver and gall road mirror system: described sheath pipe comprises the sheath tube body and cooperates the inner core that is used for puncture with the sheath tube body that described inner core external diameter matches with the sheath inside pipe wall.
3. percutaneous according to claim 2 is characterized in that through liver and gall road mirror system: the metal material manufacturing that described sheath pipe and inner core thereof use disposable material or can sterilize and use repeatedly.
4. percutaneous according to claim 2 is characterized in that through liver and gall road mirror system: described sheath length of tube scope is 120-180mm, and its external diameter scope is 2.5-7.5mm.
According to each described percutaneous of claim 1 to 4 through liver and gall road mirror system, it is characterized in that: it is logical or be not provided with intake tunnel and exhalant canal that described sheath tube body is provided with intake tunnel and water outlet.
6. percutaneous according to claim 1 is through liver and gall road mirror system, it is characterized in that: described percutaneous is hard work end through the work end of liver choledochoscope, the leading section external diameter scope of this hard work end is 2.0-3.5mm, length range 180-300mm, 10 °-15 ° of the angles of described optical lens, the diameter range 0.5-2.0mm7 of optical lens.
7. percutaneous according to claim 1 is through liver and gall road mirror system, it is characterized in that: the front end 30-50mm of described hard work end is non-circular, angled section is made in the first end of its hard work end, and the cross section top bit is equipped with blunt type projection, the length≤20mm of this blunt type projection.
8. percutaneous according to claim 5 is through liver and gall road mirror system, it is characterized in that: described intake tunnel and exhalant canal and instrument channel be totally one passage, perhaps described intake tunnel, exhalant canal and instrument channel are independent respectively, the internal diameter 0.5-1.5mm of its intake tunnel and exhalant canal, and the controlled valve of intake tunnel, exhalant canal and instrument channel and eyepiece output are in same direction.
9. percutaneous according to claim 1 is characterized in that through liver and gall road mirror system: described instrument channel is linear type, and its internal diameter is more than or equal to 1.6mm.
10. percutaneous according to claim 1 is characterized in that through liver and gall road mirror system: described operation accessory comprises, comprise drainage tube, biopsy forceps, electric coagulation forceps, electricity coagulate rod, rubble excellent, get stone case and negative pressure equipment.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2013101506088A CN103263246A (en) | 2013-04-26 | 2013-04-26 | Percutaneous transhepatic choledochoscope system |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2013101506088A CN103263246A (en) | 2013-04-26 | 2013-04-26 | Percutaneous transhepatic choledochoscope system |
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| CN103263246A true CN103263246A (en) | 2013-08-28 |
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| CN2013101506088A Pending CN103263246A (en) | 2013-04-26 | 2013-04-26 | Percutaneous transhepatic choledochoscope system |
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Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103932656A (en) * | 2014-04-28 | 2014-07-23 | 乔晋琳 | Endoscope component and medical equipment |
| CN104434017A (en) * | 2014-12-19 | 2015-03-25 | 王军 | Laparoscope |
| CN104635575A (en) * | 2015-01-06 | 2015-05-20 | 钟鉴宏 | Liver cancer examination control system |
| CN104856639A (en) * | 2015-06-12 | 2015-08-26 | 成雨 | Object fetching choledochoscope |
| CN108125670A (en) * | 2018-01-18 | 2018-06-08 | 青岛大学附属医院 | Percutaneously through the intracapsular endoscope system of liver and gall |
| CN111657828A (en) * | 2020-07-10 | 2020-09-15 | 深圳世纪微创医疗科技有限公司 | Endoscope with instrument channel and water outlet channel for multiplexing |
| CN113413125A (en) * | 2021-07-16 | 2021-09-21 | 浙江夸迈医疗器械有限公司 | Multifunctional choledochoscope |
| WO2022111106A1 (en) * | 2020-11-26 | 2022-06-02 | 微创优通医疗科技（上海）有限公司 | Medical catheter and medical device |
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Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103932656A (en) * | 2014-04-28 | 2014-07-23 | 乔晋琳 | Endoscope component and medical equipment |
| CN104434017A (en) * | 2014-12-19 | 2015-03-25 | 王军 | Laparoscope |
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| CN113413125A (en) * | 2021-07-16 | 2021-09-21 | 浙江夸迈医疗器械有限公司 | Multifunctional choledochoscope |
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Application publication date: 20130828 |