CN103393391A - Multifunctional medical instrument for alimentary canal endoscopic surgery - Google Patents

Multifunctional medical instrument for alimentary canal endoscopic surgery Download PDF

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Publication number
CN103393391A
CN103393391A CN2013102450963A CN201310245096A CN103393391A CN 103393391 A CN103393391 A CN 103393391A CN 2013102450963 A CN2013102450963 A CN 2013102450963A CN 201310245096 A CN201310245096 A CN 201310245096A CN 103393391 A CN103393391 A CN 103393391A
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China
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light
image
alimentary canal
white
arrowband
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CN2013102450963A
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Chinese (zh)
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熊大曦
杨西斌
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Suzhou Institute of Biomedical Engineering and Technology of CAS
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Suzhou Institute of Biomedical Engineering and Technology of CAS
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Priority to CN2013102450963A priority Critical patent/CN103393391A/en
Publication of CN103393391A publication Critical patent/CN103393391A/en
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Abstract

The invention discloses a multifunctional medical instrument for alimentary canal endoscopic surgery. The multifunctional medical instrument for the alimentary canal endoscopic surgery comprises an endoscope body and an endoscopic probe, wherein a catheter, an air outlet valve, a light source port, an observation mirror, an air inlet valve and a backflow-resisting cap are arranged on the endoscope body, the endoscope body is connected with the endoscopic probe through the catheter, the light source port is connected to a narrow-band multispectral LED light source, the narrow-band multispectral LED light source emits exciting light and white light to a dodging coupling module, the exciting light and the white light are then transmitted to tissue to be detected, reflected light and fluorescent light emitted by the tissue to be detected are transmitted to a signal extraction part through optical fibers, signal light extracted by the signal extraction part is transmitted to a signal denoising part, and the denoised signal light is transmitted to a white light image generation part, a narrow-band image generation part and a fluorescent light image generation part by the signal denoising part. The multifunctional medical instrument for the alimentary canal endoscopic surgery has the advantages that a clear image of an affected part can be provided during the alimentary canal surgery and free switching of the image among a high-resolution white light image, a narrow-band image and a fluorescent light image is achieved.

Description

In a kind of multifunction alimentary canal, peep the surgical medical apparatus
Technical field
The present invention relates to a kind of Minimally Invasive Surgery medical apparatus and instruments, what be specifically related to is in a kind of multifunction alimentary canal, to peep the surgical medical apparatus.
Background technology
Endoscope a kind ofly can be inserted into human body natural's tract usually, and in gastrointestinal pipeline, corrugated hose and urinary system pipeline, auxiliary doctor carries out the surgical apparatus of medical diagnosis on disease and treatment, is " eyes " of doctor in modern medicine.At present, endoscope is by more and more for endoscopic surgery, in foreign literature, extensively be called " NOTES " (through natural tract endoscopic surgery, Nature Orifice Translumenal Endoscopic Surgery), with traditional operation, compare, have following advantage: (1) disturbs minimum to patient's internal milieu; (2) do not need to be in hospital or only to need being in hospital of utmost point short time; (3) wound is little, need open 3 holes at key position and get final product for general.
At present, to peep operation in peritoneoscope as the Minimally Invasive Surgery of representative comparative maturity, as comparatively general abroad as gallbladder removal etc.
North American patents US 5,797, and 835 have described a kind of operation device for using at endoscope and endoscopic surgery, and this operation device, by the external undercut in patient body, is peeped operation technique in carry out two different entrances.Operation technique is flexible, but imaging mode is the white light imaging, the visual field that endoscope is narrow and small and two-dimensional imaging capabilities limits doctor's accurate judgement.
Chinese patent 201180008583.7 has been announced a kind of fluorescence endoscopic lens device, by bio-tissue being irradiated to exciting light basis, from the fluorescence of above-mentioned bio-tissue generation, observe the pathological changes section of bio-tissue, with simple white light imaging, compare, has stronger pathological tissues resolution capability, but narrow band light imaging technique that can not integrated present advanced person, do not possess the complex light imaging capability.
Summary of the invention
The object of the invention is to overcome the above problem that prior art exists, provide in a kind of multifunction alimentary canal and peep the surgical medical apparatus, in being somebody's turn to do, peep the imaging of the integrated high-resolution white light of surgical medical apparatus, Narrow-Band Imaging and three kinds of imaging patterns of fluorescence imaging, changed traditional interior endoscope device imaging pattern single, to the not high problem of illing tissue's imaging specificity.
For realizing above-mentioned technical purpose, reach above-mentioned technique effect, the present invention is achieved through the following technical solutions:
in a kind of multifunction alimentary canal, peep the surgical medical apparatus, endoscope body and in spy upon head, on described endoscope body, set gradually conduit, the valve of giving vent to anger, light source interface, sight glass, air intake valve and anti back-flow cap, in described endoscope body is described by described conduit connection, spy upon head, multispectral section of arrowband of described light source interface access LED light source, multispectral section of described arrowband LED light source sends exciting light and white light to even optical coupler module transfers to tissue to be measured, tissue to be measured launches reflected light and fluorescence arrives signal extraction section by fiber-optic transfer, described signal extraction section will extract to such an extent that flashlight transfers to signal denoising section, described signal denoising section transfers to the White-light image generating unit by the flashlight after denoising, arrowband image production part and fluoroscopic image generating unit, described White-light image generating unit, the image feedback that arrowband image production part and fluoroscopic image generating unit will be produced is to described sight glass.
Further, in described, spy upon head and comprise imaging probe, several reserved passageway and several operating forcepies, described operating forceps communicates with described air intake valve by air inlet, described air intake valve arranges gas gauge, described operating forceps is a kind of in mechanical operation pincers, electric coagulation forceps, ultrasonic surgical blade, the head end of spying upon head in described is flexible flexible structure, and the air inlet of spying upon head in described is provided with the air pressure induction element.
Further, described White-light image generating unit forms White-light image after receiving the wide-spectrum white-light signal that reflects, described arrowband image production part receives the narrow band light formation arrowband image that multispectral section of arrowband LED sends, and described fluoroscopic image generating unit receives the fluorescence formation fluoroscopic image that the excitation light irradiation tissue produces.
Further, unidirectional anti back-flow lobe is set in described anti back-flow cap, described unidirectional anti back-flow lobe is monolayer or double-decker.
The invention has the beneficial effects as follows:
(1) integrated three kinds of imaging patterns, can freely switch between high-resolution White-light image, arrowband image and fluoroscopic image, guarantees that the doctor, according to illing tissue's characteristics, freely selects suitable imaging mode, in having guaranteed, peeps the accuracy of operation;
(2) conduit in spy upon head design, only need open a cavity at human body, can carry out Minimally Invasive Surgery, reduced the human body wound;
(3) in, spy upon the flexibility design of head and conduit, use flexibly, having overcome the hard mirror of traditional laparoscopic surgery employing can not the crooked inconvenience that operation is brought.
The accompanying drawing explanation
Fig. 1 is structure chart of the present invention,
Fig. 2 is schematic diagram of the present invention;
Fig. 3 spies upon the structure chart of head in being.
Number in the figure explanation: 1, multispectral section of arrowband LED light source, 2, even optical coupler module, 3, signal extraction section, 4, signal denoising section, 5, White-light image generating unit, 6, the arrowband image production part, 7, the fluoroscopic image generating unit, 8, White-light image, 9, the arrowband image, 10, fluoroscopic image, 11, conduit, 12, the valve of giving vent to anger, 13, light source interface, 14, sight glass, 15, the anti back-flow cap, 16, air intake valve, 17, imaging probe, 18, reserved passageway, 19, operating forceps.
The specific embodiment
Below with reference to the accompanying drawings and in conjunction with the embodiments, describe the present invention in detail.
with reference to shown in Figure 1, in a kind of multifunction alimentary canal, peep the surgical medical apparatus, endoscope body and in spy upon head, on described endoscope body, set gradually conduit 11, the valve 12 of giving vent to anger, light source interface 13, sight glass 14, air intake valve 16 and the described endoscope body of anti back-flow cap 15 are connected in described and spy upon head by described conduit 11, multispectral section of arrowband of described light source interface access LED light source 1, multispectral section of described arrowband LED light source 1 sends exciting light and white light to even optical coupler module 2 transfers to tissue to be measured, tissue to be measured launches reflected light and fluorescence arrives signal extraction section 3 by fiber-optic transfer, described signal extraction section 3 will extract to such an extent that flashlight transfers to signal denoising section 4, described signal denoising section 4 transfers to White-light image generating unit 5 by the flashlight after denoising, arrowband image production part 6 and fluoroscopic image generating unit 7, described White-light image generating unit 5, the image feedback that arrowband image production part 6 and fluoroscopic image generating unit 7 will be produced is to described sight glass 14.
Further, in described, spy upon head and comprise imaging probe 17, several reserved passageway 18 and several operating forcepies 19, described operating forceps 19 communicates with described air intake valve 16 by air inlet, this air inlet is spied upon in can also being arranged in a special inlet channel, and described operating forceps 19 is a kind of in mechanical operation pincers, electric coagulation forceps, ultrasonic surgical blade.Air intake valve is provided with gas gauge, or in spy upon the head the air inlet position be provided with the air pressure induction element, the endoceliac inner gas pressure of Real Time Monitoring.
Further, after receiving the wide-spectrum white-light signal that reflects, described White-light image generating unit 5 forms White-light image 8, described arrowband image production part 6 receives the narrow band light formation arrowband image 9 that multispectral section of arrowband LED sends, and described fluoroscopic image generating unit 7 receives the fluorescence formation fluoroscopic image 10 that the excitation light irradiation tissues produce.
Further, described anti back-flow cap 15 is interior arranges unidirectional anti back-flow lobe, and described unidirectional anti back-flow lobe is monolayer or double-decker
Further, the end of spying upon head in described is flexible flexible structure.
Principle of the present invention:
The doctor, when performing the operation, can pass through operating grip, between three kinds of imaging patterns, carries out free switching.The air intake valve at endoscope body rear portion realizes that inflation (is generally CO 2Gas), by air intake valve, enter conduit, be full of the whole residing space of organizing to be measured, by tissue, strut to be embodied as picture.Treat that gas pressure reaches the threshold value of setting, and while having had enough spaces to peep operation in can realizing, stop inflation.In the anti back-flow cap, be provided with unidirectional anti back-flow lobe, prevent back flow of gas, and keep the conduit sealing.The light energy that LED sends, by light source interface, be coupled to endoscope body, and be transferred to imaging probe by optical transmission medium, and destination organization is formed to illumination.Sight glass is the light signal output end mouth, and external CCD or be equipped with special imaging lens directly observes light source interface by eyes and receives the light that sends from LED light source, realizes illumination.The effect of anti back-flow cap is to prevent gas backflow.Sight glass connects ccd detector or directly observes by eyes.

Claims (4)

1. in a multifunction alimentary canal, peep the surgical medical apparatus, it is characterized in that: endoscope body and in spy upon head, on described endoscope body, set gradually conduit (11), the valve (12) of giving vent to anger, light source interface (13), sight glass (14), air intake valve (16) and anti back-flow cap (15), in described endoscope body is described by described conduit (11) connection, spy upon head, the described light source interface access multispectral section LED light source in arrowband (1), the multispectral section LED light source in described arrowband (1) sends exciting light and white light to even optical coupler module (2) transfers to tissue to be measured, tissue to be measured launches reflected light and fluorescence arrives signal extraction section (3) by fiber-optic transfer, described signal extraction section (3) will extract to such an extent that flashlight transfers to signal denoising section (4), described signal denoising section (4) transfers to White-light image generating unit (5) by the flashlight after denoising, arrowband image production part (6) and fluoroscopic image generating unit (7), described White-light image generating unit (5), the image feedback that arrowband image production part (6) and fluoroscopic image generating unit (7) will be produced is to described sight glass (14).
2. in multifunction alimentary canal according to claim 1, peep the surgical medical apparatus, it is characterized in that: in described, spy upon head and comprise imaging probe (17), several reserved passageway (18) and several operating forcepies (19), described operating forceps (19) communicates with described air intake valve (16) by air inlet, described air intake valve arranges gas gauge, described operating forceps (19) is the mechanical operation pincers, electric coagulation forceps, a kind of in ultrasonic surgical blade, the head end of spying upon head in described is flexible flexible structure, the air inlet of spying upon head in described is provided with the air pressure induction element.
3. in multifunction alimentary canal according to claim 1, peep the surgical medical apparatus, it is characterized in that: described White-light image generating unit (5) forms White-light image (8) after receiving the wide-spectrum white-light signal that reflects, described arrowband image production part (6) receives the narrow band light formation arrowband image (9) that multispectral section of arrowband LED sends, and described fluoroscopic image generating unit (7) receives the fluorescence formation fluoroscopic image (10) that the excitation light irradiation tissue produces.
4. in multifunction alimentary canal according to claim 1, peep the surgical medical apparatus, it is characterized in that: unidirectional anti back-flow lobe is set in described anti back-flow cap (15), and described unidirectional anti back-flow lobe is monolayer or double-decker.
CN2013102450963A 2013-06-20 2013-06-20 Multifunctional medical instrument for alimentary canal endoscopic surgery Pending CN103393391A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019227907A1 (en) * 2018-06-01 2019-12-05 深圳开立生物医疗科技股份有限公司 Imaging device
CN116350154A (en) * 2023-03-31 2023-06-30 广州思舶宇生物科技有限公司 Endoscope ventilation control method and endoscope
CN116350154B (en) * 2023-03-31 2024-07-09 广州思舶宇生物科技有限公司 Endoscope ventilation control method and endoscope

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1289239A (en) * 1998-01-26 2001-03-28 麻省理工学院 Fluorescence imaging endoscope
CN1341003A (en) * 1999-01-26 2002-03-20 牛顿实验室公司 Autofluorescence imaging system for endoscopy
CN1809308A (en) * 2003-06-19 2006-07-26 奥林巴斯株式会社 Endoscope device
CN101291615A (en) * 2005-10-21 2008-10-22 奥林巴斯医疗株式会社 Organism imaging device and organism observing system
CN101785700A (en) * 2010-01-04 2010-07-28 上海祥秀医药科技有限公司 Endoscope used for prostate operations
CN102429625A (en) * 2010-09-29 2012-05-02 富士胶片株式会社 Endoscope device
CN203417182U (en) * 2013-06-20 2014-02-05 中国科学院苏州生物医学工程技术研究所 Multifunction alimentary-canal endoscopic-surgery medical equipment

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1289239A (en) * 1998-01-26 2001-03-28 麻省理工学院 Fluorescence imaging endoscope
CN1341003A (en) * 1999-01-26 2002-03-20 牛顿实验室公司 Autofluorescence imaging system for endoscopy
CN1809308A (en) * 2003-06-19 2006-07-26 奥林巴斯株式会社 Endoscope device
CN101291615A (en) * 2005-10-21 2008-10-22 奥林巴斯医疗株式会社 Organism imaging device and organism observing system
CN101785700A (en) * 2010-01-04 2010-07-28 上海祥秀医药科技有限公司 Endoscope used for prostate operations
CN102429625A (en) * 2010-09-29 2012-05-02 富士胶片株式会社 Endoscope device
CN203417182U (en) * 2013-06-20 2014-02-05 中国科学院苏州生物医学工程技术研究所 Multifunction alimentary-canal endoscopic-surgery medical equipment

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019227907A1 (en) * 2018-06-01 2019-12-05 深圳开立生物医疗科技股份有限公司 Imaging device
CN116350154A (en) * 2023-03-31 2023-06-30 广州思舶宇生物科技有限公司 Endoscope ventilation control method and endoscope
CN116350154B (en) * 2023-03-31 2024-07-09 广州思舶宇生物科技有限公司 Endoscope ventilation control method and endoscope

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Application publication date: 20131120