CN104288848A - Auditory tube examination and treatment device - Google Patents

Auditory tube examination and treatment device Download PDF

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Publication number
CN104288848A
CN104288848A CN201410605818.6A CN201410605818A CN104288848A CN 104288848 A CN104288848 A CN 104288848A CN 201410605818 A CN201410605818 A CN 201410605818A CN 104288848 A CN104288848 A CN 104288848A
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China
Prior art keywords
section
tube
pharyngotympanic
scope section
checks
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Granted
Application number
CN201410605818.6A
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Chinese (zh)
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CN104288848B (en
Inventor
陈舒华
张华宋
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Individual
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/267Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00096Optical elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661Endoscope light sources
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/07Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres

Abstract

The invention discloses an auditory tube examination and treatment device. The auditory tube examination and treatment device comprises an auditory tube endoscope and a balloon bracket, wherein the auditory tube endoscope comprises a hard endoscope section and a flexible endoscope section; one end of the hard endoscope section is connected with the flexible endoscope section; the balloon bracket is connected with the flexible endoscope section; a balloon is arranged on the balloon bracket. The auditory tube endoscope comprises the hard endoscope section and the flexible endoscope section, so that when the device is used to examine, the hard endoscope section can reach the position to be treated, the phenomenon that the flexible endoscope section is too soft to reach the position can be avoided, and when the flexible endoscope section reaches the position, the balloon can be expanded or shrunk to treat the position. The auditory tube examination and treatment device disclosed by the invention can examine and treat the position at the same time, accurately judges the position to be treated, and achieves the characteristics of accurately understanding the disease position and treating the position.

Description

Pharyngotympanic tube checks therapy equipment
Technical field
The invention belongs to a kind of instrument for the medical diagnosis on disease of human body pharyngotympanic tube, especially relate to a kind of pharyngotympanic tube and check therapy equipment.
Background technology
As everyone knows, pharyngotympanic tube total length is about 3.1 ~ 3.8mm, is divided into three parts: outer 1/3 is osseous part, and interior 2/3 is cartilaginous part, and osseous part and cartilaginous part intersection are for dissect isthmus; Cartilaginous part is divided into again pharynx section, valve functional section, anatomical gorge leading portion.This segmentation, all based on dissecting, is not the segmentation under pharyngotympanic tube physiological status, is all indirect deduction substantially now to the inspection of segmentation under pharyngotympanic tube physiological function and physiological status.There is the inspection using nasal endoscopes, salpingoscope to carry out pharyngotympanic tube under physiological status both at home and abroad, but all there is disadvantages associated, as nasal endoscopy can not check eustachian tube lumen, cannot complete pharyngotympanic tube physiological function and physiological status be analyzed; Salpingoscope then shank is too soft, and operation easier is higher, and cannot carry out the treatment of the abnormal relevant disease of eustachian tube function.
Traditional pharyngeal opening of auditory tube operative treatment and emerging balloon operation is comprised at the methods of surgical for the treatment of eustachian tube function exception, use under the existing sacculus used all needs external video equipment both at home and abroad, cannot confirm in tube chamber sacculus trend and near membership credentials, and can not the curative effect after balloon expandable be checked, cause the blindness on clinical manipulation.
Summary of the invention
A kind of pharyngotympanic tube is the object of the present invention is to provide to check therapy equipment, at least one in can solving the problem.
According to an aspect of the present invention, provide a kind of pharyngotympanic tube and check therapy equipment, comprise pharyngotympanic tube scope and balloon-stent, pharyngotympanic tube scope comprises hard scope section and soft scope section, one end of hard scope section is connected with soft scope section, balloon-stent is connected with soft scope section, and balloon-stent is provided with sacculus.
The invention has the beneficial effects as follows: pharyngotympanic tube scope comprises hard scope section and soft scope section, during convenient inspection, hard scope section can arrive the required position checked of pharyngotympanic tube, completes inspection; When needs are treated time, hard scope section can promote the position that soft scope section arrives required treatment, avoids soft scope section and crosses soft and phenomenon that is that cannot arrive, expand or shrink, realize treating after soft scope section arrives to sacculus.Thus, this pharyngotympanic tube checks that therapy equipment can realize checking and treatment simultaneously, to needing the position for the treatment of accurately to judge, realizes accurately learning patient part and accurately treatment.
In some embodiments, pharyngotympanic tube inspection treatment dress can also comprise conduit, and sheathed catheter is located at outside hard scope section, and one end of soft scope section is positioned at conduit.Thus, being provided with conduit can better drive pharyngotympanic tube scope to arrive the required position checked.
In some embodiments, balloon-stent comprises sacculus hollow pipe, the first connection tube and the second connection tube, and the first connection tube and the second connection tube are all set in the outside of sacculus hollow pipe, and the first connection tube is all connected with sacculus with the second connection tube.Thus, be provided with the first connection tube can conveniently be connected with the system of fetching water with the attraction system in the external world with the second connection tube, be convenient to by by the fluid barrier thing in pharyngotympanic tube by sacculus and the first connection tube sucking-off, be convenient to medicine simultaneously and be injected into by the second connection tube and sacculus and need treatment position.
In some embodiments, sacculus hollow pipe can be set in the outside of soft scope section.Thus, the connection both convenient, and make balloon-stent together can arrive the position of required treatment with soft scope section.
In some embodiments, the other end of hard scope section is provided with dioptric section, and dioptric section is provided with light source and multiple convex lens, and multiple convex lens is for adjusting dioptric, and light source is corresponding with pharyngotympanic tube scope, and the length of dioptric section is 30 ~ 35mm.Thus, being provided with the light that dioptric section can make pharyngotympanic tube scope reflect can amplify by planoconvex lens, conveniently observes; Be provided with light source and can provide lasting light source for pharyngotympanic tube scope, ensure normally carrying out of pharyngotympanic tube inspection and treatment.
In some embodiments, soft scope section can comprise shell and optical fiber, and casing is located at outer fiber, and shell is memorial alloy, and optical fiber is soft fiber, and the length of soft scope section is 48 ~ 52mm.Thus, shell is memorial alloy, and optical fiber is soft fiber, makes soft scope section can overturn arbitrarily angled, is conducive to soft scope section and arrives the required position checking treatment, prevent other positions of pharyngotympanic tube impaired.
In some embodiments, pharyngotympanic tube checks that therapy equipment can also comprise handle, and handle is provided with the first tooth, and conduit is provided with the second tooth be meshed with the first tooth, and handle is connected with the second tooth by the first tooth with conduit.Thus, be provided with the first tooth and the second tooth, the adjustment of handle and conduit relative angle can be facilitated, handled easily.
In some embodiments, handle is provided with through hole, and through hole is three, and hard scope section, the first connection tube and the second connection tube run through one of them in three through holes respectively.Thus, be provided with three through holes and can improve the globality that this pharyngotympanic tube checks therapy equipment, reduce its overall volume.
In some embodiments, conduit comprises flat segments and bending segment, and the angle of flat segments and bending segment is 45 °, and hard scope section is positioned at flat segments, and one end of soft scope section is positioned at bending segment, and the length of bending segment is 3 ~ 5mm.Thus, be provided with after soft scope section conveniently can be delivered to assigned address by flat segments and bending segment, then by promoting pharyngotympanic tube scope, soft scope section arrived and needs treatment position, being provided with bending segment and there is guide effect, improving the accuracy checking treatment.
Accompanying drawing explanation
Fig. 1 is the structural representation that pharyngotympanic tube of the present invention checks a kind of embodiment of therapy equipment;
Fig. 2 is that pharyngotympanic tube of the present invention checks that therapy equipment is in the structural representation of inspection state;
Fig. 3 is that pharyngotympanic tube of the present invention checks that therapy equipment is in the structural representation of therapeutic state;
Fig. 4 is the structural representation that pharyngotympanic tube of the present invention checks that in therapy equipment, balloon-stent matches with sacculus;
Fig. 5 is the structural representation that pharyngotympanic tube of the present invention checks conduit in therapy equipment;
Fig. 6 is the structural representation that pharyngotympanic tube of the present invention checks handle in therapy equipment;
Fig. 7 is the structural representation that pharyngotympanic tube of the present invention checks pharyngotympanic tube scope in therapy equipment.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention is further detailed explanation.
With reference to Fig. 1, Fig. 2 and Fig. 7, pharyngotympanic tube checks therapy equipment, comprise pharyngotympanic tube scope 1 and balloon-stent 2, pharyngotympanic tube scope 1 comprises hard scope section 11 and soft scope section 12, one end of hard scope section 11 is connected with soft scope section 12, balloon-stent 2 is connected with soft scope section 12, and balloon-stent 2 is provided with sacculus 3.
Hard scope section 11 is medically conventional rigid endoscope, and the outside of hard scope section 11 is arranged with metal shell 7, and the external diameter of metal shell 7 is 2mm, and length is 150mm.One end of soft scope section 12 is embedded in one end of hard scope section 11, makes soft scope section 12 and hard scope section 11 without refractive change, avoids observed object to occur distortion.
Pharyngotympanic tube checks that therapy equipment also comprises conduit 4, and conduit 4 is set in outside hard scope section 11, and one end of soft scope section 12 is positioned at conduit 4, and wherein conduit 4 is made for transparent material, is convenient to the pharyngotympanic tube place that pharyngotympanic tube scope 1 can be irradiated to patient in use.
As shown in Fig. 5 and Fig. 1, conduit 4 comprises flat segments 42 and bending segment 43, and the angle of flat segments 42 and bending segment 43 is 45 °, flat segments 42 and bending segment 43 are formed in one structure, convenient processing, avoids occurring burr in flat segments 42 and bending segment 43 junction simultaneously, avoids damaging tissue.Conveniently conduit 4 can stretch into, and ensures the installation of hard scope section 11, and the internal diameter of conduit 4 is 2mm.Hard scope section 11 is positioned at flat segments 42, and metal shell 7 is set in flat segments 42, and one end of soft scope section 12 is positioned at bending segment 43, and the length of bending segment 43 is 3 ~ 5mm.
As shown in Figure 2 and Figure 4, balloon-stent 2 comprises sacculus hollow pipe 21, first connection tube 22 and the second connection tube 23, first connection tube 22 and the second connection tube 23 are all set in the outside of sacculus hollow pipe 21, sacculus 3 is set in the outside of the first connection tube 22 and the second connection tube 23, first connection tube 22 is all connected with sacculus 3 with the second connection tube 23, the part that first connection tube 22 and the second connection tube 23 are positioned at sacculus 3 inside offers intercommunicating pore, and the first connection tube 22 can be connected with sacculus 3 with the second connection tube 23; The conveniently attraction of sacculus 3, offers suction hole in the front end of sacculus 3, and liquid can be attracted through suction hole.First connection tube 22 engages with extraneous attraction system, and the second connection tube 23 engages with the extraneous system of fetching water.When balloon-stent 2 is sent to the position needing treatment, when needing to clear up the fluid barrier thing in pharyngotympanic tube, by the enlargement and contraction of sacculus 3 by liquid through the first connection tube 22 sucking-off, completed treatment; Need in pharyngotympanic tube during injection injection liquid, the injection of fetching water in system arrives sacculus 3 place through the second connection tube 23, completes Drug therapy.In order to ensure that sacculus 3 can be expanded normally, the pressure that sacculus 3 can bear is greater than 10Pa; Meanwhile, the internal diameter of the first connection tube 22 and the second connection tube 23 is 1mm, ensures the normal conveying of liquid, is unlikely to volume excessive simultaneously.
Soft scope section 12 comprises shell 121 and optical fiber 122, shell 121 is set in outside optical fiber 122, shell 121 is memorial alloy, optical fiber 122 is soft fiber, the length of soft scope section 12 is 48 ~ 52mm, the diameter of optical fiber 122 is 0.8 ~ 1mm, and soft scope section 12 is easily bent when longitudinally (i.e. the direction of vertical soft scope section 12) is stressed, is convenient to carry and loss is minimum to eustachian tube lumen along conduit 4.
Sacculus hollow pipe 21 is set in the outside of soft scope section 12, and sacculus hollow pipe 21 is fixedly connected with by screw or screw thread with the shell 121 of soft scope section 12.Offer screw thread outside shell 121, sacculus 3 and shell 121 are fixed by screw thread, and screw thread is about 5mm in the length of shell 121, and preventing sacculus 3 from resting in use in pharyngotympanic tube cannot extract, and ensure that the safety of use.
The other end of hard scope section 11 is provided with dioptric section 5, and dioptric section 5 is provided with light source 51 and multiple convex lens 52, and convex lens 52 is three, and multiple convex lens 52, for adjusting dioptric, makes the amplification three times by observing in pharyngotympanic tube scope 1 visual field simultaneously.Light source 51 is corresponding with pharyngotympanic tube scope 1, and namely light source 51 can provide illumination for pharyngotympanic tube scope 1 work; The length of dioptric section 5 is 30 ~ 35mm, and convex lens 52 is distributed in dioptric section 5.
As shown in Figure 5 and Figure 6, pharyngotympanic tube checks that therapy equipment also comprises handle 6, and handle 6 is provided with the first tooth 61, and conduit 4 is provided with the second tooth 41 be meshed with the first tooth 61, and handle 6 is connected with the second tooth 41 by the first tooth 61 with conduit 4.Thus, by the engagement system of similar gear, can be that handle 6 changes with conduit 4 relative angle, handle 6 and conduit 4 can be fixed on the angle of operator's custom or operation needs, facilitate angular adjustment.
Handle 6 is provided with through hole 62, and through hole 62 is three, and hard scope section 11, first connection tube 22 and the second connection tube 23 run through one of them in three through holes 62 respectively.Meanwhile, handle 6 is also provided with holddown groove 63, holddown groove 63 is for placing light source 51, and be provided with holddown groove 63 and be conducive to concentrating of light source 51 light, wherein light source 51 is cold light source, ensures the brightness of illumination.
As shown in Figures 2 and 3, pharyngotympanic tube of the present invention checks that therapy equipment is when carrying out merely pharyngotympanic tube and checking, pharyngotympanic tube scope 1 finds pharyngeal opening of auditory tube by the promotion of handle 6 and conduit 4, then continues to push in pharyngotympanic tube, checks; When needs use sacculus 3 to perform the operation, pharyngotympanic tube scope 1 and balloon-stent 2 fix combination, utilize handle 6 and conduit 4 to deliver in pharyngotympanic tube by soft scope section 12, carry out sacculus 3 and expand, realize corresponding treatment.
Above-described is only the preferred embodiment of the present invention, it should be pointed out that for the person of ordinary skill of the art, and without departing from the concept of the premise of the invention, can also make some distortion and improvement, these all belong to protection scope of the present invention.

Claims (9)

1. pharyngotympanic tube checks therapy equipment, wherein, comprise pharyngotympanic tube scope (1) and balloon-stent (2), described pharyngotympanic tube scope (1) comprises hard scope section (11) and soft scope section (12), one end of described hard scope section (11) is connected with soft scope section (12), described balloon-stent (2) is connected with soft scope section (12), and described balloon-stent (2) is provided with sacculus (3).
2. pharyngotympanic tube according to claim 1 checks therapy equipment, wherein, also comprise conduit (4), described conduit (4) is set in hard scope section (11) outside, and one end of described soft scope section (12) is positioned at conduit (4).
3. pharyngotympanic tube according to claim 1 and 2 checks therapy equipment, wherein, described balloon-stent (2) comprises sacculus hollow pipe (21), the first connection tube (22) and the second connection tube (23), described first connection tube (22) and the second connection tube (23) are all set in the outside of sacculus hollow pipe (21), and described first connection tube (22) is all connected with sacculus (3) with the second connection tube (23).
4. pharyngotympanic tube according to claim 3 checks therapy equipment, and wherein, described sacculus hollow pipe (21) is set in the outside of soft scope section (12).
5. pharyngotympanic tube according to claim 1 and 2 checks therapy equipment, wherein, the other end of described hard scope section (11) is provided with dioptric section (5), described dioptric section (5) is provided with light source (51) and multiple convex lens (52), multiple described convex lens (52) is for adjusting dioptric, described light source (51) is corresponding with pharyngotympanic tube scope (1), and the length of described dioptric section (5) is 30 ~ 35mm.
6. pharyngotympanic tube according to claim 1 checks therapy equipment, wherein, described soft scope section (12) comprises shell (121) and optical fiber (122), described shell (121) is set in optical fiber (122) outside, described shell (121) is memorial alloy, described optical fiber (122) is soft fiber, and the length of described soft scope section (12) is 48 ~ 52mm.
7. pharyngotympanic tube according to claim 3 checks therapy equipment, wherein, also comprise handle (6), described handle (6) is provided with the first tooth (61), described conduit (4) is provided with the second tooth (41) be meshed with the first tooth (61), and described handle (6) is connected with the second tooth (41) by the first tooth (61) with conduit (4).
8. pharyngotympanic tube according to claim 7 checks therapy equipment, wherein, described handle (6) is provided with through hole (62), described through hole (62) is three, and described hard scope section (11), the first connection tube (22) and the second connection tube (23) run through one of them in three through holes (62) respectively.
9. pharyngotympanic tube according to claim 2 checks therapy equipment, wherein, described conduit (4) comprises flat segments (42) and bending segment (43), the angle of described flat segments (42) and bending segment (43) is 45 °, described hard scope section (11) is positioned at flat segments (42), one end of described soft scope section (12) is positioned at bending segment (43), and the length of described bending segment (43) is 3 ~ 5mm.
CN201410605818.6A 2014-10-31 2014-10-31 Eustachian tube check and treatment device Active CN104288848B (en)

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CN104288848B CN104288848B (en) 2017-04-05

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106075702A (en) * 2016-05-23 2016-11-09 佛山市第人民医院 Medical per os Eustachian tube sacculus dilating catheter is special inserts apparatus
CN108271349A (en) * 2015-10-30 2018-07-10 阿克拉伦特公司 For anaesthetizing the system and method for Eustachian tube
CN109789298A (en) * 2016-09-16 2019-05-21 大卫·斯皮格 Conduit for being applied to medium in middle ear

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CN1038755A (en) * 1988-06-13 1990-01-17 雅罗斯拉夫斯基科学技术联合中心 The device that diagnosis and treatment nasal sinuses disease are used
US6043839A (en) * 1997-10-06 2000-03-28 Adair; Edwin L. Reduced area imaging devices
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108271349A (en) * 2015-10-30 2018-07-10 阿克拉伦特公司 For anaesthetizing the system and method for Eustachian tube
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CN106075702A (en) * 2016-05-23 2016-11-09 佛山市第人民医院 Medical per os Eustachian tube sacculus dilating catheter is special inserts apparatus
CN109789298A (en) * 2016-09-16 2019-05-21 大卫·斯皮格 Conduit for being applied to medium in middle ear
CN109789298B (en) * 2016-09-16 2022-05-17 德国宾格医疗技术股份有限公司 Catheter for applying a medium into the middle ear

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Application publication date: 20150121

Assignee: Shaanxi femtosecond Medical Equipment Co., Ltd.

Assignor: Chen Shuhua|Zhang Huasong

Contract record no.: 2017610000030

Denomination of invention: Auditory tube examination and treatment device

Granted publication date: 20170405

License type: Exclusive License

Record date: 20171219