Otoscope
Technical field
The present invention relates to medical instruments field, particularly relate to a kind of adjustable focus otoscope as carbon dioxide laser therapeutic apparatus application component.
Background technology
As everyone knows, carbon dioxide laser therapeutic apparatus is made up of main frame, light-conducting system, application component, foot switch.Main frame comprises laser instrument, laser power supply and control device, security protection system and cooling system.Light-conducting system is made up of light-conducting arm and sighting device.Application component is that terminal exports hands tool.Carbon dioxide laser technology has the advantages such as hot injury is little, hot spot is little, cutting acutance is good, gasification energy strong, Non-carbonized, and therefore this technology instead of other treatment means, is popularized in clinical practice in recent years.
In the prior art, for the operation of ear, generally adopt otoscope (hands tool) focal length to be the carbon dioxide laser therapeutic apparatus of 50mm or 100mm, adopt the shortcoming of above-mentioned otoscope to be:
(1) laser beam of the reflecting mirror reflection in otoscope is coaxial with the video transmission channels of endoscope, and then has sheltered from the sight line of doctor, has caused in operation is carried out, and doctor can not Real Time Observation surgical wound surface situation;
(2) due to human body stricture of external auditory mea tus, although endoscope has cold light source to throw light on, still exist and do not see clear drawback;
(3) because the focal length of otoscope is fixing, and operation technique is dynamic, and patient's external auditory meatus architectural feature differs, and the treatment caused is not carry out under focus condition, cannot effectively cut.
Summary of the invention
In order to overcome the deficiencies in the prior art, the present invention proposes a kind of otoscope of adjustable focus, effectively can cut for the different parts of patient's external auditory meatus, and doctor can be made to observe surgical wound surface situation clearly.
To achieve these goals, the present invention proposes a kind of otoscope, described otoscope comprises otoscope main body, described otoscope body interior is cavity, and form otoscope cavity, endoscope is plugged in described otoscope cavity, the rearward end of described endoscope is provided with the cold light source union joint be connected with the luminous source optical fiber passage in endoscope, its front end is provided with composition lens, and its rear end is provided with image documentation equipment union joint, and described composition lens is connected to the image system of external image equipment by video transmission channels; The angle of the axis of described video transmission channels and the horizontal axis of described otoscope cavity is 2 ~ 3 °; Along laser direction of illumination, concave mirror, lens and reflecting mirror is set gradually in otoscope cavity, wherein said concave mirror and lens be arranged in parallel, described reflecting mirror and described lens are 30 ~ 60 degree of angles and are arranged in the otoscope main body below described lens, described reflecting mirror and described endoscope split the both sides of the horizontal axis at described otoscope cavity, the axis of the laser beam reflected through described reflecting mirror and described endoscopic images transmission channel converges in wound surface place, and is the angle of 4 ~ 6 degree; Outside described otoscope main body, be provided with focusing ring, described focusing ring is connected with described concave mirror; Otoscope main body above described concave mirror is provided with light-conducting arm union joint.
Preferably, the front end of described endoscope is plugged in the otoscope cavity at described otoscope body front end place.
Preferably, the laser beam reflected through described reflecting mirror and the axis of described endoscopic images transmission channel are the angle of 5 °.
The beneficial effect of the program of the present invention is the otoscope focus adjustable of said structure, effectively can cut for the different parts of patient's external auditory meatus; By making the axis of laser beam and the described endoscopic images transmission channel reflected through described reflecting mirror converge in wound surface place, and in the angle of 4 ~ 6 degree, and pass through external image equipment with the use of, doctor can be made to observe surgical wound surface situation clearly.
Accompanying drawing explanation
Fig. 1 shows the structural representation of otoscope involved in the present invention.
Fig. 2 shows the front end face schematic diagram of endoscope involved in the present invention.
Fig. 3 shows the profile of A-A in Fig. 2.
Fig. 4 shows the use schematic diagram of otoscope involved in the present invention.
Reference numeral: 1-otoscope main body, 2-endoscope, 21-composition lens, 22-luminous source optical fiber passage, 211-video transmission channels, 3-is disposable peeps ear device, 4-cold light source union joint, 5-lens, 6-reflecting mirror, 7-light-conducting arm union joint, 8-image documentation equipment union joint, 9-otoscope cavity, 91-otoscope cavity front end area, 11-concave mirror, 12-focuses.
Detailed description of the invention
Below in conjunction with accompanying drawing, the specific embodiment of the present invention is further described.
As Figure 1-3, otoscope involved in the present invention comprises otoscope main body 1, described otoscope main body 1 inside is cavity, form otoscope cavity 9, endoscope 2 is plugged in described otoscope cavity 9, and the front end of described endoscope 2 is plugged on otoscope cavity front end area 91, to reach observing effect better; The rearward end of described endoscope 2 is provided with the cold light source union joint 4 be connected with the luminous source optical fiber passage 22 in endoscope 2, and for connecting outside cold light source, outside cold light source provides illumination through described luminous source optical fiber passage 22 for performing the operation; The front end of described endoscope 2 is provided with composition lens 21, its rear end is provided with image documentation equipment union joint 8, described image documentation equipment union joint 8 is connected with outside image documentation equipment, described composition lens 21 is connected to the image system in outside image documentation equipment by video transmission channels 211, the image at wound surface place is presented on image documentation equipment in real time, doctor is facilitated to observe; Described endoscope 2 is when being plugged in described otoscope cavity 9, and the angle of the axis of described endoscope 2 video transmission channels 211 and the horizontal axis of described otoscope cavity 9 is 2 ~ 3 °.Concave mirror 11 is provided with successively along swashing on light-struck direction in described otoscope cavity 9, lens 5 and reflecting mirror 6, wherein said concave mirror 11 and lens 5 be arranged in parallel, described reflecting mirror 6 is 30 ~ 60 degree of angles with described lens 5 and is arranged in the otoscope main body 1 below described lens 5, described reflecting mirror 6 and described endoscope 2 split the both sides of the horizontal axis at described otoscope cavity 9, the angle of the laser beam reflected through described reflecting mirror 6 and the horizontal axis of described otoscope cavity 9 is 2 ~ 3 °, the axis of laser beam and described endoscope 2 video transmission channels 211 reflected through described reflecting mirror 6 is namely made to converge in wound surface place, and be the angle of 4 ~ 6 degree, be wherein best with 5 °, outside described otoscope main body 1, be provided with focusing ring 12, described focusing ring 12 is connected with described concave mirror 11, otoscope main body 1 above described concave mirror 11 is provided with light-conducting arm union joint 7, described light-conducting arm union joint 7 for the light-conducting arm of external carbon dioxide laser therapeutic apparatus, to make laser be irradiated to described concave mirror 11 through light-conducting arm union joint 7.
In concrete use procedure, as shown in Figure 4, connect in the front end of described otoscope main body 1 and disposablely peep ear device 3, described light-conducting arm union joint 7 connects the light-conducting arm of carbon dioxide laser therapeutic apparatus, described cold light source union joint 4 connects outside cold light source, and described image documentation equipment union joint 8 connects outside image documentation equipment.During operation, open cold light source, to realize illumination; Insert at described otoscope in the in ear process of patient, image transmission shows by video transmission channels 211 in described endoscope 2 in real time in the image documentation equipment of outside, facilitates doctor to observe the situation of patient's in ear; When described otoscope arrives the tympanum of patient, start carbon dioxide laser therapeutic apparatus, laser focuses on described reflecting mirror 6 through described concave mirror 11, lens 5, the laser beam reflected through described reflecting mirror 6 is overlapping with the axis of described video transmission channels 211 in surgical wound surface district, make when performing the operation, blocking of light beam is not excited in the visual field of doctor, can the situation in Real Time Observation wounds region; Because patient's external auditory meatus architectural feature differs, the treatment caused is not carry out under focus condition, cannot effectively cut, now by rotating focusing ring 12, make described concave mirror 11 upper and lower translation, to change the distance between described concave mirror 11 and described lens 5, reach the effect of focusing.Defocused when mixing up, utilize laser beam just can carry out operative treatment.
The focus adjustable of otoscope involved in the present invention, effectively can cut for the different parts of patient's external auditory meatus; By making the axis of laser beam and described endoscope 2 video transmission channels 211 reflected through described reflecting mirror 6 be the angle of 4 ~ 6 degree, and pass through external image equipment with the use of, doctor can be made to observe surgical wound surface situation clearly.