CN105433896B - Bendable sinoscope - Google Patents

Bendable sinoscope Download PDF

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Publication number
CN105433896B
CN105433896B CN201510955551.8A CN201510955551A CN105433896B CN 105433896 B CN105433896 B CN 105433896B CN 201510955551 A CN201510955551 A CN 201510955551A CN 105433896 B CN105433896 B CN 105433896B
Authority
CN
China
Prior art keywords
observation window
flexible
sinoscope
support post
inner tube
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201510955551.8A
Other languages
Chinese (zh)
Other versions
CN105433896A (en
Inventor
梁小军
邓安春
张焱
胡喜
王昶
朱先柏
闫晶晶
于夏
石姚
袁立娟
林金燕
刘杰
万应伶
周朗朗
邓梦惠
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Second Affiliated Hospital of TMMU
Original Assignee
Second Affiliated Hospital of TMMU
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Second Affiliated Hospital of TMMU filed Critical Second Affiliated Hospital of TMMU
Priority to CN201510955551.8A priority Critical patent/CN105433896B/en
Publication of CN105433896A publication Critical patent/CN105433896A/en
Application granted granted Critical
Publication of CN105433896B publication Critical patent/CN105433896B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055Constructional details of insertion parts, e.g. vertebral 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
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • 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
    • A61B1/00098Deflecting means for inserted tools
    • 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
    • A61B1/00163Optical arrangements
    • A61B1/00165Optical arrangements with light-conductive means, e.g. fibre optics
    • 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
    • A61B1/00163Optical arrangements
    • A61B1/00193Optical arrangements adapted for stereoscopic vision
    • 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
    • A61B1/015Control of fluid supply or evacuation
    • 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
    • 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
    • A61B1/233Instruments 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 nose, i.e. nasoscopes, e.g. testing of patency of Eustachian tubes

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Optics & Photonics (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Endoscopes (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a bendable sinoscope which comprises a handle body and a sinoscope rod assembly mounted at the front end of the handle body. The sinoscope rod assembly comprises a sinoscope sheath and a flexible supporting column sleeved with the sinoscope sheath in a coaxial running fit mode. An observation system is arranged in the flexible supporting column, and an observation window of the observation system is fixedly arranged on the front end face of the flexible supporting column. An outer pipe is controlled to axially move, so that the outer pipe drives an inner pipe to be bent on an elastic segment, and the sinoscope can be inserted conveniently after being bent. At the same time, the front end face of the flexible supporting column can be an inclined face inclined relative to the center axis. The front end face of the flexible supporting column is arranged to be the inclined face, the flexible supporting column can be driven by external force to rotate around the center axis of itself, and the visual range is widened. The whole sinoscope is simple in structure, convenient to operate, good in stability, low in cost and easy to popularize. Pus can be directly sucked through an arranged suction channel and can be completely sucked, operative wounds caused by invasive operation cleaning can be avoided, and pain of a patient can be relieved.

Description

Flexible nasal sinuses mirror
Technical field
The present invention relates to medical instruments field is and in particular to a kind of flexible nasal sinuses mirror.
Background technology
Endoscope is a pipe equipped with light, little can cut through what the natural hole of human body or underwent operative did Mouth enters in human body, gathers graphical analyses, facilitate diagnosis and treatment after illuminating by light pipe;And in operation on nasal sinus, Especially maxillary antrum operation, due to common rigid endoscope range of observation limited it is impossible to by the natural Dou Kou of maxillary sinus, make Obtain maxillary antrum operation and generally require extra opening, but increased operation wound, be unfavorable for the rehabilitation of patient;Ask for above-mentioned Topic although also have in prior art some can endoscope completely product, but its structure is all more complicated, and stability is relatively Differ from, and the direction of camera lens can not be debugged, and causes its application to be restricted.
Therefore, for solving problem above, need a kind of flexible nasal sinuses mirror, nasal sinuses mirror angle of bend and camera lens can be adjusted While direction, structure is simple, easy to operate, good stability.
Content of the invention
In view of this, the purpose of the present invention is to overcome defect of the prior art, provides flexible nasal sinuses mirror, can adjust While nasal sinuses mirror angle of bend and lens direction, structure is simple, easy to operate, good stability.
The flexible nasal sinuses mirror of the present invention, including handle body and the mirror bar assembly being installed on handle body front end, described Mirror bar assembly includes mirror sheath and rotates coaxially the flexible support post being placed on mirror sheath in cooperation, is provided with sight in described flexible support post Examine system, the observation window of described viewing system is fixedly installed on the front end face of flexible support post, the front end of the object lens of viewing system Observation window is fixed in lens laminating;Described mirror sheath includes inner tube and is coated at the outer tube of inner tube, and said inner tube is arranged near front end Have flexible stretch section, described outer tube front-end driven is connected to inner tube lateral wall, outer tube in the presence of driving force vertically Move and drive described stretch section bending, simultaneously so that the interior flexible support post being placed on mirror sheath bends.
Further, in said inner tube at the front end axially disposed two radial symmetric mounting hole, described two waists In the middle of the aft bulkhead in shape hole, all depression forms the strip mouth of two radial symmetric backward, and the tail end of two strip mouths passes through one along circle The semicircular opening connection of circumferential direction setting, described semicircular opening fore-end vertically is the drive division of stretch section, described outer tube Front end inner circle is fixedly connected with drive division, and described stretch section is located at mounting hole pars intermedia vertically.
Further, also include being arranged at the adjusting part for controlling inner tube angle of bend for the handle body front end, described tune Section assembly include with outer tube axial limiting and circumferentially rotate the actuating sleeve being connected and the fixed cover being fixedly connected with inner tube, described drive The rear end inner circle of dynamic set is cylindrical with the front end of fixed cover to threaded and makes outer tube axially opposing with inner tube by rotation driving set Motion.
Further, described outer tube back-end overcoat is fixedly installed adapter sleeve, and the outer wall of adapter sleeve is provided with annular groove;Described The front end inner circle of actuating sleeve is provided with driving boss, and described driving boss radially embeds described annular groove.
Further, the front end face of described flexible support post for opposing axial be obliquely installed inclined-plane.
Further, described observation window includes the first observation window and the second observation window, and described first observation window is arranged at inclined-plane Center and the central axis perpendicular to flexible support post be fixedly installed, described second observation window is solid parallel to described inclined-plane Fixed setting.
Further, described inclined-plane is provided with illumination mouth, setting lighting source in described illumination mouth.
Further, axially disposed in described flexible support post have water spray passage and suction channel, and described inclined-plane is arranged There are the water jet with water spray passage and the corresponding connection of suction channel and pump orifice.
Further, it is provided with front port in described suction channel and can slide axially and pass the suction hose of pump orifice.
Further, the regarding of the conllinear setting of described pump orifice, the first observation window and the second observation window three and the second observation window Angle can be observed the suction hose stretching out from pump orifice.
The invention has the beneficial effects as follows: a kind of flexible nasal sinuses mirror disclosed by the invention, by controlling outer tube axially-movable, Make outer tube drive inner tube to bend in stretch section, facilitate the insertion after bending of nasal sinuses mirror, meanwhile, described flexible support The inclined-plane that the front end face of post can be obliquely installed for opposing axial, the front end face of flexible support post is set to inclined-plane, can So that flexible support post is rotated around its center axis under external force drives, increase visual range;Whole nasal sinuses mirror structure is simple, behaviour Facilitate, good stability, with low cost it is easy to promote;Puss directly can be aspirated by the setting of suction channel, and smokable Totally, the operation wound that open surgery cleaning can be avoided to cause, reduces the misery of patient.
Brief description
The invention will be further described with reference to the accompanying drawings and examples:
Fig. 1 is the structural representation of the present invention;
Fig. 2 is the structural representation of inner and outer tubes cooperation in the present invention;
Fig. 3 is structural representation when nasal sinuses mirror leading portion stretches in the present invention;
Fig. 4 is the sectional view of median sinus mirror bending section of the present invention;
Fig. 5 is the structural representation of inner tube in the present invention;
Fig. 6 is the structural representation of drive component in the present invention;
Fig. 7 is the front end face view of flexible support post in the present invention.
Specific embodiment
Fig. 1 is the structural representation of the present invention, and Fig. 2 is the structural representation of inner and outer tubes cooperation in the present invention, and Fig. 3 is Structural representation when nasal sinuses mirror leading portion stretches in the present invention, Fig. 4 is the sectional view of median sinus mirror bending section of the present invention, and Fig. 5 is this The structural representation of inner tube in invention, Fig. 6 is the structural representation of drive component in the present invention, and Fig. 7 is flexible in the present invention The front end face view of dagger, as illustrated, the flexible nasal sinuses mirror in the present embodiment, including handle body 2 be installed on handle The mirror bar assembly of body 2 front end, described mirror bar assembly includes mirror sheath and rotates coaxially the flexible support post being placed on mirror sheath in cooperation 3, it is provided with viewing system in described flexible support post 3, the observation window of described viewing system is fixedly installed on flexible support post 3 Front end face 31, observation window is fixed in the front lens laminating of the object lens of viewing system;Described viewing system also includes front end setting There is the conduction optical fiber of front lens, be provided with the optical-fibre channel for installing conduction optical fiber in described flexible support post 3, conduct light Fine rear end is connected with the display system for showing real time imaging in nasal sinuses, and display system is prior art, will not be described here; Described mirror sheath includes inner tube 41 and the outer tube 42 being coated at inner tube 41, and said inner tube 41 is provided with flexible elasticity near front end Section 43, described outer tube 42 front-end driven is connected to inner tube 41 lateral wall, outer tube 42 in the presence of driving force axially movable simultaneously Described stretch section 43 is driven to bend, simultaneously so that the interior flexible support post 3 being placed on mirror sheath bends;Elasticity is located on said inner tube 41 It is all stereoplasm tube before and after section 43, said inner tube 41 can be integrally formed using of the prior art with the fixed form of stretch section 43 Fix or weld fixation, by controlling outer tube 42 axially-movable so that outer tube 42 drives inner tube 41 to bend in stretch section 43, Facilitate the insertion after bending of nasal sinuses mirror, meanwhile, the front end face 31 of described flexible support post 3 can incline for opposing axial Tiltedly the inclined-plane of setting, the front end face 31 of flexible support post 3 is set to inclined-plane, can make under external force drives flexible support post 3 around Its center axis rotates, and increases visual range;Whole nasal sinuses mirror structure is simple, and easy to operate, good stability is with low cost, Easy to spread.
In the present embodiment, the mounting hole 41a of axially disposed two radial symmetric, institute at close front end in said inner tube 41 Stating all is recessed in the middle of the aft bulkhead of two mounting holes backward forms the strip mouth 41b of two radial symmetric, two strip mouth 41b's Tail end passes through a peripherally disposed semicircular opening 41c connection, and described semicircular opening 41c fore-end vertically is stretch section 43 drive division 43a, the front end inner circle of described outer tube 42 is fixedly connected with drive division 43a, and described stretch section 43 is located at mounting hole 41a pars intermedia vertically;Drive during outer tube 42 axially-movable and go drive division 43a axially-movable, and then so that stretch section 43 is occurred Bending, and the support due to flexible support post 3, bend and drive stable and smoothness it is ensured that driving conveniently.
In the present embodiment, also include being arranged at the adjusting part for controlling inner tube 41 angle of bend for handle body 2 front end, Described adjusting part is included being circumferentially rotated the actuating sleeve 51 being connected with outer tube 42 axial limiting and is fixedly connected with inner tube 41 Fixed cover 52, the rear end inner circle of described actuating sleeve 51 is cylindrical with the front end of fixed cover 52 to threaded and covers 51 by rotation driving Make outer tube 42 moving axially relative with inner tube 41, shown fixed cover 52 is fixedly connected with handle body 2;As illustrated, by driving Dynamic set 51 is with the cooperation of fixed cover 52 screw thread so that driving convenient and controlling stable.
In the present embodiment, described outer tube 42 rear end overcoat is fixedly installed adapter sleeve 53, and the outer wall of adapter sleeve 53 is provided with ring Connected in star;The front end inner circle of described actuating sleeve 51 is provided with driving boss 51a, and described driving boss 51a radially embeds described Annular groove 53a;Axially driving outer tube 42 is completed with driving boss 51a cooperation by annular groove 53a, structure is simple, assembling Convenient.
In the present embodiment, described observation window includes the first observation window 61 and the second observation window 62, described first observation window 61 It is arranged at the center on inclined-plane and the central axis perpendicular to flexible support post 3 is fixedly installed, described second observation window 62 is flat Row is fixedly installed in described inclined-plane;By arranging two observation windows, then just there are two optical-fibre channels in flexible support post, in display Assume shuangping san in system, described flexible support post 3 rear end can expose to handle body 2 can rotating by hand make its can around from Body central axis reciprocating rotary, and can ensure that the visual field of the first observation window 61 is constant by the setting of the first observation window 61, and The visual field of the second observation window 62 rotates it is ensured that display picture has the effect of three-dimensional view, facilitates doctor to operate.
In the present embodiment, described inclined-plane is provided with illumination mouth 63, setting lighting source in described illumination mouth 63;Described flexibility It is provided with the illumination channel for accommodating lighting fiber, described lighting fiber front end forms lighting source, behind rear end in support column 3 The light sending for external light source;Visual field light is ensured by lighting source.
In the present embodiment, received state axially disposed in flexible support post 3 have a water spray passage and suction channel, described tiltedly Water jet 64 with spray water passage and the corresponding connection of suction channel and pump orifice 65 are provided with face;By described water spray passage and Suction channel, can wash away to nasal sinuses internal chamber wall saline injection, and can fall inner chamber puss by pump orifice 65 suction, keeps away Exempt from operation cleaning, reduce grieved.
In the present embodiment, it is provided with front port in described suction channel and can slide axially and pass the suction hose of pump orifice 65 65a;By arranging the setting of suction hose 65a, suction hose 65a can be facilitated mobile and closely aspirate puss it is ensured that aspirating Efficiency and suction are thoroughly;Certainly suction tube tail end is connected with suction pump, and suction pump is prior art, will not be described here.
In the present embodiment, the conllinear setting of described pump orifice 65, the first observation window and the second observation window three and second is observed The visual angle of window can be observed the suction hose 65a stretching out from pump orifice 65;Considerable by being set to the visual angle of the second observation window Observe the suction hose 65a stretching out from pump orifice 65, facilitate doctor to operate, improve procedure efficiency.
Finally illustrate, above example only in order to technical scheme to be described and unrestricted, although with reference to relatively Good embodiment has been described in detail to the present invention, it will be understood by those within the art that, can be to the skill of the present invention Art scheme is modified or equivalent, the objective without deviating from technical solution of the present invention and scope, and it all should be covered at this In the middle of the right of invention.

Claims (9)

1. a kind of flexible nasal sinuses mirror it is characterised in that: include handle body and be installed on the mirror bar assembly of handle body front end, Described mirror bar assembly includes mirror sheath and rotates coaxially the flexible support post being placed on mirror sheath in cooperation, setting in described flexible support post There is viewing system, the observation window of described viewing system is fixedly installed on the front end face of flexible support post, the object lens of viewing system Observation window is fixed in front lens laminating;Described mirror sheath includes inner tube and is coated at the outer tube of inner tube, and said inner tube is near front end It is provided with flexible stretch section, described outer tube front-end driven is connected to inner tube lateral wall, outer tube edge in the presence of driving force Axially-movable simultaneously drives described stretch section bending, simultaneously so that the interior flexible support post being placed on mirror sheath bends;
The mounting hole of axially disposed two radial symmetric, the aft bulkhead of described two mounting holes at close front end in said inner tube Middle all depression backward forms the strip mouth of two radial symmetric, and the tail end of two strip mouths is peripherally disposed by one Semicircular opening connects, and described semicircular opening fore-end vertically is drive division, the front end inner circle of described outer tube and the drive of stretch section Dynamic portion is fixedly connected, and described stretch section is located at mounting hole pars intermedia vertically.
2. flexible nasal sinuses mirror according to claim 1 it is characterised in that: also include being arranged at handle body front end and be used for Control inner tube angle of bend adjusting part, described adjusting part include with outer tube axial limiting and circumferentially rotate the driving being connected Set and the fixed cover being fixedly connected with inner tube, the rear end inner circle of described actuating sleeve is cylindrical with the front end of fixed cover to threaded and leads to Crossing rotation actuating sleeve makes outer tube moving axially relative with inner tube.
3. flexible nasal sinuses mirror according to claim 2 it is characterised in that: described outer tube back-end overcoat is fixedly installed even Female connector, the outer wall of adapter sleeve is provided with annular groove;The front end inner circle of described actuating sleeve is provided with driving boss, described driving boss Radially embed described annular groove.
4. flexible nasal sinuses mirror according to claim 3 it is characterised in that: the front end face of described flexible support post is relatively What central axis was obliquely installed inclined-plane.
5. flexible nasal sinuses mirror according to claim 4 it is characterised in that: described observation window includes the first observation window and Two observation windows, described first observation window is arranged at the center on inclined-plane and the central axis fixation perpendicular to flexible support post sets Put, described second observation window is fixedly installed parallel to described inclined-plane.
6. flexible nasal sinuses mirror according to claim 5 it is characterised in that: described inclined-plane is provided with illumination mouth, described photograph Setting lighting source in bright mouth.
7. flexible nasal sinuses mirror according to claim 6 it is characterised in that: axially disposed in described flexible support post have Water spray passage and suction channel, described inclined-plane is provided with the water jet with spray water passage and the corresponding connection of suction channel and suction Mouthful.
8. flexible nasal sinuses mirror according to claim 7 it is characterised in that: being provided with front port in described suction channel can axle Pass the suction hose of pump orifice to slip.
9. flexible nasal sinuses mirror according to claim 8 it is characterised in that: described pump orifice, the first observation window and second The visual angle of the conllinear setting of observation window three and the second observation window can be observed the suction hose stretching out from pump orifice.
CN201510955551.8A 2015-12-17 2015-12-17 Bendable sinoscope Expired - Fee Related CN105433896B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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CN105433896B true CN105433896B (en) 2017-02-01

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CN109171623A (en) * 2018-07-30 2019-01-11 中国人民解放军陆军军医大学第三附属医院(野战外科研究所) It is a kind of can free conversion angle nasal sinus mirror

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CN106859731B (en) * 2017-02-08 2019-04-05 山东省立医院 A kind of Maxilla endoscope
CN108309403A (en) * 2018-02-09 2018-07-24 苏州伊而雅精密部件有限公司 A kind of electronic ceramics tumor resection knife assembly
WO2020048127A1 (en) * 2018-09-04 2020-03-12 江苏昊普生物医学科技有限公司 Surgical electrode assembly
CN111297313B (en) * 2020-03-02 2022-12-06 陈鹏 Human body insertion assembly and nasal endoscope
CN111467048B (en) * 2020-04-08 2023-09-01 重庆医科大学附属第二医院 Whole-course visual 3D hysteroscope operation device

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Publication number Priority date Publication date Assignee Title
CN109171623A (en) * 2018-07-30 2019-01-11 中国人民解放军陆军军医大学第三附属医院(野战外科研究所) It is a kind of can free conversion angle nasal sinus mirror

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