Endoscope sleeve
Technical field
The invention belongs to medical machinery field is and in particular to a kind of endoscope sleeve.
Background technology
In splanchnoscopy/operation, such as Stomach duodenum, small intestinal or big are inserted into along body cavity using flexible instrument
The body interior of intestinal etc, this apparatus is provided with optical fiber or charge-coupled image sensor (ccd) video camera so that image can be around curved
Song transmits and can generate image and shows on screen.For example, colonoscope and small intestinal endoscopy, in order to assess the healthy shape of intestinal
State.Due to intestinal length and curling, colon internal layer is pleated structure, therefore often there is great difficulty, such as endoscope in microscopy
End enter in colon intestinal lumen when being checked, these folds can hinder medical personnel to observe intestinal wall mucous membrane surface, particularly
It is hidden in the precancerous lesion in fold and malignant change;Also often occur that feces and liquid residue are hidden in colon wall, hinder knot
Situations such as correct inspection of intestinal tissue.
In order to overcome microscopy problem encountered, people have done various effort, for example well known in the prior art, adopt
With the intestinal mirror of double bolloon, but double bolloon intestinal mirror needs a large amount of add-on kit, operator in the sequential inflation controlling air bag and to put
The high skill of gas aspect, operation, it is sometimes desirable to take several hours, and exists in intestinal wall and " beats for a long time for it or one
Sliding ", cannot be used for the problems such as biopsy or treatment.Pct/gb2011/050981 discloses one kind for specula in medical treatment
Tool, have multiple movable, outer inclination prominent element covering, this covering includes being set in endoscope
Elongated tubular member, tubular member outer surface is provided with spaced apart prominent element, and each prominent element has end and base portion,
Prominent element can rotate around its base portion, prominent element fan out, with the body passageway being inserted with medical scoping device
Internal chamber wall contacts, and internal chamber wall offer is supported and expands this internal chamber wall.But, this product is moving back the spectroscopy stage, to intestinal
The fold of wall pushes power deficiency aside, during inspection, supports intestinal wall power not enough, can not effectively expand the visual field, and the friction with intestinal wall
Dipeptiven is little, easily skids.Because tubular element is too soft when actually used, the external edge surface of tubular element is needed to add sleeve,
As outer wall support, but outer wall is often harder, and tissue can be damaged, and complex manufacturing technology, high cost.
Pct/us2013/044407 discloses a kind of endoscope sleeve, and this endoscope sleeve includes tubular element, the protrude element separating
Extend from tubular element.Protrude element is towards all flexible on the nearside of tubular element and distal direction.Proximally direction bending
Power (insertion force) needed for protrude element is less than the power (withdrawal force) bending needed for protrude element towards distal direction.Protrude element
Outer perimeter increases with withdrawal force and reduces.The shortcoming of this product is to enter the large intestine stage, and resistance is very big, and patient is very painful;By
Excessive in external diameter, entrance ileocecal valve is highly difficult, can not carry out examination, easy missing inspection pathological changes, product to the pathological changes at ileocecal valve
Very thick and heavy, delay endoscope lens position and turn.
Content of the invention
The present invention seeks to disclosing a kind of endoscope sleeve, there is cylindrical body and several are arranged on cylindrical body
Prominent element, by improving to the structure of cylindrical body and prominent element, when using with endoscope assembling, effectively by
So that resistance is little when endoscope enters human body with sleeve, patient does not have misery, moves back and utilizes during spectroscopy for the effect of endoscope's outer wall
The first protuberance in prominent element and endoscope wall interact cooperation so that projecting the second protuberance in element, have
Enough support forces support the cavity wall of human body/organ-/ tissue cavity, form sufficiently large space to endoscope distal end so that
Endoscopic visual becomes apparent from, and effectively improves microscopy accuracy rate.
The technical solution used in the present invention is:
Endoscope sleeve, is used for being set in endoscope distal end, has cylindrical body and several are arranged on cylindrical body
Prominent element, the barrel of described cylindrical body is provided with several connecting holes, and described prominent element has into cylindrical body
The first protuberance and the second protuberance, described first protuberance and the second protuberance that extend to the outside of cylindrical body that portion extends
Junction pass through that connecting hole is hinged or be attached on barrel, described prominent element is with junction for axle center in 0 °~180 ° of model
Rotate around it in enclosing;Described first protuberance and endoscope's outer wall interaction;Described first protuberance and the second protuberance
Angle α is 90 °~270 °, and the second protuberance is 25 °~155 ° with the angle β of axis.
Described endoscope sleeve, when prominent element is when tending to 0 ° of position, the second protuberance prolongs to the outside of cylindrical body
Endoscope rear end is pointed in the end stretched;When prominent element is 90 ° of positions, the second protuberance vertical sleeve axis;When prominent
When tending to 180 ° of positions, endoscope distal end is pointed in the end that the second protuberance extends to the outside of cylindrical body to element.
Described endoscope sleeve, described first protuberance and the second protuberance form and turn angled construction, the first protuberance
It is 120 °~130 ° with the angle α of the second protuberance;
Described endoscope sleeve, when sleeve is under normal condition, that is, sleeve is not set in endoscope, and described second
Protuberance is 90 ° with the angle β of sleeve axis.
Described endoscope sleeve, described first protuberance have the first corner side wall with the effect of endoscope outer wall and with
The second opposite corner side wall of first corner side wall;When sleeve is set in endoscope, endoscope's outer wall and the first corner side wall
So that prominent element rotates during effect, endoscope rear end is pointed in the end that the second protuberance extends to the outside of cylindrical body;I.e.
Two protuberances are 0 °~85 ° with the angle β of sleeve axis.
Described endoscope sleeve, when sleeve is set in endoscope, when endoscope's outer wall and the first corner side wall effect,
So that prominent element rotates, endoscope rear end is pointed in the end that the second protuberance extends to the outside of cylindrical body, second projects
Portion is 5 °~85 ° with the angle β of sleeve axis, and the second corner side wall is tended in same curved surface with the outer wall of cylindrical body.
Described endoscope sleeve, several connecting holes are provided at circumferentially spaced along the barrel of cylindrical body;Described connecting hole
Set-up mode on barrel is evenly arranged along barrel circumference in many floors shape for several connecting holes or several connecting holes are in
Single floor shape is evenly arranged along barrel circumference.
Described endoscope sleeve, is located on cylindrical body inwall and is provided with convex tendon between two neighboring connecting hole, and institute
State convex tendon to arrange with sleeve axis parallel.
Described endoscope sleeve, the end wall of end that described second protuberance extends to the outside of cylindrical body is additionally provided with
Several are raised or sunken.
Described endoscope sleeve, described cylindrical body is located at the opening setting camber closing in type knot of endoscope distal end
Structure is so that this opening is fitted tightly with the outer wall of endoscope distal end.
The method have the advantages that
Little using endoscope sleeve of the present invention entrance body/organ-/ tissue (such as large intestine) chamber stage resistance, patient does not have
Painful.Move back the spectroscopy stage, due to the present invention project element adopt the first protuberance and the second protuberance, the first protuberance with interior
Sight glass outer wall interacts so that the second protuberance has enough support forces to support the cavity wall (example in body/organ-/ tissue chamber
As intestinal wall), form sufficiently large space so that endoscopic visual becomes apparent to endoscope distal end;Second protuberance is to tubular
The end that body exterior extends is additionally provided with bulge-structure or sunk structure, can increase with body/organ-/ tissue chamber cavity wall (for example
Intestinal wall) friction so that sleeve of the present invention can easily push body/organ-/ tissue chamber cavity wall aside (for example as finger
Intestinal wall) fold, apparent clear pathological changes are presented in the doctor medical personnel visual field;
It is provided with convex tendon by being located on cylindrical body inwall between two neighboring connecting hole, convex tendon is put down with sleeve axis
Row setting, on the one hand increases the hardness of cylindrical body barrel, on the other hand after sleeve is assembled with endoscope, outside cylindrical body
It is located on wall and can form a depressed part between two convex tendons, when entering human body, the second protuberance in prominent element is permissible
It is absorbed in this depressed part, effectively reduce the overall external diameter of sleeve, reduce resistance, reach the unpainful excellent effect of patient.
Sleeve of the present invention generally soft structures, to the person/organ-/ tissue fanout free region.
Brief description
Fig. 1 is the axle surveys view of embodiment endoscope sleeve.
Fig. 2 is the front view of endoscope sleeve shown in Fig. 1.
Fig. 3 is the top view of endoscope sleeve shown in Fig. 1.
Fig. 4 is a-a sectional view shown in Fig. 3.
Fig. 4 .1 is the partial enlarged drawing of Fig. 4.
Fig. 5 is the schematic diagram of endoscope and endoscope sleeve shown in Fig. 1.
Fig. 6 is schematic diagram after endoscope and the assembling of endoscope sleeve shown in Fig. 1.
Fig. 7 is the sectional view after the assembling of endoscope sleeve shown in Fig. 6.
Fig. 8 is the schematic diagram in entrance cavity stage after the assembling of endoscope sleeve shown in Fig. 6.
Fig. 9 is the schematic diagram moving back the spectroscopy stage after endoscope sleeve shown in Fig. 6 assembles from cavity.
Figure 10 is the different setting figures one in cylindrical body outer wall for the prominent element.
Figure 11 is the different setting figures two in cylindrical body outer wall for the prominent element.
Figure 12 is that the angle α of the first protuberance and the second protuberance is 217 °.
Wherein, 1- endoscope, 11- endoscope rear end, 12- endoscope distal end, 13- endoscope outer wall, 2- cylindrical body,
21- cylindrical body outer wall, 22- cylindrical body inwall, 23- connecting hole, 24- convex tendon, 25- arc closing in type structure, 3- projects unit
Part, 31- first protuberance, 32- second protuberance, 33- junction, 34- the first corner side wall, 35- the second corner side wall, 36-
The end that second protuberance extends to the outside of cylindrical body, 37- is raised, 4- sleeve axis, 5- body/organ-/ tissue chamber
Specific embodiment
In conjunction with drawings and Examples, endoscope sleeve of the present invention is specifically described, but not limited to this.As Fig. 1-11
Endoscope sleeve, be used for being set in endoscope distal end 12, this sleeve generally soft structures, using to the person/organ/group
Knit polymer, elastomer or the rubber of fanout free region, such as polyurethane, natural rubber, silicones and silicone elastomer material, should
Material is preferably transparent, can not only support body/organ-/ tissue, also have visualization.
Endoscope sleeve has the prominent element 3 that cylindrical body 2 is arranged on cylindrical body 2 with several, cylindrical body 2
Barrel be provided with several connecting holes 23, prominent element 3 have to the inside of cylindrical body 2 extend the first protuberance 31 and to
Outside the second protuberance 32 extending of cylindrical body 2, the shape of described second protuberance can be wedge shape, bar shaped, long square bar, fan
Shape, flap-like etc..
Prominent element 3 passes through the barrel of cylindrical body 2, the first protuberance 31 and the second protuberance 32 by connecting hole 33
On the barrel that is hinged or being attached in cylindrical body 2 in connecting hole 23 of junction 33, prominent element 3 can for axle center with junction 33
Rotate around it in the range of 0 °~180 °;Described first protuberance 31 and endoscope's outer wall interaction;In prominent element 3
The angle α of one protuberance 31 and the second protuberance 32 is 90 °~270 °.Figure 12 shows the first protuberance 31 and the second protuberance
32 angle α is 217 ° of situation.
Preferably, the first protuberance 31 and the second protuberance 32 form and turn angled construction, and the first protuberance 31 and second is prominent
The angle α going out portion 32 is 120 °~130 °, and the α being more highly preferred to is 125 ° as shown in Fig. 4 .1;
Second protuberance 32 is 25 °~155 ° with the angle β of sleeve axis, and preferred angle β is 90 °.Sleeve with interior
During sight glass assembling, the first protuberance 31 is interacted with endoscope outer wall 13;When prominent element 3 is when tending to 0 ° of position, second
Endoscope rear end 11 is pointed in the end 36 that protuberance extends to the outside of cylindrical body;When prominent element 3 is 90 ° of positions, second
Protuberance 32 vertical sleeve axis 4;When prominent element 3 is when tending to 180 ° of positions, the second protuberance is to the outside of cylindrical body
Endoscope distal end 12 is pointed in the end 36 extending.Also set on the end wall of end 36 that second protuberance extends to the outside of cylindrical body
There are several projections 37 or depression, for increasing the friction of the second protuberance and body/organ-/ tissue cavity wall (abbreviation cavity wall),
This projection 37 is shaped as salient point, fin or burr etc., and concave shape is pit, groove or dimpled grain etc..Cylindrical body 2 is located at interior peeping
The opening setting camber closing in type structure 25 of mirror front end 12 is so that this opening is fitted tightly with the outer wall of endoscope distal end 12.
Described first protuberance 31 have the first corner side wall 31 with endoscope outer wall 13 effect and with the first corner side
The second opposite corner side wall 35 of wall 31.When sleeve is set in endoscope 1, endoscope's outer wall 13 and the first corner sidewall 34 are made
Used time, endoscope rear end 11 was pointed in the end 36 that the second protuberance extends to the outside of cylindrical body so that prominent element 3 rotates,
I.e. the second protuberance 32 and the angle β of sleeve axis 4 are 0 °~85 °;It is preferably 5 °~85 °, the second corner side wall 35 and cylinder
Shape body outer wall 21 tends in same curved surface.
When sleeve is not set in endoscope 1, the angle β of the second protuberance 32 and sleeve axis 4 can for 25 °~
155 °, preferred angle β is 90 °.
As shown in Fig. 1,10 and 11, several connecting holes 23 are provided at circumferentially spaced along the barrel of cylindrical body 1;Described connection
Set-up mode on barrel for the hole is evenly arranged as Figure 10 and 11 institute along barrel circumference in many floors shape for several connecting holes 23
Show or several connecting holes 23 are in that single floor shape is evenly arranged along barrel circumference.Cylindrical body inwall 22 is located at adjacent two
It is provided with convex tendon 24 between unit connecting hole 23, and described convex tendon 24 is be arranged in parallel with sleeve axis 4.Several connecting holes 23
Can in alternating expression along barrel circumferentially.
A kind of endoscope sleeve example as Figure 1-5, has cylindrical body 2 and several are arranged on cylindrical body 2
On prominent element 3, in prominent element 3 angle α of the first protuberance 31 and the second protuberance 32 be 125 °, the second protuberance 32
It is 90 ° with the angle β of sleeve axis, when sleeve as shown in Figure 6 is assembled with endoscope, the first protuberance 31 and endoscope's outer wall
13 interact so that prominent element 3 rotates, after endoscope is pointed in the end 36 that the second protuberance extends to the outside of cylindrical body
End 11, that is, the second protuberance 32 and the angle β of sleeve axis 4 are 50 °~60 °;Outside second corner side wall 35 and cylindrical body
Wall 21 tends in same curved surface.As shown in figure 8, endoscope sleeve after this assembling enters rank in body/organ-/ tissue chamber 5
Duan Shi, because the second protuberance 32 in prominent element 3 is in along inserting (along stubble) shape, and is soft material, the second protuberance 32 to
The end 36 extending outside cylindrical body points to endoscope rear end so that the second protuberance 32 has laminating cylindrical body outer wall
Trend, such as more narrow and small body/organ-/ tissue chamber 5 chamber footpath, the second protuberance 32 can be absorbed in by convex tendon 24 formed recessed
In sunken portion, therefore can farthest reducing endoscope sleeve external diameter, thus reducing resistance, really realizing patient unpainful
Purpose.As shown in figure 9, when the endoscope sleeve after this assembling is by the end check stage in body/organ-/ tissue chamber 5, projecting
The second protuberance 32 in element 3 is in opening type structure in the presence of cavity wall;First protuberance 31 and endoscope's outer wall simultaneously
Interact so that the second protuberance 32 has enough support forces to support the cavity wall in body/organ-/ tissue chamber, to endoscope
Front end forms sufficiently large space so that endoscopic visual becomes apparent from.