CN106344083A - Integral sleeve type endoscopic therapy auxiliary pipeline device - Google Patents
Integral sleeve type endoscopic therapy auxiliary pipeline device Download PDFInfo
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- CN106344083A CN106344083A CN201610924321.XA CN201610924321A CN106344083A CN 106344083 A CN106344083 A CN 106344083A CN 201610924321 A CN201610924321 A CN 201610924321A CN 106344083 A CN106344083 A CN 106344083A
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- supervisor
- shank
- sleeve pipe
- pulling rope
- sleeve
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00269—Type of minimally invasive operation endoscopic mucosal resection EMR
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00305—Constructional details of the flexible means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
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- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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- General Health & Medical Sciences (AREA)
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- Endoscopes (AREA)
Abstract
The invention discloses an integral sleeve type endoscopic therapy auxiliary pipeline device, which comprises a sleeve, a transparent cap, a main pipe and a traction rope, wherein the inside structure of the sleeve comprises a C-shaped metal clamp ring, a main hole passage, a fine hole passage and a metal card; the C-shaped metal clamp ring fixes the sleeve onto an endoscope body; a therapy auxiliary component passes through the main hole passage; the traction rope passes through the fine hole passage; the metal card is embedded in the fixing traction rope of the surface of the sleeve; a fixing pile is arranged at one side of the surface of the transparent cap, and is used for assisting the traction rope to drag the main pipe and to fix the front end of the main pipe; the main pipe and the fixing pile are positioned at the same side surface of the front end of the endoscope body; the main pipe is a short pipe; the back end of the main pipe is externally connected with the main hole passage inside the sleeve; other parts of the main pipe do not need to be fixed on the endoscope body, and are used for penetrating the therapy auxiliary components; the other end of the traction rope tied at the front end of the main pipe is the operation end, near the endoscope body, of the traction main pipe penetrating through the fine hole passages inside the sleeve and the fixing pile. The integral sleeve type endoscopic therapy auxiliary pipeline device provided by the invention has the advantages that the two-arm operation can be realized; the treatment under the endoscope can be flexibly and fast assisted.
Description
Technical field
The present invention relates to medical instruments field, more particularly, to a kind of integral telescopic type therapeutic endoscopy subsidiary conduit device.
Background technology
With scope less invasive techniques development, some Alimentary tract disease, such as early stage digestive tract tumor, can be safely and effectively
In Endoscopic removal.With respect to surgical operation, scope less invasive techniques wound is little and simple and fast, however, there is also certain office
Sex-limited.Scope belongs to soft scope and one channel scope, and the operation of scope doctor operates similar to single armed.This is less than surgery
Operation and laparoscopic surgery multi-pore channel both arms operation under motility and controllability.Current soft scope is all only capable of leading to
Cross a kind of endoscopic accessory.
In order to solve this limitation, dental floss auxiliary law, weight-clip auxiliary law, crooked pincers auxiliary law, Ji Shuanqian road is auxiliary
Help the methods such as esd studied.These methods are mainly used in Endoscopic submucosal dissection (esd) tractive mucosa with endoscope
Lower treatment.These methods, similar to the effect serving second hands, make wound surface expose by tractive pathological changes, to contribute to
The treatment of esd.But, these methods are not operationally very flexible.In special diseased region, such as in the disease at excision stomach bottom
During change, scope front end is in case of bending, and this leads to the operation of these auxiliary pliers to there is certain difficulty；These methods can not be simple
Rapidly arbitrarily adjust the position of clamp pathological changes；In addition, these methods are only used for the auxiliary treatment of esd art, range is relatively
Limitation.
Based on above reason, an integral telescopic type therapeutic endoscopy subsidiary conduit device is designed.The main spy of this device
Point, devises second pipe, by this pipeline, can send into various endoscopic accessories, such as biopsy forcepss, foreign body forcepses, and titanium
Folder etc., makes full use of the effect of these accessories, to treat under endoscope.More it is essential that this pipeline and shank front end
Operation can effectively coordinate, and does not interfere with each other.The scope visual field can be occurred in exactly near camera lens by the endoscopic accessory of this pipeline
In, complete related endoscopic technic；By the endoscopic accessory of this pipeline, neatly can separate with shank leading portion, and not affect mutually
Operation.
Content of the invention
It is an object of the invention to provide a kind of integral telescopic type therapeutic endoscopy subsidiary conduit device, realize " both arms " operation,
Can neatly, the rapidly treatment under endoscope.
For achieving the above object, the present invention provides a kind of integral telescopic type therapeutic endoscopy subsidiary conduit device, this device master
Including: the sleeve pipe of " the c type " that can be fixed on shank of flexible, be worn over the hyaline cap of endoscope distal, for auxiliary through treating
Help the supervisor of the flexible of accessory, lie in supervisor's far-end and supervisor can be made near the pulling rope of shank far-end；Described hyaline cap
Outside is provided with spud pile；Described supervisor and spud pile are positioned at the same side of shank far-end；Described supervisor is and scope distal section
Separate and inside pipe casing can be external near the short tube being not fixed to shank of shank, the near-end of described supervisor through pulling rope tractive
Main aperture road；The other end of described pulling rope is through the close shank of tractive supervisor of spud pile and inside pipe casing tubulus
Operating side.
As a further improvement on the present invention, described hyaline cap treats auxiliary hyaline cap for extended type, for endoscope
Treatment and the fixing supervisor of auxiliary pulling rope, its edge is designed arc-shaped appearance, and its nearside section surface has stated spud pile；Described transparent
Cap surface has a stringer groove, and it is near spud pile；Described hyaline cap is used for endoscope treatment and consolidating by its surface
Determine the fixing supervisor of stake auxiliary pulling rope.
As the further improvement of the present invention, described spud pile is arcuate structure, protrudes from hyaline cap outer surface, uses
In auxiliary pulling rope tractive and fixing supervisor, described spud pile side is in groove surface structure, the stringer groove with transparent cap surface
Face is adjacent to coincide and forms a stringer groove, and described stringer groove can make supervisor tightly fit with hyaline cap, described spud pile
Inside has transverse direction and longitudinal direction to run through the pore pipe of spud pile, and described spud pile is used for auxiliary pulling rope tractive and fixing supervisor.
As the further improvement of the present invention, described supervisor is short tube, flexible and can bend and be unlikely to deform, in it
Footpath is passed freely through as yardstick with therapeutic endoscopy auxiliary accessories；Described supervisor's proximal end is external in the main aperture road of inside pipe casing, described
It is hard material that supervisor's distal section has at shallow grooves and shallow grooves at two, and described supervisor is not secured to shank, can freely activity.
As the further improvement of the present invention, described sleeve pipe proximal end external diameter is big compared with sleeve pipe other parts, is bulb
Point, described sleeve pipe internal structure include for be fixed on shank metal clasp, for by treat auxiliary accessories main aperture road,
For the Metallic card by the tubulus of pulling rope and the fixing pulling rope being embedded in sleeve surface；Within described sleeve pipe
The internal diameter of main aperture road and tubulus is respectively to pass freely through treatment auxiliary accessories and pulling rope as yardstick.
As the further improvement of the present invention, described metal clasp is " c " type structure, coincide with sleeve pipe form, has bullet
Property, several metal clasps are embedded in inside pipe casing at certain intervals, near inside pipe casing concave panel.
As the further improvement of the present invention, described tubulus has two, and each tubulus passes through a pulling rope, institute
Main aperture road and two tubuluses of stating inside pipe casing are adjacent, and main aperture road and two tubuluses run through sleeve pipe, described main aperture road and two
The outer arcuate face being located proximate to sleeve pipe of individual tubulus.
As the further improvement of the present invention, described Metallic card designs for double card chip architecture, and a card is embedded in set
In pipe, another is tightly affixed on sleeve surface；Described Metallic card is located at the thicker proximal end of sleeve outer.
As the further improvement of the present invention, there are two pores on described sleeve pipe surface, respectively two with inside pipe casing
Tubulus communicates, adjacent with Metallic card, and pulling rope passes shank from this pore.
As a further improvement on the present invention, also include for the external tubule through pulling rope, described external tubule is near
End is external in the tubulus of inside pipe casing, and is fixed on shank with medical adhesive tape, and its far-end is external in hyaline cap, for through leading
Drawstring.
As a further improvement on the present invention, the length of described sleeve pipe is 80cm-90cm；The length of described supervisor is
15cm-25cm, internal diameter is 4mm-4.5mm；The length of described hyaline cap is 3-3.5cm；The length of described external tubule is 15cm-
25cm.
Compared with prior art, the having the beneficial effect that of the integral telescopic type therapeutic endoscopy subsidiary conduit device of the present invention:
(1) pass through sleeve pipe, supervisor and hyaline cap, the subsidiary conduit of a therapeutic endoscopy be increased on scope shank, lead to
Cross this pipeline and can send into various therapeutic endoscopy auxiliary accessories, such as titanium folder, foreign body forcepses, filling pipe and snare etc., fully profit
Treat the effect of auxiliary accessories with these to treat under endoscope.According to the effect of different treatment auxiliary accessories, can carry out
Clamp, tractive, snare and water filling etc. is assisted under scope.More it is essential that passing through the endoscopic accessory of this pipeline, can be flexibly effective
Ground is not interfered with each other with being coordinated by the endoscopic accessory in the endoscopic biopsy duct of scope itself, carries out controlling under scope to assist
Treat.Tighten up the pulling rope lying in supervisor front end so that can occur in interior exactly near camera lens by the endoscopic accessory of this supervisor
In the mirror visual field, complete related endoscopic technic；The lax pulling rope lying in supervisor front end is so that pass through the endoscopic accessory spirit of this supervisor
Separate with shank leading portion with living, and do not check and balance.Therefore, the treatment that this device can effectively and rapidly under endoscope,
Play the effect of second " arm ".
(2) pass through the integrated design of sleeve pipe and hyaline cap, easy for installation, using flexible.
(3) sleeve pipe is c type structure design, the resilient metal clasp of internal installation, and snap ring is spaced apart, thus sleeve pipe can
To entangle shank, and the activity of shank of fitting securely, such as bend.In addition, this structure design, it is easy to sleeve pipe and is installed on
Shank, also allows for taking off.
(4) sleeve surface adopts Metallic card to fix pulling rope.After tightening up pulling rope, can be tightly pressed on gold
Belong under card, to fix pulling rope；In lax pulling rope, only pulling rope need to be pulled out in Metallic card, easy and simple to handle
Fast.
(5), when using " external tubule ", the pulling rope lying in supervisor front end, through after hyaline cap and spud pile, initially passes through outer
Connect tubule, it then passes through the tubulus of inside pipe casing is to outside shank, due to, lie in supervisor front end pulling rope be in external
In tubule, out of shape along shank, therefore, when tractive lies in the pulling rope of supervisor front end, shank front end is difficult the shadow by tractive
Ring, its position is difficult to be affected by external tensile force and changes；If not adopting " external tubule ", make integral telescopic type scope
Treatment subsidiary conduit device is relatively easy in structure, but, in tractive, the activity of shank front end is because being affected by traction force
And be subject to certain restrictions.Both types all can adopt, and specifically chooses one of both in practice.
(6) adopt fusion transparent cap surface spud pile be arcuate structure, its side be stringer groove design, itself and
The stringer groove of transparent cap surface is adjacent to coincide, and forms the groove surface of a laminating supervisor.This groove structure design, in tractive
During supervisor, supervisor is conducive to tightly to touch hyaline cap, so that the treatment auxiliary accessories in supervisor easily occur in the scope visual field
In.
(7) the main aperture road in sleeve pipe, external supervisor and spud pile are located at the same side of scope leading portion bending direction.This
Plant position relationship, contribute to when tractive is responsible for, supervisor is difficult to deviate, can be accurately near shank.
(8) using two pulling ropes lying in supervisor's head end and two pulling ropes passage on sleeve pipe is mutually only
Vertical, thus reducing the resistance of tractive, facilitate the operation of pulling rope, this is avoided two pulling ropes in operating process to interfere.
By description below and combine accompanying drawing, the present invention will become more fully apparent, and these accompanying drawings are used for explaining the present invention
Embodiment.
Brief description
Fig. 1 is integrated the schematic diagram of bushing type therapeutic endoscopy subsidiary conduit device back segment.
Fig. 2 is integrated the schematic diagram that bushing type therapeutic endoscopy subsidiary conduit device does not connect leading portion when " external tubule ".
Fig. 3 is integrated the schematic diagram that bushing type therapeutic endoscopy subsidiary conduit device connects leading portion when " external tubule ".
Fig. 4 is the schematic diagram of sleeve pipe.
Fig. 5 is installed on the sectional view of shank for sleeve pipe by metal clasp.
Fig. 6 is the schematic diagram one of sleeve structure.
Fig. 7 is the schematic diagram two of sleeve structure.
Fig. 8 is the axonometric chart of Metallic card.
Fig. 9 is the side schematic view of Metallic card.
Figure 10 is embedded in the schematic top plan view of sleeve pipe for Metallic card.
Figure 11 is the pore of sleeve surface, the position relationship schematic diagram of Metallic card and sleeve pipe three.
Figure 12 passes from sleeve surface pore for pulling rope, and schematic diagram when pulling rope is not locked by Metallic card.
Figure 13 locks schematic diagram during pulling rope for Metallic card.
Figure 14 is the schematic diagram of supervisor.
Figure 15 is the schematic diagram of supervisor's leading portion.
Figure 16 is hyaline cap schematic cross-section.
Figure 17 is hyaline cap overall schematic.
Figure 18 is installed on the side view of shank front end for hyaline cap.
Figure 19 is installed on the front view of shank front end for hyaline cap.
Figure 20 is the schematic diagram before supervisor is installed with shank.
Figure 21 is the position relationship schematic diagram after supervisor is installed with shank.
Figure 22 is the position relationship front schematic view after supervisor is installed with shank.
Figure 23 is the position relationship side schematic view after supervisor is installed with shank.
Figure 24 is the installation of pulling rope, and supervisor, pulling rope, the position relationship schematic diagram of hyaline cap three.
Figure 25 is installed on the schematic diagram before shank for " external tubule ".
Figure 26 is installed on the side schematic view after shank for " external tubule ".
Figure 27 is the side schematic view (case of bending at shank front end) of pulling rope relaxed state when not connecing " external tubule ".
Figure 28 is the side schematic view (case of bending at shank front end) of pulling rope tension when not connecing " external tubule ".
Figure 29 be when connecing " external tubule " pulling rope relaxed state show side schematic view (case of bending at shank front end).
Figure 30 is the side schematic view (case of bending at shank front end) of pulling rope tension when connecing " external tubule ".
Figure 31 be excision the curved greatly mucosa infection of body of stomach schematic diagram (with do not connect " external tubule " device as operational instances).
Figure 32 be excision gastric mucosa pathological changes schematic diagram (with do not connect " external tubule " device as operational instances).
Main picture mark is described as follows, sleeve pipe 1, sleeve pipe main aperture road 12, sleeve pipe tubulus 13, sleeve surface pore 14,
Sleeve pipe bulge 15, metal clasp 16, Metallic card 17, Metallic card inlay 171, Metallic card tight lock part 172, hyaline cap
2, spud pile 21, spud pile interconnection 22, spud pile vertical passage 23, it is responsible for 3, be responsible for shallow grooves 31, pulling rope 4, tractive
Rope 5, external tubule 6, adhesive tape 7, scope leading portion swelling part a, treats auxiliary accessories b, stringer groove e.
Specific embodiment
With reference now to Description of Drawings embodiments of the invention, in accompanying drawing, similar element numbers represent similar element.
Refer to Fig. 1-32, described integral telescopic type therapeutic endoscopy subsidiary conduit device mainly includes being arranged on scope mirror
The sleeve pipe 1 of flexible " c type " on rear side of body leading portion swelling part a, it is worn over the hyaline cap 2 of scope swelling part a front end, is used for putting
Put the supervisor 3 of flexible for the treatment of auxiliary accessories b, lie in treatment auxiliary accessories b front end and shank can be made it away from by tractive accessory
Front end (i.e. the pulling rope 4 (for operational simplicity, this pulling rope can select without) of scope swelling part a), lie in supervisor 3
At the shallow grooves 31 of front end and supervisor 3 can be made near shank front end (the i.e. pulling rope 5 of scope swelling part a).Described hyaline cap 2
Outside be provided with spud pile 21.Described supervisor 3 and spud pile 21 are positioned at the same side of scope leading portion swelling part a bending direction
Face.Described supervisor 3 be separate with scope leading portion and through lie in supervisor 3 pulling rope 5 tractive can near shank front end segregation section,
The rear end plug-in mounting of described supervisor 3 enters the distal end portion (being distal end portion near scope front) in the main aperture road 12 in sleeve pipe 1.Described system
In the pulling rope 4 for the treatment of auxiliary accessories b front end the other end be traction therapeutic auxiliary accessories b operating side, described lie in supervisor 3
The other end of the pulling rope 5 of front end is through the tubulus 22 of spud pile 21 and 23 and thin in sleeve pipe 1 front end threading 1
Duct 13 and pass sleeve pipe 1 tractive supervisor 3 near shank front end operating side.
It is to have not between sleeve pipe 1 and hyaline cap 2 in the fore-end of integral telescopic type therapeutic endoscopy subsidiary conduit device
Meet " external tubule 6 " (as Fig. 2) and connect " external tubule 6 " (as Fig. 3) two types.When not connecing external tubule 6, lie in supervisor 3
The pulling rope 5 of front end needs not move through external tubule 6 and directly through the tubulus 13 within sleeve pipe 1 to outside shank, and this makes tractive
Rope 5 is partly directly out of shape outside shank between sleeve pipe 1 and hyaline cap 2.Therefore, when the pulling rope 5 lying in supervisor 3 front ends
When being in tightening state, the motility of shank front end is under some influence.But, lacking external tubule 6 can make on apparatus structure
Relatively easy.When connecing " external tubule 6 ", external tubule 6 medical adhesive tape 7 is surely tied to shank leading portion, and external tubule 6 front end is external
Tubulus 13 within the external sleeve pipe of the vertical passage 23 of hyaline cap and its rear end 1, the pulling rope 5 lying in supervisor 3 front ends passes through
After hyaline cap, initially pass through external tubule 6, it then passes through the tubulus 13 within sleeve pipe 1 is to outside shank.Due to lying in supervisor 3
The pulling rope 5 of front end is in external tubule 6, out of shape along shank all the time, therefore, is drawing the tractive lying in supervisor 3 front ends
Restrict 5 when, the position of shank front end is not susceptible to the impact of external tensile force and changes, and its operating flexibility is preferable.
During to not connecing " external tubule 6 ", it is specifically described (as Fig. 2, Fig. 4-24, Figure 27-28, Figure 31-32) (note
Bright: the device not connecing " external tubule 6 " and the device connecing " external tubule 6 " are homogeneous in other structures feature and concrete operation method
Sample), described treatment auxiliary accessories b can select existing biopsy forcepss, mosquito forcepss, foreign body forcepses, integral type titanium folder etc..These treatments
The feature of auxiliary accessories b is flexible, flexible, can bend and indeformable.
It is provided with main aperture road 12 and two tubuluses 13 along scope shank length direction, three ducts are equal inside described sleeve pipe 1
Run through sleeve pipe 1, described main aperture road 12 is treatment auxiliary accessories b installation passage, the rear end plug-in mounting of described supervisor 3 becomes owner of duct 12
Interior, the side of the proximal end enlargement of described sleeve pipe 1 is provided with two pores 14, within described two pores 14 and sleeve pipe 1
Two tubuluses 13 are respectively communicated with, and two tubuluses 13 of described pulling rope 5 threading 1 lying in supervisor 3 front ends simultaneously cover certainly
Two pores 14 of pipe surface pass.
Described sleeve pipe 1 adopts human body medical material, can select medical grade pvc material, and flexible is flexible, not variable
Shape；Sleeve pipe 1 outer smooth, the front end of sleeve pipe 1 is the external diameter arc closing in design thin compared with other positions, it is to avoid scratch esophaguses glue
Film；The rear portion of described sleeve pipe 1 is the external diameter bulge 15 thick compared with other positions, and the length of described sleeve pipe 1 is about 80cm, and internal diameter is big
Little to be tightly wrapped around shank as yardstick.As Fig. 5-7, Figure 10-11, the shape of cross section of sleeve pipe 1 is c type, thus facilitate sleeve pipe 1 from
Disassemble and facilitate sleeve pipe 1 to be arranged on scope on scope.Two pores 14 on described sleeve pipe surface are located at bulge 15
Side.Be embedded with described sleeve pipe 1 near concave shaped face side for fix scope metal clasp 16 (indicate: with respect to
Metal clasp, the master of inside pipe casing and tubulus are near outer arcuate face side), it is c type structure, described metal clasp 16 is many
Individual, multiple metal clasps 16 are spacedly distributed along sleeve pipe 1 length direction, make sleeve pipe 1 entangle shank securely.Described bulge 15
It is inlaid with the Metallic card 17 of the pulling rope 5 lying in supervisor 3 front ends for locking protruding from bulge 15 outer surface.
Described Metallic card 17 is two, and the described pulling rope 5 lying in supervisor 3 front ends has two.Described sleeve surface
Two pores 14 be located between two Metallic cards 17, connect with two tubuluses 13 one-to-one corresponding sleeve pipe 1 within respectively,
Every the pulling rope 5 lying in supervisor 3 front ends is penetrated in a tubulus 13 and from the sleeve surface being connected with this tubulus 13
Pore 14 pass, this pulling rope 5 pass after towards outer incline and be locked on the Metallic card 17 of pore 14 side homonymy.Cause
This, after pulling rope 5 tension lying in supervisor 3 front ends, be stuck under Metallic card 17.
Described Metallic card 17 is provided with the inlay 171 being inlaid within sleeve pipe 1 bulge 15 and protrudes from bulge 15
The tight lock part 172 of outer surface, is locking slot d between described tight lock part 172 and the outer wall of bulge 15, and locking slot d tightly touch
Sleeve pipe 1 surface, the opening of described locking slot d is towards shank front end.Every the pulling rope 5 lying in supervisor 3 front ends is locked at accordingly
Locking slot d in.The end of described tight lock part 172 is the arcuate structure (as Fig. 8-13) bending outwardly, plays guide function, thus
It is easy to just the pulling rope 5 lying in supervisor 3 front ends can be slipped in locking slot d.
Described hyaline cap 2 adopts human body medical material, optional medical grade pvc material, has certain degree of hardness；Hyaline cap 2
Front end is designed arc-shaped appearance；The length of described hyaline cap is 3-3.5cm, is extended type.The spud pile 21 of described hyaline cap 2 is located at thoroughly
The rear section of bright cap, is internally provided with interconnection 22 and vertical passage 23, the described pulling rope 5 lying in supervisor 3 front ends
The other end passes through interconnection 22, and described vertical passage 23 passes through the middle part of interconnection 22.Described spud pile 21 is tied for arc
Structure, the both sides of described interconnection 22 insertion spud pile 21, the front and back end of described vertical passage 23 insertion spud pile 21.Described solid
Determine the stringer groove surface of the stringer groove surface of stake 21 arcuate structure towards transparent cap surface, the stringer groove that two groove surfaces are formed
E, when tension lies in pulling rope 5 and the tension supervisor 3 of supervisor 3 front ends, supervisor front end can tightly fit in the stringer of hyaline cap
In groove e, make the treatment auxiliary accessories b in supervisor 3 near shank front end, thus occurring in the scope visual field.
Described supervisor 3 adopt human body medical material, optional medical grade pvc material, flexible, flexible, be unlikely to deform,
The length of described supervisor 3 is about 20cm, and internal diameter is 4mm-4.5mm (being advisable with treating auxiliary accessories and passing freely through).Described supervisor 3
It is not affixed on shank.The rear end plug-in mounting of described supervisor 3 enters in the main aperture road 12 within sleeve pipe 1, and the front end of described supervisor 3 sets
There are two shallow grooves 31 (as Figure 14-15), every pulling rope 5 lying in supervisor 3 front ends ties up at corresponding shallow grooves 31, is easy to
Hitch one end of two pulling ropes 5.Material at the shallow grooves 31 of this supervisor 3 is rigid material, to be difficult to be subject in tractive
Deform after power.
The pulling rope 4 lying in treatment auxiliary accessories b front end and the pulling rope 5 lying in supervisor 3 front ends may be selected medical material,
Show smooth, flexible, and be difficult to be wound around.Lie in supervisor 3 front ends two pulling ropes 5 first pass through on spud pile 21 horizontal accordingly
To passage 22 and vertical passage 23, then the pore 14 by two tubuluses 13 within sleeve pipe 1 and sleeve pipe 1 surface.
During to " external tubule 6 ", it is specifically described (as Fig. 3, Figure 25-26, Figure 29-30), sleeve pipe 1, hyaline cap 2 and
, as above-mentioned not connecing when " external tubule 6 ", the front end plug-in mounting of described tubule 6 enters the vertical of hyaline cap 2 for the structure of supervisor 3 and installation
Into passage 23, the rear end plug-in mounting of described tubule 6 enters the duct that two tubuluses 13 within sleeve pipe 1 converge in sleeve pipe 1 front end
Interior, two pulling ropes 5 lying in supervisor 3 front ends pass and all pass through this tubule 6 after hyaline cap, together by tubule 6, finally lead to again
Cross the tubulus 13 within sleeve pipe 1 and the pore 14 passing sleeve pipe 1 surface.Described tubule 6 is fixed on scope shank by adhesive tape 7
On leading portion swelling part a.Described tubule 6 and adhesive tape 7 are all using the medical material of human body, and tubule 6 can select to adopt medical grade
Pvc material；Tubule 6 has a certain degree of hardness, flexible and being unlikely to deform, and external diameter is thin, to pass freely through the tractive lying in supervisor 3 front ends
Rope 5, tubule 6 length is 15cm-20cm.Described adhesive tape 7 is nonelastic, is difficult to relax, tape surface is smooth, with mucous membrane of esophagus
No big friction, it is to avoid cause Esophageal mucosa injury and reduce resistance when mirror moves.
The following is operating procedure example, treatment is auxiliary taking " the endoscopic mucosal decollement " of the descending gastric mucosal lesionss of scope as a example
Accessory is helped to select " integral type scope titanium folder ".Integral telescopic type therapeutic endoscopy subsidiary conduit device is installed on shank.Totally show
Meaning such as Fig. 2-3.It should be noted that do not connect tubule 6 all can operate with this operation, base with the device of two types connecing tubule 6
This is consistent.Herein, operating instruction is carried out using the device not connecing tubule 6.
Details of operation illustrate: gastric mucosal lesionss by ring week cut after, be placed with integral type titanium folder supervisor 3 be pulled and
Press close to shank front end, so that integral type titanium folder occurs in the scope visual field, clamp mucosa exposes scope with tractive pathological changes
Surgical field of view, its key points for operation is as follows:
1. prepare before tractive " lying in the pulling rope 5 of supervisor 3 front ends ": the treatment auxiliary accessories b in supervisor 3 is (as integral type
Titanium presss from both sides) front end must not stretch out that supervisor 3 is too many, in order to avoid supervisor 3 bending leads to be responsible for 3 under the gravity for the treatment of auxiliary accessories b
Put deviation, be difficult accurately near shank front end with avoiding being responsible in tractive.Therefore, if treatment auxiliary accessories b stretches out master
Pipe 3 is too many, needs to retract treatment auxiliary accessories b near supervisor 3 front ends (initial condition position).
2., after being ready to, tightening up the pulling rope 5 lying in supervisor 3 front ends, making supervisor 3 front end press close to camera lens, thus driving one
Body formula titanium folder is near camera lens (as Figure 27-30).
3. the position according to pathological changes, the position of adjustment titanium folder, so that titanium clamp pincers press from both sides suitable lesion locations: endoscopic surgery doctor
Teacher can be pressed from both sides to adjust the front and back position of titanium folder by movable integral type titanium.
4. after titanium clamp pincers clamp suitable mucosa infection, unclamp the pulling rope 5 lying in supervisor 3 front ends, allow and be responsible for 3 and mirror
Body leading portion separates.
5. tie up to titanium press from both sides front end pulling rope 4 (indicate: for the upper simplicity of operation, this pulling rope 4 can select without), treatment
Auxiliary accessories b (e.g., integral type titanium folder) and this three of scope shank cooperation, the treatment with endoscope: three's cooperation is permissible
Allow diseased region thoroughly to expose and allow pathological changes near scope high frequency electric knife.The method that three coordinates adjustment position, clamps disease in pincers
After becoming mucosa, can be clipped in supervisor 3 by resilient integral type titanium and move forward and backward mucosa infection of raising and to further, with
When, the traction force that can adjust the pulling rope 4 lying in treatment auxiliary accessories b front end is to assist.Further, since, it is responsible for 3 and shank
Leading portion is detached, and shank can move forward and backward, and the movable of shank also contributes to adjust the position of pathological changes, greatly improves and controls
The efficiency (as shown in Figure 31-32) treated.
6. lime light: when adjusting the position of integral type titanium folder, notice that gastric gas injection, to keep the suitable space of gastric, keeps away
Exempt from integral type titanium folder front end loss gastric mucosa.
The integral telescopic type therapeutic endoscopy subsidiary conduit device of the present invention serves the effect of therapeutic endoscopy " second hands ",
Endoscopic treatment can effectively be coordinated.By this device, the pipeline (supervisor 3) of a therapeutic endoscopy can be further added by, permissible
Various endoscopic accessories, such as titanium folder, foreign body forcepses, filling pipe and snare etc. are re-fed into by the pipeline (supervisor 3) of device, lead to
Cross these accessories and can assist clamp, tractive, snare and water filling etc..More it is essential that passing through the scope of this plumbing installation
Accessory, can flexibly not interfered with each other with by the cooperation of the endoscopic accessory in the biopsy duct of scope itself effectively, with assist into
Row Endoscopic Treatment.
Above in association with most preferred embodiment, invention has been described, but the invention is not limited in enforcement disclosed above
Example, and modification, the equivalent combinations that the various essence according to the present invention are carried out should be covered.
Claims (11)
1. a kind of integral telescopic type therapeutic endoscopy subsidiary conduit device, this device includes: " the c that can be fixed on shank of flexible
The sleeve pipe of type ", the hyaline cap being worn over endoscope distal, the supervisor for the flexible through treatment auxiliary accessories, to lie in supervisor remote
Hold and supervisor can be made near the pulling rope of shank far-end；The outside of described hyaline cap is provided with spud pile；Described supervisor and fixation
Stake is located at the same side of shank far-end；Described supervisor be separate with scope distal section and through pulling rope tractive can near shank not
It is fixed on the short tube of shank, the near-end of described supervisor is external in the main aperture road of inside pipe casing；The other end of described pulling rope is
Run through the operating side of the close shank of tractive supervisor of spud pile and inside pipe casing tubulus.
2. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 1 it is characterised in that: described hyaline cap is
Extended type treatment auxiliary hyaline cap, for endoscope treatment and the fixing supervisor of auxiliary pulling rope, its edge is designed arc-shaped appearance,
Its nearside section surface has stated spud pile；Described transparent cap surface has a stringer groove surface, and it is near spud pile.
3. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 2 it is characterised in that: described spud pile is
Arcuate structure, protrudes from hyaline cap outer surface, and for auxiliary pulling rope tractive and fixing supervisor, described spud pile side is in recessed
Groove face structure, adjacent with the stringer groove surface of transparent cap surface and form a stringer groove, described stringer groove can make supervisor
Tightly fit with hyaline cap, inside described spud pile, have transverse direction and longitudinal direction to run through the pore pipe of spud pile.
4. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 3 it is characterised in that: described be responsible for as short
Pipe, flexible and can bend and be unlikely to deform, its internal diameter is passed freely through as yardstick with therapeutic endoscopy auxiliary accessories；Described supervisor is near
Side is external in the main aperture road of inside pipe casing, and it is hard material that described supervisor's distal section has at shallow grooves and shallow grooves at two, institute
State supervisor and be not secured to shank, can freely activity.
5. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 4 it is characterised in that: described sleeve pipe nearside
End external diameter is big compared with sleeve pipe other parts, is enlargement, described sleeve pipe internal structure is included for securing the cannula to shank
Metal clasp, for the main aperture road by treating auxiliary accessories, for by the tubulus of pulling rope and be embedded in sleeve surface
Fixing pulling rope Metallic card.
6. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 5 it is characterised in that: described metal clasp
For " c " type structure, it coincide with sleeve pipe form, flexible, several metal clasps are embedded in inside pipe casing at certain intervals, near set
The internal concave panel of pipe.
7. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 5 it is characterised in that: described tubulus has
Two, each tubulus passes through a pulling rope, and the main aperture road within described sleeve pipe and two tubuluses are adjacent, main aperture road and two
Individual tubulus runs through sleeve pipe, the outer arcuate face being located proximate to sleeve pipe of described main aperture road and two tubuluses.
8. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 5 it is characterised in that: described Metallic card
Design for double card chip architecture, a card is embedded in sleeve pipe, and another is tightly affixed on sleeve surface；Described Metallic card is located at set
The thicker proximal end of pipe external diameter.
9. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 7 it is characterised in that: described sleeve pipe surface
There are two pores, communicate with two tubuluses of inside pipe casing respectively, adjacent with Metallic card, pulling rope passes from this pore
Outside shank.
10. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 1 it is characterised in that: also include for
Through the external tubule of pulling rope, described external tubule near-end is external in the tubulus of inside pipe casing, and is fixed with medical adhesive tape
In shank, its far-end is external in hyaline cap.
11. integral telescopic type therapeutic endoscopy subsidiary conduit devices as claimed in claim 11 it is characterised in that: described sleeve pipe
Length is 80cm-90cm；The length of described supervisor is 15cm-25cm, and internal diameter is 4mm-4.5mm；The length of described hyaline cap is
3-3.5cm；The length of described external tubule is 15cm-25cm.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610924321.XA CN106344083B (en) | 2016-10-29 | 2016-10-29 | Integral telescopic type therapeutic endoscopy subsidiary conduit device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610924321.XA CN106344083B (en) | 2016-10-29 | 2016-10-29 | Integral telescopic type therapeutic endoscopy subsidiary conduit device |
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| Publication Number | Publication Date |
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| CN106344083A true CN106344083A (en) | 2017-01-25 |
| CN106344083B CN106344083B (en) | 2019-01-04 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201610924321.XA Active CN106344083B (en) | 2016-10-29 | 2016-10-29 | Integral telescopic type therapeutic endoscopy subsidiary conduit device |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114340511A (en) * | 2019-07-09 | 2022-04-12 | 奥村株式会社 | Detachable multi-ring traction device |
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| CN1861010A (en) * | 2005-05-13 | 2006-11-15 | 伊西康内外科公司 | Medical devices for use with endoscope |
| CN102256534A (en) * | 2008-10-20 | 2011-11-23 | 智能医疗系统有限公司 | Assemblies for use with endoscopes and applications thereof |
| US20140024892A1 (en) * | 2007-05-09 | 2014-01-23 | Microline Surgical, Inc. | Endoscopic tool assembly |
| CN205458582U (en) * | 2016-02-01 | 2016-08-17 | 徐恩斌 | Scope is outer tube for treatment |
| CN106037838A (en) * | 2016-08-22 | 2016-10-26 | 张强 | Simple auxiliary tube device for endoscopic treatment |
| CN205964091U (en) * | 2016-10-29 | 2017-02-22 | 张强 | Integrative bushing type scope treatment subsidiary conduit device |
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|---|---|---|---|---|
| CN1861010A (en) * | 2005-05-13 | 2006-11-15 | 伊西康内外科公司 | Medical devices for use with endoscope |
| US20140024892A1 (en) * | 2007-05-09 | 2014-01-23 | Microline Surgical, Inc. | Endoscopic tool assembly |
| CN102256534A (en) * | 2008-10-20 | 2011-11-23 | 智能医疗系统有限公司 | Assemblies for use with endoscopes and applications thereof |
| CN205458582U (en) * | 2016-02-01 | 2016-08-17 | 徐恩斌 | Scope is outer tube for treatment |
| CN106037838A (en) * | 2016-08-22 | 2016-10-26 | 张强 | Simple auxiliary tube device for endoscopic treatment |
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| CN114340511A (en) * | 2019-07-09 | 2022-04-12 | 奥村株式会社 | Detachable multi-ring traction device |
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| CN106344083B (en) | 2019-01-04 |
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