CN106344083B - Integral telescopic type therapeutic endoscopy subsidiary conduit device - Google Patents
Integral telescopic type therapeutic endoscopy subsidiary conduit device Download PDFInfo
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- CN106344083B CN106344083B CN201610924321.XA CN201610924321A CN106344083B CN 106344083 B CN106344083 B CN 106344083B CN 201610924321 A CN201610924321 A CN 201610924321A CN 106344083 B CN106344083 B CN 106344083B
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- Prior art keywords
- supervisor
- shank
- pulling rope
- casing
- tubulus
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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
-
- 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
-
- 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
-
- 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
-
- 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
Abstract
The invention discloses a kind of integral telescopic type therapeutic endoscopy subsidiary conduit devices, including casing, hyaline cap, supervisor, pulling rope；Inside pipe casing structure includes " C " the type metal clasp for securing the cannula to shank, treats the tubulus that main aperture road, the pulling rope that auxiliary accessories pass through pass through, and is embedded in the Metallic card of the fixation pulling rope of sleeve surface；Transparent cap surface side is equipped with spud pile, for auxiliary pulling rope drawing supervisor and fixed supervisor front end；Supervisor and spud pile are located at shank front end same side；Supervisor is short tube, and its rear end is external in the main aperture road of inside pipe casing, and rest part is not required to be fixed on shank, for across treatment auxiliary accessories；The other end for the pulling rope for lying in supervisor front end is through spud pile and the drawing of inside pipe casing tubulus is responsible for close to the operating side of shank.Integral telescopic type therapeutic endoscopy subsidiary conduit device of the invention can realize that " both arms " operate, can neatly, the rapidly treatment under endoscope.
Description
Technical field
The present invention relates to medical instruments field more particularly to a kind of integral telescopic type therapeutic endoscopy subsidiary conduit devices.
Background technique
As scope minimal invasive techniques develop, some Alimentary tract diseases, such as early stage tumor in digestive tract, it can be safely and effectively
In Endoscopic removal.Relative to surgical operation, scope minimal invasive techniques wound is small and simple and fast, however, there is also certain offices
It is sex-limited.Scope belongs to soft scope and the operation of one channel scope and scope doctor are operated similar to single armed.This is less than surgery
The flexibility and controllability of operation and laparoscopic surgery under the both arms operation of multi-pore channel.Current soft scope is 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, the road Ji Shuanqian is auxiliary
Help the methods of ESD studied.These methods, which are mainly used in Endoscopic submucosal dissection (ESD), pulls mucous membrane with endoscope
Lower treatment.These methods, which are similar to, plays the role of second hand, makes surface of a wound exposure by pulling lesion, to facilitate
The treatment of ESD.But these methods are not operationally very flexibly.In special diseased region, such as the disease at excision stomach bottom
When change, scope front end be in bending state, this cause these auxiliary pliers operation there are certain difficulties；These methods cannot be simple
Rapidly arbitrarily adjust the position of clamp lesion；In addition, these methods are only used for the adjuvant treatment of ESD art, use scope compared with
Limitation.
Based on the above reasons, an integral telescopic type therapeutic endoscopy subsidiary conduit device is designed.The main spy of the device
Point, devises second pipe, by the pipeline, can be sent into various endoscopic accessories, such as biopsy forceps, foreign body forceps and titanium
Folder etc., makes full use of the effect of these accessories, to treat under endoscope.More it is essential that the pipeline and shank front end
Operation can effectively cooperate, and not interfere with each other.Portrait attachment can be accurately leaned on by the endoscopic accessory of the pipeline, appears in the scope visual field
In, complete related endoscopic technic；By the endoscopic accessory of the pipeline, can neatly be separated with shank leading portion, it is mutual without influencing
Operation.
Summary of the invention
The object of the present invention is to provide a kind of integral telescopic type therapeutic endoscopy subsidiary conduit devices, realize " both arms " operation,
Can neatly, the rapidly treatment under endoscope.
To achieve the above object, the present invention provides a kind of integral telescopic type therapeutic endoscopy subsidiary conduit device, device master
Include: flexible be capable of fixing in shank " c-type " casing, be worn over endoscope distal hyaline cap, for across treat it is auxiliary
The supervisor of the flexible of accessory is helped, supervisor distal end is lain in and can make to be responsible for the pulling rope close to shank distal end；The hyaline cap
Outside is equipped with spud pile；The supervisor and spud pile is located at the same side of shank distal end；The supervisor is and scope distal section
Separating and pull through pulling rope can be close to the short tube for being not fixed to shank of shank, and the proximal end of the supervisor is external in inside pipe casing
Main aperture road；The other end of the pulling rope is through spud pile and the drawing of inside pipe casing tubulus is responsible for close to shank
Operating side.
As a further improvement of the present invention, the hyaline cap is extended type treatment auxiliary hyaline cap, is used for endoscope
Treatment and the fixed supervisor of auxiliary pulling rope, edge is designed arc-shaped appearance, and nearside section surface is stated spud pile；It is described transparent
Cap surface has a stringer groove, close to spud pile；The hyaline cap is treated for endoscope and consolidating by its surface
Determine the fixed supervisor of stake auxiliary pulling rope.
As a further improvement of the present invention, the spud pile is arcuate structure, protrudes from hyaline cap outer surface, is used
It is pulled in auxiliary pulling rope and fixed supervisor, the 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 the stringer groove can be such that supervisor is tightly bonded with hyaline cap, the spud pile
The pore pipe that inside has transverse direction and longitudinal direction to run through spud pile, the spud pile is pulled for auxiliary pulling rope and fixed supervisor.
As a further improvement of the present invention, the supervisor is short tube, flexible and can be bent and be unlikely to deform, in
Diameter is passed freely through with therapeutic endoscopy auxiliary accessories as scale；Supervisor's proximal end is external in the main aperture road of inside pipe casing, described
It is hard material that supervisor's distal segment, which has at two at shallow grooves and shallow grooves, and the supervisor is not secured to shank, can move freely.
As a further improvement of the present invention, described sleeve pipe proximal end outer diameter is big compared with casing other parts, is bulb
Point, described sleeve pipe internal structure include for be fixed on the metal clasp of shank, for by treatment auxiliary accessories main aperture road,
For the tubulus by pulling rope and the Metallic card for the fixation pulling rope for being embedded in sleeve surface；Inside 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 scale.
As a further improvement of the present invention, the metal clasp is " C " type structure, coincide with casing form, there is bullet
Property, several metal clasps are embedded in inside pipe casing at certain intervals, close to inside pipe casing concave panel.
As a further improvement of the present invention, there are two the tubulus, each tubulus passes through a pulling rope, institute
Main aperture road and two tubulus for stating inside pipe casing are adjacent, and main aperture road and two tubulus run through casing, the main aperture road and two
The outer arcuate face for being located proximate to casing of a tubulus.
As a further improvement of the present invention, the Metallic card is the design of double card chip architecture, and a card is embedded in set
In pipe, another is tightly affixed on sleeve surface；The Metallic card is located at the thicker proximal end of sleeve outer.
As a further improvement of the present invention, described sleeve pipe surface is there are two pore, respectively with two of inside pipe casing
Tubulus communicates, adjacent with Metallic card, and pulling rope is pierced by from the pore to outside shank.
It as a further improvement of the present invention, further include for the external tubule across pulling rope, the external tubule is close
End is external in the tubulus of inside pipe casing, and is fixed on shank with medical adhesive tape, and distal end is external in hyaline cap, for across leading
Drawstring.
As a further improvement of the present invention, the length of described sleeve pipe is 80cm-90cm；The length of the supervisor is
15cm-25cm, internal diameter 4mm-4.5mm；The length of the hyaline cap is 3-3.5cm；The length of the external tubule is 15cm-
25cm。
Compared with prior art, integral telescopic type therapeutic endoscopy subsidiary conduit device of the invention has the beneficial effect that:
(1) by casing, supervisor and hyaline cap, the subsidiary conduit of a therapeutic endoscopy is increased on scope shank, is led to
Various therapeutic endoscopy auxiliary accessories, such as titanium folder, foreign body forceps, filling pipe and snare etc., sufficiently benefit can be sent by crossing the pipeline
With the effect of these treatment auxiliary accessories to be treated under endoscope.According to the effect of different treatment auxiliary accessories, can carry out
Clamp is assisted under scope, is pulled, snare and water filling etc..It, can flexibly effectively more it is essential that passing through the endoscopic accessory of the pipeline
The endoscopic accessory in ground and the endoscopic biopsy duct by scope itself cooperates without interfering with each other, and control under scope with auxiliary
It treats.Tightening lies in the pulling rope of supervisor front end, enables and accurately leans on portrait attachment by the endoscopic accessory of the supervisor, appears in interior
In the mirror visual field, related endoscopic technic is completed；Relaxation lies in the pulling rope of supervisor front end, so that the endoscopic accessory spirit for passing through the supervisor
Ground living is separated with shank leading portion, without checking and balance.Therefore, the treatment that this device can effectively and rapidly under endoscope,
Play the role of second " arm ".
(2) pass through the integrated design of casing and hyaline cap, easy for installation, using flexible.
(3) casing is the design of c-type structure, and flexible metal clasp is installed in inside, and snap ring is spaced apart, so that casing can
To entangle shank securely, and it can be bonded the activity of shank, for example be bent.In addition, this structure design, is installed on convenient for casing
Shank is also convenient for taking off.
(4) sleeve surface is using the fixed pulling rope of Metallic card.After tightening pulling rope, it can be tightly pressed on gold
Belong under card, to fix pulling rope；In relaxation pulling rope, pulling rope need to be only pulled out out of Metallic card, it is easy to operate
Fast.
(5) using " external tubule " when, the pulling rope of supervisor front end is lain in after hyaline cap and spud pile, is initially passed through outer
Tubule is connect, it then passes through outside the tubulus to shank of inside pipe casing, since the pulling rope for lying in supervisor front end is positioned at external
Out of shape along shank in tubule, therefore, when drawing lies in the pulling rope of supervisor front end, shank front end is not vulnerable to the shadow of drawing
It rings, position does not change vulnerable to the influence of external tensile force；If not using " external tubule ", make integral telescopic type scope
It is relatively easy in structure to treat subsidiary conduit device, still, in drawing, the activity of shank front end by traction force because being influenced
And it is subject to certain restrictions.Both types can use, and one of both is specifically chosen in practice.
(6) fusion used transparent cap surface spud pile for arcuate structure, one side be stringer groove design, with
The stringer groove of transparent cap surface is adjacent to coincide, and forms the groove surface of a fitting supervisor.This groove structure design, is pulling
When supervisor, be conducive to supervisor and tightly touch hyaline cap, so that the treatment auxiliary accessories in supervisor be made to easily occur in the scope visual field
In.
(7) the main aperture road in casing, external supervisor and spud pile are located at the same side of scope leading portion bending direction.This
Kind positional relationship facilitates when pulling supervisor, and supervisor is not easy to deviate, can be accurately close to shank.
(8) mutually only by the channel on casing using two pulling ropes and two pulling ropes that lie in supervisor's head end
It is vertical, to reduce the resistance of drawing, facilitate the operation of pulling rope, this is avoided two pulling ropes in operating process from interfering with each other.
Through the following description and in conjunction with the attached drawings, the present invention will become more fully apparent, these attached drawings are used to explain the present invention
Embodiment.
Detailed description of the invention
Fig. 1 is integrated the schematic diagram of bushing type therapeutic endoscopy subsidiary conduit device back segment.
Fig. 2 is integrated the schematic diagram of leading portion when bushing type therapeutic endoscopy subsidiary conduit device does not connect " external tubule ".
Fig. 3 is integrated the schematic diagram of leading portion when bushing type therapeutic endoscopy subsidiary conduit device connects " external tubule ".
Fig. 4 is the schematic diagram of casing.
Fig. 5 is the sectional view that casing is installed on shank by metal clasp.
Fig. 6 is the schematic diagram one of cannula structure.
Fig. 7 is the schematic diagram two of cannula structure.
Fig. 8 is the perspective view of Metallic card.
Fig. 9 is the side schematic view of Metallic card.
Figure 10 is the schematic top plan view that Metallic card is embedded in casing.
Figure 11 is the positional diagram of the pore of sleeve surface, Metallic card and casing three.
Figure 12 is schematic diagram when pulling rope is pierced by from sleeve surface pore and pulling rope is not locked by Metallic card.
Figure 13 is schematic diagram when Metallic card locks pulling rope.
Figure 14 is the schematic diagram of supervisor.
Figure 15 is the schematic diagram for being responsible for leading portion.
Figure 16 is hyaline cap schematic cross-section.
Figure 17 is hyaline cap overall schematic.
Figure 18 is the side view that hyaline cap is installed on shank front end.
Figure 19 is the front view that hyaline cap is installed on shank front end.
Figure 20 is supervisor and the schematic diagram before shank installation.
Figure 21 is supervisor and the positional diagram after shank installation.
Figure 22 is supervisor and the positional relationship front schematic view after shank installation.
Figure 23 is supervisor and the positional relationship side schematic view after shank installation.
Figure 24 be pulling rope installation, and supervisor, pulling rope, hyaline cap three positional diagram.
Figure 25 is that " external tubule " is installed on the schematic diagram before shank.
Figure 26 is that " external tubule " is installed on the side schematic view after shank.
Figure 27 is the side schematic view (bending state at shank front end) of pulling rope relaxed state when not connecing " external tubule ".
Figure 28 is the side schematic view (bending state at shank front end) of pulling rope tension when not connecing " external tubule ".
Figure 29 is that pulling rope relaxed state shows side schematic view (bending state at shank front end) when connecing " external tubule ".
Figure 30 is the side schematic view (bending state at shank front end) of pulling rope tension when connecing " external tubule ".
Figure 31 is the schematic diagram for cutting off body of stomach mucosa infection curved greatly (not connect the device of " external tubule " as operational instances).
Figure 32 is the schematic diagram for cutting off gastric mucosa lesion (not connect the device of " external tubule " as operational instances).
Main picture mark is described as follows, casing 1, casing main aperture road 12, casing tubulus 13, sleeve surface pore 14,
Casing 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, supervisor 3, supervisor's shallow grooves 31, pulling rope 4, drawing
Rope 5, external tubule 6, adhesive tape 7, scope leading portion swelling part a treat auxiliary accessories b, stringer groove e.
Specific embodiment
The embodiment of the present invention described referring now to the drawings, similar element numbers represent similar element in attached drawing.
Fig. 1-32 is please referred to, the integral telescopic type therapeutic endoscopy subsidiary conduit device mainly includes being mounted on scope mirror
The casing 1 of flexible " c-type " on rear side of body leading portion swelling part a, the hyaline cap 2 for being worn over the front end scope swelling part a, for putting
The supervisor 3 that sets the flexible for the treatment of auxiliary accessories b lies in the treatment front end auxiliary accessories b and can pull accessory and make it away from shank
Front end (i.e. the pulling rope 4 of scope swelling part a) (for operational simplicity, which, which can choose, does not have to), lie in supervisor 3
At the shallow grooves 31 of front end and supervisor 3 can be made close to shank front end (the i.e. pulling rope 5 of scope swelling part a).The hyaline cap 2
Outside be equipped with spud pile 21.The supervisor 3 and spud pile 21 is located at the same side of scope leading portion swelling part a bending direction
Face.It is described supervisor 3 be separated with scope leading portion and through lie in supervisor 3 pulling rope 5 drawing can close to shank front end segregation section,
The rear end of the supervisor 3 inserts the distal end portion (being distal end portion close to scope front end side) in the main aperture road 12 in casing 1.The system
It is described to lie in supervisor 3 in the operating side that the other end of the pulling rope 4 of the treatment front end auxiliary accessories b is traction therapeutic auxiliary accessories b
The other end of the pulling rope 5 of front end is through the tubulus 22 and 23 of spud pile 21 and from thin in 1 front end threading 1 of casing
Duct 13 and operating side of the drawing supervisor 3 close to shank front end for being pierced by casing 1.
Have not between the front end portion, that is, casing 1 and hyaline cap 2 of integral telescopic type therapeutic endoscopy subsidiary conduit device
It meets " external tubule 6 " (such as Fig. 2) and connects " external tubule 6 " (such as Fig. 3) two types.When not connecing external tubule 6, supervisor 3 is lain in
The pulling rope 5 of front end need not move through external tubule 6 and directly through the tubulus 13 to shank inside casing 1 outside, this makes to pull
Part of the rope 5 between casing 1 and hyaline cap 2 is directly out of shape outside shank.Therefore, when the pulling rope 5 for lying in 3 front ends of supervisor
When in tightening state, the flexibility of shank front end is affected.But lacking external tubule 6 can make on apparatus structure
It is relatively easy.When connecing " external tubule 6 ", external tubule 6 is surely tied to shank leading portion with medical adhesive tape 7, and external 6 front end of tubule is external
Tubulus 13 inside the external casing 1 of the vertical passage 23 of hyaline cap and its rear end, the pulling rope 5 for lying in 3 front ends of supervisor pass through
After hyaline cap, external tubule 6 is initially passed through, it then passes through outside the tubulus 13 to shank inside casing 1.Due to lying in supervisor 3
The pulling rope 5 of front end is located in external tubule 6, out of shape along shank always, therefore, is drawing the drawing for lying in 3 front ends of supervisor
Restrict 5 when, the position of shank front end is not susceptible to the influence of external tensile force and changes, and operating flexibility is preferable.
When to not connecing " external tubule 6 ", (such as Fig. 2, Fig. 4-24, Figure 27-28, Figure 31-32) (note is specifically described
It is bright: do not connect the device of " external tubule 6 " and connect " external tubule 6 " device it is uniform in other structures feature and concrete operation method
Sample), the treatment auxiliary accessories b can choose existing biopsy forceps, haemostatic clamp, foreign body forceps, integral type titanium folder etc..These treatments
The characteristics of auxiliary accessories b is flexible, flexible, can be bent and indeformable.
Main aperture road 12 and two tubulus 13 are equipped with along scope shank length direction inside described sleeve pipe 1, three ducts are equal
Through casing 1, the main aperture road 12 is treatment auxiliary accessories b installation passage, and duct 12 is become owner of in the rear end inserting of the supervisor 3
Interior, the side of the proximal end enlargement of described sleeve pipe 1 is set there are two pore 14, described two pores 14 with inside casing 1
Two tubulus 13 are respectively communicated with, and two tubulus 13 of 5 threading 1 of pulling rope for lying in 3 front ends of supervisor simultaneously cover certainly
Two pores 14 of pipe surface are pierced by.
Described sleeve pipe 1 uses human body medical material, can choose medical grade PVC material, flexible is flexible, not variable
Shape；1 outer smooth of casing, the front end of casing 1 are the outer diameter arc closing in design thin compared with other positions, avoid scratch oesophagus viscous
Film；The rear portion of described sleeve pipe 1 is the outer diameter bulge 15 thick compared with other positions, and the length of described sleeve pipe 1 is about 80cm, and internal diameter is big
It is small to be tightly wrapped around shank as scale.Such as Fig. 5-7, Figure 10-11, the cross-sectional shape of casing 1 is c-type, thus facilitate casing 1 from
It is disassembled on scope and casing 1 is facilitated to be mounted on scope.Two pores 14 on described sleeve pipe surface are located at bulge 15
Side.Be embedded in described sleeve pipe 1 close to concave shaped face side for fix scope metal clasp 16 (indicate: relative to
Metal clasp, the master of inside pipe casing and tubulus are close to outer arcuate face side), it is c-type structure, the metal clasp 16 is more
A, multiple metal clasps 16 are spacedly distributed along 1 length direction of casing, and casing 1 is made to entangle shank securely.The bulge 15
Be inlaid with protrude from 15 outer surface of bulge for lock lie in be responsible for 3 front ends pulling rope 5 Metallic card 17.
The Metallic card 17 is two, and the pulling rope 5 for lying in 3 front ends of supervisor has two.The sleeve surface
Two pores 14 be located between two Metallic cards 17, correspond be connected to two tubulus 13 casing 1 inside respectively,
Every pulling rope 5 for lying in 3 front ends of supervisor penetrates in a tubulus 13 and from the sleeve surface being connected to the tubulus 13
Pore 14 be pierced by, which towards outer incline and is locked on the ipsilateral Metallic card 17 in the side of pore 14 after being pierced by.Cause
This is stuck under Metallic card 17 after the pulling rope 5 for lying in 3 front ends of supervisor tenses.
The Metallic card 17 is equipped with the inlay 171 being inlaid into inside 1 bulge 15 of casing and protrudes from bulge 15
The tight lock part 172 of outer surface, is locking slot d between the tight lock part 172 and the outer wall of bulge 15, and locking slot d is tightly touched
1 surface of casing, the opening of the locking slot d is towards shank front end.Every pulling rope 5 for lying in 3 front ends of supervisor is locked at accordingly
Locking slot d in.The end of the tight lock part 172 is the arcuate structure (such as Fig. 8-13) bent outwardly, plays guide function, thus
It is easy to the pulling rope 5 for lying in 3 front ends of supervisor can be slid into locking slot d.
The hyaline cap 2 uses human body medical material, and medical grade PVC material may be selected, there is certain degree of hardness；Hyaline cap 2
Front end is designed arc-shaped appearance；The length of the hyaline cap is 3-3.5cm, is extended type.The spud pile 21 of the hyaline cap 2 is located at saturating
The rear section of bright cap is internally provided with interconnection 22 and vertical passage 23, the pulling rope 5 for lying in 3 front ends of supervisor
The other end passes through the middle part of interconnection 22 by interconnection 22, the vertical passage 23.The spud pile 21 is arc knot
Structure, the interconnection 22 penetrate through the two sides of spud pile 21, and the vertical passage 23 penetrates through the front and back end of spud pile 21.It is described solid
Determine the stringer groove that the stringer groove surface of 21 arcuate structure of stake is formed towards the stringer groove surface of transparent cap surface, two groove surfaces
E, when tensing the pulling rope 5 for lying in 3 front ends of supervisor and tensing supervisor 3, supervisor front end can tightly fit in the stringer of hyaline cap
In groove e, make the treatment auxiliary accessories b in supervisor 3 close to shank front end, to appear in the scope visual field.
The supervisor 3 uses human body medical material, and medical grade PVC material may be selected, and flexible is flexible, is unlikely to deform,
The length of the supervisor 3 is about 20cm, and internal diameter is 4mm-4.5mm (being advisable with treating auxiliary accessories and passing freely through).The supervisor 3
It is not affixed on shank.The rear end of the supervisor 3 inserts in the main aperture road 12 inside casing 1, and the front end of the supervisor 3 is set
There are two shallow grooves 31 (such as Figure 14-15), every pulling rope 5 for lying in 3 front ends of supervisor is tied up at corresponding shallow grooves 31, is convenient for
Hitch one end of two pulling ropes 5.Material at the shallow grooves 31 of the supervisor 3 is rigid material, so as in drawing not vulnerable to
It is deformed after power.
Medical material may be selected in the pulling rope 5 for lying in the pulling rope 4 of the treatment front end auxiliary accessories b and lying in 3 front ends of supervisor,
Show smooth, flexible, and is not easy to wind.Two pulling ropes 5 for lying in 3 front ends of supervisor first pass through corresponding cross on spud pile 21
To channel 22 and vertical passage 23, then pass through the pore 14 on 1 surface of two tubulus 13 and casing inside casing 1.
It when to " external tubule 6 ", is specifically described (such as Fig. 3, Figure 25-26, Figure 29-30), casing 1,2 and of hyaline cap
The structure of supervisor 3 and installation with it is above-mentioned do not connect " external tubule 6 " when as, the front end of the tubule 6 inserts indulging into hyaline cap 2
Into channel 23, the rear end of the tubule 6 inserts the duct converged into two tubulus 13 inside casing 1 in 1 front end of casing
Interior, two pulling ropes 5 for lying in 3 front ends of supervisor are pierced by after hyaline cap by the tubule 6, together by tubule 6, are finally led to again
The tubulus 13 crossed inside casing 1 and the pore 14 for being pierced by 1 surface of casing.The tubule 6 is fixed on scope shank by adhesive tape 7
On leading portion swelling part a.The tubule 6 and adhesive tape 7 are all made of the medical material of human body, and tubule 6 can choose using medical grade
PVC material；Tubule 6 has a certain degree of hardness, flexible and is unlikely to deform, and outer diameter is thin, to pass freely through the drawing for lying in 3 front ends of supervisor
Rope 5,6 length of tubule are 15cm-20cm.The adhesive tape 7 is nonelastic, is not easy to relax, and tape surface is smooth, with mucous membrane of esophagus
Resistance without big friction, when avoiding Esophageal mucosa injury and reducing mirror movement.
It is operating procedure example below, by taking " the endoscopic mucosal decollement " of scope downlink gastric mucosal lesions as an example, treats auxiliary
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 the device for two types for not connecing tubule 6 and connecing tubule 6 can operate with the operation, base
This is consistent.Herein, operating instruction is carried out using the device for not connecing tubule 6.
Details of operation explanation: gastric mucosal lesions by ring week cut after, be placed with integral type titanium folder supervisor 3 be pulled and
Close to shank front end, so that integral type titanium folder appears in the scope visual field, clamp mucous membrane exposes scope to pull lesion
Surgical field of view, key points for operation are as follows:
1. preparing before drawing " pulling rope 5 for lying in 3 front ends of supervisor ": treatment auxiliary accessories b (such as integral type in supervisor 3
Titanium folder) front end not stretch out that supervisor 3 is too many, in order to avoid 3 bending of supervisor leads to supervisor 3 under the gravity for the treatment of auxiliary accessories b
Deviation is set, is not easy accurately to avoid being responsible in drawing close to shank front end.Therefore, if treatment auxiliary accessories b stretches out master
Pipe 3 is too many, needs to retract treatment auxiliary accessories b close to supervisor 3 front ends (reset condition position).
2. after being ready to, tightening lies in the pulling rope 5 of 3 front ends of supervisor, make to be responsible for 3 front ends close to camera lens, to drive one
Body formula titanium folder depends on portrait attachment (such as Figure 27-30).
3. according to the position of lesion, the position of adjustment titanium folder, so that titanium clamp pincers press from both sides suitable lesion locations: endoscopic surgery doctor
Teacher can adjust the front-rear position of titanium folder by being moved forward and backward integral type titanium folder.
4. unclamping the pulling rope 5 for lying in 3 front ends of supervisor after titanium clamp pincers clamp suitable mucosa infection, allows and be responsible for 3 and mirror
The separation of body leading portion.
5. tying up to the pulling rope 4 (indicate: to operate upper simplicity, which, which can choose, does not have to) of titanium folder front end, treatment
Auxiliary accessories b (e.g., integral type titanium press from both sides) and this three of scope shank cooperation, with the treatment under endoscope: three's cooperation can be with
Diseased region is allowed thoroughly to expose and allow lesion close to scope electric knife.Three cooperates the method for adjustment position, clamps disease in pincers
It becomes sticky after film, can be clipped in supervisor 3 and be moved forward and backward come mucosa infection of raising and further, together by flexible integral type titanium
When, the traction force of the adjustable pulling rope 4 for lying in the treatment front end auxiliary accessories b is to assist.In addition, due to supervisor 3 and shank
Leading portion is separation, and shank can be moved forward and backward, and the back-and-forth motion of shank also contributes to the position of adjustment lesion, greatly improves and controls
The efficiency for the treatment of (as shown in Figure 31-32).
6. lime light: when adjusting the position of integral type titanium folder, noticing that gas injection is kept away in stomach to keep space appropriate in stomach
Exempt from integral type titanium folder front end loss gastric mucosa.
Integral telescopic type therapeutic endoscopy subsidiary conduit device of the invention plays the role of therapeutic endoscopy " second hand ",
Endoscopic treatment can effectively be cooperated.By the device, it can be further added by the pipeline (supervisor 3) of a therapeutic endoscopy, it can be with
Various endoscopic accessories are re-fed by the pipeline (supervisor 3) of device, for example titanium folder, foreign body forceps, filling pipe and snare etc. lead to
Clamp can be assisted by crossing these accessories, drawing, snare and water filling etc..More it is essential that passing through the scope of this plumbing installation
Accessory, can flexibly effectively cooperate with the endoscopic accessory by the biopsy duct of scope itself without interfering with each other, with assist into
Row Endoscopic Treatment.
Combining most preferred embodiment above, invention has been described, but the invention is not limited to implementations disclosed above
Example, and various modifications, equivalent combinations according to the essence of the present invention should be covered.
Claims (11)
1. a kind of integral telescopic type therapeutic endoscopy subsidiary conduit device, which includes: " the C of flexible being capable of fixing in shank
The casing of type ", the hyaline cap for being worn over endoscope distal, for the flexible across treatment auxiliary accessories supervisor, to lie in supervisor remote
It holds and can make to be responsible for the pulling rope close to shank distal end；The outside of the hyaline cap is equipped with spud pile；The supervisor and fixation
Stake is located at the same side of shank distal end；It is described supervisor be separated with scope distal section and through pulling rope drawing can close to shank not
It is fixed on the short tube of shank, the proximal end of the supervisor is external in the main aperture road of inside pipe casing；The other end of the pulling rope is
Drawing through spud pile and inside pipe casing tubulus is responsible for close to the operating side of shank.
2. integral telescopic type therapeutic endoscopy subsidiary conduit device as described in claim 1, it is characterised in that: the hyaline cap is
Extended type treatment auxiliary hyaline cap, for endoscope treatment and the fixed supervisor of auxiliary pulling rope, edge is designed arc-shaped appearance,
Its nearside section surface is stated spud pile；The transparent cap surface has a stringer groove surface, close to spud pile.
3. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 2, it is characterised in that: the spud pile is
Arcuate structure protrudes from hyaline cap outer surface, pulls for auxiliary pulling rope and fixed supervisor, the spud pile side are in recessed
Groove face structure, adjacent with the stringer groove surface of transparent cap surface and form a stringer groove, the stringer groove can make to be responsible for
It is tightly bonded with hyaline cap, there is transverse direction and longitudinal direction to run through the pore pipe of spud pile inside the spud pile.
4. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 3, it is characterised in that: the supervisor is short
Pipe, flexible and can be bent and be unlikely to deform, and internal diameter is passed freely through with therapeutic endoscopy auxiliary accessories as scale；The supervisor is close
Side is external in the main aperture road of inside pipe casing, and it is hard material, institute that supervisor's distal segment, which has at two at shallow grooves and shallow grooves,
It states supervisor and is not secured to shank, can move freely.
5. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 4, it is characterised in that: described sleeve pipe nearside
It holds outer diameter big compared with casing other parts, is enlargement, described sleeve pipe internal structure includes for securing the cannula to shank
Metal clasp, for by treatment auxiliary accessories main aperture road, for the tubulus by pulling rope and be embedded in sleeve surface
Fixation pulling rope Metallic card.
6. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 5, it is characterised in that: the metal clasp
It for " C " type structure, coincide with casing form, flexible, several metal clasps are embedded in inside pipe casing at certain intervals, close to set
Concave panel inside pipe.
7. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 5, it is characterised in that: the tubulus has
Two, each tubulus passes through a pulling rope, and the main aperture road and two tubulus inside described sleeve pipe are adjacent, main aperture road and two
A tubulus runs through casing, the outer arcuate face for being located proximate to casing in the main aperture road and two tubulus.
8. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 5, it is characterised in that: the Metallic card
For the design of double card chip architecture, a card is embedded in casing, and another is tightly affixed on sleeve surface；The Metallic card is located at set
The thicker proximal end of pipe outside 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 pore, communicated respectively with two tubulus of inside pipe casing, it is adjacent with Metallic card, pulling rope from the pore be pierced by
Outside shank.
10. integral telescopic type therapeutic endoscopy subsidiary conduit device as described in claim 1, it is characterised in that: further include being used for
Across the external tubule of pulling rope, the external tubule proximal end is external in the tubulus of inside pipe casing, and is fixed with medical adhesive tape
In shank, distal end is external in hyaline cap.
11. integral telescopic type therapeutic endoscopy subsidiary conduit device as claimed in claim 10, it is characterised in that: described sleeve pipe
Length is 80cm-90cm；The length of the supervisor is 15cm-25cm, internal diameter 4mm-4.5mm；The length of the hyaline cap is
3-3.5cm；The length of the external tubule is 15cm-25cm.
Priority Applications (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 |
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 CN106344083A (en) | 2017-01-25 |
| CN106344083B true 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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| Publication number | Priority date | Publication date | Assignee | Title |
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| US20220287700A1 (en) * | 2019-07-09 | 2022-09-15 | Okumura Co., Ltd. | Detachable multi-ring traction device |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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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2016
- 2016-10-29 CN CN201610924321.XA patent/CN106344083B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| CN205964091U (en) * | 2016-10-29 | 2017-02-22 | 张强 | Integrative bushing type scope treatment subsidiary conduit device |
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| Publication number | Publication date |
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| CN106344083A (en) | 2017-01-25 |
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