CN106618470A - Visible placement system for flexible passage sheath - Google Patents
Visible placement system for flexible passage sheath Download PDFInfo
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- CN106618470A CN106618470A CN201710016112.XA CN201710016112A CN106618470A CN 106618470 A CN106618470 A CN 106618470A CN 201710016112 A CN201710016112 A CN 201710016112A CN 106618470 A CN106618470 A CN 106618470A
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- sheath
- localizer
- soft lens
- handgrip
- mirror body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Optics & Photonics (AREA)
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- Radiology & Medical Imaging (AREA)
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- Heart & Thoracic Surgery (AREA)
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Abstract
The invention discloses a visible placement system for a flexible passage sheath. The system comprises an endoscope and a sheath tube position adjuster. The endoscope comprises a lens body, an outer lens body, an eyepiece system and an objective lens system. The objective lens system is arranged on the lens body communicating with the head end of an outer lens tube. The tail end of the outer lens tube is tapered. The objective lens system is arranged in tail end of the outer lens tube. The sheath tube position adjuster comprises a positioner, a gripper fixing knob and a gripper body. A first end of the positioner is provided with a lens body installation part. A second end of the positioner is provided with a sheath plug used for being in butt joint with the near end of a sheath back seat of the flexible passage sheath. The gripper body rotates relative to the gripper fixing knob and rotary angles of the gripper body can be fixed by the gripper fixing knob. The gripper body is provided with a sheath tube gripper used for fixing the far end of the sheath back seat of the flexible passage sheath. The visible placement system for the flexible passage sheath has following beneficial effects: defects of original X-ray irradiation are solved so that no damage is caused to human bodies; the flexible passage sheath can be precisely guided and positioned during placement; and complications during operations are avoided.
Description
Technical field
Patent of the present invention is related to medical instruments field, and specifically a kind of visual guidance places soft lens passage sheath system.
Background technology
Current clinically row flexible ureteroscope operation consent, needs the soft lens channel sheath for using external diameter specification different.With
As a example by the soft lens channel sheath of external diameter Fr14/ internal diameter Fr12, its flow process is as follows：Rigid ureteroscope microscopy → placement guiding wire
→ exit rigid ureteroscope → guiding wire is penetrated into the obturator of soft lens passage intrathecal → by bed X-ray machine or movable type C
Under arm X-ray machine guide of fluoroscopy, soft lens channel sheath is inserted into ureter → exit the obturator of soft lens passage intrathecal and is led
Silk → insertion soft uretero-renoscope.
Long period or more number of times ground are irradiated using bed side X-ray machine or portable C-arm X-ray machine, to patient and medical care
The healthy of personnel can cause certain injury.But if not using bed side X-ray machine or movable type C when placing soft lens channel sheath
Arm X-ray machine real time imaging is guided and positioned, it is possible to which following complication occurs in art：
1st, ureter is caused via, mucosa avulsion etc..
2nd, enter sheath too deep, damage homonymy renal pelvis renal calicess mucosa and even penetrate excess of the kidney matter.
3rd, the generation based on the 1st, 2 complication, causes damage location bleeding.
4th, the generation based on the 1st, 2,3 complication, causes operative failure.
The content of the invention
Had problems in clinical treatment based on background above technology is solved, the embodiment of the present invention provides a kind of visual guidance
Soft lens passage sheath system is placed, is guided and is positioned using endoscope's real time imaging when soft lens channel sheath is placed, overcome original X
The defect that light irradiation is damaged to people, and can precisely guide and position when soft lens channel sheath is placed, it is to avoid there is art
Middle complication.
Embodiments provide a kind of visual placement soft lens passage sheath system, including endoscope and sheath position adjuster；
The endoscope includes mirror body, outer telescop, eyepiece system and objective system；The eyepiece system is arranged on the mirror
On body；Instrument channel is provided with the outer telescop；The mirror body is connected with the head end of the outer telescop；The end of the outer telescop
For taper；The objective system is arranged on the terminus inner of the outer telescop；
The sheath position adjuster includes localizer, handgrip fixed knob and handgrip main body；Confession is provided with the localizer
The grafting passage of the outer telescop insertion；The first end of the localizer is provided with the mirror body for docking with the mirror body and installs
Portion；The mirror body installation portion is provided with the locknut for locking the mirror body；Second end of the localizer be provided with for it is soft
The sheath plug of the sheath back seat near-end docking of mirror channel sheath；
The handgrip fixed knob is fixedly connected with the localizer；The handgrip main body can relatively described handgrip fixation rotation
Button is rotated and fixes rotational angle by the handgrip fixed knob；The handgrip main body is provided with for fixing the soft lens passage
The sheath handgrip of the sheath back seat distal end of sheath.
Preferably, the eyepiece system includes eyepiece group, eyepiece hood, light guide bundleses joint and liquid valve；The objective system
Including objective lens and light guide bundleses.
Preferably, the localizer includes localizer body and the localizer prolongation being plugged on the localizer body
Axle；The localizer extending shaft can be along the localizer body fore-aft travel and fixed.
Preferably, the maximum telescope external diameter of the outer telescop is in Fr9-Fr12.
Compared to prior art, the beneficial effect of the embodiment of the present invention is：Embodiments provide a kind of visual
Place soft lens passage sheath system, including endoscope and sheath position adjuster；The endoscope includes mirror body, outer telescop, eyepiece system
And objective system；The eyepiece system is arranged in the mirror body；Instrument channel is provided with the outer telescop；The mirror body and institute
State the head end connection of outer telescop；The end of the outer telescop is taper；The objective system is arranged on the end of the outer telescop
It is internal；The sheath position adjuster includes localizer, handgrip fixed knob and handgrip main body；It is provided with for described in the localizer
The grafting passage of outer telescop insertion；The first end of the localizer is provided with the mirror body installation portion for docking with the mirror body；Institute
State mirror body installation portion and be provided with locknut for locking the mirror body；Second end of the localizer be provided with for soft lens passage
The sheath plug of the sheath back seat near-end docking of sheath；The handgrip fixed knob is fixedly connected with the localizer；The handgrip main body can
Rotate relative to the handgrip fixed knob and rotational angle is fixed by the handgrip fixed knob；The handgrip main body is provided with use
In the sheath handgrip of the sheath back seat distal end of the fixation soft lens channel sheath.Because the end of the outer telescop of the endoscope is cone
Shape, can replace used soft lens channel sheath obturator, and the sheath position adjuster can play connection endoscope and soft lens
The effect of channel sheath, before soft lens channel sheath is placed, is connected to endoscope and soft lens channel sheath beforehand through sheath position adjuster
Together, soft lens channel sheath is stretched out in the end of the outer telescop of endoscope, and the reality reflected during mirror will be entered by internal objective lens
When image, to the process of CCD video cameras, and distributed to monitor and picture and text by video camera and worked by with system transfers in mirror optics
Stand.Therefore, the embodiment of the present invention is guided and positioned when soft lens channel sheath is placed using endoscope's real time imaging, is not required to bed side X
Ray machine or portable C-arm X-ray machine auxiliary positioning, overcome the defect that original X-ray irradiation is damaged to people, and are placing
Can precisely guide during soft lens channel sheath and position, it is to avoid intraoperative compliaction occur.
Description of the drawings
Fig. 1 is that a kind of visual structure for placing the endoscope 1 in soft lens passage sheath system provided in an embodiment of the present invention is shown
It is intended to；
Fig. 2 is a kind of visual knot for placing the sheath position adjuster 2 in soft lens passage sheath system provided in an embodiment of the present invention
Structure schematic diagram；
Fig. 3 is the assembling schematic diagram of the sheath position adjuster 2 in Fig. 2 and soft lens channel sheath 3；
Fig. 4 is the structural representation after endoscope 1, sheath position adjuster 2 and soft lens channel sheath link together.
Specific embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is carried out clear, complete
Site preparation is described, it is clear that described embodiment is only a part of embodiment of the invention, rather than the embodiment of whole.It is based on
Embodiment in the present invention, it is every other that those of ordinary skill in the art are obtained under the premise of creative work is not made
Embodiment, belongs to the scope of protection of the invention.
Embodiments provide a kind of visual placement soft lens passage sheath system, including endoscope 1 and sheath position adjuster
2.Please refer to Fig. 1 and Fig. 2, wherein, Fig. 1 is in a kind of visual placement soft lens passage sheath system provided in an embodiment of the present invention
Endoscope 1 structural representation, Fig. 2 be it is provided in an embodiment of the present invention it is a kind of it is visual place soft lens passage sheath system in sheath
The structural representation of pipe position adjuster 2.
The endoscope 1 includes mirror body 11, outer telescop 12, eyepiece system and objective system；The eyepiece system is arranged on
In the mirror body 11；Instrument channel is provided with the outer telescop 12；The mirror body 11 is connected with the head end of the outer telescop 12；Institute
The end 121 for stating outer telescop 12 is taper；The objective system is arranged on inside the second end of the outer telescop 12；
The sheath position adjuster 2 includes localizer 21, handgrip fixed knob 22 and handgrip main body 23；The localizer 21
Inside it is provided with the grafting passage for the insertion of the outer telescop 12；The first end of the localizer 21 be provided with for the mirror body 11 pairs
The mirror body installation portion 25 for connecing；The mirror body installation portion 25 is provided with the locknut 26 for locking the mirror body 11；The localizer
21 the second end is provided with the sheath plug 24 docked for the sheath back seat near-end with soft lens channel sheath；
The handgrip fixed knob 22 is fixedly connected with the localizer 21；The handgrip main body 23 can relatively described handgrip
Fixed knob 22 is rotated and fixes rotational angle by the handgrip fixed knob 22；The handgrip main body 23 is provided with for fixing
The sheath handgrip 231 of the sheath back seat distal end of the soft lens channel sheath.
The instrument channel both may be inserted into guiding wire and be directed into mirror, and the end of outer telescop 12 infusion liquid can be injected again
End front.
Wherein, the eyepiece system includes eyepiece group (not shown), eyepiece hood 13, light guide bundleses joint 14 and liquid valve
15；The objective system includes objective lens (not shown) and light guide bundleses (not shown).Objective lens will can be entered during mirror
The real time imaging of reflection by with system transfers in mirror optics to the process of CCD video cameras, and distributed to monitor by video camera and
Photograph workstation.
As shown in figure 3, it is the assembling schematic diagram of the sheath position adjuster 2 in Fig. 2 and soft lens channel sheath 3.The soft lens leads to
Road sheath 3 includes sheath back seat 31 and the sheath 32 being connected with the sheath back seat distal end of the sheath back seat 31.Soft lens channel sheath 3 is being pacified
When being attached to the sheath position adjuster 2, rotate the handgrip main body 23, by the sheath back seat near-end of the soft lens channel sheath 3 with it is described
The sheath plug 24 of sheath position adjuster 2 is docked, and sheath handgrip of the handgrip main body 23 in the handgrip main body 23 is rotated again
231 positions that can fix the sheath back seat distal end, finally by the handgrip fixed knob 22 the handgrip main body 23 is fixed,
So as to the soft lens channel sheath 3 is installed on the sheath position adjuster 2.
Preferably, the localizer 21 includes localizer body 211 and is plugged on determining on the localizer body 211
Position device extending shaft 212；The localizer extending shaft 212 can be along the fore-aft travel of localizer body 211 and fixed.Therefore, institute
State the adjustable length of localizer 21.
Preferably, the maximum telescope external diameter of the outer telescop 12 is between Fr9-Fr12, so as to be adapted to the soft of different inner diameters
Mirror channel sheath 3.
It should be noted that above-mentioned soft lens channel sheath 3 and being not belonging to present disclosure, present disclosure is to pass through
The soft lens passage sheath system of endoscope 1 and the composition of sheath position adjuster 2 is realized visually precisely placing above-mentioned soft lens channel sheath
3。
The detailed description below visual course of work for placing soft lens passage sheath system provided in an embodiment of the present invention：
The apparatus preparatory stage 1, according to patient's condition, from suitable soft lens channel sheath 3, adjusted from matching sheath
Position device 2, such as adaptation active length be≤the sheath position adjuster 2 of 35cm soft lens channel sheath 3, or adaptation active length is >=45cm
The sheath position adjuster 2 of soft lens channel sheath 3, it is also possible to from multipurpose type sheath position adjuster 2.This case be adapted to active length as≤
As a example by the sheath position adjuster 2 of the soft lens channel sheath 3 of 35cm, internal diameter Fr12.
The apparatus preparatory stage 2, sheath position adjuster 2 is connected with endoscope 1, i.e., endoscope 1 is from the end 121 of outer telescop 12
Start to pass sequentially through sheath position adjuster 2, be finally connected the locknut 26 of sheath position adjuster 2 with mirror body 11 and fixed.
The apparatus preparatory stage 3, endoscope 1 is inserted into the soft lens channel sheath 3 that active length is 35mm, sheath plug 24 leads to soft lens
The sheath back seat near-end docking of road sheath 3 is closed up, and sheath handgrip 231 catches on the pipe 32 of soft lens channel sheath 3, fixes handgrip fixed knob 22,
Until sheath handgrip 231 is fixed each other with sheath back seat distal end.Fig. 4 is referred to, it is by endoscope 1, sheath position adjuster 2 and soft
Mirror channel sheath 3 link together after structural representation.
The apparatus preparatory stage 4, photographic head, cold light source, perfusion pump line respectively with the eyepiece hood 13, light guide bundleses of endoscope 1
Joint 14, liquid valve 15 connect, and open video camera, cold light source, charge pump (also can select and hang pattern that infusion bag is irrigated etc.).
Visually enter the sheath stage, under the Real time visible picture guiding that monitor is shown, slowly enter mirror, proceed to UPJ (renal pelvis
Urine output pipe jointing part) place, the scale (this case referred to as scale is UPJ scales) of the sheath 32 of soft lens channel sheath 3 is checked, record into mirror
Depth.Continue into mirror, the end 121 of outer telescop 12 proceeds to renal pelvis, and observes the renal pelvis within the vision of endoscope 1, renal calicess feelings
Condition, enters sheath stage such as stricture of ureter, tortuous, can place guiding wire, and under seal wire guiding mirror is slowly entered.
Move back mirror and put the sheath stage, move back mirror to UPJ scales, adjust handgrip fixed knob 22, unclamp sheath handgrip 231, indwelling is soft
Mirror channel sheath 3, exits endoscope 1, and insertion soft lens carries out related surgical.
Compared to prior art, the beneficial effect of the embodiment of the present invention is：Embodiments provide a kind of visual
Place soft lens passage sheath system, including endoscope and sheath position adjuster；The endoscope includes mirror body, outer telescop, eyepiece system
And objective system；The eyepiece system is arranged in the mirror body；Instrument channel is provided with the outer telescop；The mirror body and institute
State the head end connection of outer telescop；The end of the outer telescop is taper；The objective system is arranged on the end of the outer telescop
It is internal；The sheath position adjuster includes localizer, handgrip fixed knob and handgrip main body；It is provided with for described in the localizer
The grafting passage of outer telescop insertion；The first end of the localizer is provided with the mirror body installation portion for docking with the mirror body；Institute
State mirror body installation portion and be provided with locknut for locking the mirror body；Second end of the localizer be provided with for soft lens passage
The sheath plug of the sheath back seat near-end docking of sheath；The handgrip fixed knob is fixedly connected with the localizer；The handgrip main body can
Rotate relative to the handgrip fixed knob and rotational angle is fixed by the handgrip fixed knob；The handgrip main body is provided with use
In the sheath handgrip of the sheath back seat distal end of the fixation soft lens channel sheath.Because the end of the outer telescop of the endoscope is cone
Shape, can replace the obturator of used soft lens channel sheath, and the sheath position adjuster can play connection endoscope and soft
The effect of mirror channel sheath, before soft lens channel sheath 3 is placed, connects endoscope and soft lens channel sheath beforehand through sheath position adjuster
Together, soft lens channel sheath is stretched out in the end of the outer telescop of endoscope, will enter what is reflected during mirror by internal objective lens
Real time imaging, to the process of CCD video cameras, and is distributed to monitor and picture and text work by with system transfers in mirror optics by video camera
Stand.Therefore, the embodiment of the present invention is guided and positioned when soft lens channel sheath is placed using endoscope's real time imaging, is not required to by bed
X-ray machine or portable C-arm X-ray machine auxiliary positioning, overcome the defect that original X-ray irradiation is damaged to people, and are putting
Can precisely guide when putting soft lens channel sheath and position, it is to avoid intraoperative compliaction occur.
The above is the preferred embodiment of the present invention, it is noted that for those skilled in the art
For, under the premise without departing from the principles of the invention, some improvements and modifications can also be made, these improvements and modifications are also considered as
Protection scope of the present invention.
Claims (4)
1. it is a kind of visually to place soft lens passage sheath system, it is characterised in that including endoscope and sheath position adjuster；
The endoscope includes mirror body, outer telescop, eyepiece system and objective system；The eyepiece system is arranged on the mirror body
On；Instrument channel is provided with the outer telescop；The mirror body is connected with the head end of the outer telescop；The end of the outer telescop is
Taper；The objective system is arranged on the terminus inner of the outer telescop；
The sheath position adjuster includes localizer, handgrip fixed knob and handgrip main body；It is provided with for described in the localizer
The grafting passage of outer telescop insertion；The first end of the localizer is provided with the mirror body installation portion for docking with the mirror body；Institute
State mirror body installation portion and be provided with locknut for locking the mirror body；Second end of the localizer be provided with for soft lens passage
The sheath plug of the sheath back seat near-end docking of sheath；
The handgrip fixed knob is fixedly connected with the localizer；The handgrip main body can relatively described handgrip fixed knob turn
Move and rotational angle is fixed by the handgrip fixed knob；The handgrip main body is provided with for fixing the soft lens channel sheath
The sheath handgrip of sheath back seat distal end.
2. it is as claimed in claim 1 visually to place soft lens passage sheath system, it is characterised in that the eyepiece system includes eyepiece
Group, eyepiece hood, light guide bundleses joint and liquid valve；The objective system includes objective lens and light guide bundleses.
3. it is as claimed in claim 1 visually to place soft lens passage sheath system, it is characterised in that the localizer includes localizer
Body and the localizer extending shaft being plugged on the localizer body；The localizer extending shaft can be along the localizer sheet
Body fore-aft travel is simultaneously fixed.
4. the visual placement soft lens passage sheath system as described in any one of claims 1 to 3, it is characterised in that the outer telescop
Maximum telescope external diameter in Fr9-Fr12.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710016112.XA CN106618470B (en) | 2017-01-10 | 2017-01-10 | A kind of visual placement soft lens channel sheath system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710016112.XA CN106618470B (en) | 2017-01-10 | 2017-01-10 | A kind of visual placement soft lens channel sheath system |
Publications (2)
| Publication Number | Publication Date |
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| CN106618470A true CN106618470A (en) | 2017-05-10 |
| CN106618470B CN106618470B (en) | 2018-09-07 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710016112.XA Active CN106618470B (en) | 2017-01-10 | 2017-01-10 | A kind of visual placement soft lens channel sheath system |
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| CN (1) | CN106618470B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109171608A (en) * | 2018-08-31 | 2019-01-11 | 李广成 | A kind of tissue detects mirror |
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| CN202843574U (en) * | 2012-09-04 | 2013-04-03 | 沈阳沈大内窥镜有限公司 | Abdominocentesis device with endoscope |
| US20130165857A1 (en) * | 2011-12-22 | 2013-06-27 | Joseph A. O'Donnell | Handle having hub with rotating infusion sideport |
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| CN204336881U (en) * | 2014-08-10 | 2015-05-20 | 耿涛 | A kind of Novel visual endoscope guide sheath device |
| WO2015087910A1 (en) * | 2013-12-12 | 2015-06-18 | オリンパス株式会社 | Ultrasonic puncture needle |
| CN205019569U (en) * | 2015-07-16 | 2016-02-10 | 上海千山医疗科技有限公司 | Ureter guide sheath |
| CN206950148U (en) * | 2017-01-10 | 2018-02-02 | 广州医科大学附属第一医院 | A kind of visual placement soft lens passage sheath system |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201182594Y (en) * | 2008-04-11 | 2009-01-21 | 彭玉平 | Visual endoscope guide sheath |
| CN201782747U (en) * | 2010-09-15 | 2011-04-06 | 黄永斌 | Obturator for cystoscope |
| US20130165857A1 (en) * | 2011-12-22 | 2013-06-27 | Joseph A. O'Donnell | Handle having hub with rotating infusion sideport |
| CN202843574U (en) * | 2012-09-04 | 2013-04-03 | 沈阳沈大内窥镜有限公司 | Abdominocentesis device with endoscope |
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| WO2015087910A1 (en) * | 2013-12-12 | 2015-06-18 | オリンパス株式会社 | Ultrasonic puncture needle |
| CN204336881U (en) * | 2014-08-10 | 2015-05-20 | 耿涛 | A kind of Novel visual endoscope guide sheath device |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109171608A (en) * | 2018-08-31 | 2019-01-11 | 李广成 | A kind of tissue detects mirror |
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| Publication number | Publication date |
|---|---|
| CN106618470B (en) | 2018-09-07 |
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