CN109717955A - 用于提供与医疗工具并联的传感器的装置和系统 - Google Patents

用于提供与医疗工具并联的传感器的装置和系统 Download PDF

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CN109717955A
CN109717955A CN201811281218.3A CN201811281218A CN109717955A CN 109717955 A CN109717955 A CN 109717955A CN 201811281218 A CN201811281218 A CN 201811281218A CN 109717955 A CN109717955 A CN 109717955A
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W·S·克里姆斯基
J·B·斯托派克
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Covidien LP
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Abstract

本发明题为“用于提供与医疗工具并联的传感器的装置和系统”。本发明公开一种用于使用传感器套筒与外科手术工具的系统、装置和方法。在本公开的一个方面,传感器套筒包括管状主体,该管状主体限定中心纵向轴线并具有其中限定的管腔,该管状主体被构造成接收工具;多个传感器,该多个传感器附接到管状主体;缆线,该缆线从该管状主体朝远侧延伸;以及接口连接器,该接口连接器联接至该缆线并被构造成与导航系统进行交互。

Description

用于提供与医疗工具并联的传感器的装置和系统
背景技术
技术领域
本公开涉及医疗器械,并且更具体地,涉及应用于外科工具的导航传感器。
相关领域
医学规程中使用的工具包括诊断和治疗观察器。诊断和治疗观察器是可用于导航到患者的身体的不同区域并检测这些区域的装置。一种常用观察器为支气管镜。通常,支气管镜通过患者的鼻部或口部插入患者的气道中,并且可以延伸到患者的肺部中。典型的支气管镜包括具有用于照亮支气管镜的顶端的照明组件的细长柔性管,以及用于提供来自支气管镜的顶端的视频图像的成像组件。各种器械,例如诊断和治疗器械和/或工作通道可以通过支气管镜插入患者的气道中。
在患者体内进行导航时,可能需要确定支气管镜在患者体内的物理位置。一种用于确定支气管镜的物理位置的方法是通过使用放置在与支气管镜一起利用的工具或导管上的传感器。利用此类传感器的示例系统是目前由Medtronic PLC销售的ILOGIC电磁导航支气管镜(ILOGIC ELECTROMAGNETIC NAVIGATION BRONCHOSCOPY,ENB)系统。此类系统的详情描述于2004年3月29日由Gilboa提交并且题为“用于导航到分支结构中的目标的内窥镜结构和技术(ENDOSCOPE STRUCTURES AND TECHNIQUES FOR NAVIGATING TO A TARGET INBRANCHED STRUCTURE)”的共同转让的美国专利7,233,820中,该专利的完整内容以引用方式并入本文。虽然美国专利7,233,820中所述的系统是相当胜任的,但始终需要开发对此类系统的改进和添加。
发明内容
根据本公开的实施方案提供用于与工具一起使用的传感器套筒。在本公开的一个方面,传感器套筒包括管状主体,该管状主体限定中心纵向轴线并具有其中限定的管腔,该管状主体被构造成接收工具;多个传感器,该多个传感器附接到管状主体;缆线,该缆线从该管状主体朝远侧延伸;以及接口连接器,该接口连接器联接至该缆线并被构造成与导航系统进行交互。
在本公开的另一方面,缆线包括被构造成将缆线固定到工具的多个附接件。
在本公开的另一方面,该多个附接件为o型环。
在本公开的另一方面,该多个附接件为粘结垫。
在本公开的另一方面,该管腔具有至少部分地由润滑材料制造的内表面。
在本公开的另一方面,该管状主体至少部分地由柔性生物相容性材料制造。
在本公开的另一个方面,管状主体是圆柱形的。
在本公开的另一个方面,该多个传感器选自由以下项组成的组:电磁(EM)传感器、超声传感器、光学传感器、以及压电聚偏氟乙烯(PVDF)膜。
在本公开的又一个方面,管状主体还包括沿着在平行于中心纵向轴线的方向中延伸的第一轴线铰接在一起的第一壳体和第二壳体。
在本公开的另一个方面,传感器套筒还包括附接至第一壳体的多个卡扣和附接至第二壳体的多个凹槽。
在本公开的又一个方面,第一壳体和第二壳体能够沿着第一轴线以铰接方式打开。
在本公开的另一方面,该管状主体被构造成从第一位置转变到第二位置。
在本公开的另一方面,第一位置为打开的,并且第二位置为闭合的。
在本公开的又一个方面,当处于第一位置时,第一壳体和第二壳体是半圆柱形的。
在本公开的另一个方面,当处于第二位置时,第一壳体和第二壳体沿着在平行于中心纵向轴线和第一轴线的方向中延伸的第二轴线连接。
在本公开的又一个方面,当处于第二位置中时,该多个卡扣和该多个凹槽可配合地接合。
在本公开的另一方面,该管状主体至少部分地由半刚性生物相容性材料制造。
在本公开的又一个方面,管状主体还包括沿着在平行于中心纵向轴线的方向中延伸的第一轴线的开口狭缝。
在本公开的另一个方面,管状主体被构造成沿着开口狭缝从打开位置转变到闭合位置,并且在闭合位置中是自偏置的。
附图说明
在参照附图阅读其各种实施方案的描述时,本发明所公开的装置和方法的对象和特征对于本领域的普通技术人员将显而易见,其中:
图1为根据本公开的一个实施方案的传感器套筒的图示;
图2A为根据本公开的第二实施方案的传感器套筒处于闭合位置中的图示;
图2B为根据本公开的第二实施方案的图2A的传感器套筒处于打开位置中的图示;
图3为根据本公开的一个实施方案的包括光学传感器的传感器套筒的图示;
图4A为用于与本公开的传感器套筒一起使用的观察器的图示;
图4B为用于与本公开的传感器套筒一起使用的支气管内光学传感器(EBUS)支气管镜工具的图示;
图5A至图5C是根据本公开的一个实施方案与图4A的观察器一起使用的图1的传感器套筒在不同阶段的依次操作图示;
图6为根据本公开的一个实施方案与图4B的EBUS支气管镜工具一起使用的图2A和图2B的传感器套筒的图示;并且
图7示出可与本公开一起使用的支气管内导航系统。
具体实施方式
本公开涉及用于提供与手术工具并联的传感器的装置和系统。更具体地,本公开涉及用于用导航、可视化和/或其他传感器改装各种手术工具的装置,诸如支气管镜、胃镜、内窥镜、以及超声检查仪(在下文中称为“工具”)。除上述工具以外,本领域的技术人员将认识到下文描述的传感器和传感器套筒也可以适配到其他手术工具,诸如腹腔镜工具、胸腔镜工具、经皮工具等。虽然下文描述为附接到观察器和具有管腔的其他装置,但是本领域的技术人员将会认识到传感器和传感器套筒也可以与不具有管腔的工具一起使用。传感器可包括为改装工具提供位置确认以及在适当时进一步可视化和成像能力的电磁(EM)传感器、光学传感器、超声传感器以及其他传感器。光学传感器的类型包括共焦、近红外、拉曼光谱、光学相干断层摄影、窄带等。可与本公开一起使用的传感器类型的其他示例包括被构造成检测正电子发射断层显像(PET)快速损伤的代谢和/或热传感器、被构造成检测注射到身体中以检测它们聚集之处的放射性核素的辐射传感器、以及pH相关性传感器和/或蛋白质传感器、以及其他传感器。
图1示出本公开的第一实施方案,其示出用于能够追踪工具的位置的柔性传感器套筒100(图4A)。传感器套筒100通常包括管状主体102和缆线104。管状主体102是中空管状构件,其具有延伸穿过其中并限定中心纵向轴线的管腔106。管状主体102包括远侧部分108、近侧部分110、外表面112和内表面114。如图1所示,在管状主体102的外表面112上包括一个或多个传感器116。在其他实施方案中,一个或多个传感器116位于形成管状主体102的材料内的外表面112与内表面114之间。
如图1所示,管状主体102是圆柱形的。预期对于传感器套筒100,管状主体102的直径范围为约2mm至约6mm并且能够在类似尺寸的工具上滑动地配合。在一些实施方案中,传感器套筒100包括位于远侧部分108处的顶盖(未示出),该顶盖防止工具在完全插入传感器套筒100中时就进一步纵向运动。另选地,管状主体102可包括直径减小的邻近远侧部分108的区域,一旦完全插入,工具就无法越过。在其他实施方案中,如图1、图5C和图6所示,传感器套筒100和200不具有顶盖,但由于由管状主体102和插入的工具的界面产生的摩擦而保持固定。
预期传感器套筒100由柔性生物相容性材料诸如硅氧烷、氨基甲酸酯、热塑性弹性体、聚烯烃、烯烃共聚物和乙烯基聚合物制造。内表面114可以由足够润滑使得它们允许工具诸如图4A的支气管镜400滑动地插入的材料形成。如本领域的技术人员将理解的,管状主体102的润滑性与摩擦配合之间的协调将导致采用适当材料。
一个或多个传感器116为例如EM传感器(诸如美国专利7,233,820中所述的那些)、光学成像传感器、超声传感器(诸如压电聚乙烯(PVDF)膜)、和/或它们的组合。在一些实施方案中,一个或多个传感器116被制造到传感器套筒100的管状主体102上。在其他实施方案中,一个或多个传感器116可以是允许沿着管状主体102的整个长度感测形状和/或取向数据的光学形状感测纤维。虽然示出为传感器套筒100的管状主体102上的多个环,但预期一个或多个传感器116可形成提供位置信息的其他构形和形状。在利用超声传感器的示例中,在另一个实施方案中,一个或多个传感器116位于传感器套筒100的远侧部分108处,使得当使用传感器套筒100时,可进行超声成像。一个或多个传感器116可被构造成通过有线和/或无线连接来连接到工作站诸如工作站780(图7)。例如,一个或多个传感器116可通过缆线104中包括的一条或多条导线和/或通过无线连接(诸如蓝牙连接)连接到工作站780。在实施方案中,一个或多个传感器116可包括具有有线和/或无线通信能力的印刷电路板,以用于传递图像数据和/或其他询问或感测的数据。一个或多个传感器116还可包括电池和/或其他无线功率容量。
在使用EM传感器的实施方案中,一旦附接到工具,一个或多个传感器116就创建一种六自由度的EM跟踪系统(类似于在美国专利6,188,355和公布的PCT申请WO 00/10456和WO 01/67035中所公开的那些,其各自的全部内容均以引用方式并入本文,或任何其他合适的位置测量系统),以用于执行导航并且如图7的详细描述中进一步描述的。
缆线104示出为联接到管状主体102的近端部分110并且包括一个或多个附接件118。在一个实施方案中,如图1所示,一个或多个附接件118为o型环,其被构造成滑动地接收工具的主体并且摩擦地将工具的主体附接到缆线104。在另一个实施方案中,并且如图2A、图2B和图3所示,一个或多个附接件118是被构造成将缆线104粘接性地附接到工具的主体的粘合片。还预期缆线104在近端处包括被构造成与导航系统或成像系统(诸如超声成像系统)进行交互的一个或多个接口连接器(未示出),如图7所示。一个或多个接口连接器可以是呈通用串行总线(USB)3.0、两杈或三杈电源插头和/或香蕉插头的形式。
现在参见图2A和图2B,示出刚性或半刚性传感器套筒200的第二实施方案的图示。如图2B的说明中进一步详细描述,传感器套筒200能够从第一闭合位置(图2A)打开至第二打开位置(图2B)。如图2A所示,类似于图1的传感器套筒100,传感器套筒200具有管状主体102和缆线104。管状主体102包括延伸穿过其中并限定纵向轴线的管腔106、远侧部分108、近侧部分110、外表面112和内表面114。在管状主体102的外表面112上包括一个或多个传感器116。在其他实施方案中,一个或多个传感器116位于外表面112和内表面114之间,这取决于所利用的传感器的类型。另外,在管状主体102的外表面112上的传感器套筒200中包括一个或多个卡扣202和一个或多个凹槽204,如图2A示出在闭合位置中。一旦处于闭合位置,就在一个或多个卡扣202与一个或多个凹槽204之间沿轴线“B”形成连接。如图2A进一步示出,在传感器套筒200转变到打开位置中时,轴“B”分开传感器套筒200的第一部分“I”和第二部分“II”。
类似于图1,如图2A所示,管状主体102是圆柱形的。预期对于传感器套筒200,管状主体102的直径范围为2mm至6mm并且能够在类似尺寸的小工具上卡扣配合,并且由刚性或半刚性的和柔性润滑生物相容性材料诸如硅氧烷制造。
现在参见图2B,示出了处于打开位置中的传感器套筒200。如图2B所示,传感器套筒200能够围绕纵向轴线“A”铰接地打开。一旦处于打开位置,传感器套筒200分离成第一部分“I”和第二部分“II”,并且每个部分通过铰链206沿着轴线“A”连接。如图2B所示,缆线104附接到第一部分“I”。预期缆线104可附接到第一部分“I”或第二部分“I I”。
一个或多个卡扣202示出为多个插片,并且多个凹槽204之一示出为被构造成接收一个或多个卡扣202的凹槽。一个或多个凹槽204和一个或多个按扣202各自沿着管状主体102的边缘B和B'示出。一旦闭合,边缘“B”和“B’”具有配对以将管状主体102固定在工具102周围的凹槽204和卡扣202。虽然传感器套筒200示出为处于铰接地打开的位置中的刚性或半刚性套筒,其中一个或多个凹槽204和一个或多个卡扣202一起用于在闭合位置中时固定传感器套筒200,在其他实施方案中类似于传感器套筒200的传感器套筒不包括一个或多个凹槽204和一个或多个卡扣202并且由自偏置的柔性材料制造,基于制造材料,在闭合位置中具有限定边缘“B”和“B’”的开口狭缝。在此实施方案中,使用者可能打开传感器套筒,插入工具,诸如图4A和图4B所示的那些,并且允许传感器套筒200的材料的弹性闭合在工具周围并将管状主体102固定到工具。
图3示出类似于传感器套筒100但包括光学成像传感器的传感器套筒300。在管状主体102内包括一个或多个光纤缆线302和一个或多个光学传感器304。如图3所示,一个或多个光纤缆线302位于管状主体102内部,在外表面112与内表面114之间。
光纤缆线302示出为制造在管状主体102内,并且在整个管状主体102中从近侧部分110延伸至远侧部分108。光纤缆线302用于从传感器套筒300的远端部分108发射光,其可由一个或多个光学传感器304反射并接收。光纤缆线通过缆线104从远侧部分108延伸穿过管状主体102。另选地,它们可以形成在外表面112上。预期光学传感器304可以单独使用或与一个或多个传感器116结合使用。这种构型可尤其适合与支气管内光学传感器(EBUS)观察器或径向支气管内超声传感器(REBUS)观察器一起使用,不仅能够超声成像,而且还能够EM导航(如以上所述)和光学成像。如图3所示,示出多个光纤缆线,然而仅有一条为必要的,并且使用多个光学传感器可实现更清晰的视图和更宽广的视野。这可通过基于由一个或多个光学传感器304接收的组合光学数据形成复合图像来实现。
图4A和图4B示出可采用传感器套筒100、200和/或300的工具400、450的两个示例。图4A示出用于查看患者的气道内部的图像的工具400的远侧部分。工具400包括插入患者的气道中的主体部分402。主体部分402包括表面404和远侧面406,其包括被构造成允许光学查看患者的气道的成像透镜408和多个工作通道410。如本文所述,传感器套筒100、200和/或300被构造成接收工具400或尺寸类似于工具400的另一个工具。
图4B示出具有用于在超声规程期间使用的经支气管针452的EBUS 450。EBUS 450包括在主体458的远侧部分456处的超声成像器件454。一般来讲,超声成像器件454允许临床医生利用超声对支气管内结构进行成像。任选地,在一些情况下,EBUS 450可包括可回缩通道460,通过该可回缩通道可以插入可回缩经支气管针452。基于所描绘的构型,在超声可视化下可获得组织样品。一般来讲,可回缩通道460是中空管,通过该中空管可推进可伸缩的经支气管针452。在图4B的示例中,可回缩通道460和可回缩经支气管针452各自以完全延伸位置示出。在完全回缩位置中,可回缩通道460和可回缩经支气管针452均位于EBUS 450的内部。
现在参见图5A至图5C,示出工具400的图示,该工具在三个阶段由传感器套筒100接收。图5A示出在方向“D”中插入传感器套筒100之前的工具400。如图5A所示,工具400完全位于传感器套筒100的管腔106外部,其中工具400的远端面406与传感器套筒的近侧部分110对准。在图5A至图5C所示的实施方案中,一个或多个附接件118为o型环,并且在工具400插入传感器套筒100中之前,工具400通过一个或多个附接件118中的每一个插入。在其中一个或多个附接件118为粘合片的另一个实施方案中,在工具400插入的这个阶段期间,一个或多个附接件118未粘附到工具400的表面404。
图5B示出在方向“D”中部分地插入传感器套筒100中的工具400。如图5B所示,传感器套筒100已接收工具400的远侧面406。一旦接收,预期传感器套筒100的内表面114将与工具400的表面404发生物理接触。由于内表面114通常由足够润滑的材料制造,因此工具400能够由传感器套筒100滑动地接收,同时还保持摩擦接合。另外,传感器套筒100可由弹性材料形成,从而允许其稍微展开以接收工具400并将传感器套筒100固定到工具400。
现在参见图5C,工具400示出为由传感器套筒100完全接收。一旦工具400完全插入传感器套筒100中,则传感器套筒100的远侧部分108与工具400的远侧表面406平行。如图5C所示,工具400示出为插入穿过一个或多个附接件118中的每一个,这些附接件示出为在工具400的主体402周围的o型环。在其他实施方案中,一个或多个附接件118是附接到工具400的表面404的粘合附接件。预期一旦完全插入传感器套筒100中,工具400就与传感器套筒100摩擦接合,使得在将工具400插入患者的气道中并在其中移动之后,传感器套筒100保持与工具400接合。
类似于图5C,图6示出具有由传感器套筒200完全接收的经支气管针452的EBUS450。如图6所示,可回缩经支气管针452从EBUS 450的主体458横向延伸。如图2A和图2B的描述所示,在将EBUS 400插入传感器套筒200之前,传感器套筒200可通过从一个或多个凹槽204分离一个或多个卡扣202并且将EBUS 420插入传感器套筒200中来打开。一旦插入EBUS400,可通过将一个或多个卡扣202与一个或多个凹槽204连接来闭合EBUS 450周围的传感器套筒200。在围绕EBUS 450闭合传感器套筒200后,传感器套筒200可以朝向可回缩通道460滑动地运动。一旦朝向可回缩通道460滑动地移动,一个或多个附接件118可粘结性地附接到EBUS 400的主体458的表面。在其他实施方案中,一个或多个附接件118是o型环,其滑动地接合在EBUS 400的主体458周围。预期一旦完全插入传感器套筒200,EBUS 450就与传感器套筒200摩擦接合,使得在患者的气道内运动并将插入该气道中期间,传感器套筒200保持与EBUS 450接合。尽管使用传感器套筒200示出,但如在图4的描述中所述,可回缩通道460和可回缩经支气管支针452可回缩到EBUS 400中,并且一旦回缩到EBUS 400中,就可通过类似于传感器套筒100、300和本文所述那些的传感器套筒来接收EBUS 400。
现在参见图7,示出与本公开结合使用的EM导航(EMN)系统710。EMN系统710通常包括手术台740,其被构造成支撑患者;支气管镜750(诸如工具400),其被构造成用于通过患者的口部和/或鼻部插入该患者的气道中;监测设备760,其联接到支气管镜750以用于显示从支气管镜750接收的视频图像;跟踪系统770,其包括跟踪模块772、多个参照传感器774、以及EM场发生器776;以及工作站780,其包括用于便于路径规划、确定目标区域和到目标区域的导航的软件和/或硬件。
如图7所示,其示出患者躺在手术台740上,其中工具400与传感器套筒100附接并且通过患者的口部插入并进入患者的气道。工具400包括光源和视频成像系统(未明确显示)并联接到监测设备760,例如,视频显示器,用于显示接收来自工具400的视频成像系统的视频图像。如图7所示,传感器套筒利用一个或多个附接件118附接到工具400,该一个或多个附接件示出为滑动地接收工具400的o型环。缆线104示出为与监测设备760和跟踪模块772进行交互。
如图7进一步示出,EM场发生器776定位在患者下方。EM场发生器776和多个参照传感器774与跟踪模块772互连,从而获取各个参照传感器774的六自由度位置。跟踪模块772被构造成在患者体内与工具400结合运动时跟踪一个或多个传感器116的位置。根据本公开的一个方面,EM场由EM场发生器776生成。一个或多个传感器116的位置以及因此工具400的位置可基于由EM场在一个或多个传感器116中感应到的电流来测定。该感应电流被供给至工作站180,该工作站包括应用程序781并且可将检测到的电流转换为映射到由EM场发生器所生成的场的位置。采用EM场的此跟踪系统的示例是目前由Medtronic PLC提供的SUPERDIMENSION导航系统。类似地,一个或多个参考传感器774一旦附接到患者的胸部,就允许六个自由度的坐标发送至工作站180,该工作站包括来自一个或多个参考传感器774的数据用于计算患者坐标参照系的应用程序781。
在另一个实施方案中,一个或多个传感器116相对于患病组织的位置可基于在一个或多个传感器116周围的组织的阻抗特性来测定。在身体的任何部分中,患病组织将具有与周围组织不同的特性,并且因此可鉴别患病组织的距离将发生改变。例如,根据疾病的类型,患病组织可被鉴别为距离传感器116至多2厘米或甚至至多4厘米。因此,例如肺部的患病区域可具有与周围正常组织不同的阻抗特性,使得声音信号将以不同频率从所发送的信号返回(甚至没有将其转换成图像)。这类似地适用于返回光学波长(可见光、红外光或紫外线)的光谱。相同的概念适用于代谢、辐射和其他类型的传感器。通过使用此类基于频率的询问方法,可基于周围组织的阻抗特性来确定在诊断或治疗位置处一个或多个传感器116(以及因此工具400)相对于健康组织和患病组织的放置。
基于前述公开内容,工具能够用传感器套筒改装,该传感器套筒提供与工具一起使用的独立传感器。目前公开的外科系统和设备的实施方案参考附图详细描述,其中类似参照数字标识类似或相同的元件。在附图中以及在前述描述中,术语“近侧”应理解为是指在适当使用期间最靠近使用者的设备的部分或端部或其部件,而术语“远侧”应理解为是指在适当使用期间距离使用者最远的设备的部分或端部或其部件,与本领域的传统和常规情况一样。这些具体实施方案仅是本公开的示例,其可能以多种形式体现。因此,本文所公开的特定的结构和功能细节不应理解为限制性的,而仅是权力要求书的基础,并作为具有代表性的基础用于允许本领域技术人员以基本上任何合适的具体结构不同地运用本公开。

Claims (15)

1.一种用于与工具一起使用的传感器套筒,所述传感器套筒包括:
管状主体,所述管状主体限定中心纵向轴线并且具有限定穿过其中的管腔,所述管状主体被构造成接收工具;
多个传感器,所述多个传感器附接到所述管状主体;
缆线,所述缆线从所述管状主体朝远侧延伸;以及
接口连接器,所述接口连接器联接到所述缆线并被构造成与导航系统进行交互。
2.根据权利要求1所述的传感器套筒,其中所述缆线包括被构造成将所述缆线固定到所述工具的多个附接件。
3.根据权利要求2所述的传感器套筒,其中所述多个附接件是o型环。
4.根据权利要求2所述的传感器套筒,其中所述多个附接件是粘结垫。
5.根据权利要求1所述的传感器套筒,其中所述管腔具有至少部分地由润滑材料制造的内表面。
6.根据权利要求1所述的传感器套筒,其中所述管状主体至少部分地由柔性生物相容性材料制造。
7.根据权利要求1所述的传感器套筒,其中所述管状主体是圆柱形的。
8.根据权利要求1所述的传感器套筒,其中所述多个传感器选自由以下项组成的组:电磁(EM)传感器、超声传感器、光学传感器和压电聚偏氟乙烯(PVDF)膜。
9.根据权利要求1所述的传感器套筒,其中所述管状主体还包括沿着在平行于所述中心纵向轴线的方向中延伸的第一轴线铰接在一起的第一壳体和第二壳体。
10.根据权利要求9所述的传感器套筒,还包括:
附接到所述第一壳体的多个卡扣;以及
附接到所述第二壳体的多个凹槽。
11.根据权利要求10所述的传感器套筒,其中所述第一壳体和所述第二壳体能够沿着所述第一轴线以铰接方式打开。
12.根据权利要求10所述的传感器套筒,其中所述管状主体被构造成从第一位置转变到第二位置。
13.根据权利要求12所述的传感器套筒,其中所述第一位置是打开的,并且所述第二位置是闭合的。
14.根据权利要求13所述的传感器套筒,其中在所述第一位置中时,所述第一壳体和所述第二壳体是半圆柱形的。
15.根据权利要求13所述的传感器套筒,其中在所述第二位置中时,所述第一壳体和所述第二壳体沿着在平行于所述中心纵向轴线和所述第一轴线的方向中延伸的第二轴线连接。
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