CN110338745B - Anus speculum and using method thereof - Google Patents

Anus speculum and using method thereof Download PDF

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Publication number
CN110338745B
CN110338745B CN201910644255.4A CN201910644255A CN110338745B CN 110338745 B CN110338745 B CN 110338745B CN 201910644255 A CN201910644255 A CN 201910644255A CN 110338745 B CN110338745 B CN 110338745B
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Prior art keywords
liquid outlet
tail end
lens cone
lens
pipe
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Expired - Fee Related
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CN201910644255.4A
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Chinese (zh)
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CN110338745A (en
Inventor
张立泽
朱世新
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Affiliated Hospital of University of Qingdao
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Affiliated Hospital of University of Qingdao
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/012Instruments 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 characterised by internal passages or accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/06Instruments 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 with illuminating arrangements
    • A61B1/07Instruments 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 with illuminating arrangements using light-conductive means, e.g. optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/31Instruments 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 the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention relates to the technical field of medical equipment, in particular to an anal speculum and a using method thereof, and the anal speculum comprises a lens cone, a lens core and a rubber liquid storage bag, wherein the head end of the lens cone is provided with a circular truncated cone-shaped cylinder body which is integrally or separately connected, the lens core is inserted from the tail end of the lens cone and is exposed after penetrating through the circular truncated cone-shaped cylinder body, the tail end of an elastic corrugated sleeve is fixed at the tail end of the lens cone in a sealing manner, the head end of the elastic corrugated sleeve is provided with a circular sleeve, the circular sleeve is sleeved on the lens cone in a sliding manner, the cylinder wall along the axial direction of the tail end of the lens cone is provided with a plurality of groups of infusion channels and liquid outlet channels, the tail end of the liquid outlet channels is sealed, the head ends of the infusion channels and the liquid outlet channels are connected through a pipe I, the tail end of the infusion channels is connected with a pipe II, the rubber liquid storage bag is connected with the pipe II, and the lens cone is provided with a liquid outlet hole communicated with the liquid outlet channels. The invention has simple structure, can be cleaned and used repeatedly, is convenient to use, has high operation efficiency and can not cause the injury in the anus.

Description

Anus speculum and using method thereof
Technical Field
The invention relates to the technical field of medical instruments, in particular to an anoscope and a using method thereof.
Background
At present, the known anoscope structure mainly comprises an endoscope tube and an inner core, wherein the cylindrical head of the inner core is provided with a bulge, the outer diameter of the inner core is (slightly) smaller than the inner diameter of the endoscope tube, so that the inner core can be just sleeved into the endoscope tube, and the bulge part at the front end of the inner core just extends out of the endoscope tube. In the operation of anorectal surgery, the operator uses the anoscope that will overlap there is the inner core to insert the anus, and is fixed with the mirror tube on the skin of anus through sewing up the mirror edge afterwards, mirror tube alright with prop open the anal canal sphincter that constitutes the anal canal, pull out the inner core this moment, see through mirror tube alright with seeing the tissue condition of anal canal depths, make things convenient for in the operation. The length of the anal canal of a person is about 4 cm generally, but the length of the anal canal of each person is not completely the same due to individual difference of patients, the length of the anal canal of a patient with short stature is about 3-4 cm generally, and the length of the anal canal of a patient with high stature is 4-6 cm generally.
If the authorization notice number CN106256311B discloses an anoscope, the structure is simple, the use is convenient, and the observation tube matched with the lens cone is used, and the illuminating optical fiber is embedded on the inner wall of the observation tube, so that enough illumination can be conveniently provided for a doctor to observe the focus of a patient. However, this solution also has the following problems: when the endoscope core is inserted into the anus, the anus is not smooth enough, and the endoscope tube is inserted into the anus, so that the anus is possibly damaged due to too dry and too large friction force.
When the anus speculum is inserted, the anus speculum is inserted according to the scales of the scale marks, the defect that the length of the speculum tube is fixed in the prior art can be overcome, and in addition, the speculum edge and the fixed rubber sleeve are arranged, so that the speculum tube can be fixed and the speculum edge can be prevented from falling off. Although the scheme considers that the inside of the anus is not smooth enough and the insertion may cause damage in the anus, the lubricating liquid is discharged from the discharge hole at the top of the inner core, and under the condition that the lubricating liquid is added through the discharge hole, a large part of the lubricating liquid enters the anus and flows into the tail end of the rectum, so that the lubricating effect is small, the observation is influenced, the condition that the outflow of the lubricating liquid causes pollution is not considered, and the lubricating liquid flowing out in the operation is not cleaned in time.
Disclosure of Invention
The present invention is directed to an anoscope and a method of using the anoscope to solve the problems set forth above in the background art. The anal speculum and the using method thereof have the advantages of simple structure, repeated cleaning and use, convenient use, high operation efficiency and no injury in the anus.
In order to achieve the purpose, the invention provides the following technical scheme:
the utility model provides an anal speculum, includes lens cone, mirror core and rubber reservoir, the head end of lens cone has the round platform form barrel of body coupling or split type connection, the mirror core inserts from the tail end of lens cone to expose after passing round platform form barrel, the cover is equipped with the elasticity ripple sleeve pipe on the lens cone, and the tail end of this elasticity ripple sleeve pipe is sealed to be fixed at the tail end of lens cone, and circular cover is installed to the head end of elasticity ripple sleeve pipe, circular cover slip cap is established on the lens cone, along a plurality of groups infusion passageway and liquid outlet channel have been seted up on the section of thick bamboo wall of lens cone tail end axial direction, liquid outlet channel's tail end is sealed, the head end of infusion passageway, liquid outlet channel passes through pipe I and connects, the trailing end connection of infusion passageway has pipe II, the rubber reservoir is connected in pipe II, set up the liquid outlet hole with liquid outlet channel intercommunication on the lens cone.
Preferably, a boss is sleeved at the tail end of the lens cone, the diameter of the circular sleeve is larger than that of the boss, the tail end of the elastic corrugated sleeve is hermetically mounted with the boss, a sealing ring is mounted on the circular sleeve, the sealing ring is movably sleeved on the lens cone, and a check valve is arranged on the tube II.
Preferably, the infusion channels and the liquid outlet channels are provided with six groups, the six groups of infusion channels and the liquid outlet channels are distributed in the wall of the lens barrel at equal intervals, the infusion channels are connected with the liquid outlet holes through liquid outlet channels, and the tail ends of the six groups of liquid outlet channels are connected with the pipe II after being communicated through the pipe III.
Preferably, the inner diameter of the liquid outlet channel is larger than that of the infusion channel.
Preferably, the tail end of the infusion channel is sealed by a sealing plug.
Preferably, at least one optical fiber is embedded in the inner wall of the lens barrel, and the tail end of the optical fiber is connected with a light source which is arranged outside and is driven by a power supply.
Preferably, the boss is provided with a grab handle and is hinged with a baffle.
Preferably, the end of the circular sleeve far away from the elastic corrugated sleeve pipe is provided with an inward concave groove.
A method of using an anoscope, comprising the steps of:
(1) the lens core is sleeved in the lens barrel, the rubber liquid storage bag is filled with lubricating liquid, the handle on the lug boss is held by hand, the blocking piece is rotated to press the lens core, and the head end of the lens core firstly performs expansion preparation on the anus;
(2) the head end of the lens core is inserted until the lens barrel is sent into the anus through the circular truncated cone-shaped barrel, at the moment, the rubber liquid storage bag is pressed by holding the lens barrel, and lubricating liquid enters the infusion channel through the liquid outlet channel and then flows out of the liquid outlet hole;
(3) the lens cone is inserted into the anus smoothly, the circular sleeve compresses the liquid leakage hole of the elastic corrugated sleeve, and the lens cone is inserted into the anus easily until the expansion is finished;
(4) then the lens core is pulled out, the light source is powered on, and the lens is removed for observation.
Compared with the prior art, the invention has the beneficial effects that:
the lubricant in the rubber liquid storage bag is pressed by holding the hand until the lubricant is discharged to the surface of the lens cone through the liquid conveying channel and the liquid outlet channel, so that the inner part of the anus is smooth enough, and when the lens cone is inserted into the inside, the excessive drying is avoided, thereby reducing the friction force and avoiding the damage in the anus;
the lubricating liquid flowing out of the surface of the lens cone in the operation process can be buffered and blocked by the inward sunken grooves of the circular sleeve and falls into the elastic corrugated sleeve, so that leakage is avoided, and pollution is avoided;
lubricating liquid can flow to the surface of the lens cone only when the liquid outlet hole is exposed by the round sleeve compressing the elastic corrugated sleeve, and the lubricating liquid plays a role in the operation process (namely when the lens cone is inserted into an anus to expand), so that the operation is facilitated;
the invention has simple structure, repeated cleaning and use, convenient use and high operation efficiency.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view showing the distribution of the infusion channel and the liquid outlet channel in the wall of the lens barrel according to the present invention;
FIG. 3 is a schematic view of the circular sleeve and the upper sealing ring and the lens barrel of the present invention;
FIG. 4 is a schematic view of an inwardly recessed groove in one end of a circular sleeve according to the present invention;
fig. 5 is a schematic view showing the elastic bellows sleeve compressed when the lens barrel of the present invention is inserted into the anus.
In the figure: the device comprises a lens barrel 1, a lens core 2, a truncated cone-shaped barrel 3, a boss 4, an elastic corrugated sleeve 5, a circular sleeve 6, a transfusion channel 7, a liquid outlet channel 8, an optical fiber 9, a light source 10, a rubber liquid storage bag 11, a tube II 12, a liquid outlet hole 13, a tube I14, a liquid outlet channel 15, a sealing plug 16, a sealing ring 17, a grab handle 18 and a blocking piece 19.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1 to 5, the present invention provides a technical solution:
an anal speculum comprises a lens cone 1, a lens core 2 and a rubber liquid storage bag 11, wherein for convenience of description, the direction A in figures 1, 3 and 5 is a head end, the opposite direction is a tail end, the head end of the lens cone 1 is provided with a circular truncated cone-shaped barrel body 3 which is integrally or separately connected, the lens core 2 is inserted from the tail end of the lens cone 1 and is exposed after penetrating through the circular truncated cone-shaped barrel body 3, the circular truncated cone-shaped barrel body 3 is convenient to insert into an anus during operation, the lens cone 1 is sleeved with an elastic corrugated sleeve pipe 5, the tail end of the elastic corrugated sleeve pipe 5 is fixed at the tail end of the lens cone 1 in a sealing manner, the head end of the elastic corrugated sleeve pipe 5 is provided with a circular sleeve 6, the circular sleeve 6 is sleeved on the lens cone 1 in a sliding manner, a plurality of groups of infusion channels 7 and liquid outlet channels 8 are arranged on the axial direction of the tail end of the lens cone 1, the tail end of the liquid outlet channels 8 is sealed, the head ends of the infusion channels 7 and the liquid outlet channels 8 are connected through a pipe I14, the tail end of the infusion channel 7 is connected with a tube II 12, the rubber liquid storage bag 11 is connected with the tube II 12, and the lens barrel 1 is provided with a liquid outlet hole 13 communicated with the liquid outlet channel 8.
The tail end of the lens cone 1 is sleeved with a boss 4, the diameter of the circular sleeve 6 is larger than that of the boss 4, the tail end of the elastic corrugated sleeve 5 is hermetically arranged with the boss 4, the round sleeve 6 is provided with a sealing ring 17, the sealing ring 17 is movably sleeved on the lens cone 1, the tube II 12 is provided with a one-way valve (not shown), when the lens cone 1 is inserted into an anus, as the circular sleeve 6 is blocked at the anus, therefore, the elastic corrugated sleeve 5 can be compressed when the lens cone 1 is inserted, the liquid outlet hole 13 is leaked, so that the lubricant such as paraffin oil, vaseline and the like in the rubber liquid storage bag 1 is discharged to the surface of the lens cone 1 through the liquid outlet hole 13, the internal part of the anus is smooth enough, when the lens cone 1 is inserted into the anus, the excessive drying is avoided, thereby reducing friction force, causing no damage in the anus, and the one-way valve prevents the backflow of the lubricating liquid (used in the elastic corrugated sleeve 5).
The number of the liquid channels 7 and the liquid outlet channels 8 is set according to the actual situation, in this embodiment, six groups of the liquid conveying channels 7 and the liquid outlet channels 8 are arranged and are distributed in the cylinder wall of the lens barrel 1 at equal intervals, the liquid conveying channels 7 are connected with the liquid outlet holes 13 through liquid outlet channels 15, and the tail ends of the six groups of the liquid outlet channels 8 are connected with the tube II 12 after being communicated through the tube III.
The inner diameter of the liquid outlet channel 8 is larger than that of the liquid conveying channel 7, if the inner diameter of the liquid outlet channel 8 is 1.2 times that of the liquid conveying channel 7, the rubber liquid storage bag 11 is pressed by holding with a hand, the amount of the lubricating agent in the liquid outlet channel 8 is larger than that in the liquid conveying channel 7, the lubricating agent in the liquid conveying channel 7 continuously enters, pressure difference exists between the liquid outlet channel 8 and the liquid conveying channel 7, and the lubricating liquid can flow out from the liquid outlet hole 13 quickly.
The tail end of the transfusion channel 7 is sealed by a sealing plug 16, and the sealing plug 16 is opened, so that the lubricant in the liquid channel 7 and the liquid outlet channel 8 can be conveniently cleaned and cleaned after the operation.
At least one optical fiber 9 is embedded on the inner wall of the lens barrel 1, and the tail end of the optical fiber 9 is connected with a light source 10 which is arranged outside and is provided with a power supply drive.
The lug boss 4 is provided with a grab handle 18 and a baffle 19 which is hinged with the grab handle, so that the fatigue feeling caused by pressing the endoscope core 3 by the thumb of a doctor is replaced.
The circular sleeve 6 is far away from the one end of the elastic corrugated sleeve 5 and is provided with an inward sunken groove which can buffer and block the flowing lubricating liquid to avoid leakage, and when the anal speculum is not used, the compressed elastic corrugated sleeve 5 can reset.
The circular sleeve 6 completely compresses the elastic corrugated sleeve 5, and the closest distance from the circular sleeve 6 to the circular truncated cone-shaped barrel 3 is 3-6 cm.
A method of using an anoscope, comprising the steps of:
(1) when in use, the lens core 2 is sleeved in the lens barrel 1, the rubber liquid storage bag 11 is filled with lubricating liquid, the handle 18 on the lug boss 4 is held by hand, the blocking piece 19 is rotated to press the lens core 2, and the head end of the lens core 2 firstly performs expansion preparation on the anus;
(2) the head end of the lens core 2 is inserted until the lens barrel 1 is sent to the anus through the circular truncated cone-shaped barrel 3, at the moment, the rubber liquid storage bag 11 is held and pressed by hand, lubricating liquid enters the liquid conveying channel 7 through the liquid outlet channel 8 and then flows out from the liquid outlet hole 13, and due to the fact that pressure difference exists between the liquid outlet channel 8 and the liquid conveying channel 7, the liquid outlet channel 8 applies pressure to the liquid conveying channel 7, and the lubricating liquid can flow out from the liquid outlet hole 13 quickly;
(3) the lens cone 1 is inserted into the anus smoothly, the circular sleeve 6 compresses the liquid leakage hole 13 of the elastic corrugated sleeve 5, and the lens cone 1 is inserted into the anus easily until the expansion is finished;
(4) then extract the mirror core 2, light source 10 circular telegram is opened, moves back the mirror and observes, and switch on light source 10 back, rotatory lens cone 1 to suitable position can direct observation affected part through the opening part (tail end) of lens cone 1 to diagnose the operation, it can to withdraw from lens cone 1 after diagnosing and treating.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (7)

1. An anal speculum, includes lens barrel (1), mirror core (2) and rubber reservoir (11), its characterized in that: the head end of the lens cone (1) is provided with an integrally connected or separately connected round table-shaped barrel body (3), the lens core (2) is inserted from the tail end of the lens cone (1) and is exposed after penetrating through the round table-shaped barrel body (3), the lens cone (1) is sleeved with an elastic corrugated sleeve (5), the tail end of the elastic corrugated sleeve (5) is fixed at the tail end of the lens cone (1) in a sealing manner, the head end of the elastic corrugated sleeve (5) is provided with a circular sleeve (6), the circular sleeve (6) is sleeved on the lens cone (1) in a sliding manner, a plurality of groups of infusion channels (7) and liquid outlet channels (8) are arranged on the barrel wall of the lens cone (1) in the axial direction of the tail end, the tail end of the liquid outlet channel (8) is sealed, the head ends of the infusion channels (7) and the liquid outlet channels (8) are connected through a pipe I (14), and the tail end of the infusion channel (7) is connected with a pipe II (12), rubber reservoir (11) are connected in pipe II (12), offer on lens cone (1) go out liquid hole (13) with liquid outlet channel (8) intercommunication, can compress elasticity ripple sleeve pipe (5) in lens cone (1) male state, spill out liquid hole (13), the one end that elasticity ripple sleeve pipe (5) were kept away from in circular cover (6) is inside sunken groove.
2. An anoscope according to claim 1, wherein: the tail end cover of lens cone (1) is equipped with boss (4), circular cover (6) diameter is greater than boss (4) diameter, the tail end and boss (4) seal installation of elasticity ripple sleeve pipe (5), install sealing washer (17) on circular cover (6), sealing washer (17) activity cover is established on lens cone (1), be provided with the check valve on pipe II (12).
3. An anoscope according to claim 1, wherein: the liquid conveying channel (7) and the liquid outlet channel (8) are provided with six groups, the six groups are distributed in the cylinder wall of the lens barrel (1) at equal intervals, the liquid conveying channel (7) is connected with the liquid outlet hole (13) through a liquid outlet channel (15), and the tail ends of the six groups of liquid outlet channels (8) are communicated through a pipe III and then connected with a pipe II (12).
4. An anoscope according to any one of claims 1 to 3, wherein: the inner diameter of the liquid outlet channel (8) is larger than that of the infusion channel (7).
5. An anoscope according to claim 1, wherein: the tail end of the transfusion channel (7) is sealed by a sealing plug (16).
6. An anoscope according to claim 1, wherein: at least one optical fiber (9) is embedded in the inner wall of the lens barrel (1), and the tail end of the optical fiber (9) is connected with a light source (10) which is arranged outside and is driven by a power supply.
7. An anoscope according to claim 2, wherein: the lug boss (4) is provided with a grab handle (18) and a baffle plate (19) which is hinged with the grab handle.
CN201910644255.4A 2019-07-17 2019-07-17 Anus speculum and using method thereof Expired - Fee Related CN110338745B (en)

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CN111529910A (en) * 2020-05-28 2020-08-14 重庆花想容信息科技有限公司 Lubricating equipment for anorectal operation

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