CN110367914A - A kind of endoscope of suitable eye Intraorbital operation - Google Patents
A kind of endoscope of suitable eye Intraorbital operation Download PDFInfo
- Publication number
- CN110367914A CN110367914A CN201910750851.0A CN201910750851A CN110367914A CN 110367914 A CN110367914 A CN 110367914A CN 201910750851 A CN201910750851 A CN 201910750851A CN 110367914 A CN110367914 A CN 110367914A
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- fixed part
- fixedly connected
- lever
- endoscope
- intraorbital
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- 238000005452 bending Methods 0.000 claims abstract description 14
- 238000002347 injection Methods 0.000 claims abstract description 12
- 239000007924 injection Substances 0.000 claims abstract description 12
- 210000004279 orbit Anatomy 0.000 abstract description 12
- 238000001356 surgical procedure Methods 0.000 abstract description 11
- 230000006378 damage Effects 0.000 abstract description 6
- 210000001519 tissue Anatomy 0.000 abstract description 4
- 210000001508 eye Anatomy 0.000 description 13
- 238000000034 method Methods 0.000 description 6
- 239000000243 solution Substances 0.000 description 6
- 210000004872 soft tissue Anatomy 0.000 description 5
- 239000000463 material Substances 0.000 description 4
- 206010052428 Wound Diseases 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 210000005252 bulbus oculi Anatomy 0.000 description 3
- 210000001328 optic nerve Anatomy 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 230000000007 visual effect Effects 0.000 description 3
- 210000000577 adipose tissue Anatomy 0.000 description 2
- 239000013307 optical fiber Substances 0.000 description 2
- 230000001954 sterilising effect Effects 0.000 description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 229920002385 Sodium hyaluronate Polymers 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000004424 eye movement Effects 0.000 description 1
- 239000003925 fat Substances 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 235000013372 meat Nutrition 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000035764 nutrition Effects 0.000 description 1
- 235000016709 nutrition Nutrition 0.000 description 1
- 208000025303 orbit neoplasm Diseases 0.000 description 1
- 201000000890 orbital cancer Diseases 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 229940010747 sodium hyaluronate Drugs 0.000 description 1
- YWIVKILSMZOHHF-QJZPQSOGSA-N sodium;(2s,3s,4s,5r,6r)-6-[(2s,3r,4r,5s,6r)-3-acetamido-2-[(2s,3s,4r,5r,6r)-6-[(2r,3r,4r,5s,6r)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2- Chemical compound [Na+].CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 YWIVKILSMZOHHF-QJZPQSOGSA-N 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
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- 231100000827 tissue damage Toxicity 0.000 description 1
- 238000003325 tomography Methods 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
- 238000007794 visualization technique Methods 0.000 description 1
Classifications
-
- 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
- A61B1/04—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 combined with photographic or television appliances
- A61B1/05—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 combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
-
- 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
- A61B1/06—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 with illuminating arrangements
- A61B1/0661—Endoscope light sources
-
- 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
- A61B1/06—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 with illuminating arrangements
- A61B1/07—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 with illuminating arrangements using light-conductive means, e.g. optical fibres
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Biophysics (AREA)
- Engineering & Computer Science (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Endoscopes (AREA)
Abstract
The invention discloses a kind of endoscopes of suitable eye Intraorbital operation, it is related to medical instruments field, including lever, one end of lever is fixedly connected with work mirror tube, the mirror tube that works includes fixed part, one end of fixed part is fixedly connected with lever, the other end of fixed part is fixedly connected with bending section, the end of bending section connects camera front end, the lever is fixedly connected with control seat far from one end of fixed part, it controls seat and is equipped with control handle, the top of the fixed part is equipped with injection seat, injection port is offered on injection seat, the end of the control seat is fixedly connected with video line, service aisle is equipped in the camera front end, camera lens and lighting lamp piece, two fibre-optic bundles are equipped in the work mirror tube, the present invention is capable of providing accurate instant surgical field of view, the damage to eye socket inner tissue is avoided as far as possible, the operation for reducing Orbital Surgery is difficult Degree reduces operating time, operation project has been widened, to generate good economic and social profit.
Description
Technical field
The present invention relates to medical instruments field, the endoscope of specifically a kind of suitable eye Intraorbital operation.
Background technique
The visualized operation of Orbital Surgery is always the significant challenge of craniomaxillofacial surgery doctor and oculist.People's
Eye socket is the cavity of a rectangular pyramid, includes the extraocular muscle meat of the coordinated movement of various economic factors, the adipose tissue as cushion, nutrition and domination
The nervus vasculairs of vital tissue, structure is complicated and fine.Bone frame and it is intraocular it is tolerant not only maintain normal appearance, but also
With eye movement, visual performance.It performs the operation after Orbital Surgery, especially eyeball, it is clear to surgical field of view because of special space structure
Clear degree requires high, should avoid damage to these important socket of the eye contents, there is certain space again, and surgical instrument is allowed to input, from
And lead to that current operating difficulty is big, risk is high, it spends the time long or even some operations can not be carried out.Therefore, surgeon is very
Urgently it is hoped that there will be it is a kind of precisely, minimally invasive, effective instrument assists realizing the visualized operation of Orbital Surgery.
CT more traditional at present, MRI, the inspection of Ultrasonic tomography have important guidance in the diagnosis of orbit diseases
Meaning, they can provide the volume of soft tissue, distribution, the substantially important informations such as form.But CT and MRI need to be layered by thickness
Tissue is scanned, then by image needed for software process quality, is lost many information in collecting conversion process, cannot really restore eye
The fine structure of socket of the eye, this makes these instruments be difficult to provide convenience during surgery for patient.
Operation guiding system is by using instant CT MRI3D skill in preoperative 3D perhaps modeling operation art
Art restores structure and the position of operative region.Although this technology can relatively accurately positioning operation position, in eye socket
The so complicated region of interior soft tissue, is difficult the case where differentiating surrounding soft tissue, so that its application in fine Orbital Surgery
It is restricted.
Vagina nervi optici windowing, orbital tumor pathological biopsy or excision, foreign body etc. is many may to be related to ball back zone
The operation in domain, at present still can only be by socket of the eye fenestration or the separation biggish mode of the wounds such as eyeball or other soft tissues come real
It is existing.It is limited to the defect of visualization technique, effective minimal invasive techniques is not developed yet and solves problems.
Endoscope is a minimal invasive techniques, it can provide the preferable visual field and light in Orbital Surgery, especially exist
When carrying out the operation of ball rear region;It being capable of enlarged drawing;It can be other surgical assist tools such as surgical navigational in reconstruction operations
In application provide convenience.But the image that current endoscope is transmitted is difficult to differentiate between adipose tissue and optic nerve, so that avoiding
The damage of optic nerve becomes a great problem.And the visual field of endoscope is often blocked by soft tissue in eye socket or blood, and it is difficult
To guarantee normal surgical field of view.Endoscope is in Orbital Surgery, though prospect is long-range, is restricted, fails in practical operation
Carry out extensively.
Summary of the invention
The present invention provides a kind of endoscope of suitable eye Intraorbital operation, solves and asks proposed in above-mentioned background technique
Topic.
To achieve the above object, the invention provides the following technical scheme:
A kind of endoscope of suitable eye Intraorbital operation, including lever, one end of lever are fixedly connected with work mirror tube, and work mirror tube packet
Fixed part is included, one end of fixed part is fixedly connected with lever, and the other end of fixed part is fixedly connected with bending section, the end of bending section
Camera front end is connected, the lever is fixedly connected with control seat far from one end of fixed part, and control seat is equipped with control handle, described
The top of fixed part is equipped with injection seat, and injection port is offered on injection seat, is equipped with service aisle, camera lens in the camera front end
And lighting lamp piece, it is equipped with two fibre-optic bundles in the work mirror tube, two fibre-optic bundles are respectively light beam and video beam,
The end of light beam connects lighting lamp piece, the end connection lens of video beam.
As a preferred technical solution of the present invention, the end of the control seat is fixedly connected with video line.
As a preferred technical solution of the present invention, the length of the bending section is 6cm.
As a preferred technical solution of the present invention, the diameter of the work mirror tube is 4mm.
As a preferred technical solution of the present invention, the diameter of the service aisle is 2mm.
As a preferred technical solution of the present invention, the work mirror tube is equipped with scale.
The present invention has following usefulness: the present invention is capable of providing accurate instant surgical field of view, avoids as far as possible pair
The damage of eye socket inner tissue reduces the operation difficulty of Orbital Surgery, reduces operating time, operation project has been widened, to produce
Raw good economic and social profit.
Detailed description of the invention
Fig. 1 is the schematic perspective view for being suitble to the endoscope of eye Intraorbital operation.
Fig. 2 is the structural schematic diagram of camera front end in the endoscope for be suitble to eye Intraorbital operation.
In figure: 1, lever;2, fixed part;3, bending section;4, camera front end;5, seat is controlled;6, video line;7, it injects
Seat;8, injection port;9, control handle;10, service aisle;11, camera lens;12, lighting lamp piece.
Specific embodiment
Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings, it should be understood that preferred reality described herein
Apply example only for the purpose of illustrating and explaining the present invention and is not intended to limit the present invention.
It should be noted that term " center ", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outside" etc.
The orientation or positional relationship of instruction is to be based on the orientation or positional relationship shown in the drawings, and is merely for convenience of the description present invention and letter
Change description, rather than the device or element of indication or suggestion meaning must have a particular orientation, with specific orientation construct and
Operation, therefore be not considered as limiting the invention.
Embodiment 1
A kind of endoscope of suitable eye Intraorbital operation referring to FIG. 1-2, including lever 1, one end of lever 1 are fixedly connected with work
Mirror tube, work mirror tube includes fixed part 2, and one end of fixed part 2 is fixedly connected with lever 1, and the other end of fixed part 2 is fixedly connected
The end of bending section 3, bending section 3 connects camera front end 4, and the lever 1 is fixedly connected with control seat far from one end of fixed part 2
5, control seat 5 is equipped with control handle 9, and the top of the fixed part 2 is equipped with injection seat 7, offers injection port 8 on injection seat 7.
The end of the control seat 5 is fixedly connected with video line 6, is equipped with service aisle 10, camera lens in the camera front end 4
11 and lighting lamp piece 12, be equipped with two fibre-optic bundles in the work mirror tube, two fibre-optic bundles be respectively light beam and
Video beam, the end of light beam connect lighting lamp piece 12, the end connection lens 11 of video beam, and the work mirror tube is equipped with scale.
Embodiment 2
Other contents of the present embodiment are same as Example 1 referring to FIG. 1-2, the difference is that: the length of the bending section 3
Degree is 6cm, and the diameter of the work mirror tube is 4mm, and the diameter of the service aisle 10 is 2mm.
This endoscope has following characteristics:
1. optical fibre endoscope: the work mirror tube of endoscope is light beam corpus fibrosum, and inside have two fibre-optic bundles: one is light
Beam, it is light conduction for generating cold light source to the body surface being observed, and will be observed object surface and illuminates;Another
For video beam, it is that tens of thousands of diameters are arranged in a branch of, one end alignment by a line a line sequence in 1 micron of optical fiber below
Eyepiece, the other end are observed object surface by the alignment of object lens piece, and doctor adjusts suitable operation by the scale for the mirror tube that works
Position, and intra situation can be intuitive to see by the eyepiece of camera front end 4 very much, convenient for timely and accurately diagnosing
The state of an illness.Camera front end can be out of shape in eye socket inner curve by control handle and lever, avoids causing to damage to intraocular optic nerve blood vessel
Wound, it is often more important that adapt in the narrow pyramidal structure of eye socket, constantly adjust the requirement of the angle of working lens.
2. the design of length: the length 6cm of soft working lens, this is different from the active length of other endoscopes.Human body eye
Bulb diameter is 24mm, and it is 6cm that safety operation distance, which is the Design of length of the bending section 4cm., after socket of the eye wall leading edge to eyeball, and bending section is adopted
It is made of flexible material, meets the needs of operation.Manufacturing cost is not only saved, surgical procedure flexibility is improved.
3. the design of diameter: the operation of eye socket requires instrument fine, and the working lens pipe diameter of endoscope is smaller, in eye socket
Tissue damage is smaller.The design diameter of caliber of working in this programme is 4mm, is entered in eye socket compared with instrument, finely very with existing
It is more, wound is minimized.
4. single hole designs: the work mirror tube of 4mm diameter, the service aisle 10 including 2mm diameter.Service aisle 10 is used to defeated
Enter the material after needing to be injected into eye socket (including autologous fat, silica gel, sodium hyaluronate etc.)
Working lens master-plan is tiny, can design a sex work soft lens with disposable simple material.Hospitals at Present operating room
To devices call strict sterilization, working lens require to sterilize repeatedly.Sex work soft lens not only avoids operation Reusability, light
Mirror displacement, clarity reduce;It avoids sterilizing the damage to working lens repeatedly simultaneously.Therefore a sex work soft lens improves operation essence
Exactness simplifies operating room operating process, saves human and material resources.
Finally, it should be noted that the foregoing is only a preferred embodiment of the present invention, it is not intended to restrict the invention,
Although the present invention is described in detail referring to the foregoing embodiments, for those skilled in the art, still may be used
To modify the technical solutions described in the foregoing embodiments or equivalent replacement of some of the technical features.
All within the spirits and principles of the present invention, any modification, equivalent replacement, improvement and so on should be included in of the invention
Within protection scope.
Claims (6)
1. a kind of endoscope of suitable eye Intraorbital operation, including lever (1), which is characterized in that one end of lever (1) is fixedly connected
Work mirror tube, work mirror tube include fixed part (2), one end of fixed part (2) is fixedly connected with lever (1), fixed part (2) it is another
One end is fixedly connected bending section (3), and the end of bending section (3) connects camera front end (4), and the lever (1) is far from fixed part
(2) one end is fixedly connected with control seat (5), and control seat (5) is equipped with control handle (9), and the top of the fixed part (2) is equipped with note
It penetrates seat (7), is offered on injection seat (7) injection port (8), service aisle (10), camera lens are equipped in the camera front end (4)
(11) and lighting lamp piece (12) two fibre-optic bundles, are equipped in the work mirror tube, two fibre-optic bundles are respectively light
The end of beam and video beam, light beam connects lighting lamp piece (12), the end connection lens (11) of video beam.
2. the endoscope of suitable eye Intraorbital operation according to claim 1, which is characterized in that the end of control seat (5)
Portion is fixedly connected with video line (6).
3. the endoscope of suitable eye Intraorbital operation according to claim 1, which is characterized in that the length of the bending section (3)
Degree is 6cm.
4. the endoscope of suitable eye Intraorbital operation according to claim 3, which is characterized in that the diameter of the work mirror tube
For 4mm.
5. the endoscope of suitable eye Intraorbital operation according to claim 4, which is characterized in that the service aisle (10)
Diameter is 2mm.
6. the endoscope of suitable eye Intraorbital operation according to claim 2 or 5, which is characterized in that in the work mirror tube
Equipped with scale.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201910750851.0A CN110367914A (en) | 2019-08-14 | 2019-08-14 | A kind of endoscope of suitable eye Intraorbital operation |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201910750851.0A CN110367914A (en) | 2019-08-14 | 2019-08-14 | A kind of endoscope of suitable eye Intraorbital operation |
Publications (1)
Publication Number | Publication Date |
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CN110367914A true CN110367914A (en) | 2019-10-25 |
Family
ID=68259306
Family Applications (1)
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CN201910750851.0A Pending CN110367914A (en) | 2019-08-14 | 2019-08-14 | A kind of endoscope of suitable eye Intraorbital operation |
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Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6419627B1 (en) * | 1997-08-01 | 2002-07-16 | One Way Ocular Technology, Ltd. | Ophthalmic endoscope and endoscope attachments for use therewith |
EP1512366A1 (en) * | 2003-09-05 | 2005-03-09 | Knit Ventures Llc | Ophthalmic endoscope |
US20050054900A1 (en) * | 2003-07-21 | 2005-03-10 | Vanderbilt University | Ophthalmic orbital surgery apparatus and method and image-guided navigation system |
CN201641951U (en) * | 2010-05-06 | 2010-11-24 | 北京博莱德光电技术开发有限公司 | Double-passage superfine endoscope |
CN102727309A (en) * | 2011-04-11 | 2012-10-17 | 上海优益基医疗器械有限公司 | Surgical navigation system combined with endoscope image and surgical navigation method |
CN103381088A (en) * | 2013-08-02 | 2013-11-06 | 广州医学院第一附属医院 | Fiber endoscope |
CN103458768A (en) * | 2011-04-12 | 2013-12-18 | 安德光学有限公司 | Laser video endoscope |
CN210902915U (en) * | 2019-08-14 | 2020-07-03 | 上海懿熹医疗科技有限公司 | Endoscope suitable for operation in eye socket |
-
2019
- 2019-08-14 CN CN201910750851.0A patent/CN110367914A/en active Pending
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6419627B1 (en) * | 1997-08-01 | 2002-07-16 | One Way Ocular Technology, Ltd. | Ophthalmic endoscope and endoscope attachments for use therewith |
US20050054900A1 (en) * | 2003-07-21 | 2005-03-10 | Vanderbilt University | Ophthalmic orbital surgery apparatus and method and image-guided navigation system |
EP1512366A1 (en) * | 2003-09-05 | 2005-03-09 | Knit Ventures Llc | Ophthalmic endoscope |
CN201641951U (en) * | 2010-05-06 | 2010-11-24 | 北京博莱德光电技术开发有限公司 | Double-passage superfine endoscope |
CN102727309A (en) * | 2011-04-11 | 2012-10-17 | 上海优益基医疗器械有限公司 | Surgical navigation system combined with endoscope image and surgical navigation method |
CN103458768A (en) * | 2011-04-12 | 2013-12-18 | 安德光学有限公司 | Laser video endoscope |
CN103381088A (en) * | 2013-08-02 | 2013-11-06 | 广州医学院第一附属医院 | Fiber endoscope |
CN210902915U (en) * | 2019-08-14 | 2020-07-03 | 上海懿熹医疗科技有限公司 | Endoscope suitable for operation in eye socket |
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Inventor after: Zhang Ying Inventor after: Hu Zanxi Inventor after: Peng Jian Inventor after: She Haiyan Inventor before: Zhang Ying Inventor before: Hu Zanxi Inventor before: Peng Jian Inventor before: Yu Haiyan |