CN111297316A - Electronic ureter soft lens, system and use method - Google Patents
Electronic ureter soft lens, system and use method Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61B1/307—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 the urinary organs, e.g. urethroscopes, cystoscopes
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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
- A61B1/012—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 characterised by internal passages or accessories therefor
- A61B1/015—Control of fluid supply or evacuation
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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
- A61B1/06—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
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/0247—Pressure sensors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/029—Humidity sensors
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Abstract
The invention relates to the technical field of medical instruments, and particularly discloses an electronic ureter soft lens, a system and a use method thereof, wherein the soft lens comprises a soft lens body in a hose shape and a lens bracket arranged at the front end of the soft lens body, a lens is arranged in the lens bracket, an energy output channel is also arranged in the soft lens body, an energy output part can be arranged in the energy channel, a liquid pressure detection channel is also arranged in the soft lens body, the front end of the liquid pressure detection channel extends to the front end face of the lens bracket, a liquid pressure sensor is fixedly arranged in the liquid pressure detection channel, the system comprises a handle, an electronic endoscope image processor, an energy instrument, a temperature tester, a pressure tester and an endoscope flushing system, the use method is that the pressure intensity in a cavity detected by the liquid pressure sensor can send an alarm when the pressure intensity is greater than a limit value, so as to remind that the energy output of the energy instrument is changed, avoid the liquid reflux caused by over water pressure to bring the substance containing bacteria, toxin and pyrogen into the blood, causing uropyemia and seriously endangering the life of the patient.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to an electronic ureter soft lens, a system and a using method.
Background
Laser surgery systems or ultrasonic surgery systems are relatively common interventional medical urolithiasis devices. Through the intervention type laser lithotripsy operation or the ultrasonic lithotripsy operation, the pain of a patient can be avoided.
High temperature is a major factor in all risk of hot burning laser production. The heat-causticity laser adopts the stone breaking principle that laser energy is converted into high temperature so as to achieve the purpose of melting stones. A hot burning laser can generate high temperatures. The wavelength of the hot burning laser is in the optimal absorption range of water, energy is easily absorbed by liquid in the organ cavity, and the liquid with the boiling point close to the wavelength can cause continuous damage to the organ cavity, so that serious complications such as edema, stenosis and the like are caused.
In addition, both laser lithotripsy and ultrasonic lithotripsy procedures need to be performed in an aqueous environment (e.g., saline, contrast agents, etc.). But if the water pressure in the chamber is too high, liquid backflow will occur. The fluid reflux can carry substances containing bacteria, toxins and pyrogens into the blood, causing urosepsis, which seriously endangers the life of the patient.
Disclosure of Invention
In order to overcome the problems, the invention provides an electronic ureteral soft lens, a system and a using method, which are used for solving the problems that the existing lithotripsy system causes continuous damage to a tube cavity caused by soft tissues around calculus of a human body due to overhigh temperature in the operation process, serious complications such as edema and stenosis are caused, and the situation that the water pressure in the cavity is overlarge can be avoided.
The technical scheme of the invention is as follows:
the utility model provides an electron ureter soft mirror, includes the soft mirror body of hose form and sets up the lens holder at soft mirror body front end, be provided with the camera lens in the lens holder, the camera lens is connected with this external electron endoscope image processor of soft mirror through the transmission line that sets up in soft mirror body, this internal energy output channel that still is provided with of soft mirror, the energy output part that is provided with in the energy output channel, the front end output energy of energy output channel, the rear end of energy output channel is with energy introduction, its characterized in that: this internal liquid pressure detection passageway that still is provided with of soft mirror, the front end of liquid pressure detection passageway extends to the front end terminal surface of lens holder, liquid pressure detection passageway internal fixation is provided with liquid pressure sensor, the position that liquid pressure sensor's front end set up can be with the liquid contact in the operation position at least, liquid pressure sensor's output is used for being connected with the pressure tester, the liquid access & exit of liquid pressure detection passageway is used for directly or indirectly connecting the endoscope and washes suction system.
Further, still be provided with the temperature measurement passageway in the soft mirror body, the front end of temperature measurement passageway extends to the front end terminal surface of lens holder, the temperature measurement passageway internal fixation is provided with temperature sensor, the position that temperature sensor's front end set up can at least with the liquid contact in the operation position, temperature sensor's output is used for being connected with the temperature tester, the liquid access & exit of temperature measurement passageway is used for directly or indirectly connecting the endoscope and washes the suction system.
Further, the range of the outer diameter of the soft lens body is 3.5-5.0 mm.
Further, the inner diameter of the liquid pressure detection channel is not less than 1 mm.
Furthermore, an illumination optical fiber channel is further arranged in the soft lens body, an illumination optical fiber is arranged in the illumination optical fiber channel, the light incidence end of the illumination optical fiber is used for being directly or indirectly connected with a light source, and the light emergent end is arranged at the front end of the soft lens body and is used for illuminating an operation area.
Furthermore, the pressure tester is also connected with a first alarm device which gives an alarm when the liquid pressure detected by the pressure sensor exceeds a limit value, and the temperature tester is also connected with a second alarm device which gives an alarm when the liquid temperature detected by the temperature sensor exceeds the limit value.
Further, the inner diameter of the temperature detection channel is not less than 1 mm.
Further, the inner diameter of the optical fiber illumination channel is not less than 0.5 mm.
Further, the inner diameter of the energy channel is not less than 1.2 mm.
An electronic ureteroscope system comprises the electronic ureteroscope, and further comprises a handle, an electronic endoscope image processor, an energy instrument, a pressure tester and an endoscope flushing system, wherein one end of the handle is fixed with the rear end of the flexible endoscope body, a liquid channel is at least arranged in the handle, a liquid channel port is arranged outside the handle, the liquid channel is at least communicated with a liquid pressure detection channel of the flexible endoscope body, the liquid channel port is communicated with the endoscope flushing system and used for realizing liquid exchange between liquid in a cavity of an operation part and the endoscope flushing system, a cable channel port is further arranged on the handle, the cable channel port extends from the inside of the handle to the outside of the handle, a cable is arranged in the cable channel port, one end of the cable is connected with a lens, the other end of the cable is connected with the electronic endoscope image processor, and one or more optical fiber channels are further arranged in the handle, the pressure sensor is characterized by also comprising an energy channel, wherein the rear end of the handle is provided with an energy input port and a pressure sensor optical fiber output port, the optical fiber channel is used for placing optical fibers with different functions, the energy channel and a corresponding energy channel port are used for transmitting energy or placing an energy transmission carrier, and the pressure sensor optical fiber is connected with a pressure signal input port of the pressure tester.
Further, still include the temperature tester, this internal temperature measurement passageway that is provided with of soft mirror, the front end of temperature measurement passageway extends to the front end terminal surface of lens holder, the temperature measurement passageway internal fixation is provided with temperature sensor, the position that temperature sensor's front end set up can be with the liquid contact in the operation position at least, temperature sensor's output is connected temperature sensor optic fibre, temperature sensor optic fibre passes through the fiber channel on the handle and is connected with the temperature signal input port on the temperature tester after the temperature sensor optic fibre delivery outlet that the rear end of handle set up is drawn forth.
Further, a cable plug is arranged at the cable passage opening.
A use method of an electronic ureter soft lens system is characterized in that:
the front end of the soft lens body is deeply inserted into a surgical site, a liquid pressure sensor detects the pressure in the cavity in real time and feeds information back to a pressure tester, the pressure tester compares the information with an internally set limit value to judge whether the pressure is too high, and when the pressure tester judges that the pressure in the cavity is greater than the limit value, an alarm is sent to remind of changing the energy output of the energy instrument;
the endoscope flushing and sucking system automatically adjusts the water supply pressure, and avoids the situation that substances containing bacteria, toxins and pyrogen are brought into blood due to liquid backflow caused by overlarge water pressure, so that uropyemia is caused, and the life of a patient is seriously threatened.
And further, the method also comprises the steps that the temperature sensor detects the temperature in the cavity in real time and feeds information back to the temperature tester, the temperature tester compares the information with an internally set limit value to judge whether the temperature is too high, and when the temperature tester judges that the pressure in the cavity is greater than the limit value, an alarm is given out to remind of changing the energy output of the energy instrument.
The invention has the beneficial effects that: the soft lens can be applied to human body surgery, the pressure in the cavity is detected in real time through the liquid pressure sensor, and the pressure is fed back to the pressure tester, so that whether the pressure is too high or not is judged, and when the pressure in the cavity is detected to be greater than a preset value, the operation instrument is reminded to improve operation parameters, and the life safety of a human body is protected;
the electronic ureter soft lens system and the method are an application of the soft lens,
when the pressure exceeds the standard, the endoscope flushing and sucking system reminds that the energy output of the energy instrument is forbidden, and the endoscope flushing and sucking system can also automatically adjust the water supply pressure, so that the phenomenon that substances containing bacteria, toxins and pyrogen are brought into blood due to liquid backflow caused by overlarge water pressure to cause uropyemia and seriously endanger the life of a patient is avoided;
the liquid temperature of the operation position can also be tested, when the temperature detection value exceeds the standard, an alarm can be sent out to remind that the energy output of the energy meter is forbidden, and the accidental injury to the human body is caused when the operation is avoided.
Drawings
FIG. 1 is a schematic diagram of a soft lens structure according to the present embodiment;
fig. 2 is an enlarged view of the lens holder according to the present embodiment;
FIG. 3 is a cross-sectional view of a lens holder according to the present embodiment;
FIG. 4 is a second cross-sectional view of the lens holder of the present embodiment;
FIG. 5 is a schematic diagram of the system configuration of the present embodiment;
fig. 6 is a schematic structural view of the combined soft lens and handle of the present embodiment.
Detailed Description
As shown in fig. 1-4, an electronic ureteral soft lens comprises a soft lens body 1 in a hose shape and a lens holder 2 arranged at the front end of the soft lens body 1, wherein the lens holder 2 can be a holder with a cylinder structure, in addition, the whole soft lens body 1 is a medical hose structure, the end part of the hose structure can be made into a straight pipe or a curved shape, the lens holder 2 is arranged at the most front end of the soft lens body 1, a lens mounting channel 10 is arranged in the lens holder 2, a lens 3 is arranged in the lens mounting channel 10, the lens 3 is connected with an electronic endoscope image processor 7 outside the soft lens body 1 through a transmission line arranged in the soft lens body 1, a lens mounting hole is arranged in the lens holder 2, the lens can be fixed in the lens holder 2 through an adhesive such as glue, the end surface of the lens can be flush with the end surface of the lens holder 2, so that the lens can be irradiated to an operation part at, in addition, still be provided with the illumination fiber channel in the soft mirror body, be provided with illumination fiber in the illumination fiber channel, illumination fiber's light incidence end is used for directly or indirectly connecting the light source, and the emergent ray end sets up the front end at the soft mirror body, and illumination fiber makes 1 front end of soft mirror body can accomplish and treats the operation region and throw light on, need not to use the guide of X light mode. The structure design is safe, reasonable, simple and practical. It should be noted that the illumination fiber channel may be a channel separately disposed in the soft lens body, and when the illumination fiber channel is separately disposed, as shown in fig. 2, the illumination fiber channel 14 and the lens mounting channel 10 are disposed at an interval, or may not be separately disposed, so that the illumination fiber is disposed in the lens mounting channel 10, one end of the illumination fiber is emitted through the end of the lens mounting channel, and the other end is connected as a light source end to a separate light source or connected to an electronic endoscope image processor, and a power module inside the electronic endoscope image processor provides a power source for the illumination fiber.
Still be provided with energy output channel 11 in the soft mirror body 1, can be provided with laser energy optic fibre or ultrasonic energy probe in the energy output channel 11, this is two kinds of energies listed in this embodiment, but not be limited to these two kinds of energy modes, in addition, because in the design principle, the setting principle of laser energy optic fibre and ultrasonic energy probe is the same, only according to the energy that different energy appearance and sent and the structure difference that combines the energy output end again, can be under the prerequisite that does not deviate from this design philosophy, improve the structure of energy output channel in the soft mirror body, therefore, this embodiment has specifically listed laser energy optic fibre and the laser instrument of being connected with it and explained, assist ultrasonic energy, this is not the restriction to this application, is the extension to this application.
Specifically, referring specifically to fig. 1-4, the front end of the energy output channel outputs energy, the back end of the energy channel introduces energy, the laser energy fiber arranged in the energy output channel can also be an ultrasonic energy probe and the like, a liquid pressure detection channel 12 is also arranged in the soft lens body 1, the front end of the liquid pressure detection channel 12 extends to the front end face of the lens bracket 2, the liquid pressure detecting channel 12 is internally and fixedly provided with a liquid pressure sensor 4, the front end of the liquid pressure sensor 4 is at least contacted with the liquid in the operation position, the external end surface of the liquid pressure sensor 4 of the embodiment is flush with the external end surface of the lens bracket 2, therefore, not only the sensing surface of the liquid pressure sensor 4 can be fully contacted with the liquid surface, but also the whole lens bracket 2 can be more beautiful and tidy. The liquid pressure sensor 4 of the present embodiment employs a liquid optical fiber pressure sensor which, in the present embodiment, the output end of the liquid optical fiber pressure sensor 4 is used for being connected with a pressure tester through an optical fiber, the pressure tester analyzes and processes data transmitted by the liquid optical fiber sensor to obtain whether pressure parameters exceed the standard or not, the pressure tester is also connected with a first alarm device, the first alarm device alarms when the liquid pressure detected by the pressure sensor exceeds the limit value, the alarm device of the embodiment can directly connect an acoustic and/or optical alarm with the host serial port of the pressure tester, and can also display the alarm through the display of the pressure tester, particularly, when the liquid pressure detected by the pressure sensor exceeds the limit value, the host of the pressure tester can enable the display page to display alarm patterns or/and play alarm sound through an alarm program. It should be added that the host of the pressure tester can be further connected to a communication module, the communication module can be an RS232 module, and is in communication connection with the endoscope flushing system through the RS232 module, and the endoscope flushing system adjusts flushing parameters according to detected pressure data. In addition, the host computer of the pressure tester can also be connected with the laser instrument through the communication module in a communication way, if the ultrasonic energy probe is arranged in the energy channel, the communication module is connected with the ultrasonic instrument, the communication module can also adopt an RS232 module, the laser instrument can be adjusted or closed according to the detected pressure parameter, the laser instrument can adopt the ultrasonic instrument according to the actual requirement, and when the ultrasonic instrument is adopted, the ultrasonic instrument can be correspondingly adjusted or closed according to the detected pressure parameter.
It should be noted that the outer diameter of the soft lens body 1 of the present embodiment ranges from 3.5 mm to 5.0mm, and the inner diameter of the liquid pressure detection passage 12 is not less than 1 mm. The size design can not only ensure the size requirement of the operation, but also meet the layout requirement of the existing sensor.
As a further improvement of the technology, in this embodiment, a temperature detection channel 13 is further disposed in the soft lens body 1, the front end of the temperature detection channel 13 extends to the front end face of the lens holder 2, a temperature sensor 5 is fixedly disposed in the temperature detection channel 13, the front end of the temperature sensor 5 is disposed at a position capable of contacting with liquid at least in the surgical site, the output end of the temperature sensor 5 is used for connecting with a temperature tester, in principle, the liquid pressure sensor 4 and the temperature sensor 5 can monitor data as long as contacting with liquid in the cavity of the surgical site regardless of the position in the corresponding channel, but in this embodiment, the end faces of the two are both flush with the end face of the lens holder 2, so that the sensor can directly contact with liquid in the cavity to avoid being affected by other factors, the detection is more accurate, and the whole lens bracket 2 is neat and beautiful. The setting with pressure sensor is the same, temperature sensor 5 of this embodiment also adopts temperature optical fiber sensor, temperature optical fiber sensor 5 passes through optic fibre and is connected with the temperature tester, and in the same way, the temperature tester also is connected with second alarm device, second alarm device is similar with first alarm device's setting and alarm mode, and it is not repeated here, and the pressure tester and the temperature tester of this embodiment can be the tester of separating, also can be integrated integral type tester together, if the integral type tester, can share a host computer.
It should be further specifically noted that, the liquid pressure detection channel 12, the temperature detection channel 13, the energy output channel and the illumination light channel, several channels are parallel to the inside of the soft lens body 1 and the lens holder 2, but are necessarily parallel to the inside of the soft lens body 1, the inner diameter of the temperature detection channel 13 in this embodiment is not less than 1mm, the inner diameter of the optical fiber illumination channel is not less than 0.5mm, and the inner diameter of the energy channel is not less than 1.2 mm. In this embodiment, the four functions corresponding to the four channels ensure the safety of the lithotripsy operation, avoid the occurrence of operation accidents, and improve the operation efficiency. The soft lens for the kidney lithotripsy operation and the bladder lithotripsy operation has the characteristics of reasonable structure, simplicity and strong practicability in design.
It should be noted that, although the sensors, the illumination fibers, and the like in the respective channels may be attached to the inner walls of the corresponding channels by glue, and may be attached by using an attaching means such as double-sided tape, the present invention is not limited to these two methods, and other fixing means may be used.
As shown in fig. 5-6, an electronic ureteroscope system includes the above-mentioned electronic ureteroscope, which is not limited to be used in this system, and can also be used in a use without a handle 6 or directly connected to other devices, and the system of this embodiment further includes a handle 6, an electronic endoscope image processor 7, a laser 8, an endoscope flushing system 9, a pressure tester and/or a temperature tester, of course, when an ultrasonic energy probe is disposed in the electronic ureteroscope, the laser 8 can be replaced by an ultrasonic instrument, in this embodiment, the pressure tester and the temperature tester are an integrated tester 101, and can also be a separate tester, one end of the handle 6 is fixed to the rear end of the flexible scope body 1, at least a liquid channel is disposed in the handle 6, a liquid channel port 61 is disposed outside the handle 6, the liquid passage port is communicated with the endoscope flushing system 9 and used for exchanging liquid between liquid in a cavity of a surgical site and the endoscope flushing system 9, the liquid passage port is further provided with a two-way valve 611 which is convenient for opening and closing the liquid passage, the handle 6 is further provided with at least a first passage port 62, the first passage port extends from the inside of the handle 6 to the outside of the handle 6 and is used for leading a communication lead and/or a cable in the soft lens body 1 out of the handle 6 and then connecting the communication lead and/or the cable with corresponding processing equipment or/and leading out an illuminating optical fiber, for example, connecting the illuminating optical fiber with an electronic endoscope image processor, and the first passage port is provided with a plug 621. An energy input port 63 is further arranged in the handle 6, and the energy input port 63 is used for being connected with an external laser instrument or an ultrasonic instrument.
Specifically, please refer to fig. 6, fig. 6 is a schematic diagram of the main components of the electronic ureteroscope system, wherein an electronic endoscope image display can display information that is monitored by a host and needs to be displayed through the display, the endoscope flushing suction system 9 includes an endoscope flushing suction host 91 and a perfusate container 92, the perfusate container 92 is connected with the endoscope flushing suction host 91 through a catheter, so as to realize the exchange of liquid, and particularly, the endoscope flushing suction host 91 can suck the exchanged liquid into the perfusate container 92. The soft lens is arranged at the front end of the handle 6, a liquid channel, an energy input channel, a cable channel, an illumination channel and two optical fiber detection channels are arranged in the handle 6, wherein the liquid channel can be designed to be at least communicated with one liquid channel in the soft lens flexible lens body and used for conveying liquid, the cable channel is used for arranging cables, the energy input channel is used for transmitting laser or ultrasonic waves, a two-way valve 611 is arranged at a liquid channel port 61 of the liquid channel and plays a role in opening and closing the liquid channel, a channel port 62 of the cable channel is arranged at the side part of the handle 6, a plug 621 used for conveniently plugging cables or cables is further arranged at the channel port 62 of the cable channel, a plug of a common cable can be selected and can be connected with an electronic endoscope image processor, an energy input port 63 of the energy input channel is arranged at the rear end of the handle, the optical fiber laser probe is used for feeding laser energy optical fibers or ultrasonic energy probes, a light guide beam is placed in an illumination channel, and the rear end of the handle is also provided with two other optical fiber channel ports, wherein one optical fiber channel port 64 of the pressure sensor is used for feeding the laser energy optical fibers or the ultrasonic energy probes, the other optical fiber channel port 65 of the temperature sensor is used for feeding the pressure detection optical fibers and the temperature detection optical fibers respectively. The position of the passage openings can of course be adjusted at the position provided on the handle.
The using method of the electronic ureter soft lens system comprises the following steps: the lens support 2 at the front end of the soft lens body 1 drives the soft lens to go deep into a surgical part, the liquid pressure sensor 4 detects the pressure in the cavity in real time and feeds back information to the pressure tester, the pressure tester compares the information with an internally set limit value to judge whether the pressure is too high, when the pressure tester judges that the pressure in the cavity is greater than the limit value, an alarm is sent out to remind of changing the energy output of the laser instrument 8, and if an ultrasonic energy probe is adopted, the energy output of the ultrasonic instrument is changed;
meanwhile, the endoscope flushing and sucking system automatically adjusts the water supply pressure, so that the phenomenon that liquid flows reversely due to overlarge water pressure, substances containing bacteria, toxins and pyrogens are brought into blood to cause uropyemia, and the life of a patient is seriously threatened is avoided.
In addition, when the temperature sensor 5 is arranged in the soft lens body 1, in the working process of the lithotripsy operation, the temperature in the cavity is detected in real time through the liquid temperature sensor 5 and is fed back to the temperature tester, so that whether the temperature is too high or not is judged, when the temperature tester finds that the temperature data of the liquid in the cavity fed back exceeds a preset value through operation, an alarm is sent out to remind that the energy output of the laser instrument is forbidden or adjusted, if the ultrasonic instrument is adopted, the energy output of the ultrasonic instrument is reminded or adjusted, and the accidental injury to a human body during the operation is avoided.
The system and the using method can monitor the temperature and the pressure of the liquid in the cavity, and can sense the temperature (instant, process) and the liquid pressure condition (instant, process) of the liquid environment in the human body cavity at the front end of the soft lens at any time. The temperature of liquid in the cavity can be monitored conveniently by doctors in time during the operation, and unnecessary thermal injury to human body caused by the operation is avoided; meanwhile, the liquid pressure in the cavity can be monitored in time during the operation. Avoiding the phenomenon that when the water pressure in the cavity is overlarge, the liquid is reversely flowed to bring the substances containing bacteria, toxin and pyrogen into the blood, causing uropyemia and seriously endangering the life of a patient.
In the working process of the lithotripsy operation, the temperature in the cavity is detected in real time through the liquid temperature sensor 5 and fed back to the host of the temperature tester, so that whether the temperature is too high or not is judged. When the temperature tester calculates the temperature data of the liquid in the cavity fed back and finds that the temperature data exceeds a preset value, an alarm is sent out to remind the user of forbidding energy output of the laser instrument or the ultrasonic instrument, and accidental injury to a human body during operation is avoided.
In the working process of the lithotripsy operation, the pressure in the cavity is detected in real time through the liquid pressure sensor 4 and fed back to the pressure tester, so that whether the pressure is too high or not is judged. When the pressure sensor detects that the pressure in the cavity is greater than a preset value, an alarm is sent to remind that the laser instrument or the ultrasonic instrument is forbidden to output energy. The endoscope flushing and sucking system can also automatically adjust the water supply pressure, and avoid the phenomenon that the substances containing bacteria, toxins and pyrogen are brought into the blood by the liquid backflow caused by the overlarge water pressure, so that the uropyemia is caused, and the life of a patient is seriously threatened.
The above embodiments only show some embodiments of the present invention, which are described in detail and specific, but not to be understood as the limitation of the scope of the present invention, it should be noted that those skilled in the art can make various changes and modifications without departing from the spirit of the present invention, and these embodiments are all within the scope of the present invention. Therefore, the protection scope of the present patent should be subject to the appended claims.
Claims (14)
1. The utility model provides an electron ureter soft mirror, includes the soft mirror body of hose form and sets up the lens holder at soft mirror body front end, be provided with the camera lens in the lens holder, the camera lens is connected with this external electron endoscope image processor of soft mirror through the transmission line that sets up in soft mirror body, this internal energy output channel that still is provided with of soft mirror, the energy output part that is provided with in the energy output channel, the front end output energy of energy output channel, the rear end of energy output channel is with energy introduction, its characterized in that: this internal liquid pressure detection passageway that still is provided with of soft mirror, the front end of liquid pressure detection passageway extends to the front end terminal surface of lens holder, liquid pressure detection passageway internal fixation is provided with liquid pressure sensor, the position that liquid pressure sensor's front end set up can be with the liquid contact in the operation position at least, liquid pressure sensor's output is used for being connected with the pressure tester, the liquid access & exit of liquid pressure detection passageway is used for directly or indirectly connecting the endoscope and washes suction system.
2. The soft e-ureteroscope according to claim 1, wherein: this internal temperature measuring channel that still is provided with of soft mirror, the front end of temperature measuring channel extends to the front end terminal surface of lens holder, the temperature measuring channel internal fixation is provided with temperature sensor, the position that temperature sensor's front end set up can be with the liquid contact in the operation position at least, temperature sensor's output is used for being connected with the temperature tester, the liquid access & exit of temperature measuring channel is used for directly or indirectly connecting the endoscope and washes suction system.
3. The soft e-ureteroscope according to claim 1, wherein: the range of the outer diameter of the soft lens body is 3.5-5.0 mm.
4. The soft e-ureteroscope according to claim 1, wherein: the inner diameter of the liquid pressure detection channel is not less than 1 mm.
5. The flexible electronic ureteroscope according to any one of claims 1 to 4, wherein: the soft lens is characterized in that an illumination optical fiber channel is further arranged in the soft lens body, illumination optical fibers are arranged in the illumination optical fiber channel, the light incidence end of each illumination optical fiber is used for being directly or indirectly connected with a light source, and the light emergent end is arranged at the front end of the soft lens body and is used for illuminating an operation area.
6. The soft e-ureteroscope according to claim 4, wherein: the pressure tester is further connected with a first alarm device, the first alarm device gives an alarm when the liquid pressure detected by the pressure sensor exceeds a limit value, the temperature tester is further connected with a second alarm device, and the second alarm device gives an alarm when the liquid temperature detected by the temperature sensor exceeds the limit value.
7. The soft e-ureteroscope according to claim 6, wherein: the inner diameter of the temperature detection channel is not less than 1 mm.
8. The soft e-ureteroscope according to claim 5, wherein: the inner diameter of the optical fiber illumination channel is not less than 0.5 mm.
9. The soft electronic ureteroscope according to claim 1, wherein: the inner diameter of the energy channel is not less than 1.2 mm.
10. An electronic ureter soft lens system is characterized in that: the electronic ureteroscope according to any one of claims 1 to 9, further comprising a handle, an electronic endoscope image processor, an energy meter, a pressure tester and an endoscope flushing system, wherein one end of the handle is fixed to the rear end of the flexible endoscope body, at least a liquid channel is arranged in the handle, a liquid channel port is arranged outside the handle, the liquid channel is at least communicated with the liquid pressure detection channel of the flexible endoscope body, the liquid channel port is communicated with the endoscope flushing system and is used for exchanging liquid between liquid in a cavity of a surgical site and the endoscope flushing system, a cable channel port is further arranged on the handle, the cable channel port extends from the inside of the handle to the outside of the handle, a cable is arranged in the cable channel port, one end of the cable is connected with the lens, the other end of the cable is connected with the electronic endoscope image processor, and at least one or more optical fiber channels are further arranged in, the pressure sensor is characterized by also comprising an energy channel, wherein the rear end of the handle is provided with an energy input port and a pressure sensor optical fiber output port, the optical fiber channel is used for placing optical fibers with different functions, the energy channel and a corresponding energy channel port are used for transmitting energy or placing an energy transmission carrier, and the pressure sensor optical fiber is connected with a pressure signal input port of the pressure tester.
11. The system of claim 10, wherein: still include the temperature tester, this internal temperature detect channel that is provided with of soft mirror, the front end of temperature detect channel extends to the front end terminal surface of lens holder, the temperature detect channel internal fixation is provided with temperature sensor, the position that temperature sensor's front end set up can be at least with the liquid contact in the operation position, temperature sensor's output is connected temperature sensor optic fibre, temperature sensor optic fibre is connected with the temperature signal input port on the temperature tester after the temperature sensor optic fibre exports through the fiber channel on the handle and the temperature sensor optic fibre delivery outlet that the rear end of handle set up through.
12. The system of claim 10, wherein: and a cable plug is arranged at the cable passage port.
13. A method of using the electronic ureteroscope system according to any one of claims 11 to 12, wherein:
the front end of the soft lens body is deeply inserted into a surgical site, a liquid pressure sensor detects the pressure in the cavity in real time and feeds information back to a pressure tester, the pressure tester compares the information with an internally set limit value to judge whether the pressure is too high, and when the pressure tester judges that the pressure in the cavity is greater than the limit value, an alarm is sent to remind of changing the energy output of the energy instrument;
the endoscope flushing and sucking system automatically adjusts the water supply pressure, and avoids the situation that substances containing bacteria, toxins and pyrogen are brought into blood due to liquid backflow caused by overlarge water pressure, so that uropyemia is caused, and the life of a patient is seriously threatened.
14. The method of using an e-ureteroscope system of claim 13, wherein: the temperature sensor detects the temperature in the cavity in real time and feeds information back to the temperature tester, the temperature tester compares the information with an internally set limit value to judge whether the temperature is too high, and when the temperature tester judges that the pressure in the cavity is greater than the limit value, an alarm is sent to remind of changing the energy output of the energy instrument.
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010224545.6A CN111297316A (en) | 2020-03-26 | 2020-03-26 | Electronic ureter soft lens, system and use method |
| CN202010700871.XA CN111700581A (en) | 2020-03-26 | 2020-07-20 | Electronic ureter soft lens, device, system and use method |
| PCT/CN2021/092092 WO2021190669A1 (en) | 2020-03-26 | 2021-05-07 | Electronic flexible ureteroscope, apparatus, system, and method for use |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
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| CN202010224545.6A CN111297316A (en) | 2020-03-26 | 2020-03-26 | Electronic ureter soft lens, system and use method |
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| CN111297316A true CN111297316A (en) | 2020-06-19 |
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| CN202010224545.6A Pending CN111297316A (en) | 2020-03-26 | 2020-03-26 | Electronic ureter soft lens, system and use method |
| CN202010700871.XA Pending CN111700581A (en) | 2020-03-26 | 2020-07-20 | Electronic ureter soft lens, device, system and use method |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202010700871.XA Pending CN111700581A (en) | 2020-03-26 | 2020-07-20 | Electronic ureter soft lens, device, system and use method |
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| CN (2) | CN111297316A (en) |
| WO (1) | WO2021190669A1 (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2021190669A1 (en) * | 2020-03-26 | 2021-09-30 | 珠海市司迈科技有限公司 | Electronic flexible ureteroscope, apparatus, system, and method for use |
| CN113577402A (en) * | 2021-05-28 | 2021-11-02 | 珠海市司迈科技有限公司 | Surgical system for endoscope flushing and suction and control method |
| CN115444502A (en) * | 2022-09-30 | 2022-12-09 | 广州医科大学附属第一医院（广州呼吸中心） | Ureter soft lens lithotripsy system, device and computer readable storage medium |
| CN116370729A (en) * | 2023-06-06 | 2023-07-04 | 杭州莱恩瑟特医疗技术有限公司 | Drainage device, cleaning head for endoscope, and endoscope |
| CN117179676A (en) * | 2023-11-08 | 2023-12-08 | 北京市春立正达医疗器械股份有限公司 | Disposable intelligent visual multi-functional miniature catheter |
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| CN115836833A (en) * | 2021-09-22 | 2023-03-24 | 宁波新跃医疗科技股份有限公司 | Suction-in-suction type ureteroscope for operation |
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| CN104840246B (en) * | 2015-05-29 | 2018-06-26 | 郑州康佰甲科技有限公司 | It is shown with real-time pressure and the soft diameter of the ureter of attraction power imports sheath |
| US11129519B2 (en) * | 2016-08-25 | 2021-09-28 | OTU Medical Inc. | Single-use endoscope with built-in optical fibers and fixtures |
| CN208339487U (en) * | 2017-07-14 | 2019-01-08 | 广州医科大学附属第一医院 | Electronics Flexible ureteroscope with real-time pressure monitoring function |
| CN108939181B (en) * | 2018-07-27 | 2021-03-26 | 焦作天裕精密光学有限公司 | Interactive visual catheter approach assisting mirror and urethral catheterization device |
| CN210019270U (en) * | 2019-03-07 | 2020-02-07 | 武汉佑康科技有限公司 | Temperature and pressure monitoring control endoscope |
| CN110353620A (en) * | 2019-06-19 | 2019-10-22 | 杭州法博激光科技有限公司 | Flexible ureteroscope with Renal pelvic pressure monitoring |
| CN210871447U (en) * | 2019-07-15 | 2020-06-30 | 珠海普生医疗科技有限公司 | Pressure-measuring and temperature-measuring endoscope tube and endoscope |
| CN213075592U (en) * | 2020-03-26 | 2021-04-30 | 珠海市司迈科技有限公司 | Electronic ureter soft lens, device and system |
| CN111297316A (en) * | 2020-03-26 | 2020-06-19 | 珠海市司迈科技有限公司 | Electronic ureter soft lens, system and use method |
-
2020
- 2020-03-26 CN CN202010224545.6A patent/CN111297316A/en active Pending
- 2020-07-20 CN CN202010700871.XA patent/CN111700581A/en active Pending
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2021
- 2021-05-07 WO PCT/CN2021/092092 patent/WO2021190669A1/en active Application Filing
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2021190669A1 (en) * | 2020-03-26 | 2021-09-30 | 珠海市司迈科技有限公司 | Electronic flexible ureteroscope, apparatus, system, and method for use |
| CN113577402A (en) * | 2021-05-28 | 2021-11-02 | 珠海市司迈科技有限公司 | Surgical system for endoscope flushing and suction and control method |
| CN115444502A (en) * | 2022-09-30 | 2022-12-09 | 广州医科大学附属第一医院（广州呼吸中心） | Ureter soft lens lithotripsy system, device and computer readable storage medium |
| CN116370729A (en) * | 2023-06-06 | 2023-07-04 | 杭州莱恩瑟特医疗技术有限公司 | Drainage device, cleaning head for endoscope, and endoscope |
| CN116370729B (en) * | 2023-06-06 | 2023-08-22 | 杭州莱恩瑟特医疗技术有限公司 | Drainage device, cleaning head for endoscope, and endoscope |
| CN117179676A (en) * | 2023-11-08 | 2023-12-08 | 北京市春立正达医疗器械股份有限公司 | Disposable intelligent visual multi-functional miniature catheter |
| CN117179676B (en) * | 2023-11-08 | 2024-03-15 | 北京市春立正达医疗器械股份有限公司 | Disposable intelligent visual multi-functional miniature catheter |
Also Published As
| Publication number | Publication date |
|---|---|
| CN111700581A (en) | 2020-09-25 |
| WO2021190669A1 (en) | 2021-09-30 |
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Application publication date: 20200619 |