CN111317431B - Upper gastrointestinal tract treatment endoscope - Google Patents
Upper gastrointestinal tract treatment endoscope Download PDFInfo
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- CN111317431B CN111317431B CN202010166956.4A CN202010166956A CN111317431B CN 111317431 B CN111317431 B CN 111317431B CN 202010166956 A CN202010166956 A CN 202010166956A CN 111317431 B CN111317431 B CN 111317431B
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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
- A61B1/273—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 upper alimentary canal, e.g. oesophagoscopes, gastroscopes
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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
- A61B1/04—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
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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
- A61B1/0661—Endoscope light sources
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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
- A61B1/24—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 mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
-
- 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
- A61B1/267—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 respiratory tract, e.g. laryngoscopes, bronchoscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/50—Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body
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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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00482—Digestive system
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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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00595—Cauterization
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- A—HUMAN NECESSITIES
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
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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
- A61B2018/2205—Characteristics of fibres
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1046—Pharynx
Abstract
The invention belongs to the technical field of medical endoscopes, in particular to an upper gastrointestinal treatment endoscope; comprises a pipe body; the end part of the pipe body is in threaded connection with a soft plug-in connector, and the end part of the soft plug-in connector is provided with a miniature camera; two sides of the upper end of the pipe body are provided with sliding clamping grooves, and sliding clamping heads are arranged in the sliding clamping grooves; the outer wall of the sliding chuck is fixedly provided with a squeezing bag, and the inner side wall of the sliding chuck is connected with a medicine guide pipe through a medicine guide hose; the annular medicine spraying bag is slidably arranged on the inner wall of the soft plug-in connector and is communicated with the medicine guide pipe; the side wall of the soft plug connector is uniformly provided with spraying holes, and a medicine guide head is arranged in each spraying hole in a sliding manner; the medicine guide head is communicated with the annular medicine spraying bag; the optical fiber is arranged in the tube body, and the end part of the optical fiber is positioned in the soft plug; medical personnel can carry out the medication to pathological change department according to the state of patient's pathological change department, and then through medicine sprinkler, further improve the high-efficient treatment of endoscope.
Description
Technical Field
The invention belongs to the technical field of medical endoscopes, and particularly relates to an upper gastrointestinal treatment endoscope.
Background
With the rapid development of medical technology, a medical endoscope becomes a common medical instrument, is widely used for clinical observation and diagnosis of various cavities inserted into the human body, and is also an important means for disease examination. The medical endoscope enters the human body through a natural pore canal of the human body or a small incision after operation, can directly peen various tissue changes of related parts, organs and the like, the quality of displayed images directly influences the use effect of the medical endoscope, and also marks the development level of the endoscope technology.
The digestive system consists of a digestive tract and a digestive gland, wherein the digestive tract is a pipeline which extends from the oral cavity to the anus and comprises parts such as esophagus, stomach, duodenum, jejunum, ileum, caecum, colon, rectum and the like; the upper digestive tract refers to the human mouth, pharynx, esophagus, stomach, and duodenum.
Chinese patent discloses an upper gastrointestinal treatment endoscope, the patent application number is 2007200323287, the patent content discloses an upper gastrointestinal treatment endoscope, the upper gastrointestinal treatment endoscope comprises a head end part and an insertion part, the head end part is shaped like a snake head, the cross section of the largest part of the head end part is 28 multiplied by 20mm, a biopsy hole channel positioned at the head end part is an expanded cavity, the depth of the cavity is 80-120mm, and the length of the cross section of the cavity is 20-25mm, and the width of the cross section of the cavity is 10-15mm; the outer diameter of the insertion part is 17-19mm, and the section diameter of the biopsy hole in the insertion part is 13-15mm. The advantage of this patent lies in only needing the gastroscope insert tube next time, just can directly take out a plurality of small-size foreign matters from the biopsy pore in proper order, can take out along with the gastroscope insert tube in the enlarged cavity of its pull-in head tip to great foreign matter together, to esophagus, the probably secondary damage of oropharynx portion when having avoided getting the foreign matter, has reduced the low tube number of times, and the doctor can directly develop the benign tumour operation of ligature excision esophagus and stomach under the mirror in addition, but greatly reduced bleeding rate.
And current endoscope treats the pathological change position in patient affected part through the laser beam mostly, if when erosion or damage appear in patient's affected part only, medical personnel are difficult to use the endoscope to carry out adjunctie therapy, carry out adjunctie therapy through the medicine mostly, and the medicine of adjunctie therapy is difficult to directly scribble or the patient's that sprays the affected part through the supplementary of endoscope for the patient's affected part is directly used to the medicine, and then influences the quick treatment in patient affected part.
Disclosure of Invention
In order to make up for the defects of the prior art, the invention provides an upper gastrointestinal treatment endoscope which is mainly used for solving the problems that most of the existing endoscopes treat the diseased part of a patient through laser beams, if the diseased part of the patient is only eroded or damaged, medical staff are difficult to use the endoscope for auxiliary treatment, most of the existing endoscopes carry out auxiliary treatment through medicines, the medicines for the auxiliary treatment are difficult to directly smear or spray the diseased part of the patient through the assistance of the endoscope, so that the medicines are directly acted on the diseased part of the patient, and the quick treatment effect of the diseased part of the patient is further influenced.
The technical scheme adopted by the invention for solving the technical problems is as follows: the invention relates to an upper gastrointestinal treatment endoscope, which comprises a tube body; the tube body is made of an edible silica gel material; the end part of the tube body is in threaded connection with a soft plug-in connector, and the end part of the soft plug-in connector is provided with a miniature camera and a miniature bulb; the drug spraying device is arranged in the tube body and symmetrically arranged on two sides of the tube body; the medicine spraying device comprises a sliding chuck, a squeezing bag, a medicine guide hose, a medicine guide pipe, an annular medicine spraying bag and a medicine guide head; two sides of the upper end of the pipe body are provided with sliding clamping grooves, and sliding clamping heads are arranged in the sliding clamping grooves; the outer wall of the sliding chuck is fixedly provided with a squeezing bag, and the inner side wall of the sliding chuck is connected with a medicine guide pipe through a medicine guide hose; the upper end and the lower end of the extrusion bag are provided with sealing plugs; the annular pesticide spraying bag is slidably mounted on the inner wall of the soft plug connector and is communicated with the pesticide guide pipe; spraying holes are uniformly formed in the side wall of the soft plug connector, and a medicine guide head is arranged in each spraying hole in a sliding mode; the drug guide head is communicated with the annular drug spraying bag, and the annular drug spraying bag is divided into two spraying cavities by the baffle; the two spraying cavities are respectively communicated with symmetrically arranged medicine guide pipes; the optical fiber is arranged in the tube body, and the end part of the optical fiber is positioned in the soft plug;
when the endoscope is used for treating the oral cavity or the throat of a patient, the medical staff firstly opens the miniature camera and the miniature bulb arranged on the tube body, then sends the soft plug-in connector arranged on the tube body to the position of throat lesion through shooting of the camera, and then removes the tumor or the convex bulb at the lesion position through burning by laser beams emitted by the optical fibers; when a patient needs to carry out drug treatment on erosion or damage of throat or cavity, medical staff firstly injects liquid or powder drugs needing to be sprayed into the symmetrically arranged squeezing sacs through the sealing plugs respectively, then presses the squeezing sacs to enable the drugs in the squeezing sacs to enter the drug guide tube through the drug guide hose and then to be sent into the annular drug spraying sacs through the drug guide tube, the powder and the liquid drugs in the annular drug spraying sacs can enter the drug guide head respectively, and then the medical staff can send the treated drugs into the tube body; then the medical staff manually inserts the tube body and the soft plug connector into the oral cavity of the patient, then the soft plug connector can be sent into the affected part of the patient through the miniature camera, after the soft plug connector reaches the affected part of the patient, the medical staff lightly presses the extrusion bag with the liquid medicine, so that the liquid medicine is sprayed to the affected part of the patient through the medicine guide head under the extrusion force of the extrusion bag, further the liquid medicine can clean and treat the affected part of the patient, then the medical staff rotates the tube body, so that the medicine guide head with the powder medicine is aligned with the affected part of the patient, then the medical staff lightly presses the extrusion bag with the powder medicine, so that the powder medicine in the medicine guide head can be sprayed and adhered to the affected part of the patient, through the matching of the medicine spraying device and the miniature camera, the laser beam generated by the optical fiber can burn and treat the diseased part of the patient, meanwhile, after the laser beam treatment is completed, the medical staff can perform the medicine treatment on the diseased part according to the state of the diseased part of the patient, and further the medicine spraying device is sprayed, and the high-efficiency treatment effect of the endoscope is further improved; simultaneously medicine sprinkler carries out the medication to patient's throat or oral erosion or damaged place under the cooperation of miniature camera head, and then can accelerate that the medicine has erosion or damaged place to patient's throat or oral department and treats, prevents because the comparatively secret or conventional medical instrument in patient's affected part is difficult to reach, and then influences the quick treatment in patient's affected part.
Preferably, the tube body is provided with a foreign matter removing device; the foreign body taking-out device comprises a fixed pipe, an extrusion cavity bag, a sliding column, a sliding plate, an elastic extrusion strip and a limiting spring; the fixed tube is fixed in the tube body, and the top end of the fixed tube is communicated with the extrusion cavity bag; a sliding column is inserted in the fixed tube in a sliding manner, and a sliding plate is fixed at the bottom end of the sliding column; elastic extrusion strips are symmetrically arranged on the bottom end face of the sliding plate, an arc-shaped bulge part is arranged at the central position of each elastic extrusion strip, and the arc-shaped bulge parts are positioned above the soft plug connectors; the outer wall of the sliding column is sleeved with a limiting spring, and the limiting spring is positioned in the fixed pipe; the during operation, when patient's throat has the foreign matter card when arriving, for example during fishbone or bone, medical personnel inject into the extrusion bag with the medicine that softens earlier, make softened medicine spout the anther sac through the annular and enter into leading in the anther sac, then medical personnel send into the position of foreign matter with the body, then the medicine that will soften the effect sprays on the foreign matter, then medical personnel press down the extrusion cavity bag on body top, gas in the extrusion cavity bag can enter into the fixed tube, and then promote the sliding column and slide to the bottom of body, the sliding column can be through sliding plate area movable elasticity extrusion strip to the outside slip of soft bayonet joint, and then the elasticity extrusion strip that the symmetry set up can contact with the foreign matter, along with the continuous slip of sliding column, arc bellying on the elasticity extrusion strip can extrude on the inner wall of soft bayonet joint, soft bayonet joint can play the effect that elasticity subtend extruded to the elasticity extrusion strip, and then the elasticity extrusion strip of symmetry can carry out the foreign matter carries out the foreign matter, simultaneously under the effect of softening the medicine, can reduce the foreign matter damage to patient when taking out, and secondary of medicine sprays the operation and has reduced the foreign matter damage to patient.
Preferably, the sliding column is provided with a sliding cavity, and the sliding cavity is internally inserted with an optical fiber in a sliding manner; the end parts of the optical fibers are positioned between the elastic extrusion strips which are symmetrically arranged; when the medical treatment device works, when a laser beam emitted by the optical fiber is required to be treated, medical staff can firstly extrude the extrusion cavity bag, so that gas in the extrusion cavity bag can push the sliding column to slide, the end parts of the optical fiber are positioned between the elastic extrusion strips which are symmetrically arranged, and the medical staff can push the optical fiber while the elastic extrusion strips are clamped oppositely, so that the end parts of the optical fiber protrude out of the end parts of the elastic extrusion strips, and the clamping force of the elastic extrusion strips can play a role in positioning and clamping the optical fiber, so that the laser beam emitted by the optical fiber can be stabilized, and the efficient treatment effect of the optical fiber is further improved; if the length of the optical fiber needs to be adjusted, medical personnel can continuously press the extrusion pressing cavity bag, so that the elastic extrusion strip can drive the optical fiber to stably extend out for operation; the medical staff adjusts the length of the tube body extending into the body of the patient through the foreign matter taking-out device according to the size of the tumor or the convex bubble on the affected part of the patient, so as to adjust the length of the optical fiber, further reduce the moving extension amount of the tube body in the body of the patient, and effectively prevent the patient from discomfort caused by the continuous movement of the tube body in the body of the patient; thereby affecting the therapeutic effect.
Preferably, the sliding chuck is slidably arranged in the sliding clamping groove, and the length of the sliding clamping groove is greater than that of the sliding chuck; the inner wall of the tube body is provided with a guide groove, and a medicine guide hose is arranged in the guide groove in a sliding manner; the sliding plate is arranged in the annular medicine spraying bag in a sliding manner; when the medical flexible extrusion device works, the length of the arranged sliding clamping groove is larger than that of the sliding chuck, the sliding of the sliding chuck on the tube body is convenient to adjust, the annular medicine spraying bag can slide up and down in the flexible plug conveniently, the sliding plate is arranged on the annular medicine spraying bag in a sliding mode, and when the extension amount of the flexible extrusion strip needs to be controlled to be small, medical staff can slide the sliding chuck, so that the sliding chuck drives the medicine guide tube to move upwards through the medicine guide hose, the annular medicine spraying bag moves upwards at the same time, the sliding distance between the bottom end of the annular medicine spraying bag and the sliding plate is further reduced, and the extension amount of the flexible extrusion strip is further reduced; if the elongation of the elastic extrusion strip needs to be increased, the medical staff operates the sliding chuck to slide downwards, so that the annular medicine spraying bag slides downwards, the sliding distance between the bottom end of the annular medicine spraying bag and the sliding plate is increased, and the elongation of the elastic extrusion strip is increased; and then through the medicine sprinkler that slides the setting, be convenient for control foreign matter remove device's elastic extrusion strip's elongation, and then be convenient for the elastic extrusion strip can press from both sides the foreign matter of getting the variation in size.
Preferably, the section of the sliding chuck is of an I-shaped structure, a clamping groove is formed in the inner wall of one side of the I-shaped sliding chuck, and a clamping protrusion is arranged on the inner wall of the other side of the I-shaped sliding chuck; the inner wall and the outer wall of the sliding clamping groove are respectively provided with a convex ball and a concave groove; the convex ball and the clamping groove are mutually clamped in a sliding manner; the concave groove and the clamping protrusion are mutually clamped in a sliding manner; when the medicine spraying device works, the clamping grooves and the clamping bulges arranged on the sliding chuck of the I-shaped structure are in sliding fit with the inner wall and the outer wall of the sliding clamping groove respectively provided with the convex balls and the concave grooves, so that the sliding stability of the sliding chuck on the outer wall of the pipe body is improved, the phenomenon that the sliding chuck slides downwards under the gravity of the medicine guide pipe and the annular medicine spraying bag and the gravity of medicine stored in the medicine spraying pipe is effectively prevented, and the stability and the high efficiency of the medicine spraying device on medicine spraying are further influenced; meanwhile, the annular medicine spraying bag is easy to shake in the soft plug, and the clamping stability of the elastic extrusion strip on foreign matters is further influenced.
Preferably, the medicine guide head is obliquely and upwards arranged in the spraying hole, and the outer end part of the medicine guide head is provided with an elastic extrusion block; a limiting stepped groove is formed in the spraying hole and is in sliding extrusion contact with the elastic extrusion block; when the annular medicine spraying bag slides upwards under the driving of the sliding chuck, the elastic extrusion block arranged at the end part of the medicine guide head can be clamped in the limiting stepped groove in a sliding manner, and then the elastic extrusion block is matched with the limiting stepped groove, so that the limiting sliding effect can be achieved on the medicine guide head, the phenomenon that the medicine guide head is separated from a spraying hole under the upward pulling of the annular medicine spraying bag by the medicine guide head is effectively prevented, and the quick spraying effect of the medicine guide head on the medicine is further influenced; meanwhile, the elastic extrusion block can play a limiting and sliding effect on the annular spraying bag, and the phenomenon that the sliding plate drives the elastic extrusion strip to move upwards due to the fact that the annular spraying bag slides upwards too much is prevented, and the effect of accurately clamping foreign matters by the elastic extrusion strip is further influenced.
The invention has the following beneficial effects:
1. according to the invention, through the matching of the medicine spraying device and the miniature camera, the laser beam generated by the optical fiber can be used for burning treatment on the pathological change part of the patient, and meanwhile, after the laser beam treatment is finished, medical personnel can perform medicine treatment on the pathological change part through the medicine spraying device according to the state of the pathological change part of the patient, so that the high-efficiency treatment effect of the endoscope is further improved.
2. According to the invention, under the cooperation of the miniature camera, the medicine spraying device can be used for carrying out medicine treatment on the throat or oral erosion or damaged part of a patient, so that the medicine treatment on the erosion or damaged part of the throat or oral cavity of the patient can be accelerated, and the situation that the affected part of the patient is more secret or the affected part of the patient is difficult to reach by conventional medical equipment is prevented, and the affected part of the patient is influenced to be quickly treated.
3. The medicine spraying device is matched with the foreign matter taking-out device, the medicine guide head can spray medicine with a softening effect on the foreign matter, the symmetrical elastic extrusion strips can clamp the foreign matter, meanwhile, the secondary damage operation of the foreign matter to the throat of a patient when the foreign matter is taken out can be reduced under the softening effect of the softened medicine, the foreign matter taking-out device is matched with the medicine spraying device, the foreign matter on the affected part of the patient can be conveniently and quickly taken out, and meanwhile, the secondary damage phenomenon of the foreign matter to the patient is reduced.
Drawings
The invention will be further explained with reference to the drawings.
FIG. 1 is a perspective view of the present invention;
FIG. 2 is a cross-sectional view of the present invention;
FIG. 3 is a partial cross-sectional view of the medication spray device of the present invention;
FIG. 4 is an enlarged view of a portion of the invention at A in FIG. 2;
FIG. 5 is an enlarged view of a portion of the invention at B in FIG. 2;
in the figure: the device comprises a tube body 1, a sliding clamping groove 11, a guide groove 12, a convex ball 13, a concave groove 14, a soft plug connector 2, a spraying hole 21, a limiting step groove 22, a medicine spraying device 3, a sliding clamping head 31, a clamping groove 311, a clamping protrusion 312, an extrusion bag 32, a medicine guide hose 33, a medicine guide tube 34, an annular medicine spraying bag 35, a spraying cavity 351, a medicine guide head 36, an optical fiber 4, a foreign matter taking-out device 5, a fixing tube 51, an extrusion cavity bag 52, a sliding column 53, a sliding plate 54, an elastic extrusion strip 55, a limiting spring 56 and an elastic extrusion block 6.
Detailed Description
An upper gastrointestinal treatment endoscope according to an embodiment of the present invention will be described below with reference to fig. 1 to 5.
As shown in fig. 1 to 5, an upper gastrointestinal treatment endoscope according to the present invention includes a tube body 1; the tube body 1 is made of an edible silica gel material; the end part of the tube body 1 is in threaded connection with a soft plug-in connector 2, and the end part of the soft plug-in connector 2 is provided with a miniature camera and a miniature bulb; the drug spraying device 3 is arranged in the tube body 1, and the drug spraying devices 3 are symmetrically arranged on two sides of the tube body 1; the medicine spraying device 3 comprises a sliding chuck 31, a squeezing bag 32, a medicine guide hose 33, a medicine guide pipe 34, an annular medicine spraying bag 35 and a medicine guide head 36; two sides of the upper end of the pipe body 1 are provided with sliding clamping grooves 11, and sliding clamping heads 31 are arranged in the sliding clamping grooves 11; the outer wall of the sliding chuck 31 is fixedly provided with an extrusion bag 32, and the inner side wall of the sliding chuck 31 is connected with a medicine guide pipe 34 through a medicine guide hose 33; the upper end and the lower end of the extrusion bag 32 are provided with sealing plugs; the annular medicine spraying bag 35 is slidably mounted on the inner wall of the soft plug connector 2, and the annular medicine spraying bag 35 is communicated with the medicine guide tube 34; the side wall of the soft plug 2 is uniformly provided with spraying holes 21, and a medicine guide head 36 is arranged in the spraying holes 21 in a sliding manner; the medicine guide head 36 is communicated with the annular medicine spraying bag 35, and the annular medicine spraying bag 35 is divided into two spraying cavities 351 by a partition plate; the two spraying cavities 351 are respectively communicated with the symmetrically arranged medicine guide pipes 34; the optical fiber 4 is arranged in the tube body 1, and the end part of the optical fiber 4 is positioned in the soft plug 2;
when the endoscope is used for treating the oral cavity or the throat of a patient, medical staff firstly turn on the miniature camera and the miniature bulb arranged on the tube body 1, then send the soft plug 2 arranged on the tube body 1 to the position of throat lesion through shooting of the camera, and then remove tumor or convex bubble at the lesion position through burning by laser beams emitted by the optical fiber 4; when a patient needs to perform drug therapy on erosion or damage of throat or cavity, medical staff firstly injects liquid or powder drugs to be sprayed into the symmetrically arranged squeezing bags 32 through the sealing plugs respectively, then presses the squeezing bags 32 to enable the drugs in the squeezing bags 32 to enter the drug guide tube 34 through the drug guide hose 33 and then to be sent into the annular drug spraying bags 35 through the drug guide tube 34, the powder and the liquid drugs in the annular drug spraying bags 35 can enter the drug guide head 36 respectively, and then the medical staff can send the therapeutic drugs into the tube body 1; then the medical staff manually inserts the tube body 1 and the soft plug-in connector 2 into the oral cavity of the patient, then the soft plug-in connector 2 can be sent into the affected part of the patient through the micro camera, after the soft plug-in connector 2 reaches the affected part of the patient, the medical staff lightly presses the extrusion bag 32 with the liquid medicine, so that the liquid medicine is sprayed to the affected part of the patient through the medicine guide head 36 under the extrusion force of the extrusion bag 32, and then the liquid medicine can be used for cleaning and treating the affected part of the patient, then the medical staff rotates the tube body 1, so that the medicine guide head 36 with the powder medicine is aligned with the affected part of the patient, then the medical staff lightly presses the extrusion bag 32 with the powder medicine, so that the powder medicine in the medicine guide head 36 can be sprayed and bonded to the affected part of the patient, through the matching of the medicine spraying device 3 and the micro camera, the laser beam generated by the optical fiber 4 can be used for burning treatment of the affected part of the patient, and meanwhile, after the laser beam treatment is completed, the medical staff can carry out medicine treatment on the affected part through the medicine spraying device 3, and further improves the high-efficiency endoscope treatment effect; simultaneously medicine sprinkler 3 carries out drug therapy to patient's throat or oral erosion or damaged place under the cooperation of miniature camera head, and then can accelerate that the medicine has erosion or damaged place to patient's throat or oral department and treat, prevents because the comparatively secret or conventional medical instrument in patient's affected part is difficult to reach, and then influences the quick treatment in patient's affected part.
As an embodiment of the present invention, the tube body 1 is provided with a foreign matter extraction device 5; the foreign matter taking-out device 5 comprises a fixed pipe 51, an extrusion cavity bag 52, a sliding column 53, a sliding plate 54, an elastic extrusion strip 55 and a limit spring 56; the fixed tube 51 is fixed in the tube body 1, and the top end of the fixed tube 51 is communicated with a squeezing cavity bag 52; a sliding column 53 is inserted in the fixed tube 51 in a sliding manner, and a sliding plate 54 is fixed at the bottom end of the sliding column 53; elastic extrusion strips 55 are symmetrically arranged on the bottom end face of the sliding plate 54, an arc-shaped bulge part is arranged at the central position of the elastic extrusion strips 55, and the arc-shaped bulge part is positioned above the soft plug 2; a limiting spring 56 is sleeved on the outer wall of the sliding column 53, and the limiting spring 56 is positioned in the fixed pipe 51; the during operation, when patient's throat has the foreign matter card to arrive, for example during fish bone or bone, medical personnel inject into extrusion bag 32 with the medicine that softens earlier, make softened medicine spout anther sac 35 through the annular and enter into leading in the anther sac 36, then medical personnel send into the position of foreign matter with body 1, then the medicine that will soften on spraying the foreign matter, then medical personnel press down the extrusion cavity bag 52 on body 1 top, gas in the extrusion cavity bag 52 can enter into fixed tube 51, and then promote sliding column 53 to slide to body 1's bottom, sliding column 53 can drive elasticity extrusion strip 55 through sliding plate 54 and slide to soft bayonet joint 2's outside, and then the elasticity extrusion strip 55 of symmetry setting can contact with the foreign matter, along with the continuous slip of sliding column 53, arc bellying on the elasticity extrusion strip 55 can extrude on soft bayonet joint 2's the inner wall, soft bayonet joint 2 can play elasticity subtend extrusion strip 55 effect, and then the elasticity extrusion strip 55 of symmetry can carry out the foreign matter with the foreign matter clamp, the effect of softening medicine simultaneously is got down the foreign matter and the foreign matter reduces the foreign matter damage of patient and has taken out the foreign matter and has carried out the cooperation of secondary device when the foreign matter of the foreign matter 3 when the foreign matter of the operation of patient.
As an embodiment of the present invention, the sliding column 53 is provided with a sliding cavity, and the optical fiber 4 is inserted in the sliding cavity in a sliding manner; the ends of the optical fibers 4 are positioned between the elastic extrusion strips 55 which are symmetrically arranged; when the optical fiber treatment device works, when a laser beam emitted by the optical fiber 4 is required to be treated, medical staff can firstly extrude the extrusion cavity bag 52, so that gas in the extrusion cavity bag 52 can push the sliding column 53 to slide, and the end part of the optical fiber 4 is positioned between the elastic extrusion strips 55 which are symmetrically arranged, so that the medical staff can push the optical fiber 4 while the elastic extrusion strips 55 are clamped oppositely, so that the end part of the optical fiber 4 protrudes out of the end part of the elastic extrusion strip 55, and the clamping force of the elastic extrusion strip 55 can play a role in positioning and clamping the optical fiber 4, so that the optical fiber 4 can stably emit the laser beam, and the high-efficiency treatment effect of the optical fiber 4 is further improved; if the length of the optical fiber 4 needs to be adjusted, the medical staff can continuously press the pressing cavity bag 52, so that the elastic pressing strip 55 can drive the optical fiber 4 to stably extend out; then, medical staff adjust the length of the tube body 1 extending into the body of the patient through the foreign matter taking-out device 5 according to the size of the tumor or the convex bubble on the affected part of the patient, and further adjust the length of the optical fiber 4, so that the moving extension amount of the tube body 1 in the body of the patient is reduced, and the phenomenon that the patient feels uncomfortable due to the fact that the tube body 1 continuously moves in the body of the patient is effectively prevented; thereby affecting the therapeutic effect.
As an embodiment of the present invention, the sliding chuck 31 is slidably disposed in the sliding engaging groove 11, and the length of the sliding engaging groove 11 is greater than the length of the sliding chuck 31; the inner wall of the tube body 1 is provided with a guide groove 12, and a medicine guide hose 33 is arranged in the guide groove 12 in a sliding manner; the sliding plate 54 is arranged in the annular medicine spraying bag 35 in a sliding mode; when the medical flexible extrusion device works, the length of the arranged sliding clamping groove 11 is larger than that of the sliding clamping head 31, so that the sliding of the sliding clamping head 31 on the pipe body 1 can be adjusted conveniently, the annular medicine spraying bag 35 can slide up and down in the flexible insertion joint 2 conveniently, the sliding plate 54 is arranged on the annular medicine spraying bag 35 in a sliding mode, and further when the elongation of the elastic extrusion strip 55 needs to be controlled to be small, medical workers can slide the sliding clamping head 31, so that the sliding clamping head 31 drives the medicine guide pipe 34 to move upwards through the medicine guide hose 33, the annular medicine spraying bag 35 moves upwards at the same time, the sliding distance between the bottom end of the annular medicine spraying bag 35 and the sliding plate 54 is further reduced, and the elongation of the elastic extrusion strip 55 is further reduced; if the extension amount of the elastic extrusion strip 55 needs to be increased, the medical staff operates the sliding chuck 31 to slide downwards, so that the annular medicine spraying bag 35 slides downwards, the sliding distance between the bottom end of the annular medicine spraying bag 35 and the sliding plate 54 is increased, and the extension strip of the elastic extrusion strip 55 is further increased; and then through the medicine sprinkler 3 that slides the setting, be convenient for control foreign matter remove device 5's elastic extrusion strip 55's elongation, and then be convenient for elastic extrusion strip 55 can press from both sides the foreign matter of getting the variation in size.
As an embodiment of the present invention, the cross section of the slide chuck 31 is an i-shaped structure, and the inner wall of one side of the i-shaped slide chuck 31 is provided with a fastening groove 311, and the inner wall of the other side thereof is provided with a fastening protrusion 312; the inner wall and the outer wall of the sliding clamping groove 11 are respectively provided with a convex ball 13 and a concave groove 14; the convex ball 13 and the clamping groove 311 are mutually clamped in a sliding way; the concave groove 14 and the clamping protrusion 312 are mutually clamped in a sliding manner; when the medicine spraying device works, the clamping grooves 311 and the clamping protrusions 312 which are arranged on the sliding chuck 31 of the I-shaped structure are in sliding fit with the inner wall and the outer wall of the sliding clamping groove 11 respectively, and the convex balls 13 and the concave grooves 14 are arranged on the inner wall and the outer wall of the sliding chuck 11, so that the sliding stability of the sliding chuck 31 on the outer wall of the pipe body 1 is improved, the downward sliding phenomenon of the sliding chuck 31 under the gravity of the medicine guide pipe 34 and the annular medicine spraying bag 35 and the gravity of the medicine stored in the medicine spraying pipe is effectively prevented, and the stability and the high efficiency of the medicine spraying device 3 on the medicine are further influenced; meanwhile, the annular medicine spraying bag 35 is easy to shake in the soft plug 2, and the clamping stability of the elastic extrusion strip 55 to the foreign matters is further affected.
As an embodiment of the invention, the drug guiding head 36 is obliquely and upwards arranged in the spraying hole 21, and the outer end part of the drug guiding head 36 is provided with the elastic extrusion block 6; a limiting stepped groove 22 is formed in the spraying hole 21, and the limiting stepped groove 22 is in sliding extrusion contact with the elastic extrusion block 6; when the annular medicine spraying bag 35 slides upwards under the driving of the sliding chuck 31, the elastic extrusion block 6 arranged at the end part of the medicine guide head 36 can be clamped in the limiting stepped groove 22 in a sliding manner, and then the elastic extrusion block 6 is matched with the limiting stepped groove 22, so that the effect of limiting sliding on the medicine guide head 36 can be achieved, the phenomenon that the medicine guide head 36 is separated from the spraying hole 21 under the upward pulling of the annular medicine spraying bag 35 by the medicine guide head 36 is effectively prevented, and the quick medicine spraying effect of the medicine guide head 36 on medicines is further influenced; meanwhile, the elastic extrusion block 6 can play a limiting sliding effect on the annular medicine spraying bag 35, and prevent the annular medicine spraying bag 35 from sliding upwards too much, so that the sliding plate 54 drives the elastic extrusion strip 55 to move upwards, and further the effect of accurately clamping the foreign matters by the elastic extrusion strip 55 is influenced.
The specific working process is as follows:
when the endoscope is used for treating the oral cavity or the throat of a patient, medical staff firstly turn on the miniature camera and the miniature bulb arranged on the tube body 1, then send the soft plug 2 arranged on the tube body 1 to the position of throat lesion through shooting of the camera, and then remove tumor or convex bubble at the lesion position through burning by laser beams emitted by the optical fiber 4; when a patient needs to perform drug therapy on erosion or damage of throat or cavity, medical staff firstly injects liquid or powder drugs to be sprayed into the symmetrically arranged squeezing bags 32 through the sealing plugs respectively, then presses the squeezing bags 32 to enable the drugs in the squeezing bags 32 to enter the drug guide tube 34 through the drug guide hose 33 and then to be sent into the annular drug spraying bags 35 through the drug guide tube 34, the powder and the liquid drugs in the annular drug spraying bags 35 can enter the drug guide head 36 respectively, and then the medical staff can send the therapeutic drugs into the tube body 1; then medical personnel insert patient's oral cavity department with body 1 and soft bayonet joint 2 manually, then can send into patient's affected part with soft bayonet joint 2 through miniature camera head, after soft bayonet joint 2 reachs patient's affected part, medical personnel press gently the extrusion bag 32 that has liquid medicine, make liquid medicine spray patient's affected part through leading medicine head 36 under extrusion bag 32's extrusion force, and then liquid medicine can wash the treatment to patient's affected part, then medical personnel rotate body 1, make the affected part that has powder medicine and lead medicine head 36 and patient align, then medical personnel press gently the extrusion bag 32 that has powder medicine, make the powder medicine in the leading medicine head 36 can spray the affected part that bonds to patient.
In the description of the present invention, it is to be understood that the terms "center", "front", "rear", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc., indicate orientations or positional relationships based on those shown in the drawings, and are used only for convenience in describing the present invention and for simplicity in description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore, should not be taken as limiting the scope of the present invention.
While the invention has been described with reference to specific embodiments, it will be understood by those skilled in the art that various changes may be made and equivalents may be substituted without departing from the scope of the invention. In addition, many modifications may be made to adapt a particular situation or material to the teachings of the invention without departing from its scope. Therefore, it is intended that the invention not be limited to the particular embodiment disclosed, but that the invention will include all embodiments falling within the scope of the appended claims.
Claims (5)
1. An upper gastrointestinal treatment endoscope comprises a tube body (1); the method is characterized in that: the tube body (1) is made of an edible silica gel material; the end part of the tube body (1) is in threaded connection with a soft plug-in connector (2), and the end part of the soft plug-in connector (2) is provided with a micro camera and a micro bulb; the drug spraying device (3) is arranged in the tube body (1), and the drug spraying device (3) is symmetrically arranged on two sides of the tube body (1); the medicine spraying device (3) comprises a sliding chuck (31), an extrusion bag (32), a medicine guide hose (33), a medicine guide pipe (34), an annular medicine spraying bag (35) and a medicine guide head (36); two sides of the upper end of the pipe body (1) are provided with sliding clamping grooves (11), and sliding clamping heads (31) are arranged in the sliding clamping grooves (11); the outer wall of the sliding chuck (31) is fixedly provided with an extrusion bag (32), and the inner side wall of the sliding chuck (31) is connected with a medicine guide pipe (34) through a medicine guide hose (33); the upper end and the lower end of the extrusion bag (32) are provided with sealing plugs; the annular medicine spraying bag (35) is slidably mounted on the inner wall of the soft plug (2), and the annular medicine spraying bag (35) is communicated with the medicine guide tube (34); the side wall of the soft plug (2) is uniformly provided with spraying holes (21), and the spraying holes (21) are internally provided with a medicine guide head (36) in a sliding way; the drug guide head (36) is communicated with the annular drug spraying bag (35), and the annular drug spraying bag (35) is divided into two spraying cavities (351) by a baffle plate; the two spraying cavities (351) are respectively communicated with symmetrically arranged medicine guide pipes (34); an optical fiber (4) is arranged in the tube body (1), and the end part of the optical fiber (4) is positioned in the soft plug (2);
the tube body (1) is provided with a foreign matter taking-out device (5); the foreign matter taking-out device (5) comprises a fixed pipe (51), an extrusion cavity bag (52), a sliding column (53), a sliding plate (54), an elastic extrusion strip (55) and a limiting spring (56); the fixed tube (51) is fixed in the tube body (1), and the top end of the fixed tube (51) is communicated with a squeezing cavity bag (52); a sliding column (53) is inserted in the fixed tube (51) in a sliding manner, and a sliding plate (54) is fixed at the bottom end of the sliding column (53); elastic extrusion strips (55) are symmetrically arranged on the bottom end face of the sliding plate (54), an arc-shaped bulge part is arranged at the central position of each elastic extrusion strip (55), and the arc-shaped bulge part is positioned above the soft plug (2); the outer wall of the sliding column (53) is sleeved with a limiting spring (56), and the limiting spring (56) is located in the fixed pipe (51).
2. An upper gastrointestinal treatment endoscope according to claim 1, wherein: a sliding cavity is formed in the sliding column (53), and the optical fiber (4) is inserted in the sliding cavity in a sliding manner; the ends of the optical fibers (4) are positioned between symmetrically arranged elastic extrusion strips (55).
3. An upper gastrointestinal treatment endoscope according to claim 1, wherein: the sliding chuck (31) is arranged in the sliding clamping groove (11) in a sliding mode, and the length of the sliding clamping groove (11) is larger than that of the sliding chuck (31); a guide groove (12) is formed in the inner wall of the tube body (1), and a medicine guide hose (33) is arranged in the guide groove (12) in a sliding mode; the sliding plate (54) is arranged in the annular medicine spraying bag (35) in a sliding mode.
4. An upper gastrointestinal treatment endoscope according to claim 3, wherein: the section of the sliding chuck (31) is of an I-shaped structure, a clamping groove (311) is formed in the inner wall of one side of the I-shaped sliding chuck (31), and a clamping protrusion (312) is formed in the inner wall of the other side of the I-shaped sliding chuck (31); the inner wall and the outer wall of the sliding clamping groove (11) are respectively provided with a convex ball (13) and a concave groove (14); the convex ball (13) and the clamping groove (311) are mutually clamped in a sliding way; the concave groove (14) and the clamping protrusion (312) are mutually clamped in a sliding way.
5. An upper gastrointestinal treatment endoscope according to claim 4, wherein: the medicine guide head (36) is obliquely and upwards arranged in the spraying hole (21), and the outer end part of the medicine guide head (36) is provided with an elastic extrusion block (6); set up spacing ladder groove (22) in spraying hole (21), and spacing ladder groove (22) and elastic extrusion piece (6) sliding extrusion contact.
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010166956.4A CN111317431B (en) | 2020-03-11 | 2020-03-11 | Upper gastrointestinal tract treatment endoscope |
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| CN202010166956.4A CN111317431B (en) | 2020-03-11 | 2020-03-11 | Upper gastrointestinal tract treatment endoscope |
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| CN111317431B true CN111317431B (en) | 2022-10-04 |
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| US7247269B2 (en) * | 2003-07-21 | 2007-07-24 | Biosense Webster, Inc. | Method for making a spiral array ultrasound transducer |
| CN204542030U (en) * | 2015-04-05 | 2015-08-12 | 马红岩 | Pharyngitis therapeutic instrument |
| CN209107283U (en) * | 2018-03-07 | 2019-07-16 | 贵州省人民医院 | A kind of fujinon electronic video endoscope |
| CN208573717U (en) * | 2018-03-22 | 2019-03-05 | 中山大学附属第一医院 | A kind of digestion endoscope apparatus |
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