CN112220440B - All-round hysteroscope, working instrument and channel sealing method - Google Patents

All-round hysteroscope, working instrument and channel sealing method Download PDF

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Publication number
CN112220440B
CN112220440B CN202011491796.7A CN202011491796A CN112220440B CN 112220440 B CN112220440 B CN 112220440B CN 202011491796 A CN202011491796 A CN 202011491796A CN 112220440 B CN112220440 B CN 112220440B
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Prior art keywords
sleeve
instrument
working
channel
head end
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CN112220440A (en
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郝进争
杨翔
王臣峰
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Shanghai Yodo Medical Technology Co ltd
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Shanghai Yodo Medical Technology Co ltd
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Publication of CN112220440B publication Critical patent/CN112220440B/en
Priority to PCT/CN2021/114991 priority patent/WO2022127183A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/303Instruments 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 vagina, i.e. vaginoscopes

Abstract

The invention discloses an all-round hysteroscope, a working instrument and a channel sealing method, wherein the working instrument comprises: the head end of the instrument body is provided with a first clamping part; the sleeve component is arranged at the head end of the instrument body and comprises a sleeve and an elastic piece, the sleeve surrounds to form an instrument channel, the instrument body is arranged in the instrument channel, the first clamping part is in contact with the elastic piece and pushes the instrument body to move in the instrument channel relative to the sleeve, and the first clamping part can compress the elastic piece; when the compression amount of the elastic piece is smaller than or equal to the preset value, the head end of the instrument body is positioned in the instrument channel; when the compression amount of the elastic piece is larger than the preset value, the head end of the instrument body extends out of the sleeve. The head end of the instrument body is kept in the sleeve during the process of extending and withdrawing the instrument body, the head end of the working instrument is prevented from being damaged during the process of inserting and withdrawing, and the head end of the instrument body is protected.

Description

All-round hysteroscope, working instrument and channel sealing method
Technical Field
The invention relates to the field of hysteroscopes, and further relates to an all-round hysteroscope, a working instrument and a channel sealing method.
Background
The hysteroscope is a gynecological surgical instrument, and can be used for directly performing surgical treatment on all uterine cavity space-occupying lesions, endometrial biopsy, adhesion release, mediastinal uterus and the like through the hysteroscope. Currently, surgical instruments used in conjunction with hysteroscopes include electric knife instruments, cold knife instruments, planing knife systems, and the like.
It should be noted that, in the process of inserting and replacing instruments, the head end of an instrument of the existing all-round hysteroscope easily collides with structures such as a pipeline wall sealing valve, so that the head end of a precise instrument is easily damaged in the process of inserting and replacing the instrument.
In view of the above, improvements in the sealing structure of the channel of the omnipotent hysteroscope are needed.
Disclosure of Invention
In view of the above technical problems, an object of the present invention is to provide a full-function hysteroscope, a working instrument and a channel sealing method, wherein the full-function hysteroscope can keep the head end of the instrument body in the sleeve during the insertion and withdrawal of the working instrument, so as to prevent the head end of the working instrument from being damaged during the insertion and withdrawal, and protect the head end of the instrument body.
In order to achieve the above object, the present invention provides a working instrument for a full-function hysteroscope, comprising:
the head end of the instrument body is provided with a first clamping part;
a sleeve assembly mounted to a head end of the instrument body, the sleeve assembly including a sleeve and a resilient member, the sleeve surrounding an instrument channel, the instrument body mounted to the instrument channel, and the first detent in contact with the resilient member urging the instrument body to move within the instrument channel relative to the sleeve, the first detent capable of compressing the resilient member;
when the compression amount of the elastic piece is smaller than or equal to a preset value, the head end of the instrument body is positioned in the instrument channel; when the compression amount of the elastic piece is larger than the preset value, the head end of the instrument body extends out of the sleeve.
Preferably, the sleeve further has a rear wall, the resilient member is mounted in the instrument channel, and the first detent of the instrument body is located between the rear wall of the sleeve and the resilient member.
Preferably, the work implement is sealingly connected to the rear wall of the sleeve.
Preferably, the elastic element is coaxially and adjacently arranged with the sleeve, and the elastic element is positioned between the sleeve and the first clamping part; the instrument body is further provided with a third clamping portion, the third clamping portion is located in the instrument channel, and the rear wall of the sleeve and the elastic piece are located between the third clamping portion and the first clamping portion respectively.
According to another aspect of the invention, the invention further provides a totipotent hysteroscope comprising:
a hysteroscope body having a working channel;
a channel sealing mechanism;
the channel sealing mechanism is arranged between the hysteroscope main body and the working hand piece;
the working instrument of any preceding claim adapted to pass through the working hand piece, the channel sealing mechanism and the working channel;
the working pipeline is internally provided with a second clamping part which is arranged at a preset distance from the channel sealing valve, and at least one part of the second clamping part is positioned on the inlet path of the sleeve; the sleeve passing through the opening of the seal member is contactable with the second detent, the first detent compresses the resilient member as the device body is advanced further, and the device body extends out of the sleeve.
Preferably, the channel sealing mechanism comprises:
the channel sealing seat comprises a valve seat and a locking seat;
a channel sealing valve mounted between the valve body and the locking seat; the channel sealing valve comprises:
a first seal having a first opening;
the first sealing element and the second sealing element are arranged in a mutually laminated mode, the position, corresponding to the first opening, of the second sealing element protrudes away from the first sealing element to form a protruding portion, a buffer cavity is formed between the protruding portion of the second sealing element and the first sealing element, and the protruding portion is provided with a second opening.
Preferably, the valve seat has a mounting groove, the channel sealing valve being mounted to the mounting groove; the valve seat is also provided with a first limiting groove and a second limiting groove which are communicated with the mounting groove and are respectively used for accommodating the first limiting part and the second limiting part of the channel sealing valve.
Preferably, the predetermined position of the valve seat has an assembly groove, and the predetermined position of the locking seat has an assembly protrusion adapted to be fitted into the assembly groove.
Preferably, the number of the fitting grooves of the valve seat is two, the number of the fitting protrusions of the locking seat is also two, and the two fitting protrusions are respectively fitted into the two fitting grooves; the locking seat is provided with a third assembling groove at a position corresponding to the second limiting part of the channel sealing valve, and the third assembling groove is used for accommodating the locking bulge passing through the first combining part.
Preferably, the second opening is a cross-shaped opening.
According to another aspect of the present invention, the present invention further provides a channel sealing method of an omnipotent hysteroscope, comprising:
in the process of extending a working instrument into a working pipeline, an elastic piece is pushed through a first clamping part positioned on the working instrument so as to drive a sleeve positioned on the outer side of the working instrument to move together to pass through a channel sealing mechanism, and in the process of leading the head end of the sleeve passing through the channel sealing mechanism, the head end of the working instrument is positioned in the sleeve;
when the head end of the sleeve passes through the channel sealing mechanism and moves for a preset distance, the head end of the sleeve is in contact with a second clamping portion installed in the working pipeline, the working instrument is allowed to continue to move forwards relative to the sleeve and extends out of the sleeve, and the first clamping portion compresses the elastic piece located between the first clamping portion and the sleeve.
Preferably, during the process of withdrawing the working device from the working channel, before the elastic member returns to its original shape as the working device is withdrawn, the elastic member applies a force to the sleeve so that the head end of the sleeve is kept in contact with the second detent portion and the head end of the working device enters the sleeve;
after the elastic piece returns to the original shape, the first clamping part or the third clamping part on the working instrument is contacted with the rear wall of the sleeve, and the sleeve is pulled to pass through the channel sealing mechanism along with the working instrument.
The omnipotent hysteroscope, the working instrument and the channel sealing method provided by the invention have at least one of the following beneficial effects:
1. according to the all-purpose hysteroscope, the working instrument and the channel sealing method provided by the invention, the head end of the instrument body can be kept in the sleeve in the process of extending in and withdrawing the working instrument, so that the head end of the working instrument is prevented from being damaged in the process of inserting in and withdrawing, and the head end of the instrument body is protected.
2. Before the sleeve is not contacted with a second clamping part in a working pipeline, the first clamping part on the instrument body pushes the elastic part to move forwards together, after the sleeve is contacted with the second clamping part, the first clamping part compresses the elastic part, and the head end of the instrument body extends out of the sleeve; the elastic piece can push the instrument body into the sleeve in the process of withdrawing the instrument body.
Drawings
The above features, technical features, advantages and modes of realisation of the present invention will be further described in the following detailed description of preferred embodiments thereof, which is to be read in connection with the accompanying drawings.
Fig. 1 is an exploded view of a totipotent hysteroscope of a first preferred embodiment of the present invention;
fig. 2 is an exploded view of the channel sealing mechanism of the full-scope hysteroscope of the first preferred embodiment of the present invention;
fig. 3 is a side view of the channel sealing valve of the omnipotent hysteroscope of the first preferred embodiment of the present invention;
fig. 4 is a front view of the channel sealing valve of the omnipotent hysteroscope of the first preferred embodiment of the present invention;
FIG. 5 is a schematic structural view of a sleeve assembly of the full-scope hysteroscope of a second preferred embodiment of the present invention;
figure 6 is a schematic structural view of a variant embodiment of the sleeve assembly of the hysteroscope in an unextended state, in accordance with a second preferred embodiment of the present invention;
figure 7 is a schematic structural view of a modified embodiment of the sleeve assembly of the hysteroscope in an extended state, in accordance with a second preferred embodiment of the present invention.
The reference numbers illustrate:
the hysteroscope comprises a hysteroscope body 1, a working channel 10, a channel sealing mechanism 2, a channel sealing seat 21, a valve seat 211, a mounting groove 2110, a locking seat 212, a locking piece 2121, a channel sealing valve 22, a first sealing piece 221, a first opening 2210, a first combining part 2211, a second sealing piece 222, a second opening 2220, a bulge 223, a buffer cavity 2230, a second combining part 2221, a connecting piece 224, a locking bulge 225, a first limiting part 226, a second limiting part 227, a working instrument 3, an instrument body 31, a working hand piece 32, a sleeve assembly 4, a sleeve 41, an instrument channel 40, an elastic piece 42, a first clamping part 51, a second clamping part 52 and a third clamping part 53.
Detailed Description
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the following description will be made with reference to the accompanying drawings. It is obvious that the drawings in the following description are only some examples of the invention, and that for a person skilled in the art, other drawings and embodiments can be derived from them without inventive effort.
For the sake of simplicity, only the parts relevant to the invention are schematically shown in the drawings, and they do not represent the actual structure as a product. In addition, in order to make the drawings concise and understandable, components having the same structure or function in some of the drawings are only schematically illustrated or only labeled. In this document, "one" means not only "only one" but also a case of "more than one".
It should be further understood that the term "and/or" as used in this specification and the appended claims refers to and includes any and all possible combinations of one or more of the associated listed items.
In this context, it is to be understood that, unless otherwise explicitly stated or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
In addition, in the description of the present application, the terms "first", "second", and the like are used only for distinguishing the description, and are not intended to indicate or imply relative importance.
Example 1
Referring to the attached drawings 1 to 4 of the specification, the all-round hysteroscope provided by the invention is illustrated, and the channel sealing mechanism of the all-round hysteroscope provided by the invention can better reduce the outflow of liquid in the working pipeline when the working instrument 3 passes through, the working instrument 3 is replaced and the working instrument 3 is absent, and can keep the liquid pressure in the working pipeline in the use process of the hysteroscope within the range of 80-120 mmHg.
Referring to the attached drawings 1 and 2 of the specification, the all-round hysteroscope provided by the invention comprises a hysteroscope main body 1, a channel sealing mechanism 2 and a working instrument 3. The hysteroscope body 1 is provided with a working pipeline 10; the working instrument 3 comprises an instrument body and a working hand piece 32, wherein the working hand piece 32 is arranged on the instrument body; the channel sealing mechanism 2 is adapted to be mounted between the working hand piece 32 and the hysteroscope body 1, the instrument body is adapted to be mounted into the working channel 10; the channel sealing mechanism 2 can play a role in sealing in the process of the instrument body entering and exiting the working pipeline 10, and prevent liquid in the working pipeline 10 from leaking in the process of the instrument body entering and exiting the working pipeline 10.
It should be noted that the working device 3 includes, but is not limited to, working devices such as electrodes (ring or needle), surgical devices (forceps, scissors, hooks, shovels, etc.), and planing blades.
Specifically, the channel sealing mechanism 2 includes a channel sealing seat 21 and a channel sealing valve 22, the channel sealing valve seat 21 includes a valve seat 211 and a locking seat 212; the channel sealing valve 22 is mounted between the valve seat 211 and the locking seat 212. The valve seat 211 is adapted to be mounted to the hysteroscope body 1, and the working hand 32 of the working instrument 3 is adapted to be mounted to the locking seat 212.
Further, the channel sealing valve 22 comprises a first seal 221 and a second seal 222. The first seal 221 has a first opening 2210;
the first seal 221 and the second seal 222 are stacked on each other, the second seal 222 protrudes in a direction away from the first seal 221 to form a protrusion 223 corresponding to the position of the first opening 2210, a buffer cavity 2230 is formed between the protrusion 223 of the second seal 222 and the first seal 221, and the protrusion 223 has a second opening 2220.
It should be noted that in the preferred embodiment, the channel sealing valve 22 comprises two sealing members stacked on top of each other, and during installation and pulling out of the apparatus body, the second opening 2220 of the second sealing member 222 is in a closed state during the process of moving the apparatus body into and out of the first opening 2210 of the first sealing member 221, so as to prevent the liquid in the working channel 10 from leaking. During the process of the instrument body entering and exiting the second seal 222, the instrument body fills the first opening 2210 of the first seal 221, effectively preventing liquid from leaking out of the connection of the first seal 221 and the instrument body.
Referring to fig. 4 of the specification, preferably, the second opening 2220 is a line-shaped opening, and the first opening 2210 is a circular opening. The first sealing member 221 and the second sealing member 222 are made of medical silica gel material. The second opening 2220 of the second seal 222 can automatically return to a closed state when there is no ingress or egress of the instrument body.
Preferably, the convex portion 223 of the second seal 222 is a hemispherical convex.
It is noted that the projection 223 of the second seal 222 is capable of forming the buffer cavity 2230 between the first seal 221 and the second seal 222 when the first seal 221 and the second seal 222 are in a superimposed state, shortening the distance between the first seal 221 and the second seal 222, and facilitating the installation of the first seal 221 and the second seal 222.
Further, the channel sealing valve 22 further comprises a connector 224, the connector 224 connects the first seal 221 and the second seal 222, and the first seal 221 and the second seal 222 can rotate around the connector 224.
It should be noted that the first sealing member 221 and the second sealing member 222 are connected by the connecting member 224, so that the corresponding first sealing member 221 and the corresponding second sealing member 222 are integrated, which facilitates assembly during production and prevents loss of the sealing members.
Preferably, the connecting member 224, the first sealing member 221 and the second sealing member 222 are integrally connected to each other.
The preset position of the first seal 221 extends radially outward to form a first joint 2211, the preset position of the second seal 222 extends radially outward to form a second joint 2221, and the first joint 2211 corresponds to the second joint 2221; the first coupling portion 2211 has an axial through hole, and the second coupling portion 2221 has an axial locking projection 225, and the locking projection 225 is adapted to pass through the through hole.
The locking protrusion 225 can connect the first combining portion 2211 and the second combining portion 2221 by passing through the through hole, so as to keep the first sealing member 221 and the second sealing member 222 in a mutually overlapped state during the installation process, thereby facilitating the production and assembly.
Referring to fig. 2 of the specification, the valve seat 211 has a mounting groove 2110, and the channel sealing valve 22 is mounted to the mounting groove 2110; the valve seat 211 further has a first limit groove and a second limit groove communicated with the mounting groove 2110.
Further, after the first sealing member 221 and the second sealing member 222 are overlapped, the overlapped connecting member 224 forms a first stopper 226, and the overlapped first bonding portion 2211 and second bonding portion 2221 form a second stopper 227; the first limiting portion 226 and the second limiting portion 227 are respectively suitable for being mounted in a first limiting groove and a second limiting groove of the channel sealing seat 21 of the channel sealing mechanism 2.
It should be noted that a connecting line between the first limiting portion 226 and the second limiting portion 227 of the channel sealing valve coincides with an extending direction of the opening length of the "i" shaped second opening 2220, and a connecting line between the first limiting groove and the second limiting groove of the valve seat 211 coincides with a connecting line between the first limiting portion 226 and the second limiting portion 227. The valve seat 211 is provided with the first limiting groove and the second limiting groove, so that the channel sealing valve 22 can be pre-installed on one hand, and the valve seat 211 and the locking seat 212 can be assembled conveniently; on the other hand, it is possible to maintain a certain positional relationship between the second seal 222 and the valve seat 211 such that the second opening 2220 of the second seal 222 is vertically mounted to the valve seat 211.
Further, the predetermined position of the valve seat 211 has an assembly groove, and the predetermined position of the locking seat 212 has an assembly protrusion adapted to be fitted into the assembly groove.
The number of the fitting grooves of the valve seat 211 is two, the number of the fitting protrusions of the locking seat 212 is also two, and the two fitting protrusions are respectively installed with the two fitting grooves; the locking seat 212 has a third fitting groove at a position corresponding to the second position-limiting portion 227 of the channel sealing valve 22 for receiving the locking protrusion 225 passing through the first combining portion 2211.
It should be noted that, in the preferred embodiment, the two assembling protrusions and the third assembling grooves of the locking seat 212 are distributed in a triangular shape, and the channel sealing valve 22 can be installed between the valve seat 211 and the locking seat 212 only when the two assembling protrusions correspond to the two assembling grooves and the locking protrusion 225 corresponds to the third assembling groove.
Further, the locking seat 212 is provided with a locking piece 2121, and the locking piece 2121 can lock the working hand 32 after the working hand 32 is installed on the locking seat 212, so as to improve the stability of connection between the working hand 32 and the locking seat 212.
Preferably, the end of the locking seat 212 connected with the working hand piece 32 is a tapered groove, the end of the working hand piece 32 connected with the locking seat 212 is a tapered protrusion, and the tapered protrusion of the working hand piece 32 is matched with the tapered groove of the locking seat 212, so that the tightness of the connection between the locking seat 212 and the working hand piece 32 can be improved.
Further, the valve seat 211 is installed in the hysteroscope main body 1 in a threaded connection manner, an internal thread is provided at one end of the valve seat 211 connected to the hysteroscope main body 1, and an external thread is provided at one end of the hysteroscope main body 1 connected to the valve seat 211. The preset position of the valve seat 211 is provided with an installation mark for enabling the linear second opening 2220 to be vertically installed corresponding to the hysteroscope body 1 in the process of installing the channel sealing mechanism 2 on the hysteroscope body 1.
It should also be noted that the mechanical channel of the locking seat 212 is of non-circular design, ensuring that the working device 3, which is not symmetrical at any angle (e.g. loop, hook), can enter and exit at a predetermined angle during insertion and removal of the working device 3. Accordingly, the customized motor needs to be designed to be non-circular to match the mechanical channel of the locking seat 212, and has simple structure, low cost and high process stability.
During the insertion of the working device 3, the second opening 2220 of the second seal 222 is in a closed state during the process of the head end of the device body passing through the first seal 221, which can prevent the liquid in the working channel 10 from leaking during the process of the head end of the device body passing through the first seal 221. After the head end of the instrument body passes through the first seal 221, the instrument body fills the first opening 2210 of the first seal 221 during passage through the second seal 222, thereby preventing liquid within the working channel 10 from leaking during passage of the instrument body through the second seal 222.
In the process of withdrawing the working device 3, after the device body withdraws from the second sealing member 222, the second opening 2220 of the second sealing member 222 is automatically switched to a closed state, so as to cut off the communication between the working pipe 10 and the buffer cavity 2230; at this point, the instrument body still fills the first opening 2210 of the first seal 221 and liquid still does not leak. After the instrument body exits the first seal 221, only a small amount of fluid within the buffer cavity 2230 leaks out.
Preferably, the end of the working pipe 10 is made of PEEK material, so that the end of the working pipe 10 can be prevented from being damaged in the working process of the working device 3, and the current can be isolated to prevent the occurrence of leakage accidents.
Example 2
Referring to fig. 5 in the specification, a second preferred embodiment of the channel sealing mechanism of the all-purpose hysteroscope provided by the present invention is illustrated, and the channel sealing mechanism of the all-purpose hysteroscope of the second preferred embodiment is different from the above preferred embodiments in that, in the second preferred embodiment, the channel sealing mechanism further includes a sleeve component installed on the working instrument 3, and the sleeve component can prevent the head end of the working instrument 3 from contacting the channel sealing mechanism 2 during the process of the working instrument 3 passing through the channel sealing mechanism 2, so as to provide protection for the head end of the relatively precise working instrument 3.
Referring to fig. 5 in the specification, in particular, the omnipotent hysteroscope further includes a sleeve assembly 4, where the sleeve assembly 4 is adapted to be mounted on the instrument body 31 of the working instrument 3, and is used for protecting the head end of the instrument body 31 during the process of mounting the instrument body 31 of the working instrument 3 on the working pipeline 10.
Further, the sleeve assembly 4 comprises a sleeve 41 and an elastic member 42, the sleeve 41 surrounds and forms an instrument channel 40, and the elastic member 42 is mounted to the instrument channel 40 of the sleeve 41. The tool body 31 of the working tool 3 can be passed through the tool channel 40 to mount the sleeve assembly 4 to the working tool 3.
Further, the apparatus body 31 has a first positioning portion 51, and when the sleeve assembly 4 is mounted on the working apparatus 3, the first positioning portion 51 can contact with the elastic member 42, so that the working apparatus 3 can drive the sleeve assembly 4 to move together. When the first capture portion 51 of the device body 31 is not moved in the sleeve 41 to compress the elastic member 42, the head end of the device body 31 is located in the device channel 40 of the sleeve 41; when the first capture portion 51 of the device body 31 moves in the sleeve 41 and compresses the elastic member 42 by a compression amount greater than a preset value, the head end of the device body 31 moves out of the device channel 40 of the sleeve 41.
Further, the working channel 10 further has a second positioning portion 52 therein, the second positioning portion 52 is disposed adjacent to and in the same straight line with the channel sealing mechanism 2, the sleeve 41 of the sleeve assembly 4 can contact with the second positioning portion 52 after passing through the first sealing element 221 and the second sealing element 222 of the channel sealing mechanism 2, and the second positioning portion 52 can limit the movement depth of the sleeve 41 in the working channel 10, so that the first positioning portion 51 of the device body 31 can compress the elastic element 42 in the sleeve 41, and the working device 3 can move to the outside of the device channel 40 of the sleeve 41.
Preferably, in the present preferred embodiment, the second opening 2220 of the second seal member 222 of the passage sealing mechanism 2 is in a cross shape. Preferably, the first sealing member 221 and the second sealing member 222 are made of medical silicone material.
Aligning the instrument body 31 together with the sleeve assembly 41 with the working channel 10 during insertion of the working instrument 3, the sleeve 41 of the sleeve assembly 4 first contacting the first and second seals 221 and 222 of the channel sealing mechanism 2 and passing through the first and second seals 221 and 222 of the channel sealing mechanism 2 in sequence during pushing forward the instrument body 31 and the sleeve assembly 41; continuing to push the tool body 31 of the working tool 3 forward, the sleeve 41 contacting the second detent 52, and the sleeve 41 stopping moving in the working channel 10; the instrument body 31 is pushed forward, and the head end of the instrument body 31 extends out of the sleeve 41 to work.
It should be noted that the head end of the device body 31 is retained in the sleeve 41 until the sleeve 41 is not in contact with the second detent 52 in the working channel 10. During the process that the sleeve 41 contacts with the first sealing element 221 and the second sealing element 222 of the channel sealing mechanism 2 and passes through the first sealing element 221 and the second sealing element 222 of the channel sealing mechanism 2, the head end of the instrument body 31 does not contact with the first sealing element 221 and the second sealing element 222 of the channel sealing mechanism 2, so that the head end of the instrument body 31 can be effectively protected.
Similarly, during the process of withdrawing the working device 3, as the device body 31 is withdrawn, the elastic member 42 in the sleeve 41 gradually recovers to its original shape, and the head end of the device body 31 gradually enters the sleeve 41; as the working device 3 is continuously withdrawn, the head end of the device body passes through the first sealing element 221 and the second sealing element 222 of the channel sealing mechanism 2 under the protection of the sleeve 41 of the sleeve assembly 4, and the withdrawing operation of the working device 3 is completed.
Further, the distance between the second capture portion 52 and the channel sealing mechanism 2 is greater than the length of the sleeve 41, and when the sleeve 41 is in contact with the second capture portion 52 during the insertion of the working device 3, the sleeve 41 is completely located between the second capture portion 52 and the channel sealing mechanism 2, and the first seal 221 of the channel sealing mechanism 2 is in contact with the device body 31, so as to prevent liquid leakage.
It should be noted that the rear wall of the sleeve 41 is connected to the apparatus body 31 in a sealing manner, so that during the process that the head end of the sleeve 41 is in contact with the first sealing element 221 and the second sealing element 222 of the channel sealing mechanism 2 and passes through the channel sealing mechanism 2, liquid enters the sleeve 41 and leaks through the connection between the sleeve 41 and the working apparatus 3. The sealing mechanism at the joint of the sleeve 41 and the working instrument 3 is a medical silica gel pad.
It should be noted that, during the insertion of the working device, after the sleeve 41 contacts the second positioning portion 52, the working device 3 is further pushed forward, the sleeve 41 stops moving, and the first positioning portion 51 of the working device 3 compresses the elastic member 42. During the process of withdrawing the working device 3 from the working channel 10, after the elastic member 42 in the sleeve 41 recovers its original length, the first capture portion 51 on the device body 31 contacts the rear wall of the sleeve 41 and can pull the sleeve 41 away through the first sealing member 221 and the second sealing member 222 of the channel sealing mechanism 2.
With reference to fig. 6 and 7 of the specification, a variant of the second preferred embodiment of the hysteroscope provided by the present invention is illustrated, in which the elastic member 42 and the sleeve 41 of the sleeve assembly 4 are arranged outside the sleeve 41 along a straight line.
Referring to fig. 6 and 7 of the specification, the elastic member 42 is located between the sleeve 41 and the first capture portion 51. The device body 31 further includes a third detent 53, and the third detent 53 is located in the device channel 40 surrounded by the sleeve 41. In other words, the rear wall of the sleeve 41 and the elastic member 42 are respectively located between the third detent portion 53 and the first detent portion 51.
During the process of extending the working device 3 into the working channel 10, before the head end of the sleeve 41 is not in contact with the second capture portion 52, the first capture portion 51 pushes the elastic member 42, the elastic member 42 pushes the sleeve 41 to move synchronously, and the head end of the device body 31 is located in the device channel 40 of the sleeve 41, so that the head end of the device body 31 can be protected; after the head end of the sleeve 41 contacts the second detent portion 52, the device body 31 is pushed forward, the sleeve 41 stops moving, the first detent portion 51 compresses the elastic member 42, and the head end of the device body 31 extends out of the sleeve 41.
In the process that the working device 3 is withdrawn from the working channel 10, the elastic member 42 gradually returns to the original shape along with the withdrawal of the device body 31, and the head end of the device body 31 moves into the sleeve 41. Continuing to withdraw the device body 31, the third detent 53 contacts the rear wall of the sleeve 41 and pulls the sleeve 41 to withdraw together.
Example 3
According to another aspect of the present invention, the present invention further provides a channel sealing method of an omnipotent hysteroscope, comprising:
during the process of extending the working device 3 into the working channel 10, the elastic member 42 is pushed by the first capture portion 51 of the working device 3 to drive the sleeve 41 located outside the working device 3 to move together through the channel sealing mechanism 2, and during the process of passing the head end of the sleeve 41 through the channel sealing mechanism 2, the head end of the working device 3 is located in the sleeve 41; wherein the channel sealing mechanism 2 is located in the working pipe 10;
when the head end of the sleeve 41 passes through the opening 20 of the sealing member 42 and contacts with the second detent 52 installed in the working pipe 10 after moving a predetermined distance, the working device 3 is allowed to move forward relative to the sleeve 41 and extend out of the sleeve 41, and the first detent 51 compresses the elastic member 42 between the first detent 51 and the sleeve 41.
Further, the channel sealing method of the omnipotent hysteroscope further comprises the following steps:
during the process of withdrawing the working device 3 from the working pipeline 10, before the elastic member 42 returns to its original shape as the working device 3 is withdrawn, a force is applied to the sleeve 41 by the elastic member 42, so that the head end of the sleeve 41 is kept in contact with the second detent portion 52, and the head end of the working device 3 enters the sleeve 41;
after the elastic member 42 returns to its original shape, the first detent portion 51 or the third detent portion 53 of the working device 3 contacts the rear wall of the sleeve 41, and pulls the sleeve 41 along with the working device 3 through the channel sealing mechanism 2.
It should be noted that the above embodiments can be freely combined as necessary. The foregoing is only a preferred embodiment of the present invention, and it should be noted that it is obvious to those skilled in the art that various modifications and improvements can be made without departing from the principle of the present invention, and these modifications and improvements should also be considered as the protection scope of the present invention.

Claims (9)

1. Working apparatus of omnipotent hysteroscope, its characterized in that includes:
the head end of the instrument body is provided with a first clamping part;
a sleeve assembly mounted to a head end of the instrument body, the sleeve assembly including a sleeve and a resilient member, the sleeve surrounding an instrument channel, the instrument body mounted to the instrument channel, and the first detent in contact with the resilient member urging the instrument body to move within the instrument channel relative to the sleeve, the first detent capable of compressing the resilient member;
when the compression amount of the elastic piece is smaller than or equal to a preset value, the head end of the instrument body is positioned in the instrument channel; when the compression amount of the elastic piece is larger than the preset value, the head end of the instrument body extends out of the sleeve;
the elastic piece and the sleeve are coaxially and adjacently arranged, and the elastic piece is positioned between the sleeve and the first clamping part; the instrument body is further provided with a third clamping portion, the third clamping portion is located in the instrument channel, and the rear wall of the sleeve and the elastic piece are located between the third clamping portion and the first clamping portion respectively.
2. Omnipotent hysteroscope, its characterized in that includes:
a hysteroscope body having a working channel;
a channel sealing mechanism;
the channel sealing mechanism is arranged between the hysteroscope main body and the working hand piece;
the working instrument of claim 1, adapted to pass through the working hand piece, the channel sealing mechanism, and the working channel;
wherein the working pipeline is provided with a second clamping part which is arranged at a preset distance from the channel sealing valve of the channel sealing mechanism, and at least one part of the second clamping part is positioned on the inlet path of the sleeve; the sleeve passing through the opening of the seal member of the channel seal mechanism is capable of contacting the second detent, and as the instrument body continues to advance, the first detent compresses the resilient member and the instrument body extends out of the sleeve.
3. The almitoscope according to claim 2, wherein said channel sealing mechanism comprises:
the channel sealing seat comprises a valve seat and a locking seat;
a channel sealing valve mounted between the valve seat and the locking seat; the channel sealing valve comprises:
a first seal having a first opening;
the first sealing element and the second sealing element are arranged in a mutually laminated mode, the position, corresponding to the first opening, of the second sealing element protrudes away from the first sealing element to form a protruding portion, a buffer cavity is formed between the protruding portion of the second sealing element and the first sealing element, and the protruding portion is provided with a second opening.
4. The almitoscope according to claim 3, wherein said valve seat has a mounting groove, said channel sealing valve being mounted to said mounting groove; the valve seat is also provided with a first limiting groove and a second limiting groove which are communicated with the mounting groove and are respectively used for accommodating the first limiting part and the second limiting part of the channel sealing valve.
5. The hysteroscope according to claim 3, wherein the predetermined position of the valve seat has a fitting groove, and the predetermined position of the locking seat has a fitting projection adapted to fit into the fitting groove.
6. The all-round hysteroscope according to claim 5, wherein the number of the fitting grooves of the valve seat is two, the number of the fitting protrusions of the locking seat is also two, and the two fitting protrusions are respectively fitted to the two fitting grooves; the locking seat is provided with a third assembling groove at a position corresponding to the second limiting part of the channel sealing valve, and the third assembling groove is used for accommodating a locking bulge passing through the first combining part of the first sealing element.
7. The hysteroscope of claim 3, wherein the second opening is a cross-shaped opening.
8. The channel sealing method of the all-round hysteroscope is characterized by comprising the following steps:
in the process of extending a working instrument into a working pipeline, an elastic piece is pushed through a first clamping part positioned on the working instrument so as to drive a sleeve positioned on the outer side of the working instrument to move together to pass through a channel sealing mechanism, and in the process of leading the head end of the sleeve passing through the channel sealing mechanism, the head end of the working instrument is positioned in the sleeve;
when the head end of the sleeve passes through the channel sealing mechanism and moves for a preset distance, the head end of the sleeve is in contact with a second clamping portion installed in the working pipeline, the working instrument is allowed to continue to move forwards relative to the sleeve and extends out of the sleeve, and the first clamping portion compresses the elastic piece located between the first clamping portion and the sleeve.
9. The channel sealing method of an omnipotent hysteroscope according to claim 8, further comprising:
in the process of withdrawing the working instrument from the working pipeline, along with the withdrawal of the working instrument, before the elastic member returns to the original shape, acting force is applied to the sleeve by virtue of the elastic member, so that the head end of the sleeve is kept in contact with the second clamping part, and the head end of the working instrument enters the sleeve;
after the elastic piece returns to the original shape, the first clamping part or the third clamping part on the working instrument is contacted with the rear wall of the sleeve, and the sleeve is pulled to pass through the channel sealing mechanism along with the working instrument.
CN202011491796.7A 2020-12-17 2020-12-17 All-round hysteroscope, working instrument and channel sealing method Active CN112220440B (en)

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PCT/CN2021/114991 WO2022127183A1 (en) 2020-12-17 2021-08-27 Versatile hysteroscope, working instrument, and channel sealing method

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Denomination of invention: Universal hysteroscopy, working instruments, and channel sealing methods

Effective date of registration: 20230403

Granted publication date: 20210413

Pledgee: Shanghai Pudong Development Bank Co.,Ltd. Shanghai pilot Free Trade Zone New Area Branch

Pledgor: SHANGHAI YODO MEDICAL TECHNOLOGY Co.,Ltd.

Registration number: Y2023310000107