CN112971767A - Endoscope measuring scale - Google Patents

Endoscope measuring scale Download PDF

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Publication number
CN112971767A
CN112971767A CN202110063673.1A CN202110063673A CN112971767A CN 112971767 A CN112971767 A CN 112971767A CN 202110063673 A CN202110063673 A CN 202110063673A CN 112971767 A CN112971767 A CN 112971767A
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ruler
measuring scale
endoscope
measuring
metal wire
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CN202110063673.1A
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Inventor
何敏
荀安营
杨国熙
旬文轩
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Peking University Shenzhen Hospital
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Peking University Shenzhen Hospital
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Priority to CN202110063673.1A priority Critical patent/CN112971767A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1072Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring distances on the body, e.g. measuring length, height or thickness
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1076Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions inside body cavities, e.g. using catheters

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
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  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

The invention provides an endoscope measuring scale which comprises an operating part, a sheath tube and a measuring scale, wherein the sheath tube is hollow and is provided with a rope-type memory metal wire, and two ends of the rope-type memory metal wire are respectively connected with the operating part and the measuring scale; the end part of the rope type memory metal wire close to the measuring scale is provided with a fork, the fork comprises a first fork foot and a second fork foot, and the tail ends of the first fork foot and the second fork foot are connected with the two ends of the measuring scale; the first forked leg is made of a rigid material, and the second forked leg is made of an elastic material; the operation part drives the measuring scale to rotate through the cable type memory metal wire or drives the measuring scale to move along the axial direction of the operation part; the measuring scale can be folded and contracted inside the sheath tube. The invention realizes rotary measurement under various endoscope environments by arranging the twisted memory metal wire and the foldable measuring scale, and is convenient for accurately measuring all radial lines of the tumor.

Description

Endoscope measuring scale
Technical Field
The invention relates to the field of medical instruments, in particular to an endoscope measuring scale.
Background
Several studies have now shown that: the structure of each organ has physiological significance, and the minimally invasive surgery is the surgery for keeping the normal organ structure of the human body to the maximum extent, and has the advantages of short postoperative recovery time, small economic burden, low postoperative complication incidence rate and the like. Selection of traditional surgery mode and minimally invasive surgery mode: the method is used for accurately judging the size and the infiltration depth of a lesion before an operation, and clinical big data show that the size of the lesion determines the infiltration depth of the lesion.
The clinical judgment of the size of the lesion, the malignancy and infiltration depth of the lesion is carried out by taking out a general specimen after the operation and then measuring, and the general specimen cannot meet the increasingly developed minimally invasive operation and accurate treatment. In particular, the size of the lesion is one of the criteria for judging the quality and malignancy of the lesion, and directly influences the selection of the surgical method and the design of the surgical procedure. Before the operation, the size of the lesion and the infiltration depth thereof can be judged according to clinical big data, and the operation mode is determined: minimally invasive surgery under endoscope is also a traditional surgery. If the lesion belongs to the minimally invasive surgery range, the preoperative judgment is wrong, and the traditional surgery is selected, the recovery time of a patient can be prolonged, the economic burden of the patient can be increased, and the risk of postoperative complications is increased. If the pathological changes are misjudged before the operation, the pathological changes of the traditional operation are completed by a minimally invasive operation, the pathological changes after the operation are not completely cleared, the traditional operation is added again, so that the patient can undergo more than 2 operations and 2 wounds, the recovery time after the operation is prolonged, and the economic burden and other adverse effects are obviously increased. The invention provides a material basis for assisting a doctor to accurately judge a pathological change before selecting an operation.
However, the current methods for measuring the lesion under the endoscope include: 1. the method comprises the following steps of (1) performing visual measurement by an experienced doctor, 2. performing approximate comparison according to the diameter of an opening of an endoscope biopsy forceps, wherein the two methods are affected by the experience of the doctor and the distance between a lesion and an endoscope, and cannot perform accurate measurement, and 3. the Japanese endoscope measuring scale is in a chain type and is used for performing primary measurement, and the angle of the measuring scale is changed by shaking the front end of the endoscope, so that the shaking angle of the front end of the endoscope is limited by the size of the space where the lesion is located, the chain cannot be driven to swing for measurement, and each radial line cannot be.
Disclosure of Invention
The invention provides an endoscope measuring scale for solving the problem that the radial line of endoscope lesion can not be accurately and rotatably measured in the prior art, which comprises an operating part, a sheath tube, a measuring scale, a hollow sheath tube and a twisted memory metal wire, wherein two ends of the twisted memory metal wire are respectively and fixedly connected with the operating part and the measuring scale; the end part of the rope type memory metal wire close to the measuring scale is provided with a fork, the fork comprises a first fork foot and a second fork foot, and the tail ends of the first fork foot and the second fork foot are connected with the two ends of the measuring scale; the first forked leg is made of a rigid material, and the second forked leg is made of an elastic material; the operation part drives the measuring scale to rotate through the cable type memory metal wire or drives the measuring scale to move along the axial direction of the operation part; the measuring scale can be folded and contracted inside the sheath tube.
In some embodiments of the present invention, the operation part includes a hand ring and a handle, and the hand ring is connected with the memory metal wire.
Furthermore, the bracelet is fixedly connected with the memory metal wire in a rope form, and the bracelet can be separated from the handle; the handle and the sheath pipe are integrally formed, and a lubricating coating is arranged on the outer wall of the sheath pipe.
In some embodiments of the invention, the measuring ruler comprises two metal folding rulers with scales, and the ends of the metal folding rulers are provided with first metal rings connected with the branches.
Furthermore, the metal folding ruler comprises a first ruler and a second ruler, and second metal rings are arranged at two ends of the first ruler and two ends of the second ruler; the first ruler and the second ruler are buckled with each other through the second metal ring and are sequentially connected end to end. The two rulers are connected with the metal ring at the tail end of the forked foot through the metal ring.
Preferably, the first ruler and the second ruler are equal in length; the first ruler is 0.25cm to 0.5cm in length.
In the above embodiment, the sheath is tubular, and has a length of 30cm to 170cm and a diameter of 1mm to 2.6 mm.
In the above embodiment, the maximum opening angle of the memory wire is 30 ° to 40 °.
In a second aspect of the present invention, there is provided a method of operating the endoscopic measurement ruler of the first aspect, comprising the steps of: the endoscope measuring scale is guided into a human body through a biopsy pore channel of the endoscope; when the distance between the endoscope measuring scale and the measured object is lower than the threshold value, the measuring scale is released from the sheath tube through the operating part; the control operation part takes the first forked leg and one end on the radial line of the measured object as a fulcrum, the operation part is rotated until the second forked leg is contacted with the other end on the radial line of the measured object, and the scale of the measuring scale is read and recorded; and repeating the steps until all the radial lines of the measured objects are measured.
Further, the threshold value is 0.5cm-1 cm.
The invention has the beneficial effects that:
1. the memory metal wire and the foldable measuring scale are arranged, so that rotary measurement under various endoscope environments is realized, and various radial lines of a tumor can be conveniently and accurately measured;
2. the invention can accurately measure the front and back (or length and short) radial lines of the pathological changes, and can rapidly judge the benign and malignant degree and the infiltration depth of the pathological changes according to the radial lines, thereby providing accurate data for further surgical design;
3. according to the invention, because two legs (one is a metal wire leg, and the other is a spring-shaped leg), the tail ends of the forked legs are connected with the measuring scale; the tail ends of the metal wire pin and the spring-mounted pin are both annular and are connected with the rings at the two ends of the measuring scale in a double-ring mode. When in measurement, the metal wire foot can be used as a fulcrum to be placed on one side of a measurement object, the spring-shaped foot rotates to the other end of the measurement object, and the spring foot has elasticity, moves along the surface of the inner cavity of the organ during rotation, does not scratch the inner membrane of the organ, and realizes measurement over the object. All the tops are circular ring type, no sharp part injures organ intima, and the circular ring type connecting part is more flexible.
Drawings
FIG. 1 is a schematic view of an endoscopic measurement ruler configuration in some embodiments of the present invention;
FIG. 2 is a schematic view of an endoscopic measurement ruler in a retracted state in some embodiments of the present invention;
fig. 3 is a schematic view of the structure of an endoscopic measurement ruler in a measurement state in some embodiments of the present invention.
FIG. 4 is a schematic view of an endoscopic measurement ruler of some embodiments of the present invention performing a tumor measurement in the intestinal tract;
FIG. 5 is a schematic view of an endoscopic measurement ruler of some embodiments of the present invention performing a tumor measurement in the stomach.
Reference numeral 1, an operation part, 11, a handle, 12, a hand ring, 2, a sheath tube, 3, a twisted memory metal wire, 31, a bifurcation, 4, a measuring scale, 42, a metal folding rule and 43, a first metal ring.
Detailed Description
The principles and features of this invention are described below in conjunction with the following drawings, which are set forth by way of illustration only and are not intended to limit the scope of the invention.
Referring to fig. 1 and 2, an endoscope measuring scale includes an operating portion 1, a sheath tube 2, a measuring scale 4, a hollow sheath tube with a memory metal wire 3, wherein two ends of the memory metal wire 3 are respectively fixedly connected with the operating portion 1 and the measuring scale 4; the end part of the rope type memory metal wire 3 close to the measuring scale 4 is provided with a fork, the fork comprises a first fork foot and a second fork foot, and the tail ends of the first fork foot and the second fork foot are connected with the two ends of the measuring scale 4; the first forked leg is made of a rigid material, and the second forked leg is made of an elastic material; the operation part 1 drives the measuring scale 4 to rotate through the rope type memory metal wire 3, or drives the measuring scale 4 to move along the axial direction of the operation part 1; the measuring scale 4 can be folded and contracted inside the sheath tube 2. Preferably, the first forked leg is a metal wire leg, and the second forked leg is a spring-shaped leg.
In some embodiments of the present invention, the operation part 1 includes a bracelet 11 and a handle 12, and the bracelet 11 is connected with the memory wire 3.
Further, the bracelet 12 is fixedly connected with the memory metal wire 3, and the bracelet 12 is separable from the handle 11; the handle 11 and the sheath pipe 2 integrated into one piece, be equipped with the lubricant coating on the outer wall of sheath pipe 2. It can be understood that the handle 11 and the sheath 2 are integrated, and the lubricating coating facilitates the flexible in-and-out and rotation of the sheath 2 in the endoscopic biopsy channel.
In some embodiments of the present invention, the measuring ruler 4 comprises two metal folding rulers 42 with scales, and the ends of the metal folding rulers 42 are provided with first metal rings 43 connected with the branches. The circular ring type design can be understood to avoid scratching the organ intima when rotating in the human body to cause internal bleeding; and the double-ring connection makes the measuring scale more flexible when being unfolded, recovered and rotated.
Further, the metal folding rule 42 comprises a first ruler and a second ruler, and second metal rings are arranged at two ends of the first ruler and the second ruler; the first ruler and the second ruler are buckled with each other through the second metal ring and are sequentially connected end to end.
Referring to fig. 1 and 3, in order to adapt to different endoscope environments, the lengths of the first ruler and the second ruler are equal, the scale length of the first ruler is 0.25cm, and the scale length of the second ruler is 0.25 cm. Optionally, the length (distance D in fig. 1) of the metal folding ruler with marks varies according to the endoscope and the human organ (total length of a measuring scale configured for a gastrointestinal endoscope is 3cm, the length of each part is 1.5cm, the total length of a measuring scale configured for a bronchoscope is 1cm, the length of each part is 0.5cm, the total length of a measuring scale configured for a laryngoscope is 0.5cm, the length of each part (a first ruler and a second ruler) is 0.25cm, the total length of a measuring scale configured for a hysteroscope is 2cm, the length of each part is 1cm, and the like).
In the above embodiment, the sheath tube 2 has a tubular shape, a length (distance a in fig. 1) of 30cm to 170cm, and an outer diameter of 1mm to 2.6 mm. Specifically, the sheath tube 2 is made of medical plastic, and the diameter (outer diameter) is the diameter of each endoscope biopsy channel (gastrointestinal endoscope 2.6mm, bronchus 1mm, laryngoscope 1mm, hysteroscope 2mm and the like). The length of the endoscope is the length of each endoscope (gastrointestinal endoscope 170cm, bronchus 50cm, laryngoscope 30cm, hysteroscope 30cm and the like). According to different lengths of the endoscope, the length of the bronchus and nasopharyngoscope ruler is 0.25cm, the length of the gastroscope enteroscope ruler is 0.5cm, and the length of the hysteroscope ruler is 0.5 cm.
In order to ensure that the measuring ruler 4 has a sufficient length and does not cause damage to human tissue or organs, in the above-described embodiment, the maximum opening angle of the bifurcated foot is 30 ° to 40 °. According to the movable range of the endoscope in the human body, the included angle between the forked foot and the axis of the sheath tube 2 is 15-20 degrees. The measuring scale can be opened as much as possible during moving, and the intima is not damaged.
Referring to fig. 4 and 5, in a second aspect of the present invention, there is provided a method of operating the endoscopic measurement ruler according to the first aspect, comprising the steps of: the endoscope measuring scale is guided into a human body through a biopsy pore channel of the endoscope; when the distance between the endoscope measuring scale and the measured object is lower than the threshold value, the measuring scale 4 is released from the sheath tube 2 through the operation part 1; the control operation part 1 takes the first forked leg and one end of the radial line of the measured object as a fulcrum, rotates the operation part until the second forked leg contacts with the other end of the radial line of the measured object, and reads and records the scale of the measuring ruler; and repeating the steps until all the radial lines of the measured objects are measured.
Specifically, at the time of measurement:
Figure DEST_PATH_IMAGE001
after the endoscope approached the measurement object, the endoscope measuring scale entered into the human body through the biopsy pore of the endoscope, and when approaching about 1cm of the measurement object, the hand ring 12 was pushed to slowly release the measuring scale 4 from the sheath tube 2.
Figure 877590DEST_PATH_IMAGE002
After the 4 branching feet of dipperstick open, first branching foot can be put in one side of measuring object as the fulcrum, and the rotation of second branching foot is to the other end of measuring object footpath, and because of the bifurcation foot is flexible, move along organ cavity surface when rotating and can not scratch the organ inner membrance, can cross barrier (like pathological change) and reach the pathological change offside in addition, read the last equidistant star point (scale) of dipperstick 4, accomplish the footpath measurement of a measuring object.
Figure DEST_PATH_IMAGE003
And rotating the bracelet 12, rotating the rope type memory metal wire 3 to one end of the other radial line, repeating the steps, and completing the measurement of the multi-radial line of the measured object, thereby providing more accurate data for clinic.
In the description of the present invention, it is to be understood that the terms "central," "longitudinal," "lateral," "length," "width," "thickness," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," "clockwise," "counterclockwise," "axial," "radial," "circumferential," and the like are used in the orientations and positional relationships indicated in the drawings for convenience in describing the invention and to simplify the description, and are not intended to indicate or imply that the referenced device or element must have a particular orientation, be constructed and operated in a particular orientation, and are not to be considered limiting of the invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one such feature. In the description of the present invention, "a plurality" means at least two, e.g., two, three, etc., unless specifically limited otherwise.
In the present invention, unless otherwise expressly stated or limited, the terms "mounted," "connected," "secured," and the like are to be construed broadly and can, for example, be fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; they may be directly connected or indirectly connected through intervening media, or they may be connected internally or in any other suitable relationship, unless expressly stated otherwise. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
In the present invention, unless otherwise expressly stated or limited, the first feature "preceding" or "succeeding" the second feature may be directly contacting the first and second features or indirectly contacting the first and second features through intervening media. Also, a first feature "on," "over," and "above" a second feature may be directly or diagonally above the second feature, or may simply indicate that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature may be directly under or obliquely under the first feature, or may simply mean that the first feature is at a lesser elevation than the second feature.
It will be understood that when an element is referred to as being "secured to" or "disposed on" another element, it can be directly on the other element or intervening elements may also be present. When an element is referred to as being "connected" to another element, it can be directly connected to the other element or intervening elements may also be present. As used herein, the terms "vertical," "horizontal," "upper," "lower," "left," "right," "front," "rear," and the like are for illustrative purposes only and do not represent the only embodiments.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (10)

1. An endoscope measuring scale is characterized by comprising an operation part, a sheath tube, a measuring scale,
The sheath tube is hollow and is provided with a rope-type memory metal wire, and two ends of the rope-type memory metal wire are respectively and fixedly connected with the operating part and the measuring scale;
the end part of the rope type memory metal wire close to the measuring scale is provided with a fork, the fork comprises a first fork foot and a second fork foot, and the tail ends of the first fork foot and the second fork foot are connected with the two ends of the measuring scale; the first forked leg is made of a rigid material, and the second forked leg is made of an elastic material;
the operation part drives the measuring scale to rotate through the cable type memory metal wire or drives the measuring scale to move along the axial direction of the operation part; the measuring scale can be folded and contracted inside the sheath tube.
2. The endoscopy measurement ruler of claim 1, wherein the operating portion comprises a bracelet, a handle, the bracelet connected with the bowden cable memory wire.
3. The endoscopy ruler of claim 2, wherein the bracelet is fixedly connected to a bowden memory wire, and wherein the bracelet is separable from the handle;
the handle and the sheath pipe are integrally formed, and a lubricating coating is arranged on the outer wall of the sheath pipe.
4. The endoscopy ruler of claim 1, wherein the ruler comprises two graduated metal creases having a first metal loop at their distal end connected to the bifurcation.
5. The endoscopy measuring ruler of claim 4, wherein the metal folding ruler comprises a first ruler and a second ruler, and second metal rings are arranged at two ends of the first ruler and the second ruler; the first ruler and the second ruler are buckled with each other through the second metal ring and are sequentially connected end to end.
6. The endoscopy ruler of claim 5, wherein the first ruler and the second ruler are equal in length; the first ruler is 0.25cm to 0.5cm in length.
7. The endoscopy measuring ruler of any one of claims 1-6, wherein the sheath is tubular, has a length of 30cm to 170cm, and an outer diameter of 1mm to 2.6 mm.
8. The endoscopy ruler of any one of claims 1-6, wherein the forked foot has a maximum open angle of 30 ° to 40 °.
9. A method of operating an endoscopy measuring ruler according to any of claims 1 to 6, including the steps of:
the endoscope measuring scale is guided into a human body through a biopsy pore channel of the endoscope;
when the distance between the endoscope measuring scale and the measured object is lower than the threshold value, the measuring scale is released from the sheath tube through the operating part;
the control operation part takes the first forked leg and one end on the radial line of the measured object as a fulcrum, the operation part is rotated until the second forked leg is contacted with the other end on the radial line of the measured object, and the scale of the measuring scale is read and recorded;
and repeating the steps until all the radial lines of the measured objects are measured.
10. The method of operating an endoscopic measurement ruler as claimed in claim 9, wherein said threshold value is 0.5cm-1 cm.
CN202110063673.1A 2021-01-18 2021-01-18 Endoscope measuring scale Pending CN112971767A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114041781A (en) * 2021-12-02 2022-02-15 北京大学深圳医院 Rotatable tape measure of endoscope

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Publication number Priority date Publication date Assignee Title
US20170027519A1 (en) * 2011-07-15 2017-02-02 Boston Scientific Scimed, Inc. Systems and methods for monitoring organ activity
CN108968966A (en) * 2017-06-02 2018-12-11 兰州大学第医院 Microendoscopic measuring scale ruler
CN109480848A (en) * 2018-12-20 2019-03-19 上海宇度医学科技股份有限公司 Uterine cavity measuring scale
CN211270764U (en) * 2019-11-26 2020-08-18 胡晓 Lower focus dipperstick of scope
CN211723173U (en) * 2019-12-17 2020-10-23 刘晓岗 Endoscope lesion measurer

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20170027519A1 (en) * 2011-07-15 2017-02-02 Boston Scientific Scimed, Inc. Systems and methods for monitoring organ activity
CN108968966A (en) * 2017-06-02 2018-12-11 兰州大学第医院 Microendoscopic measuring scale ruler
CN109480848A (en) * 2018-12-20 2019-03-19 上海宇度医学科技股份有限公司 Uterine cavity measuring scale
CN211270764U (en) * 2019-11-26 2020-08-18 胡晓 Lower focus dipperstick of scope
CN211723173U (en) * 2019-12-17 2020-10-23 刘晓岗 Endoscope lesion measurer

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114041781A (en) * 2021-12-02 2022-02-15 北京大学深圳医院 Rotatable tape measure of endoscope

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