CN113349727A - Electronic ureter endoscope - Google Patents

Electronic ureter endoscope Download PDF

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Publication number
CN113349727A
CN113349727A CN202110642611.6A CN202110642611A CN113349727A CN 113349727 A CN113349727 A CN 113349727A CN 202110642611 A CN202110642611 A CN 202110642611A CN 113349727 A CN113349727 A CN 113349727A
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China
Prior art keywords
tube
treatment
sub
endoscope
mirror
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Granted
Application number
CN202110642611.6A
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Chinese (zh)
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CN113349727B (en
Inventor
雷亚康
邹清红
梁瑶
易路
韦博仁
李远伟
陈志勇
沈佳婷
赵应香
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Hunan Zhongju Endoscope Co ltd
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Hunan Zhongju Endoscope Co ltd
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Priority to CN202110642611.6A priority Critical patent/CN113349727B/en
Publication of CN113349727A publication Critical patent/CN113349727A/en
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Publication of CN113349727B publication Critical patent/CN113349727B/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
    • A61B1/307Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
    • 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
    • A61B1/00064Constructional details of the endoscope body
    • 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
    • A61B1/00131Accessories for endoscopes
    • 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
    • A61B1/04Instruments 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation

Abstract

The invention provides an electronic ureteroscope which comprises a camera sub-scope and a therapeutic sub-scope, wherein the camera sub-scope and the therapeutic sub-scope can be mutually embedded, insertion tubes of the camera sub-scope and the therapeutic sub-scope are both in a semi-tubular structure, before calculus crushing is completed, the two semi-tubes are mutually embedded to form the insertion tube for use, and after calculus crushing is completed, the therapeutic semi-tube is withdrawn for carrying out calculus removing operation.

Description

Electronic ureter endoscope
Technical Field
The invention relates to the technical field of medical instruments, in particular to an electronic ureter endoscope.
Background
Clinical in vivo examination and visual surgical treatment require a sharp image endoscope to help the doctor improve the accuracy of diagnosis. The medical endoscope is a detection and treatment instrument integrating optics, electricity, precision machinery and software into a whole, and is provided with an image transmission assembly, an optical or electronic imaging module, a cold light source or an LED electronic light source, a mechanical device and the like, and the medical endoscope can enter the body through a natural pore canal and can see pathological changes which cannot be displayed by X rays and ultrasound, so the medical endoscope is very useful for improving the medical quality, and many diseases need to be examined, diagnosed and treated through the endoscope, such as diseases at trachea, esophagus, stomach, intestine, bladder and the like. Ureteroscopy is a procedure in which an endoscope with a diameter of about 3mm is inserted into a ureter through the urethra and bladder to break up ureteral stones or kidney stones and take them out. It utilizes the natural urinary system cavity of human body, does not make any incision on the human body, and is a pure urinary surgery endoscopic minimally invasive surgery.
In the ureter soft lens operation, the ureter soft endoscope can enter the body through the urethra to observe the lesion position and can be matched with a surgical instrument to perform visual operation treatment in the body. In the existing ureteroscope operation, a sheath-entering expansion pipe is usually matched with a ureteral sheath to carry out sheath-feeding operation, then a ureteroscope catheter is inserted into the ureteral sheath to treat an affected part, in the broken calculus-removing operation process of urinary surgery, broken calculus which is beaten by holmium laser needs to be discharged out of a body through the ureteral sheath, at the moment, the ureteroscope catheter needs to be withdrawn for operation, but the discharge condition of the broken calculus cannot be observed due to withdrawing of the ureteroscope catheter, so that the broken calculus cannot be completely discharged out of the body at one time, in order to ensure the operation effect, the ureteroscope catheter needs to be inserted for observation or treatment for many times, so that the repeated operation of inserting the ureteroscope catheter increases the pain of a patient, and simultaneously, the injury of human organs is easily caused.
Disclosure of Invention
In order to solve the technical problems, the invention provides an electronic ureteroscope which comprises a camera sub-scope and a therapeutic sub-scope, wherein the camera sub-scope and the therapeutic sub-scope can be mutually embedded, insertion tubes of the camera sub-scope and the therapeutic sub-scope are both in a semi-tubular structure, the two semi-tubes are mutually embedded to form the insertion tube for use before calculus breaking is completed, and after calculus breaking is completed, the therapeutic semi-tube is withdrawn for carrying out calculus removing operation.
The technical scheme of the invention is as follows:
the utility model provides an electron ureteroscope, the endoscope includes the son mirror of making a video recording and treats the son mirror, the son mirror of making a video recording reaches the son mirror of treatment can gomphosis each other, the son mirror of making a video recording reaches the intubate of treating the son mirror is half tubular structure, make a video recording half pipe with the half pipe of treatment can gomphosis each other, illumination passageway and the passageway setting of making a video recording are in the half pipe of making a video recording, and the working channel setting is in the half pipe of treatment.
Furthermore, the tube walls of the image pick-up half tube and the treatment half tube are made of soft resin materials.
Furthermore, the cross section of the insertion tube formed by the embedded camera shooting half tube and the embedded treatment half tube is circular. Optionally, the cross sections of the image pickup half tube and the treatment half tube are both semicircular. Optionally, the cross section of the image pickup half tube is circular, and the cross section of the treatment half tube is hollow circular. Optionally, the cross section of the image pickup half tube is elliptical, and the cross section of the treatment half tube is hollow and circular.
Furthermore, the operation handles of the image pickup sub-mirror and the treatment sub-mirror can be mutually embedded. Before the use, two operating handle pass through the locking piece gomphosis together, after the rubble is accomplished, remove the locking, will half pipe of treatment withdraws from the tube sheath, and the row of stone is accomplished, again will half pipe of making a video recording withdraws from the tube sheath.
Further, the cross-sectional area of the tip of the imaging half-tube is larger than that of the insertion tube, and the cross-sectional area of the tip of the treatment half-tube is smaller than that of the insertion tube. After the gravel is finished, the treatment half-tube is withdrawn from the tube sheath, and the camera half-tube is inserted forwards to protrude out of the tube sheath opening, so that the diameter of the calculus removing tube can be increased, and the gravel can be better discharged.
Furthermore, the joint part of the image pick-up half tube and the treatment half tube is coated with light viscous materials. Before the use, two half pipes can be fixed together, and it is more convenient to insert, and behind the rubble, two half pipes can alternate segregation under less dynamics.
Further, the endoscope is used in cooperation with an expansion sheath, and the expansion sheath is sleeved outside an insertion tube of the endoscope.
Advantageous effects
The endoscope comprises a camera sub-mirror and a therapeutic sub-mirror, wherein the camera sub-mirror and the therapeutic sub-mirror can be mutually embedded, the insertion tubes of the camera sub-mirror and the therapeutic sub-mirror are both in a semi-tubular structure, the two semi-tubes are mutually embedded to form the insertion tube for use before calculus breaking is completed, the therapeutic semi-tube is withdrawn after calculus breaking is completed, and calculus removing operation is carried out.
Drawings
FIG. 1 is a schematic structural view of an electronic ureteroscope image pick-up sub-mirror according to an embodiment of the present invention;
FIG. 2 is a schematic structural diagram of an electronic ureteroscope treatment sub-scope according to an embodiment of the invention;
FIG. 3 is a schematic structural view of an insertion tip portion of the e-ureteroscope according to an embodiment of the present invention;
FIG. 4 is a side view of an insertion tip portion of an e-ureteroscope, in accordance with an embodiment of the present invention;
fig. 5 is a front view of the insertion tip portion of the e-ureteroscope according to an embodiment of the present invention.
In the figure, 1-camera lens, 2-therapeutic lens, 1-1-camera lens insert tube, 1-2-camera lens insert tube tip, 1-3-camera lens insert tube bend, 1-4-camera lens video signal line, 1-5-camera lens video signal line plug, 1-6-camera lens operating handle, 1-7-camera lens camera module, 1-8-camera lens illuminating light outlet, 2-1-therapeutic lens insert tube, 2-2-therapeutic lens insert tube tip, 2-3-therapeutic lens insert tube bend, 2-4-therapeutic lens working channel inlet, 2-5-therapeutic lens insert tube bend direction control rod, 2-7-the laser outlet of the treatment sub-lens and 2-8-the working channel outlet of the treatment sub-lens.
Detailed Description
The following detailed description of embodiments of the present invention is provided in connection with the accompanying drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "up", "down", "front", "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", and the like, 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 referenced devices or elements must have a particular orientation, be constructed in a particular orientation, and be operated, and thus are not to be construed as limiting the present invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified 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.
The invention provides an electronic ureteroscope which comprises a camera sub-mirror 1 (shown in figure 1) and a therapeutic sub-mirror 2 (shown in figure 2), wherein the camera sub-mirror 1 and the therapeutic sub-mirror 2 can be mutually embedded, insertion tubes 1-1 and 2-1 of the camera sub-mirror 1 and the therapeutic sub-mirror 2 are both in a semi-tubular structure, an illumination channel and an image pickup channel are arranged in the camera half-tube, and a working channel is arranged in the therapeutic half-tube. The walls of the camera shooting half-tube and the treatment half-tube are made of soft resin materials.
As shown in fig. 3, the cross section of the insertion tube formed by the engagement of the imaging half-tube 1 and the treatment half-tube 2 is circular, and the cross sections of the imaging half-tube and the treatment half-tube are both semicircular.
The operation handles of the image pickup sub-mirror 1 and the treatment sub-mirror 2 can be mutually embedded. Before use, the two operating handles are embedded together through the locking piece, after the stone breaking is finished, the locking is released, the inserting tube 2-1 of the treatment sub-scope 2 is withdrawn from the tube sheath, and after the stone removing is finished, the inserting tube 1-1 of the image pick-up sub-scope 1 is withdrawn from the tube sheath.
In another embodiment, as shown in FIGS. 4-5, the cross-sectional area of the distal end portion 1-2 of the imaging half-tube is larger than the cross-sectional area of the insertion tube 1-1, and the cross-sectional area of the distal end portion 2-2 of the treatment half-tube is smaller than the cross-sectional area of the insertion tube 2-1. After the gravel is broken, the inserting tube 2-1 of the treatment sub-scope 2 is withdrawn from the tube sheath, and the inserting tube 1-1 of the image pick-up sub-scope 1 is inserted forwards to protrude out of the tube sheath opening, so that the diameter of the calculus removing tube can be increased, and the gravel can be better discharged.
The joint of the image-taking half tube and the treatment half tube is coated with light viscous material. Before the use, two half pipes can be fixed together, and it is more convenient to insert, and behind the rubble, two half pipes can alternate segregation under less dynamics.
The endoscope is matched with the expansion sheath for use, and the expansion sheath is sleeved outside the insertion tube of the endoscope.
The above description is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, several modifications and variations can be made without departing from the technical principle of the present invention, and these modifications and variations should also be regarded as the protection scope of the present invention.

Claims (9)

1. An electronic ureteroscope comprising: the endoscope comprises a camera shooting sub-mirror and a treatment sub-mirror, the camera shooting sub-mirror and the treatment sub-mirror can be mutually embedded, the camera shooting sub-mirror and an insertion pipe of the treatment sub-mirror are of a semi-tubular structure, the camera shooting half-pipe and the treatment half-pipe can be mutually embedded, an illumination passage and a camera shooting passage are arranged in the camera shooting half-pipe, and a working channel is arranged in the treatment half-pipe.
2. The endoscope of claim 1, wherein the walls of the imaging half-tube and the treatment half-tube are made of a soft resin material.
3. The endoscope according to claim 1, wherein the cross section of the insertion tube formed by fitting the imaging half-tube and the treatment half-tube is circular.
4. The endoscope of claim 1, wherein the imaging half-tube and the treatment half-tube are each semi-circular in cross-section.
5. The endoscope of claim 1, wherein the cross-section of the imaging half-tube is circular and the cross-section of the treatment half-tube is hollow circular.
6. The endoscope of claim 1, wherein the operating handles of the image pick-up sub-scope and the treatment sub-scope are capable of being fitted to each other.
7. The endoscope of claim 1, wherein the cross-sectional area of the distal end portion of the imaging half-tube is larger than the cross-sectional area of the insertion tube, and the cross-sectional area of the distal end portion of the treatment half-tube is smaller than the cross-sectional area of the insertion tube.
8. The endoscope of claim 1, wherein the junction of the imaging half-tube and the treatment half-tube is coated with a light adhesive material.
9. The endoscope of claim 1, wherein the endoscope is used with a dilation sheath that fits over an insertion tube of the endoscope.
CN202110642611.6A 2021-06-09 2021-06-09 Electronic ureter endoscope Active CN113349727B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202110642611.6A CN113349727B (en) 2021-06-09 2021-06-09 Electronic ureter endoscope

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Application Number Priority Date Filing Date Title
CN202110642611.6A CN113349727B (en) 2021-06-09 2021-06-09 Electronic ureter endoscope

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CN113349727A true CN113349727A (en) 2021-09-07
CN113349727B CN113349727B (en) 2022-10-14

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107440672A (en) * 2017-07-14 2017-12-08 广州医科大学附属第医院 A kind of electronics Flexible ureteroscope and its operating method with real-time pressure monitoring function
CN112493979A (en) * 2020-12-31 2021-03-16 新疆维吾尔自治区人民医院 Disposable visible percutaneous nephroscope special sheath

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107440672A (en) * 2017-07-14 2017-12-08 广州医科大学附属第医院 A kind of electronics Flexible ureteroscope and its operating method with real-time pressure monitoring function
CN112493979A (en) * 2020-12-31 2021-03-16 新疆维吾尔自治区人民医院 Disposable visible percutaneous nephroscope special sheath

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