CN115500769A - Electrode endoscope system and using method thereof - Google Patents

Electrode endoscope system and using method thereof Download PDF

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Publication number
CN115500769A
CN115500769A CN202211174480.4A CN202211174480A CN115500769A CN 115500769 A CN115500769 A CN 115500769A CN 202211174480 A CN202211174480 A CN 202211174480A CN 115500769 A CN115500769 A CN 115500769A
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China
Prior art keywords
electrode
endoscope
endoscope system
electrodes
proximal end
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CN202211174480.4A
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Chinese (zh)
Inventor
侯晋轩
燕自保
董朝阳
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WUHAN ZKKL OPTOELECTRONIC TECHNOLOGY CO LTD
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WUHAN ZKKL OPTOELECTRONIC TECHNOLOGY CO LTD
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Priority to CN202211174480.4A priority Critical patent/CN115500769A/en
Publication of CN115500769A publication Critical patent/CN115500769A/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
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part 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
    • A61B1/00147Holding or positioning arrangements
    • A61B1/00154Holding or positioning arrangements using guiding arrangements for insertion
    • 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
    • A61B1/005Flexible 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
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015Control of fluid supply or evacuation
    • 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
    • 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
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661Endoscope light sources
    • A61B1/0684Endoscope light sources using light emitting diodes [LED]

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Engineering & Computer Science (AREA)
  • Optics & Photonics (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Microelectronics & Electronic Packaging (AREA)
  • Endoscopes (AREA)

Abstract

The application provides an electrode endoscope system and a using method thereof, wherein the system comprises a control module, an endoscope probe and one or more detection electrodes; the endoscope probe comprises an imaging endoscope and an illuminating device for improving illumination intensity; one or more detection electrodes are arranged on the end face or the peripheral face of the electrode endoscope system; the control module is used for controlling the appointed electrodes to measure. The electrode endoscope system can accurately position the focus in the cavity through the endoscope, and non-invasive detection is carried out on the focus to be detected through the plurality of electrodes arranged at the near end, so that the early accuracy of focus detection is improved.

Description

Electrode endoscope system and using method thereof
Technical Field
The application relates to the technical field of medical instruments, in particular to an electrode endoscope system and a using method thereof.
Background
An endoscope is a common medical instrument, and when the endoscope is used, an endoscope insertion tube needs to be inserted into a natural cavity of a human body for examination, diagnosis and treatment. The endoscope mainly comprises a hard endoscope and a soft endoscope, wherein the hard endoscope mainly enters human aseptic tissues, organs and cavities through surgical incisions and is used for laparoscopes, thoracoscope arthroscopes and the like; the flexible endoscope mainly goes deep into the body through the natural cavity of the human body, converts optical signals into electric signals by the front end sensor, transmits the electric signals to the host computer through an in-tube video cable, or transmits images through an image guide bundle, and is mainly used for gastroscopes, enteroscopes, bronchoscopes and the like.
Endoscopes have wide application in NOTES (via natural endoluminal endoscopic surgery), POEM (via oral endoscopic esophageal sphincterotomy), STER (via endoscopic mucosal water tunnel tumor resection) and other surgeries. Early diagnosis is the key to treatment in the treatment of disease, particularly cancer. Taking the stage of rectal cancer as an example, the detection and treatment in the stages of adenomatous polyp and early-stage carcinogenic polyp can greatly improve the cure rate.
In order to detect the early stage of the focus, medical workers adopt the EUS technology and combine the ultrasonic technology to diagnose and treat diseases, but the method carries out the puncture biopsy to irradiate the body of a patient into the wound of the viscera, and then the wound appears to have great influence on the recovery of the patient due to the weakness of the patient; moreover, the endoscope lens is thick, so that the patient feels relatively strong pain and discomfort. The method aims to realize early accurate identification of benign and malignant lesions and staging of tumors, improve detection accuracy and reduce secondary damage to patients in detection, and is a technical problem which needs to be solved urgently.
Disclosure of Invention
In view of the above, it is necessary to provide an electrode endoscope system and a method of using the same, which can electrically detect a diseased tissue at risk without performing a trauma operation, and improve the accuracy of early detection of the diseased tissue.
The present application provides an electrode endoscope system including: a proximal end, a distal end, and a control system; the proximal end comprising one or more electrodes and an endoscope; the near end is provided with a lighting device; the far end comprises a flexible adjusting rod and an extension rod; the control system is used for controlling the measurement of the designated electrode.
Furthermore, an electrode fixing seat for installing an electrode is arranged at the near end; the near end is provided with an endoscope fixing seat for installing an endoscope.
Furthermore, the electrodes are arranged on the front end face of the proximal end, and the two electrodes are adjacently arranged; the top end of the electrode slightly protrudes out of the front end face.
Furthermore, the electrodes are arranged on the front end surface and the peripheral surface of the proximal end, and a plurality of electrodes are arranged on the peripheral surface; the top end of the electrode slightly protrudes out of the front end face and the peripheral face.
Further, the end part of the electrode is subjected to arc treatment.
Further, the distal end and the proximal end have a diameter of no more than 15mm.
Further, the soft adjusting rod is used for adjusting the movement direction of the near end.
Further, the endoscope and the lighting device are arranged integrally, and the lighting device is an LED lighting device.
Furthermore, the far end and the near end are also provided with auxiliary channels for laying pipelines to spray water for washing.
Further, the electrode endoscope system further includes a motion controller for controlling the endoscope moving/swinging motion.
The application provides a using method of an electrode endoscope system, which comprises the steps of conveying the electrode endoscope system to a cavity to be detected, and determining a focus part to be detected through endoscope imaging; adjusting the angle of the proximal end by a motion controller, and enabling the end part of the electrode to be close to the zone detection focus; controlling the corresponding electrode to be conducted through a control system, and measuring and storing relevant data; and repeating the measuring steps until the detection of all the lesion parts is completed.
According to the electrode endoscope system, the focus in the cavity can be accurately positioned through the endoscope, noninvasive detection is carried out on the focus to be detected through the plurality of electrodes arranged at the near end, and early accuracy of focus detection is improved; in order to reduce the damage to a patient caused by the adjustment position and angle of the endoscope in the process of target detection, a plurality of electrodes are arranged on the front end surface and the circumferential surface of the near end of the endoscope, when a focus position is determined through the endoscope, the working measurement of electrode points at the corresponding position on the near end is controlled through a control system, and the secondary damage caused by the repeated motion of the endoscope in the body is reduced; the electrode tip is protruding out the front end installation department a little to the electrode tip carries out the circular arc and handles, avoids in the motion or the measurement process fish tail or the puncture to the inner chamber.
Drawings
In order to more clearly illustrate the technical solutions in the embodiments of the present application, the drawings used in the description of the embodiments will be briefly described below. It is obvious that the drawings in the following description are only some embodiments of the application, and that other drawings can be derived from these drawings by a person skilled in the art without inventive effort.
For a more complete understanding of the present application and its advantages, reference is now made to the following descriptions taken in conjunction with the accompanying drawings. Wherein like reference numerals refer to like parts in the following description.
FIG. 1 is a schematic structural diagram of an electrode endoscope system provided by an embodiment of the present application;
FIG. 2 is a cross-sectional view of an electrode endoscope system provided in accordance with an embodiment of the present application;
FIG. 3 is a first partial view of a proximal end of an electrode endoscope system according to an embodiment of the present application;
FIG. 4 is a second partial view of a mesial-proximal end provided by an embodiment of the present application;
FIG. 5 is a schematic view of a first configuration of a proximal end of an electrode endoscope system according to an embodiment of the present application;
FIG. 6 is a second schematic view of a proximal end of an electrode endoscope system according to an embodiment of the present disclosure;
FIG. 7 is a schematic view of a third configuration of a proximal end of an electrode endoscope system according to an embodiment of the present application;
in the figure: 1. a proximal end; 11. an electrode; 12. an endoscope; 13. an electrode holder; 14. an endoscope fixing seat; 15. an auxiliary channel; 2. a distal end; 21. a flexible adjusting rod; 22. lengthening a rod; 3. a control system; 4. an illumination device; 5. and a motion controller.
Detailed Description
In order to make those skilled in the art better understand the technical solutions in the embodiments of the present application, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are only a part of the embodiments of the present application, and not all the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present application.
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 be indirectly disposed on the other element; when an element is referred to as being "connected to" another element, it can be directly connected to the other element or be indirectly connected to the other element.
It is to be understood that the terms "length," "width," "upper," "lower," "front," "rear," "left"
The references to "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc. indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience in describing the present application and for simplicity in description, and do not indicate or imply that the referenced device or component must have a particular orientation, be constructed and operated in a particular orientation, and therefore should not be construed as limiting the present application.
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 one or more of that feature. In the description of the present application, "plurality" or "a plurality" means two or more unless specifically limited otherwise.
The embodiment of the application provides an electrode endoscope system and a using method thereof, so that the effect of electrically detecting the risky lesion tissues and improving the accuracy of early lesion detection can be realized under the condition of no trauma operation. The following description will be made with reference to the accompanying drawings.
As shown in fig. 1-2, an electrode endoscope system comprises a proximal end 1, a distal end 2, and a control system 3; an electrode fixing seat 13 and an endoscope fixing seat 14 are arranged on the near end 1, one or more matched electrodes 11 are arranged on the electrode fixing seat 13, an endoscope 12 is arranged on the endoscope fixing seat 14, the endoscope 12 can accurately position a focus position in a detection cavity, and the focus position to be detected is subjected to non-invasive detection through the electrode 11 arranged on the near end 1 and the control system 3.
The endoscope is characterized in that an illuminating device 4 is arranged on the near end 1, the illuminating device 4 adopts an LED lamp, the endoscope 12 and the LED lamp are arranged integrally or separately, and the endoscope adopts an endoscope module with the diameter of 3.9mm and smaller; during detection, the LED lamp can illuminate the focus in the detection cavity, so that the imaging effect of the endoscope 12 is enhanced. The far end 2 comprises a soft adjusting rod 21 and an extension rod 22, one end of the soft adjusting rod 21 is fixed with the near end through a screw or glue dispensing, the soft adjusting rod 21 can adjust the movement direction of the near end 1, and the detection range of the electrode is enlarged; the flexible adjusting rod 21 and the lengthening rod 22 are fixed through glue dispensing or nuts, and when glue dispensing connection is adopted, a glue overflow groove is formed in the joint; when the nut is adopted for fixing, the M1.4 type nut is used, so that the stability of the connecting structure of the soft adjusting rod 21 and the lengthening rod 22 can be ensured.
In the present embodiment, the diameters of the proximal end 1 and the distal end 2 are not more than 15mm, and may be 15mm, 12mm, 10mm, and smaller, which can be applied to different detection objects.
On the basis of the above embodiments, the following embodiments are also included.
As shown in fig. 1 and 3, in one embodiment, the electrode 11 is disposed on the front end face of the proximal end 1, the top end of the electrode 11 slightly protrudes from the end face, and the electrodes 11 may be one or two or more adjacently disposed so as to contact with the tissue to be detected during the detection.
As shown in fig. 1 and 4, in one embodiment, the proximal end 1 is provided with an elastic feed point, the elastic feed point is welded and embedded into the proximal end 1 through injection molding, and the elastic feed point is electrically contacted with a contact of the electrode 11 in the proximal end; the elastic feed point can replace a contact of the electrode 11 to detect, and the top end face of the elastic feed point is arranged in a circular arc manner, so that secondary puncture or scratch of the contact of the electrode 11 to the inner cavity tissue can be further avoided.
As shown in fig. 1, 5 and 6, in one embodiment, the front end surface and the peripheral surface of the proximal end 1 are provided with electrodes 11, a plurality of electrodes 11 are distributed axially along the peripheral surface of the proximal end 1, and the number of the electrodes 11 on the peripheral surface can be one or two or more. When the electrode 11 is arranged for two circles on the peripheral surface of the near end 1, the vertical electrode 11 is correspondingly arranged, so that the electrode 11 can simultaneously contact with tissues when being close to the tissues to be detected in the detection process, and accurate measurement is realized.
As shown in fig. 1, 5 and 6, in one embodiment, the end of the electrode 11 is processed by arc treatment, so as to avoid the end of the electrode 11 from scratching the lumen tissue; in addition, the electrode 11 can also be arranged in a telescopic manner, and the electrode 11 can extend out or retract on the fixed seat 13 and can be suitable for different detection orientations.
As shown in fig. 2 and 7, in one embodiment, the distal end 2 and the proximal end 1 are further provided with an auxiliary channel 15, and a pipeline can be arranged in the auxiliary channel 15, so that the foreign matter at the detection position can be washed by water, and the imaging effect of the endoscope 12 is further increased.
As shown in fig. 1-2, in one embodiment, the electrode endoscope system further includes a motion controller 5, the motion controller 5 being capable of controlling the movement/oscillation of the endoscope 12, increasing the detection range of the endoscope 12.
The application also provides a use method of the electrode endoscope system, which comprises the following steps:
and S1, conveying the electrode endoscope system to a cavity to be detected, and imaging through an endoscope 12 to determine a focus part to be detected.
And S2, adjusting the angle of the proximal end 1 through the motion controller 5, and enabling the end part of the electrode 11 to be close to the zone detection focus.
And S3, controlling the corresponding electrode 11 to be conducted through the control system, and measuring and storing relevant data.
And S4, repeating the measuring steps S1-S3 until the detection of all lesion parts is finished.
The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present application. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the application. Thus, the present application is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

Claims (10)

1. An electrode endoscope system, said endoscope system comprising: a proximal end, a distal end, and a control system; the proximal end comprising one or more electrodes and an endoscope; the near end is provided with a lighting device; the far end comprises a flexible adjusting rod and an extension rod; the control system is used for controlling the measurement of the designated electrode.
2. The electrode endoscope system of claim 1, wherein said proximal end is provided with an electrode holder for mounting an electrode; the near end is provided with an endoscope fixing seat for installing an endoscope.
3. The electrode endoscope system of claim 1, wherein said electrodes are disposed on a proximal, anterior end face, said electrodes being disposed adjacently in two; the top end of the electrode slightly protrudes out of the front end face.
4. The electrode endoscope system according to claim 1, wherein said electrodes are provided on a proximal front end surface and a circumferential surface, and a plurality of said electrodes are provided on said circumferential surface; the top end of the electrode slightly protrudes out of the front end face and the peripheral face.
5. The electrode endoscope system of claim 1 wherein the distal end and the proximal end have a diameter of no more than 15mm.
6. The electrode endoscope system of claim 1, wherein said flexible adjustment rod is adapted to adjust the direction of movement of the proximal end.
7. The electrode endoscope system of claim 1, wherein the endoscope and the illumination device are integrally provided.
8. The electrode endoscope system of claim 1 wherein auxiliary channels are further provided on the distal and proximal ends for routing conduits for water jet irrigation.
9. The electrode endoscope system of claim 1 further comprising a motion controller for controlling endoscope movement and or oscillating motion.
10. A method for using an electrode endoscope system, which is characterized by comprising the electrode endoscope system according to claim 9, feeding the electrode endoscope system to a cavity to be detected, and determining a lesion site to be detected through endoscopic imaging; adjusting the angle of the proximal end by a motion controller, and enabling the end part of the electrode to be close to the zone detection focus; controlling the corresponding electrode to be conducted through a control system, and measuring and storing relevant data; and repeating the measuring steps until the detection of all the lesion parts is completed.
CN202211174480.4A 2022-09-26 2022-09-26 Electrode endoscope system and using method thereof Pending CN115500769A (en)

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Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1252571A (en) * 1999-09-07 2000-05-10 中国人民解放军第四军医大学 Impedance tomograph imaging method
CN1545395A (en) * 2001-01-22 2004-11-10 V-Ŀ�꼼�����޹�˾ Ingestible pill
US20060004301A1 (en) * 2004-06-24 2006-01-05 Kasevich Raymond S Clinical application of electrical impedance tomography to characterize tissue
CN101564294A (en) * 2009-06-01 2009-10-28 中国人民解放军第四军医大学 Method for structural information fused electrical impedance tomography
CN102316797A (en) * 2009-01-27 2012-01-11 科学基础有限公司 Switch probe for multiple electrode measurement of impedance
CN103479355A (en) * 2013-10-11 2014-01-01 南开大学 Minimally invasive surgery tool with non-invasive force and impedance parameter integrated monitoring
CN104055514A (en) * 2014-07-04 2014-09-24 重庆邮电大学 Minimally invasive supporting type rectum electrical impedance characteristic detecting device
CN105992564A (en) * 2013-11-29 2016-10-05 Mc10股份有限公司 Systems, methods, and devices having stretchable integrated circuitry for sensing and delivering therapy
CN106535738A (en) * 2014-04-01 2017-03-22 弗迪格医疗有限公司 A monitoring system for continuously sensing the uterus
CN107920723A (en) * 2015-06-26 2018-04-17 阿帕玛医疗公司 Organising map and visualization system
CN108089060A (en) * 2018-02-23 2018-05-29 中国人民解放军第四军医大学 Noninvasive biological tissue's device for measuring dielectric characteristics
CN114206211A (en) * 2019-06-20 2022-03-18 耶路撒冷希伯来大学伊森姆研究发展有限公司 Endoscopic Retrograde Cholangiopancreatography (ERCP) catheter and guidewire with sensor and methods of use thereof

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1252571A (en) * 1999-09-07 2000-05-10 中国人民解放军第四军医大学 Impedance tomograph imaging method
CN1545395A (en) * 2001-01-22 2004-11-10 V-Ŀ�꼼�����޹�˾ Ingestible pill
US20060004301A1 (en) * 2004-06-24 2006-01-05 Kasevich Raymond S Clinical application of electrical impedance tomography to characterize tissue
CN102316797A (en) * 2009-01-27 2012-01-11 科学基础有限公司 Switch probe for multiple electrode measurement of impedance
CN101564294A (en) * 2009-06-01 2009-10-28 中国人民解放军第四军医大学 Method for structural information fused electrical impedance tomography
CN103479355A (en) * 2013-10-11 2014-01-01 南开大学 Minimally invasive surgery tool with non-invasive force and impedance parameter integrated monitoring
CN105992564A (en) * 2013-11-29 2016-10-05 Mc10股份有限公司 Systems, methods, and devices having stretchable integrated circuitry for sensing and delivering therapy
CN106535738A (en) * 2014-04-01 2017-03-22 弗迪格医疗有限公司 A monitoring system for continuously sensing the uterus
CN104055514A (en) * 2014-07-04 2014-09-24 重庆邮电大学 Minimally invasive supporting type rectum electrical impedance characteristic detecting device
CN107920723A (en) * 2015-06-26 2018-04-17 阿帕玛医疗公司 Organising map and visualization system
CN108089060A (en) * 2018-02-23 2018-05-29 中国人民解放军第四军医大学 Noninvasive biological tissue's device for measuring dielectric characteristics
CN114206211A (en) * 2019-06-20 2022-03-18 耶路撒冷希伯来大学伊森姆研究发展有限公司 Endoscopic Retrograde Cholangiopancreatography (ERCP) catheter and guidewire with sensor and methods of use thereof

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