CN116058783B - Precession type anorectal endoscope and application method thereof - Google Patents

Precession type anorectal endoscope and application method thereof Download PDF

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Publication number
CN116058783B
CN116058783B CN202310162006.8A CN202310162006A CN116058783B CN 116058783 B CN116058783 B CN 116058783B CN 202310162006 A CN202310162006 A CN 202310162006A CN 116058783 B CN116058783 B CN 116058783B
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pipe
adjusting
piston disc
plate
sleeve
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CN116058783A (en
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刘志华
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Dongguan Peoples Hospital
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Dongguan Peoples Hospital
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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
    • A61B1/31Instruments 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 rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • 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
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Vascular Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Endoscopes (AREA)

Abstract

The invention relates to the technical field of anorectal surgery, in particular to a precession anorectal endoscope and a use method thereof, wherein the precession anorectal endoscope comprises a guide wire, a peeping end positioned on the guide wire and a delivery tube assembly; the medicine feeding sampling assembly comprises an adjusting tube sleeved outside a lead, a first piston disc is arranged in the adjusting tube, a fixed plate is arranged on one side, away from the sealing cover, of the first piston disc, a second piston disc is arranged on one side, away from the first piston disc, of the fixed plate, and an adjusting plate is arranged on one side, away from the fixed plate, of the second piston disc. According to the scheme, the medicine feeding sampling assembly is arranged outside the lead, the second piston disc in the adjusting tube moves between the fixed plate and the adjusting plate, accumulated liquid or blood at a diseased part is sucked through a low-pressure environment, and the liquid medicine in the medicine storage tube is sprayed to the diseased part through a high-pressure environment, so that the function of an endoscope is increased; the movable plate is moved by utilizing high-pressure and low-pressure environments, so that the peeping end is driven to rotate, and the angle of the endoscope is conveniently adjusted.

Description

Precession type anorectal endoscope and application method thereof
Technical Field
The invention relates to the technical field of anorectal surgery, in particular to a precession type anorectal endoscope and a use method thereof.
Background
In anorectal surgery, for example, surgery for internal or external hemorrhoids or intestinal polyps, it is necessary to introduce an endoscope from the anus of a patient and observe the anus or rectum of the patient.
The current anorectal endoscope generally only has an observation function, cannot be used for feeding medicines to a patient part, sampling the patient part and the like, so that the anorectal endoscope cannot be used for feeding medicines or sampling at the same time, the endoscope needs to be taken out and then fed with medicines or sampling, the sampling or feeding medicines is poor in effect, and the feeding medicines or sampling positions cannot be accurately controlled.
Disclosure of Invention
Aiming at the defects existing in the prior art, the invention provides the precession anorectal endoscope and the use method thereof, which can effectively solve the problem that the endoscope in the prior art has single function and can not assist in medicine feeding and sampling.
In order to achieve the above purpose, the invention is realized by the following technical scheme:
the invention provides a precession anorectal endoscope and a use method thereof, wherein the endoscope comprises a lead, a peeping end positioned on the lead, and a pipe feeding assembly, and is used for pushing the lead to move, and comprises a mounting frame sleeved outside the lead, wherein two rotating rods are rotatably arranged on the mounting frame, a feeding roller is sleeved on each rotating rod, and gears are sleeved on the two rotating rods; the medicine feeding sampling assembly comprises an adjusting pipe sleeved outside a lead, a sealing cover is arranged at one end, close to a mounting frame, of the adjusting pipe, a first piston disc is arranged in the adjusting pipe, a fixing plate is arranged on one side, far away from the sealing cover, of the first piston disc, a second piston disc is arranged on one side, far away from the first piston disc, of the fixing plate, a connecting rod is movably inserted into the fixing plate, two ends of the connecting rod are respectively connected with the first piston disc and the second piston disc, an adjusting plate is arranged on one side, far away from the fixing plate, of the second piston disc, the first piston disc, the fixing plate, the second piston disc and the adjusting plate are all in sealing connection with the adjusting pipe and the lead, a medicine storage pipe and a collecting pipe are respectively arranged at the top of the mounting frame, a first adjusting hole and a second adjusting hole are respectively formed in the outer wall of the adjusting pipe, the first adjusting hole is located between the adjusting plate and the second piston disc, the second adjusting hole is located between the adjusting plate and the second piston disc, a second connecting pipe is connected between the first hole and the collecting pipe, a first connecting pipe is connected between the second adjusting hole and the medicine storage pipe, and a first connecting pipe are respectively provided with a peep hole, and a liquid inlet valve are respectively arranged on the first connecting pipe and a second connecting pipe; and the pressurizing assembly is used for pressurizing between the sealing cover and the first piston disc and is positioned on one side of the mounting frame.
Further, go up medicine sampling assembly still includes fixed cover and establishes the first sleeve pipe in the regulation outside of tubes, first sleeve pipe, and be equipped with the space between first sleeve pipe and the regulation, first sleeve pipe outside is equipped with the adjusting ring, be connected with first flexible pipe between adjusting ring and the mounting bracket, be equipped with first spread groove in the adjusting ring, and be linked together between first spread groove and the space, it is equipped with out the medicine pipe to deposit the medicine pipe bottom, the collecting pipe bottom is equipped with the sampling tube, it all passes first flexible pipe, first spread groove and space in proper order with the sampling tube and peeps at the end and be connected.
Further, the pressurization subassembly includes the cam of fixed mounting at the dwang tip, the mounting bracket outside is equipped with the gas tank, the gas tank is located the cam below, and the gas tank top activity is inserted and is equipped with the piston rod, the top fixed mounting of piston rod has the slide, the lateral wall sliding connection of slide and cam, be connected with first intake pipe between the top lateral wall of gas tank and the sealed lid, be connected with the second intake pipe between the bottom lateral wall of gas tank and the sealed lid, be equipped with first outlet duct and second outlet duct on the gas tank lateral wall respectively, be equipped with the check valve on first intake pipe, second intake pipe, first outlet duct and the second outlet duct respectively.
Further, peep end department is equipped with angle adjusting component, establishes the second sleeve pipe on the wire including the cover, the second sleeve pipe tip rotates and installs the dwang, peep end fixed mounting is on the dwang, be equipped with the screw groove on the second sheathed tube inner wall, and slidable mounting has the fly leaf in the screw groove, fly leaf is kept away from dwang one side slidable mounting has two slide bars, two slide bar is kept away from fly leaf one end and is fixed mounting jointly has the third piston disc, be connected with the telescopic link between fly leaf and the dwang.
Further, the inner diameter of the second sleeve is the same as that of the adjusting tube, the outer diameter of the second sleeve is larger than that of the first sleeve and smaller than that of the first sleeve, and an inner groove is arranged in the second sleeve.
Further, the adjusting plate is respectively inserted with a first fixed pipe and a second fixed pipe, one end of the first fixed pipe, which is far away from the adjusting plate, movably penetrates through the second piston disc, two adjusting grooves are formed in the side wall of the adjusting plate, a baffle is slidably mounted in the adjusting grooves, and a control assembly for adjusting the position of the baffle is arranged between the adjusting ring and the adjusting plate.
Further, the control assembly comprises a second connecting groove formed in the adjusting ring, two electromagnets are fixedly installed in the second connecting groove, permanent magnets are arranged on the side walls of the baffle, the electromagnets repel the permanent magnets when being electrified, a second telescopic tube is connected between the adjusting ring and the mounting frame, a handle is arranged at the bottom of the mounting frame, and two pressing switches are arranged on the handle and correspond to the two electromagnets one by one.
Further, an installation groove is formed in the side wall of the peeping end, a protective cover is arranged in the installation groove, the inner wall of the installation groove is inclined, and the medicine feeding hole is formed in the inner wall of the installation groove.
An anorectal endoscope using method comprises the following steps:
s1: inserting the peeking tip into the anus of the patient;
s2: pushing the lead wire and the peeping end to move towards the inside of the anus of the patient through the pipe conveying component;
s3: adjusting the angle of the peeping end, confirming the diseased part, and sampling and feeding the diseased part aiming at the disease condition of the patient.
Compared with the known public technology, the technical scheme provided by the invention has the following beneficial effects:
according to the technical scheme, the regulating tube is arranged outside the lead, the medicine feeding sampling assembly is arranged in the regulating tube, the second piston disc in the regulating tube moves between the fixed plate and the regulating plate, so that the air pressure between the second piston disc and the fixed plate is reduced, the air pressure between the second piston disc and the regulating plate is increased, the accumulated liquid or blood at a diseased part is sucked through a low-pressure environment, the liquid medicine in the medicine storage tube is sprayed to the diseased part through a high-pressure environment, and the functions of an endoscope are increased; the movable plate is moved by utilizing high-pressure and low-pressure environments, so that the peeping end is driven to rotate, and the angle of the endoscope is conveniently adjusted.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It is evident that the drawings in the following description are only some embodiments of the present invention and that other drawings may be obtained from these drawings without inventive effort for a person of ordinary skill in the art.
FIG. 1 is an overall schematic of the present invention;
FIG. 2 is a schematic view of the internal structure of the adjusting tube according to the present invention;
FIG. 3 is an enlarged view of the portion A of FIG. 2;
FIG. 4 is an enlarged view of the portion B of FIG. 2;
FIG. 5 is a schematic view of the structure of the first sleeve according to the present invention;
FIG. 6 is a schematic illustration of the connection between a tube and a collection tube and sleeve of the present invention;
FIG. 7 is a schematic view of the structure of the adjusting plate of the present invention;
FIG. 8 is a schematic view of the structure between the second cannula and the peeking tip according to the present invention;
FIG. 9 is a schematic view showing the internal structure of a second sleeve according to the present invention;
FIG. 10 is a schematic view of the handle and tube assembly of the present invention;
FIG. 11 is an enlarged view of the portion C of FIG. 1;
FIG. 12 is an enlarged view of the portion D of FIG. 1;
FIG. 13 is a schematic view of the structure of the mounting slot portion of the present invention;
fig. 14 is a view showing an operation state of the air box according to the present invention.
Reference numerals in the drawings represent respectively: 1. a wire; 2. a rotating block; 3. peeping the end head; 301. a protective cover; 302. a medicine feeding hole; 303. a mounting groove; 4. a mounting frame; 5. a handle; 6. a rotating lever; 7. a feed roller; 8. a gear; 9. an adjusting tube; 10. sealing cover; 11. a first piston disc; 12. a fixing plate; 13. a second piston disc; 14. a connecting rod; 15. an adjusting plate; 16. a first fixed tube; 17. a second fixed tube; 18. a first adjustment aperture; 19. a second adjustment aperture; 20. a first sleeve; 21. an adjusting ring; 22. a medicine storage tube; 23. a collection pipe; 24. a first connection pipe; 25. a medicine outlet pipe; 26. a second connection pipe; 27. a sampling tube; 28. a first telescopic tube; 29. a second telescopic tube; 30. a second sleeve; 31. a third piston disc; 32. a movable plate; 33. a slide bar; 34. a telescopic rod; 35. a thread groove; 36. an inner tank; 37. an air box; 38. a first air inlet pipe; 39. a second air inlet pipe; 40. a slide plate; 41. a cam; 42. pressing the switch; 43. a first connection groove; 44. an adjustment tank; 45. a baffle; 46. a permanent magnet; 47. an electromagnet; 48. and a second connecting groove.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention more clear, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. It will be apparent that the illustrated embodiments are some, but not all, embodiments of the invention. Based on the embodiments of the present invention, those of ordinary skill in the art could obtain other embodiments without making any inventive effort, which fall within the scope of the present invention.
The invention is further described below with reference to examples.
Examples: referring to fig. 1-14, the precession type anorectal endoscope comprises a guide wire 1 and a peeping end 3 positioned on the guide wire 1, and further comprises a tube feeding assembly for pushing the guide wire 1 to move, wherein the tube feeding assembly comprises a mounting frame 4 sleeved outside the guide wire 1, two rotating rods 6 are rotatably mounted in the mounting frame 4, a feeding roller 7 is sleeved on the rotating rods 6, gears 8 are sleeved on the two rotating rods 6, and a driving piece for driving the rotating rods 6 is arranged in the mounting frame 4.
In this scheme, the driving piece drives the rotating rod 6, the rotating rod 6 drives one of the gears 8 to rotate, and drives the other gear 8 to rotate through the transmission function, and as shown in fig. 10, the rotation directions of the two gears 8 are opposite, that is, the rotation directions of the two rotating rods 6 are opposite, the rotation directions of the two feeding rollers 7 are opposite, the wire 1 is positioned between the two feeding rollers 7, and the wire 1 can be driven to move through the friction function, so that the screw feeding is completed.
Referring to fig. 1-14; the medicine feeding and sampling assembly comprises an adjusting tube 9 sleeved outside a lead 1, a sealing cover 10 is arranged at one end of the adjusting tube 9, close to a mounting frame 4, a first piston disc 11 is arranged in the adjusting tube 9, one side, far away from the sealing cover 10, of the first piston disc 11 is provided with a fixed plate 12, one side, far away from the first piston disc 11, of the fixed plate 12 is provided with a second piston disc 13, a connecting rod 14 is movably inserted into the fixed plate 12, two ends of the connecting rod 14 are respectively connected with the first piston disc 11 and the second piston disc 13, one side, far away from the fixed plate 12, of the second piston disc 13 is provided with an adjusting plate 15, the first piston disc 11, the fixed plate 12, the second piston disc 13 and the adjusting plate 15 are all in sealing connection with the adjusting tube 9 and the lead 1, the top of the mounting frame 4 is respectively provided with a medicine storage tube 22 and a collecting tube 23, the outer wall of the adjusting pipe 9 is provided with a first adjusting hole 18 and a second adjusting hole 19 respectively, the first adjusting hole 18 is positioned between the adjusting plate 15 and the second piston disc 13, the second adjusting hole 19 is positioned between the adjusting plate 15 and the second piston disc 13, a second connecting pipe 26 is connected between the first adjusting hole 18 and the collecting pipe 23, a first connecting pipe 24 is connected between the second adjusting hole 19 and the medicine storage pipe 22, electromagnetic valves are respectively arranged on the first connecting pipe 24 and the second connecting pipe 26, the peeping end head 3 is respectively provided with a medicine feeding hole 302 and a liquid feeding hole, the side wall of the peeping end head 3 is provided with a mounting groove 303, a protective cover 301 is arranged in the mounting groove 303, the inner wall of the mounting groove 303 is inclined, and the medicine feeding hole 302 is arranged on the inner wall of the mounting groove 303; the medicine feeding and sampling assembly further comprises a first sleeve 20 fixedly sleeved outside the adjusting pipe 9, the first sleeve 20 is provided with a gap between the first sleeve 20 and the adjusting pipe 9, an adjusting ring 21 is arranged outside the first sleeve 20, a first telescopic pipe 28 is connected between the adjusting ring 21 and the mounting frame 4, a first connecting groove 43 is arranged in the adjusting ring 21, the first connecting groove 43 is communicated with the gap, a medicine outlet pipe 25 is arranged at the bottom of the medicine storage pipe 22, a sampling pipe 27 is arranged at the bottom of the collecting pipe 23, and the medicine outlet pipe 25 and the sampling pipe 27 sequentially penetrate through the first telescopic pipe 28, the first connecting groove 43 and the gap to be connected with the peeping end 3.
For accurate dosing and sampling, the scheme is that a regulating tube 9 is sleeved outside a conducting wire 1, a first piston disc 11 and a second piston disc 13 are respectively arranged in the regulating tube 9, a connecting rod 14 is connected between the first piston disc 11 and the second piston disc 13, namely, the movement of the first piston disc 11 and the second piston disc 13 is synchronous, when the end part of the regulating tube 9 is pressurized (between a sealing cover 10 and the first piston disc 11), the first piston disc 11 is pushed to move towards a fixed plate 12 under the action of pressure, the second piston disc 13 is driven by the connecting rod 14 to move towards a regulating plate 15, the second piston disc 13 is positioned between the fixed plate 12 and the regulating plate 15, the air pressure action between the fixed plate 12 and the regulating plate 15 is changed when the second piston disc 13 moves, wherein the air pressure action between the fixed plate 12 and the second piston disc 13 is reduced (hereinafter referred to as a low-pressure zone), and the air pressure action between the second piston disc 13 and the regulating plate 15 is increased (hereinafter referred to as a high-pressure zone).
The low pressure area and the high pressure area are used as power sources to finish the subsequent sampling and medicine feeding, specifically, a medicine storage pipe 22 and a collecting pipe 23 are arranged at the top of the mounting frame 4, as shown in fig. 2-4 and 6, a first adjusting hole 18 is arranged between the adjusting plate 15 and the second piston disc 13, a second adjusting hole 19 is arranged between the adjusting plate 15 and the second piston disc 13, the top of the first adjusting hole 18 and the collecting pipe 23 is connected with a second connecting pipe 26, the top of the second adjusting hole 19 and the medicine storage pipe 22 are connected with a first connecting pipe 24, namely, the collecting pipe 23 is communicated with the low pressure area, the medicine storage pipe 22 is communicated with the high pressure area, an electromagnetic valve is arranged on the first connecting pipe 24 and the second connecting pipe 26 for convenient control, the position of the electromagnetic valve is far away from the adjusting pipe 9, so that the production and the assembly can be convenient, and the switch of the electromagnetic valve is arranged on the handle 5 for convenient operation. The air pressure in the collecting pipe 23 is reduced under the action of negative pressure, and blood or effusion and the like at the diseased site are extracted through the sampling pipe 27 and the liquid inlet hole outside the peeping end 3, and the liquid inlet hole is arranged outside the mounting groove 303 (not shown in the figure), so that the liquid inlet hole is convenient to fully contact with the diseased site of a patient and convenient to sample. The air pressure in the medicine storage tube 22 is increased through the high-pressure effect, the internal medicine liquid is extruded and sprayed on the affected part through the medicine outlet tube 25, and it is worth noting that as shown in fig. 12 and 13, the medicine feeding holes 302 face to the same place and are positioned right above the camera, so that the feeding effect and efficiency are improved, in addition, the medicine feeding holes 302 are positioned in the mounting groove 303, and the medicine feeding holes 302 can be prevented from being blocked by tissues in a patient.
Wherein, the medicine outlet tube 25 and the sampling tube 27 enter into the gap between the first sleeve 20 and the adjusting tube 9 through the first telescopic tube 28 and the first connecting groove 43 in the adjusting ring 21, and then are connected with the peeping end 3 through the inner groove 36 in the second sleeve 30, thus hiding the external pipeline and facilitating the operation.
Referring to fig. 1-14; the pressurization subassembly is used for pressurizing between sealed lid 10 and the first piston disc 11, be located mounting bracket 4 one side, the pressurization subassembly includes the cam 41 of fixed mounting at dwang 6 tip, the mounting bracket 4 outside is equipped with air tank 37, air tank 37 is located the cam 41 below, and air tank 37 top activity is inserted and is equipped with the piston rod, the top fixed mounting of piston rod has slide 40, slide 40 and the lateral wall sliding connection of cam 41, be connected with first intake pipe 38 between the top lateral wall of air tank 37 and sealed lid 10, be connected with second intake pipe 39 between the bottom lateral wall of air tank 37 and sealed lid 10, be equipped with first outlet duct and second outlet duct on the air tank 37 lateral wall respectively, be equipped with the check valve on first intake pipe 38, second intake pipe 39, first outlet duct and the second outlet duct respectively.
In order to facilitate pressurization between the sealing cover 10 and the first piston disc 11, as shown in fig. 10, a cam 41 is arranged at the end part of the rotating rod 6, and an air box 37 is arranged below, when the cam 41 rotates along with the rotating rod 6, the sliding plate 40 and the piston rod are driven to reciprocate, as shown in fig. 14, the second air inlet pipe 39 is discharged when the piston rod moves downwards, and the first air inlet pipe 38 is discharged when the piston rod moves upwards, that is, no matter whether the piston rod moves upwards or moves downwards, air is sent between the sealing cover 10 and the first piston disc 11, and pre-pressurization can be completed in the process of conveying the lead 1, so that subsequent sampling or medicine feeding is facilitated, the cost is saved, and no driving part is added outwards.
Referring to fig. 1-14; the peeping end 3 is provided with an angle adjusting component, which comprises a second sleeve 30 sleeved on the lead 1, and is notable that one end of the second sleeve 30 close to the peeping end 3 is made of harder materials, the movable plate 32 can slide conveniently, the other part is softer, observation and subsequent medicine application or sampling of diseased parts are convenient, the inner diameter of the second sleeve 30 is the same as that of the adjusting tube 9, the outer diameter of the second sleeve 30 is larger than that of the first sleeve 20 and smaller than that of the first sleeve 20, an inner groove 36 is arranged in the second sleeve 30, the end part of the second sleeve 30 is rotatably provided with a rotating block 2, the peeping end 3 is fixedly arranged on the rotating block 2, the inner wall of the second sleeve 30 is provided with a thread groove 35, a movable plate 32 is slidably arranged in the thread groove 35, one side of the movable plate 32 away from the rotating block 2 is slidably provided with two slide bars 33, one end of the two slide bars 33 away from the movable plate 32 is fixedly provided with a third piston disc 31 together, a telescopic rod 34 is connected between the movable plate 32 and the rotating block 2, a first fixed pipe 16 and a second fixed pipe 17 are respectively inserted on the adjusting plate 15, one end of the first fixed pipe 16 far away from the adjusting plate 15 movably penetrates through the second piston disc 13, two adjusting grooves 44 are formed in the side wall of the adjusting plate 15, a baffle 45 is slidably arranged in the adjusting grooves 44, a control component for adjusting the position of the baffle 45 is arranged between the adjusting ring 21 and the adjusting plate 15, the control component comprises a second connecting groove 48 formed in the adjusting ring 21, two electromagnets 47 are fixedly arranged in the second connecting groove 48, permanent magnets 46 are arranged on the side walls of the two baffles 45, the electromagnets 47 repel the permanent magnets 46 when being electrified, a second telescopic pipe 29 is connected between the adjusting ring 21 and the mounting frame 4, a handle 5 is arranged at the bottom of the mounting frame 4, two pressure switches 42 are arranged on the handle 5, the two pressing switches 42 are in one-to-one correspondence with the two electromagnets 47.
In order to conveniently adjust the angle of the peeping end 3, the second sleeve 30 is sleeved on the lead 1 in the scheme, as shown in fig. 8 and 9, a thread groove 35 is formed on the inner wall of one end of the second sleeve 30, which is close to the peeping end 3, and a movable plate 32 is slidably mounted on the thread groove 35, namely, the movable plate 32 can rotate along the thread groove 35 when moving back and forth along the inner wall of the second sleeve 30.
In order to facilitate operation, the third piston disc 31 is arranged on one side of the movable plate 32 far away from the peeping end 3, and the first sleeve 20 and the second sleeve 30 are communicated, as shown in fig. 2, the first fixed tube 16 and the second fixed tube 17 are respectively arranged on the adjusting plate 15, the end part of the first fixed tube 16 is positioned between the fixed plate 12 and the second piston disc 13, namely, the first fixed tube 16 is connected with a low pressure area, the second fixed tube 17 is connected with a high pressure area, a control component for controlling whether the first fixed tube 16 and the second fixed tube 17 are ventilated or not is arranged between the adjusting ring 21 and the adjusting plate 15, when the first fixed tube 16 is connected, air between the adjusting plate 15 and the third piston disc 31 flows to the low pressure area under the action of low pressure, so that the third piston disc 31 drives the movable plate 32 to retreat, and conversely, when the second fixed tube 17 is connected, air in the high pressure area flows to the third piston disc 31 and the adjusting plate 15, the third piston disc 31 and the movable plate 32 are pushed to advance under the action of air pressure, and when the movable plate 32 is connected with the movable plate 32, the movable plate 32 is driven by the air pressure to rotate together to drive the peeping block 2 to rotate together, thereby driving the peeping end 2 to rotate together.
The control assembly is completed by utilizing the adsorption and repulsion action between the permanent magnet 46 and the electromagnet 47, in the initial state, the electromagnet 47 is in the off state, the permanent magnet 46 attracts the electromagnet 47, the permanent magnet 46 moves towards the direction of the electromagnet 47 to drive the baffle 45 to block the through hole, and notably, the through hole is the through hole of the first fixed pipe 16 or the second fixed pipe 17, and when the electromagnet 47 is switched on, the baffle 45 is pushed under the repulsion action, the baffle 45 does not block the first fixed pipe 16 or the second fixed pipe 17 any more, so that the rotation direction and the rotation angle of the movable plate 32 are controlled, and the two pressing switches 42 for controlling the two electromagnets 47 are arranged on the handle 5, so that the operation is convenient.
An anorectal endoscope using method comprises the following steps:
s1: inserting the peeking tip 3 into the anus of the patient;
s2: pushing the lead 1 and the peeping end 3 to move towards the inside of the anus of the patient through the pipe conveying component;
s3: the angle of the peeping end head 3 is adjusted, the diseased part is confirmed, and the diseased part is sampled and loaded according to the disease condition of the patient.
The above embodiments are only for illustrating the technical solution of the present invention, and are not limiting; although the invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some technical features thereof can be replaced by equivalents; these modifications or substitutions do not depart from the essence of the corresponding technical solutions from the protection scope of the technical solutions of the embodiments of the present invention.

Claims (4)

1. Precession formula anorectal branch of academic or vocational study endoscope, including wire (1) and peep end (3) that are located wire (1), its characterized in that still includes:
the pipe conveying assembly is used for pushing the lead (1) to move and comprises a mounting frame (4) sleeved outside the lead (1), two rotating rods (6) are rotatably mounted on the mounting frame (4), a feeding roller (7) is sleeved on each rotating rod (6), and gears (8) are sleeved on the two rotating rods (6);
the medicine feeding sampling assembly comprises a regulating pipe (9) sleeved outside a lead (1), one end, close to a mounting frame (4), of the regulating pipe (9) is provided with a sealing cover (10), a first piston disc (11) is arranged in the regulating pipe (9), one side, far away from the sealing cover (10), of the first piston disc (11) is provided with a fixing plate (12), one side, far away from the first piston disc (11), of the fixing plate (12) is provided with a second piston disc (13), the fixing plate (12) is movably inserted with a connecting rod (14), two ends of the connecting rod (14) are respectively connected with the first piston disc (11) and the second piston disc (13), one side, far away from the fixing plate (12), of the second piston disc (13) is provided with a regulating plate (15), the first piston disc (11), the fixing plate (12), the second piston disc (13) and the regulating plate (15) are all in sealing connection with the regulating pipe (9) and the lead (1), the top of the mounting frame (4) is respectively provided with a medicine storage tube (22) and a collecting tube (23), the outer wall (9) is respectively provided with a first regulating hole (18) and a second regulating hole (18) which are arranged between the first regulating plate (18) and the second regulating plate (13), the second adjusting hole (19) is positioned between the second piston disc (13) and the adjusting plate (15), a second connecting pipe (26) is connected between the first adjusting hole (18) and the collecting pipe (23), a first connecting pipe (24) is connected between the second adjusting hole (19) and the medicine storage pipe (22), electromagnetic valves are respectively arranged on the first connecting pipe (24) and the second connecting pipe (26), and the peeping end (3) is respectively provided with a medicine feeding hole (302) and a liquid inlet hole;
the pressurizing assembly is used for pressurizing between the sealing cover (10) and the first piston disc (11) and is positioned at one side of the mounting frame (4);
the medicine feeding and sampling assembly further comprises a first sleeve (20) fixedly sleeved outside the adjusting pipe (9), a gap is formed between the first sleeve (20) and the adjusting pipe (9), an adjusting ring (21) is arranged outside the first sleeve (20), a first telescopic pipe (28) is connected between the adjusting ring (21) and the mounting frame (4), a first connecting groove (43) is formed in the adjusting ring (21), the first connecting groove (43) is communicated with the gap, a medicine outlet pipe (25) is arranged at the bottom of the medicine storage pipe (22), a sampling pipe (27) is arranged at the bottom of the collecting pipe (23), and the medicine outlet pipe (25) and the sampling pipe (27) sequentially penetrate through the first telescopic pipe (28), the first connecting groove (43) and the gap to be connected with the peeping end (3);
the peeping end (3) is provided with an angle adjusting component, the angle adjusting component comprises a second sleeve (30) sleeved on a lead (1), a rotating block (2) is rotatably arranged at the end part of the second sleeve (30), the peeping end (3) is fixedly arranged on the rotating block (2), a thread groove (35) is formed in the inner wall of the second sleeve (30), a movable plate (32) is slidably arranged in the thread groove (35), two sliding rods (33) are slidably arranged on one side, far away from the rotating block (2), of the movable plate (32), a third piston disc (31) is fixedly arranged at one end, far away from the movable plate (32), of the two sliding rods (33), and a telescopic rod (34) is connected between the movable plate (32) and the rotating block (2);
the adjusting plate (15) is respectively inserted with a first fixed pipe (16) and a second fixed pipe (17), one end, far away from the adjusting plate (15), of the first fixed pipe (16) movably penetrates through the second piston disc (13), two adjusting grooves (44) are formed in the side wall of the adjusting plate (15), a baffle (45) is slidably arranged in the adjusting grooves (44), and a control component for adjusting the position of the baffle (45) is arranged between the adjusting ring (21) and the adjusting plate (15);
the control assembly comprises a second connecting groove (48) formed in the adjusting ring (21), two electromagnets (47) are fixedly installed in the second connecting groove (48), permanent magnets (46) are arranged on the side walls of the baffle plates (45), the electromagnets (47) repel each other when being electrified, a second telescopic tube (29) is connected between the adjusting ring (21) and the mounting frame (4), a handle (5) is arranged at the bottom of the mounting frame (4), two pressing switches (42) are arranged on the handle (5), and the two pressing switches (42) correspond to the two electromagnets (47) one by one.
2. The precession anorectal endoscope according to claim 1, wherein the pressurizing assembly comprises a cam (41) fixedly installed at the end part of a rotating rod (6), an air box (37) is arranged outside the mounting frame (4), the air box (37) is located below the cam (41), a piston rod is movably inserted into the top of the air box (37), a sliding plate (40) is fixedly installed at the top end of the piston rod, the sliding plate (40) is slidably connected with the side wall of the cam (41), a first air inlet pipe (38) is connected between the top side wall of the air box (37) and the sealing cover (10), a second air inlet pipe (39) is connected between the bottom side wall of the air box (37) and the sealing cover (10), a first air outlet pipe and a second air outlet pipe are respectively arranged on the side wall of the air box (37), and one-way valves are respectively arranged on the first air inlet pipe (38), the second air inlet pipe (39), the first air outlet pipe and the second air outlet pipe.
3. The precession anorectal endoscope according to claim 1, characterized in that the second sleeve (30) has an inner diameter identical to the adjusting tube (9), the outer diameter of the second sleeve (30) being larger than the inner diameter of the first sleeve (20) and smaller than the outer diameter of the first sleeve (20), an inner groove (36) being provided in the second sleeve (30).
4. The precession type anorectal endoscope according to claim 1, wherein a mounting groove (303) is formed in the side wall of the peeping end (3), a protective cover (301) is arranged in the mounting groove (303), the inner wall of the mounting groove (303) is inclined, and the medicine feeding hole (302) is formed in the inner wall of the mounting groove (303).
CN202310162006.8A 2023-02-24 2023-02-24 Precession type anorectal endoscope and application method thereof Active CN116058783B (en)

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