CN116327101A - Bronchoscope - Google Patents

Abstract

The invention provides a bronchoscope, which comprises an insertion tube and a bending adjusting instrument box, wherein a forceps channel tube and a plurality of bending adjusting wires are arranged in the insertion tube. The bending adjusting instrument box comprises a mounting seat and a plurality of bending control components. A mounting cavity is arranged in the mounting seat; an inner channel is arranged in the mounting cavity, a mounting channel which is communicated with the outside and the mounting cavity is arranged on the mounting seat, the insertion pipe is arranged in the mounting channel, the clamp pipe is in butt joint with one end of the inner channel, the clamp pipe and the inner channel form an instrument channel, and the other end of the inner channel penetrates through the mounting seat and forms an inlet of the mechanical channel outside the mounting seat. The plurality of bending control components are in one-to-one correspondence with the plurality of bending adjustment wires; the bending control component is arranged in the mounting cavity and is rotationally connected with the mounting cavity, and the proximal end of the bending adjustment wire is fixedly connected with the corresponding bending control component after being wound. The output end of the bending control component is a driving claw, the driving claw extends out of the mounting cavity and is positioned outside the mounting seat, the driving claw is used for being in butt joint with an external power end clamping disk, and the driving of the external power end clamping disk is realized to rotate so as to control the winding and unwinding of the corresponding bending regulating wire.

Description

Bronchoscope

Technical Field

The invention belongs to the technical field of medical instruments, and particularly relates to a bronchoscope.

Background

In medical operation, a plurality of minimally invasive robots which need to be controlled accurately are usually used, a plurality of surgical instruments are arranged at the execution end of the robots, in a medical procedure, the surgical instruments enter a human body through a small incision or a natural cavity of a patient, the surgical instruments accurately reach focus positions under the assistance of related images and positioning devices, and various actions of the distal ends of the instruments in the human body are realized by controlling the driving ends of the instruments, so that related operations are completed.

Most of the existing standard bronchoscopes are manually bent, the bending of the tail end of the mirror is most commonly realized through a deflector rod on a driving handle, a doctor is required to hold the mirror handle during operation, and the bending of the tail end of the snake bone of the mirror can be realized by rotating the mirror body while the deflector rod is poked; in addition, a poking rod similar to a universal ball is arranged on the mirror body handle, 360-degree bending adjustment of the tail end of the snake bone of the mirror can be realized, but the bronchoscope is manually controlled, so that related operations are required to be completed, and the requirements on the skills of doctors are very high.

Disclosure of Invention

The invention aims to provide a bronchoscope so as to solve the problem that a doctor is required to manually operate the bronchoscope to adjust the bending in the prior art.

The technical scheme of the invention is as follows:

the bronchoscope comprises an insertion tube and a bending-adjusting instrument box, wherein a forceps channel tube and a plurality of bending-adjusting wires for controlling bending angles of bending parts of the insertion tube are arranged in the insertion tube; the bending apparatus box includes:

the mounting seat is internally provided with a mounting cavity; an inner channel is arranged in the mounting cavity, a mounting channel which is communicated with the outside and the mounting cavity is arranged on the mounting seat, the proximal end of the insertion tube is arranged in the mounting channel, the proximal end of the forceps tube is in butt joint with one end of the inner channel, the forceps tube and the inner channel form an instrument channel, and the other end of the inner channel penetrates through the mounting seat and forms an inlet of the instrument channel outside the mounting seat;

the bending control components are in one-to-one correspondence with the bending adjustment wires; the bending control component is arranged in the mounting cavity and is rotationally connected with the mounting seat, and the proximal end of the bending adjustment wire is fixedly connected with the bending control component after being wound around the bending control component;

the output end of the bending control component is a transmission claw, the transmission claw extends out of the mounting cavity and is positioned outside the mounting seat, the transmission claw is used for being in butt joint with an external power end clamping disk, and the external power end clamping disk drives the transmission claw to rotate so as to control the winding and unwinding of the bending adjustment wire.

In the bronchoscope provided by one embodiment, four bending-adjusting wires are arranged in the insertion tube, and distal ends of the four bending-adjusting wires are uniformly distributed in the circumferential direction of the insertion tube at corresponding positions;

four bending control components are arranged on the mounting seat, and two bending control components are respectively arranged on two sides of the internal channel.

In the bronchoscope provided by one embodiment, two bending control components positioned on the same side of the internal channel are arranged along the axial direction of the internal channel, and the bending control components positioned on two sides of the internal channel are symmetrically arranged.

In one embodiment, the bronchoscope is provided, and the bending control component comprises:

the transmission claw is provided with a connecting shaft, the connecting shaft penetrates through the mounting seat to extend into the mounting cavity, and the connecting shaft is rotationally connected with the mounting seat;

the turntable assembly is arranged in the mounting cavity and is fixedly connected with the connecting shaft; the bending regulating wire is wound on the rotary table assembly, and the proximal end of the bending regulating wire is fixedly connected to the rotary table assembly.

In one embodiment, a bronchoscope is provided, the carousel assembly comprising:

the bending wire adjusting turntable is provided with a hoop structure, and the hoop structure is tightly held by the connecting shaft through a fastener to realize fixed connection with the connecting shaft; when the corresponding fastener of the anchor ear structure does not enable the anchor ear structure to hold the connecting shaft tightly, the anchor ear structure can rotate around the connecting shaft;

the limiting sleeve is sleeved on the bending wire adjusting rotary table; the locating ball is arranged at the proximal end of the bending wire, locating grooves are respectively formed in the bending wire adjusting rotary table and the limiting sleeve, the locating grooves and the limiting sleeve are matched to form a locating cavity, the locating ball is assembled in the locating cavity to achieve locating and fixing, and the limiting sleeve is fixed on the bending wire adjusting rotary table through a fastening piece.

In the bronchoscope provided by one embodiment, a threaded hole is formed in the end face of one end, extending into the mounting cavity, of the connecting shaft, and a shaft end bolt is connected in the threaded hole in a threaded mode;

a supporting end bearing is arranged between the nut of the shaft end bolt and the bending wire adjusting turntable, an inner ring of the supporting end bearing is connected with the connecting shaft, and an outer ring of the supporting end bearing is connected with the mounting seat; and a nut on the shaft end bolt is matched with the bending wire adjusting turntable to limit the axial movement of the support end bearing.

In the bronchoscope provided by one embodiment, the driving claw is provided with a positioning shaft, the axis of the positioning shaft coincides with the rotation axes of the bending control component and the mounting seat, and the positioning shaft is used for butting a central positioning shaft hole on the external power end chuck;

the transmission claw is provided with at least one limiting clamping groove, and the limiting clamping groove is used for butting a positioning boss on an external power end chuck to transmit torque to drive the transmission claw to rotate.

In the bronchoscope provided by one embodiment, the driving claw is provided with a guide cambered surface corresponding to the limit clamping groove, and the limit clamping groove is arranged at the guide tail end position of the guide cambered surface; the surface height of the guide cambered surface gradually decreases towards the position of the guide tail end so that an object abutting against the guide cambered surface slides to the position of the guide tail end under the guide of the guide cambered surface.

In the bronchoscope provided by one embodiment, the driving claw is provided with two groups of limiting clamping grooves and the guiding cambered surface, and the two groups of limiting clamping grooves and the guiding cambered surface are symmetrically arranged on two sides of the positioning shaft respectively.

In the bronchoscope provided by one embodiment, the mounting base is provided with an unlocking component, and the unlocking component is used for unlocking the relative position of the mounting base and the mounting base of the external power end, wherein the external power end mounting base is provided with the external power end chuck when the external power end chuck is in butt joint with the transmission claw.

In one embodiment, the bronchoscope is provided, the unlocking assembly comprising:

the locking cover plate is connected to the mounting seat, a locking position is arranged on the locking cover plate and used for locking the locking claw on the mounting seat of the external power end under the action of pretightening force, and when the locking claw of the external locking claw is locked on the locking position, the relative positions of the mounting seat of the external power end and the mounting seat are locked;

the locking push rod is slidably connected to the mounting seat, the locking push rod is located at the beginning end of the sliding stroke under the action of the elastic piece, and the locking push rod is pushed to leave the locking position under the action of the pretightening force by the action of the external locking claw in the process of overcoming the elastic resistance of the elastic piece to move to the end of the sliding stroke under the action of the external force.

In the bronchoscope provided in one embodiment, the mounting seat is further provided with an attraction injection channel, one end of the attraction injection channel is communicated with the internal channel, and the other end of the attraction injection channel is positioned outside the mounting seat and is provided with an attraction valve interface for butt joint of attraction injection equipment;

an instrument channel closing switch is arranged on the internal channel and used for closing the internal channel at the position of the instrument channel closing switch; the instrument channel closing switch is disposed on the interior channel and between the suction injection channel and the inlet of the instrument channel.

In the bronchoscope provided by an embodiment, the internal channel comprises a three-way connecting piece and a hose, three channel ports of the three-way connecting piece are respectively communicated with the proximal end of the forceps channel, one end of the suction injection channel, which is communicated with the internal channel, and one end of the hose, and the other end of the hose extends out of the mounting seat and is provided with an inlet joint;

the instrument channel closing switch comprises a valve body and a valve core push rod, wherein the hose penetrates through a hose channel on the valve body, a push rod opening is formed in the side direction of the hose channel, the valve core push rod is connected to the valve body in a sliding mode, and one end of the valve core push rod can extend into the hose channel through the push rod opening and tightly press the hose to enable the hose channel in the hose to be closed; the other end of the valve core push rod is arranged outside the mounting seat.

In the bronchoscope provided by an embodiment, a plurality of mounting seat openings are formed in the mounting seat, the mounting seat openings are communicated with the mounting cavity, components are mounted in the mounting seat openings, and sealing structures are arranged between the mounting seat openings and the components in the mounting seat openings and used for realizing sealing connection between the openings and the components.

By adopting the technical scheme, the invention has the following advantages and positive effects compared with the prior art:

according to the bronchoscope provided by the invention, the bending control parts on the mounting seat are correspondingly coiled with the bending control wires for controlling the bending angle of the bending part of the insertion tube, and the bending control wires can be retracted and released by driving the driving clamping jaws on the bending control part through the external power end chuck, so that the bending control of the bending part of the insertion tube is realized.

Drawings

Various other advantages and benefits will become apparent to those of ordinary skill in the art upon reading the following detailed description of the preferred embodiments. The drawings are only for purposes of illustrating the preferred embodiments and are not to be construed as limiting the invention.

FIG. 1 is a schematic view of the appearance of a bronchoscope;

FIG. 2 is a schematic view of a bronchoscope; the method comprises the steps of carrying out a first treatment on the surface of the

FIG. 3 is a schematic view of the structure of the head end;

fig. 4 to 7 are schematic layout views of the bending portion structure and the pose detection member;

FIG. 8 is a schematic illustration of a bend adjustment of the bend of an insertion tube and an internal wiring arrangement;

FIG. 9 is a schematic diagram of real-time bronchoscope positioning;

FIG. 10 is a schematic view of the drive dog side of the bending apparatus box;

FIGS. 11 and 12 are schematic views of the internal structure of the bending apparatus box;

FIG. 13 is a vertical cross-sectional view of the bending apparatus box;

FIG. 14 is a horizontal cross-sectional view of the bending apparatus box;

FIG. 15 is a schematic view of the structure of the unlocking assembly;

FIG. 16 is a vertical cross-section at a bend controlling component;

FIG. 17 is a schematic view of a structure of a bend controlling member;

FIG. 18 is an exploded view of the bend controlling component;

FIG. 19 is a schematic view of the drive dog structure;

FIG. 20 is a schematic view of the configuration of the internal passageway and instrument passageway closure switch;

FIG. 21 is a schematic cross-sectional view of an internal passageway and instrument passageway closure switch;

FIG. 22 is a schematic view of a portion of the structure of an instrument channel closure switch;

FIG. 23 is a schematic view of an external power end configuration;

FIG. 24 is a schematic view of an external power end chuck;

fig. 25 is a schematic view of an external locking dog and locking position locking.

Reference numerals illustrate:

1: an insertion tube; 2: a bending adjusting instrument box; 3: a head end portion; 4: a bending portion; 5: a main hose; 6: an insertion tube instrument channel; 7: a lighting member; 8: an imaging unit; 9: a protective sleeve; 10: a mounting base; 11: a bend control member; 12: an unlock button; 13: a valve core push rod; 14: an inlet fitting; 15: aviation plug; 16: a suction valve interface; 17: a leak detection interface; 18: a snake bone structure; 19: a 5DOF sensor; 20: a 6DOF sensor; 21: bending wire; 22: a cable (of four 5DOF sensors); 23: a biopsy instrument; 24: focal location; 25: a human body positioning sensor; 26: bronchoscopes; 27: a human trachea and a branch structure; 28: a latch cover plate; 29: a column support plate; 30: a seal ring; 31: a support column; 32: a shaft end bolt; 33: a clamp pipe; 34: a retainer; 35: suction injection channel; 36: an O-ring; 37: an instrument channel; 38: a lock catch tension spring; 39: a hose; 40: locking the push rod; 41: a limit sleeve; 42: a bending wire adjusting rotary table; 43: positioning an end bearing; 44: a driving claw; 45: supporting an end bearing; 46: tensioning a bolt; 47: a positioning groove; 48: a connecting shaft; 49: positioning a shaft; 50: a guide cambered surface; 51: a limit clamping groove; 52: a bending wire guide groove is regulated; 53: a channel port of the clamp pipe; 54: a valve body; 55: a three-way connection; 56: positioning and scribing;

57: a power end mounting seat; 58: a power end chuck; 59: a locking claw; 60: a power end push rod; 61: a center positioning shaft hole; 62: and positioning the boss.

Detailed Description

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the following description will explain the specific embodiments of the present invention with reference to the accompanying drawings. It is evident that the drawings in the following description are only examples of the invention, from which other drawings and other embodiments can be obtained by a person skilled in the art without inventive effort.

For the sake of simplicity of the drawing, the parts relevant to the present invention are shown only schematically in the figures, which do not represent the actual structure thereof as a product. Additionally, in order to simplify the drawing for ease of understanding, components having the same structure or function in some of the drawings are shown schematically with only one of them, or only one of them is labeled. Herein, "a" means not only "only this one" but also "more than one" case.

The invention is applied to bronchoscopy biopsy through natural cavity, and the biopsy is completed by controlling the bending of the tail end of the bronchoscope 26 to enter the complicated airway positioning focus position 24.

Referring to fig. 1 to 21, the present embodiment provides a bronchoscope 26 comprising an insertion tube 1 and a bending apparatus box 2. The insertion tube 1 is internally provided with a clamp tube 33 and a plurality of bending wires 21 for controlling the bending angle of the bending part 4 of the insertion tube 1, and the bending instrument box 2 comprises a mounting seat 10 and a plurality of bending control parts 11.

The installation seat 10 is internally provided with an installation cavity, an internal channel is arranged in the installation cavity, the installation seat 10 is provided with an installation channel which is communicated with the outside and the installation cavity, the proximal end of the insertion tube 1 is installed in the installation channel, the proximal end of the forceps tube 33 is in butt joint with one end of the internal channel, the forceps tube 33 and the internal channel form an instrument channel 37, and the other end of the internal channel penetrates through the installation seat 10 and forms an inlet of the mechanical channel 37 outside the installation seat 10.

The plurality of bending control parts 11 are in one-to-one correspondence with the plurality of bending adjustment wires 21. The bending control component 11 is installed in the installation cavity and is rotationally connected with the installation seat 10, and the proximal end of the bending adjustment wire 21 is fixedly connected with the corresponding bending control component 11 after being wound. The output end of the bending control part 11 is a driving claw 44, the driving claw 44 extends out of the mounting cavity and is positioned outside the mounting seat 10, the driving claw 44 is used for being in butt joint with an external power end clamping disk, and the external power end clamping disk drives the driving claw to rotate so as to control the retraction and the extension of the corresponding bending wire 21.

The structure of the present embodiment will now be described. For ease of description, the end closer to the operator will be referred to hereinafter as the proximal or trailing end, and the end farther from the operator will be referred to hereinafter as the distal or leading end.

Fig. 1 and 2 illustrate the appearance of bronchoscope 26. The bronchoscope 26 comprises an insertion tube 1 at the front end and a bending instrument box 2 at the rear end, and a protective sleeve 9 made of soft rubber is arranged at the joint of the insertion tube 1 and the bending instrument box 2 (specifically referred to as the outer side of the bending instrument box 2 here) to protect the bending instrument box 2. The insertion tube 1 comprises a main hose 5, a bending part 4 and a head end part 3 which are sequentially connected, wherein the distal end of the head end part 3 is provided with an illumination part 7 and an image pickup part 8, the illumination part 7 is used for illuminating a front area, and the image pickup part 8 is used for image acquisition of the front area.

The proximal ends of the head end part 3 and the bending part 4 are respectively provided with pose detection parts for respectively detecting the pose of the insertion tube 1 at the position and outputting the pose, so that the actual outline of the bending part 4 is obtained through simulation after being processed by external processing equipment, and the closed-loop control of bending adjustment of the bending part 4 is realized; or, the head end 3 is provided with a pose detection part for detecting and outputting the pose of the insertion tube 1 at the position, so as to obtain the position and direction information of the distal end of the insertion tube 1 after being processed by external processing equipment, and realize the open loop control of bending adjustment of the bending part 4.

The insertion tube 1 is also provided with an insertion tube instrument channel 6 which is not interfered with the illumination component 7, the imaging component 8 and the pose detection component.

Acquiring the relative position relation between the pose detection part and the axis of the opening 6 of the instrument channel of the insertion tube at the distal end of the insertion tube 1 through position calibration before operation, and applying the relative position relation in an operation algorithm program; during operation, the bronchoscope 26 enters the airway of a patient, the pose detection part can feed back the position information of the bronchoscope in real time and display the position of the bronchoscope through a related algorithm program, so that an operator can visually see the real-time position of the bronchoscope in the lung of the patient and can quickly and accurately position a focus by combining with a CT image, and the biopsy sampling and other operations are performed.

In particular, the insertion tube instrument channel 6, also called a jaw channel, serves as a working channel for the biopsy instrument 23. The main hose 5, the bending part 4 and the head end part 3 are sequentially penetrated through the insertion tube instrument channel 6, the part of the circumference side of the insertion tube instrument channel 6 on the insertion tube 1 is the tube wall part of the insertion tube 1, and the illumination component 7, the camera component 8, the pose detection component and the cables connected with the pose detection component are all arranged in the tube wall part.

The axis of the insertion tube instrument channel 6 coincides with or is parallel to the axis of the insertion tube 1. In the present embodiment, preferably, referring to fig. 3, the axis of the insertion tube instrument channel 6 is parallel to the axis of the insertion tube 1, i.e. is eccentrically arranged on the insertion tube 1. At the distal end face of the head end 3, the center of the imaging section 8 and the center of the insertion tube instrument channel 6 are located on a straight line passing through the center of the distal end face of the head end 3. The illumination members 7 are provided in two, and the two illumination members 7 are provided on both sides of the imaging member 8 in the circumferential direction of the insertion tube 1. The illumination component 7 can be an LED cold light source, and the image pickup component 8 can be a CMOS lens. In other embodiments, the number and positions of the illumination unit 7 and the image pickup unit 8 may be selected according to the actual situation, and this is not particularly limited.

Referring mainly to fig. 4, the bending portion 4 may adopt a snake bone structure 18, the head end portion 3 and the root portion of the snake bone are respectively provided with pose detection components, specifically corresponding to fig. 4, the pose detection components are sensor components, each group of sensor components comprises two 5DOF sensors 19, and the two 5DOF sensors 19 in the same group are symmetrically arranged around the axis of the insertion tube 1, that is, diagonally arranged along the circumferential direction. The first group of 5DOF sensors 19 at the front end can feed back the position and the direction of the head end 3 in real time, the second group of 5DOF sensors 19 at the rear end feed back the position and the direction and serve as reference, and the feedback data combination of the two groups of 5DOF sensors 19 can simulate the actual contour of the whole bending part 4, so that the closed loop control of the bending adjusting process is realized. And, after installing 5DOF sensor 19, can guarantee that insert tube 1 external diameter reaches minimum 3.6mm to reach higher operation level.

Of course, in other embodiments, the apparatus and the installation position of the pose detection component may be selected, which is not limited. For example, referring to fig. 5, in one embodiment, the pose detection component is a 6DOF sensor 20, and the same function may be implemented using two 6DOF sensors 20 in front and back instead of a combination of 45 DOF sensors 19 in front and back (one 6DOF sensor 20 corresponds to 2 diagonally arranged 5DOF sensor 19 combinations).

For example, referring to fig. 6, in one embodiment, two 5DOF sensors 19 are diagonally arranged only in the circumferential direction of the head end 3, and position and direction information of the distal end of the bronchoscope 26 can be fed back to assist in bending in an open loop control manner.

For example, referring to fig. 7, in one embodiment, only one 6DOF sensor 20 is disposed at the head end 3, which can feed back position and orientation information of the distal end of the bronchoscope 26 to assist in bending in an open loop control. In other embodiments, the pose detection component may also use an optical fiber shape sensor (the optical fiber shape sensor may also implement pose feedback of the bronchoscope), so the type, various combinations and arrangement modes of the sensors in the pose detection component, whether the sensors are uniformly distributed in the circumferential direction, the included angle between the sensors and the bending wire 21 or the lens, and the like are not limited.

Referring mainly to fig. 8, four bending wires 21 (generally steel wires) are uniformly distributed in the pipe wall portion of the insertion pipe 1 along the circumferential direction, 180-degree bending can be achieved by pulling the bending wires 21 alone, 180-degree bending in any direction in space can be achieved by matching the four bending wires 21, and cables 22 of four 5DOF sensors 19 are arranged in the inner wall portion of the insertion pipe 1, then connected to the bending instrument box 2 and connected to external processing equipment.

Fig. 9 shows a state in a certain operation. The lung of a patient is arranged in a fixed magnetic field, the 3 human body positioning sensors 25 are attached to the outer surface of the human body and are used for positioning the human body trachea and the branch structure 27, the bronchoscope 26 penetrates into the airway from the oral cavity of the patient during operation, the real-time position of the bending part 4 of the bronchoscope 26 in the airway can be clearly observed under the positioning of the pose detection part, the head end part 3 of the bronchoscope 26 is controlled to reach the focus position 24 by combining with a CT image, the biopsy instrument 23 is controlled to enter, when the CMOS lens on the head end part 3 observes that the biopsy instrument 23 just reaches the far end, whether the far end position of the head end part 3 is aligned with the focus can be confirmed again, then biopsy sampling is carried out, the biopsy deviation caused by the in-out vibration of the biopsy instrument 23 and the like is avoided, and the biopsy success rate is improved.

The above section shows the structure of several kinds of the insertion tube 1, but the insertion tube 1 in the present invention is not limited to the several kinds of the insertion tubes 1 shown above.

The bending-adjusting instrument box 2 comprises an installation seat 10, a bending-controlling part 11, an unlocking component, an inlet joint 14 (of an instrument channel 37), a valve core push rod 13, an attraction valve interface 16, a leakage detection interface 17, an aviation plug 15 (used for guiding cables) and the like which are arranged on the installation seat 10, and is designed into a sealed bending-adjusting mechanism for repeated sterilization for a limited time.

The distal ends of four bending regulating wires 21 in the insertion tube 1 are uniformly distributed in the circumferential direction of the corresponding position of the insertion tube 1, four bending control components 11 are arranged on the mounting seat 10, and two bending control components 11 are respectively arranged on two sides of the inner channel. The two bending control parts 11 positioned on the same side of the internal channel are arranged along the axial direction of the internal channel, and the bending control parts 11 positioned on two sides of the internal channel are symmetrically arranged. Of course, in other embodiments, the number and positions of the bending wire 21 and the bending control member 11 are not limited.

In this embodiment, four adjusting wires 21 are uniformly distributed circumferentially and used in cooperation with each other, so that 360-degree bending adjustment effect of the space at the distal end of the bronchoscope 26 can be achieved. The method comprises the following steps: four adjusting wires 21 are uniformly distributed in the circumferential direction, and can be assumed to be 0 degrees, 90 degrees, 180 degrees and 270 degrees, the tensioning of a single adjusting wire 21 can control the bending part 4 to bend in the corresponding direction (the other three adjusting wires 21 are matched for relatively suitable stretching), and when two adjacent adjusting wires 21 (for example, 0 degrees and 90 degrees) are simultaneously tensioned for the same length, the bending part 4 can theoretically bend in the 45 degrees direction (the other two adjusting wires 21 are matched for relatively suitable stretching); when two adjacent adjusting wires 21 (for example, 0 ° and 90 °) are simultaneously tensioned to different lengths, the bending portion 4 is theoretically bent in a specified certain direction (the other two adjusting wires 21 are matched to perform relatively suitable stretching), the stretching amount of the two adjusting wires 21 can be controlled to be bent in the range of 0 ° to 90 °, and similarly, the stretching amount of the four adjusting wires 21 can be controlled to be bent in the 360 ° rotation range along the central axis of the bending portion 4.

Fig. 10 shows the outline of the bending-adjusting instrument box 2 on one side of the butt-joint external power end, the main components are four sets of large taper guiding bending-controlling components 11, when the bending part 4 is in a free state, the bending-controlling components 11 have angle controllable rotation deviation (namely, the bending-controlling components 11 allow the relative installation seat 10 to rotate), so that the butt-joint power end can be smoothly docked, the locking claw on the chuck of the power end can be meshed and fixed with the transmission claw 44 during butt-joint, and two fingers can be easily separated by simultaneously pressing the unlocking buttons 12 on the left side and the right side (in the unlocking assembly).

Fig. 11 and 12 show the internal structure of the installation cavity, and the main hose 5 comprises a clamp tube 33 (the internal tube is a part of the instrument channel 6 of the insertion tube), four bending wires 21, a CMOS lens and a cable of the pose detection component, an outer sheath, and the like. The holder 34 is mounted in the mounting cavity with all wires hinged together and routed along wire guides on the holder 34 to the cable interface channel from which the aerial plug 15 is extended and soldered (the aerial plug 15 is located outside the mounting block 10) to interface with the equipment end. Above the holder 34 (in the orientation of fig. 11 and 12) is provided a column support plate 29, the column support plate 29 being fixedly mounted in the mounting cavity by means of a support column 31.

Referring primarily to fig. 16-19, the bend control component 11 includes the drive dog 44 and turntable assembly described above. The driving claw 44 is provided with a connecting shaft 48, the connecting shaft 48 penetrates through the mounting seat 10 to extend into the mounting cavity and is rotatably connected with the mounting seat 10 when penetrating, and the positioning end bearing 43 can be further arranged at the rotating connection position.

The turntable assembly is disposed within the mounting cavity and is fixedly connected to the connecting shaft 48. The bending wire 21 is wound on the turntable assembly, and the proximal end of the bending wire 21 is fixedly connected to the turntable assembly. Specifically, the turntable assembly includes a bend wire adjustment turntable 42 and a stop collar 41. The bending wire adjusting turntable 42 is provided with a hoop structure, and the hoop structure is tightly held by a connecting shaft 48 through a fastener (a tensioning bolt 46 is optional) to realize fixed connection with the connecting shaft 48; when the tensioning bolt 46 does not tighten the hoop structure around the connecting shaft 48, the hoop structure may rotate around the connecting shaft 48. This allows for fine tuning of the tightness of the turndown 21 and tightening of the tensioning bolt 46 after adjustment is completed limits the rotational freedom of the turndown carousel 42 relative to the connecting shaft 48.

The limiting sleeve 41 is sleeved on the bending wire adjusting rotary table 42. The proximal end of the bending wire 21 is provided with a positioning ball, the bending wire rotating disc 42 and the limiting sleeve 41 are respectively provided with a positioning groove 47, the positioning ball and the limiting sleeve are matched to form a positioning cavity, the positioning ball is assembled in the positioning cavity to realize positioning and fixing, and the limiting sleeve 41 is fixed on the bending wire rotating disc 42 through a fastener (a set screw can be selected). Specifically, a step-shaped inner hole is formed in the positioning ball, the bending adjusting wire 21 is a steel wire, the tail end of the steel wire firstly passes through the inner hole of the positioning ball, then a fixed cylindrical rivet is arranged at the tail end of the steel wire, and the positioning ball can slide on the steel wire through the inner hole; when the positioning ball is installed on the turntable assembly, the steel wire is required to be tensioned, the positioning ball slides to the tail end, the rivet clamps the step on the inner hole of the positioning ball to prevent the positioning ball from falling out, then the positioning ball is placed in the positioning cavity, the shape of the positioning cavity limits the positions of the positioning ball and the rivet, and the function of fixing the tail end of the steel wire is achieved. Wherein, the positioning cavity is provided with a hole for the steel wire to pass through, and the hole can be arranged on the outer arc surface of the bending wire adjusting rotary table 42.

The end face of the connecting shaft 48 extending into one end of the mounting cavity is provided with a threaded hole, and the threaded hole is internally and in threaded connection with the shaft end bolt 32. The support end bearing 45 is mounted on the connecting shaft 48, the inner ring is fixed on the connecting shaft 48 and abuts against the adjusting wire turntable 42, and the outer ring is fixed on the bearing position of the upright support plate 29 and abuts against the nut of the shaft end bolt 32. I.e. the support end bearing 45 is pressed against the adjustment wire turntable 42 when the shaft end bolt 32 is screwed, and the nut on the shaft end bolt 32 cooperates with the adjustment wire turntable 42 to limit the axial movement of the support end bearing 45. Preferably, a spacer is provided between the nut and the support end bearing 45.

The driving claw 44 is provided with a positioning shaft 49, the axis of the positioning shaft 49 coincides with the rotation axis of the bending control part 11 and the mounting seat 10, and the positioning shaft 49 is used for butting a central positioning shaft hole on an external power end chuck and ensuring butting precision. At least one limiting clamping groove 51 is arranged on the transmission clamping jaw 44, and the limiting clamping groove 51 is used for abutting against a positioning boss on the external power end chuck, so that the relative position of the transmission clamping jaw 44 and the external power end chuck is fixed, and the transmission clamping jaw 44 is driven to rotate when the external power end chuck rotates.

The driving claw 44 is also provided with a guide cambered surface 50 corresponding to the limit clamping groove 51, and the limit clamping groove 51 is arranged at the guide tail end position of the guide cambered surface 50. The surface height of the guide arc surface 50 gradually decreases toward the guide end position so that the object abutting against the guide arc surface 50 slides to the guide end position at the guide of the guide arc surface 50. Preferably, the driving claw 44 is provided with two groups of limiting clamping grooves 51 and guiding cambered surfaces 50, and the two groups of limiting clamping grooves and guiding cambered surfaces 50 are symmetrically arranged on two sides of the positioning shaft 49 respectively. As shown in fig. 19, the guide camber 50 may be a tapered guide camber.

Thus, even if the power end chuck and the driving claw 44 have great deviation and dislocation during butt joint of the power end chuck, easy and free butt joint can be realized (the chucks at the two ends are provided with rotation limit positions, and the butt joint allowable deviation can cover the effective stroke) without zero-resetting butt joint.

The mount 10 is provided with an unlocking assembly for unlocking the relative positions of the external power end mount to which the external power end chuck is mounted and the mount 10 when the external power end chuck and the drive dog 44 are docked. Specifically, the unlocking component comprises a lock catch cover plate 28 and a lock catch push rod 40, the lock catch cover plate 28 is connected to the mounting seat 10, a lock catch position is arranged on the lock catch cover plate 28 and used for locking the lock catch claw on the power end mounting seat under the action of pretightening force, and when the lock catch claw is locked on the lock catch position, the relative positions of the power end mounting seat and the mounting seat 10 are locked. The latch push rod 40 is slidably connected to the mounting base 10, the latch push rod 40 is located at the beginning end of the sliding stroke under the action of the elastic member, and the latch push rod 40 pushes the latch claw to leave the latch position under the action of the pretightening force in the process of overcoming the elastic resistance of the elastic member to move to the end of the sliding stroke under the action of the external force.

More specifically, referring to fig. 15 and 25, the mounting base 10 is slidably connected with two latch push rods 40, and the outer ends (relative to the mounting base 10) of the two latch push rods 40 are both provided with an unlocking button 12, so that an operator can conveniently push the latch push rods 40, and the elastic member can be a latch tension spring 38, and the latch tension spring 38 pulls the two latch push rods 40 towards each other to reach the beginning of a sliding stroke. When the locking of the relative positions of the mounting seat 10 and the power end mounting seat needs to be released, two fingers of an operator press the two unlocking buttons 12 and compress the two unlocking buttons towards the middle, and the two locking push rods 40 can move towards each other against the pulling force of the locking tension springs 38, so that the locking claw on the power end mounting seat can be pushed away from the locking position by one end of the locking push rod 40, on which the locking tension springs are not mounted, and the power end mounting seat and the mounting seat 10 are separated.

To realize the aspiration injection function in the medical procedure, an aspiration injection passage 35 is provided in the mount 10. The main body of the suction injection channel 35 is disposed in the mounting cavity, one end of the suction injection channel 35 is communicated with the internal channel, and the other end is disposed outside the mounting seat 10 and is provided with a suction valve interface 16 for butt-jointing the suction injection device. Specifically, referring mainly to fig. 20 and 21, the internal passage includes a three-way connection 55 and a hose 39, three passage openings of the three-way connection 55 communicate with the proximal end of the clamp tube 33, one end of the suction injection passage 35 communicating with the internal passage, one end of the hose 39, and the other end of the hose 39 extends out of the mount 10 and is fitted with the inlet fitting 14. That is, a branch is separated from the instrument channel 37 to serve as the suction injection channel 35. Referring to fig. 20, the three-way connecting piece 55 is further provided with two bending wire adjusting guide grooves 52 for guiding the two bending wires 21 corresponding to the two bending control components 11 at the rear end; the passage opening in the three-way connection 55 for communication with the forceps 33 is the forceps channel opening 53.

An instrument channel closing switch is also arranged on the internal channel and used for closing the internal channel at the position of the instrument channel closing switch; an instrument channel closure switch is provided on the interior channel and between the suction injection channel 35 and the inlet of the instrument channel 37. Specifically, the instrument channel closing switch comprises a valve body 54 and a valve core push rod 13, a hose 39 passes through a hose channel on the valve body 54, a push rod opening is formed in the lateral direction of the hose channel, the valve core push rod 13 is connected to the valve body 54 in a sliding manner, and one end of the valve core push rod 13 can extend into the hose channel through the push rod opening and tightly press the hose 39 so that the channel in the hose 39 is closed; the other end of the valve core push rod 13 is arranged outside the mounting seat 10. When the biopsy instrument 23 passes through normally, the valve core push rod 13 does not act, so that the channel in the hose 39 is kept in a communicated state, and the positioning scribing piece 56 is arranged on the valve core push rod 13 to limit the circumferential rotation of the valve core push rod 13 on one hand and play a role in moving and guiding on the other hand. When the suction injection is needed, the valve core push rod 13 is driven by the external power end push rod to push towards the direction of the hose 39, so that the channel in the hose 39 is closed.

The mounting seat 10 is provided with a plurality of mounting seat openings (such as an opening, a mounting channel, an opening at a lock catch push rod 40 and the like for penetrating the bending control part 11) which are communicated with the mounting cavity and are internally provided with components, and a sealing structure is arranged between the mounting seat openings and the components in the mounting seat openings and is used for realizing sealing connection between the openings and the components so as to prevent liquid from entering the mounting cavity when the bronchoscope 26 is cleaned and sterilized, so that the bronchoscope 26 can be repeatedly sterilized for a limited time. The sealing structure may be an O-ring 36, a sealing ring 30, etc. Such as: an O-ring 36 between the main hose 5 and the mounting channel shown in fig. 12; the mounting seat 10 is formed by buckling two parts, and a sealing ring 30 is required to be arranged when the two parts are connected; an O-ring 36 between the spool pushrod 13 and the mount 10 shown in fig. 13; the O-ring 36 between the drive dog 44 and the mount 10 shown in fig. 16, and so on. All the connector parts on the mounting seat 10 can be designed to be installed by fine threads, so that the waterproof sealing effect is achieved.

The function of the leak detection interface 17 is to detect the tightness of the mounting cavity in the bending instrument box 2, because the bronchoscope 26 is designed as a sealing instrument which can be repeatedly sterilized and used, and after each cleaning, an external detection device is connected with the leak detection interface 17 for detecting whether the sealing is good. The leak detection port 17 is mounted in the same manner as the suction valve port 16 and the inlet port 14, and the fine external thread of the main body is screwed on the side wall of the mounting seat 10 so as to communicate with the mounting cavity.

The main functions of the bending apparatus box 2 include four bending control components 11 to realize the universal adjustment function of the bending part 4, and the specific implementation manner and details of the bending apparatus box can be changed and adjusted in other embodiments. Such as: the adjusting wire turntable 42 is not provided with a hoop structure, and is positioned and fastened with the connecting shaft 48 by means of a key pin and the like, the tail end of the adjusting wire 21 is provided with an adjusting screw, and the length of the tail end of the adjusting wire 21 extending out of the adjusting screw is adjustable; the elastic member of the unlocking assembly adopts a structure that the lock catch tension spring 38 moves the two lock catch push rods 40 to the beginning of the sliding stroke without external force, and the elastic member adopts a structure that the elastic member adopts a compression spring or a torsion spring, etc.

The embodiments of the present invention have been described in detail with reference to the drawings, but the present invention is not limited to the above embodiments. Even if various changes are made to the present invention, it is within the scope of the appended claims and their equivalents to fall within the scope of the invention.

Claims (14)

1. The bronchoscope is characterized by comprising an insertion tube and a bending-adjusting instrument box, wherein a forceps channel tube and a plurality of bending-adjusting wires for controlling the bending angle of the bending part of the insertion tube are arranged in the insertion tube; the bending apparatus box includes:

the mounting seat is internally provided with a mounting cavity; an inner channel is arranged in the mounting cavity, a mounting channel which is communicated with the outside and the mounting cavity is arranged on the mounting seat, the proximal end of the insertion tube is arranged in the mounting channel, the proximal end of the forceps tube is in butt joint with one end of the inner channel, the forceps tube and the inner channel form an instrument channel, and the other end of the inner channel penetrates through the mounting seat and forms an inlet of the instrument channel outside the mounting seat;

the bending control components are in one-to-one correspondence with the bending adjustment wires; the bending control component is arranged in the mounting cavity and is rotationally connected with the mounting seat, and the proximal end of the bending adjustment wire is fixedly connected with the bending control component after being wound around the bending control component;

the output end of the bending control component is a transmission claw, the transmission claw extends out of the mounting cavity and is positioned outside the mounting seat, the transmission claw is used for being in butt joint with an external power end clamping disk, and the external power end clamping disk drives the transmission claw to rotate so as to control the winding and unwinding of the bending adjustment wire.

2. The bronchoscope according to claim 1, wherein four bending wires are arranged in the insertion tube, and distal ends of the four bending wires are uniformly distributed in the circumferential direction of the insertion tube at corresponding positions;

four bending control components are arranged on the mounting seat, and two bending control components are respectively arranged on two sides of the internal channel.

3. Bronchoscope according to claim 2, wherein two of said bending control members located on the same side of said internal passageway are arranged along the axial direction of said internal passageway, and said bending control members located on both sides of said internal passageway are symmetrically arranged.

4. The bronchoscope according to claim 1, wherein said bend control component comprises:

the transmission claw is provided with a connecting shaft, the connecting shaft penetrates through the mounting seat to extend into the mounting cavity, and the connecting shaft is rotationally connected with the mounting seat;

the turntable assembly is arranged in the mounting cavity and is fixedly connected with the connecting shaft; the bending regulating wire is wound on the rotary table assembly, and the proximal end of the bending regulating wire is fixedly connected to the rotary table assembly.

5. The bronchoscope according to claim 4, wherein said turntable assembly comprises:

the bending wire adjusting turntable is provided with a hoop structure, and the hoop structure is tightly held by the connecting shaft through a fastener to realize fixed connection with the connecting shaft; when the corresponding fastener of the anchor ear structure does not enable the anchor ear structure to hold the connecting shaft tightly, the anchor ear structure can rotate around the connecting shaft;

the limiting sleeve is sleeved on the bending wire adjusting rotary table; the locating ball is arranged at the proximal end of the bending wire, locating grooves are respectively formed in the bending wire adjusting rotary table and the limiting sleeve, the locating grooves and the limiting sleeve are matched to form a locating cavity, the locating ball is assembled in the locating cavity to achieve locating and fixing, and the limiting sleeve is fixed on the bending wire adjusting rotary table through a fastening piece.

6. The bronchoscope according to claim 5, wherein a threaded hole is formed in an end face of one end of the connecting shaft extending into the mounting cavity, and a shaft end bolt is connected in the threaded hole in a threaded manner;

a supporting end bearing is arranged between the nut of the shaft end bolt and the bending wire adjusting turntable, an inner ring of the supporting end bearing is connected with the connecting shaft, and an outer ring of the supporting end bearing is connected with the mounting seat; and a nut on the shaft end bolt is matched with the bending wire adjusting turntable to limit the axial movement of the support end bearing.

7. The bronchoscope according to claim 1, wherein a positioning shaft is arranged on the driving claw, the axis of the positioning shaft coincides with the rotation axis of the bending control component and the mounting seat, and the positioning shaft is used for butting a central positioning shaft hole on an external power end chuck;

the transmission claw is provided with at least one limiting clamping groove, and the limiting clamping groove is used for butting a positioning boss on an external power end chuck to transmit torque to drive the transmission claw to rotate.

8. The bronchoscope according to claim 7, wherein the driving claw is provided with a guiding cambered surface corresponding to the limiting clamping groove, and the limiting clamping groove is arranged at the guiding tail end position of the guiding cambered surface; the surface height of the guide cambered surface gradually decreases towards the position of the guide tail end so that an object abutting against the guide cambered surface slides to the position of the guide tail end under the guide of the guide cambered surface.

9. The bronchoscope according to claim 8, wherein the driving claw is provided with two groups of the limiting clamping grooves and the guiding cambered surfaces, and the two groups are symmetrically arranged on two sides of the positioning shaft respectively.

10. The bronchoscope of claim 9, wherein said mount is provided with an unlocking assembly, said unlocking assembly operable to unlock a relative position of said mount and an external power end mount with an external power end chuck mounted thereto when said drive dog is in a docked condition with said external power end chuck.

11. The bronchoscope according to claim 10, wherein said unlocking assembly comprises:

the locking cover plate is connected to the mounting seat, a locking position is arranged on the locking cover plate and used for locking the locking claw on the mounting seat of the external power end under the action of pretightening force, and when the locking claw of the external locking claw is locked on the locking position, the relative positions of the mounting seat of the external power end and the mounting seat are locked;

the locking push rod is slidably connected to the mounting seat, the locking push rod is located at the beginning end of the sliding stroke under the action of the elastic piece, and the locking push rod is pushed to leave the locking position under the action of the pretightening force by the action of the external locking claw in the process of overcoming the elastic resistance of the elastic piece to move to the end of the sliding stroke under the action of the external force.

12. The bronchoscope according to claim 1, wherein the mounting seat is further provided with an attraction injection channel, one end of the attraction injection channel is communicated with the internal channel, and the other end of the attraction injection channel is positioned outside the mounting seat and is provided with an attraction valve interface for butt joint of attraction injection equipment;

an instrument channel closing switch is arranged on the internal channel and used for closing the internal channel at the position of the instrument channel closing switch; the instrument channel closing switch is disposed on the interior channel and between the suction injection channel and the inlet of the instrument channel.

13. The bronchoscope according to claim 12, wherein said internal passageway comprises a three-way connector and a hose, three ports of said three-way connector respectively communicating with a proximal end of said forceps tube, an end of said suction injection passageway communicating with said internal passageway, an end of said hose, and an opposite end of said hose extending out of said mounting base and having an inlet fitting mounted thereto;

the instrument channel closing switch comprises a valve body and a valve core push rod, wherein the hose penetrates through a hose channel on the valve body, a push rod opening is formed in the side direction of the hose channel, the valve core push rod is connected to the valve body in a sliding mode, and one end of the valve core push rod can extend into the hose channel through the push rod opening and tightly press the hose to enable the hose channel in the hose to be closed; the other end of the valve core push rod is arranged outside the mounting seat.

14. The bronchoscope according to claim 1, wherein said mount is provided with a plurality of mount openings communicating with said mounting cavity and having members mounted therein, and a sealing structure is provided between said mount openings and said members therein for effecting a sealed connection of said openings and said members.

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