CN117752291A - Auxiliary device for endoscope treatment - Google Patents

Auxiliary device for endoscope treatment Download PDF

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Publication number
CN117752291A
CN117752291A CN202410084038.5A CN202410084038A CN117752291A CN 117752291 A CN117752291 A CN 117752291A CN 202410084038 A CN202410084038 A CN 202410084038A CN 117752291 A CN117752291 A CN 117752291A
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CN
China
Prior art keywords
endoscope
sleeve
fixed
track
accessory
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Pending
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CN202410084038.5A
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Chinese (zh)
Inventor
刘胜兰
郭玲玲
李爱民
黄丽芳
陈金连
魏绮丽
李抗抗
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Southern Hospital Southern Medical University
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Southern Hospital Southern Medical University
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Priority to CN202410084038.5A priority Critical patent/CN117752291A/en
Publication of CN117752291A publication Critical patent/CN117752291A/en
Pending legal-status Critical Current

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Abstract

The invention discloses an endoscope treatment auxiliary device, which comprises an endoscope sleeve fixed on an endoscope body along the large bending outer side of the front section of the endoscope body, wherein the endoscope sleeve is provided with a bendable part which is parallel to the bending section of the endoscope body, a track penetrating through the front end and the rear end of the endoscope sleeve is arranged in the endoscope sleeve, the top wall of the track is open and extends along the front and rear direction, an endoscope clamping groove is arranged below the track, the endoscope treatment auxiliary device also comprises an arc push plate and an endoscope accessory sleeve, the front end of the endoscope accessory sleeve can be bent through operation, the endoscope accessory sleeve is arranged in the track, the arc push plate is arranged above the endoscope accessory sleeve, and is attached to the inner wall of the track of the endoscope sleeve and can move forwards and backwards in the track and be linked with the endoscope accessory sleeve. The auxiliary device for endoscopic treatment can flexibly and rapidly assist the treatment under the endoscope.

Description

Auxiliary device for endoscope treatment
Technical Field
The invention relates to the field of medical equipment, in particular to an endoscopic treatment auxiliary device.
Background
With the development of minimally invasive endoscopic techniques, some digestive tract lesions, such as early stage digestive tract tumors, can be resected safely and effectively under an endoscope. Compared with the surgical operation, the endoscope minimally invasive technique is small in wound, simple and quick, however, certain limitations exist. Endoscopes belong to the soft endoscope and the single Kong Daona scope, and the operation of the endoscopist is similar to a single arm operation. This is not comparable to the flexibility and maneuverability of surgical and laparoscopic procedures under multi-tunnel, double arm procedures. Current soft endoscopes can only pass through one endoscope accessory.
To solve this limitation, a floss assist method, a weight-clip assist method, a bending clamp assist method, and a double clamp assist ESD method have been studied. These methods are mainly applied to pull the mucosa in Endoscopic Submucosal Dissection (ESD) to aid in endoscopic treatment. These methods are similar to the action of the second hand, leaving the wound exposed by pulling on the lesion to aid in the treatment of ESD. However, these methods are not very flexible in operation. At a specific lesion, such as a lesion of the fundus of the stomach, the front end of the endoscope is in a curved state, which causes a difficulty in the operation of these auxiliary forceps; these methods do not allow for simple, rapid, arbitrary adjustment of the position of the jaw lesion; in addition, these methods can only be used for adjuvant therapy of ESD surgery, and the application range is limited. Therefore, there is a need for an endoscopic treatment aid that ameliorates the foregoing shortcomings.
Disclosure of Invention
The invention aims to provide an endoscopic treatment auxiliary device for solving the problems in the background art.
In order to achieve the above object, the present invention provides an endoscope treatment auxiliary device, the device includes an endoscope sleeve fixed to an endoscope body along a large curved outer side of a front section of the endoscope body, the endoscope sleeve has a bendable portion formed along the curved section of the endoscope body, a track penetrating through front and rear ends of the endoscope sleeve is provided in the endoscope sleeve, an endoscope clamping groove is provided below the track, an opening is opened at a top wall of the track and extends in a front and rear direction, the endoscope treatment auxiliary device further includes an arc push plate and an endoscope accessory sleeve with a front end capable of being bent by operation, the endoscope accessory sleeve is placed in the track, the arc push plate is above the endoscope accessory sleeve, the arc push plate is attached to an inner wall of the track of the endoscope sleeve, and can move back and forth in the track and link the endoscope accessory sleeve; or, the endoscope accessory sleeve with the front end capable of being bent through operation, the guide belt, the guide sleeve and the endoscope accessory sleeve are arranged against the track, both ends of the guide belt are fixed on the endoscope sleeve, the guide sleeve is arranged in the track and can be movably arranged on the guide belt along the track by the guide belt, and the endoscope accessory sleeve is arranged in the guide sleeve.
Preferably, the endoscope sleeve is divided into a C-shaped sleeve fixed on the endoscope body and a sleeve not fixed on the endoscope body; the sleeve fixed on the endoscope body is positioned at the front end and the rear end of the bendable part, and is fixed on the endoscope body by means of C-shaped metal clamping rings inlaid in the sleeve at intervals; the sleeve not fixed on the endoscope body is a bendable part positioned at the middle part of the endoscope sleeve, and the track penetrates through the sleeve fixed on the endoscope body and the sleeve not fixed on the endoscope body.
Preferably, two ends of the guiding belt are respectively fixed on the sleeves fixed on the mirror body at two ends of the bendable part, the front end face of the guiding sleeve is provided with an opening, the opening extends towards the rear end of the guiding sleeve and penetrates through the bottom wall of the guiding sleeve to form a guiding channel, and the guiding belt is installed in the guiding channel in a penetrating mode.
Preferably, the guide belt comprises a middle flexible part and two elastic end fixing parts with hardness harder than that of the middle flexible part, and the two end fixing parts are respectively fixed on the sleeves fixed on the mirror body at the two ends of the flexible part.
Preferably, the track is in an elliptic structure, the track fixed on the sleeve of the mirror body at the rear end of the bendable part is a top wall non-open track or a top wall open track, and the track fixed on the sleeve of the mirror body at the front ends of the bendable part and the bendable part is a top wall open track.
Preferably, the edge of the front end of the endoscope sleeve is of a smooth circular arc structure, and the front end of the endoscope sleeve is of a truncated cone structure with gradually smaller outer diameter; or the front end edge of the endoscope sleeve is of a smooth arc structure, the front end faces of the sleeves fixed on the endoscope body at the two ends of the bendable part are all of inclined plane structures, and the front section of the sleeve fixed on the endoscope body at the front end of the bendable part is of a round platform structure with gradually reduced outer diameter.
Preferably, the front end face of the sleeve fixed on the mirror body at the front end of the bendable part is provided with two LCD light sources, and the LCD light sources are connected with a light source line and a display screen.
Preferably, the endoscope accessory sleeve comprises an outer tube, a knob switch for controlling the front end of the sleeve to bend and a metal traction wire, the outer tube comprises a wider handle part and a pipeline part, the two side walls of the pipeline part are respectively internally provided with a fine pore channel leading to the handle part, the knob switch is positioned on the handle part, two clamping wheels for pulling the metal traction wire are arranged in the handle, one end of the metal traction wire is fixed on each clamping wheel, the other ends of the two metal traction wires are fixed at the front end of the outer tube after passing through the corresponding fine pore channel after being wound on the corresponding clamping wheels, and the winding directions of the two metal traction wires are opposite.
Preferably, the handle portion has a protruding endoscope fitting inlet, the front section of the metal puller wire being located on the outer wall of the outer tube and the rear section being located in the thin bore.
Preferably, a pushing pile is embedded on the surface of the pushing plate, and the pushing pile is exposed out of the opening and is used for pushing the pushing plate to move forwards and backwards.
Compared with the prior art, the endoscope treatment auxiliary device has the following beneficial effects:
(1) By designing the endoscope sleeve and the endoscope accessory sleeve, accessories under various endoscopes, such as biopsy forceps, foreign body forceps, titanium clamps and the like, can be fed, the functions of the accessories are fully utilized to assist in the treatment under the endoscope, and more importantly, the operation of the endoscope sleeve and the endoscope accessory sleeve and the front end of the endoscope body can be effectively matched without mutual interference, and the endoscope accessory through the endoscope accessory sleeve can be accurately close to a lens and appear in the field of view of the endoscope to finish the operation of the related endoscope; the endoscope accessory of the endoscope accessory sleeve can be flexibly separated from the front section of the endoscope body without influencing mutual operation, thereby flexibly and rapidly assisting treatment under the endoscope.
(2) The sleeve fixed on the mirror body is of a C-shaped structural design, elastic C-shaped metal clamping rings are arranged in the sleeve, and the C-shaped metal clamping rings are distributed at intervals, so that the sleeve can firmly cover the mirror body and can be attached to the movement of the mirror body, such as bending; in addition, the structure design is convenient for the sleeve to be arranged on the mirror body and is also convenient for the sleeve to be taken down.
(3) The two metal pulling wires are wound in opposite directions to effectively pull the front section of the outer tube to bend.
(4) The design of the bendable part is beneficial to the sleeve tube of the endoscope to be effectively bent along with the bending of the endoscope body after the sleeve tube of the endoscope is fixed on the endoscope body.
(5) The edge of the endoscope sleeve is designed in a smooth circular arc, so that the damage to mucous membrane caused by friction with mucous membrane of digestive tract is avoided.
The invention will become more apparent from the following description taken in conjunction with the accompanying drawings which illustrate embodiments of the invention.
Drawings
Fig. 1 is a schematic view of an endoscope sleeve according to a first embodiment.
Fig. 2 is a partial schematic view of an endoscopic cannula according to a first embodiment.
Fig. 3 is a schematic view of the endoscope sleeve according to the first embodiment when the endoscope sleeve is matched with an endoscope.
Fig. 4 is a schematic view showing an unbent state of the sleeve not fixed to the mirror body according to the first embodiment.
Fig. 5 is a schematic diagram of a curved state of the sleeve not fixed to the mirror body according to the first embodiment.
Fig. 6 is a schematic diagram II of a curved state of the sleeve not fixed to the mirror body according to the first embodiment.
Fig. 7 is a schematic view of an endoscopic accessory sheath according to the first embodiment.
Fig. 8 is a schematic view showing a state in which the handle portion and the front end are not bent in the endoscope accessory sheath of the first embodiment.
Fig. 9 is a schematic view of a push plate according to the first embodiment.
Fig. 10 is a schematic view of the endoscope sleeve of the first embodiment mated with the endoscope accessory sleeve and pusher plate.
Fig. 11 is a schematic diagram of the first embodiment of the endoscope sleeve in combination with the endoscope accessory sleeve and push plate and the endoscope.
Fig. 12 is a second schematic view of the endoscope sleeve of the first embodiment mated with the endoscope accessory sleeve and pusher plate and the endoscope.
Fig. 13 is a third schematic view of the endoscope sleeve of the first embodiment mated with the endoscope accessory sleeve and pusher plate.
Fig. 14 is a schematic view of an endoscope sleeve according to a second embodiment.
Fig. 15 is a partial schematic view of an endoscopic cannula according to a second embodiment.
Fig. 16 is a schematic view of an endoscope sleeve according to the second embodiment when the endoscope sleeve is matched with an endoscope.
Fig. 17 is a schematic view showing an unbent state of the sleeve not fixed to the mirror body according to the second embodiment.
Fig. 18 is a schematic diagram of a curved state of the cannula not fixed to the mirror body according to the second embodiment.
Fig. 19 is a schematic diagram II of a curved state of the sleeve not fixed to the mirror body according to the second embodiment.
Fig. 20 is a schematic view of an endoscopic accessory sheath according to the second embodiment.
Fig. 21 is a schematic view showing a state in which the handle portion and the front end of the endoscope accessory sheath of the second embodiment are not bent.
Fig. 22 is a schematic view of a guide sleeve and guide strip of the second embodiment.
Fig. 23 is a schematic view of the first embodiment of the endoscope sleeve in combination with the endoscope fitting sleeve and pusher plate and the endoscope.
Fig. 24 is a schematic diagram II of the endoscope sleeve of the second embodiment mated with the endoscope accessory sleeve and pusher plate.
Fig. 25 is a third schematic view of the endoscope sleeve of the second embodiment mated with the endoscope accessory sleeve and pusher plate.
The main picture marks are described below, namely, the endoscope sleeve 1, the sleeve 11 fixed on the endoscope body, the LCD light source lamp 111, the sleeve 12 not fixed on the endoscope body, the rail 121, the opening 122, the endoscope clamping groove 123, the C-shaped metal clamping ring 13, the endoscope fitting sleeve 2, the outer tube 21, the handle portion 211, the pipe portion 212, the endoscope fitting inlet 213, the fine hole channel 214, the knob switch 22, the clamping wheel 221, the metal pulling wire 23, the arc pushing plate 3, the pushing pile 31, the endoscope a, the guide sleeve 3aa, the opening 31aa, the guide belt 4, the middle flexible portion 41 and the two-end fixing portions 42.
Detailed Description
Embodiments of the present invention will now be described with reference to the drawings, wherein like reference numerals represent like elements throughout.
Example 1
Referring to fig. 1-13, the auxiliary device for endoscopic treatment mainly comprises an endoscopic cannula 1, an endoscopic accessory cannula 2 with the front end capable of being bent through operation, and an arc pushing plate 3.
As shown in fig. 1, the endoscope sleeve 1 comprises two parts, namely a sleeve 11 fixed to the endoscope body and a sleeve 12 not fixed to the endoscope body; the sleeve 11 fixed on the lens body is fixed on the lens body by means of the C-shaped metal clamping ring 13 embedded in the sleeve, and the C-shaped metal clamping ring 13 is embedded in the sleeve at certain intervals, as shown in fig. 2 and 3; the sleeve 12 which is not fixed to the endoscope body is positioned at the middle part of the endoscope sleeve 1, is a bendable part, is a pipeline which is parallel to the arc-shaped bending part of the endoscope body, and is internally provided with an elliptical track 121. This part of the design helps the endoscope sleeve 1 to bend effectively with the bending of the endoscope a after the sleeve is fixed to the endoscope body, as shown in fig. 4-6. The endoscope sleeve 1 is internally provided with an oval track 121 penetrating through the endoscope sleeve 1, the track 121 penetrates through two parts of the sleeve 11 fixed on the endoscope body and the sleeve 12 not fixed on the endoscope body, the top wall of the track 121 is an opening 122 which is open and extends along the front-back direction, the endoscope sleeve 1 is provided with an endoscope clamping groove 123 below the track 121, and the C-shaped metal clamping ring 13 is arranged in the inner wall of the endoscope clamping groove 123. The front edge of the endoscope sleeve 1 is designed in a smooth circular arc, so that the damage to mucous membrane caused by friction with mucous membrane of digestive tract is avoided. The front end surface of the sleeve 11 fixed to the mirror body is provided with two LCD light source lamps 111 which are connected with a light source line running inside the endoscope sleeve 1 and externally connected with a display screen.
As shown in fig. 7, the endoscope accessory sheath 2 includes an outer tube 21, a knob switch 22 for controlling bending of the front end of the endoscope accessory sheath 2, and a metal pulling wire 23. The outer tube 21 includes a wider handle portion 211 and a tube portion 212. The handle portion 211 has a protruding endoscope accessory entry port 213. The outer tube 21 has a small passage 214 in the wall of the tube on both sides, the small passage 214 leading to the handle portion 211. The knob switch 22 is located in the handle portion 211, which has two catch wheels 221 for the metal pulling wire 23 inside the handle portion 211. Two metal pulling wires 23 for pulling the front section of the outer tube 1 to bend the outer tube are fixedly attached at one end to the front end of the outer tube 21 and at the other end to the clamping wheel 221. A small section of the front of the metal traction wire 23 is positioned outside the wall of the outer tube 21, and the rest part of the metal traction wire runs on the fine pore passage 214 in the side wall of the outer tube 21; two metal pulling wires 23 are wound around two clamping wheels 221 in advance in a small section, the winding directions are opposite, one is clockwise, and the other is anticlockwise. This design helps to effectively pull the outer tube forward section toward bending as shown in fig. 8.
As shown in fig. 9, the arc pushing plate 3 is attached to the inner wall of the track 121 of the endoscope sleeve 1, and can move back and forth in the track 121, and the length of the arc pushing plate 3 in the back and forth direction is smaller than the length of the track 121 in the back and forth direction. A pushing pile 31 is embedded on the surface of the proximal section (near the rear end) of the arc pushing plate 3, and is exposed out of the opening 122 for pushing the arc pushing plate 3 to move back and forth. Its function is to control the position of the endoscope accessory sheath 2 within the track 121.
As shown in fig. 10, the endoscope sleeve 1 is fixed on the endoscope body through a C-shaped metal snap ring 13, an oval track 121 is arranged above the C-shaped metal snap ring 13, the endoscope accessory sleeve 2 is arranged in the track 121, and an arc push plate 3 is arranged above the endoscope accessory sleeve 2. The endoscope fitting sleeve 2 can move back and forth along the track 121, in which an endoscope fitting can be placed, and the operation direction of the endoscope fitting can be controlled. The endoscope accessory sheath 2 can be pulled out of the track 121 from the opening 122 under a certain pulling force. The arc pushing plate 3 can move back and forth along the rail 121, has a width wider than the opening 122, and cannot be taken out from the opening 122 in the rail 121. The arcuate pusher plate 3 is used to control the position of the endoscope assembly conduit 2 within the track 121. When the arc push plate 3 moves forward, the endoscope accessory pipe 2 outside the track 121 can be pressed back into the track 121, so that the endoscope accessory pipe is tightly close to the endoscope body.
When in installation, firstly, the endoscope sleeve 1 is fixed on the endoscope body along the large bending outer side of the front section of the endoscope body, and the front end of the endoscope sleeve 1 is close to the front end of the endoscope a; next, the arc-shaped pushing plate 3 and the endoscope accessory sleeve 2 are placed in the track 121 of the endoscope sleeve 1.
The operation and use are described as follows:
1. an endoscopic accessory such as an endoscopic clip, a hemostatic forceps, a foreign body forceps, a snare, etc. can be placed through the endoscopic accessory sheath 2 to assist in endoscopic treatment.
2. Adjusting the position of the front end of the endoscope accessory so as to effectively assist treatment: a. is adjusted by a knob switch 22 of a handle portion 211 of the endoscope accessory sheath 2; b. is adjusted by the movement of both the endoscope fitting and the endoscope fitting sleeve 2 themselves within the track 121; c. the position of the endoscope accessory sheath 2 inside and outside the track 121 is adjusted by pushing and pulling the arc push plate 3. The three can be combined with each other to achieve the purpose of adjusting the position of the endoscope accessory. As shown in fig. 11 and 12.
3. So that the endoscopic accessory appears within the field of view of the view: a. by pushing the arc pushing plate 3 in the rail 121 forward, the endoscope accessory sheath 2 is pressed back into the rail 121, so that the endoscope accessory sheath 2 comes close to the lens of the endoscope a, and appears in the field of view (as shown in fig. 13); b. the front side of the endoscope sleeve 1 near the front end of the endoscope a is provided with a light source, so that the operation view of the endoscope accessory in a certain range can be observed.
Example two
Referring to fig. 14-15, the auxiliary device for endoscopic treatment mainly comprises an endoscopic cannula 1, an endoscopic accessory cannula 2 with the front end capable of being bent through operation, a guide cannula 3a and a guide belt 4.
As shown in fig. 14, the endoscope sleeve 1 comprises two parts, namely two sleeves 11 fixed to the endoscope body and one sleeve 12 not fixed to the endoscope body; the sleeve 11 fixed on the lens body is fixed on the lens body by means of the C-shaped metal clamping ring 13 embedded in the sleeve, and the C-shaped metal clamping ring 13 is embedded in the sleeve at certain intervals, as shown in fig. 15 and 16; the sleeve 12 which is not fixed to the endoscope body is positioned at the middle part of the endoscope sleeve 1, the front end and the rear end of the sleeve 12 which is not fixed to the endoscope body are two sleeves 11 which are fixed to the endoscope body, the sleeve 12 which is not fixed to the endoscope body is a bendable part, and is a pipeline which is parallel to the arc-shaped bending part of the endoscope body and is fixed to the arc-shaped bending part. This part of the design helps the endoscope sleeve 1 to bend effectively with the bending of the endoscope a after the sleeve is fixed to the endoscope body, as shown in fig. 17-19. The endoscope sleeve 1 is internally provided with an oval track 121 penetrating through the endoscope sleeve 1, the track 121 penetrates through the sleeve 11 fixed on the endoscope body and the sleeve 12 not fixed on the endoscope body, the track fixed on the sleeve 11 at the rear end of the bendable part is a top wall non-open track, and the track fixed on the sleeve 11 at the front ends of the bendable part and the bendable part is a top wall open track. The guide belt 4 is disposed against the rail and both ends of the guide belt 4 are respectively fixed to the sleeves 11 fixed to the mirror body at both ends of the bendable portion. The endoscope sleeve 1 is provided with an endoscope clamping groove 123 below the track 121, the lower side surfaces of the sleeve 11 fixed on the endoscope body and the sleeve 12 not fixed on the endoscope body are of an open structure, and are in a C-shaped groove shape so as to be matched with the endoscope body, and a C-shaped metal clamping ring 13 is arranged in the inner wall of the endoscope clamping groove 123 of the sleeve 11 fixed on the endoscope body and used for fixing the endoscope. The front end edges of the endoscope sleeve 1 are designed in a smooth circular arc, the front end faces of the sleeve 11 fixed on the endoscope body at the two ends of the bendable part are provided with inclined plane structures, and the front section of the sleeve 11 fixed on the endoscope body at the front end of the bendable part is of a round table structure with gradually smaller outer diameter, so that the damage to mucous membrane caused by friction with mucous membrane of the digestive tract is avoided.
As shown in fig. 20, the endoscope accessory sheath 2 includes an outer tube 21, a knob switch 22 for controlling bending of the front end of the endoscope accessory sheath 2, and a metal pulling wire 23. The outer tube 21 includes a wider handle portion 211 and a tube portion 212. The handle portion 211 has a protruding endoscope accessory entry port 213. The outer tube 21 has a small passage 214 in the wall of the tube on both sides, the small passage 214 leading to the handle portion 211. The knob switch 22 is located in the handle portion 211, which has two catch wheels 221 for the metal pulling wire 23 inside the handle portion 211. Two metal pulling wires 23 for pulling the front section of the outer tube 21 to bend the outer tube 21 are fixedly attached at one end to the front end of the outer tube 21 and at the other end to the clamping wheel 221. A small section of the front of the metal traction wire 23 is positioned outside the wall of the outer tube 21, and the rest part of the metal traction wire runs through a thin pore canal in the side wall of the outer tube 21; two metal pulling wires 23 are wound around two clamping wheels 221 in advance in a small section, the winding directions are opposite, one is clockwise, and the other is anticlockwise. This design helps to effectively pull the outer tube forward section bend as shown in fig. 21.
As shown in fig. 22, the front end surface of the guide sleeve 3a is provided with an opening 31a, the opening 31a extends toward the rear end of the guide sleeve 3a and forms a guide passage through the bottom wall of the guide sleeve 3a, the guide belt 4 is installed through the guide passage, and the guide sleeve 3a is placed in the rail and can be guided to move along the rail 121 by the guide belt 4 fixed to the sleeve 11 fixed to the mirror body. As shown in fig. 14 and 22, the guide belt 4 includes a middle flexible portion 41 and two elastic end fixing portions 42 having hardness harder than that of the middle flexible portion 41, and the two end fixing portions 42 are respectively fixed to the sleeves 11 fixed to the mirror body at the two ends of the flexible portion. The two end fixing parts 42 are not easy to deform and have elasticity; the intermediate curved portion 41 is relatively soft and thus pliable.
The guide sleeve 3a and the sleeve 11 fixed on the mirror body at the front end of the bendable part are embedded with metal wires, and the metal wires fixed on the sleeve 11 of the mirror body at the front end of the bendable part are arranged at the inner wall of the track 121; or, the guide sleeve 3a, the sleeve 11 fixed on the mirror body at the front end and the rear end of the bendable part are embedded with metal wires, and the metal wires fixed on the sleeve 11 fixed on the mirror body at the front end and the rear end of the bendable part are arranged at the inner wall of the track 121. Both ways can increase the strength of the endoscopic sleeve 1.
When in installation, firstly, the endoscope sleeve 1 is fixed on the endoscope body along the large bending outer side of the front section of the endoscope body, and the front end of the endoscope sleeve 1 is close to the front end of the endoscope a; secondly, the guide sleeve 3a is arranged in the track 121 of the endoscope sleeve 1; again, the endoscope accessory sheath 2 is placed within the guide sheath 3 a.
The operation and use are described as follows:
1. an endoscopic accessory such as an endoscopic clip, a hemostatic forceps, a foreign body forceps, a snare, etc. can be placed through the endoscopic accessory sheath 2 to assist in endoscopic treatment.
2. Adjusting the position of the front end of the endoscope accessory so as to effectively assist treatment: a. is adjusted by a knob switch 22 of a handle portion 211 of the endoscope accessory sheath 2; b. is adjusted by the movement of both the endoscope fitting and the endoscope fitting sleeve 2 themselves within the guide sleeve 3 a; c. the position of the endoscope accessory sheath 2 inside and outside the track 121 is adjusted by pushing and pulling the guide sheath 3 a. The three can be combined with each other to achieve the purpose of adjusting the position of the endoscope accessory. As shown in fig. 22 and 23.
3. So that the endoscopic accessory appears within the field of view of the view: by pushing the guide sleeve 3a in the rail 121 forward, the scope fitting sleeve 2 is pressed back into the rail 121, so that the scope fitting sleeve 2 comes close to the lens of the scope a, appearing in the field of view (as shown in fig. 24).
The present invention may also have other embodiments in which a plurality of pairs of elastic clip arms are spaced apart from each other on the lower surface of the arc pushing plate 3, and each pair of elastic clip arms clips on the endoscope accessory sheath 2, so that the arc pushing plate 3 can conveniently push the endoscope accessory sheath 2 to move back and forth.
The invention has been described in connection with the preferred embodiments, but the invention is not limited to the embodiments disclosed above, but it is intended to cover various modifications, equivalent combinations according to the essence of the invention.

Claims (10)

1. An endoscope treatment auxiliary device which is characterized in that: the device comprises an endoscope sleeve fixed on the endoscope body along the large bending outer side of the front section of the endoscope body, wherein the endoscope sleeve is provided with a bendable part which is parallel to the bending section of the endoscope body, a track penetrating through the front end and the rear end of the endoscope sleeve is arranged in the endoscope sleeve, an endoscope clamping groove is arranged below the track of the endoscope sleeve, the top wall of the track is open and extends along the front-rear direction, the device also comprises an arc-shaped push plate and an endoscope accessory sleeve, the front end of the endoscope accessory sleeve can be bent through operation, the endoscope accessory sleeve is arranged in the track, the arc-shaped push plate is arranged above the endoscope accessory sleeve, and the arc-shaped push plate is attached to the inner wall of the track of the endoscope sleeve and can move forwards and backwards in the track and is linked with the endoscope accessory sleeve; or, the endoscope accessory sleeve with the front end capable of being bent through operation, the guide belt, the guide sleeve and the endoscope accessory sleeve are arranged against the track, both ends of the guide belt are fixed on the endoscope sleeve, the guide sleeve is arranged in the track and can be movably arranged on the guide belt along the track by the guide belt, and the endoscope accessory sleeve is arranged in the guide sleeve.
2. An endoscopic treatment assistance device according to claim 1, wherein: the endoscope sleeve is divided into C-shaped sleeves fixed on the endoscope body and sleeves not fixed on the endoscope body; the sleeve fixed on the endoscope body is positioned at the front end and the rear end of the bendable part, and is fixed on the endoscope body by means of C-shaped metal clamping rings inlaid in the sleeve at intervals; the sleeve not fixed on the endoscope body is a bendable part positioned at the middle part of the endoscope sleeve, and the track penetrates through the sleeve fixed on the endoscope body and the sleeve not fixed on the endoscope body.
3. An endoscopic treatment assistance device according to claim 2, wherein: the guide belt is fixed on the sleeve pipe that is fixed in the mirror body at bendable portion both ends respectively at guide belt's both ends, and guide sleeve's preceding terminal surface is equipped with the trompil, and the trompil extends to guide sleeve's rear end and runs through guide sleeve's diapire and form the guide way, and the guide belt runs through and installs in the guide way.
4. An endoscopic treatment assistance device according to claim 3, wherein: the guide belt comprises a middle flexible part and two elastic end fixing parts with hardness harder than that of the middle flexible part, and the two end fixing parts are respectively fixed on the sleeves fixed on the mirror body at the two ends of the flexible part.
5. An endoscopic treatment assistance device according to claim 2, wherein: the track is of an elliptic structure, the track fixed on the sleeve of the mirror body at the rear end of the bendable part is a top wall non-open type track or a top wall open type track, and the track fixed on the sleeve of the mirror body at the front ends of the bendable part and the bendable part is a top wall open type track.
6. An endoscopic treatment assistance device according to claim 2, wherein: the edge of the front end of the endoscope sleeve is of a smooth arc structure, and the front end of the endoscope sleeve is of a truncated cone structure with gradually smaller outer diameter; or the front end edge of the endoscope sleeve is of a smooth arc structure, the front end faces of the sleeves fixed on the endoscope body at the two ends of the bendable part are all of inclined plane structures, and the front section of the sleeve fixed on the endoscope body at the front end of the bendable part is of a round platform structure with gradually reduced outer diameter.
7. An endoscopic treatment assistance device according to claim 2, wherein: the front end face of the sleeve fixed on the mirror body, which is positioned at the front end of the bendable part, is provided with two LCD light sources which are connected with a light source line and a display screen.
8. An endoscopic treatment assistance device according to claim 1 or 2, wherein: the endoscope accessory sleeve comprises an outer tube, a knob switch for controlling the front end of the sleeve to bend and a metal pulling wire, wherein the outer tube comprises a wider handle part and a pipeline part, a fine pore channel leading to the handle part is arranged in the two side walls of the pipeline part, the knob switch is positioned on the handle part, two clamping wheels for pulling the metal pulling wire are arranged in the handle, one end of the metal pulling wire is fixed on each clamping wheel, the other ends of the two metal pulling wires are fixed at the front end of the outer tube after passing through the corresponding fine pore channel after being wound on the corresponding clamping wheels, and the winding directions of the two metal pulling wires are opposite.
9. An endoscopic treatment assistance device according to claim 8, wherein: the handle part is provided with a protruding endoscope accessory inlet, the front section of the metal traction wire is positioned on the outer wall of the outer tube, and the rear section of the metal traction wire is positioned in the thin pore canal.
10. An endoscopic treatment assistance device according to claim 1, wherein: the surface of the push plate is embedded with a push pile, and the push pile is exposed out of the opening and is used for pushing the push plate to move forwards and backwards.
CN202410084038.5A 2024-01-19 2024-01-19 Auxiliary device for endoscope treatment Pending CN117752291A (en)

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