CN210990175U - Visual stereoplasm bronchoscope of paediatrics - Google Patents

Visual stereoplasm bronchoscope of paediatrics Download PDF

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Publication number
CN210990175U
CN210990175U CN201921929180.6U CN201921929180U CN210990175U CN 210990175 U CN210990175 U CN 210990175U CN 201921929180 U CN201921929180 U CN 201921929180U CN 210990175 U CN210990175 U CN 210990175U
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China
Prior art keywords
bronchoscope
display screen
visual
light source
imaging probe
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Expired - Fee Related
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CN201921929180.6U
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Chinese (zh)
Inventor
孟繁峥
杨西斌
王丽娜
张俐
李春艳
高曼
梁航
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Jilin University
Suzhou Institute of Biomedical Engineering and Technology of CAS
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Jilin University
Suzhou Institute of Biomedical Engineering and Technology of CAS
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Abstract

The utility model discloses a visible hard bronchoscope for pediatrics, which comprises a display screen, a light source, a visible bronchoscope, a display screen power line, a light source power line, an optical fiber and a display screen signal line, wherein the light source is connected with the visible bronchoscope through the optical fiber, the display screen is connected with the visible bronchoscope through the display screen signal line, the light source is connected with the power supply through the light source power line, the display screen is connected with the power supply through the display screen power line, the visible bronchoscope comprises a handle, a bronchoscope sheath tube, an electronic imaging probe, a signal line and a signal processor circuit board, the bronchoscope sheath tube is arranged at the top of the handle, the utility model realizes visualization while operating, improves the operation accuracy, gives consideration to the visibility and the operability, has good controllability, and realizes visible release in the release link of a silicone bracket, reduces the medical risk and relieves the pain of patients, the working efficiency of medical personnel is improved, and medical resources are saved.

Description

Visual stereoplasm bronchoscope of paediatrics
Technical Field
The utility model relates to a medical apparatus, in particular to a visual stereoplasm bronchoscope of paediatrics.
Background
The clinical application of the hard bronchoscope (RB) has been over one hundred years, the hard bronchoscope can be widely applied to diagnosis of congenital diseases of trachea and bronchus, tuberculosis, bronchial foreign bodies and the like, has a wide application range on diagnosis and treatment of scabs and tumors in the bronchus, contributes to diagnosis and treatment of a plurality of respiratory diseases, and can be applied to children along with scientific progress, so that the hard bronchoscope has irreplaceable positions in work of taking out the bronchial foreign bodies, placing silicone stents and the like.
The existing pediatric hard bronchoscope adopts a design that a sight glass and a bronchoscope sheath tube are independently operated. Because of the restriction of the diameter of the trachea of the child, the sheath tube of the bronchoscope is thin, the most widely used STORZ hard scope in China is taken as an example, the thinnest hard scope is inserted into the sheath tube with the outer diameter of only 5.0mm, and the visual scope is 2.9mm, so that the situation that the visual scope and the operation instrument cannot be used together is caused, and the accuracy of the operation is seriously influenced. Even if optical visual forceps can be used for the hard glasses with the diameter of more than 5.7mm, the visual and operational performances are considered, but the instrument is heavy, the operability is poor, visual release can not be achieved at any time in the release link of the silicone support (the same problem exists in adults), and the same problem exists in other brands of hard glasses at present. The children have fine air passages, the air pipe structure is not developed and perfected, and the defect of the existing hard mirror can seriously affect the operation effect and even can cause serious side damage.
However, as medicine develops, hard glasses are also developing and perfecting, and part of functions cannot be replaced by bronchofiberscope. Ventilation dysfunction is generally not caused for healthy adults, but may be affected and even life-threatening for children or those with airway constriction. Therefore, the hard bronchoscope, especially the hard bronchoscope for pediatrics, still has other status such as bronchofiberscope, electronic scope, etc. which cannot be replaced, and the development of modern interventional airway diagnosis and treatment technology brings new lives for the hard bronchoscope.
In recent decades, flexible bronchoscopes (bronchofiberscopes and electronic bronchoscopes) are more and more widely popularized and applied in clinic along with the technical progress, compared with hard scopes, the bronchofiberscopes are smaller in diameter, the head end portions of the bronchofiberscopes are designed to be bent controllably, and the bronchofiberscopes can reach parts which are difficult to reach to observe, so that the bronchofiberscopes are widely applied, and the hard scopes are developed more slowly.
The demand for hard glasses has increased over the last decade with the rapid development of interventional respiratory pathology. Compared with a bronchofiberscope, the hollow structure of the hard scope can keep an airway smooth, and a side hole is formed in the operation end and connected with a respirator, so that the hard scope is also called as a ventilation bronchoscope, and the bronchofiberscope needs to occupy a certain airway space in the operation process. And the operation pore canal under the hard mirror is obviously larger than that of the bronchofiberscope, so that various interventional treatments can be carried out. Therefore, modern hard bronchoscopes have been developed to a certain extent in recent years. The imaging system provides an observation visual field for an operator by reflecting the far-end illumination target surface through the prism, and can directly observe the throat and even the airway through the lumen so as to facilitate intubation, attraction and treatment of foreign bodies.
The main structure is a hollow stainless steel tube with uniform tube diameter, the operation end is provided with a plurality of interfaces, including a breathing machine interface, a light source interface, a suction tube, a laser fiber interface and the like, the current international existing hard bronchoscope is a mainstream brand represented by STORZ, wolf brand, Stryker and DUMON, the design concept is different, and the design that two parts of a sight glass and a bronchoscope sheath tube are independently operated is adopted. Adult's hard mirror is because the sheath pipe is thick, and visibility and operability are compatible better, but paediatrics is because the sheath pipe is fine, and visibility and operability are compatible relatively poor, though obtain partial improvement through equipment such as the visual pincers of optics, still have very big not enough.
The silicone support enters the Chinese market in 2014, the placement of the silicone support needs to be completed through a hard mirror, all placement processes are operated under non-visual conditions, the support part to be placed can only be explored firstly, then the support is placed in a stainless steel pipe cavity after a visual light source is taken out, the air passage of the support is placed under the blind operation condition, and the visual light source is placed for exploration after the operation is completed. The error of the placement position is easily caused by blind operation, the treatment effect is influenced, the air passage damage is easily caused, and the operation time is prolonged.
Therefore, the main development direction of the existing hard bronchoscope is to develop the hard bronchoscope with the visualization function, the visualization is realized during the operation, the operation accuracy is improved, the medical risk is reduced, but the tube diameter is thick, the tube cannot be bent, the visual range is small, the pain of a patient is large, and therefore the application of the hard bronchoscope is obviously reduced.
SUMMERY OF THE UTILITY MODEL
The utility model discloses a solve the problem among the above-mentioned background art, and provide a visual stereoplasm bronchoscope of paediatrics.
A visible hard bronchoscope for pediatrics comprises a display screen, a light source, a visual bronchoscope, a display screen power line, a light source power line, an optical fiber and a display screen signal line, wherein the light source is connected with the visual bronchoscope through the optical fiber, the display screen is connected with the visual bronchoscope through the display screen signal line, the light source is connected with a power supply through the light source power line, the display screen is connected with the power supply through the display screen power line, the visual bronchoscope comprises a handle, a bronchoscope sheath tube, an electronic imaging probe, a signal line and a signal processor circuit board, the bronchoscope sheath tube is arranged at the top of the handle, a pipeline is arranged on the inner wall of the bronchoscope sheath tube, the electronic imaging probe is arranged at the front end of the pipeline, and the electronic imaging probe; the illumination optical fibers are arranged around the electronic imaging probe to guide light emitted by the light source into the deep part of the trachea of the human body;
the sheath of the bronchoscope is 4.5 mm-8.5 mm;
the diameter of the pipeline is 0.7 mm-2.0 mm;
the electronic imaging probe comprises a lens and a spotlight, and the lens and the spotlight are integrated at the front end of the electronic imaging probe;
the signal processor circuit board is mainly used for transmitting an optical signal transmitted by a light source through an optical fiber to a spotlight at the front end of the electronic imaging probe to provide the light source for the electronic imaging probe, and transmitting an image of the interior of the trachea observed by the electronic imaging probe into a display screen through a display screen signal wire, so that medical personnel can observe the interior condition of the trachea;
the diameter of the electronic imaging probe is 0.8 mm-2.0 mm;
the electronic imaging probe can be replaced by a fiber-optic imaging probe;
the diameter of the optical fiber imaging probe is 0.4-1.5 mm;
the diameter of a lens is 0.78mm, the field angle of 110 degrees and the length of the lens are 4mm, the definition and the contrast of an image under high resolution are effectively guaranteed through distortion control, chromatic aberration correction and MTF optimization under high spatial frequency, the accuracy of judging the position and the size of a focus is improved, a circular pipeline with the diameter of 1.6mm is designed on the inner side of a bronchoscope sheath, an optical fiber imaging probe with the diameter of 0.8mm and an electronic imaging probe with the diameter of 1.5mm are researched and developed, and a visual imaging probe is arranged along the pore channel;
the periphery of the optical fiber imaging probe is also provided with an illuminating optical fiber;
an operation window is arranged on the handle;
medical staff stretch medical instruments such as optical visual forceps into the bronchus through the bronchoscope sheath tube through the operation window to perform medical treatment on the patient;
the display screen signal wire can be replaced by a wireless signal transmitting and receiving device;
the image signal generated by the electronic imaging probe can be transmitted to the display screen in a wireless transmission mode.
The utility model discloses a theory of operation and process:
when the device is used, the connecting wire is taken out to be connected according to requirements, the light source and the display screen power switch are turned on, the light source and the display screen start to work, the light source transmits light signals to the optical fiber connector at the handle through the optical fiber, then the light is coupled to the lighting optical fiber in the visual bronchoscope through the coupling mechanism to provide light for the lens, in addition, the spotlight at the front part of the electronic imaging probe can also be an L ED light source and provides lighting for a part to be imaged through a direct light emitting mode, medical personnel hold the handle and insert the bronchoscope sheath tube and the electronic imaging probe arranged in the internal pipeline of the bronchoscope sheath tube into the bronchus of the patient, the lens on the electronic imaging probe transmits the internal condition of the bronchus of the patient to the display screen through the signal wire, the signal processor circuit board and the display screen signal wire, and the medical personnel carry out medical examination on the patient through;
when the electronic imaging probe is replaced by the optical fiber imaging probe, the working mode is similar to that described above, the image signal collected by the lens is transmitted to the imaging chip through the lens by the image transmission optical fiber bundle, and then transmitted to the display screen through the image processing circuit and the signal line of the display screen, so as to realize imaging, and the next operation is carried out;
medical staff can also stretch medical instruments such as optical visual forceps and the like into the bronchus through the bronchoscope sheath tube through the operation window to perform medical treatment on the patient, and the medical staff can clearly observe the internal condition of the bronchus through the lens on the electronic imaging probe and can perform accurate treatment on the patient;
medical personnel can also stretch into the bronchus with the silicone support with the visual pliers centre gripping silicone support of optics through operating window along bronchoscope sheath pipe inside, observe through the camera lens on the electron imaging probe, realize the accurate of silicone support and place.
The utility model has the advantages that:
the utility model relates to a stereoplasm bronchoscope that possesses visual function realizes visually in the operation, improves the accurate nature of operation, has taken into account visual and operability, and the nature controlled is good, accomplishes visual release down in the release link of silicone support moreover, reduces the medical risk, alleviates patient's misery, improves medical personnel's work efficiency, saves medical resources.
Drawings
Fig. 1 is a perspective view of the present invention;
fig. 2 is a perspective view of the bronchoscope of the present invention;
FIG. 3 is a cross-sectional view of the present invention with an electronic imaging probe installed;
figure 4 is an enlarged view of the present invention at a in figure 3;
FIG. 5 is a cross-sectional view of the fiber optic imaging probe of the present invention installed;
figure 6 is an enlarged view of the present invention at B of figure 5;
Detailed Description
Please refer to fig. 1 to 6, a visual stereoplasm bronchoscope of paediatrics, including display screen 1, light source 2, visual bronchoscope 3, display screen power cord 4, light source power cord 5, optic fibre 6 and display screen signal line 7, light source 2 is connected with visual bronchoscope 3 through optic fibre 6, display screen 1 is connected with visual bronchoscope 3 through display screen signal line 7, light source 2 switches on the power through light source power cord 5, display screen 1 switches on the power through display screen power cord 4, its characterized in that: the visual bronchoscope 3 comprises a handle 31, a bronchoscope sheath 32, an electronic imaging probe 33, a signal line 34 and a signal processor circuit board 35, wherein the bronchoscope sheath 32 is arranged at the top of the handle 31, a pipeline 39 is arranged on the inner wall of the bronchoscope sheath 32, the electronic imaging probe 33 is arranged at the front end of the pipeline 39, and the electronic imaging probe 33 is connected with the signal processor circuit board 35 through the signal line 34; the illumination optical fibers are arranged around the electronic imaging probe 33 to guide the light emitted by the light source 2 into the deep part of the trachea of the human body;
the bronchoscope sheath 32 is 4.5 mm-8.5 mm;
the diameter of the pipeline 39 is 0.7 mm-2.0 mm;
the electronic imaging probe 33 comprises a lens 37 and a spotlight 36, and the lens 37 and the spotlight 36 are integrated at the front end of the electronic imaging probe 33;
the signal processor circuit board 35 is mainly used for transmitting the optical signal transmitted by the light source 2 through the optical fiber 6 to the spotlight 36 at the front end of the electronic imaging probe 33 to provide the light source for the electronic imaging probe 33, and transmitting the image of the interior of the trachea observed by the electronic imaging probe 33 into the display screen 1 through the display screen signal wire 7, so that medical personnel can observe the interior condition of the trachea;
the diameter of the electronic imaging probe 33 is 0.8 mm-2.0 mm;
the electronic imaging probe 33 can also be replaced with a fiber optic imaging probe 310;
the diameter of the optical fiber imaging probe 310 is 0.4-1.5 mm;
the diameter of the lens 37 is 0.78mm, the field angle of 110 degrees and the length are 4mm, through distortion control, chromatic aberration correction and MTF optimization under high spatial frequency, the definition and the contrast of an image under high resolution are effectively guaranteed, the accuracy of judging the position and the size of a focus is improved, a circular pipeline 39 with the diameter of 1.6mm is designed on the inner side of a bronchoscope sheath 32, an optical fiber imaging probe with the diameter of 0.8mm and an electronic imaging probe with the diameter of 1.5mm are researched and developed, and a visual imaging probe is arranged along the pore channel;
an illumination optical fiber is arranged around the optical fiber imaging probe 310;
an operation window 38 is arranged on the handle 31;
medical staff stretch medical instruments such as optical visual forceps into the bronchus through the bronchoscope sheath 32 through the operation window 38 to perform medical treatment on the patient;
the display screen signal wire 7 can be replaced by a wireless signal transmitting and receiving device;
the image signal generated by the electronic imaging probe 33 can be transmitted to the display screen 1 by wireless transmission.
The utility model discloses a theory of operation and process:
referring to fig. 1 to 6, when the medical endoscope is used, the medical endoscope is taken out to connect the connecting wires according to requirements, a power switch of the light source 2 and a power switch of the display screen 1 are turned on, the light source 2 and the display screen 1 start to work, the light source 2 transmits light signals to a fiber connector at a handle through the optical fiber 6, then the light is coupled to an illuminating optical fiber in the visual bronchoscope through a coupling mechanism to provide a light source for the lens 37, in addition, a spotlight 36 at the front part of the electronic imaging probe 33 can also be an L ED light source to provide illumination for a part to be imaged in a direct light emitting mode, a medical worker holds the handle 31 to insert the bronchoscope sheath 32 and the electronic imaging probe 33 arranged in an internal pipeline 39 into the bronchus of the patient, the lens 37 on the electronic imaging probe 33 transmits the internal condition of the bronchus of the patient to the display screen 1 through the signal wire 34, the signal processor circuit board 35 and the display screen signal wire 7, and the medical worker performs medical examination on the internal image;
when the electronic imaging probe 33 is replaced by the optical fiber imaging probe 310, the operation mode is similar to that described above, the image signal collected by the lens is transmitted to the imaging chip through the lens by the image transmission optical fiber bundle, and then transmitted to the display screen 2 through the image processing circuit and the display screen signal line 7, so as to realize imaging, and perform the next operation.
Medical staff can also stretch medical instruments such as optical visual forceps into the bronchus through the bronchoscope sheath 32 through the operation window 38 to carry out medical treatment on the patient, and the medical staff can clearly observe the internal condition of the bronchus through the lens 37 on the electronic imaging probe 33 and can carry out accurate treatment on the patient;
medical personnel can also stretch into the bronchus with the silicone support with the visual pliers centre gripping of optics through operation window 38 along bronchoscope sheath 32 inside, observe through camera lens 37 on the electron imaging probe 33, realize the accurate of silicone support and place.

Claims (9)

1. The utility model provides a visual stereoplasm bronchoscope of paediatrics, including display screen (1), light source (2), visual bronchoscope (3), display screen power cord (4), light source power cord (5), optic fibre (6) and display screen signal line (7), light source (2) are connected with visual bronchoscope (3) through optic fibre (6), display screen (1) are connected with visual bronchoscope (3) through display screen signal line (7), light source (2) are through light source power cord (5) switch on, display screen (1) are through display screen power cord (4) switch on, its characterized in that: visual bronchoscope (3) include handle (31), bronchoscope sheath pipe (32), electron image probe (33), signal line (34) and signal processor circuit board (35), and bronchoscope sheath pipe (32) set up at handle (31) top, bronchoscope sheath pipe (32) inner wall is provided with pipeline (39), and electron image probe (33) set up at pipeline (39) front end, and electron image probe (33) pass through signal line (34) and link to each other with signal processor circuit board (35), and electron image probe (33) are provided with illumination fiber all around.
2. The pediatric visual rigid bronchoscope according to claim 1, wherein: the bronchoscope sheath (32) is 4.5-8.5 mm.
3. The pediatric visual rigid bronchoscope according to claim 1, wherein: the diameter of the pipeline (39) is 0.7 mm-2.0 mm.
4. The pediatric visual rigid bronchoscope according to claim 1, wherein: the electronic imaging probe (33) comprises a lens (37) and a spotlight (36), and the lens (37) and the spotlight (36) are integrated at the front end of the electronic imaging probe (33);
the diameter of the electronic imaging probe (33) is 0.8 mm-2.0 mm.
5. The pediatric visual rigid bronchoscope according to claim 1, wherein: the electronic imaging probe (33) may also be exchanged for a fiber optic imaging probe (310).
6. The pediatric visual rigid bronchoscope according to claim 5, wherein: the diameter of the optical fiber imaging probe (310) is 0.4-1.5 mm.
7. The pediatric visual rigid bronchoscope according to claim 5, wherein: an illuminating optical fiber is further arranged around the optical fiber imaging probe (310).
8. The pediatric visual rigid bronchoscope according to claim 1, wherein: an operation window (38) is arranged on the handle (31).
9. The pediatric visual rigid bronchoscope according to claim 1, wherein: the display screen signal wire (7) can be replaced by a wireless signal transmitting and receiving device.
CN201921929180.6U 2019-11-11 2019-11-11 Visual stereoplasm bronchoscope of paediatrics Expired - Fee Related CN210990175U (en)

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CN201921929180.6U CN210990175U (en) 2019-11-11 2019-11-11 Visual stereoplasm bronchoscope of paediatrics

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110680268A (en) * 2019-11-11 2020-01-14 吉林大学 Visual stereoplasm bronchoscope of paediatrics

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110680268A (en) * 2019-11-11 2020-01-14 吉林大学 Visual stereoplasm bronchoscope of paediatrics

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