CN212326356U - Dysmorphism stereoplasm bronchoscope - Google Patents

Dysmorphism stereoplasm bronchoscope Download PDF

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Publication number
CN212326356U
CN212326356U CN202020543511.9U CN202020543511U CN212326356U CN 212326356 U CN212326356 U CN 212326356U CN 202020543511 U CN202020543511 U CN 202020543511U CN 212326356 U CN212326356 U CN 212326356U
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lens
bronchoscope
objective
shaped
endoscope
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王剑
傅国强
袁岚
宋建钢
蔡浩亮
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Shanghai Lanjia Medical Technology Co.,Ltd.
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Shuguang Hospital Affiliated to Shanghai University of TCM
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Abstract

The utility model discloses a special-shaped hard bronchoscope, which comprises a tubular bronchoscope body, wherein the bronchoscope body is partially bent, an eyepiece end of the bronchoscope body is connected with a display, a lens is arranged at an objective end of the bronchoscope body, and a transmission line for connecting the display and the lens is arranged in the bronchoscope body; the end of the objective lens of the lens body is a bevel face, the bending face at the end of the objective lens of the lens body is longer than the back curved face at the end of the objective lens of the lens body, and the lens is arranged in the end of the objective lens of the lens body at the back curved face, so that the bending degree of the end of the lens body is increased in shape and is more matched with the anatomical radian of an upper respiratory tract, the end of the objective lens can be more easily placed and adjusted to the supraglottic area of the throat part, and the tracheal catheter of the outer sleeve can be well fixed and is; after the objective end of the endoscope body is placed in the oral cavity and the nasal cavity, the inner included angle formed by the placing part of the endoscope body in the upper respiratory tract is less than or equal to 90 degrees, the anatomical angles of the oral pharynx axis and the tracheal glottis axis can be better fitted, the head position does not need to be adjusted particularly, the shape is more in line with the natural anatomical radian, and the endoscope body is convenient to be placed in and reach the target position.

Description

Dysmorphism stereoplasm bronchoscope
Technical Field
The utility model relates to the field of medical equipment, concretely relates to dysmorphism stereoplasm bronchoscope.
Background
The hard bronchoscope (the hard visual bronchoscope) is used as an examination and treatment tool, a safe and effective method is provided for clinical observation of glottis and trachea, and an experienced operator can complete examination operation in a natural body position of a patient by using the fiber bronchoscope and the hard bronchoscope;
the current hard bronchoscope used clinically takes visual Ni as a representative, has consistent structural characteristics and has the main defects that:
1. the lens axis of the lens at the objective lens end is coaxial with the tangent extension line of the lens body cavity, and the lens and the tail end of the lens body are in the same plane and are easily covered and shielded by soft tissues;
2. the curvature of the lens bodies at the eyepiece end and the objective end is too small, and the internal included angle between the lens bodies at the eyepiece end and the objective end is more than 90 degrees, so that the tracheal catheter of the coat is difficult to fix;
regarding the 1 st defect, because the lens is located at the end of the lens body and is in the same plane with the lens body, and the diameter of the lens body is thin, the lens body is easily shielded by the soft tongue body and the tissues in the oral cavity in a close contact manner when being placed in the oral cavity, the lens is shielded, the gap is lost, and no enough gap exists, the imaging focal length does not exist, so that the lens cannot be imaged clearly;
regarding the 2 nd defect, because the angle between the eyepiece end and the objective end of the endoscope body is an obtuse angle, the fitting with the actual anatomical radian is poor, the adjustment of the objective end to the glottis of the throat part is difficult to a certain extent when the endoscope is placed in the throat part, and then when the visual guide tracheal intubation is made by visual aid, the tracheal catheter needs to be sleeved outside the bronchoscope; however, because the internal included angle of the endoscope body is larger than 90 degrees and forms an obtuse angle, the radian is too large, the friction force between the tracheal catheter sleeved outside the endoscope body and the endoscope body is sometimes insufficient to fix the catheter, when the endoscope body sleeved with the tracheal catheter is placed in an oral cavity or a nasal cavity, the friction resistance of tissues in the oral cavity and the nasal cavity to the tracheal catheter sleeved outside is often larger than the friction resistance between the tracheal catheter and the endoscope body in the tracheal catheter, so that the lens end in the endoscope body is easy to slip off the tail end of the tracheal catheter, the lens end loses the brim-like support protection of the tail end of the tracheal catheter, and the lens is easy to be shielded by tissues and difficult to clearly image, thereby the examination operation becomes difficult;
in the current new coronary pneumonia epidemic situation, many critical patients need to use a hard bronchoscope to check, but the existing hard bronchoscope is poorer in conformity with the actual anatomical radian, the lens is easy to be shielded by tissue contact, the operation can be influenced, the operation time is prolonged, meanwhile, repeated long-time operation stimulation of the throat can cause discomfort of the patient and cause the patient to choke, the respiratory tract endocrine of the patient can be sprayed to the outside due to the choke, and the secretion of the new coronary pneumonia patient is extremely infectious, so that the risk of pollution to an operator and the surrounding environment is extremely easy to cause. Therefore, the hard bronchoscope is made to be matched with the actual anatomical radian, more importantly, the lens is not easy to be shielded to influence observation, the continuous and clear visual field is kept, the whole operation process is simple and effective, the operation can be completed quickly, and the design of the technical scheme is original.
The utility model patent of patent application No. 201520796860.0 is a bronchoscope with fasteners, the utility model patent of patent application No. 201720674653.7 is a flexible hard fiber bronchoscope which discloses a bronchoscope, but the bronchoscope provided by the two patents is a soft lens, the whole body of the soft lens is flexible and flexible, the soft lens can enter into the cavity channel of the human body with multiple bends to complete the examination and treatment, such as through the oral cavity-esophagus-stomach-duodenum, such as through the oral cavity-glottis-trachea-bronchus; however, the soft lens is used as a guide lens of the tracheal intubation, and due to poor supporting and fixing functions, the position of the head end of the catheter is difficult to be actively adjusted in the process of delivering the catheter, so that the operation technical requirement is high; the hard mirror is opposite to the hard mirror, the fixing function is good, the position of the catheter head can be actively adjusted through the actions of picking, supporting, moving and the like, and the catheter head can be adjusted to a proper target position at any time according to the visual field provided by the lens.
SUMMERY OF THE UTILITY MODEL
The utility model aims to solve the technical problem that the existing hard bronchoscope is easy to be shielded to cause imaging difficulty, and the shape of the hard bronchoscope cannot be completely matched with the anatomical radian of an upper respiratory tract, the utility model provides a special-shaped hard bronchoscope, wherein an electronic imaging system with a light source is made into a video device matched with a video device embedding channel pipe, the video device comprises an electronic camera lens and a display, and the electronic camera lens and a scope body are made into a whole body and can be sterilized for repeated use;
the shape of the object lens end is increased to be more fit with the anatomical radian of the upper respiratory tract, so that the object lens end can be more easily placed and adjusted to the supraglottic area of the throat part, and the sleeved tracheal catheter can be well fixed and is not easy to slip; after the objective end of the endoscope body is arranged in the oral cavity and the nasal cavity, the inner included angle formed by the embedded part of the endoscope body in the upper respiratory tract per se is less than or equal to 90 degrees, the anatomical angles of the oral pharynx axis and the tracheal glottis axis can be better fitted, the head position does not need to be adjusted particularly, the shape is more in line with the natural anatomical radian, and the endoscope body is convenient to be embedded to reach the target position;
the shape of the natural anatomical radian of the actual oropharynx and larynx is approached to the maximum extent, and the important point is that the thin lens body is ensured to the maximum extent after being placed into the upper respiratory tract, and the lens is separated from the oral nose and the soft tissues in the throat cavity above the lens body by virtue of the special brim-like design protruding from the front end of the objective lens when being placed into the upper respiratory tract, so that the lens is ensured to have a sufficiently fixed spacing distance with the tissues in the oral cavity encountered in the placing process, the distance is the depth of field which ensures that the lens can clearly image, and the lens is not easy to be directly contacted and shielded by the tongue body and the soft tissues in the oral cavity to cause the incapability of imaging;
when the endoscope is used for guiding the tracheal cannula, the endoscope body and the tracheal catheter of the outer sleeve have enough frictional resistance because the inner included angle is less than or equal to 90 degrees, so that the endoscope body can not slip off the tracheal catheter in the process of placement;
the operator does not need to face the oral cavity of the patient in a close range, and the tracheal intubation is simply, effectively and quickly completed, which plays an important role in reducing direct contact pollution of the operator by the patient, particularly an infectious patient, and solves the defects caused by the prior art.
In order to solve the technical problem, the utility model provides a following technical scheme:
in a first aspect, the special-shaped hard bronchoscope comprises a tubular bronchoscope body, wherein the tubular bronchoscope body is partially bent, an eyepiece end of the tubular bronchoscope body is connected to a display through a handle, a lens is mounted at an objective end of the tubular bronchoscope body, and a transmission line for connecting the display and the lens is arranged in the tubular bronchoscope body to form an optical imaging system;
the objective end of the lens body is a smooth oblique cutting surface, the bending surface at the objective end of the lens body is longer than the back curved surface at the objective end of the lens body, the lens is arranged in the lens end of the lens body at the back curved surface, the arrangement of the inclined plane at the lens end of the lens body enables the lens body part at the curved surface of the lens to protrude to form a cap brim-like structure, the protruding part of the cap brim-like structure can ensure that a gap is fixed enough in front of the lens, therefore, the lens is not easy to be directly contacted and covered by the tongue body above the lens and soft tissues in the oropharynx cavity, the lens is prevented from being directly contacted and covered by the soft tissues and being incapable of imaging, the fixed clearance in front of the lens ensures that the lens has enough imaging depth of field and soft tissues are not easy to be directly attached in front of the lens, thereby ensuring that the hard bronchoscope has continuous and clear images in the process of putting in the hard bronchoscope and finally ensuring that the examination and treatment of the glottis of the trachea can be smoothly carried out.
In the above special-shaped hard bronchoscope, the partially bent body is L-shaped.
The L-shaped hard bronchoscope has an inner included angle smaller than or equal to 90 degrees, a corner part is connected with a fillet with the radius of 30 mm, the vertical distance between the end of the bronchoscope and the end of the endoscope body is smaller than or equal to 10 cm, the L-shaped bronchoscope smaller than or equal to 90 degrees has a bending degree more conforming to the actual anatomical radian, and meanwhile, the sufficient bending degree and the tracheal catheter of the outer sleeve can generate sufficient friction force to enable the tracheal catheter to be sufficiently fixed and not to fall off easily.
The special-shaped hard bronchoscope comprises a lens body, wherein the central optical axis of the lens body is coaxial with the tail end of the lumen of the bronchoscope body.
In the special-shaped hard bronchoscope, the central optical axis of the lens and the axis at the end of the lumen of the bronchoscope incline to the outer side of the objective lens, and the inclination is greater than or equal to 10 degrees, so that a larger field of view can be obtained.
In the above special-shaped hard bronchoscope, the curved surface at the objective end of the scope body is longer than the back curved surface at the objective end of the scope body by more than 3 mm.
The special-shaped hard bronchoscope comprises a scope body, wherein the diameter of the scope body is less than or equal to 5 mm, and the total length of the scope body is less than 400 mm.
In a second aspect, the special-shaped hard bronchoscope comprises a tubular bronchoscope body, wherein the tubular bronchoscope body is partially bent, an eyepiece end of the tubular bronchoscope body is connected to a display through a handle, a lens is mounted at an objective end of the tubular bronchoscope body, and a transmission line for connecting the display and the lens is arranged in the tubular bronchoscope body to form an optical imaging system;
the lens end of the lens body is a smooth oblique plane, the bending plane at the lens end of the lens body is longer than the back curved surface at the lens end of the lens body, the lens is arranged in the lens end of the lens body at the back curved surface, the lens body part at the bending plane of the lens body is protruded due to the arrangement of the oblique plane at the lens end of the lens body, a cap-brim-like structure can be formed for the lens, and the protruded part of the cap-brim-like structure can ensure that enough fixed clearance is reserved in front of the lens, so the lens is not easily directly contacted and covered by the tongue body above the lens and soft tissues in the oropharynx cavity, the lens is prevented from being directly contacted and covered by the soft tissues and cannot be imaged, the fixed clearance in front of the lens enables the lens to have enough imaging depth of field, the soft tissues are not easily directly attached in front of the lens, and the hard bronchoscope can be ensured to have continuous and clear images in the process, finally, the smooth examination and treatment of the trachea glottis can be ensured.
In the special-shaped hard bronchoscope, the partially bent scope body is spoon-shaped.
The utility model provides an foretell dysmorphism stereoplasm bronchoscope, wherein, because the distance of lip of mouth to glottis is about 15cm, will guarantee that the mirror body puts into the partial internal included angle that forms and is less than 90 degrees, the mirror body is too big again simultaneously, consequently the spoon shape mirror body object mirror end is radius more than or equal to 50 millimeters, and less than or equal to 70 millimeters semicircle, the corner portion of mirror body eyepiece end is connected with radius 30 millimeters fillet, has the degree of flexion that more accords with the actual radian of dissecting, and this crookedness can produce sufficient frictional force with the endotracheal tube of overcoat again simultaneously and make it by abundant fixed and difficult the droing, the spoon shape the mirror body owing to the eyepiece end of mirror body to objective end distance obviously is shorter than current various products, and operation feel and convenience are better.
The special-shaped hard bronchoscope comprises a lens body, wherein the central optical axis of the lens body is coaxial with the tail end of the lumen of the bronchoscope body.
According to the special-shaped hard bronchoscope, the central optical axis of the lens and the axis of the tail end of the lumen of the bronchoscope incline towards the outer side of the objective end, the inclination angle is larger than or equal to 10 degrees, and a larger visual field can be obtained.
In the above special-shaped hard bronchoscope, the curved surface at the objective end of the scope body is longer than the back curved surface at the objective end of the scope body by more than 3 mm.
The special-shaped hard bronchoscope comprises a scope body, wherein the diameter of the scope body is less than or equal to 5 mm, and the total length of the scope body is less than 400 mm.
According to the aforesaid the utility model relates to a technical scheme that dysmorphism stereoplasm bronchoscope provided has following technological effect:
an electronic imaging system with a light source is manufactured into a video device matched with a video device placing channel tube, the video device comprises an electronic camera lens and a display, and the electronic camera lens and a lens body are manufactured into a whole and can be sterilized for repeated use;
the shape of the object lens end is increased to be more fit with the anatomical radian of the upper respiratory tract, so that the object lens end can be more easily placed and adjusted to the supraglottic area of the throat part, and the sleeved tracheal catheter can be well fixed and is not easy to slip; when the objective end of the endoscope body is arranged in the mouth and the nasal cavity and reaches the supraglottic region, the included angle formed by the embedded part of the endoscope body in the oral cavity in the upper respiratory tract is less than or equal to 90 degrees, the anatomical angle of the oral pharynx axis and the tracheal glottic axis can be matched, the head position does not need to be adjusted particularly, the shape conforms to the natural anatomical radian better, and the endoscope body can be conveniently embedded to reach the target position;
the shape of the natural anatomical radian of the actual oropharynx and larynx is approached to the maximum extent, the thin lens body is guaranteed to be prevented from being directly contacted and shielded by the lens and the soft tissues in the oral cavity, namely the oral depth of field for ensuring the lens to be clearly imaged in the process of being placed into the upper respiratory tract by means of the special brim-like design protruding from the front end of the objective lens after being placed into the upper respiratory tract, the lens is guaranteed not to be directly contacted and shielded by the lens and the soft tissues in the oral cavity above the oral cavity and the throat cavity by the brim-like design, and the lens is not easy to be directly contacted and shielded by the tongue body and the soft tissues in the oral cavity to cause the incapability of imaging;
when the endoscope is used for guiding the tracheal cannula, the endoscope body and the tracheal catheter of the outer sleeve have enough frictional resistance because the inner included angle is less than or equal to 90 degrees, so that the endoscope body can not slip off the tracheal catheter in the process of placement;
the operator does not need to face the oral cavity of the patient in a close distance, and the tracheal intubation is simply, effectively and quickly completed, which plays an important role in reducing direct contact pollution of the operator by the patient, especially an infectious patient;
compared with the bendable hard fiber bronchoscope of patent application No. 201720674653.7, the special-shaped hard bronchoscope provided by the technical scheme is a hard bronchoscope, the whole body of the hard bronchoscope is fixed, the hard bronchoscope cannot be bent, generally used as a laparoscope and directly enters an abdominal cavity through an abdominal wall, and used as an observation eye for examination and treatment, the traditional hard bronchoscope is a straight bronchoscope and generally cannot pass through a bent cavity channel, even if a body position is adjusted, only one bent part can pass through, but the hard bronchoscope easily enables a visual field range to be fixed, and is convenient to operate in a fixed visual field; the soft lens is developed on the basis of the hard lens, the hard bronchoscope with the bent head end is developed on the basis of the traditional hard lens and is mainly used for guiding the tracheal intubation, and the soft bronchoscope is characterized in that the head end is bent to be convenient to fit with the anatomical curvature from the oral cavity to the glottis, so that the problem of a straight lens is solved; the other characteristic is that the diameter of the lens body is thin, which is convenient for being sleeved with the tracheal catheter, the technical proposal is that on the basis of the hard lens with the bent head end, the position and the angle of the lens are changed, so that the lens is not easy to be shielded by soft tissues in the using process, a continuous and clear visual field is kept, the operation is simpler and more effective, the operation can be completed faster, the operation time is shortened, the bad stimulation to patients can be reduced, the pollution opportunity of exhalation air and expectoration in the airway of the patients to operators can be reduced, and the tracheal catheter is beneficial to protecting the operators.
Drawings
Fig. 1 is a schematic structural view of a first embodiment of a special-shaped hard bronchoscope of the present invention;
FIG. 2 is a schematic sectional view of an objective lens end of the special-shaped hard bronchoscope according to the present invention in a first usage state;
FIG. 3 is a schematic sectional view of the objective lens end of the special-shaped hard bronchoscope according to the present invention in a second usage state;
fig. 4 is a schematic structural diagram of a second embodiment of the special-shaped hard bronchoscope of the present invention.
Wherein the reference numbers are as follows:
the lens comprises a lens body 101, a display 102, a lens 103, an eyepiece end 104, an objective end 105, a chamfer 106, a curved surface 107, a back curved surface 108, a handle 109 and a corner 110.
Detailed Description
In order to make the technical means, the inventive features, the objectives and the functions of the present invention easy to understand, the present invention will be further described with reference to the following specific drawings.
The utility model provides a better embodiment of the special-shaped hard bronchoscope, aiming at manufacturing an electronic imaging system with a light source into a video device matched with a video device placing channel pipe, comprising an electronic camera lens and a display, wherein the electronic camera lens and a scope body are manufactured into a whole and can be sterilized and reused;
the shape of the object lens end is increased to be more fit with the anatomical radian of the upper respiratory tract, so that the object lens end can be more easily placed and adjusted to the supraglottic area of the throat part, and the sleeved tracheal catheter can be well fixed and is not easy to slip; after the objective end of the endoscope body is arranged in the mouth and the nasal cavity, the inner included angle formed by the embedded part of the endoscope body in the upper respiratory tract is less than or equal to 90 degrees, the anatomical angles of the oropharynx axis and the tracheal glottis axis can be better fitted, the head position does not need to be adjusted particularly, the shape is more in line with the natural anatomical radian, and the endoscope body is convenient to be embedded to reach the target position;
the shape of the natural anatomical radian of the actual oropharynx and larynx is approached to the maximum extent, and most importantly, the thin lens body is guaranteed to be arranged in the upper respiratory tract to the maximum extent, and when the lens is arranged in the upper respiratory tract, a sufficient fixed spacing distance is guaranteed between the lens and soft tissues in the mouth, nose and throat cavities above the lens in the arranging process by means of the special brim-shaped design protruding from the front end of the objective lens, the distance is the depth of field which guarantees that the lens can clearly image, and the lens cannot be imaged due to the fact that the lens is not easily directly contacted and shielded by the tongue body and soft tissues in the oral cavity;
when the endoscope is used for guiding the trachea cannula, the endoscope body and the trachea catheter of the outer sleeve have enough frictional resistance because the inner included angle is less than or equal to 90 degrees, so that the endoscope body can not slip off the trachea catheter in the process of placement;
the operator does not need to face the oral cavity of the patient in a close distance, and the tracheal intubation is simply, effectively and quickly completed, which plays an important role in reducing direct contact contamination of the operator by the patient, especially an infectious patient.
As shown in fig. 1, a first aspect, a first embodiment:
a special-shaped hard bronchoscope comprises a tubular bronchoscope body 101, wherein the bronchoscope body 101 is partially bent, an ocular end 104 of the bronchoscope body 101 is connected with a display 102 through a handle 109, a lens 103 is installed at an objective end 105 of the bronchoscope body 101, and a transmission line for connecting the display 102 with the lens 103 is arranged in the bronchoscope body 101 to form an optical imaging system;
the lens end 105 of the lens body 101 is a smooth chamfered surface 106, the curved surface 107 at the objective end 105 of the lens body 101 is longer than the back curved surface 108 at the objective end 105 of the lens body 101, the lens 103 is installed in the objective end 105 of the lens body 101 at the back curved surface 108, the chamfered surface 106 at the objective end 105 of the lens body 101 is arranged to enable the lens body 101 at the curved surface 107 of the lens 103 to partially protrude to form a cap-brim-like structure, and the protruding part of the cap-brim-like structure can ensure that a sufficient fixed gap is reserved in front of the lens 103, so, camera lens 103 is difficult for being covered by tongue body and the interior soft tissue direct contact of oropharynx intracavity above it, avoids camera lens 103 to be covered by soft tissue direct contact and unable formation of image, and the fixed clearance before camera lens 103 makes camera lens 103 have sufficient formation of image depth of field, also makes the soft tissue be difficult for directly attaching before camera lens 103, has just also guaranteed that stereoplasm bronchoscope can have continuous clear image putting into the in-process, finally guarantees that the inspection treatment of trachea glottis can go on smoothly.
Wherein the partially curved mirror body 101 is L-shaped.
The inner included angle of the L-shaped endoscope body is less than or equal to 90 degrees, the corner 110 is connected with a fillet with the radius of 30 mm, the vertical distance between the objective lens end 105 of the endoscope body 101 and the ocular lens end 104 of the endoscope body 101 is less than or equal to 10 cm, the curvature is more suitable for the actual anatomical radian, and meanwhile, the curvature can generate enough friction force with the tracheal catheter of the outer sleeve to enable the tracheal catheter to be sufficiently fixed and not easy to fall off.
As shown in fig. 2, wherein the central optical axis of the lens 103 is coaxial with the lumen end of the scope 101.
As shown in fig. 3, the central optical axis of the lens 103 and the lumen distal axis of the endoscope 101 are inclined to the outside of the objective lens end 105, so that a larger field of view can be obtained.
Wherein, the central optical axis of the lens 103 and the end axis of the endoscope 101 lumen incline to the outside of the objective lens end 105 by more than or equal to 10 degrees.
Wherein the curved surface 107 at the objective end 105 of the lens body 101 is longer than the back curved surface 108 at the objective end 105 of the lens body 101 by more than 3 mm.
Wherein, the diameter of the mirror body 101 is less than or equal to 5 mm, and the total length of the mirror body 101 is less than 400 mm.
When the device is used specifically, firstly, the power supply is turned on, whether the image display of the display 102 is normal or not is checked, and the device is in a standby state; the handle 109 is held by hand, the objective end 105 of the endoscope body 101 is taken as an insertion end, the endoscope is inserted along the center of the tongue body or the nasal cavity along the natural anatomical radian through the oral cavity, the position of the objective end 105 is observed and adjusted in the display 102, when the objective end 105 reaches the upper part of the throat, the tissues of the throat can be clearly displayed, the laryngeal chamber, the glottis, the esophageal opening and the like can be clearly positioned, and the examination can be easily completed;
when the trachea cannula is guided by the aid of the hard bronchoscope, the trachea catheter is firstly sleeved outside the hard bronchoscope body 101, the tail end of the trachea catheter slightly protrudes out of the tail end of the lens 103, due to the fact that the scope body 101 has enough bending degree, enough friction force exists between the sleeved trachea catheter and the scope body 101, the relative position of the tracheal catheter and the scope body is fixed and is not prone to falling off in the process of placement, the placement and observation method is as above, after glottis is clearly displayed, the trachea catheter is pushed into the trachea by more than 10mm along the glottis crack, the handle 109 is held by hand to be fixed, the trachea catheter is slightly pushed into the trachea by force, the trachea cannula guided by the hard bronchoscope is fixedly sent to a proper depth, and the trachea cannula guided by.
As shown in fig. 4, the second aspect, the second embodiment:
a special-shaped hard bronchoscope comprises a tubular bronchoscope body 101, wherein the bronchoscope body 101 is partially bent, an ocular end 104 of the bronchoscope body 101 is connected with a display 102 through a handle 109, a lens 103 is installed at an objective end 105 of the bronchoscope body 101, and a transmission line for connecting the display 102 with the lens 103 is arranged in the bronchoscope body 101 to form an optical imaging system;
the lens end 105 of the lens body 101 is a smooth chamfered surface 106, the curved surface 107 at the objective end 105 of the lens body 101 is longer than the back curved surface 108 at the objective end 105 of the lens body 101, the lens 103 is installed in the objective end 105 of the lens body 101 at the back curved surface 108, the chamfered surface 106 at the objective end 105 of the lens body 101 is arranged to enable the lens body 101 at the curved surface 107 of the lens 103 to partially protrude to form a cap-brim-like structure, and the protruding part of the cap-brim-like structure can ensure that a sufficient fixed gap is reserved in front of the lens 103, so, the difficult tongue body and the oropharynx intracavity soft tissue direct contact that is covered by its top of camera lens 103 avoids camera lens 103 to be covered by soft tissue direct contact and can't form an image, and the outstanding dead gap before camera lens 103 makes camera lens 103 have sufficient formation of image depth, also makes the difficult direct attached in front of camera lens 103 of soft tissue, has just also guaranteed that hard bronchoscope has continuous clear image putting into the in-process, finally guarantees that the inspection treatment of trachea glottis can go on smoothly.
In the special-shaped hard bronchoscope, the partially bent scope body 101 is spoon-shaped.
The special-shaped hard bronchoscope comprises a spoon-shaped body, wherein the distance from the oral lip to the glottis is about 15cm, an inner included angle formed by the body placing part is less than 90 degrees, and the body is not too large, so that the body end 105 of the spoon-shaped body is semicircular with the radius of more than or equal to 50 mm and less than or equal to 70 mm, the corner part 110 of the eyepiece end 104 of the body 101 is connected with a fillet with the radius of 30 mm, the curvature is more suitable for actual anatomical radian, meanwhile, the curvature and the tracheal catheter of the outer sleeve can generate enough friction force to be sufficiently fixed and not easy to fall off, and the spoon-shaped body 101 is better in operation hand feeling and convenience because the distance from the eyepiece end 104 to the body end 105 of the body 101 is obviously shorter than that of various existing products.
As shown in fig. 2, wherein the central optical axis of the lens 103 is coaxial with the lumen end of the scope 101.
As shown in FIG. 3, the central optical axis of the lens 103 and the lumen distal axis of the endoscope 101 are inclined to the outside of the objective lens end 105, and the inclination angle is 10 degrees or more, so that a larger field of view can be obtained.
Wherein the curved surface 107 at the objective end 105 of the lens body 101 is longer than the back curved surface 108 at the objective end 105 of the lens body 101 by more than 3 mm.
Wherein, the diameter of the mirror body 101 is less than or equal to 5 mm, and the total length of the mirror body 101 is less than 400 mm.
When the device is used specifically, firstly, the power supply is turned on, whether the image display of the display 102 is normal or not is checked, and the device is in a standby state; the handle 109 is held by hand, the eyepiece end 104 of the endoscope body 101 is taken as an insertion end, the endoscope is inserted along the center of the tongue body or the nasal cavity along the natural anatomical radian through the oral cavity, the position of the eyepiece end 104 is observed and adjusted in the display 102, when the eyepiece end 104 reaches the upper part of the throat, the tissues of the throat can be clearly displayed, the laryngeal chamber, the glottis, the esophageal opening and the like can be clearly positioned, and the examination can be easily completed;
when the trachea cannula is guided by the aid of the hard bronchoscope, the trachea catheter is firstly sleeved outside the hard bronchoscope body 101, the tail end of the trachea catheter slightly protrudes out of the tail end of the lens 103, due to the fact that the scope body 101 has enough bending degree, enough friction force exists between the sleeved trachea catheter and the scope body 101, the relative position of the tracheal catheter and the scope body is fixed and is not prone to falling off in the process of placement, the placement and observation method is as above, after glottis is clearly displayed, the trachea catheter is then sent into the trachea along the glottis crack for more than 10mm, the handle 109 is held by hand to be fixed, the trachea catheter is pushed into the trachea slightly with force, the trachea cannula guided by the hard bronchoscope is fixed and sent to an appropriate depth, and the trachea.
To sum up, the special-shaped hard bronchoscope of the utility model can make the electronic imaging system with the light source into the video device matched with the video device placing channel tube, and comprises the electronic camera lens and the display, the electronic camera lens and the scope body are made into a whole, and the special-shaped hard bronchoscope can be sterilized and reused;
the shape of the object lens end is increased to be more fit with the anatomical radian of the upper respiratory tract, so that the object lens end can be more easily placed and adjusted to the supraglottic area of the throat part, and the sleeved tracheal catheter can be well fixed and is not easy to slip; after the objective end of the endoscope body is placed in the oral cavity and the nasal cavity, the inner included angle formed by the placing part of the endoscope body in the upper respiratory tract and the upper respiratory tract is less than or equal to 90 degrees, the anatomical angles of the oral pharynx axis and the tracheal acoustic portal axis can be better fitted, the head position does not need to be specially adjusted, the shape is more in line with the natural anatomical radian, and the endoscope body is convenient to place to reach a target position;
the shape of the natural anatomical radian of the actual oropharynx and larynx is approached to the maximum extent, and most importantly, the thin lens body is guaranteed to the maximum extent, and when the lens is placed into the upper respiratory tract, a sufficiently fixed spacing distance can be guaranteed between the lens and encountered soft tissues in the oral cavity in the placing process by means of the special brim-shaped design protruding from the front end of the objective lens, the distance is the depth of field which guarantees that the lens can clearly image, and the lens cannot be easily directly contacted and shielded by the tongue body and soft tissues in the oral cavity to cause imaging failure;
when the endoscope is used for guiding the tracheal cannula, because the internal included angle is less than or equal to 90 degrees, the endoscope body and the tracheal catheter of the outer sleeve have enough frictional resistance, so that the endoscope body can not slip off the tracheal catheter in the process of placement;
the operator does not need to face the oral cavity of the patient in a close distance, and the tracheal intubation is simply, effectively and quickly completed, which plays an important role in reducing direct contact contamination of the operator by the patient, especially an infectious patient.
The above description has been made of specific embodiments of the present invention. It is to be understood that the invention is not limited to the particular embodiments described above, and that devices and structures not described in detail are understood to be implemented in a manner common in the art; various changes or modifications may be made by those skilled in the art within the scope of the appended claims without departing from the spirit of the invention.

Claims (10)

1. A special-shaped hard bronchoscope is characterized by comprising a tubular bronchoscope body, wherein the bronchoscope body is partially bent, an eyepiece end of the bronchoscope body is connected with a display, a lens is mounted at an objective end of the bronchoscope body, and a transmission line for connecting the display with the lens is arranged in the bronchoscope body;
the objective end department of the lens body is the scarf, the buckling face at the objective end department of the lens body is longer than the back curved surface at the objective end department of the lens body, the lens is installed at the back curved surface department in the lens body objective end.
2. The contoured rigid bronchoscope of claim 1, wherein the central optical axis of said lens body is coaxial with the distal end of said body lumen.
3. The contoured rigid bronchoscope of claim 1, wherein the central optical axis of said lens body and the lumen distal axis of said body are inclined outwardly of the objective lens end.
4. The special-shaped hard bronchoscope as claimed in claim 3, wherein the central optical axis of the lens and the lumen end axis of the body are inclined to the outside of the objective end by 10 degrees or more.
5. The contoured rigid bronchoscope as claimed in any one of claims 1-4, wherein the curved surface at the objective end of the body is longer than the back curved surface at the objective end of the body by more than 3 mm.
6. The shaped hard bronchoscope as claimed in claim 5, wherein the diameter of the scope body is not more than 5 mm, and the total length of the scope body is less than 400 mm.
7. The shaped rigid bronchoscope of any one of claims 1-4 and 6, wherein the partially curved body is L-shaped.
8. The special-shaped hard bronchoscope as claimed in claim 7, wherein the inner included angle of the L-shaped bronchoscope body is less than or equal to 90 degrees, the corner part is connected with a fillet with a radius of 30 mm, and the vertical distance between the end of the bronchoscope body and the eyepiece end of the bronchoscope body is less than or equal to 10 mm.
9. The shaped rigid bronchoscope of any one of claims 1-4 and 6, wherein the partially curved body is spoon-shaped.
10. The contoured rigid bronchoscope of claim 9, wherein: the spoon-shaped lens end of the lens body is in a semicircular shape with the radius of more than or equal to 50 mm and less than or equal to 70 mm, and the corner part of the lens end of the lens body is connected by a fillet with the radius of 30 mm.
CN202020543511.9U 2020-04-14 2020-04-14 Dysmorphism stereoplasm bronchoscope Active CN212326356U (en)

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