CN216797611U

CN216797611U - Intelligent electronic oropharynx endoscopic treatment integrated mirror

Info

Publication number: CN216797611U
Application number: CN202122865336.2U
Authority: CN
Inventors: 王莹; 常健
Original assignee: Shanghai First Peoples Hospital
Current assignee: Shanghai First Peoples Hospital
Priority date: 2021-11-22
Filing date: 2021-11-22
Publication date: 2022-06-24
Anticipated expiration: 2031-11-22

Abstract

The utility model relates to an intelligent electronic oropharynx endoscopic integrated endoscope, which comprises a handle and an endoscope pipeline; the surface of the handle is provided with a switch key, a display screen and a direction key, and the inside of the handle is provided with a circuit board, a battery, a processor, a storage and sending unit and a return spring; the inner periphery of the tube wall at the front end of the endoscope tube is provided with a lighting camera system and a temperature sensor; a return spring is arranged in the handle, and the top end of the return spring is connected with the bottom of a direction key arranged on the surface of the handle; the bottom of the direction key is connected with the pipe wall at the front end of the endoscope pipeline through a built-in steel wire; the inner side of the tube wall of the endoscope pipeline is also embedded with an injection tube, the head end of the injection tube is flush with the head end of the endoscope pipeline, and the tail end of the injection tube is arranged outside the endoscope pipeline. Its advantages are: the visual function of the conventional electronic endoscope is realized, the temperature and the humidity of the oropharynx can be sensed, the oropharynx environment and the mucous membrane damage condition can be accurately evaluated, the wound surface washing and medicine applying function is realized, and the daily nursing and self-management requirements of cancer patients are met.

Description

Intelligent electronic oropharynx endoscopic treatment integrated mirror

Technical Field

The utility model relates to the technical field of medical instruments, in particular to an intelligent electronic oropharyngeal endoscopic treatment integrated mirror.

Background

Mucositis is a common complication of chemotherapy, radiation therapy, hematopoietic stem cell transplantation. The clinical concern is that Oral Mucositis (OM) is mostly manifested by red swelling, congestion and erosion of Oral mucosa, pain affects eating in mild patients, and severe patients can be threatened by secondary systemic infection. Patients with Hematopoietic Stem Cell Transplants (HSCT) receiving high doses of chemotherapy have an incidence of OM > 85% and patients with head and neck cancer receiving radiation therapy have an incidence of OM of nearly 100%. The incidence of severe OM (WHO grade 3 or above) can reach 100% in HSCT patients receiving Total Body Irradiation (TBI) and cyclophosphamide combination chemotherapy. The OM incidence is high, and the life quality and disease prognosis of patients are seriously influenced.

The temperature, humidity and food residues in the oral cavity, as well as the spaces between teeth and gingival sulcus are difficult to clean, which is beneficial to the growth of microorganisms, resulting in inflammation and the formation of oral mucositis. The OM caused by chemotherapy is caused by severe damage of cytotoxic drugs to epithelial cells of the alimentary canal mucosa, which results in cell repair and regeneration disorder, mucosal barrier defect and organism cellular immunity decline, and invasion of secondary bacteria, fungi and other microorganisms, further aggravate damage of the mucosal epithelium with participation of inflammatory reaction factors, and after chemotherapy, the drinking and eating of patients are reduced due to gastrointestinal toxic and side reactions, normal flora parasitized in the oral cavity is propagated in a large quantity, and the oral cavity self-cleaning effect is weakened, so that the oral mucosa is damaged to form ulcer. After radiotherapy, oral mucosa is increased in brittleness and easy to break, salivary glands are damaged by radiation, particularly, serous acinus tissue is replaced by fibrous tissue, so that the salivary secretion is obviously reduced, the self-cleaning effect of the oral cavity is obviously reduced, the flora is changed, and oral inflammation is caused. Thus, mucositis caused by high-dose chemotherapy is a pain spot in cancer patients and requires some intervention to prevent or reduce its symptoms.

Cancer patients have a high incidence of OM, and various measures have been taken to prevent and treat OM. Different drugs, light therapy, cold therapy and the like are recommended in the clinical practice guidelines for treating mucositis secondary to MASCC/ISOO cancer treatment in 2020 edition to prevent and treat OM, but during clinical practice it is found that mucositis occurs in patients not only in the oral cavity, but that sore throat is an important complaint for patients. All therapeutic drugs cannot reach the throat through gargling, and patients cannot improve the clinical situation when drinking the therapeutic drugs. In addition, when the OM of the patient is serious, the mouth cannot be opened, which is not beneficial to the observation and self-management of medical staff. The mucosa changes in the throat, which cannot be seen directly by naked eyes, require the help of an endoscope. Medical electronic endoscopes are modern diagnostic devices developed to achieve the goal, and through the efforts of numerous experts and scholars, the application of endoscope technology to the gastrointestinal tract and the like has been remarkably developed. Through the endoscope, doctors can intuitively observe the tissue morphology and the internal pathological changes of internal organs of human bodies, find focuses and diagnose diseases. At present, the electronic laryngoscope used clinically is thicker and harder, and easily causes the re-injury of the mucous membrane. Generally, when OM appears after radiotherapy and chemotherapy, the white blood cells of a patient are low and are in an immunosuppression period, so that the patient is not suitable for daily use of a laryngoscope for examination.

Chinese patent documents: CN201520290189.2, application date 2015.05.07, patent names: endoscope imaging system based on smart phone. The endoscope is powered by the smart phone, signals collected by the endoscope are input into the A/D conversion module to convert image or sound signals into digital signals, the digital signals are input into the smart phone through a USB connecting line, and the images or the sounds obtained by the detection of the endoscope are directly displayed after the processing of the smart phone or are sent to a cloud platform through a wireless network for remote diagnosis.

Chinese patent documents: CN202020309345.6, application date 2020.03.13, patent names: the mobile phone endoscope is convenient to shrink. The mobile phone endoscope comprises a shell, a circuit board, a camera device and a clamping device, wherein the camera device is located at one end of the shell and used for detecting and shooting, the circuit board is located in the shell and electrically connected with the camera device, the clamping device is located at one end, close to the camera device, of the shell, the clamping device comprises a clamping portion and an extending portion, the extending portion is located between the shell and the clamping portion, and the clamping device is used for clamping a mobile phone.

In the above patent document CN201520290189.2, an endoscope and an a/D conversion module are designed, so that the application range of the smartphone is expanded, the use technology of the endoscope is greatly simplified, and the popularization and application of the remote diagnosis technology are greatly facilitated; and a cell phone endoscope convenient to shrink in patent document CN202020309345.6, then through the cell phone endoscope convenient to shrink, when using the cell phone endoscope, promote clamping device to the direction of keeping away from the casing, the clamping part uses the extension to rotate as the center, clamping device keeps away from the casing, conveniently carry out the centre gripping to the cell phone, when having used up the cell phone endoscope, promote the casing with the clamping part to the direction of casing, the cell phone endoscope of having solved among the prior art, can't fold after using, and is bulky, and it is inconvenient to carry, and area occupied is big problem. However, although the above two patent documents realize the intellectualization of the electronic endoscope, none of them combines the treatment with the endoscope.

High definition, high frame rate display and small size are important features of high-end digital imaging devices at present, and are inevitable trends in the development of electronic endoscope systems. With the rapid development of digital high-definition technologies (high-definition televisions and miniature high-definition image sensors), 5G and the Internet, the medical electronic endoscope gradually enters a high-definition, remote and intelligent era. Complementary Metal Oxide Semiconductor (CMOS) based high definition medical electronic endoscope image processors have been widely used in ultra-fine endoscopes. The camera module adopts a miniature high-resolution CMOS image sensor as a photosensitive chip, and the diameter of the module is only 5.0 mm. The CMOS signal is converted into a Low Voltage Differential Signal (LVDS) technology for image transmission by adopting a signal amplification technology, so that the working distance of the image transmission device reaches 4 m.

Light sources used by electronic endoscopes are also constantly improving with the evolution of emerging technologies. The oral cavity endoscope adopts a light transmission optical fiber with large numerical aperture and an external high-power cold light source to form an illumination system, the illumination mode has higher illumination, and the brightness is adjustable, so that the problem of temperature rise caused by long-time use is avoided. For example, patent documents: based on the electronic endoscope that LED intelligence spectral color comparison technique was applied to rectum-anal canal mucous membrane focus tissue inspection, this patent product uses the LED light source, utilizes intelligence spectral color comparison principle, and the mucous membrane image is handled through the spectral estimation chip, can rebuild the focus image as required, and the depth of different levels is appeared more directly perceivedly. However, the external light source is used as the only illumination source in the imaging process of the electronic endoscope, the color temperature of the light source has a significant influence on the color of the image, and the problem needs to be solved by the endoscope.

The electronic medical endoscope is mainly used by doctors for clinical diagnosis and treatment at present and is not convenient for ordinary nurses, patients or family members and other personnel without related skill training to use. Data published by the WHO international cancer research institute show that about 457 thousands of new cancer cases and about 300 thousands of death cases occur in 2020 in china. The number of cancer patients is large, and chemotherapy, radiotherapy and HSCT cause the high incidence of oropharyngeal mucosa infection, and daily local medication is required for intervention. Therefore, the design of the daily usable intelligent electronic oropharyngeal endoscopic integrated endoscope can meet the daily nursing and self-management requirements of cancer patients, and is particularly necessary.

In summary, there is a need for an intelligent electronic oropharyngeal endoscopic treatment integrated endoscope which not only has the visual function of a conventional electronic endoscope, but also can sense the temperature and humidity of oropharynx, accurately evaluate the oropharynx environment and mucosal injury, has the function of flushing and applying medicine to the wound surface, and meets the daily nursing and self-management needs of cancer patients, and no relevant report exists at present.

Disclosure of Invention

The utility model aims to overcome the defects of the prior art and provide an intelligent electronic oropharynx endoscopic integrated endoscope which has the visual function of a conventional electronic endoscope, can sense the temperature and the humidity of oropharynx, accurately evaluate the oropharynx environment and the mucous membrane damage condition, has the functions of washing and applying medicine to a wound surface and meets the daily nursing and self-management requirements of cancer patients.

In order to achieve the purpose, the utility model adopts the technical scheme that:

an intelligent electronic oropharynx endoscopic treatment integrated mirror comprises a handle and an endoscope pipeline; the surface of the handle is provided with an on-off key, a display screen and a direction key; the handle is internally provided with a circuit board, a battery, a processor, a storage and transmission unit and a return spring, and the bottom of the handle is provided with a charging port; the on-off key and the display screen are connected with the circuit board, the battery and the processor in series; the tail end of the endoscope pipeline is connected with the top of the handle; the endoscope pipeline is of a hollow structure, and an illumination camera system and a temperature sensor are arranged on the front-end pipe wall and around the inner side of the pipeline; a plurality of reset springs are arranged inside the handle, and the top ends of the reset springs are connected with the bottoms of the direction keys arranged on the surface of the handle; the bottom of the direction key is connected with the pipe wall at the front end of the endoscope pipeline through a built-in steel wire; the endoscope pipeline pipe wall inboard still the embedding have the injection pipe, and injection pipe head end and endoscope pipeline head end parallel and level, the scope pipeline outside is located to the tail end.

As a preferred technical scheme, the endoscope pipeline is made of soft and antibacterial materials.

As a preferable technical scheme, the lighting camera system can be connected with a circuit board, a battery, a processor and a display screen on the surface of the handle in the handle through built-in lines of an endoscope pipeline.

As a preferred technical scheme, the temperature sensor, the processor and the display screen can be connected through wires.

The utility model has the advantages that:

1. through the illumination camera system that is equipped with around scope pipeline front end pipe wall and the pipeline inboard, observe internal tissue pathological change position or the condition, and be used for showing the picture that illumination camera system shot in real time through the display screen of locating the handle surface to be convenient for medical personnel observe patient's oropharynx internal environment.

2. The design that steel wire and reset spring are connected respectively to direction button bottom, when the endoscope used, the accessible was pressed the direction button and is made the steel wire pulling scope pipeline front end to make scope pipeline front end crooked.

3. Through the design that a plurality of direction button bottoms connect steel wire and reset spring respectively, alright when putting into oropharynx at the endoscope pipeline the trend of accurate control pipeline to and when the inspection, but multi-angle, omnidirectional are examined or are treated pathological change department.

4. The endoscope pipeline is made of soft and antibacterial materials, and can be disinfected by using disinfectant on the whole, so that infection is avoided.

5. The temperature sensor arranged in the inner wall of the front end of the endoscope pipeline can sense the temperature and the humidity of the internal environment of the oropharynx of the patient and can display the temperature and the humidity on the display screen, so that medical personnel can conveniently and accurately evaluate the oropharynx environment and the mucous membrane damage condition;

6. the medicine injection pipe accessible end that endoscope pipeline pipe wall embedded has is annotated the medicine to reach the treatment or the purpose of washing of oropharyngeal portion of a wound surface, adopt the dismantlement of the injection pipe of also being convenient for of embedding mode to change simultaneously, thereby avoid the medicine to remain or use repeatedly and the infection that can't wash in the official cavity and arouse.

7. The inside storage emission unit that is equipped with of handle can also take notes whole operation process to and send the image record and the data transmission of storage to external equipment, the data of being convenient for are observed and are shared, and locate the mouth that charges of handle bottom then can be used to charging of equipment, thereby realize the portable type use of this equipment.

8. The intelligent electronic oropharynx endoscopic integrated endoscope not only has the visual function of the conventional electronic endoscope, but also can sense the temperature and the humidity of oropharynx, accurately evaluate the oropharynx environment and the mucous membrane damage condition, has the function of washing and applying medicine to the wound surface, and meets the daily nursing and self-management requirements of cancer patients.

Drawings

FIG. 1 is a schematic perspective view of an intelligent electronic oropharyngeal endoscopic treatment integrated lens of the present invention.

FIG. 2 is a schematic diagram of the front end of an endoscope pipe of the intelligent electronic oropharyngeal endoscopic integrated endoscope.

FIG. 3 is a schematic view of the internal structure of the handle of an intelligent electronic oropharyngeal endoscopic treatment integrated lens.

Detailed Description

The utility model is further described with reference to the following examples and with reference to the accompanying drawings.

The reference numerals and components referred to in the drawings are as follows:

1. handle 11, on-off key

12. Display screen 13. direction key

14. Circuit board 15. battery

16. Processor 17, storage and transmission unit

18. Reset spring 19. charging port

2. Endoscope pipeline 3. illumination camera system

31. Lighting lamp 32, camera

4. Temperature sensor 5. injection tube

Example 1

Referring to fig. 1-3, fig. 1 is a schematic perspective view of an intelligent electronic oropharyngeal endoscopic integrated endoscope of the present invention, fig. 2 is a schematic front end view of an endoscopic tube of the intelligent electronic oropharyngeal endoscopic integrated endoscope of the present invention, and fig. 3 is a schematic internal structure view of a handle of the intelligent electronic oropharyngeal endoscopic integrated endoscope of the present invention. An intelligent electronic oropharynx endoscopic treatment integrated mirror comprises a handle 1 and an endoscope pipeline 2; the surface of the handle 1 is provided with a switch key 11, a display screen 12 and a direction key 13; the handle 1 is internally provided with a circuit board 14, a battery 15, a processor 16, a storage and transmission unit 17 and a return spring 18, and the bottom of the handle is provided with a charging port 19; the on-off key 11, the display screen 12, the circuit board 14, the battery 15 and the processor 16 are connected in series; the tail end of the endoscope pipeline 2 is connected with the top of the handle 1; the endoscope pipeline 2 is of a hollow structure, and a lighting camera system 3 and a temperature sensor 4 are arranged on the front-end pipe wall and the periphery of the inner side of the pipeline; the lighting camera system 3 is connected with the circuit board 14, the battery 15 and the processor 17 in the handle 1 and the display screen 12 on the surface of the handle 1 through built-in circuits of the endoscope pipeline 2; the temperature sensor 4 can be connected with the processor 17 and the display screen 12 through wires; a plurality of reset springs 18 are arranged inside the handle 1, and the top ends of the reset springs 18 are connected with the bottom of the direction keys 13 arranged on the surface of the handle 1; the bottom of the direction key 13 is connected with the pipe wall at the front end of the endoscope pipeline 2 through an internal steel wire (not shown in the figure); the inboard medicine injection pipe 5 that has still imbedded of 2 pipe walls of scope pipeline, and 5 head ends of medicine injection pipe and 2 head ends parallel and level of scope pipeline, the scope pipeline 2 outsides are located to the tail end.

It should be noted that: the principle of the illumination camera system 3 (comprising the illumination lamp 31 and the camera head 32) arranged on the front-end tube wall of the endoscope tube 2 and around the inner side of the tube in the oropharyngeal endoscope is similar to that of the endoscope in the prior art, and the position or the condition of the wound surface in the body is observed through the illumination camera system 3; the display screen 12 arranged on the surface of the handle 1 is used for displaying pictures shot by the lighting camera system 3 in real time, so that medical staff can observe the internal environment of the oropharynx of the patient conveniently; the bottom of the direction key 13 is respectively connected with a steel wire and a reset spring 18, when the endoscope is used, the steel wire can pull the front end of the endoscope pipeline 1 by pressing the direction key 13, so that the front end of the endoscope pipeline 1 is bent; the design that the bottoms of the direction keys 13 are respectively connected with the steel wire and the return spring 18 can correctly control the direction of the endoscope pipeline 2 when the endoscope pipeline is placed into the oropharynx, and can carry out examination or treatment on a lesion part in a multi-angle and all-around way when in examination; the endoscope pipeline 2 is made of soft and antibacterial materials, and can be disinfected by using a disinfectant as a whole to avoid infection; the temperature sensor 4 arranged in the inner wall of the front end of the endoscope pipeline 2 can sense the temperature and the humidity of the internal environment of the oropharynx of the patient and can display the temperature and the humidity on the display screen 12, so that medical personnel can conveniently and accurately evaluate the oropharynx environment and the mucous membrane damage condition; the medicine injection tube 5 embedded in the tube wall of the endoscope tube 2 can inject medicine through the tail end, so that the purpose of treating or flushing the wound surface of the oropharynx is achieved, and meanwhile, the medicine injection tube 5 is convenient to detach and replace by adopting an embedding mode, so that infection caused by the fact that medicine is left or the medicine cannot be cleaned in the cavity of an official body due to repeated use is avoided; the storage and emission unit 17 is arranged in the handle 1, and can record the whole operation process, and transmit the stored image record and data to external equipment, so that data observation and sharing are facilitated; the charging port 19 arranged at the bottom of the handle 1 can be used for charging the equipment, so that the portable use of the equipment is realized; the intelligent electronic oropharynx endoscopic integrated endoscope not only has the visual function of the conventional electronic endoscope, but also can sense the temperature and the humidity of oropharynx, accurately evaluate the oropharynx environment and the mucous membrane damage condition, has the function of washing and applying medicine to the wound surface, and meets the daily nursing and self-management requirements of cancer patients.

According to the intelligent electronic oropharynx endoscopic integrated endoscope, the position or the condition of a lesion of a tissue in a body is observed through the illumination camera system arranged on the tube wall at the front end of the endoscope tube and around the inner side of the tube, and a picture shot by the illumination camera system in real time is displayed through the display screen arranged on the surface of the handle, so that medical staff can observe the internal environment of the oropharynx of a patient conveniently; the bottom of the direction key is respectively connected with the steel wire and the reset spring, when the endoscope is used, the steel wire can pull the front end of the endoscope pipeline by pressing the direction key, so that the front end of the endoscope pipeline is bent; the bottoms of the direction keys are respectively connected with the steel wire and the reset spring, so that the direction of the pipeline can be correctly controlled when the endoscopic pipeline is placed into the oropharynx, and the diseased part can be inspected or treated in a multi-angle and all-around way during inspection; the endoscope pipeline is made of soft and antibacterial materials, and the whole endoscope pipeline can be disinfected by using a disinfectant, so that infection is avoided; the temperature sensor arranged in the inner wall of the front end of the endoscope pipeline can sense the temperature and the humidity of the internal environment of the oropharynx of the patient and can display the temperature and the humidity on the display screen, so that medical personnel can conveniently and accurately evaluate the oropharynx environment and the mucous membrane damage condition; the medicine injection tube embedded in the tube wall of the endoscope tube can inject medicine through the tail end, so that the purpose of treating or flushing the wound surface of the oropharynx is achieved, and meanwhile, the medicine injection tube is convenient to detach and replace by adopting an embedding mode, so that infection caused by the fact that medicine is remained or the medicine cannot be cleaned in the cavity due to repeated use is avoided; the storage and emission unit arranged inside the handle can record the whole operation process and transmit the stored image record and data to the external equipment, so that the data can be observed and shared conveniently, and the charging port arranged at the bottom of the handle can be used for charging the equipment, so that the portable use of the equipment is realized; the intelligent electronic oropharynx endoscopic integrated endoscope not only has the visual function of the conventional electronic endoscope, but also can sense the temperature and the humidity of oropharynx, accurately evaluate the oropharynx environment and the mucous membrane damage condition, has the function of washing and applying medicine to the wound surface, and meets the daily nursing and self-management requirements of cancer patients.

The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and additions can be made without departing from the principle of the present invention, and these should also be considered as the protection scope of the present invention.

Claims

1. An intelligent electronic oropharynx endoscopic treatment integrated mirror is characterized by comprising a handle and an endoscope pipeline; the surface of the handle is provided with an on-off key, a display screen and a direction key; the handle is internally provided with a circuit board, a battery, a processor, a storage and transmission unit and a return spring, and the bottom of the handle is provided with a charging port; the on-off key and the display screen are connected with the circuit board, the battery and the processor in series; the tail end of the endoscope pipeline is connected with the top of the handle; the endoscope pipeline is of a hollow structure, and an illumination camera system and a temperature sensor are arranged on the front-end pipe wall and around the inner side of the pipeline; a plurality of reset springs are arranged inside the handle, and the top ends of the reset springs are connected with the bottoms of the direction keys arranged on the surface of the handle; the bottom of the direction key is connected with the pipe wall at the front end of the endoscope pipeline through a built-in steel wire; the endoscope pipeline pipe wall inboard still the embedding have the injection pipe, and injection pipe head end and endoscope pipeline head end parallel and level, the scope pipeline outside is located to the tail end.

2. The intelligent electronic oropharyngeal endoscopic treatment integrated scope according to claim 1, wherein the endoscope tube is made of soft and antibacterial material.

3. The intelligent electronic oropharyngeal endoscopy integrated endoscope of claim 1, wherein the illumination camera system, the circuit board inside the handle, the battery, the processor and the display screen on the surface of the handle are connected through an endoscope pipeline.

4. The intelligent electronic oropharyngeal endoscopy integrated scope of claim 1, wherein the temperature sensor is wired to the processor and the display.