TW201731451A - Endoscopic device - Google Patents
Endoscopic device Download PDFInfo
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- TW201731451A TW201731451A TW105140905A TW105140905A TW201731451A TW 201731451 A TW201731451 A TW 201731451A TW 105140905 A TW105140905 A TW 105140905A TW 105140905 A TW105140905 A TW 105140905A TW 201731451 A TW201731451 A TW 201731451A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/015—Control of fluid supply or evacuation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00112—Connection or coupling means
- A61B1/00121—Connectors, fasteners and adapters, e.g. on the endoscope handle
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
- A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/0661—Endoscope light sources
- A61B1/0684—Endoscope light sources using light emitting diodes [LED]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/07—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/12—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
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- General Health & Medical Sciences (AREA)
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- Microelectronics & Electronic Packaging (AREA)
- Endoscopes (AREA)
- Instruments For Viewing The Inside Of Hollow Bodies (AREA)
Abstract
Description
本發明係關於一種侵入式檢查裝置;具體而言,本發明係關於一種內視鏡裝置。 The present invention relates to an invasive inspection device; in particular, the present invention relates to an endoscope device.
內視鏡係廣泛用於各式醫學檢查與手術中,像是顱腔、腸胃、胸腔、脊椎等部位的診療。內視鏡在使用上係利用細長管體伸入人體中進行檢查。採用內視鏡可在減輕患者不適並減少傷口大小下完成對體內患部的診斷。現有的內視鏡在使用時可能因使用者手部抖動而影響對患部的判讀,同時影響診療效果。因此現有的內視鏡仍有待改進。 Endoscopes are widely used in various medical examinations and operations, such as the diagnosis and treatment of the cranial cavity, gastrointestinal tract, chest cavity, and spine. The endoscope is inspected using a slender body into the body. The use of endoscopes can complete the diagnosis of the affected part of the body while reducing patient discomfort and reducing the size of the wound. When the existing endoscope is used, the interpretation of the affected part may be affected by the shaking of the user's hand, and the effect of the diagnosis and treatment may be affected. Therefore, existing endoscopes still need to be improved.
本發明之一目的在於提供一種內視鏡裝置,可提高使用的穩定性。 It is an object of the present invention to provide an endoscope device that improves the stability of use.
內視鏡裝置包含外層管、管體組件、擋止件以及握把。外層管具有近端及遠端。部分之管體組件係套設於外層管內,管體組件的其他部分係伸出於遠端外。擋止件係滑動地設置於管體組件上並位於管體組件伸出於遠端外的部分,擋止件可相對管體組件朝接近或遠離遠端移動。握 把係固定於外層管之近端。 The endoscope device includes an outer tube, a tube assembly, a stop, and a grip. The outer tube has a proximal end and a distal end. A portion of the tubular body assembly is sleeved within the outer tube and the other portion of the tubular assembly extends beyond the distal end. The stop member is slidably disposed on the tubular body assembly and is located at a portion of the tubular body assembly that extends beyond the distal end, and the stop member is movable toward or away from the distal end relative to the tubular assembly. grip Fix the system to the proximal end of the outer tube.
10‧‧‧內視鏡裝置 10‧‧‧Endoscope device
12‧‧‧抽吸接口 12‧‧‧Suction interface
14‧‧‧沖洗接口 14‧‧‧ flushing interface
20‧‧‧顯示幕 20‧‧‧ display screen
30‧‧‧攝影單元 30‧‧‧Photographic unit
40‧‧‧光源 40‧‧‧Light source
100‧‧‧外層管 100‧‧‧ outer tube
100a‧‧‧近端 100a‧‧‧ proximal end
100b‧‧‧遠端 100b‧‧‧Remote
110‧‧‧管體組件 110‧‧‧Body components
112‧‧‧伸出段 112‧‧‧Extension
120‧‧‧中層管 120‧‧‧ middle tube
123‧‧‧第二導槽 123‧‧‧Second guiding channel
123a‧‧‧表面 123a‧‧‧ surface
130‧‧‧內層管 130‧‧‧Inner tube
132‧‧‧接觸端 132‧‧‧Contact end
134‧‧‧可彎折部 134‧‧‧ bendable parts
136‧‧‧切縫 136‧‧‧ slitting
140‧‧‧擋止件 140‧‧‧stops
141‧‧‧套筒 141‧‧‧Sleeve
142‧‧‧窄口部 142‧‧‧ narrow mouth
143‧‧‧第一導槽 143‧‧‧First channel
143a‧‧‧表面 143a‧‧‧ surface
144‧‧‧寬口部 144‧‧‧ wide mouth
146‧‧‧幅條 146‧‧‧Strips
148‧‧‧外緣 148‧‧‧ outer edge
150‧‧‧握把 150‧‧‧ grip
160‧‧‧沖吸管 160‧‧‧Sipper
170‧‧‧按鈕 170‧‧‧ button
180‧‧‧搖桿 180‧‧‧ rocker
190‧‧‧彈簧 190‧‧ ‧ spring
A‧‧‧軸向 A‧‧‧Axial
D‧‧‧徑向長度 D‧‧‧ radial length
圖1為本發明內視鏡裝置之實施例示意圖;圖2A為管體組件之一實施例的局部放大圖;圖2B為管體組件之另一實施例的局部放大圖;圖3為擋止件之一實施例的放大圖;圖4為對應圖1之內視鏡裝置作動之一實施例示意圖;圖5A為本發明內視鏡裝置之另一實施例示意圖;圖5B及圖5C為內視鏡裝置作動之一另實施例示意圖;圖6A及圖6B為內視鏡裝置具有按鈕控制之一實施例示意圖;圖7為內層管彎曲之一實施例示意圖;圖8為本發明內視鏡裝置之另一實施例示意圖;圖9A為套筒之一實施例的放大圖;圖9B為中層管之一實施例的局部放大圖;圖10為擋止件之一實施例的立體圖;圖11為對應圖8之內視鏡裝置作動之一實施例示意圖。 1 is a schematic view of an embodiment of an endoscope device of the present invention; FIG. 2A is a partial enlarged view of an embodiment of a pipe body assembly; FIG. 2B is a partial enlarged view of another embodiment of the pipe body assembly; FIG. 4 is a schematic view showing one embodiment of the operation of the endoscope device of FIG. 1; FIG. 5A is a schematic view of another embodiment of the endoscope device of the present invention; FIG. 5B and FIG. FIG. 6A and FIG. 6B are schematic diagrams showing an embodiment of the endoscope device having button control; FIG. 7 is a schematic view showing one embodiment of the inner tube bending; FIG. 8 is an internal view of the present invention; FIG. 9A is an enlarged view of an embodiment of a sleeve; FIG. 9B is a partially enlarged view of an embodiment of a middle tube; FIG. 10 is a perspective view of an embodiment of the stopper; 11 is a schematic diagram of an embodiment of the operation of the endoscope device corresponding to FIG. 8.
本發明係提供一種內視鏡裝置,具有套設於管體遠端一側的擋止件,可提高使用的穩定性。本發明之內視鏡裝置可運用於外科手術,例如頭顱內的患部清創,但不限於此。 The present invention provides an endoscope device having a stopper that is sleeved on a distal end side of the tubular body to improve stability of use. The endoscope device of the present invention can be applied to a surgical operation, such as debridement of an affected part in a skull, but is not limited thereto.
圖1為本發明內視鏡裝置10之一實施例示意圖。如圖1所 示,內視鏡裝置10包含外層管100、管體組件110、擋止件140以及握把150。外層管100具有近端100a及遠端100b。舉例而言,近端100a係指靠近握把150的位置,遠端100b係指沿外層管100延伸方向位於外層管100相反於握把150的一端。握把150係固定於外層管100之近端100a。管體組件110與外層管100接近遠端100b之一側結合。如圖1所示,部分之管體組件110係套設於外層管100內,管體組件110的其他部分係伸出於遠端100b外。換言之,管體組件110具有伸出於遠端100b外的伸出段112以及位於外層管內的伸入段。擋止件140係滑動地設置於管體組件110上並位於管體組件110伸出於遠端100b外的部分。擋止件140可相對管體組件110朝接近或遠離遠端100b移動。在圖1的實施例,管體組件110係固定於外層管100,亦即管體組件110突出於遠端100b外的一側至遠端100b的長度不變,但不以此為限。 1 is a schematic view of an embodiment of an endoscope device 10 of the present invention. As shown in Figure 1 The endoscope device 10 includes an outer tube 100, a tube assembly 110, a stop 140, and a grip 150. The outer tube 100 has a proximal end 100a and a distal end 100b. For example, the proximal end 100a refers to a position near the grip 150, and the distal end 100b refers to one end of the outer tube 100 opposite the grip 150 in the direction in which the outer tube 100 extends. A grip 150 is secured to the proximal end 100a of the outer tube 100. The tubular body assembly 110 is joined to one side of the outer tube 100 near the distal end 100b. As shown in FIG. 1, a portion of the tubular body assembly 110 is sleeved within the outer layer tube 100, and other portions of the tubular body assembly 110 extend beyond the distal end 100b. In other words, the tubular body assembly 110 has a projecting section 112 that extends beyond the distal end 100b and an extended section that is located within the outer layer tube. The stop member 140 is slidably disposed on the tubular body assembly 110 and is located at a portion of the tubular body assembly 110 that extends beyond the distal end 100b. The stop 140 is movable toward or away from the distal end 100b relative to the tubular assembly 110. In the embodiment of FIG. 1, the tubular body assembly 110 is fixed to the outer layer tube 100, that is, the length of the tubular body assembly 110 protruding from the outer side of the distal end 100b to the distal end 100b is not limited thereto.
於一實施例,內視鏡裝置可包含攝影單元,以提供觀察到的畫面。例如圖1所示,握把150具有線路連接於外部之顯示幕20。攝影單元取得的畫面可經由線路傳到顯示幕20上供使用者判讀。就設置位置而言,攝影單元設置於管體組件內且遠離遠端。請參考圖2A。圖2A為管體組件110之一實施例的局部放大圖。具體而言,圖2A係放大管體組件110伸出於遠端外的端部。如圖2A所示,管體組件110內套設有沖吸管160,以提供沖洗材料,或是進行抽吸血塊。例如,沖吸管係伸入握把內的腔體並連接握把後方的抽吸接口12,以連接外部的抽取機,可清除血塊、血水。又例如可將沖吸管連接握把後方的沖洗接口14,以接收像是藥水或其他治療物質。 In an embodiment, the endoscope device may include a camera unit to provide an observed picture. For example, as shown in FIG. 1, the grip 150 has a display screen 20 that is lined to the outside. The picture taken by the photographing unit can be transmitted to the display screen 20 via the line for the user to interpret. In terms of the set position, the photographing unit is disposed within the tubular body assembly and away from the distal end. Please refer to Figure 2A. 2A is a partial enlarged view of one embodiment of a tubular body assembly 110. In particular, Figure 2A is an enlarged end of the tubular body assembly 110 that extends beyond the distal end. As shown in FIG. 2A, the tube assembly 110 is internally provided with a flushing tube 160 to provide irrigation material or to aspirate blood clots. For example, the suction pipe system extends into the cavity in the grip and connects the suction port 12 behind the grip to connect the external extractor to remove blood clots and blood. As another example, a flushing tube can be coupled to the irrigation interface 14 behind the grip to receive a medicament or other therapeutic substance.
如圖2A所示,管體組件110內位於沖吸管160附近另設置有攝影單元30。藉此,可利用攝影單元30觀察體內的景像,再利用沖吸管 160治療。此外,管體組件110內位於沖吸管160附近另設置有光源40,以提供照明。光源例如為光纖,利用光纖的端部發光。在其他實施例,光源亦可為LED燈。 As shown in FIG. 2A, a photographing unit 30 is disposed in the tube assembly 110 in the vicinity of the flushing tube 160. Thereby, the photographing unit 30 can be used to observe the scene in the body, and then the straw can be used. 160 treatments. In addition, a light source 40 is disposed within the tubular body assembly 110 adjacent the flushing tube 160 to provide illumination. The light source is, for example, an optical fiber, and emits light at the end of the optical fiber. In other embodiments, the light source can also be an LED light.
於一實施例,管體組件內的沖吸管為塑膠,包覆於沖吸管外的部分為金屬。藉外部包覆的金屬引導沖吸管穿過硬質表面,例如頭骨,再利用沖吸管進行上述檢查與治療。在其他實施例,包覆於沖吸管以外的部分的材質可視治療部位調整,例如採用剛性較沖吸管大的塑料材質,以提供沖吸管一定的保護。 In one embodiment, the flushing tube in the tube assembly is plastic, and the portion covering the outside of the flushing tube is metal. The outer coated metal guides the straw through a hard surface, such as a skull, and then uses a straw to perform the above inspection and treatment. In other embodiments, the material covering the portion other than the suction tube can be adjusted according to the treatment site, for example, a plastic material having a rigidity larger than that of the suction tube to provide a certain protection of the straw.
圖2B為管體組件110之另一實施例的局部放大圖。如圖2B所示,沖吸管160可配置為自管體組件110端部突出一段長度。藉此,位於前方的沖吸管160可先將患部清除,避免體內液體先接觸到攝影單元30,以提供較佳觀察效果。於一實施例,沖吸管160係固設於外部包覆的部分,亦即圖2B中所示沖吸管160突出的距離係為固定長度,但不以此為限。 2B is a partial enlarged view of another embodiment of the tubular body assembly 110. As shown in FIG. 2B, the flush tube 160 can be configured to protrude a length from the end of the tubular body assembly 110. Thereby, the front suction pipe 160 can first remove the affected part to prevent the liquid in the body from contacting the photographing unit 30 first to provide a better observation effect. In one embodiment, the suction pipe 160 is fixed to the outer covering portion, that is, the distance that the suction pipe 160 is protruded in FIG. 2B is a fixed length, but is not limited thereto.
請參考圖1與圖3,其中圖3為擋止件140之一實施例的放大圖。擋止件140沿橫切外層管延伸方向具有徑向長度D,如圖3所示,擋止件接近外層管100之一側(參考圖1)具有窄口部142,徑向長度D隨擋止件140遠離遠端100b方向而漸增,且擋止件140遠離遠端100b之一側形成寬口部144。於一實施例,寬口部144的形狀可為漏斗狀;在不同實施例中,寬口部144與窄口部142可分別為兩個環,兩者之間以幅條連接。舉例而言,寬口部144所在之一側可壓在一接觸面上(例如頭骨表面),突出於寬口部以外的管體組件係插入顱腔中。藉由此一設計,擋止件140自接觸面上得到反作用力以支撐管體組件,以控制管體組件的伸入距離,並提高穩定性。 Please refer to FIG. 1 and FIG. 3, wherein FIG. 3 is an enlarged view of an embodiment of the stopper 140. The stopper 140 has a radial length D along the direction in which the outer tube extends transversely. As shown in FIG. 3, the stopper has a narrow mouth portion 142 near the side of the outer layer tube 100 (refer to FIG. 1), and the radial length D is blocked. The stop member 140 is gradually increased away from the distal end 100b direction, and the stopper member 140 forms a wide mouth portion 144 away from one side of the distal end 100b. In one embodiment, the wide mouth portion 144 may have a funnel shape; in various embodiments, the wide mouth portion 144 and the narrow mouth portion 142 may be two rings, respectively, which are connected by a strip. For example, one side of the wide mouth portion 144 can be pressed against a contact surface (eg, a skull surface), and a tubular body component that protrudes beyond the wide mouth portion is inserted into the cranial cavity. With this design, the stopper 140 receives a reaction force from the contact surface to support the tubular body assembly to control the penetration distance of the tubular body assembly and improve stability.
管體組件突出於遠端外之端部與擋止件的距離係可調整。請 參考圖1與圖4,其中圖4為對應圖1之內視鏡裝置10作動之一實施例示意圖。如圖1所示,內視鏡裝置10包含彈簧190,其係設置於管體組件110上,且位於外層管100遠端100b與擋止件140之間。如圖4所示,當推動握把150朝擋止件140移動(沿箭號方向),且擋止件140壓在頭骨上(圖未示),此時擋止件140反向壓縮彈簧190,而管體組件110突出於寬口部以外的長度增加。如此一來,可微調管體組件端部與體內患部的距離。藉此設計,在推動握把時,可利用擋止件作固定,減輕使用者手部晃動的影響,提高操作精確性。 The distance between the end of the tubular body projecting from the distal end and the stop member can be adjusted. please Referring to FIG. 1 and FIG. 4, FIG. 4 is a schematic diagram of an embodiment of the operation of the endoscope device 10 corresponding to FIG. 1. As shown in FIG. 1, the endoscopic device 10 includes a spring 190 disposed on the tubular body assembly 110 and located between the distal end 100b of the outer layer tube 100 and the stop member 140. As shown in FIG. 4, when the push handle 150 is moved toward the stopper 140 (in the direction of the arrow), and the stopper 140 is pressed against the skull (not shown), the stopper 140 reversely compresses the spring 190. And the length of the tubular body assembly 110 protruding beyond the wide mouth portion is increased. In this way, the distance between the end of the tube assembly and the affected part of the body can be fine-tuned. With this design, when the grip is pushed, the stopper can be used for fixing, thereby reducing the influence of the user's hand shaking and improving the operation accuracy.
圖5A為本發明內視鏡裝置10之另一實施例示意圖。與前述實施例的差異在於,管體組件110包含有中層管120和內層管130。如圖5A所示,中層管120係套設於外層管100內。中層管120外表面具有螺紋,並與外層管100彼此螺接(參考圖5B);但在不同實施例中,中層管120及外層管100間亦可藉由其他的機構設計來達成相對伸縮或移動的效果。內層管130部分套設於中層管120內。內層管120具有突出於遠端100b外之接觸端132。擋止件140係套設於內層管130外,且擋止件140係相對中層管120於遠端及接觸端之間移動。如圖5A所示,內視鏡裝置10包含彈簧190,其係設置於中層管120與擋止件140之間。 FIG. 5A is a schematic view of another embodiment of the endoscope device 10 of the present invention. The difference from the previous embodiment is that the tubular body assembly 110 includes the intermediate tube 120 and the inner tube 130. As shown in FIG. 5A, the middle tube 120 is sleeved in the outer tube 100. The outer surface of the middle tube 120 is threaded and screwed to the outer tube 100 (refer to FIG. 5B); however, in different embodiments, the intermediate tube 120 and the outer tube 100 may be designed to achieve relative expansion or contraction by other mechanisms. The effect of the move. The inner tube 130 is partially sleeved in the middle tube 120. The inner tube 120 has a contact end 132 that projects beyond the distal end 100b. The stopper 140 is sleeved outside the inner tube 130, and the stopper 140 is moved between the distal end and the contact end with respect to the middle tube 120. As shown in FIG. 5A, the endoscope device 10 includes a spring 190 disposed between the intermediate tube 120 and the stop member 140.
另外,如前所述,內視鏡裝置可如圖2A所示於管體組件內設置沖吸管、攝影單元與光源。例如,將沖吸管套設於內層管內,且沖吸管係沿內層管伸入握把內的腔體,以接收沖洗材料或是與外部的抽取機連接。攝影單元及光源可設置於內層管內且接近接觸端,以觀察體內的景像。於一實施例,沖吸管為塑膠,而內層管係為金屬,藉金屬材質的內層管引導沖吸管穿過硬質表面,例如頭骨。 Further, as previously described, the endoscope device can be provided with a flushing tube, a photographing unit and a light source in the tubular body assembly as shown in Fig. 2A. For example, the flushing tube is sleeved in the inner tube, and the flushing tube extends along the inner tube into the cavity in the grip to receive the flushing material or to be connected to an external extractor. The photographing unit and the light source may be disposed in the inner tube and close to the contact end to observe the scene in the body. In one embodiment, the flushing tube is plastic, and the inner tube is made of metal, and the inner tube of the metal material guides the punching tube through a hard surface, such as a skull.
圖5B及圖5C為內視鏡裝置10作動之一另實施例示意圖。 如圖5A及圖5B所示,中層管120可自遠端100b突出且相對外層管100移動於伸出位置及縮回位置。換言之,在圖5A至圖5C的實施例,由中層管120和內層管130所組成的管體組件可相對於外層管100移動。如圖5A所示,中層管120係位於縮回位置。如圖5B所示,當中層管120朝伸出位置移動(沿箭號方向),彈簧190隨中層管120帶動而將擋止件140朝遠離遠端100b方向推動,此時接觸端132至遠端100b的長度增長。藉此,內層管130的接觸端132至遠端100b的長度可隨中層管120的帶動而調整。 5B and 5C are schematic views of another embodiment of the operation of the endoscope device 10. As shown in Figures 5A and 5B, the intermediate tube 120 can protrude from the distal end 100b and move relative to the outer tube 100 in an extended position and a retracted position. In other words, in the embodiment of FIGS. 5A-5C, the tubular body assembly comprised of the intermediate tube 120 and the inner tube 130 is movable relative to the outer tube 100. As shown in Figure 5A, the intermediate tube 120 is in a retracted position. As shown in FIG. 5B, the middle tube 120 is moved toward the extended position (in the direction of the arrow), and the spring 190 is driven by the middle tube 120 to push the stopper 140 away from the distal end 100b, and the contact end 132 is far away. The length of the end 100b is increased. Thereby, the length from the contact end 132 to the distal end 100b of the inner tube 130 can be adjusted as the middle tube 120 is driven.
如圖5C所示,當推動握把150朝擋止件140移動(沿箭號方向),且擋止件140壓在頭骨上(圖未示),此時擋止件140反向壓縮彈簧190,而接觸端132至寬口部的距離增加。如此一來,可微調接觸端與體內患部的距離。藉此設計,在推動握把時,可利用擋止件作固定,減輕使用者手部晃動的影響,提高操作精確性。 As shown in FIG. 5C, when the push handle 150 is moved toward the stopper 140 (in the direction of the arrow), and the stopper 140 is pressed against the skull (not shown), the stopper 140 reversely compresses the spring 190. The distance from the contact end 132 to the wide mouth portion increases. In this way, the distance between the contact end and the affected part of the body can be finely adjusted. With this design, when the grip is pushed, the stopper can be used for fixing, thereby reducing the influence of the user's hand shaking and improving the operation accuracy.
圖6A及圖6B為內視鏡裝置10具有按鈕控制之一實施例示意圖。如圖6A所示,內層管130較擋止件140更接近接觸端132的位置具有可彎折部134。具體而言,內層管130外表面於可彎折部134的位置係形成複數切縫136,使該處較具可撓性。握把150上設置有按鈕170及搖桿180。按鈕170可控制沖吸管相對內層管130移動。例如,沖吸管伸入握把內的部分係與驅動裝置連接,且按鈕與驅動裝置電連接,按壓按鈕時可啟動驅動裝置將沖吸管伸長。如圖6B所示,按壓按鈕170時,沖吸管160突出於內層管130外。換言之,沖吸管160自接觸端132突出於內層管130管口的長度係可調整。藉此可在內層管伸入體內後調整沖吸管管口與內層管內其它元件(例如攝影單元)的相對距離,以提供使用的方便性。 6A and 6B are schematic views showing an embodiment of the endoscope device 10 having button control. As shown in FIG. 6A, the inner tube 130 has a bendable portion 134 at a position closer to the contact end 132 than the stop member 140. Specifically, the outer surface of the inner tube 130 is formed with a plurality of slits 136 at the position of the bendable portion 134 to make it more flexible. The handle 150 is provided with a button 170 and a rocker 180. The button 170 controls the movement of the straw relative to the inner tube 130. For example, the portion of the suction tube that extends into the grip is coupled to the drive and the button is electrically coupled to the drive. When the button is depressed, the drive is actuated to extend the suction tube. As shown in FIG. 6B, when the button 170 is pressed, the suction pipe 160 protrudes outside the inner tube 130. In other words, the length of the suction tube 160 protruding from the contact end 132 to the nozzle of the inner tube 130 is adjustable. Thereby, the relative distance between the nozzle tube and other components in the inner tube (for example, the photographing unit) can be adjusted after the inner tube is inserted into the body to provide convenience for use.
圖7為內層管130彎曲之一實施例示意圖。配合前述之搖桿可控制內層管的擺動,如圖7所示,內層管130自原位置(虛線繪示處)朝偏 離內層管130的軸向A之一側彎曲。藉此,搖桿可控制內層管自可彎折部產生彎曲,例如朝上下左右擺動,以增加攝影單元的視野。藉此設計,例如在接近患部附近時,可利用擋止件控制管體伸入,並配合搖桿擺動管體進行觀察,可避免檢查有所遺漏,提高準確性。 Figure 7 is a schematic illustration of one embodiment of the bending of the inner tube 130. The rocking rod can be used to control the swing of the inner tube. As shown in Fig. 7, the inner tube 130 is biased from the original position (shown by the dotted line). One side of the axial direction A of the inner tube 130 is curved. Thereby, the rocker can control the inner tube to bend from the bendable portion, for example, swing up and down to the left and right to increase the field of view of the photographing unit. By this design, for example, when approaching the vicinity of the affected part, the stopper can be used to control the extension of the tube body, and the rocker can be oscillated with the rocker for observation, thereby avoiding omission of inspection and improving accuracy.
圖8為本發明內視鏡裝置10之另一實施例示意圖。如圖8所示,擋止件140接近外層管100之一端具有套筒141。彈簧190之一端係抵接套筒141,且彈簧190之另一端係抵接該中層管120。在圖8之實施例,套筒141係擋止件140的一部份,作為窄口部的延伸段並提供使用者接觸擋止件140時,有足夠的握持面積,亦避免使用者直接碰觸到內層管130而影響操作過程。在其它實施例,套筒141可作為獨立的元件並組裝於擋止件140。 FIG. 8 is a schematic view of another embodiment of the endoscope device 10 of the present invention. As shown in FIG. 8, the stopper 140 has a sleeve 141 near one end of the outer tube 100. One end of the spring 190 abuts against the sleeve 141, and the other end of the spring 190 abuts the intermediate tube 120. In the embodiment of FIG. 8, the sleeve 141 is a part of the stopper 140 as an extension of the narrow mouth portion and provides a sufficient grip area when the user touches the stopper 140, and also avoids direct use by the user. Touching the inner tube 130 affects the operation process. In other embodiments, the sleeve 141 can be used as a separate component and assembled to the stop 140.
圖9A為套筒141之一實施例的放大圖。如圖9A所示,自遠端一側觀之,套筒141背向接觸端之一側形成第一導槽143。另外如圖9B繪示之中層管120的局部放大圖,中層管120形成第二導槽123(位於中層管朝向接觸端之一側)。第一導槽143與第二導槽123相向設置。彈簧190兩端分別容納於第一導槽143及第二導槽內123。例如,彈簧190之一端係抵接第一導槽143內的表面143a,且彈簧190之另一端係抵接該中層管120內的表面123a。 FIG. 9A is an enlarged view of one embodiment of the sleeve 141. As shown in FIG. 9A, the first guide groove 143 is formed on the side of the sleeve 141 facing away from the contact end as viewed from the distal end side. In addition, as shown in FIG. 9B, a partial enlarged view of the intermediate tube 120 is formed, and the middle tube 120 forms a second guiding groove 123 (on the side of the intermediate tube facing the contact end). The first guiding groove 143 is disposed opposite to the second guiding groove 123. The two ends of the spring 190 are respectively accommodated in the first guiding groove 143 and the second guiding groove 123. For example, one end of the spring 190 abuts against the surface 143a in the first guide groove 143, and the other end of the spring 190 abuts the surface 123a in the intermediate tube 120.
圖10為擋止件140之一實施例的立體圖。如圖10所示,擋止件140有幅條146與外緣148。擋止件140的徑向長度隨遠離套筒之一側漸增,在遠離套筒之一側形成外緣。舉例而言,擋止件可藉外緣壓在一接觸面上(例如顱骨表面),突出於外緣以外的內層管係插入頭顱中。藉此設計,可提供使用者額外的視野,例如將管體前端對準傷口表面時,可自幅條間的空隙觀察到管體前方的情形,增加操作方便性。 FIG. 10 is a perspective view of one embodiment of the stop member 140. As shown in FIG. 10, the stop member 140 has a web 146 and an outer rim 148. The radial length of the stop member 140 increases with away from one side of the sleeve, forming an outer edge on one side away from the sleeve. For example, the stop member can be pressed against a contact surface (eg, a skull surface) by an outer edge, and an inner tube system protruding beyond the outer edge can be inserted into the skull. By this design, the user can provide additional visual field. For example, when the front end of the tube body is aligned with the wound surface, the front side of the tube body can be observed from the gap between the strips, thereby increasing the convenience of operation.
圖11為對應圖8之內視鏡裝置10作動之一實施例示意圖。如圖11所示,當推動握把150朝擋止件140移動(沿箭號方向),且擋止件140相反於套筒141之一端(外緣的位置)抵接並壓迫例如顱骨之接觸面上(圖未示),此時套筒141反向朝中層管120壓縮彈簧190,而接觸端132至擋止件140的距離增加。如此一來,可微調接觸端與體內患部的距離。藉此設計,在推動握把時,可利用擋止件作固定,減輕使用者手部晃動的影響,提高操作精確性。 FIG. 11 is a schematic diagram of an embodiment of the operation of the endoscope device 10 corresponding to FIG. 8. As shown in Fig. 11, when the push grip 150 is moved toward the stopper 140 (in the direction of the arrow), the stopper 140 abuts against one end (the position of the outer edge) of the sleeve 141 and presses contact with, for example, the skull. On the face (not shown), the sleeve 141 now compresses the spring 190 against the intermediate tube 120, and the distance from the contact end 132 to the stop 140 increases. In this way, the distance between the contact end and the affected part of the body can be finely adjusted. With this design, when the grip is pushed, the stopper can be used for fixing, thereby reducing the influence of the user's hand shaking and improving the operation accuracy.
本發明已由上述相關實施例加以描述,然而上述實施例僅為實施本發明之範例。必需指出的是,已揭露之實施例並未限制本發明之範圍。相反地,包含於申請專利範圍之精神及範圍之修改及均等設置均包含於本發明之範圍內。 The present invention has been described by the above-described related embodiments, but the above embodiments are merely examples for implementing the present invention. It must be noted that the disclosed embodiments do not limit the scope of the invention. On the contrary, modifications and equivalents of the spirit and scope of the invention are included in the scope of the invention.
10‧‧‧內視鏡裝置 10‧‧‧Endoscope device
12‧‧‧抽吸接口 12‧‧‧Suction interface
14‧‧‧沖洗接口 14‧‧‧ flushing interface
20‧‧‧顯示幕 20‧‧‧ display screen
100‧‧‧外層管 100‧‧‧ outer tube
100a‧‧‧近端 100a‧‧‧ proximal end
100b‧‧‧遠端 100b‧‧‧Remote
110‧‧‧管體組件 110‧‧‧Body components
112‧‧‧伸出段 112‧‧‧Extension
140‧‧‧擋止件 140‧‧‧stops
150‧‧‧握把 150‧‧‧ grip
190‧‧‧彈簧 190‧‧ ‧ spring
Claims (11)
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CN111449700B (en) * | 2020-04-09 | 2021-02-09 | 王道猛 | Thoracoscope for thoracic surgery |
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CN107115089A (en) | 2017-09-01 |
TWI616179B (en) | 2018-03-01 |
CN107115090B (en) | 2019-05-31 |
TWI626919B (en) | 2018-06-21 |
CN107115089B (en) | 2019-09-06 |
TW201735856A (en) | 2017-10-16 |
CN107115090A (en) | 2017-09-01 |
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