WO2011088669A1 - 软硬子母宫腔镜、输卵管镜系统 - Google Patents

软硬子母宫腔镜、输卵管镜系统 Download PDF

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Publication number
WO2011088669A1
WO2011088669A1 PCT/CN2010/075166 CN2010075166W WO2011088669A1 WO 2011088669 A1 WO2011088669 A1 WO 2011088669A1 CN 2010075166 W CN2010075166 W CN 2010075166W WO 2011088669 A1 WO2011088669 A1 WO 2011088669A1
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WIPO (PCT)
Prior art keywords
soft
fallopian tube
hysteroscopic
hysteroscope
hard
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PCT/CN2010/075166
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English (en)
French (fr)
Inventor
乔铁
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广州宝胆医疗器械科技有限公司
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Application filed by 广州宝胆医疗器械科技有限公司 filed Critical 广州宝胆医疗器械科技有限公司
Priority to US13/322,033 priority Critical patent/US20120277528A1/en
Publication of WO2011088669A1 publication Critical patent/WO2011088669A1/zh

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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
    • A61B1/005—Flexible 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
    • A61B1/012—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
    • A61B1/0125—Endoscope within endoscope
    • 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
    • A61B1/303—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 for the vagina, i.e. vaginoscopes
    • 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
    • A61B1/00163—Optical arrangements

Definitions

  • the invention belongs to the field of medical instruments, and specifically relates to a core medical tool for performing gynecological endoscopic surgery in modern medicine, a soft and hard mother hysteroscope and a fallopian tube mirror system.
  • Hysteroscopy is an optical instrument used to observe, diagnose, and treat the uterine cavity. It clearly observes various changes in the uterine cavity and makes a clear diagnosis. Hysteroscopic techniques can be used to directly examine intrauterine lesions, and to locate and collect diseased tissue for diagnosis. The diagnosis is accurate, timely, comprehensive and intuitive, and cancerous lesions can be detected early.
  • Hysteroscopy is one of the main tools for the diagnosis and treatment of uterine lesions. Hysteroscopy is made of hard material and has a large diameter. It cannot enter the fallopian tube that is connected to the cervix. In this way, the fallopian tube Some lesions and the like are difficult to observe more accurately.
  • the purpose of the present invention is to propose a soft and hard combined soft and hard prosthetic hysteroscopic and fallopian tube mirror system, combined with a rigid hysteroscopic mirror and a soft fallopian tube mirror, which can be used for the uterine cavity. It is diagnosed and treated simultaneously with the lesions in the fallopian tube. It is convenient and reliable to use and effectively improve the cure rate of uterine diseases.
  • the soft and hard prosthetic hysteroscopic and fallopian tube mirror system of the present invention comprises a rigid hysteroscopic system and a soft fallopian tube mirror system, the hard hysteroscopic system comprising a hard hysteroscope, and A hysteroscopically coupled hysteroscopic sheath comprising an endoscope body, an instrument channel in communication with the endoscope body, an eyepiece input end, a cold light source input end, and a front end of the endoscope body Endoscope end, endoscope tip;
  • the hysteroscope sheath includes a sheath body, a water inlet passage communicating with the sheath body, a water outlet passage, and a sheath end disposed at a front end of the sheath body;
  • the soft fallopian tube mirror system is a soft fallopian tube mirror, the soft fallopian tube mirror includes a soft working end portion and a liquid passage; at least one of the hard hysteroscopic endoscope main body is provided
  • the linear instrument channel has a diameter of 3.5 mm
  • the working end of the soft fallopian tube mirror is made of a bendable fiber material, and has a diameter of 3.0, a length of 1000 let, the fallopian tube mirror
  • the liquid channel has a diameter of 1.5 m.
  • the liquid channel can also serve as a passage for the instrument to enter.
  • the soft fallopian tube mirror the optical system thereof can be divided into an electronic or non-electronic optical system.
  • the soft fallopian tube mirror is a non-electronic optical system
  • the rear end of the soft fallopian tube mirror is provided with a cold light source connector and an eyepiece.
  • the soft fallopian tube mirror is an electronic optical system
  • the back end of the soft fallopian tube mirror is provided with a graphic data output interface.
  • the hard hysteroscope adopts a non-electronic optical system, and in order to improve the image quality of the hard hysteroscope, the hard hysteroscope is further provided with a micro ultrasonic probe,
  • the micro-ultrasound probe comprises a micro-probe driver, a micro-probe, a micro-probe end and a micro-probe tip, the micro-probe end extending from the end outlet of the hard hysteroscope through a rigid hysteroscope instrument channel, miniature Ultrasound probes perform real-time ultrasound scans to obtain images of changes in the layers of the uterine wall and organs around the uterus.
  • the hard hysteroscope can also adopt an optical system formed by an electronic image processor, and the optical system formed by the electronic image processor is an electronic CCD optical system, and the CCD chip adopts 1/4", at least The 480,000 effective pixel CCD with a lens field of view of 100 ° or more, the CCD chip structure is mounted at the tip end of the main body endoscope.
  • the soft and hard prosthetic hysteroscopic and fallopian tube mirror system of the invention combines a soft fallopian tube mirror with a hard hysteroscopic mirror, which can not only solve the lesions in the uterine cavity, but also observe the lesions of the fallopian tubes and expand the lesions.
  • the scope of gynecological hysteroscopic surgery increases the accuracy of examination and diagnosis.
  • FIG. 1 is a schematic view of a soft and hard hysteroscopic and fallopian tube mirror system of the present invention.
  • FIG. 2 is a schematic view of a rigid hysteresis mirror of the present invention.
  • Figure 3 is a schematic view of a soft fallopian tube mirror of the present invention.
  • Fig. 4 is a schematic view showing the operation of the soft and hard prosthetic hysteroscope and fallopian tube mirror system of the present invention.
  • the soft and soft prosthetic hysteroscope and fallopian tube mirror system of the present invention include a hard hysteroscopic matrix system and a soft fallopian tube mirror system, and the hard hysteroscopic matrix system includes a hard The uterine cavity mirror 1 and its camera system 7, the monitor 8 and the cold light source host 6; the soft fallopian tube mirror system comprises a soft fallopian tube 2 and its camera system 4, a monitor 5 and a cold light source host 3.
  • the rigid hysteroscopic lens 1 comprises a rigid hysteroscope 12, a hysteroscopic sheath 11 connected to a hysteroscope, and the hard hysteroscope 12 includes a mirror body 121, an instrument channel 122 communicating with the endoscope body 121, an eyepiece input end 124, a cold light source input end 123, and an endoscope end portion and an endoscope tip end portion disposed at the front end of the endoscope main body; the hysteroscope
  • the sheath tube 11 includes a sheath body 111, a water inlet passage communicating with the sheath body 111, a water outlet passage, and a sheath end portion 112 provided at a front end of the sheath body.
  • the soft fallopian tube mirror system 2 is a soft fallopian tube mirror, and the soft fallopian tube mirror includes a soft The working end portion 21 and the liquid passage; in the present invention, the rigid hysteroscope endoscope main body 111 is provided with at least one linear instrument passage for the soft working end portion 21 of the soft fallopian tube mirror to enter. 5 ⁇ ; diameter of the working end of the soft fallopian tube mirror, the instrument channel 122 is a linear instrument channel for the soft working end portion 21 of the soft fallopian tube mirror, the linear instrument channel diameter 3. 5mm; 3. 0mm, the design is based on anatomical evidence, the general diameter of the human fallopian tube is ⁇ 3.
  • the diameter of the working end portion 21 of the soft fallopian tube must be 3. 0mm, the length of the working end 21 ⁇ 1000mm, the fallopian tube
  • the mirror is provided with a channel having a diameter of less than or equal to 1. 5 mm, and the channel can serve as a liquid passage for injecting liquid into the fallopian tube, and can also serve as a passage for the instrument to enter.
  • the soft fallopian tube mirror the optical system thereof can be divided into an electronic or non-electronic optical system.
  • the rear end of the soft fallopian tube mirror is provided with a cold light source connector and an eyepiece input end; and, when it is an electro-optical system, the rear end of the soft fallopian tube mirror is provided Graphic data output interface.
  • the rigid hysteroscope 12 may further be provided with a micro ultrasonic probe including a micro probe driver, a micro probe, a micro probe end and a micro probe tip end, and the micro probe end
  • a micro ultrasonic probe including a micro probe driver, a micro probe, a micro probe end and a micro probe tip end, and the micro probe end
  • the device protrudes from the end outlet of the hard hysteroscope through a rigid hysteroscope instrument channel.
  • the hard hysteroscopic endoscope main body can also adopt an optical system formed by an electronic image processor.
  • the optical system formed by the electronic image processor is an electronic CCD optical system, and the CCD chip adopts 1/4", at least 480,000 effective pixel CCD, lens field of view 100 ° or more, CCD chip structure is installed at the front end of the main endoscope. Doctors can choose according to the actual situation of the patient.
  • FIG. 4 it is a schematic diagram of the work of the soft and hard hysteroscopic and fallopian tube mirror systems. After the rigid hysteroscopic lens 1 enters the uterine cavity 91, routine hysteroscopic surgery can be performed to completely diagnose the lesions of the uterine cavity 91. The hard hysteroscopic lens 1 is located after the entrance of the fallopian tube 92 of the uterine cavity 91 is clearly found.
  • the hysteroscope 1 is fixed by a fixing device, and then the soft fallopian tube 2 is inserted into the fallopian tube 92 through the outlet of the instrument channel 122 of the hard hysteroscope 1 through the channel 22 of the soft fallopian tube 2
  • the fallopian tube 92 is filled with water, and the condition of the fallopian tube 92 is clearly observed and treated.
  • the lesion of the fallopian tube 92 can also be treated by the passage of the soft fallopian tube 2 channel.

Description

软硬子母宫腔镜、 输卵管镜系统 技术领域
本发明属于医用器械领域， 具体涉及现代医学开展妇科内镜手术的一种核心医疗工具一 软硬子母宫腔镜、 输卵管镜系统。
现有技术
宫腔镜是一种光学仪器， 用来做子宫腔的观察、 诊断及治疗， 它能清晰地观察到了宫腔 内的各种改变， 明确做出诊断。 利用宫腔镜技术可直接检视子宫腔内病变， 进行定位采集病 变组织送检， 诊断准确、 及时、 全面、 直观， 可早期发现癌性病变。
宫腔镜作为诊断和治疗宫腔病变的主要工具之一， 而宫腔镜由于其镜身为硬质材料所制 造， 而且直径粗大， 不能进入与子宫颈相连通的输卵管内， 这样， 输卵管内的一些病变等就 很难较为准确的观察到。
发明内容
本发明的目的在于针对妇科疾病的新趋势， 提出一种软硬结合的软硬子母宫腔镜、 输卵 管镜系统， 结合硬质宫腔母镜和软质输卵管子镜， 可以对子宫腔内和输卵管内的病变同时进 行诊治和治疗， 使用方便可靠， 有效地提高子宫疾病的治愈率。
为了解决上述技术目的， 本发明是通过以下技术方案来实现的：
本发明所述的软硬子母宫腔镜、 输卵管镜系统， 包括硬质宫腔母镜系统和软质输卵管子 镜系统， 所述硬质宫腔母镜系统包括硬质宫腔镜、 与宫腔镜连接的宫腔镜鞘管， 所述硬质宫 腔镜包括内镜主体， 与内镜主体相连通的器械通道、 目镜输入端、 冷光源输入端， 以及置于 内镜主体前端的内镜端部、 内镜先端部； 所述宫腔镜鞘管包括鞘管主体、 与鞘管主体连通的 进水通道、 出水通道及设置于鞘管主体前端的鞘管端部； 所述软质输卵管子镜系统为软质输 卵管镜， 所述软质输卵管镜包括软质的工作端部和液体通道； 所述硬质宫腔镜内镜主体上至 少设置有一条用于供软质输卵管镜的软质工作端部进入的直线性器械通道， 所述软质输卵管 镜的工作端部。
在本发明中， 所述直线性器械通道直径 3. 5mm， 所述软质输卵管镜的工作端部由可弯曲 纤维材料制造而成， 其直径 3. 0讓， 长度 1000讓， 所述输卵管镜的液体通道直径 1. 5m， 该液体通道除了作为对输卵管注液体的液体通道， 还可以作为器械进入的通道。
在本发明中， 所述软质输卵管镜， 其光学系统可以分为电子或者非电子性光学系统。 当 软质输卵管镜采用的是非电子性光学系统时， 软质输卵管镜的后端设有冷光源接头和目镜输 入端； 而当软质输卵管镜采用的是电子性光学系统是， 软质输卵管镜的后端设有图形数据输 出接口。
在本发明中， 所述硬质宫腔镜采用的是非电子性的光学系统， 为了提高该硬质宫腔镜的 图像质量， 所述硬质宫腔镜上还设置有微型超声探头， 所述微型超声探头包括微型探头驱动 器、 微型探头、 微型探头端部及微型探头先端部， 所述微型探头端部通过硬质宫腔镜的器械 通道从硬质宫腔镜的端部出口伸出， 微型超声探头进行实时超声扫描， 可获得子宫壁各层及 子宫周围脏器的变化图像。
当然， 在本发明中， 硬质宫腔镜也可以采用电子图像处理器形成的光学系统， 所述电子 图像处理器形成的光学系统为电子 CCD光学系统，其 CCD芯片采用 1/4" ，至少 48万有效像 素的 CCD, 镜头视场角 100 ° 或以上， CCD芯片结构安装在主体内镜的先端部。
与现有技术相比， 本发明的有益效果是：
本发明的软硬子母宫腔镜、输卵管镜系统， 把软质的输卵管镜与硬质的宫腔镜有机结合， 不仅能解决子宫腔内的病变， 也能观察到输卵管的病变， 扩大了妇科宫腔镜手术的范围， 增 加了检查和诊治的准确性。
附图说明
图 1是本发明的软硬子母宫腔镜、 输卵管镜系统示意图。
图 2是本发明的硬质宫腔母镜示意图。
图 3是本发明的软质输卵管镜示意图。
图 4是本发明的软硬子母宫腔镜、 输卵管镜系统手术示意图。
具体实施方式
下面结合附图对本发明作进一步的详述：
如图 1所示， 本发明所述的软硬子母宫腔镜、 输卵管镜系统， 包括硬质宫腔镜母镜系统 和软质输卵管子镜系统， 硬质宫腔镜母镜系统包括硬质宫腔母镜 1及其摄像系统 7， 监视器 8和冷光源主机 6; 软质输卵管子镜系统包括软质输卵管镜 2及其摄像系统 4， 监视器 5和冷 光源主机 3。
如图 2所示， 在本发明中所述硬质宫腔母镜 1包括硬质宫腔镜 12、 与宫腔镜连接的宫腔 镜鞘管 11， 所述硬质宫腔镜 12包括内镜主体 121， 与内镜主体 121相连通的器械通道 122、 目镜输入端 124、 冷光源输入端 123， 以及置于内镜主体前端的内镜端部、 内镜先端部； 所述 宫腔镜鞘管 11包括鞘管主体 111、 与鞘管主体 111连通的进水通道、 出水通道及设置于鞘管 主体前端的鞘管端部 112。
如图 3所示， 所述软质输卵管子镜系统 2为软质输卵管镜， 所述软质输卵管镜包括软质 的工作端部 21和液体通道； 在本发明中， 所述硬质宫腔镜内镜主体 111上至少设置有一条用 于供软质输卵管镜的软质工作端部 21进入的直线性器械通道， 由上述可知， 器械通道 122即 为供软质输卵管镜的软质工作端部 21进入的直线性器械通道，直线性器械通道直径 3. 5mm; 所述软质输卵管镜的工作端部的直径 3. 0mm， 其设计依据是经解剖学证明， 人体输卵管的一 般直径 < 3. 0mm, 所以软质输卵管镜的工作端部 21的直径必须 3. 0mm, 工作端部 21的长度 ^ 1000mm, 输卵管镜设置有一个直径小于等于 1. 5mm的通道， 通道可以作为对输卵管注液体 的液体通道， 也能作为器械进入的通道。
在本发明中， 所述软质输卵管镜， 其光学系统可以分为电子或者非电子性光学系统。 当 为非电子性光学系统时， 所述软质输卵管镜的后端设有冷光源接头和目镜输入端； 此外， 而 当其为电子光学系统时， 所述软质输卵管镜的后端设有图形数据输出接口。
此外， 在本发明中， 硬质宫腔镜 12上还可以设置有微型超声探头， 所述微型超声探头包 括微型探头驱动器、 微型探头、 微型探头端部及微型探头先端部， 所述微型探头端部通过硬 质宫腔镜的器械通道从硬质宫腔镜的端部出口伸出。 当然， 所述硬质宫腔镜内镜主体也可以 采用电子图像处理器形成的光学系统， 通常该电子图像处理器形成的光学系统为电子 CCD光 学系统， 其 CCD芯片采用 1/4" ，至少 48万有效像素的 CCD, 镜头视场角 100 ° 或以上， CCD 芯片结构安装在主体内镜的先端部。 医生可以根据病患的实际情况需要进行选用。
如图 4所示， 是软硬子母宫腔镜、 输卵管镜系统的工作示意图。 硬质宫腔母镜 1进入宫 腔 91后， 进行常规的宫腔手术， 可以对宫腔 91的病变进行彻底地诊治， 硬质宫腔母镜 1在 清楚找到子宫腔 91的输卵管 92入口后， 利用固定设备固定住宫腔镜 1， 然后软质输卵管镜 2 以硬质宫腔母镜 1的器械通道 122的出口为平台， 进入输卵管 92里面， 通过软质输卵管镜 2 的通道 22可以向输卵管 92注水， 清晰观察输卵管 92的情况并诊治， 还可以通过软质输卵管 镜 2的通道通入器械， 对输卵管 92的病变进行处理。

Claims

权 利 要 求 书
1.软硬子母宫腔镜、 输卵管镜系统， 其特征在于： 包括硬质宫腔母镜系统和软质输卵管 子镜系统， 所述硬质宫腔母镜系统包括硬质宫腔镜、 与宫腔镜连接的宫腔镜鞘管， 所述硬质 宫腔镜包括内镜主体， 与内镜主体相连通的器械通道、 目镜输入端、 冷光源输入端， 以及置 于内镜主体前端的内镜端部、 内镜先端部； 所述宫腔镜鞘管包括鞘管主体、 与鞘管主体连通 的进水通道、 出水通道及设置于鞘管主体前端的鞘管端部； 所述软质输卵管子镜系统为软质 输卵管镜， 所述软质输卵管镜包括软质的工作端部和液体通道； 所述硬质宫腔镜内镜主体上 至少设置有一条用于供软质输卵管镜的软质工作端部进入的直线性器械通道， 所述软质输卵 管镜的工作端部。
2.根据权利要求 1所述的软硬子母宫腔镜、 输卵管镜系统， 其特征在于： 所述直线性器 械通道直径 3. 5mm。
3.根据权利要求 2所述的软硬子母宫腔镜、 输卵管镜系统， 其特征在于： 所述软质输卵 管镜的工作端部由可弯曲纤维材料制造而成， 其直径 3. 0mm， 长度 lOOOmm; 所述输卵管镜 的液体通道直径 1. 5m。
4.根据权利要求 3所述的软硬子母宫腔镜、 输卵管镜系统， 其特征在于： 所述软质输卵 管镜， 其光学系统可以分为电子或者非电子性光学系统。
5.根据权利要求 4所述的软硬子母宫腔镜、 输卵管镜系统， 其特征在于： 所述软质输卵 管镜的后端设有冷光源接头和目镜输入端。
6.根据权利要求 4所述的软硬子母宫腔镜、 输卵管镜系统， 其特征在于： 所述软质输卵 管镜的后端设有图形数据输出接口。
7.根据权利要求 1至 6任一项所述的软硬子母宫腔镜、 输卵管镜系统， 其特征在于： 所 述硬质宫腔镜上还设置有微型超声探头， 所述微型超声探头包括微型探头驱动器、微型探头、 微型探头端部及微型探头先端部， 所述微型探头端部通过硬质宫腔镜的器械通道从硬质宫腔 镜的端部出口伸出。
8.根据权利要求 1至 6任一项所述的软硬子母宫腔镜、 输卵管镜系统， 其特征在于： 所 述硬质宫腔镜内镜主体采用电子图像处理器形成的光学系统。
9.根据权利要求 8所述带通道的硬质电子宫腔镜系统， 其特征在于： 所述电子图像处理 器形成的光学系统为电子 CCD光学系统，其 CCD芯片采用 1/4" ，至少 48万有效像素的 CCD, 镜头视场角 100 ° 或以上， CCD芯片结构安装在主体内镜的先端部。
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