WO2012006767A1 - 诊疗一体化共聚焦显微硬质内镜系统 - Google Patents

诊疗一体化共聚焦显微硬质内镜系统 Download PDF

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Publication number
WO2012006767A1
WO2012006767A1 PCT/CN2010/001570 CN2010001570W WO2012006767A1 WO 2012006767 A1 WO2012006767 A1 WO 2012006767A1 CN 2010001570 W CN2010001570 W CN 2010001570W WO 2012006767 A1 WO2012006767 A1 WO 2012006767A1
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WIPO (PCT)
Prior art keywords
confocal
confocal microscopic
microscopic
endoscope
laser
Prior art date
Application number
PCT/CN2010/001570
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English (en)
French (fr)
Inventor
乔铁
Original Assignee
广州宝胆医疗器械科技有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Priority claimed from CN2010102278598A external-priority patent/CN102626303A/zh
Priority claimed from CN201010227937.4A external-priority patent/CN102631184B/zh
Priority claimed from CN2010102280831A external-priority patent/CN102697465A/zh
Priority claimed from CN 201010228093 external-priority patent/CN102018495A/zh
Priority claimed from CN2010102280460A external-priority patent/CN102599878A/zh
Priority claimed from CN2010102278757A external-priority patent/CN102846304A/zh
Priority claimed from CN2010102278935A external-priority patent/CN102657509A/zh
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
Publication of WO2012006767A1 publication Critical patent/WO2012006767A1/zh

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Classifications

    • 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
    • A61B1/00172—Optical arrangements with means for scanning
    • 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
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00096—Optical elements
    • 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
    • A61B1/307—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 urinary organs, e.g. urethroscopes, cystoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0062—Arrangements for scanning
    • A61B5/0068—Confocal scanning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter

Definitions

  • the invention relates to an integrated confocal microscopic endoscope system for diagnosis and treatment, belonging to the field of medical instruments. Background technique
  • endoscopic technology has been widely used in clinical practice and has become an important tool for the diagnosis and treatment of diseases.
  • the endoscope can enter the human body through the natural hole of the human body or through the surgical incision.
  • the doctor can observe the lesion in the body through the endoscope, and take effective treatment.
  • the ultrastructure of cells cannot be observed by conventional endoscopes.
  • doctors need to remove the diseased tissue from the human body and send it to the pathology department for morphological observation. This process requires It takes a long time, and it is often difficult to accurately determine the biopsy site when taking biopsy, which is not conducive to clinical timely diagnosis and treatment.
  • the object of the present invention is to provide an integrated confocal microscopic endoscope system for medical treatment, which combines advanced confocal microscopy technology, laser knife technology and microwave knife technology with hard endoscope technology to avoid
  • the endoscope is frequently replaced during the operation, so that when the lesion is found during the operation, the diagnosis can be confirmed at the same time and the operation can be performed immediately, thereby winning time for timely treatment and improving the safety and accuracy of the operation.
  • the integrated confocal microscopic rigid endoscope system for diagnosis and treatment comprises a confocal microscopic hard endoscope, a cold light source host, an endoscope system host, a confocal microscopy system host, a treatment system host, and an endoscope An image display and a confocal microscopic display;
  • the confocal microscopic hard endoscope includes a surgical end and an operating end, and the surgical end is integrated with a confocal microscopic laser head, a confocal microscope head, a light guiding fiber and an endoscope lens, wherein the operating end is provided with a cold light source input end and an image data output end; the cold light source input end is connected to the cold light source host; the image data output end Connected to the endoscope system host and the confocal microscope system host respectively; the endoscope system host is also connected to the endoscopic image display, and the confocal microscope system host is also Confocal microscopic display
  • the integrated confocal microscopic rigid endoscope system for diagnosis and treatment may further include a system keyboard and a foot control switch.
  • the system keyboard is coupled to the host system of the endoscope system and the host of the confocal microscope system for manipulation of the integrated confocal microscopic endoscope system for diagnosis and treatment by keyboard operation.
  • the foot control switch is connected to the treatment system host to facilitate the doctor to control the treatment system host during the operation.
  • the confocal microscopic rigid endoscope is further provided with an instrument channel therethrough, and the inlet of the instrument channel is disposed on the operation end of the confocal microscopic rigid endoscope, the instrument channel The outlet is placed on the end face of the confocal microscopic endoscopic surgical end.
  • the endoscopic lens preferably employs an optical lens having an angle of view of 100 or more.
  • the image data output end is preferably disposed at an angle of 45 to the longitudinal center axis of the confocal microhard endoscope to improve stability and grasp of the surgical procedure.
  • the treatment device of the present invention is a laser knife device
  • the treatment system host is a laser system host.
  • the laser system main body is provided with a cooling system and a treatment mode such as cutting, irradiation, and coagulation hemostasis.
  • the laser knife device is provided with a laser knife probe and a laser knife control interface, the laser knife probe is disposed on an end surface of the confocal microscopic rigid endoscopic surgical end, and the laser knife control interface is disposed at the confocal microscopy On the operating end of the hard endoscope.
  • the laser knife probe is provided with a groove, a laser fiber, a heat sink and a temperature sensor, wherein the laser fiber is placed in the groove, and the heat sink is wrapped on the outer layer of the laser fiber, and
  • the temperature sensor is connected to the cooling system of the laser system host through a metal wire.
  • the laser knife device may further be provided with a pushing device for controlling the expansion and contraction of the laser knife probe and a micro motor for driving the pushing device.
  • the treatment device of the present invention is a microwave knife device, and the treatment system host is a microwave system host.
  • the microwave system host is provided with a treatment mode such as hemostasis, coagulation, and burning, and the power range is 0 ⁇ 60W, and the power is continuously adjustable.
  • the microwave knife device is provided with a microwave knife probe and a microwave knife control interface, and the microwave knife probe is disposed on an end surface of the confocal microscopic rigid endoscopic surgical end, and the microwave knife control interface is disposed at the The confocal microscopic hard endoscope is on the operating end.
  • the microwave knife probe is made of a hard insulating material, and the microwave knife probe is provided with a needle body made of a stainless steel material, and the needle body can be a single pole needle, a bipolar needle or a multipole. Needle body. When a bipolar needle or a multipolar needle is used, the outer portion of each needle is also covered with an insulating layer.
  • the front end portion of the microwave knife probe is further provided with an insulating sleeve matched thereto.
  • the microwave knife device may further be provided with a pushing device for controlling the expansion and contraction of the microwave knife probe and a micro motor for driving the pushing device.
  • the confocal microscopic hard endoscope may be a confocal microscopic hard arthroscope, a confocal microscopic hard cholecystoscope, a confocal microscopic hard anorectal, and a confocal microscopic hard Laparoscopic, confocal microscopy, rigid cystoscopy, copolymerization Focused microscopic hard hysteroscopy or confocal microscopic hard colposcopy.
  • the present invention has the following beneficial effects:
  • the integrated confocal microscopic endoscope system for diagnosis and treatment introduces advanced confocal microscopy technology, laser knife technology and microwave knife technology on the basis of rigid endoscope, and adopts confocal microscopy system and laser knife
  • the hardware part of the system and the microwave knife system is integrated in the hard endoscope.
  • a confocal microscopic hard endoscope integrated with the diagnosis and treatment is formed, thereby avoiding frequent during the operation.
  • the endoscope is replaced, so that when the lesion is found during the operation, the diagnosis can be confirmed at the same time and the operation can be performed immediately, and the time for treatment can be improved, the safety and accuracy of the operation can be improved, and the health of the patient can be better ensured.
  • a doctor When a doctor discovers a suspicious lesion during surgery and needs a real-time biopsy, he can inject a dose of sodium fluorescein into the patient and control the confocal microscopy system to perform confocal laser scanning on the diseased tissue in the patient. Its microstructure, so that the microstructure of the diseased tissue is observed and diagnosed. If surgical treatment of the diseased tissue is required, laser treatment or microwave treatment can be performed on the diseased tissue in the patient by controlling the laser knife system or the microwave knife system without replacing the endoscope, thereby greatly shortening the operation time. Improve the safety and accuracy of the operation. DRAWINGS
  • FIG. 1 is a schematic view showing the structure of the integrated confocal microscopic hard arthroscopy system according to the first embodiment.
  • FIG. 2 is a schematic view showing the end face structure of the confocal microscopic hard arthroscope according to the first embodiment in use.
  • FIG 3 is a schematic view showing the end face structure of the confocal microscopic arthroscopic mirror according to the first embodiment in an idle state.
  • FIG. 4 is a schematic cross-sectional structural view of the laser knife probe according to the first embodiment.
  • FIG. 5 is a schematic structural view of the integrated confocal microscopic hard gallbladder mirror system according to the second embodiment.
  • FIG. 6 is a schematic view showing the end face structure of the confocal microscopic hard gallbladder mirror according to the second embodiment in use.
  • FIG. 7 is a schematic view showing the end face structure of the confocal microscopic hard gallbladder mirror according to the second embodiment in an idle state.
  • FIG. 8 is a cross-sectional structural view of the microwave knife probe according to the second embodiment.
  • Figure 9 is a schematic view showing the structure of a confocal microscopic hard anorectal mirror according to the third embodiment.
  • Figure 10 is a schematic view showing the end face structure of the confocal microscopic hard anorectal mirror of the third embodiment.
  • Figure 11 is a schematic view showing the structure of a confocal microscopic hard laparoscope according to the fourth embodiment.
  • Figure 12 is a schematic view showing the end face structure of the confocal microscopic hard laparoscope according to the fourth embodiment.
  • Figure 13 is a schematic view showing the structure of a confocal microscopic rigid cystoscope according to the fifth embodiment.
  • Figure 14 is a schematic view showing the end face structure of the confocal microscopic rigid cystoscope according to the fifth embodiment.
  • Figure 15 is a schematic view showing the structure of a confocal microscopic hard hysteroscope according to the sixth embodiment.
  • Figure 16 is a schematic view showing the end face structure of the confocal microhard hysteroscope according to the sixth embodiment.
  • Figure 17 is a schematic view showing the structure of a confocal microscopic hard colposcope according to the seventh embodiment.
  • Figure 18 is a schematic view showing the end face structure of the confocal microscopic rigid colposcope according to the seventh embodiment. detailed description
  • Example 1 Diagnosis and treatment integrated confocal microscopic arthroscopic system
  • the integrated concentric microscopic hard arthroscopy system of the present invention includes a confocal microscopic hard arthroscope 11, a cold light source host 12, an endoscope system host 13, and a confocal microscopy system.
  • the system keyboard 16 is connected to the endoscope system main unit 13 and the confocal microscope system main unit 14, and the doctor can operate the system by keyboard operation.
  • the laser system main unit 15 has a cooling system and a variety of laser knife treatment modes, including treatment modes such as cutting, irradiation, and coagulation hemostasis.
  • the confocal microscopic arthroscope 11 is provided with a surgical end 11A and an operating end 11B.
  • the length of the surgical end 11A is about 150 mm to 200 mm and the diameter is 12.0 mm.
  • the operating end 11B is provided with a cold light source input end 111 and an image data output end. 112 and laser knife control interface 113.
  • the cold light source input terminal 111 is connected to the cold light source host 12.
  • the image data output terminal 112 is connected to the endoscope system main unit 13 and the confocal microscope system main unit 14 through data lines, respectively, and the endoscope system main unit 13 is connected to the endoscopic image display unit 17 through the data line, the confocal microscope system host.
  • the laser knife control interface 113 is connected to the laser system main unit 15, and the laser system main unit 15 is also connected to the foot control switch 19, and the doctor can control the laser knife system through the foot control switch 19.
  • the laser knife control interface 113 is disposed on the longitudinal central axis of the confocal microscopic arthroscope 11, and the image data output end 112 is disposed to be combined with the confocal microscopic arthroscope 11
  • the longitudinal center axis is at an angle of 45°.
  • the confocal microscopic arthroscopic mirror 11 is further provided with an instrument passage 114 having a diameter of 3.0 mm, the inlet of the instrument passage 114 being disposed on the operating end 11B, and the outlet 114' being disposed on the end surface of the surgical end 11A.
  • the confocal microscopic arthroscopic mirror 11 is integrated with a confocal microscopic laser head 115, a confocal microscope head 116, a light guiding fiber 117, an endoscopic lens 118, and a laser knife probe 119 on the end surface of the surgical end 11A, thereby forming a diagnosis and treatment.
  • a confocal microscopic hard arthroscopy is made of a material that is resistant to high temperature, light, light, and non-fragile, such as quartz, gems, and the like.
  • the endoscope lens 118 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°.
  • a confocal device for controlling the expansion and contraction of the laser knife probe 119 and a micro motor for driving the pushing device are also provided in the confocal microscopic arthroscopic mirror 11.
  • the laser knife probe 119 can be pushed out by the pushing device to the end surface of the surgical end 11A by about 5 mm (as shown in FIG. 2); after the end of the operation, the laser knife probe 119 is retracted to the surgical end by the pushing device. Inside the end face of 11A (as shown in Figure 3).
  • the laser knife probe 119 is provided with a recess 1191, a laser fiber 1192, a heat sink 1193, and a temperature sensor 1194.
  • the laser fiber 1192 is placed in the recess 1191, and the arrangement of the recess 1191 facilitates uniform dispersion of the laser.
  • the heat sink 1193 is wrapped around the outer layer of the laser fiber 1192 for effective heat dissipation.
  • the temperature sensor 1194 is also connected to the cooling system in the laser system main unit 15 through a metal wire to accurately feed back the temperature of the laser knife probe 119 to the laser system main unit 15. When the temperature of the laser knife probe 119 is too high, the cooling system is strengthened. Protect the laser knife probe by dissipating heat, weakening the laser intensity, or cutting off the power.
  • Example 2 Diagnosis and treatment integrated confocal microscopic hard gallbladder mirror system
  • the integrated confocal microscopic hard gallbladder mirror system of the present invention comprises a confocal microscopic hard gallbladder mirror 21, a cold light source host 22, an endoscope system host 23, and a confocal microscopy system.
  • the system keyboard 26 is connected to the endoscope system main unit 23 and the confocal microscope system main unit 24, and the doctor can operate the system by keyboard operation.
  • the microwave system host 25 is provided with a treatment mode such as hemostasis, coagulation, and burning.
  • the power range is 0 ⁇ 60W, and the power is continuously adjustable.
  • the confocal microscopic hard gallbladder mirror 21 is provided with a surgical end 21 A and an operating end 21B.
  • the length of the surgical end 21 A is about 250 mm to 300 mm and the diameter is 12.0 mm.
  • the operating end 21B is provided with a cold light source input end 211 and image data.
  • the cold light source input terminal 211 is connected to the cold light source host 22.
  • the image data output terminal 212 is connected to the endoscope system main unit 23 and the confocal microscope system main unit 24 through the data line, respectively, and the endoscope system main unit 23 is connected to the endoscopic image display unit 27 through the data line, the confocal microscope system host.
  • the microwave knife control interface 213 is connected to the microwave system main unit 25, and the microwave system main unit 25 is also connected to the foot control switch 29, and the doctor can control the microwave knife system through the foot control switch 29.
  • the microwave knife control interface 213 is disposed on the longitudinal central axis of the confocal microscopic hard gallbladder mirror 21, and the image data output terminal 212 is disposed to be combined with the confocal microscopic hard gallbladder mirror.
  • the longitudinal center axis of 21 is at an angle of 45°.
  • the confocal microhard cholecystoscope 21 is also provided with an instrument channel 214 extending therethrough and having a diameter of 3.0 mm.
  • the inlet of the instrument channel 214 is disposed on the operating end 21B, and the outlet 214' is disposed on the end surface of the surgical end 21A.
  • Fig. 6 is a schematic view showing the end face structure of the confocal microhard cholecystoscope 21 in use.
  • the confocal microscopic hard gallbladder mirror 21 is integrated with a confocal microscopic laser head 215, a confocal microscope head 216, and a light guide light on the end surface of the surgical end 21A.
  • the fiber 217, the endoscopic lens 218 and the microwave knife probe 219 form a confocal microscopic hard gallbladder mirror integrated with the diagnosis and treatment.
  • the microwave knife probe 219 is made of a hard insulating material and has a diameter of 3.0 mm.
  • the endoscope lens 218 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°.
  • a confocal device for controlling the expansion and contraction of the microwave knife probe 219 and a micro motor for driving the pushing device are also provided in the confocal microhard cholecystoscope 21.
  • the microwave knife probe 219 can be pushed out by the pushing device to the end surface of the surgical end 21A by about 5 mm (as shown in FIG. 6); after the end of the operation, the microwave knife probe 219 is retracted by the pushing device. To the end face of the surgical end 21 A (as shown in Figure 7).
  • Fig. 8 is a schematic sectional view showing the structure of the microwave knife probe 219.
  • the microwave knife probe 219 is provided with a three-pole needle 2191, and the three-pole needle body 2191 is made of a high-conductivity stainless steel material, and has high-efficiency microwave conductivity.
  • the outer portions of the respective needle bodies in the three-pole needle body 2191 are covered with an insulating layer 2192 to be insulated from each other.
  • the front end of the microwave knife probe 219 is also provided with an insulating sleeve 2193.
  • Example 3 Diagnosis and treatment integrated confocal microscopic anorectal system
  • the integrated confocal microscopic anorectal system of the present invention also includes a confocal microscopic anorectal, a cold light source.
  • the system keyboard is connected to the host system of the endoscope system and the host of the confocal microscope system.
  • the doctor can control the system through keyboard operation.
  • the foot control switch is connected to the laser system main unit, and the doctor can control the laser knife system through the foot control switch.
  • the laser system main unit also has a cooling system and a variety of laser knife treatment modes, including cutting, irradiation and coagulation hemostasis.
  • the endoscope system host is connected to the endoscopic image display via a data line
  • the confocal microscope system host is connected to the confocal microscopy display via a data line.
  • the endoscopic image data collected by the confocal microscopic hard anorectal is transmitted to the endoscopic image display through the endoscope system host
  • the confocal microscopic image data collected by the confocal microscope is transmitted to the common image through the confocal microscope system host. Focus on the microscopic display.
  • FIG 9 is a schematic view showing the structure of a confocal microscopic hard anorectal.
  • the confocal microscopic hard anorectal 31 is provided with a surgical end 31 A and an operating end 31B.
  • the length of the surgical end 31 A is about 300 mm to 450 mm and the diameter is 20.0 mm.
  • the operating end 31B is provided with a cold light source input end 311.
  • the cold light source input end 311 is connected to the cold light source host;
  • the image data output end 312 is respectively connected to the endoscope system host and the confocal microscope system host through the data line;
  • the laser knife control interface 313 is connected to the laser system host.
  • the laser knife control interface 313 is disposed on the longitudinal central axis of the confocal microscopic anorectal 31, and the image data output end 312 is disposed to be combined with the confocal microscopic anorectal 31.
  • the longitudinal center axis is at an angle of 45°.
  • the confocal microscopic hard anorectal 31 is also provided with an instrument channel 314 extending therethrough and having a diameter of 3.0 mm.
  • the inlet of the instrument channel 314 is disposed on the operating end 31B, and the outlet 314' is disposed on the end surface of the surgical end 31A.
  • Figure 10 is a schematic view showing the end face structure of the confocal microscopic hard anorectal end 31A.
  • the confocal microscopic hard anorectal lens 31 is integrated with a confocal microscopic laser head 315, a confocal microscope head 316, a light guiding optical fiber 317, an endoscopic lens 318, and a laser knife probe 319 on the end surface of the surgical end 31A, thereby forming a diagnosis and treatment.
  • the endoscope lens 318 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°.
  • the internal structure and manufacturing material of the laser knife probe 319 are the same as those of the laser knife probe 119 described in the first embodiment.
  • the confocal microscopic hard anorectoscope 31 is also provided with a pushing device for controlling the stretching of the laser knife probe 319 and a micro motor for driving the pushing device.
  • the laser knife probe 319 can be pushed out of the end surface of the surgical end 31A by the pushing device by about 5 mm; and after the end of the operation, the laser knife probe 319 is retracted into the end surface of the surgical end 31 A by the pushing device.
  • Example 4 Diagnosis and treatment integrated confocal microscopic hard laparoscopic system
  • the integrated confocal microscopic hard choledochoscopy system includes the confocal microscopic hard laparoscopic system and the cold light source.
  • the system keyboard is connected to the host system of the endoscope system and the host of the confocal microscope system.
  • the doctor can control the system through keyboard operation.
  • the foot control switch is connected to the microwave system main unit, and the doctor can control the microwave knife system through the foot control switch.
  • the microwave system host is also equipped with treatment modes such as hemostasis, coagulation, and burning.
  • the power range is 0-60W, the power is continuously adjustable, and different treatment modes can select different powers.
  • the endoscope system main unit is connected to the endoscopic image display through a data line, and the confocal microscopy system main unit is connected to the confocal microscopic display through a data line.
  • the endoscopic image data collected by the confocal microscopic hard laparoscope is transmitted to the endoscopic image display through the endoscope system host, and the confocal microscopic image data collected by the confocal microscope is transmitted to the common image through the confocal microscope system host. Focus on the microscopic display.
  • FIG 11 is a schematic view showing the structure of a confocal microscopic hard laparoscope.
  • the confocal microscopic hard laparoscope 41 is provided with a surgical end 41A and an operating end 41B.
  • the length of the surgical end 41A is about 150 mm to 250 mm and the diameter is 15.0 mm.
  • the operating end 41B is provided with a cold light source input end 411, and an image.
  • Data output 412 and microwave knife control interface 413 The cold light source input end 411 is connected to the cold light source host;
  • the image data output end 412 is respectively connected to the endoscope system host and the confocal microscope system host through the data line; and the microwave knife control interface 413 is connected to the microwave system host. .
  • the microwave knife control interface 413 is disposed on the longitudinal central axis of the confocal microscopic hard laparoscope 41, and the image data output end 412 is set to be combined with the confocal microscopic hard laparoscope.
  • the longitudinal center axis of 41 is at an angle of 45°.
  • the coke microscopic hard laparoscope 41 is further provided with an instrument channel 414 extending therethrough and having a diameter of 3.0 mm.
  • the inlet of the instrument channel 414 is disposed on the operating end 41B, and the outlet 414' is disposed on the end surface of the surgical end 41A.
  • Figure 12 is a schematic view showing the end face structure of the confocal microscopic hard laparoscopic surgical end 41A.
  • the confocal microscopic hard laparoscope 41 is integrated with a confocal microscopic laser head 415, a confocal microscope head 416, and a light guiding fiber on the end surface of the surgical end 41A. 417, an endoscopic lens 418 and a microwave knife probe 419, thereby forming a confocal microscopic hard laparoscope integrated with the diagnosis and treatment.
  • the endoscope lens 418 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°.
  • the internal structure and manufacturing material of the microwave knife probe 419 are the same as those of the microwave knife probe 219 described in the second embodiment.
  • a propelling device for controlling the expansion and contraction of the microwave knife probe 419 and a micro motor for driving the pushing device are also provided in the confocal microscopic hard laparoscope 41.
  • the microwave knife probe 419 can be pushed out of the end surface of the surgical end 41A by the pushing device by about 5 mm; and after the end of the operation, the microwave knife probe 419 is retracted to the end surface of the surgical end 41 A by the pushing device.
  • Example 5 Diagnosis and treatment integrated confocal microscopic rigid cystoscopy system
  • the integrated confocal microscopic rigid cystoscopy system of the present invention also includes a confocal microscopic rigid cystoscope and a cold light source.
  • the system keyboard is connected to the host system of the endoscope system and the host of the confocal microscope system.
  • the doctor can control the system through keyboard operation.
  • the foot control switch is connected to the laser system main unit, and the doctor can control the laser knife system through the foot control switch.
  • the laser system main unit also has a cooling system and a variety of laser knife treatment modes, including cutting, irradiation and coagulation hemostasis.
  • the endoscope system host is connected to the endoscopic image display via a data line
  • the confocal microscope system host is connected to the confocal microscopy display via a data line.
  • the endoscopic image data collected by the confocal microscopic rigid cystoscope is transmitted to the endoscopic image display through the endoscope system host, and the confocal microscopic image data collected by the confocal microscope is transmitted to the common image through the confocal microscope system host. Focus on the microscopic display.
  • FIG 13 is a schematic view showing the structure of a confocal microscopic rigid cystoscope.
  • the confocal microscopic rigid cystoscope 51 is provided with a surgical end 51A and an operating end 51B.
  • the length of the surgical end 51A is about 220 mm to 270 mm, and the diameter is 9.0 mm.
  • the operating end 51B is provided with a cold light source input end 511, and an image.
  • Data output 512 and laser knife control interface 513 is connected to the cold light source input end 511 is connected to the cold light source host;
  • the image data output end 512 is respectively connected to the endoscope system main unit and the coke microscopy system main body through the data line; and the laser knife control interface 513 is connected to the laser system main unit.
  • the laser knife control interface 513 is disposed on the longitudinal central axis of the confocal microscopic rigid cystoscope 51, and the image data output terminal 512 is disposed to be combined with the confocal microscopic rigid cystoscope 51.
  • the longitudinal center axis is at an angle of 45°.
  • the coke microscopic rigid cystoscope 51 is further provided with an instrument channel 514 extending therethrough and having a diameter of 3.0 mm.
  • the inlet of the instrument channel 514 is disposed on the operating end 51B, and the outlet 514' is disposed on the end surface of the surgical end 51A.
  • the outer side of the surgical end 51A is also covered with a sheath portion 510 which is snapped together by a bayonet 5101.
  • the sheath portion 510 has a length of about 180 mm to 220 mm and a diameter of 12.0 mm, and is provided with a water inlet passage 5102 and a water outlet passage 5103 extending therethrough, and the ends thereof are curved and blunt.
  • FIG 14 is a schematic view showing the end face structure of the surgical end 51 A of the confocal microscopic rigid cystoscope.
  • Confocal microscopic rigid cystoscope 51 is integrated with a confocal microscopic laser head 515, a confocal microscope head 516, an endoscopic lens 517, a laser knife probe 518 and a light guiding optical fiber on the end surface of the surgical end 51A, thereby forming a confocal microscopic rigid integrated diagnosis and treatment.
  • the endoscope lens 517 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°.
  • the internal structure and manufacturing material of the laser knife probe 518 are the same as those of the laser knife probe 119 described in the first embodiment.
  • a propelling device for controlling the telescoping of the laser knife probe 518 and a micro motor for driving the pushing device are also provided in the confocal microscopic rigid cystoscope 51.
  • the laser knife probe 518 can be pushed out of the end surface of the surgical end 51A by the pushing device by about 5 mm; and after the end of the operation, the laser knife probe 518 is retracted into the end surface of the surgical end 51A by the pushing device.
  • Example 6 Diagnosis and treatment integrated confocal microscopic hard hysteroscopy system
  • the integrated confocal microscopic hard cholecystoscope system of the present invention also includes confocal microscopic hard hysteroscopy, Cold light source host, endoscope system host, confocal microscope system host, microwave system host, system keyboard, endoscopic image display, confocal microscopy, and foot control switch.
  • the system keyboard is connected to the host system of the endoscope system and the host of the confocal microscope system.
  • the doctor can control the system through keyboard operation.
  • the foot control switch is connected to the microwave system main unit, and the doctor can control the microwave knife system through the foot control switch.
  • the microwave system host is also equipped with treatment modes such as hemostasis, coagulation, and burning.
  • the power range is 0-60W, the power is continuously adjustable, and different treatment modes can select different powers.
  • the endoscope system main unit is connected to the endoscopic image display through a data line, and the confocal microscopy system main unit is connected to the confocal microscopic display through a data line.
  • the endoscopic image data collected by confocal microsurgical hysteroscopy is transmitted to the endoscopic image display through the endoscope system host, and the confocal microscopic image data collected by the confocal microscope is transmitted to the host through the confocal microscope system. Confocal microscopic display.
  • FIG. 15 is a schematic view showing the structure of a confocal microscopic hard hysteroscope.
  • the confocal microscopic hard hysteroscope 61 is provided with a surgical end 61A and an operating end 61B.
  • the length of the surgical end 61A is about 250 mm to 300 mm and the diameter is 10.0 mm.
  • the operating end 61B is provided with a cold light source input end 611.
  • Image data output 612 and microwave knife control interface 613 is connected to the cold light source host;
  • the image data output end 612 is respectively connected to the endoscope system host and the confocal microscope system host through the data line; and the microwave knife control interface 613 is connected to the microwave system host. .
  • the microwave knife control interface 613 is disposed on the longitudinal central axis of the confocal microscopic hard hysteroscope 61, and the image data output end 612 is set to the confocal microscopic hard palace.
  • the longitudinal center axis of the mirror 61 is at an angle of 45°.
  • the coke microscopic hard hysteroscope 61 is further provided with an instrument channel 614 extending therethrough and having a diameter of 3.0 mm.
  • the inlet of the instrument channel 614 is disposed on the operating end 61B, and the outlet 614' is disposed on the end surface of the surgical end 61A.
  • the outer side of the surgical end 61A is also covered with a sheath portion 610 which is snapped together by a bayonet 6101.
  • the sheath portion 610 has a length of about 150 mm to 250 mm and a diameter of 12.0 mm, and has a water inlet passage 6102 and a water outlet passage 6103 extending therethrough.
  • FIG 16 is a schematic view showing the end face structure of the confocal microscopic hard hysteroscopic surgical end 61A.
  • Confocal microscopic hard hysteroscopy 61 is integrated with a confocal microscopic laser head 615, a confocal microscope head 616, an endoscopic lens 617, a microwave knife probe 618 and a light guiding optical fiber on the end surface of the surgical end 61A, thereby forming a confocal microscopic hard integrated diagnosis and treatment.
  • Hysteroscopic surgery The endoscope lens 617 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°.
  • a confocal microscopic hard hysteroscope 61 is also provided with a pushing device for controlling the expansion and contraction of the microwave knife probe 618 and a micro motor for driving the pushing device.
  • the microwave knife probe 618 can be pushed out by the pushing device to the end surface of the surgical end 61A by about 5 mm; and after the end of the operation, the microwave knife probe 618 is retracted to the end surface of the surgical end 61 A by the pushing device.
  • Example 7 Diagnosis and treatment integrated confocal microscopic hard colposcopy system
  • the integrated confocal microscopic hard arthroscopy system includes the confocal microscopic hard colposcope and the cold light source.
  • the system keyboard is connected to the host system of the endoscope system and the host of the confocal microscope system.
  • the doctor can control the system through keyboard operation.
  • the foot control switch is connected to the laser system main unit, and the doctor can control the laser knife system through the foot control switch.
  • the laser system main unit also has a cooling system and a variety of laser knife treatment modes, including cutting, irradiation and coagulation hemostasis.
  • the endoscope system host is connected to the endoscopic image display via a data line, and the confocal microscope system host is connected to the confocal microscopy display via a data line.
  • the endoscopic image data collected by the confocal microscopic hard colposcope is transmitted to the endoscopic image display through the host of the endoscope system, and the confocal microscopic image data collected by the confocal microscope is transmitted to the host through the confocal microscope system. Focus on the microscopic display.
  • FIG 17 is a schematic view showing the structure of a confocal microscopic hard colposcope.
  • the confocal microscopic hard colposcope 71 is provided with a surgical end 71A and an operating end 71B.
  • the length of the surgical end 71A is about 200 mm to 250 mm and the diameter is 20.0 mm.
  • the operating end 71B is provided with a cold light source input end 711, and an image.
  • Data output 712 and laser knife control interface 713 The cold light source input end 711 is connected to the cold light source host;
  • the image data output end 712 is respectively connected to the endoscope system main unit and the coke microscopy system main body through the data line; and the laser knife control interface 713 is connected to the laser system main unit.
  • the laser knife control interface 713 is disposed on the longitudinal central axis of the confocal microscopic colposcope 71, and the image data output terminal 712 is disposed to be confocal microscopic colposcope 71.
  • the longitudinal center axis is at an angle of 45°.
  • the coke microscopic hard colposcope 71 is further provided with an instrument channel 714 extending therethrough and having a diameter of 3.0 mm.
  • the inlet of the instrument channel 714 is disposed on the operating end 71B, and the outlet 714' is disposed on the end surface of the surgical end 71A.
  • Figure 18 is a schematic view showing the end face structure of the confocal microscopic rigid colposcopy end 71A.
  • the confocal microscopic hard colposcope 71 integrates a confocal microscopic laser head 715, a confocal microscope head 716, a light guiding optical fiber 717, an endoscopic lens 718, and a laser knife probe 719 on the end surface of the surgical end 71A to form a medical treatment.
  • Endoscope The lens 718 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°.
  • the internal structure and manufacturing material of the laser knife probe 719 are the same as those of the laser knife probe 119 described in the first embodiment.
  • a confocal microscopic hard colposcope 71 is also provided with a pushing device for controlling the stretching of the laser knife probe 719 and a micro motor for driving the pushing device.
  • the laser knife probe 719 can be pushed out of the end surface of the surgical end 71A by the pushing device by about 5 mm; and after the end of the operation, the laser knife probe 719 is retracted into the end surface of the surgical end 71A by the pushing device.

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Abstract

一种诊疗一体化共聚焦显微硬质内镜系统包括共聚焦显微硬质内镜（11）、冷光源主机（12）、内镜系统主机（13）、共聚焦显微系统主机（14）、治疗系统主机（15）、内镜图像显示器（17）和共聚焦显微显示器（18）。共聚焦显微硬质内镜（11）包括手术端（11A）和操作端（11B）。手术端（11A）在其端面上集成有共聚焦显微激光头（115）、共聚焦显微镜头（116）、导光光纤（117）和内镜镜头（118）。操作端（11B）上设有冷光源输入端（111）和图像数据输出端（112）。冷光源输入端（111）与冷光源主机（12）相连接。图像数据输出端（112）分别与内镜系统主机（13）和共聚焦显微系统主机（14）相连接。内镜系统主机（13）还与内镜图像显示器（16）相连接，而共聚焦显微系统主机（14）还与共聚焦显微显示器（18）相连接。共聚焦显微硬质内镜（11）还设置有治疗装置（119），所述治疗装置与治疗系统主机（15）相连接。

Description

诊疗一体化共聚焦显微硬质内镜系统 技术领域
本发明涉及一种诊疗一体化共聚焦显微硬质内镜系统， 属于医疗器械领域。 背景技术
目前， 内窥镜技术在临床上已经得到广泛的应用， 成为诊治疾病的一项重要工具。 内窥 镜可以经人体的天然孔道或者经手术切口进入人体内， 医生通过内窥镜可观察到体内的病变 情况， 从而采取有效的治疗手段。 然而， 通过传统的内窥镜无法观察到细胞的超微结构， 对 于不能确诊、 需要进行活检的情况， 医生需要通过手术从人体内取出病变组织， 再送到病理 科进行形态学观察， 这个过程需要花费较长的时间， 而且取活检时往往难以准确确定活检部 位， 不利于临床及时诊断和治疗。 此外， 医生发现病变后， 需要选择合适的设备施行手术， 因而往往需要频繁地更换内窥镜， 这也大大地浪费了宝贵的手术时间， 影响了手术的安全性 和准确性， 不利于手术的顺利开展。
随着科学和手术的进一步发展， 必然需要一种同时带有诊断和治疗双重功能的一体化内 镜系统， 在手术过程中发现病变时， 能够同时明确诊断并立即施行手术进行治疗， 从而节省 手术时间、 提高手术的安全性和准确性， 更好地确保患者的身体健康。 发明内容
本发明的目的在于提供一种诊疗一体化共聚焦显微硬质内镜系统， 该系统将先进的共聚 焦显微技术、 激光刀技术和微波刀技术与硬质内镜技术进行有机结合， 能够避免在手术过程 中频繁地更换内镜， 使得在手术过程中发现病变时， 能够同时明确诊断并立即施行手术进行 治疗， 从而为及时治疗赢取时间， 提高手术的安全性和准确性。
本发明的目的是通过以下技术方案实现的：
本发明所述的诊疗一体化共聚焦显微硬质内镜系统， 包括共聚焦显微硬质内镜、 冷光源 主机、 内镜系统主机、 共聚焦显微系统主机、 治疗系统主机、 内镜图像显示器和共聚焦显微 显示器； 所述的共聚焦显微硬质内镜包括手术端和操作端， 所述的手术端在其端面上集成有 共聚焦显微激光头、 共聚焦显微镜头、 导光光纤和内镜镜头， 所述的操作端上设有冷光源输 入端和图像数据输出端； 所述的冷光源输入端与所述的冷光源主机相连接； 所述的图像数据 输出端分别与所述的内镜系统主机和共聚焦显微系统主机相连接； 所述的内镜系统主机还与 所述的内镜图像显示器相连接， 而所述的共聚焦显微系统主机还与所述的共聚焦显微显示器 相连接； 所述的共聚焦显微硬质内镜还设置有治疗装置， 所述的治疗装置与所述的治疗系统 主机相连接。
本发明所述的诊疗一体化共聚焦显微硬质内镜系统， 还可以包括有系统键盘和脚踏控制 开关。 所述的系统键盘与所述的内镜系统主机和共聚焦显微系统主机相连接， 以通过键盘操 作实现对诊疗一体化共聚焦显微硬质内镜系统的操控。 所述的脚踏控制开关与所述的治疗系 统主机相连接， 便于医生在手术过程中对治疗系统主机进行控制。
在本发明中， 所述的共聚焦显微硬质内镜还设有贯穿其中的器械通道， 所述器械通道的 入口设置在共聚焦显微硬质内镜的操作端上， 所述器械通道的出口设置在共聚焦显微硬质内 镜手术端的端面上。
在本发明中， 所述的内镜镜头优选地采用视场角在 100°以上的光学镜头。
在本发明中， 所述的图像数据输出端优选地设置为与所述共聚焦显微硬质内镜的纵向中 轴线成 45°角， 以提高手术操作过程的稳定性和把握性。
作为一种优选的实施方式， 本发明所述的治疗装置为激光刀装置， 所述的治疗系统主机 为激光系统主机。 所述的激光系统主机设置有冷却系统以及切割、 照射和凝固止血等治疗模 式。 所述的激光刀装置设有激光刀探头和激光刀控制接口， 所述的激光刀探头设置在所述共 聚焦显微硬质内镜手术端的端面上， 所述的激光刀控制接口设置在所述共聚焦显微硬质内镜 的操作端上。 所述的激光刀探头内设置有凹槽、 激光光纤、 散热片和温度传感器， 所述的激 光光纤放置在所述的凹槽内， 所述的散热片包裹在所述激光光纤的外层， 而所述的温度传感 器通过金属导线与所述激光系统主机的冷却系统相连接。 优选地， 所述的激光刀装置还可设 置有用于控制所述激光刀探头伸缩的推动装置以及用于驱动所述推动装置的微型电机。
作为另一种优选的实施方式， 本发明所述的治疗装置为微波刀装置， 所述的治疗系统主 机为微波系统主机。 所述的微波系统主机设置有止血、 凝固、 灼除等治疗模式， 其功率范围 为 0~60W， 功率连续可调。 所述的微波刀装置设有微波刀探头和微波刀控制接口， 所述的微 波刀探头设置在所述共聚焦显微硬质内镜手术端的端面上， 所述的微波刀控制接口设置在所 述共聚焦显微硬质内镜的操作端上。 所述的微波刀探头是由硬质绝缘材料制成的， 微波刀探 头内设有由不锈钢材料制成的针体， 所述的针体可以选用单极针体、 双极针体或多极针体。 当选用双极针体或多极针体时， 每个针体的外部还覆设有绝缘层。 所述微波刀探头的前端部 还设有与之配合的绝缘套。 优选地， 所述的微波刀装置还可设置有用于控制所述微波刀探头 伸缩的推动装置以及用于驱动所述推动装置的微型电机。
在本发明中， 所述的共聚焦显微硬质内镜可以是共聚焦显微硬质关节镜、 共聚焦显微硬 质胆囊镜、 共聚焦显微硬质肛肠镜、 共聚焦显微硬质腹腔镜、 共聚焦显微硬质膀胱镜、 共聚 焦显微硬质宫腔镜或者共聚焦显微硬质阴道镜等。
与现有技术相比， 本发明具有以下有益效果：
本发明所述的诊疗一体化共聚焦显微硬质内镜系统是在硬质内镜的基础上引入先进的共 聚焦显微技术、 激光刀技术和微波刀技术， 将共聚焦显微系统、 激光刀系统和微波刀系统的 硬件部分集成在硬质内镜中， 在保持硬质内镜原有结构的基础上， 形成诊疗一体化的共聚焦 显微硬质内镜， 从而避免在手术过程中频繁地更换内镜， 使得在手术过程中发现病变时， 能 够同时明确诊断并立即施行手术进行治疗， 为及时治疗赢取时间， 提高手术的安全性和准确 性， 更好地确保患者的身体健康。
医生在手术过程中发现可疑病变需要进行实时活检时， 可以通过对患者注射一定剂量的 荧光素钠， 并通过控制共聚焦显微系统， 对患者体内的病变组织进行共聚焦激光扫描， 显微 放大其微观结构， 从而对病变组织进行微观结构的观察和诊断。 若需要对病变组织进行手术 治疗， 可以在不更换内镜的情况下， 通过控制激光刀系统或者微波刀系统， 从而对患者体内 的病变组织进行激光治疗或者微波治疗， 由此大大地缩短了手术时间， 提高了手术的安全性 和准确性。 附图说明
图 1是实施例一所述的诊疗一体化共聚焦显微硬质关节镜系统的结构示意图。
图 2是实施例一所述的共聚焦显微硬质关节镜在使用状态下的端面结构示意图。
图 3是实施例一所述的共聚焦显微硬质关节镜在闲置状态下的端面结构示意图。
图 4是实施例一所述的激光刀探头的剖面结构示意图。
图 5是实施例二所述的诊疗一体化共聚焦显微硬质胆囊镜系统的结构示意图。
图 6是实施例二所述的共聚焦显微硬质胆囊镜在使用状态下的端面结构示意图。
图 7是实施例二所述的共聚焦显微硬质胆囊镜在闲置状态下的端面结构示意图。
图 8是实施例二所述的微波刀探头的剖面结构示意图。
图 9是实施例三所述的共聚焦显微硬质肛肠镜的结构示意图。
图 10是实施例三所述的共聚焦显微硬质肛肠镜的端面结构示意图。
图 11是实施例四所述的共聚焦显微硬质腹腔镜的结构示意图。
图 12是实施例四所述的共聚焦显微硬质腹腔镜的端面结构示意图。
图 13是实施例五所述的共聚焦显微硬质膀胱镜的结构示意图。
图 14是实施例五所述的共聚焦显微硬质膀胱镜的端面结构示意图。
图 15是实施例六所述的共聚焦显微硬质宫腔镜的结构示意图。 图 16是实施例六所述的共聚焦显微硬质宫腔镜的端面结构示意图。
图 17是实施例七所述的共聚焦显微硬质阴道镜的结构示意图。
图 18是实施例七所述的共聚焦显微硬质阴道镜的端面结构示意图。 具体实施方式
下面结合附图对本发明的具体实施方式作进一步的详述。 实施例一： 诊疗一体化共聚焦显微硬质关节镜系统
如图 1所示， 本发明所述的诊疗一体化共聚焦显微硬质关节镜系统包括共聚焦显微硬质 关节镜 11、 冷光源主机 12、 内镜系统主机 13、 共聚焦显微系统主机 14、 激光系统主机 15、 系统键盘 16、 内镜图像显示器 17、共聚焦显微显示器 18以及脚踏控制开关 19。 系统键盘 16 与内镜系统主机 13和共聚焦显微系统主机 14相连接， 医生可通过键盘操作实现对本系统的 操控。激光系统主机 15设有冷却系统以及多种激光刀治疗模式， 包括切割、 照射及凝固止血 等治疗模式。 共聚焦显微硬质关节镜 11设有手术端 11A和操作端 11B， 手术端 11A的长度 约为 150mm〜200mm， 直径 12.0mm; 操作端 11B上设有冷光源输入端 111、 图像数据输出 端 112和激光刀控制接口 113。 冷光源输入端 111与冷光源主机 12相连接。 图像数据输出端 112分别通过数据线与内镜系统主机 13和共聚焦显微系统主机 14相连接， 而内镜系统主机 13通过数据线与内镜图像显示器 17相连接， 共聚焦显微系统主机 14通过数据线与共聚焦显 微显示器 18相连接， 从而将共聚焦显微硬质关节镜 11采集到的内镜图像数据和共聚焦显微 图像数据分别传送到内镜图像显示器 17和共聚焦显微显示器 18上。 激光刀控制接口 113与 激光系统主机 15相连接， 而激光系统主机 15还与脚踏控制开关 19相连接， 医生可通过脚踏 控制开关 19对激光刀系统进行操控。为了提高手术操作过程的稳定性和把握性， 激光刀控制 接口 113设置在共聚焦显微硬质关节镜 11的纵向中轴线上，而图像数据输出端 112设置为与 共聚焦显微硬质关节镜 11的纵向中轴线成 45°角。共聚焦显微硬质关节镜 11还设有贯穿其中 且直径 3.0mm的器械通道 114， 器械通道 114的入口设置在操作端 11B上， 其出口 114'则 设置在手术端 11A的端面上。
图 2是共聚焦显微硬质关节镜 11在使用状态下的端面结构示意图。共聚焦显微硬质关节 镜 11在其手术端 11A的端面上集成有共聚焦显微激光头 115、 共聚焦显微镜头 116、 导光光 纤 117、 内镜镜头 118和激光刀探头 119， 从而形成诊疗一体化的共聚焦显微硬质关节镜。 激 光刀探头 119采用耐高温、 光亮、 可透光且不易碎的材料制造， 例如石英、 宝石等。 内镜镜 头 118采用直径约为 1.5mm~3.0mm、 视场角 100°的光学镜头。 共聚焦显微硬质关节镜 11 内还设有用于控制激光刀探头 119伸缩的推动装置以及用于驱动该推动装置的微型电机。 采 用激光刀系统进行手术处理时， 可通过推动装置将激光刀探头 119推出手术端 11A的端面约 5mm (如图 2所示）； 而手术结束后， 再通过推动装置使激光刀探头 119回缩至手术端 11A 的端面内 （如图 3所示）。
图 4是激光刀探头 119的剖面结构示意图。 激光刀探头 119内设置有凹槽 1191、 激光光 纤 1192、 散热片 1193和温度传感器 1194。 激光光纤 1192放置在凹槽 1191内， 凹槽 1191的 设置有利于激光的均匀弥散。 散热片 1193包裹在激光光纤 1192的外层， 用于实现有效的散 热。 温度传感器 1194还通过金属导线与激光系统主机 15中的冷却系统相连接， 以将激光刀 探头 119的温度精确地反馈至激光系统主机 15， 当激光刀探头 119的温度过高时， 冷却系统 会通过加强散热、 减弱激光强度或切断电源的方式保护激光刀探头。 实施例二： 诊疗一体化共聚焦显微硬质胆囊镜系统
如图 5所示， 本发明所述的诊疗一体化共聚焦显微硬质胆囊镜系统包括共聚焦显微硬质 胆囊镜 21、 冷光源主机 22、 内镜系统主机 23、 共聚焦显微系统主机 24、 微波系统主机 25、 系统键盘 26、 内镜图像显示器 27、共聚焦显微显示器 28以及脚踏控制开关 29。 系统键盘 26 与内镜系统主机 23和共聚焦显微系统主机 24相连接， 医生可通过键盘操作实现对本系统的 操控。 微波系统主机 25设置有止血、 凝固、 灼除等治疗模式， 其功率范围为 0~60W， 功率 连续可调， 不同的治疗模式可对应选择不同的功率。 共聚焦显微硬质胆囊镜 21 设有手术端 21 A和操作端 21B， 手术端 21 A的长度约为 250mm〜300mm， 直径 12.0mm; 操作端 21B 上设有冷光源输入端 211、 图像数据输出端 212和微波刀控制接口 213。冷光源输入端 211与 冷光源主机 22相连接。 图像数据输出端 212分别通过数据线与内镜系统主机 23和共聚焦显 微系统主机 24相连接， 而内镜系统主机 23通过数据线与内镜图像显示器 27相连接， 共聚焦 显微系统主机 24通过数据线与共聚焦显微显示器 28相连接， 从而将共聚焦显微硬质胆囊镜 21采集到的内镜图像数据和共聚焦显微图像数据分别传送到内镜图像显示器 27和共聚焦显 微显示器 28上。微波刀控制接口 213与微波系统主机 25相连接， 而微波系统主机 25还与脚 踏控制开关 29相连接， 医生可通过脚踏控制开关 29对微波刀系统进行操控。 为了提高手术 操作过程的稳定性和把握性，微波刀控制接口 213设置在共聚焦显微硬质胆囊镜 21的纵向中 轴线上， 而图像数据输出端 212设置为与共聚焦显微硬质胆囊镜 21的纵向中轴线成 45°角。 共聚焦显微硬质胆囊镜 21还设有贯穿其中且直径 3.0mm的器械通道 214， 器械通道 214的 入口设置在操作端 21B上， 其出口 214'则设置在手术端 21A的端面上。
图 6是共聚焦显微硬质胆囊镜 21在使用状态下的端面结构示意图。共聚焦显微硬质胆囊 镜 21在其手术端 21A的端面上集成有共聚焦显微激光头 215、 共聚焦显微镜头 216、 导光光 纤 217、 内镜镜头 218和微波刀探头 219， 从而形成诊疗一体化的共聚焦显微硬质胆囊镜。微 波刀探头 219是由硬质绝缘材料制成， 其直径 3.0mm。 内镜镜头 218采用直径约为 1.5mm ~3.0mm、 视场角 ^ 100°的光学镜头。 共聚焦显微硬质胆囊镜 21 内还设有用于控制微波刀探 头 219伸缩的推动装置以及用于驱动该推动装置的微型电机。 采用微波刀系统进行手术处理 时， 可通过推动装置将微波刀探头 219推出手术端 21A的端面约 5mm (如图 6所示）； 而手 术结束后， 再通过推动装置使微波刀探头 219回缩至手术端 21 A的端面内 （如图 7所示）。
图 8是微波刀探头 219的剖面结构示意图。 微波刀探头 219内设有三极针体 2191， 三极 针体 2191均由高传导系数的不锈钢材料制成， 具有高效的微波传导性。 三极针体 2191中的 各个针体的外部都覆设有绝缘层 2192， 使之彼此绝缘隔绝。 微波刀探头 219的前端部还设有 与之配合的绝缘套 2193。 实施例三： 诊疗一体化共聚焦显微硬质肛肠镜系统
如实施例一所述的诊疗一体化共聚焦显微硬质关节镜系统， 本发明所述的诊疗一体化共 聚焦显微硬质肛肠镜系统同样包括共聚焦显微硬质肛肠镜、 冷光源主机、 内镜系统主机、 共 聚焦显微系统主机、 激光系统主机、 系统键盘、 内镜图像显示器、 共聚焦显微显示器以及脚 踏控制开关。 系统键盘与内镜系统主机和共聚焦显微系统主机相连接， 医生可通过键盘操作 实现对本系统的操控。 脚踏控制开关与激光系统主机相连接， 医生可通过脚踏控制开关对激 光刀系统进行操控。 激光系统主机还设有冷却系统以及多种激光刀治疗模式， 包括切割、 照 射及凝固止血等治疗模式。 内镜系统主机通过数据线与内镜图像显示器相连接， 共聚焦显微 系统主机通过数据线与共聚焦显微显示器相连接。 共聚焦显微硬质肛肠镜采集到的内镜图像 数据通过内镜系统主机传送到内镜图像显示器上， 而其采集到的共聚焦显微图像数据则通过 共聚焦显微系统主机传送到共聚焦显微显示器上。
图 9是共聚焦显微硬质肛肠镜的结构示意图。所述的共聚焦显微硬质肛肠镜 31设有手术 端 31 A和操作端 31B，手术端 31 A的长度约为 300mm〜450mm，直径 20.0mm;操作端 31B 上设有冷光源输入端 311、 图像数据输出端 312和激光刀控制接口 313。 其中， 冷光源输入端 311 与冷光源主机相连接； 图像数据输出端 312分别通过数据线与内镜系统主机和共聚焦显 微系统主机相连接； 激光刀控制接口 313与激光系统主机相连接。 为了提高手术操作过程的 稳定性和把握性， 激光刀控制接口 313设置在共聚焦显微硬质肛肠镜 31的纵向中轴线上， 而 图像数据输出端 312设置为与共聚焦显微硬质肛肠镜 31的纵向中轴线成 45°角。 共聚焦显微 硬质肛肠镜 31还设有贯穿其中且直径 3.0mm的器械通道 314， 器械通道 314的入口设置在 操作端 31B上， 其出口 314'则设置在手术端 31A的端面上。 图 10是共聚焦显微硬质肛肠镜手术端 31A的端面结构示意图。 共聚焦显微硬质肛肠镜 31在其手术端 31A的端面上集成有共聚焦显微激光头 315、 共聚焦显微镜头 316、 导光光纤 317、 内镜镜头 318和激光刀探头 319， 从而形成诊疗一体化的共聚焦显微硬质肛肠镜。 内镜 镜头 318采用直径约为 1.5mm~3.0mm、 视场角 100°的光学镜头。 激光刀探头 319的内部结 构和制造材料均与实施例一所述的激光刀探头 119相同。共聚焦显微硬质肛肠镜 31内还设有 用于控制激光刀探头 319伸缩的推动装置以及用于驱动该推动装置的微型电机。 采用激光刀 系统进行手术处理时， 可通过推动装置将激光刀探头 319推出手术端 31A的端面约 5mm; 而 手术结束后， 再通过推动装置使激光刀探头 319回缩至手术端 31 A的端面内。 实施例四： 诊疗一体化共聚焦显微硬质腹腔镜系统
如实施例二所述的诊疗一体化共聚焦显微硬质胆囊镜系统， 本发明所述的诊疗一体化共 聚焦显微硬质腹腔镜系统同样包括共聚焦显微硬质腹腔镜、 冷光源主机、 内镜系统主机、 共 聚焦显微系统主机、 微波系统主机、 系统键盘、 内镜图像显示器、 共聚焦显微显示器以及脚 踏控制开关。 系统键盘与内镜系统主机和共聚焦显微系统主机相连接， 医生可通过键盘操作 实现对本系统的操控。 脚踏控制开关与微波系统主机相连接， 医生可通过脚踏控制开关对微 波刀系统进行操控。 微波系统主机还设置有止血、 凝固、 灼除等治疗模式， 其功率范围为 0-60W, 功率连续可调， 不同的治疗模式可对应选择不同的功率。 内镜系统主机通过数据线 与内镜图像显示器相连接， 共聚焦显微系统主机通过数据线与共聚焦显微显示器相连接。 共 聚焦显微硬质腹腔镜采集到的内镜图像数据通过内镜系统主机传送到内镜图像显示器上， 而 其采集到的共聚焦显微图像数据则通过共聚焦显微系统主机传送到共聚焦显微显示器上。
图 11是共聚焦显微硬质腹腔镜的结构示意图。 所述的共聚焦显微硬质腹腔镜 41设有手 术端 41A和操作端 41B， 手术端 41A的长度约为 150mm〜250mm， 直径 15.0mm; 操作端 41B上设有冷光源输入端 411、 图像数据输出端 412和微波刀控制接口 413。 其中， 冷光源输 入端 411与冷光源主机相连接； 图像数据输出端 412分别通过数据线与内镜系统主机和共聚 焦显微系统主机相连接； 而微波刀控制接口 413与微波系统主机相连接。 为了提高手术操作 过程的稳定性和把握性，微波刀控制接口 413设置在共聚焦显微硬质腹腔镜 41的纵向中轴线 上， 而图像数据输出端 412设置为与共聚焦显微硬质腹腔镜 41的纵向中轴线成 45°角。 共聚 焦显微硬质腹腔镜 41还设有贯穿其中且直径 3.0mm的器械通道 414， 器械通道 414的入口 设置在操作端 41B上， 其出口 414'则设置在手术端 41A的端面上。
图 12是共聚焦显微硬质腹腔镜手术端 41A的端面结构示意图。 共聚焦显微硬质腹腔镜 41在其手术端 41A的端面上集成有共聚焦显微激光头 415、 共聚焦显微镜头 416、 导光光纤 417、 内镜镜头 418和微波刀探头 419， 从而形成诊疗一体化的共聚焦显微硬质腹腔镜。 内镜 镜头 418采用直径约为 1.5mm~3.0mm、 视场角 100°的光学镜头。 微波刀探头 419的内部结 构和制造材料均与实施例二所述的微波刀探头 219相同。共聚焦显微硬质腹腔镜 41内还设有 用于控制微波刀探头 419伸缩的推动装置以及用于驱动该推动装置的微型电机。 采用微波刀 系统进行手术处理时， 可通过推动装置将微波刀探头 419推出手术端 41A的端面约 5mm; 而 手术结束后， 再通过推动装置使微波刀探头 419回缩至手术端 41 A的端面内。 实施例五： 诊疗一体化共聚焦显微硬质膀胱镜系统
如实施例一所述的诊疗一体化共聚焦显微硬质关节镜系统， 本发明所述的诊疗一体化共 聚焦显微硬质膀胱镜系统同样包括共聚焦显微硬质膀胱镜、 冷光源主机、 内镜系统主机、 共 聚焦显微系统主机、 激光系统主机、 系统键盘、 内镜图像显示器、 共聚焦显微显示器以及脚 踏控制开关。 系统键盘与内镜系统主机和共聚焦显微系统主机相连接， 医生可通过键盘操作 实现对本系统的操控。 脚踏控制开关与激光系统主机相连接， 医生可通过脚踏控制开关对激 光刀系统进行操控。 激光系统主机还设有冷却系统以及多种激光刀治疗模式， 包括切割、 照 射及凝固止血等治疗模式。 内镜系统主机通过数据线与内镜图像显示器相连接， 共聚焦显微 系统主机通过数据线与共聚焦显微显示器相连接。 共聚焦显微硬质膀胱镜采集到的内镜图像 数据通过内镜系统主机传送到内镜图像显示器上， 而其采集到的共聚焦显微图像数据则通过 共聚焦显微系统主机传送到共聚焦显微显示器上。
图 13是共聚焦显微硬质膀胱镜的结构示意图。 所述的共聚焦显微硬质膀胱镜 51设有手 术端 51A和操作端 51B， 手术端 51A的长度约为 220mm〜270mm， 直径 9.0mm; 操作端 51B上设有冷光源输入端 511、 图像数据输出端 512和激光刀控制接口 513。 其中， 冷光源输 入端 511与冷光源主机相连接； 图像数据输出端 512分别通过数据线与内镜系统主机和共聚 焦显微系统主机相连接； 而激光刀控制接口 513与激光系统主机相连接。 为了提高手术操作 过程的稳定性和把握性，激光刀控制接口 513设置在共聚焦显微硬质膀胱镜 51的纵向中轴线 上， 而图像数据输出端 512设置为与共聚焦显微硬质膀胱镜 51的纵向中轴线成 45°角。 共聚 焦显微硬质膀胱镜 51还设有贯穿其中且直径 3.0mm的器械通道 514， 器械通道 514的入口 设置在操作端 51B上， 其出口 514'则设置在手术端 51A的端面上。 手术端 51A的外侧还覆 设有鞘管部分 510， 两者通过卡口 5101 卡接在一起。 鞘管部分 510 的长度约为 180mm〜 220mm, 直径 12.0mm， 其上还设有贯穿其中的进水通道 5102和出水通道 5103， 其端部呈 弯曲钝状。
图 14是共聚焦显微硬质膀胱镜手术端 51 A的端面结构示意图。 共聚焦显微硬质膀胱镜 51在其手术端 51A的端面上集成有共聚焦显微激光头 515、 共聚焦显微镜头 516、 内镜镜头 517、激光刀探头 518和导光光纤， 从而形成诊疗一体化的共聚焦显微硬质膀胱镜。 内镜镜头 517采用直径约为 1.5mm~3.0mm、 视场角 100°的光学镜头。 激光刀探头 518的内部结构和 制造材料均与实施例一所述的激光刀探头 119相同。共聚焦显微硬质膀胱镜 51内还设有用于 控制激光刀探头 518伸缩的推动装置以及用于驱动该推动装置的微型电机。 采用激光刀系统 进行手术处理时， 可通过推动装置将激光刀探头 518推出手术端 51A的端面约 5mm; 而手术 结束后， 再通过推动装置使激光刀探头 518回缩至手术端 51A的端面内。 实施例六： 诊疗一体化共聚焦显微硬质宫腔镜系统
如实施例二所述的诊疗一体化共聚焦显微硬质胆囊镜系统， 本发明所述的诊疗一体化共 聚焦显微硬质宫腔镜系统同样包括共聚焦显微硬质宫腔镜、 冷光源主机、 内镜系统主机、 共 聚焦显微系统主机、 微波系统主机、 系统键盘、 内镜图像显示器、 共聚焦显微显示器以及脚 踏控制开关。 系统键盘与内镜系统主机和共聚焦显微系统主机相连接， 医生可通过键盘操作 实现对本系统的操控。 脚踏控制开关与微波系统主机相连接， 医生可通过脚踏控制开关对微 波刀系统进行操控。 微波系统主机还设置有止血、 凝固、 灼除等治疗模式， 其功率范围为 0-60W, 功率连续可调， 不同的治疗模式可对应选择不同的功率。 内镜系统主机通过数据线 与内镜图像显示器相连接， 共聚焦显微系统主机通过数据线与共聚焦显微显示器相连接。 共 聚焦显微硬质宫腔镜采集到的内镜图像数据通过内镜系统主机传送到内镜图像显示器上， 而 其采集到的共聚焦显微图像数据则通过共聚焦显微系统主机传送到共聚焦显微显示器上。
图 15是共聚焦显微硬质宫腔镜的结构示意图。 所述的共聚焦显微硬质宫腔镜 61设有手 术端 61A和操作端 61B， 手术端 61A的长度约为 250mm〜300mm， 直径 10.0mm; 操作端 61B上设有冷光源输入端 611、 图像数据输出端 612和微波刀控制接口 613。 其中， 冷光源输 入端 611与冷光源主机相连接； 图像数据输出端 612分别通过数据线与内镜系统主机和共聚 焦显微系统主机相连接； 而微波刀控制接口 613与微波系统主机相连接。 为了提高手术操作 过程的稳定性和把握性，微波刀控制接口 613设置在共聚焦显微硬质宫腔镜 61的纵向中轴线 上， 而图像数据输出端 612设置为与共聚焦显微硬质宫腔镜 61的纵向中轴线成 45°角。 共聚 焦显微硬质宫腔镜 61还设有贯穿其中且直径 3.0mm的器械通道 614， 器械通道 614的入口 设置在操作端 61B上， 其出口 614'则设置在手术端 61A的端面上。 手术端 61A的外侧还覆 设有鞘管部分 610， 两者通过卡口 6101 卡接在一起。 鞘管部分 610 的长度约为 150mm〜 250mm, 直径 12.0mm， 其上还设有贯穿其中的进水通道 6102和出水通道 6103。
图 16是共聚焦显微硬质宫腔镜手术端 61A的端面结构示意图。 共聚焦显微硬质宫腔镜 61在其手术端 61A的端面上集成有共聚焦显微激光头 615、 共聚焦显微镜头 616、 内镜镜头 617、微波刀探头 618和导光光纤， 从而形成诊疗一体化的共聚焦显微硬质宫腔镜。 内镜镜头 617采用直径约为 1.5mm~3.0mm、 视场角 100°的光学镜头。 微波刀探头 618的内部结构和 制造材料均与实施例二所述的微波刀探头 219相同。共聚焦显微硬质宫腔镜 61内还设有用于 控制微波刀探头 618伸缩的推动装置以及用于驱动该推动装置的微型电机。 采用微波刀系统 进行手术处理时， 可通过推动装置将微波刀探头 618推出手术端 61A的端面约 5mm; 而手术 结束后， 再通过推动装置使微波刀探头 618回缩至手术端 61 A的端面内。 实施例七： 诊疗一体化共聚焦显微硬质阴道镜系统
如实施例一所述的诊疗一体化共聚焦显微硬质关节镜系统， 本发明所述的诊疗一体化共 聚焦显微硬质阴道镜系统同样包括共聚焦显微硬质阴道镜、 冷光源主机、 内镜系统主机、 共 聚焦显微系统主机、 激光系统主机、 系统键盘、 内镜图像显示器、 共聚焦显微显示器以及脚 踏控制开关。 系统键盘与内镜系统主机和共聚焦显微系统主机相连接， 医生可通过键盘操作 实现对本系统的操控。 脚踏控制开关与激光系统主机相连接， 医生可通过脚踏控制开关对激 光刀系统进行操控。 激光系统主机还设有冷却系统以及多种激光刀治疗模式， 包括切割、 照 射及凝固止血等治疗模式。 内镜系统主机通过数据线与内镜图像显示器相连接， 共聚焦显微 系统主机通过数据线与共聚焦显微显示器相连接。 共聚焦显微硬质阴道镜采集到的内镜图像 数据通过内镜系统主机传送到内镜图像显示器上， 而其采集到的共聚焦显微图像数据则通过 共聚焦显微系统主机传送到共聚焦显微显示器上。
图 17是共聚焦显微硬质阴道镜的结构示意图。 所述的共聚焦显微硬质阴道镜 71设有手 术端 71A和操作端 71B， 手术端 71A的长度约为 200mm〜250mm， 直径 20.0mm; 操作端 71B上设有冷光源输入端 711、 图像数据输出端 712和激光刀控制接口 713。 其中， 冷光源输 入端 711与冷光源主机相连接； 图像数据输出端 712分别通过数据线与内镜系统主机和共聚 焦显微系统主机相连接； 而激光刀控制接口 713与激光系统主机相连接。 为了提高手术操作 过程的稳定性和把握性，激光刀控制接口 713设置在共聚焦显微硬质阴道镜 71的纵向中轴线 上， 而图像数据输出端 712设置为与共聚焦显微硬质阴道镜 71的纵向中轴线成 45°角。 共聚 焦显微硬质阴道镜 71还设有贯穿其中且直径 3.0mm的器械通道 714， 器械通道 714的入口 设置在操作端 71B上， 其出口 714'则设置在手术端 71A的端面上。
图 18是共聚焦显微硬质阴道镜手术端 71A的端面结构示意图。 共聚焦显微硬质阴道镜 71在其手术端 71A的端面上集成有共聚焦显微激光头 715、 共聚焦显微镜头 716、 导光光纤 717、 内镜镜头 718和激光刀探头 719， 从而形成诊疗一体化的共聚焦显微硬质阴道镜。 内镜 镜头 718采用直径约为 1.5mm~3.0mm、 视场角 100°的光学镜头。 激光刀探头 719的内部结 构和制造材料均与实施例一所述的激光刀探头 119相同。共聚焦显微硬质阴道镜 71内还设有 用于控制激光刀探头 719伸缩的推动装置以及用于驱动该推动装置的微型电机。 采用激光刀 系统进行手术处理时， 可通过推动装置将激光刀探头 719推出手术端 71A的端面约 5mm; 而 手术结束后， 再通过推动装置使激光刀探头 719回缩至手术端 71A的端面内。

Claims

权 利 要 求 书
1、 诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 包括共聚焦显微硬质内镜、 冷光 源主机、 内镜系统主机、 共聚焦显微系统主机、 治疗系统主机、 内镜图像显示器和共聚焦显 微显示器； 所述的共聚焦显微硬质内镜包括手术端和操作端， 所述的手术端在其端面上集成 有共聚焦显微激光头、 共聚焦显微镜头、 导光光纤和内镜镜头， 所述的操作端上设有冷光源 输入端和图像数据输出端； 所述的冷光源输入端与所述的冷光源主机相连接； 所述的图像数 据输出端分别与所述的内镜系统主机和共聚焦显微系统主机相连接； 所述的内镜系统主机还 与所述的内镜图像显示器相连接， 而所述的共聚焦显微系统主机还与所述的共聚焦显微显示 器相连接； 所述的共聚焦显微硬质内镜还设置有治疗装置， 所述的治疗装置与所述的治疗系 统主机相连接。
2、根据权利要求 1所述的诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 所述的治 疗装置为激光刀装置， 所述的治疗系统主机为激光系统主机。
3、根据权利要求 2所述的诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 所述的激 光系统主机设置有冷却系统以及切割、 照射和凝固止血的治疗模式； 所述的激光刀装置设有 激光刀探头和激光刀控制接口， 所述的激光刀探头设置在所述共聚焦显微硬质内镜手术端的 端面上， 所述的激光刀控制接口设置在所述共聚焦显微硬质内镜的操作端上。
4、根据权利要求 3所述的诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 所述的激 光刀探头内设置有凹槽、 激光光纤、 散热片和温度传感器， 所述的激光光纤放置在所述的凹 槽内， 所述的散热片包裹在所述激光光纤的外层， 而所述的温度传感器通过金属导线与所述 激光系统主机的冷却系统相连接。
5、根据权利要求 3所述的诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 所述的激 光刀装置还设置有用于控制所述激光刀探头伸缩的推动装置以及用于驱动所述推动装置的微 型电机。
6、根据权利要求 1所述的诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 所述的治 疗装置为微波刀装置， 所述的治疗系统主机为微波系统主机。
7、根据权利要求 6所述的诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 所述的微 波系统主机设置有止血、 凝固、 灼除的治疗模式， 其功率范围为 0~60W， 功率连续可调； 所 述的微波刀装置设有微波刀探头和微波刀控制接口， 所述的微波刀探头设置在所述共聚焦显 微硬质内镜手术端的端面上， 所述的微波刀控制接口设置在所述共聚焦显微硬质内镜的操作 端上。
8、根据权利要求 7所述的诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 所述的微 波刀探头是由硬质绝缘材料制成的， 微波刀探头内设有由不锈钢材料制成的针体； 所述微波 刀探头的前端部还设有与之配合的绝缘套。
9、根据权利要求 8所述的诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 所述的针 体采用单极针体、 双极针体或者多极针体； 所述的双极针体和多极针体中， 每个针体的外部 还覆设有绝缘层。
10、 根据权利要求 7所述的诊疗一体化共聚焦显微硬质内镜系统， 其特征在于： 所述的 微波刀装置还设置有用于控制所述微波刀探头伸缩的推动装置以及用于驱动所述推动装置的 微型电机。
11、根据权利要求 1至 10的其中之一所述的诊疗一体化共聚焦显微硬质内镜系统， 其特 征在于： 所述的诊疗一体化共聚焦显微硬质内镜系统还包括有系统键盘和脚踏控制开关； 所 述的系统键盘与所述的内镜系统主机和共聚焦显微系统主机相连接； 所述的脚踏控制开关与 所述的治疗系统主机相连接。
12、根据权利要求 1至 10的其中之一所述的诊疗一体化共聚焦显微硬质内镜系统， 其特 征在于： 所述的共聚焦显微硬质内镜还设有贯穿其中的器械通道， 所述器械通道的入口设置 在共聚焦显微硬质内镜的操作端上， 所述器械通道的出口设置在共聚焦显微硬质内镜手术端 的端面上。
13、根据权利要求 1至 10的其中之一所述的诊疗一体化共聚焦显微硬质内镜系统， 其特 征在于： 所述的内镜镜头为视场角在 100°以上的光学镜头。
14、根据权利要求 1至 10的其中之一所述的诊疗一体化共聚焦显微硬质内镜系统， 其特 征在于： 所述的图像数据输出端与所述共聚焦显微硬质内镜的纵向中轴线成 45°角。
15、根据权利要求 1至 10的其中之一所述的诊疗一体化共聚焦显微硬质内镜系统， 其特 征在于： 所述的共聚焦显微硬质内镜为共聚焦显微硬质关节镜、 共聚焦显微硬质胆囊镜、 共 聚焦显微硬质肛肠镜、 共聚焦显微硬质腹腔镜、 共聚焦显微硬质膀胱镜、 共聚焦显微硬质宫 腔镜或者共聚焦显微硬质阴道镜。
PCT/CN2010/001570 2010-07-15 2010-10-08 诊疗一体化共聚焦显微硬质内镜系统 WO2012006767A1 (zh)

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CN2010102278598A CN102626303A (zh) 2010-07-15 2010-07-15 诊疗一体化共聚焦胆囊镜系统
CN201010227937.4A CN102631184B (zh) 2010-07-15 2010-07-15 诊疗一体化共聚焦膀胱镜系统
CN2010102280831A CN102697465A (zh) 2010-07-15 2010-07-15 诊疗一体化共聚焦肛肠镜系统
CN 201010228093 CN102018495A (zh) 2010-07-15 2010-07-15 诊疗一体化共聚焦宫腔镜系统
CN201010227937.4 2010-07-15
CN2010102280460A CN102599878A (zh) 2010-07-15 2010-07-15 诊疗一体化共聚焦腹腔镜系统
CN2010102278757A CN102846304A (zh) 2010-07-15 2010-07-15 诊疗一体化共聚焦阴道镜系统
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