WO2012006768A1 - 硬质微波内镜系统 - Google Patents

硬质微波内镜系统 Download PDF

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Publication number
WO2012006768A1
WO2012006768A1 PCT/CN2010/001572 CN2010001572W WO2012006768A1 WO 2012006768 A1 WO2012006768 A1 WO 2012006768A1 CN 2010001572 W CN2010001572 W CN 2010001572W WO 2012006768 A1 WO2012006768 A1 WO 2012006768A1
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WO
WIPO (PCT)
Prior art keywords
microwave
rigid
endoscope
hard
knife
Prior art date
Application number
PCT/CN2010/001572
Other languages
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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Publication date
Priority claimed from CN 201010227969 external-priority patent/CN101912303B/zh
Priority claimed from CN2010102280013A external-priority patent/CN101912304B/zh
Priority claimed from CN 201010228057 external-priority patent/CN101912305A/zh
Priority claimed from CN 201010227956 external-priority patent/CN101912302A/zh
Priority claimed from CN 201010228102 external-priority patent/CN101919683B/zh
Priority claimed from CN 201010227983 external-priority patent/CN101912252A/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 WO2012006768A1 publication Critical patent/WO2012006768A1/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
    • A61B1/04—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
    • 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
    • A61B18/1815—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 microwaves
    • 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
    • A61B18/1815—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 microwaves
    • A61B2018/1861—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 microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter

Definitions

  • the invention relates to a rigid microwave endoscope system, belonging to the field of medical instruments. Background technique
  • endoscopic technology and microwave knife technology have been widely used in clinical practice and 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 a surgical incision, and the doctor can observe the lesion in the patient through the endoscope, thereby adopting effective treatment means.
  • Microwaves because of their good single directionality and high energy density, can use their thermal, optical and electromagnetic effects to cut body lesions instead of traditional scalpels.
  • Surgery with a microwave knife has the advantages of smooth surgical incision, less bleeding, less infection, and better postoperative recovery. Therefore, it is of great significance to combine the existing endoscope technology and the microwave knife technology to achieve each other's advantages, thereby improving the effectiveness and safety of the surgery. Summary of the invention
  • the object of the present invention is to provide a rigid microwave endoscope system which combines advanced microwave knife technology and hard endoscope technology to effectively improve the accuracy and cure rate of the operation. Reduce the recurrence rate, thereby improving medical quality and medical safety.
  • the rigid microwave endoscope system of the present invention comprises a rigid endoscope, a microwave knife device, an endoscope system host, a microwave system host, a cold light source host, an endoscopic image display, and a microwave data monitor;
  • the endoscope is provided with a surgical end and an operating end, and the rigid endoscopic surgical end is provided with an endoscope lens and a light guiding optical fiber on the end surface thereof, and the hard endoscope operating end is provided with an endoscope image output end and a cold light source input end; the cold light source input end is connected to the cold light source host; the endoscope image output end and the endoscope image display are respectively connected to the endoscope system host;
  • the microwave knife device is provided with a microwave knife probe, a microwave data output end and a microwave control button; the microwave data output end and the microwave data monitor are respectively connected to the microwave system host.
  • the hard microwave endoscope system of the present invention may further include a system keyboard, and the system keyboard is connected to the host system of the endoscope system and the host of the microwave system to realize the hard microwave endoscope by keyboard operation.
  • System control is connected to the host system of the endoscope system and the host of the microwave system to realize the hard microwave endoscope by keyboard operation.
  • the rigid endoscope is further provided with an instrument passage penetrating therein, the inlet of the instrument channel is disposed on the rigid endoscope operating end, and the outlet of the instrument channel is disposed in the rigid endoscopic surgery On the end face of the end.
  • the microwave system is mainly provided with a treatment mode such as hemostasis, coagulation, and burning, and the power range thereof is 0 ⁇ 60W, power is continuously adjustable.
  • 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 selected as a 3 ⁇ 4 single pole needle body. Bipolar needle or multi-pole needle. When a 3 ⁇ 4 bipolar needle or a multipole needle is selected, 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 endoscopic image output end is preferably disposed at an angle of 45 to the longitudinal central axis of the rigid endoscope to improve stability and grasp of the surgical procedure.
  • the endoscopic lens preferably employs an optical lens having an angle of view of 100 or more.
  • the microwave knife device of the present invention is integrated in the rigid endoscope to form an integrated rigid microwave endoscope.
  • the microwave knife probe is integrated on an end surface of the rigid endoscopic surgical end, and the microwave data output end and the microwave control button are integrated on the hard endoscope operation end.
  • 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 microwave knife device of the present invention is removably mounted in the rigid endoscope.
  • the instrument channel of the rigid endoscope is a linear instrument channel, and the inlet is disposed on the longitudinal central axis of the rigid endoscope operating end.
  • the microwave knife device is also provided with a surgical end and an operating end.
  • the microwave knife probe is disposed on an end surface of the surgical end of the microwave knife device, and the microwave data output end and the microwave control button are disposed at the operating end of the microwave knife device. on.
  • the surgical end of the microwave knife device extends through the linear instrument channel and the end surface of the rigid endoscopic surgical end.
  • the rigid endoscope may be a hard arthroscope, a rigid gallbladder mirror, a rigid anorectal mirror, a rigid cystoscope, a hard hysteroscope or a rigid colposcope.
  • the present invention has the following beneficial effects:
  • the doctor can clearly observe the tissue lesions in the patient through the images fed back by the endoscopic lens and the endoscopic image display, and then activate the microwave system host, and select appropriate The treatment mode, under the supervision of the microwave data monitor, microwave treatment of the diseased tissue in the patient through the microwave knife probe.
  • the rigid microwave endoscope system of the invention organically combines advanced microwave knife technology and hard endoscope technology to form a new surgical treatment device, which can effectively improve the accuracy and cure rate of the operation. , to reduce the recurrence rate, thereby improving the quality of medical care and medical safety, can better make up for the shortcomings of existing surgical equipment.
  • the rigid endoscope and the microwave knife device may be integrated to form an integrated rigid microwave endoscope, or may be used in a separate design. , has the advantages of diverse structure and wide application range. DRAWINGS
  • 1 is a schematic structural view of a rigid microwave arthroscopy system according to a first embodiment of the present invention.
  • 2 is a schematic view showing the structure of an end face of a hard microwave arthroscope according to the first embodiment of the present invention in use.
  • FIG. 3 is a schematic view showing the end face structure of the rigid microwave arthroscope according to the first embodiment of the present invention in an idle state.
  • FIG. 4 is a cross-sectional structural view of a microwave knife probe according to Embodiment 1 of the present invention.
  • FIG. 5 is a schematic structural view of a rigid microwave gallbladder mirror system according to Embodiment 2 of the present invention.
  • FIG. 6 is a schematic view showing the end face structure of a rigid gallbladder mirror according to Embodiment 2 of the present invention.
  • FIG. 7 is a schematic structural view of a microwave knife device according to Embodiment 2 of the present invention.
  • Fig. 8 is a schematic structural view of a rigid microwave anorectal mirror according to a third embodiment of the present invention.
  • Fig. 9 is a schematic view showing the end face structure of a rigid microwave anorectal mirror according to a third embodiment of the present invention.
  • FIG. 10 is a schematic structural view of a rigid microwave cystoscope system according to Embodiment 4 of the present invention.
  • Figure 11 is a schematic view showing the end face structure of a rigid cystoscope according to a fourth embodiment of the present invention.
  • Figure 12 is a schematic view showing the structure of a rigid microwave hysteroscope system according to a fifth embodiment of the present invention.
  • Figure 13 is a schematic view showing the end face structure of a hard microwave hysteroscope according to a fifth embodiment of the present invention.
  • Figure 14 is a schematic view showing the structure of a hard microwave colposcope system according to a sixth embodiment of the present invention.
  • Figure 15 is a schematic view showing the end face structure of a rigid colposcope according to a sixth embodiment of the present invention. detailed description
  • Embodiment 1 Hard microwave arthroscopy system
  • the rigid microwave arthroscopy system of the present invention comprises a rigid microwave arthroscope 11 , an endoscope system host 12 , a microwave system host 13 , a cold light source host 14 , a system keyboard 15 , an endoscope image display 16 and microwave data monitor 17.
  • the system keyboard 15 is connected to the endoscope system main unit 12 and the microwave system main unit 13, and the doctor can realize the manipulation of the system through the keyboard operation.
  • the microwave system host i3 is equipped with a treatment mode such as hemostasis, coagulation, and burning.
  • the power range is 0 ⁇ 60W, and the power is continuously adjustable. Different treatment modes can select different powers.
  • the rigid microwave arthroscope 11 is provided with a surgical end 11A and an operating end 11B.
  • the length of the surgical end 11A is about 250 mm to 300 mm and the diameter is 10.0 mm.
  • the operating end 11B is provided with an endoscopic image output end 111 and a microwave data output end 112. Microwave control button 113 and cold light source input 114.
  • the cold light source input end 114 is connected to the cold light source host 14; the endoscope image output end 111 and the endoscopic image display unit 16 are respectively connected to the endoscope system main body 12 through the data line to collect the hard microwave arthroscope 11
  • the endoscopic image data is transmitted to the endoscopic image display 16; the microwave data output terminal 112 and the microwave data monitor 17 are respectively connected to the microwave system host 13 through the data line to transmit information such as the working state and parameters of the microwave knife to
  • the microwave data control button 17 is on the microwave data control button 17; and the microwave control button 113 is used to control the opening of the microwave.
  • the microwave data output end 112 is disposed on the longitudinal central axis of the hard microwave mirror 11, and the endoscope image output end 111 is provided. It is placed at an angle of 45 to the longitudinal center axis of the rigid microwave arthroscope 11.
  • Fig. 2 is a schematic view showing the structure of the end face of the rigid microwave arthroscope 11 in use.
  • the rigid microwave arthroscope 11 integrates a microwave knife probe 115, an endoscope lens 116, and a light guiding fiber on the end surface of the surgical end 11A to form an integrated rigid microwave arthroscope.
  • the Microwave Cutter Probe 1]5 is made of a hard insulating material with a diameter of 3.0 ram.
  • the endoscope lens 116 uses an optical lens with a diameter of approximately 1.5 mm to 3.0 mm and an angle of view of 100°.
  • a pusher for controlling the expansion and contraction of the microwave knife probe 115 and a micromotor for driving the pusher may also be provided in the hard microwave arthroscope 11.
  • the microwave knife probe 115 When performing the surgical treatment, the microwave knife probe 115 is pushed out by the pushing device to the end surface of the surgical end 11A by about 5 mm (as shown in FIG. 2); and after the end of the operation, the microwave knife probe 115 is retracted to the surgical end 11 A by the pushing device. Inside the end face (as shown in Figure 3). A sealing process is required between the micro-knife probe 115 and the end surface of the surgical end 11A to isolate the gas-water contact inside and outside the rigid microwave arthroscope.
  • FIG. 4 is a schematic cross-sectional view of the microwave knife probe 115.
  • Microwave knife probe The ii5 W is equipped with a three-pole needle 117.
  • the three-pole needle 117 is made of high-conductivity stainless steel material and has high-efficiency microwave conductivity.
  • the outer portions of each of the pins of the bungee pin 117 are covered with an insulating layer 18 to insulate them from each other.
  • the front end portion of the microwave knife probe 115 is also provided with an insulating sleeve 119 that cooperates therewith.
  • Embodiment 2 Hard microwave gallbladder mirror system
  • the rigid microwave gallbladder mirror system of the present invention comprises a rigid gallbladder mirror 21, a microwave knife device 22, an endoscope system host 23, a microwave system host 24, a cold light source host 25, a system keyboard 26, and an internal Mirror image display 27 and microwave data monitor 28.
  • the system keyboard 26 is connected to the endoscope system main unit 23 and the microwave system main unit 24, and the doctor can control the system through the keyboard operation.
  • the microwave system main unit 24 is provided with a treatment mode such as hemostasis, coagulation, and burning, and the power range is 0 to 60 W, and the power is continuously adjustable. Different treatment modes can select different powers.
  • the rigid gallbladder mirror 21 is provided with a surgical end 21A and an operating end 21B.
  • the surgical end 21A has a length of about 250 mm to 300 mm and a diameter of 10.0 mm.
  • the operating end 21B is provided with an endoscopic image output end 211 and a cold light source input end 212.
  • the cold light source input end 212 is connected to the cold light source host 25;
  • the endoscope image output end 211 and the endoscope image display 27 are respectively connected to the endoscope system main body 23 through the data line to collect the hard gallbladder mirror 21
  • the endoscopic image data is transmitted to the endoscopic image display 27.
  • the endoscopic image output end 211 is set at an angle of 45 to the longitudinal center axis of the hard gallbladder mirror 21.
  • the rigid gallbladder mirror 21 is further provided with a linear instrument channel 213 and a non-linear instrument channel 214 therethrough, wherein the linear instrument channel 213 has a diameter of about 2.0 mm to 3.0 mm, and the inlet is disposed at the longitudinal end of the operating end 21B. On the central axis, its outlet 213' is placed on the end face of the surgical end 21A.
  • the non-linear instrument passage 214 has a diameter of about 0.9 mm to 1.5 mm, its inlet is provided at the operating end 21B, and the outlet 214' is provided at the end surface of the surgical end 21 A.
  • Fig. 6 is a schematic view showing the end face structure of the rigid gallbladder mirror 21.
  • the hard cholecystoscope 21 is provided on the end surface of the surgical end 21A Endoscope lens 215 and light guiding fiber.
  • the endoscope lens 215 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°.
  • Fig. 7 is a schematic structural view of the microwave knife device 22.
  • the microsurgical device 22 is also provided with a surgical end 22A and an operating end 22B, wherein the surgical end 22A has a circular tubular shape, is made of hard metal, and has a length of more than 300 mm and a diameter of 3.0 mm; and the operating end 22B is cylindrical and suitable for the hand.
  • the end face of the surgical end 22A is provided with a microwave knife probe 221, and the internal structure and manufacturing material of the microwave knife probe 221 are the same as those of the microwave knife probe 115 described in the first embodiment.
  • the operation end 22B is provided with a microwave data output end 222 and a microwave control button 223.
  • the microwave data output end 222 and the microwave data monitor 28 are respectively connected to the microwave system main unit 24 through the data line, so as to operate the microwave knife and parameters. Information is transmitted to the microwave data monitor 28; and the microwave control button 223 is used to control the opening of the microwave.
  • the surgical end 22A of the microwave knife device 22 passes through the linear instrument channel 213 and extends from its outlet 213' on the end face of the rigid gallbladder surgical end 21A, thereby being removably mounted in the rigid gallbladder mirror 21. .
  • Example 3 Hard microwave anorectal system
  • the rigid microwave anorectal system of the present invention also includes a hard microwave anorectal, an endoscope system host, a microwave system host, a cold light source host, a system keyboard, Endoscopic image display and microwave data monitor.
  • the system keyboard is connected to the host system of the endoscope system and the host of the microwave system. The doctor can control the system through keyboard operation.
  • the microwave system host is equipped with treatment modes such as hemostasis, coagulation, and burning.
  • the power range is 0 ⁇ 60W, and the power is continuously adjustable. Different treatment modes need to select different powers.
  • FIG 8 is a schematic view showing the structure of a rigid microwave anorectal.
  • the rigid microwave anorectoscope 31 is provided with a surgical end 31A and an operating end 31B.
  • the length of the surgical end 31A is about 300 mm to 450 mm and the diameter is 15.0 mm.
  • the end 31 of the operation end 31B is provided with an endoscopic image output end 311 and microwave data output. End 312, microwave control button 313 and cold light source input 314.
  • the cold light source input end 314 is connected to the cold light source host; the endoscope image output end 311 and the endoscopic image display are respectively connected to the endoscope system host through the data line to collect the endoscope of the hard microwave anorectal 31
  • the image data is transmitted to the endoscopic image display; the microwave data output end 312 and the microwave data monitor are respectively connected to the microwave system host through the data line, so as to transmit information such as the working state and parameters of the microwave knife to the microwave data monitor;
  • the microwave control button 313 is used to control the opening of the microwave.
  • the microwave data output end 312 is disposed on the longitudinal central axis of the rigid microwave anorectoscope, and the endoscopic image output end 311 is disposed to be perpendicular to the longitudinal central axis of the rigid microwave anorectal. 45° angle.
  • the rigid microwave anorectal lens 31 is further provided with an instrument passage 315 penetrating therein and having a diameter of 2.0 mm.
  • the inlet of the instrument passage 315 is disposed on the operation end 31B, and the outlet 315' is disposed on the end surface of the surgical end 31A.
  • Fig. 9 is a schematic view showing the end face structure of the rigid microwave anorectoscope 31 in use.
  • the hard microwave anorectoscope 31 has a microwave knife probe 316, an endoscope lens 317 and a light guiding optical fiber integrated on the end surface of the surgical end 31A, thereby forming an integrated hard Microwave anorectal.
  • the endoscope lens 317 is an optical lens having a diameter of about 3.0 mm to 4.0 mm and an angle of view of 100°.
  • the internal structure and manufacturing material of the microwave knife probe 316 are the same as those of the microwave knife probe 115 described in the first embodiment.
  • a pusher for controlling the expansion and contraction of the microwave knife probe 316 and a micromotor for driving the pusher may also be provided in the hard microwave anorectoscope 31.
  • the microwave knife probe 316 is 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 microwave knife probe 316 is retracted into the end surface of the surgical end 31A by the pushing device.
  • a sealing process is required between the microwave knife probe 316 and the end surface of the surgical end 31A to isolate the gas-water contact inside and outside the rigid microwave anorectoscope.
  • Embodiment 4 Hard microwave cystoscope system
  • the rigid microwave cystoscope system of the present invention comprises a rigid cystoscope 41, a microwave knife device 42, an endoscope system host 43, a microwave system host 44, a cold light source host 45, a system keyboard 46, and an internal A mirror image display 47 and a microwave data monitor 48.
  • the system keyboard 46 is connected to the endoscope system main unit 43 and the microwave system main unit 44, and the doctor can realize the manipulation of the system by keyboard operation.
  • the microwave system host 44 is provided with a treatment mode such as hemostasis, coagulation, and burning.
  • the power range is 0 ⁇ 6()W, the power is continuously adjustable, and different treatment modes can select different powers.
  • the rigid cystoscope 41 is provided with a surgical end 41A and a working end 41B.
  • the length of the surgical end 41A is about 220 mm to 270 mm and the diameter is 9.0 mm .
  • the operating end 41B is provided with an endoscopic image output end 411 and a cold light source input end 412.
  • the cold light source input end 412 is connected to the cold light source host 45; the endoscope image output end 411 and the endoscopic image display unit 47 are respectively connected to the endoscope system main unit 43 through the data line to collect the hard cystoscope 41.
  • the endoscopic image data is transmitted to the endoscopic image display 47.
  • the endoscopic image output end 411 is disposed at an angle of 45 to the longitudinal central axis of the rigid cystoscope 41.
  • the rigid cystoscope 41 is further provided with a linear instrument passage 413 penetrating therein and having a diameter of 3.0 mm.
  • the inlet of the linear instrument passage 413 is disposed on the longitudinal central axis of the operating end 41B, and the outlet 413' is disposed at the end surface of the surgical end 41A. on.
  • the outer side of the surgical end 41A is also covered with a sheath portion 410, which are snapped together by the bayonet 4101.
  • the sheath portion 410 has a length of about 180 mm to 220 mm and a diameter of 10.0 mm, and a water inlet passage 4102 and a water outlet passage 4103 penetrating therethrough are provided thereon, and the ends thereof are curved and blunt.
  • FIG 11 is a schematic view showing the end face structure of the rigid cystoscope 41.
  • the rigid cystoscope 41 is provided with an endoscope lens 414 and a light guiding optical fiber on the end surface of the surgical end 41A.
  • the endoscope lens 414 is an optical lens with a diameter of approximately 1.5 mm to 3.0 mm and an angle of view of 100°.
  • the structure of the microwave knife device 42, the manufacturing material, and the connection manner with the microwave system host 44 and the microwave data monitor 48 are the same as those of the microwave knife device 22 described in the second embodiment.
  • Embodiment 5 Hard microwave hysteroscopy system
  • the rigid microwave hysteroscopic system of the present invention comprises a rigid microwave hysteroscope 51 and an endoscope system.
  • the system keyboard 55 is connected to the endoscope system main unit 52 and the microwave system main unit 53, and the doctor can realize the manipulation of the system through keyboard operation.
  • the microwave system host 53 is provided with a treatment mode such as hemostasis, coagulation, and burning, and the power range is 0 to 60 W, and the power is continuously adjustable. Different treatment modes can select different powers.
  • the rigid microwave hysteroscope 51 is provided with a surgical end 51A and an operating end 51B.
  • the length of the surgical end 51A is about 250 mm to 300 mm and the diameter is 10.0 mm.
  • the operation end 51B is provided with an endoscopic image output end 511 and a microwave data output end. 512.
  • the cold light source input end 514 is connected to the cold light source host 54; the endoscope image output end 511 and the endoscopic image display unit 56 are respectively connected to the endoscope system main unit 52 through the data line, thereby collecting the hard microwave hysteroscope 51.
  • the obtained endoscopic image data is transmitted to the endoscopic image display 56; the microwave data output terminal 512 and the microwave data monitor 57 are respectively connected to the microwave system host 53 through the data line, thereby transmitting information such as the working state and parameters of the microwave knife.
  • the microwave data control button 513 is used to control the opening of the microwave.
  • the microwave data output terminal 512 is disposed on the longitudinal central axis of the rigid microwave hysteroscope 51, and the endoscopic image output end 511 is disposed to be combined with the rigid microwave hysteroscope 51.
  • the longitudinal center axis is at an angle of 45°.
  • the rigid microwave hysteroscope 51 is further provided with an instrument passage 515 extending therethrough and having a diameter of about 0.9 mm to 1.5 mm.
  • the inlet of the instrument passage 515 is disposed on the operating end 51B, and the outlet 515' is disposed at the end surface of the surgical end 51A. on.
  • the outer side of the surgical end 51A is also covered with a sheath portion 510 which is snapped together by the bayonet 5101.
  • the sheath portion 510 has a length of about 150 mm to 250 mm and a diameter of 12.0 mm, and is provided with a water inlet passage 5102 and a water outlet passage 5103 therethrough.
  • Fig. 13 is a schematic view showing the end face structure of the rigid microwave hysteroscope 51 in use.
  • the rigid microwave hysteroscope 51 integrates a microwave knife probe 516, an endoscope lens 517 and a light guiding fiber on the end face of the surgical end 51A to form an integrated rigid microwave hysteroscope.
  • the endoscopic lens 517 is an optical lens with a diameter of approximately 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 516 are the same as those of the microwave knife probe 115 described in the first embodiment.
  • a pusher for controlling the telescoping of the microwave knife probe 516 and a micromotor for driving the pusher may also be provided in the rigid microwave hysteroscope 51.
  • the microwave knife probe 516 When the surgical treatment is performed, the microwave knife probe 516 is pushed out by the pushing device to the end surface of the surgical end 51A by about 5 mm; and after the end of the operation, the microwave knife probe 516 is retracted into the end surface of the surgical end 51 A by the pushing device. A sealing process is required between the microwave knife probe 516 and the end face of the surgical end 51A to isolate the gas-water contact inside and outside the rigid microwave hysteroscope.
  • Embodiment 6 Hard microwave colposcopy system
  • the rigid microwave colposcopy system of the present invention comprises a rigid colposcope 61, a microwave knife device 62, an endoscope system host 63, a microwave system host 64, a cold light source host 65, a system keyboard 66, and an internal A mirror image display 67 and a microwave data monitor 68.
  • the system keyboard 66 is connected to the endoscope system main unit 63 and the microwave system main unit 64, and the doctor can realize the manipulation of the system through the keyboard operation.
  • the microwave system host 64 is provided with a treatment mode such as hemostasis, coagulation, and burning, and its function
  • the rate range is 0 ⁇ 60W, the power is continuously adjustable, and different treatment modes can select different powers.
  • the rigid colposcope 61 is provided with a surgical end 61 A and an operating end 61B.
  • the surgical end 61A has a length of about 200 mm to 250 mm and a diameter of 10.0 mm .
  • the operating end 61B is provided with an endoscopic image output end 611 and a cold light source input end 612.
  • the cold light source input end 612 is connected to the cold light source host 65; the endoscope image output end 611 and the endoscope image display 67 are respectively connected to the endoscope system main unit 63 through the data line to collect the hard colposcope 61.
  • the endoscopic image data is transmitted to the endoscopic image display 67.
  • the endoscopic image output end 611 is disposed at an angle of 45 to the longitudinal central axis of the rigid colposcope 61.
  • the rigid colposcope 61 is further provided with a linear instrument channel 613 and a non-linear instrument channel 614 therethrough, wherein the linear instrument channel 613 has a diameter of about 2.0 mm to 3.0 mm, and its inlet is disposed at the longitudinal end of the operating end 61B.
  • an outlet 613' is provided on the end face of the surgical end 61A.
  • the non-linear instrument channel 614 has a diameter of about 0.9 mm to 1.5 mm, the inlet is disposed on the operating end 61B, and the outlet 614' is disposed on the end surface of the surgical end 61 A.
  • FIG 15 is a schematic view showing the end face structure of the rigid colposcope 61.
  • the rigid colposcope 61 is provided with an endoscopic lens 615 and a light guiding optical fiber on the end surface of the surgical end 61A.
  • the endoscope lens 615 uses an optical lens with a diameter of approximately 1.5 mm to 3.0 mm and an angle of view of 100°.
  • the structure of the microwave knife device 62, the manufacturing material, and the connection mode with the microwave system host 64 and the microwave data monitor 68 are the same as those of the microwave knife device 22 described in the second embodiment.
  • the surgical end of the microwave knife device 62 passes through the linear instrument channel 613 and extends from its outlet 613' on the end face of the rigid colposcope end 61A to be removably mounted in the rigid colposcope 61.

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Abstract

一种硬质微波内镜系统包括硬质内镜（11，21，31，41，51，61）、微波刀装置（22，42，62）、内镜系统主机（12，23，43，52，63）、微波系统主机（13，24，44，53，64）、冷光源主机（14，25，45，54，65）、内镜图像显示器（16，27，47，56，67）和微波数据监视器（17，28，48，57，68）。所述微波刀装置可以集成在所述硬质内镜（11，21，31，41，51，61）中，形成一体化的硬质微波内镜，或者可拆卸地安装在所述硬质内镜（11，21，31，41，51，61）中。

Description

硬质微波内镜系统 技术领域
本发明涉及一种硬质微波内镜系统， 属于医疗器械领域。 背景技术
目前， 内窥镜技术和微波刀技术在临床上已经得到广泛的应用， 成为诊治疾病的重要工 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患 者体内的病变情况， 从而采取有效的治疗手段。 而微波由于其具有较好的单一方向性， 能量 密度高， 因此可利用其热效应、 光效应和电磁效应等切割身体病变组织， 以代替传统的手术 刀。 采用微波刀进行手术， 具有手术切口平滑、 出血少、 不易感染、 术后恢复佳等优点。 因 此， 将现有的内窥镜技术和微波刀技术进行有机结合， 发挥彼此的优点， 从而提高手术的有 效性和安全性， 具有十分重要的意义。 发明内容
本发明的目的在于提供一种硬质微波内镜系统， 该硬质微波内镜系统将先进的微波刀技 术与硬质内镜技术进行有机结合， 能有效地提高手术的准确性和治愈率， 减少复发率， 从而 提高医疗质量和医疗安全性。
本发明的目的是通过以下技术方案实现的：
本发明所述的硬质微波内镜系统， 包括硬质内镜、 微波刀装置、 内镜系统主机、 微波系 统主机、 冷光源主机、 内镜图像显示器和微波数据监视器； 所述的硬质内镜设有手术端和操 作端， 所述的硬质内镜手术端在其端面上设有内镜镜头和导光光纤， 所述的硬质内镜操作端 设有内镜图像输出端和冷光源输入端； 所述的冷光源输入端与所述的冷光源主机相连接； 所 述的内镜图像输出端和内镜图像显示器分别与所述的内镜系统主机相连接； 所述的微波刀装 置设有微波刀探头、 微波数据输出端和微波控制按钮； 所述的微波数据输出端和微波数据监 视器分别与所述的微波系统主机相连接。
本发明所述的硬质微波内镜系统， 还可以包括有系统键盘， 所述的系统键盘与所述的内 镜系统主机、 微波系统主机相连接， 以通过键盘操作实现对硬质微波内镜系统的操控。
在本发明中， 所述的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 硬质内镜操作端上， 所述器械通道的出口设置在硬质内镜手术端的端面上。
在本发明中， 所述的微波系统主 设有止血、 凝固、 灼除等治疗模式， 其功率范围为 0〜60W， 功率连续可调。
在本发明中， 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 ]¾单极针体、 双极针体或多极针体。 当选 ]¾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。
在本发明中， 所述的内镜图像输出端优选地设置为与所述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。
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。
作为一种优选的实施方式， 本发明所述的微波刀装置集成在所述的硬质内镜中， 形成一 体化的硬质微波內镜。 其中， 所述的微波刀探头集成在硬质内镜手术端的端面上， 所述的微 波数据输出端和微波控制按钮集成在硬质内镜操作端上。 优选地， 所述的微波刀装置还可以 设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。
作为另一种优选的实施方式， 本发明所述的微波刀装置可拆装地安装在所述的硬质内镜 中。 其中， 硬质内镜的器械通道为直线型器械通道， 其入口设置在硬质内镜操作端的纵向中 轴线上。 而所述的微波刀装置亦设有手术端和操作端， 所述的微波刀探头设置在微波刀装置 手术端的端面上， 所述的微波数据输出端和微波控制按钮设置在微波刀装置操作端上。 所述 的微波刀装置手术端穿过所述的直线型器械通道并丛硬质内镜手术端的端面伸出。
在本发明中， 所述的硬质内镜可以是硬质关节镜、 硬质胆囊镜、 硬质肛肠镜、 硬质膀胱 镜、 硬质宫腔镜或者硬质阴道镜等。
与现有技术相比， 本发明具有以下有益效果：
采用本发明所述的硬质微波内镜系统进行手术治疗时， 医生可通过内镜镜头和内镜图像 显示器反馈的图像清晰地观察到患者体内的组织病变情况， 继而启动微波系统主机， 选择适 当的治疗模式， 在微波数据监视器的监控下， 通过微波刀探头对患者体内的病变组织进行微 波治疗。 本发明所述的硬质微波内镜系统将先进的微波刀技术和硬质内镜技术有机地结合在 —起， 形成一种新的手术治疗设备， 能有效地提高手术的准确性和治愈率， 减少复发率， 从 而提高医疗质量和医疗安全性， 能较好地弥补现有诊疗手术设备的不足。 在本发明所述的硬 质微波内镜系统中， 所述的硬质内镜和微波刀装置可以集成在一起以形成一体化的硬质微波 内镜， 也可以采用分离式的设计以配合使用， 具有结构多样化、 适用范围广等优点。 附图说明
图 1是本发明实施例一所述的硬质微波关节镜系统的结构示意图。 图 2是本发明实施例一所述的硬质微波关节镜在使用状态下的端面结构示意图。
图 3是本发明实施例一所述的硬质微波关节镜在闲置状态下的端面结构示意图。
图 4是本发明实施例一所述的微波刀探头的剖面结构示意图。
图 5是本发明实施例二所述的硬质微波胆囊镜系统的结构示意图。
图 6是本发明实施例二所述的硬质胆囊镜的端面结构示意图。
图 7是本发明实施例二所述的微波刀装置的结构示意图。
图 8是本发明实施例三所述的硬质微波肛肠镜的结构示意图。
图 9是本发明实施例三所述的硬质微波肛肠镜的端面结构示意图。
图 10是本发明实施例四所述的硬质微波膀胱镜系统的结构示意图。
图 11是本发明实施例四所述的硬质膀胱镜的端面结构示意图。
图 12是本发明实施例五所述的硬质微波宫腔镜系统的结构示意图。
图 13是本发明实施例五所述的硬质微波宫腔镜的端面结构示意图。
图 14是本发明实施例六所述的硬质微波阴道镜系统的结构示意图。
图 15是本发明实施例六所述的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： 硬质微波关节镜系统
如图 1所示， 本发明所述的硬质微波关节镜系统包括有硬质微波关节镜 11、 内镜系统主 机 12、 微波系统主机 13、 冷光源主机 14、 系统键盘 15、 内镜图像显示器 16和微波数据监视 器 17。 系统键盘 15与内镜系统主机 12和微波系统主机 13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 i3 设置有止血、 凝固、 灼除等治疗模式， 其功率范 i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。 硬质微波关节镜 11设有手 术端 11A和操作端 11B， 手术端 11A的长度约为 250mm~300mm， 直径 10.0mm; 操作端 11B上设有内镜图像输出端 111、 微波数据输出端 112、 微波控制按钮 113以及冷光源输入端 114。 其中， 冷光源输入端 114与冷光源主机 14相连接； 内镜图像输出端 111和内镜图像显 示器 16分别通过数据线与内镜系统主机 12相连接， 以将硬质微波关节镜 11采集到的内镜图 像数据传送到内镜图像显示器 16上； 微波数据输出端 112和微波数据监视器 17分别通过数 据线与微波系统主机 13相连接，以将微波刀的工作状态和参数等信息传送到微波数据监视器 17上； 而微波控制按钮 113是用于控制微波的开启。 为了提高手术操作过程的稳定性和把握 性， 微波数据输出端 112设置在硬质微波 节镜 11的纵向中轴线上， 内镜图像输出端 111设 置为与硬质微波关节镜 11的纵向中轴线成 45°角。
图 2是硬质微波关节镜 11在使用状态下的端面结构示意图。 硬质微波关节镜 11在其手 术端 11A的端面上集成有微波刀探头 115、 内镜镜头 116和导光光纤， 从而形成一体化的硬 质微波关节镜。 微波刀探头 1】5 是由硬质绝缘材料制成的， 其直径 3.0ram。 内镜镜头 116 则采用直径约为 1.5mm~3.0mm、 视场角 100°的光学镜头。 硬质微波关节镜 11 内还可设置 用于控制微波刀探头 115伸缩的推动装置以及用于驱动该推动装置的微型电机。 进行手术处 理时， 通过推动装置将微波刀探头 115推出手术端 11A的端面约 5mm (如图 2所示）； 而手 术结束后， 再通过推动装置使微波刀探头 115回缩至手术端 11 A的端面内（如图 3所示）。微 波刀探头 115与手术端 11A的端面之间需要进行密封处理， 以隔绝硬质微波关节镜内外的气 水联系。
图 4是微波刀探头 115的剖面结构示意圏。微波刀探头 ii5 W设有三极针体 117,三极针 体 117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。 ≡极针体 117中的各个 针体的外部都覆设有绝缘层 ] 18, 使之彼此绝缘隔绝。 微波刀探头 115 的前端部还设有与之 配合的绝缘套 119。 实施例二： 硬质微波胆囊镜系统
如图 5所示， 本发明所述的硬质微波胆囊镜系统包括硬质胆囊镜 21、微波刀装置 22、 内 镜系统主机 23、 微波系统主机 24、 冷光源主机 25、 系统键盘 26、 内镜图像显示器 27和微波 数据监视器 28。 系统键盘 26与内镜系统主机 23和微波系统主机 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 24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。 硬质胆囊镜 21设 有手术端 21A和操作端 21B， 手术端 21A的长度约为 250mm~300mm， 直径 10.0mm; 操作 端 21B上设有内镜图像输出端 211和冷光源输入端 212。 其中， 冷光源输入端 212与冷光源 主机 25相连接； 内镜图像输出端 211和内镜图像显示器 27分别通过数据线与内镜系统主机 23相连接， 以将硬质胆囊镜 21采集到的内镜图像数据传送到内镜图像显示器 27上。 为了提 高手术操作过程的稳定性和把握性， 内镜图像输出端 211设置为与硬质胆囊镜 21的纵向中轴 线成 45°角。硬质胆囊镜 21还设有贯穿其中的直线型器械通道 213和非直线型器械通道 214， 其中，直线型器械通道 213的直径约为 2.0mm~3.0mm，其入口设置在操作端 21B的纵向中轴 线上， 其出口 213 '则设置在手术端 21A 的端面上。 非直线型器械通道 214 的直径约为 0.9mm~1.5mm, 其入口设置在操作端 21B上， 其出口 214'则设置在手术端 21 A的端面上。
图 6是硬质胆囊镜 21的端面结构示意图。 硬质胆囊镜 21在其手术端 21A的端面上设有 内镜镜头 215和导光光纤。 内镜镜头 215采用直径约为 1.5mm~3.0mm、 视场角 100°的光学 镜头。
图 7是微波刀装置 22的结构示意图。 微波刀装置 22亦设有手术端 22A和操作端 22B， 其中， 手术端 22A呈圆管状， 采用硬质金属制造， 其长度大于 300mm， 直径 3.0mm; 而操 作端 22B为圆柱状， 适于手部握持。 手术端 22A的端面上设有微波刀探头 221， 微波刀探头 221的内部结构和制造材料均与实施例一所述的微波刀探头 115相同。 操作端 22B上设有微 波数据输出端 222和微波控制按钮 223， 微波数据输出端 222和微波数据监视器 28分别通过 数据线与微波系统主机 24相连接，以将微波刀的工作状态和参数等信息传送到微波数据监视 器 28上； 而微波控制按钮 223是用于控制微波的开启。 微波刀装置 22的手术端 22A穿过直 线型器械通道 213， 并从其在硬质胆囊镜手术端 21A的端面上的出口 213'伸出， 从而可拆装 地安装在硬质胆囊镜 21内。 实施例三： 硬质微波肛肠镜系统
如实施例一所述的硬质微波关节镜系统， 本发明所述的硬质微波肛肠镜系统同样包括有 硬质微波肛肠镜、 内镜系统主机、 微波系统主机、 冷光源主机、 系统键盘、 内镜图像显示器 和微波数据监视器。 系统键盘与内镜系统主机和微波系统主机相连接， 医生可通过键盘操作 实现对本系统的操控。 微波系统主机设置有止血、 凝圏、 灼除等治疗模式， 其功率范围为 0〜 60W, 功率连续可调， 不同的治疗模式需对应选择不同的功率。
图 8是硬质微波肛肠镜的结构示意图。 所述的硬质微波肛肠镜 31设有手术端 31A和操 作端 31B， 手术端 31A的长度约为 300mm~450mm， 直径 15.0mm; 操作端 31B上设有内镜 图像输出端 311、 微波数据输出端 312、 微波控制按钮 313和冷光源输入端 314。 其中， 冷光 源输入端 314与冷光源主机相连接； 内镜图像输出端 311和内镜图像显示器分别通过数据线 与内镜系统主机相连接，以将硬质微波肛肠镜 31采集到的内镜图像数据传送到内镜图像显示 器上； 微波数据输出端 312和微波数据监视器分别通过数据线与微波系统主机相连接， 以将 微波刀的工作状态和参数等信息传送到微波数据监视器上； 而微波控制按钮 313是用于控制 微波的开启。 为了提高手术操作过程的稳定性和把握性， 微波数据输出端 312设置在硬质微 波肛肠镜的纵向中轴线上， 内镜图像输出端 311则设置为与硬质微波肛肠镜的纵向中轴线成 45°角。 硬质微波肛肠镜 31还设有贯穿其中且直径 2.0mm的器械通道 315， 器械通道 315 的入口设置在操作端 31B上， 其出口 315'则设置在手术端 31A的端面上。
图 9是硬质微波肛肠镜 31在使用状态下的端面结构示意图。 硬质微波肛肠镜 31在其手 术端 31A的端面上集成有微波刀探头 316、 内镜镜头 317和导光光纤， 从而形成一体化的硬 质微波肛肠镜。 内镜镜头 317采用直径约为 3.0mm~4.0mm、 视场角 100°的光学镜头。 微波 刀探头 316的内部结构和制造材料均与实施例一所述的微波刀探头 115相同。 硬质微波肛肠 镜 31内还可设置用于控制微波刀探头 316伸缩的推动装置以及用于驱动该推动装置的微型电 机。进行手术处理时， 通过推动装置将微波刀探头 316推出手术端 31A的端面约 5mm; 而手 术结束后， 再通过推动装置使微波刀探头 316回缩至手术端 31A的端面内。 微波刀探头 316 与手术端 31A的端面之间需要进行密封处理， 以隔绝硬质微波肛肠镜内外的气水联系。 实施例四： 硬质微波膀胱镜系统
如图 10所示， 本发明所述的硬质微波膀胱镜系统包括硬质膀胱镜 41、 微波刀装置 42、 内镜系统主机 43、 微波系统主机 44、 冷光源主机 45、 系统键盘 46、 内镜图像显示器 47和微 波数据监视器 48。 系统键盘 46与内镜系统主机 43和微波系统主机 44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 44设置有止血、 凝固、 灼除等治疗模式， 其功 率范围为 0〜6()W , 功率连续可调， 不同的治疗模式可对应选择不同的功率。 硬质膀胱镜 41 设有手术端 41A和操作端 41B， 手术端 41A的长度约为 220mm~270mm， 直径 9.0mm; 操 作端 41B上设有内镜图像输出端 411和冷光源输入端 412。 其中， 冷光源输入端 412与冷光 源主机 45相连接； 内镜图像输出端 411和内镜图像显示器 47分别通过数据线与内镜系统主 机 43相连接， 以将硬质膀胱镜 41采集到的内镜图像数据传送到内镜图像显示器 47上。为了 提高手术操作过程的稳定性和把握性， 内镜图像输出端 411设置为与硬质膀胱镜 41的纵向中 轴线成 45°角。 硬质膀胱镜 41还设有贯穿其中且直径 3.0mm的直线型器械通道 413， 直线 型器械通道 413的入口设置在操作端 41B的纵向中轴线上，其出口 413'设置在手术端 41A的 端面上。 手术端 41 A的外侧还覆设有鞘管部分 410， 两者通过卡口 4101卡接在一起。 鞘管部 分 410的长度约为 180mm〜220mm， 直径 10.0mm， 其上还设有贯穿其中的进水通道 4102 和出水通道 4103， 其端部呈弯曲钝状。
图 11是硬质膀胱镜 41的端面结构示意图。 硬质膀胱镜 41在其手术端 41A的端面上设 有内镜镜头 414和导光光纤。 内镜镜头 414采用直径约为 1.5mm~3.0mm、 视场角 100°的光 学镜头。 在本实施例中， 微波刀装置 42的结构、 制造材料及其与微波系统主机 44和微波数 据监视器 48的连接方式， 均与实施例二所述的微波刀装置 22相同。微波刀装置 42的手术端 穿过器械通道 413， 并从其在硬质膀胱镜手术端 41A的端面上的出口 413'伸出， 从而可拆装 地安装在硬质膀胱镜 41内。 实施例五： 硬质微波宫腔镜系统
如图 12所示， 本发明所述的硬质微波宫腔镜系统包括有硬质微波宫腔镜 51、 内镜系统 主机 52、 微波系统主机 53、 冷光源主机 54、 系统键盘 55、 内镜图像显示器 56和微波数据监 视器 57。 系统键盘 55与内镜系统主机 52和微波系统主机 53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 53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。硬质微波宫腔镜 51设有手 术端 51A和操作端 51B， 手术端 51A的长度约为 250mm~300mm， 直径 10.0mm; 操作端 51B上则设有内镜图像输出端 511、微波数据输出端 512、微波控制按钮 513和冷光源输入端 514。 其中， 冷光源输入端 514与冷光源主机 54相连接； 内镜图像输出端 511和内镜图像显 示器 56分别通过数据线与内镜系统主机 52相连接，从而将硬质微波宫腔镜 51采集到的内镜 图像数据传送到内镜图像显示器 56上； 微波数据输出端 512和微波数据监视器 57分别通过 数据线与微波系统主机 53相连接，从而将微波刀的工作状态和参数等信息传送到微波数据监 视器 57上； 而微波控制按钮 513是用于控制微波的开启。为了提高手术操作过程的稳定性和 把握性， 微波数据输出端 512设置在硬质微波宫腔镜 51的纵向中轴线上， 而内镜图像输出端 511设置为与硬质微波宫腔镜 51的纵向中轴线成 45°角。硬质微波宫腔镜 51还设有贯穿其中 且直径约为 0.9mm~1.5mm的器械通道 515，器械通道 515的入口设置在操作端 51B上，其出 口 515'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 150mm〜250mm， 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。
图 13是硬质微波宫腔镜 51在使用状态下的端面结构示意图。硬质微波宫腔镜 51在其手 术端 51A的端面上集成有微波刀探头 516、 内镜镜头 517和导光光纤， 从而形成一体化的硬 质微波宫腔镜。 内镜镜头 517采用直径约为 1.5mm~3.0mm、 视场角 100°的光学镜头。 微波 刀探头 516的内部结构和制造材料均与实施例一所述的微波刀探头 115相同。 硬质微波宫腔 镜 51内还可设置用于控制微波刀探头 516伸缩的推动装置以及用于驱动该推动装置的微型电 机。进行手术处理时， 通过推动装置将微波刀探头 516推出手术端 51A的端面约 5mm; 而手 术结束后， 再通过推动装置使微波刀探头 516回缩至手术端 51 A的端面内。 微波刀探头 516 与手术端 51A的端面之间需要进行密封处理， 以隔绝硬质微波宫腔镜内外的气水联系。 实施例六： 硬质微波阴道镜系统
如图 14所示， 本发明所述的硬质微波阴道镜系统包括硬质阴道镜 61、 微波刀装置 62、 内镜系统主机 63、 微波系统主机 64、 冷光源主机 65、 系统键盘 66、 内镜图像显示器 67和微 波数据监视器 68。 系统键盘 66与内镜系统主机 63和微波系统主机 64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 64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。 硬质阴道镜 61 设有手术端 61 A和操作端 61B， 手术端 61A的长度约为 200mm~250mm， 直径 10.0mm; 操 作端 61B上设有内镜图像输出端 611和冷光源输入端 612。 其中， 冷光源输入端 612与冷光 源主机 65相连接； 内镜图像输出端 611和内镜图像显示器 67分别通过数据线与内镜系统主 机 63相连接， 以将硬质阴道镜 61采集到的内镜图像数据传送到内镜图像显示器 67上。为了 提高手术操作过程的稳定性和把握性， 内镜图像输出端 611设置为与硬质阴道镜 61的纵向中 轴线成 45°角。硬质阴道镜 61还设有贯穿其中的直线型器械通道 613和非直线型器械通道 614， 其中，直线型器械通道 613的直径约为 2.0mm~3.0mm，其入口设置在操作端 61B的纵向中轴 线上， 其出口 613'设置在手术端 61A 的端面上。 非直线型器械通道 614 的直径约为 0.9mm~1.5mm, 其入口设置在操作端 61B上， 其出口 614'设置在手术端 61 A的端面上。
图 15是硬质阴道镜 61的端面结构示意图。 硬质阴道镜 61在其手术端 61A的端面上设 有内镜镜头 615和导光光纤。 内镜镜头 615采用直径约为 1.5mm~3.0mm、 视场角 100°的光 学镜头。 在本实施例中， 微波刀装置 62的结构、 制造材料及其与微波系统主机 64和微波数 据监视器 68的连接方式， 均与实施例二所述的微波刀装置 22相同。微波刀装置 62的手术端 穿过直线型器械通道 613， 并从其在硬质阴道镜手术端 61A的端面上的出口 613'伸出， 从而 可拆装地安装在硬质阴道镜 61内。

Claims

权 利 要 求 书
1、 一种硬质微波内镜系统， 其特征在于： 包括硬质内镜、 微波刀装置、 内镜系统主机、 微波系统主机、 冷光源主机、 内镜图像显示器和微波数据监视器； 所述的硬质内镜设有手术 端和操作端， 所述的硬质内镜手术端在其端面上设有内镜镜头和导光光纤， 所述的硬质内镜 操作端设有内镜图像输出端和冷光源输入端； 所述的冷光源输入端与所述的冷光源主机相连 接； 所述的内镜图像输出端和内镜图像显示器分别与所述的内镜系统主机相连接； 所述的微 波刀装置设有微波刀探头、 微波数据输出端和微波控制按钮； 所述的微波数据输出端和微波 数据监视器分别与所述的微波系统主机相连接。
2、根据权利要求 1所述的硬质微波内镜系统， 其特征在于： 所述的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硬质内镜操作端上， 所述器械通道的出口设置 在硬质内镜手术端的端面上。
3、根据权利要求 2所述的硬质微波内镜系统， 其特征在于： 所述的器械通道为直线型器 械通道， 其入口设置在硬质内镜操作端的纵向中轴线上； 所述的微波刀装置亦设有手术端和 操作端， 其中， 所述的微波刀探头设置在微波刀装置手术端的端面上， 所述的微波数据输出 端和微波控制按钮设置在微波刀装置操作端上； 所述的微波刀装置手术端穿过所述的直线型 器械通道， -可拆装地安装在所述的硬质内镜中。
4、根据权利要求 1所述的硬质微波内镜系统， 其特征在于： 所述的微波刀装置集成在所 述的硬质内镜中， 形成一体化的硬质微波内镜； 其中， 所述的微波刀探头集成在硬质内镜手 术端的端面上， 所述的微波数据输出端和微波控制按钮集成在硬质内镜操作端上。
5、根据权利要求 4所述的硬质微波内镜系统， 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。
6、根据权利要求 1至 5的其中之一所述的硬质微波内镜系统， 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。
7、 根据权利要求 6所述的硬质微波内镜系统， 其特征在于： 所述的针体包括单极针体、 双极针体和多极针体： 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。
8、根据权利要求 1至 5的其中之一所述的硬质微波内镜系统， 其特征在于： 所述的硬质 微波内镜系统还包括有系统键盘， 所述的系统键盘与所述的内镜系统主机、 微波系统主机相 连接， 以通过键盘操作实现对硬质微波内镜系统的操控。
9、根据权利要求 1至 5的其中之一所t的硬质微波内镜系统， 其特征在于： 所述的微波 系统主机设有止血、 凝固、 灼除的治疗模式， 其功率范围为 0〜60W， 功率连续可调。
10、 根据权利要求 1至 5的其中之一所述的硬质微波内镜系统， 其特征在于： 所述的内 镜图像输出端设置为与所述硬质内镜的纵向中轴线成 45°角。
11、 根据权利要求 1至 5的其中之一所述的硬质微波内镜系统， 其特征在于： 所述的内 镜镜头采用视场角在 100°以上的光学镜头。
12、 根据权利要求 1至 5的其中之一所述的硬质微波内镜系统， 其特征在于： 所述的硬 质内镜为硬质关节镜、 硬质胆囊镜、 硬质肛肠镜、 硬质膀胱镜、 硬质宫腔镜或硬质阴道镜。
PCT/CN2010/001572 2010-07-15 2010-10-08 硬质微波内镜系统 WO2012006768A1 (zh)

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CN2010102280013A CN101912304B (zh) 2010-07-15 2010-07-15 硬质微波关节镜系统
CN 201010228057 CN101912305A (zh) 2010-07-15 2010-07-15 硬质微波宫腔镜系统
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CN 201010227956 CN101912302A (zh) 2010-07-15 2010-07-15 硬质微波胆囊镜系统
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CN 201010228102 CN101919683B (zh) 2010-07-15 2010-07-15 硬质微波肛肠镜系统
CN 201010227983 CN101912252A (zh) 2010-07-15 2010-07-15 硬质微波膀胱镜系统
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