WO2016062100A1 - 一种组合式精囊镜 - Google Patents

一种组合式精囊镜 Download PDF

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Publication number
WO2016062100A1
WO2016062100A1 PCT/CN2015/081235 CN2015081235W WO2016062100A1 WO 2016062100 A1 WO2016062100 A1 WO 2016062100A1 CN 2015081235 W CN2015081235 W CN 2015081235W WO 2016062100 A1 WO2016062100 A1 WO 2016062100A1
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channel
visible
combined
seminal
visible fiber
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PCT/CN2015/081235
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English (en)
French (fr)
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苏新军
罗春华
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苏新军
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Publication of WO2016062100A1 publication Critical patent/WO2016062100A1/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
    • A61B1/307—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
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/07—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres

Definitions

  • the present invention relates to a medical device, and more particularly to a seminal venous therapeutic lens.
  • the semi-rigid ureteroscope is usually used instead of the semi-pericardium or the scrotal mirror, and the anatomical distance from the external urethra to the fine sputum is about 25 cm, and the bilateral ejaculation tube at the fine sputum.
  • the opening diameter is about 1mm, and the finest ureteroscope is about 4mm in diameter and 75cm in length. It is used as a seminal vesicle instead of semi-rigid ureteroscope. It is not only convenient for the operator, but also the diameter of the front end of the lens is too thick to enter the ejaculation.
  • Tube opening often tearing the ejaculatory duct opening or difficult to enter and abandon the operation, and because the lens directly enters the patient, it is easy to cause damage, and the mirror body needs repeated disinfection, which affects its service life. Therefore, there is a need for an endoscope that can be adapted to the diagnosis and treatment of a male department.
  • the present invention is to solve the above problems and overcome the problems in the diagnosis and treatment of seminal vesicle diseases in the prior art.
  • the present invention provides a combined seminal vesicle to meet the demand.
  • a combined seminal capsular mirror comprising a visible fiber optic cover and a visible fiber passing through a visible fiber optic cover, further comprising a channel connector and a visible fiber channel, the channel connector including an input channel and an input An output channel in communication with the channel, the output channel being coupled to one end of the visible fiber channel by a thread, the visible fiber optic sleeve passing through the channel connector and the visible fiber channel, the threaded card being disposed outside the visible fiber channel a button, the threaded buckle is provided with a thread on a side facing the patient's affected part, and further includes an expansion sheath having one end extending into the tip of the seminal ejaculation tube opening and the other end being a connecting end, the connecting end Threaded and threaded onto the threaded snaps.
  • the above-mentioned combined seminal capsular mirror is characterized in that it further comprises a working channel, one end of which is a straight end and the other end is a connecting end, and one end of the visible fiber channel is connected with the working channel
  • the end and channel joints are connected by threads.
  • the above-mentioned combined seminal vesicle mirror is characterized in that: one end of the visible optical fiber protective sleeve is an enlarged mouth, and the end of the other end is provided with a high light-transmitting objective lens, and the high light-transmitting objective lens is sealed with the end portion, The visible fiber is threaded through the enlarged opening.
  • the above-mentioned combined seminal vesicle mirror is characterized in that the channel joint comprises three input channels and one output channel, the three input channels are all connected with an output channel, and the three input channels respectively input a water source and input treatment Tools and input visible fiber.
  • the above-described combined seminal capsular mirror is characterized in that a visible fiber fixing cap for fixing the visible optical fiber is disposed outside the input channel of the channel joint for inputting the visible optical fiber.
  • the above-mentioned combined seminal vesicle is characterized in that the diameter of the visible fiber protective sleeve is 0.88 mm; the diameter of the visible fiber channel is 1 mm; the diameter of the connecting end of the expanding sheath is 2 mm, and the diameter of the tip of the expanding sheath It is 1 mm; the working channel has a diameter of 2 mm.
  • the above-mentioned combined seminal capsular mirror is characterized in that the high light transmission objective lens is one of the following: a glass objective lens and a light transmitting silicone objective lens.
  • the invention has the beneficial effects that: by multiple protection, the visible optical fiber is firstly protected from direct contact with the human body, so that repeated sterilization is not required, and the service life of the optical fiber is prolonged, and the combined seminal vesicle endoscope can be used except for the visible optical fiber. For one-time use, it can not only ensure the use of the endoscope, but also reduce the harm to the patient by repeated use of the medical device. Secondly, by setting the expansion sheath to expand the ejaculation opening and then insert it into the working channel, the double effect of observation and treatment can be achieved. It is suitable for the diagnosis and treatment of seminal vesicle diseases.
  • FIG. 1 is a schematic structural view of a visible optical fiber protective cover
  • FIG. 2 is a schematic structural view of a channel joint
  • FIG. 3 is a schematic structural view of a visible fiber channel
  • Figure 4 is a schematic view showing the structure of the expansion sheath
  • Figure 5 is a schematic view showing the combination of the channel connector and the visible fiber channel and the expansion sheath
  • Figure 6 is a schematic structural view of a working channel
  • Figure 7 is a schematic diagram of the combination of the channel joint and the working channel.
  • a combined seminal capsular mirror includes a visible fiber optic sleeve 100 made of a soft plastic material and a visible fiber (not shown) that passes through the visible fiber optic sleeve 100, visible
  • the fiber optic sleeve 100 can be bent as the visible fiber bends.
  • One end of the visible fiber protective cover 100 is an enlarged mouth 110, and the other end is provided with a high light-transmitting objective lens 120, and the high light-transmitting objective lens 120 is sealed between the end portion, due to the enlarged opening of the visible fiber protective cover 100.
  • the high light-transmitting objective lens 120 seals the other end of the visible fiber protective cover 100, and since the high light-transmitting objective lens 120 is a glass objective lens or a transparent silica gel objective lens Therefore, it does not hinder the image transmission of the visible optical fiber, and also prevents the visible optical fiber from directly contacting the human body, avoiding repeated disinfection, thereby prolonging the service life.
  • the channel connector 200 includes an input channel 210 and an output channel 220 in communication with the input channel 210.
  • the channel connector 200 includes three input channels 210 and an output channel 220, each of which is in communication with an output channel 220, the three input channels 210 functioning as: an input water source, an input therapy tool, and an input visible fiber, wherein the treatment tool can be a titanium laser Fiber optic or biopsy forceps.
  • the output channel 220 is threadedly coupled to one end of the visible fiber channel 300, and the visible fiber optic sleeve 100 passes through the channel connector 200 and the visible fiber channel 300 such that the visible fiber is protected by the visible fiber channel 300 and visible fiber.
  • Set of double protection for 100 is provided.
  • a threaded buckle 310 is disposed outside the visible fiber channel 300.
  • the threaded buckle 310 is provided with a thread 311 on a side facing the patient's affected part, and further includes an expanding sheath 400.
  • One end of the expanding sheath 400 is configured to extend into the opening of the seminal ejaculation tube.
  • the other end is a connecting end 420.
  • the connecting end 420 is provided with a thread and is connected with the thread 311 of the threaded snap 310. After the expanding sheath 400 is connected with the threaded snap 310, it is equivalent to being sleeved outside the visible fiber channel 300. .
  • the working channel 500 is further included.
  • the working channel 500 has a straight end 510 at one end and a connecting end 520 at the other end. Since the entire working channel 500 is straight, the diameter is large, and it is convenient to simultaneously extend into a variety of instruments for convenient observation and The treatment is carried out simultaneously.
  • One end of the visible fiber channel 300 and the connection end 520 of the working channel 500 are threadedly connected to the output channel 220 of the channel connector 200.
  • the device After expanding the ejaculation opening of the seminal vesicle using the expansion sheath 400, the device is integrally withdrawn, and then the channel joint 200 is separated from the visible fiber channel 300, and then the working channel 500 is connected to the output channel 220 of the channel connector 200, and then will work.
  • the channel 500 extends into the expanded ejaculation opening into the seminal vesicle, and finally the water source, input therapy tool, and input visual fiber can be input through the channel connector 200.
  • a visible fiber fixing cap 130 for fixing the visible fiber is disposed outside the input channel of the channel connector 200 for inputting the visible fiber.
  • the visible fiber optic sleeve 100 has a diameter of 0.88 mm; the visible fiber channel 300 has a diameter of 1 mm; the connecting end 420 of the dilation sheath 400 has a diameter of 2 mm, and the tip end 410 of the dilation sheath 400 The diameter is 1 mm; the working channel 500 has a diameter of 2 mm.
  • the invention has the beneficial effects that: by multiple protection, the visible optical fiber is first protected from direct contact with the human body, so that repeated sterilization is not required, and the service life of the optical fiber is prolonged; secondly, the ejaculation opening is expanded and then inserted into the working channel by setting the expansion sheath. It achieves the dual effects of observation and treatment and is suitable for the diagnosis and treatment of seminal vesicle diseases.

Abstract

一种组合式精囊镜，包括可视光纤保护套（100）和穿过可视光纤保护套的可视光纤，还包括通道接头（200）和可视光纤通道（300），通道接头包括输入通道（210）和与输入通道相连通的输出通道（220），输出通道通过螺纹与可视光纤通道的一端连接，可视光纤保护套穿过通道接头和可视光纤通道，可视光纤通道外设置有螺纹卡扣（310），螺纹卡扣上朝向患者患处的一侧设置有螺纹（311），还包括扩张鞘（400），扩张鞘的一端为能够伸入精囊射精管开口的尖端（410），另一端为连接端（420），连接端设置有螺纹并且与螺纹卡扣上的螺纹连接。通过设置扩张鞘将射精口扩张开然后再插入工作通道，达到观察和治疗的双重效果，适用于精囊疾病的诊疗上。

Description

一种组合式精囊镜 技术领域
本发明涉及一种医疗设备，特别是涉及一种精囊内窥治疗镜。
背景技术
现有技术中，没有专门针对男科进行诊治的内窥治疗镜，常用半硬输尿管镜替代作为精囊镜或阴囊镜使用，而尿道外口至精阜解剖距离约25cm，精阜处双侧射精管开口直径约1mm，而最细输尿管镜规格为前端直径约4mm，长度为75cm，使用半硬输尿管镜替代作为精囊镜使用，不仅操作者使用不方便，而且镜体前端直径太粗很难进入射精管开口，术中常撕裂射精管开口或难以进入而放弃手术，同时由于镜头是直接进入到病患处的，因此很容易造成损坏，另镜体需反复消毒，影响其使用寿命。因此需要一种能够适应对男科进行诊治的内窥镜。
发明内容
本发明就是为了解决上述问题，克服现有技术中精囊疾病的诊治所存在的问题，本发明提供一种组合式精囊镜以满足需求。
为了实现上述目的，本发明的技术方案如下：
一种组合式精囊镜，包括可视光纤保护套和穿过可视光纤保护套的可视光纤，其特征在于，还包括通道接头和可视光纤通道，所述通道接头包括输入通道和与输入通道相连通的输出通道，所述输出通道通过螺纹与可视光纤通道的一端连接，所述可视光纤保护套穿过通道接头和可视光纤通道，所述可视光纤通道外设置有螺纹卡扣，所述螺纹卡扣上朝向患者患处的一侧设置有螺纹，还包括扩张鞘，所述扩张鞘的一端为能够伸入精囊射精管开口的尖端，另一端为连接端，所述连接端设置有螺纹并且与螺纹卡扣上的螺纹连接。
上述一种组合式精囊镜，其特征在于，还包括工作通道，所述工作通道的一端为直筒端，另一端为连接端，所述可视光纤通道的一端和工作通道的连接 端与通道接头先后通过螺纹连接。
上述一种组合式精囊镜，其特征在于，所述可视光纤保护套的一端为膨大口，另一端的端部设置有高透光物镜，并且高透光物镜与该端部之间密封，所述可视光纤从膨大口穿入。
上述一种组合式精囊镜，其特征在于，所述通道接头包括三个输入通道和一个输出通道，所述三个输入通道均与输出通道连通，所述三个输入通道分别输入水源、输入治疗工具和输入可视光纤。
上述一种组合式精囊镜，其特征在于，所述通道接头的用于输入可视光纤的输入通道外设置有用于固定住可视光纤的可视光纤固定帽。
上述一种组合式精囊镜，其特征在于，所述可视光纤保护套的直径为0.88mm；可视光纤通道的直径为1mm；所述扩张鞘的连接端直径为2mm，扩张鞘的尖端直径为1mm；所述工作通道的直径为2mm。
上述一种组合式精囊镜，其特征在于，所述高透光物镜为下列各项其中之一：玻璃物镜、透光硅胶物镜。
本发明的有益效果是：通过多重保护，首先保护了可视光纤不直接接触人体，故无需反复消毒，延长了光纤的使用寿命，组合式精囊内窥镜除可视光纤外，其余部件均可为一次性实用，既可保障内窥镜的使用效果，又可减少医疗器械反复使用对病人的危害；其次通过设置扩张鞘将射精口扩张开然后再插入工作通道，达到观察和治疗的双重效果，适用于精囊疾病的诊疗上。
附图说明
图1为可视光纤保护套的结构示意图；
图2为通道接头的结构示意图；
图3为可视光纤通道的结构示意图；
图4为扩张鞘的结构示意图；
图5为通道接头与可视光纤通道和扩张鞘的组合示意图；
图6为工作通道的结构示意图；
图7为通道接头与工作通道的组合示意图。
具体实施方式
为了使本发明实现的技术手段、创作特征、达成目的与功效易于明白了解，下面结合具体图示，进一步阐述本发明。
参看图1-图5，一种组合式精囊镜，包括采用软塑料材质制成的可视光纤保护套100和穿过可视光纤保护套100的可视光纤(图中未示)，可视光纤保护套100可以随可视光纤的弯曲而弯曲。可视光纤保护套100的一端为膨大口110，另一端的端部设置有高透光物镜120，并且高透光物镜120与该端部之间密封，由于可视光纤保护套100的膨大口110是撇口，因此方便可视光纤从膨大口穿入，而高透光物镜120将可视光纤保护套100的另一端密封之后，并且由于高透光物镜120为玻璃物镜或透光硅胶物镜，因此既不妨碍可视光纤的图像传导，同时也防止了可视光纤直接接触到人体，避免反复消毒，从而延长了使用寿命。
还包括通道接头200和可视光纤通道300，通道接头200包括输入通道210和与输入通道210相连通的输出通道220，在本发明的其中一个优选实施方式中，通道接头200包括三个输入通道210和一个输出通道220，三个输入通道210均与输出通道220连通，所述三个输入通道210的作用分别是：输入水源、输入治疗工具和输入可视光纤，其中治疗工具可以为钛激光光纤或活检钳。
输出通道220通过螺纹与可视光纤通道300的一端连接，可视光纤保护套100穿过通道接头200和可视光纤通道300，这样使得可视光纤得到了可视光纤通道300和可视光纤保护套100的双重保护。
在可视光纤通道300外设置有螺纹卡扣310，螺纹卡扣310上朝向患者患处的一侧设置有螺纹311，还包括扩张鞘400，扩张鞘400的一端为能够伸入精囊射精管开口的尖端410，另一端为连接端420，连接端420设置有螺纹并且与螺纹卡扣310上的螺纹311连接，扩张鞘400与螺纹卡扣310连接后，相当于是套设于可视光纤通道300外。
将可视光纤保护套100、通道接头200、可视光纤通道300和扩张鞘400组合起来后，将可视光纤从可视光纤保护套100中伸入，到达高透光物镜120后停止，然后旋转扩张鞘400，由于扩张鞘400与螺纹卡扣310是螺纹连接，因此扩张鞘400在旋转的过程中向前推进，通过扩张鞘400的尖端410将精囊的射精口扩张开，从而使得扩张鞘400的尖端和可视光纤能够进入到精囊内进行初 步的观察。
由于在上一步中扩张鞘400的作用主要是将射精口扩张开，而在扩张开射精口后，其前端的形状是尖状，因此在可视光纤进入后便不能再放入其他治疗工具，因此需要在使用扩张鞘400将射精口扩张开后，需要更换另一种直筒状的通道来便于观察和治疗同时进行。因此还包括工作通道500，工作通道500的一端为直筒端510，另一端为连接端520，由于整个工作通道500都为直筒状，因此直径很大，便于同时伸进多种器械，方便观察和治疗同时进行。可视光纤通道300的一端和工作通道500的连接端520与通道接头200的输出通道220先后通过螺纹连接。
在使用扩张鞘400将精囊的射精口扩张开后，将设备整体退出，然后将通道接头200与可视光纤通道300分开，然后将工作通道500与通道接头200的输出通道220连接，然后将工作通道500伸入已经扩张开的射精口内进入精囊，最后可以通过通道接头200输入水源、输入治疗工具和输入可视光纤。
由于可视光纤的位置不稳定，因此在通道接头200的用于输入可视光纤的输入通道外设置有用于固定住可视光纤的可视光纤固定帽130,。
在本发明的其中一个优选实施方式中，可视光纤保护套100的直径为0.88mm；可视光纤通道300的直径为1mm；扩张鞘400的连接端420直径为2mm，扩张鞘400的尖端410直径为1mm；工作通道500的直径为2mm。
本发明的有益效果是：通过多重保护，首先保护了可视光纤不直接接触人体，故无需反复消毒，延长了光纤的使用寿命；其次通过设置扩张鞘将射精口扩张开然后再插入工作通道，达到观察和治疗的双重效果，适用于精囊疾病的诊疗上。
以上显示和描述了本发明的基本原理、主要特征和本发明的优点。本行业的技术人员应该了解，本发明不受上述实施例的限制，上述实施例和说明书中描述的只是说明本发明的原理，在不脱离本发明精神和范围的前提下本发明还会有各种变化和改进，这些变化和改进都落入要求保护的本发明范围内。本发明要求保护范围由所附的权利要求书及其等同物界定。

Claims (7)

  1. 一种组合式精囊镜，包括可视光纤保护套和穿过可视光纤保护套的可视光纤，其特征在于，还包括通道接头和可视光纤通道，所述通道接头包括输入通道和与输入通道相连通的输出通道，所述输出通道通过螺纹与可视光纤通道的一端连接，所述可视光纤保护套穿过通道接头和可视光纤通道，所述可视光纤通道外设置有螺纹卡扣，所述螺纹卡扣上朝向患者患处的一侧设置有螺纹，还包括扩张鞘，所述扩张鞘的一端为能够伸入精囊射精管开口的尖端，另一端为连接端，所述连接端设置有螺纹并且与螺纹卡扣上的螺纹连接。
  2. 根据权利要求1所述一种组合式精囊镜，其特征在于，还包括工作通道，所述工作通道的一端为直筒端，另一端为连接端，所述可视光纤通道的一端和工作通道的连接端与通道接头先后通过螺纹连接。
  3. 根据权利要求2所述一种组合式精囊镜，其特征在于，所述可视光纤保护套的一端为膨大口，另一端的端部设置有高透光物镜，并且高透光物镜与该端部之间密封，所述可视光纤从膨大口穿入。
  4. 根据权利要求2或3所述一种组合式精囊镜，其特征在于，所述通道接头包括三个输入通道和一个输出通道，所述三个输入通道均与输出通道连通，所述三个输入通道分别输入水源、输入治疗工具和输入可视光纤。
  5. 根据权利要求4所述一种组合式精囊镜，其特征在于，所述通道接头的用于输入可视光纤的输入通道外设置有用于固定住可视光纤的可视光纤固定帽。
  6. 根据权利要求2或5所述一种组合式精囊镜，其特征在于，所述可视光纤保护套的直径为0.88mm；可视光纤通道的直径为1mm；所述扩张鞘的连接端直径为2mm，扩张鞘的尖端直径为1mm；所述工作通道的直径为2mm。
  7. 根据权利要求6所述一种组合式精囊镜，其特征在于，所述高透光物镜为下列各项其中之一：玻璃物镜、透光硅胶物镜。
PCT/CN2015/081235 2014-10-20 2015-06-11 一种组合式精囊镜 WO2016062100A1 (zh)

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CN104305956B (zh) * 2014-10-20 2016-08-17 苏新军 一种组合式精囊镜
CN106345043B (zh) * 2016-10-14 2023-06-16 南京鼓楼医院 一种用于射精管梗阻的经尿道滤网扩张装置
CN106362270B (zh) * 2016-10-17 2022-07-29 南京鼓楼医院 一种用于射精管梗阻的扩张装置
CN106913306B (zh) * 2017-04-07 2018-10-16 苏新军 一种多段式鞘管及其阴囊镜
CN107320154B (zh) * 2017-07-11 2021-11-02 蓝线铂立医疗科技(上海)有限公司 经皮肾镜可视扩张鞘

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