WO2017004823A1 - 外部载送载体之内视镜结构及其操作方法 - Google Patents
外部载送载体之内视镜结构及其操作方法 Download PDFInfo
- Publication number
- WO2017004823A1 WO2017004823A1 PCT/CN2015/083633 CN2015083633W WO2017004823A1 WO 2017004823 A1 WO2017004823 A1 WO 2017004823A1 CN 2015083633 W CN2015083633 W CN 2015083633W WO 2017004823 A1 WO2017004823 A1 WO 2017004823A1
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- WO
- WIPO (PCT)
- Prior art keywords
- endoscope
- carrier
- endoscope body
- loading device
- sleeve
- Prior art date
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- AVMDXXIEGYYSAM-VEKQPKGLSA-N C1CC2C(CCCC3)C3[C@H]2C1 Chemical compound C1CC2C(CCCC3)C3[C@H]2C1 AVMDXXIEGYYSAM-VEKQPKGLSA-N 0.000 description 1
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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
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B23/00—Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
- G02B23/24—Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes
Definitions
- the world patent system has a carrier for an endoscope, in particular an endoscope structure for an external carrier, and a method of operating the same, which can be used in both medical and industrial applications.
- Conventional endoscopes generally include an instrument channel, a photographic device, and a light source, a gas channel, or a liquid channel.
- the endoscope structure generally includes a hose body and a rigid tube body, and the device channel is available for various medical treatments.
- the surgical instrument is placed such that the surgical instrument moves with the endoscope to reach the lesion of the exploration object for medical treatment.
- the photographic device cooperates with the illumination of the light source to record an image of an internal organ of the exploration object.
- the device channel, the photographic device, and the outlet of the light source are disposed on an outer surface of the rigid tube body.
- a surgical instrument placed in an instrument channel is used for medical operation. Since the surgical instrument is located inside the endoscope, the movement of the surgical instrument is limited by the rigid tube body of the endoscope, and the effect is affected. The flexibility and space limitations of surgical instrument activities are not free to move independently of the rigid tube body.
- the present invention hopes to propose a new external carrier carrier endoscope structure and its operation method to solve the prior art defects.
- the purpose of the world patent is to solve the above problems in the prior art, and to provide an endoscope structure for externally carrying a carrier, which has the advantage that the surgical instrument that breaks through the traditional endoscope can only be placed inside the endoscope.
- Limiting by means of a sleeve covering the loading device, the loading device is also brought into the exploration object by using the endoscope body, and the loading device is released from the coating of the sleeve or the coating of the carrier is released by applying a pulling force. Function, so that the loading device becomes a freely movable structure, so it is not restricted by the endoscope body and affects its operational flexibility. It can freely move to increase the range of motion and the angle of movement, and can perform higher difficulty more quickly. Surgical action.
- an endoscope structure of an external carrier comprising: a hand-held portion for controlling the endoscope body; and an endoscope body, comprising a tube structure a hose body and a rigid tube body, the inside of the endoscope body is provided with a photographic device, a light source and an instrument channel; at least one loading device is attached to the outside of the endoscope body, and the endoscope can be attached
- the body enters the interior of the exploration object and is then separated from the endoscope body to operate the loading device externally by the operator to perform the necessary operations;
- the loading device is mounted on the endoscope body such that the loading device can act in conjunction with the endoscope body, and the loading device can be disengaged from the endoscope body when the loading device is properly pulled.
- the carrier may be a sleeve which is a tubular structure covering the outer edge of the endoscope body and allows the object to be clamped between the sleeve and the endoscope body; Between the sleeve and the endoscope body, the sleeve is pressed and fixed to the endoscope body, so that the endoscope body moves synchronously.
- the carrier is a part of the hose body of the endoscope body.
- the carrier is coated with a majority of the hose body of the endoscope body.
- the carrier is composed of a piece of a body, wherein the two sides are combined with each other to form a tubular structure, so that the carrier can be opened and closed by operation, and the bonding manner is engaging, bonding, magnetic attraction, locking, One of the stitching.
- the carrier is a sleeve which is a tubular structure covering the outer edge of the endoscope body, and the object can be clamped between the sleeve and the endoscope body; and the loading device The sleeve is placed between the sleeve and the endoscope body, and is pressed by the sleeve to be fixed to the endoscope body, so that the endoscope body moves synchronously.
- the carrier is a C-shaped sleeve having an approximately tubular structure and covering the outer edge of the endoscope body
- the C-shaped sleeve is not closed and has an opening, and its cross section is approximately C-shaped, when When the loading device is to be detached from the endoscope body, it will be detached from the opening of the C-shaped sleeve.
- the endoscope body is a medical endoscope body.
- the endoscope body is an industrial endoscope body.
- the endoscope body is deeply penetrated into the interior of the object, and after the appropriate position is reached, a pulling force is applied to the loading device or the covering function of the carrier is released, so that the loading device is gradually separated from the covering range of the carrier, and is independent of The endoscope body is free to move;
- the operator can operate the endoscope body and the loading device at the same time, so that the two become independent operation devices, and are not pinned by each other.
- the method for operating the endoscope structure of the external carrier carrier further includes the step of using the endoscope body as a position for assisting fixation of the tumor when the tumor is cut, so that the sliding is not easy to slip;
- the tumor is then removed using a loaded scalpel while the endoscope body is used for photography and illumination.
- the method for operating an endoscope structure of an external carrier carrier wherein the carrier is coated with a portion of the hose body of the endoscope body.
- the method for operating an endoscope structure of an external carrier carrier wherein the carrier covers a majority of the hose body of the endoscope body.
- the method for operating an endoscope structure of an external carrier carrier wherein the carrier is composed of a sheet of objects, wherein the two sides are combined with each other to form a tubular structure, so that the carrier can be opened and closed via operation.
- the combination means one of snapping, bonding, magnetizing, locking, and stitching.
- the method for operating an endoscope structure of an external carrier carrier wherein the carrier is a sleeve, which is a tubular structure covering the outer edge of the endoscope body, and the sleeve is An object can be clamped between the endoscope bodies; and the loading device is placed between the sleeve and the endoscope body, and is pressed by the sleeve to be fixed with the endoscope body, so The endoscope body moves synchronously.
- the method for operating an endoscope structure of an external carrier carrier wherein the carrier is a C-shaped sleeve having an approximately tubular structure and covering the outer edge of the endoscope body, the C-shaped sleeve It is not closed and has an opening which is approximately C-shaped in cross section and is detached from the opening of the C-shaped sleeve when the loading device is to be detached from the endoscope body.
- the method for operating an endoscope structure of an external carrier carrier wherein the endoscope body is a medical endoscope body.
- the method for operating an endoscope structure of an external carrier carrier wherein the endoscope body is an industrial endoscope body.
- the advantage of the present case is that the surgical instrument that breaks through the traditional endoscope can only be placed inside the endoscope, and the loading device 30 is covered by the sleeve 40, and the loading device 30 is also brought into the exploration by the endoscope body 20.
- the loading device 30 is detached from the sleeve 40 by applying a pulling force or releasing the covering function of the carrier, and it becomes a freely movable structure, and thus is not restricted by the endoscope body 20.
- it is free to move to increase the range of motion and the angle of movement, allowing for more difficult surgical procedures to be performed more quickly.
- Figure 1 shows a structural view of the present invention in which the carrier fastens a portion of the endoscope body.
- Figure 2 shows a block diagram of the present invention in which the carrier is tightly wrapped over most of the endoscope body.
- Figure 3 shows that the loading device has been placed in the present case, wherein the carrier fastens a portion of the endoscope body.
- FIG. 4 shows that the loading device has been placed in the present case, wherein the carrier is fastened to cover most of the endoscope body.
- Figure 5 shows that the carrier of this case is a C-type casing.
- Figure 6 shows a schematic view of the loading device of the present case entering the surgical site of the prospecting object.
- Figure 7 shows that the loading device of the present case has been detached from the endoscope body.
- Figure 8 is a schematic view showing the removal of a tumor by the loading device of the present invention.
- Figure 9 shows a front view of the endoscope body of the present case.
- Figure 10 shows the general operational steps of the case.
- Figure 11 shows the procedure for the colorectal tumor resection in this case.
- FIG. 1 to FIG. 11 shows the structure of the endoscope of the external carrier of the world patent and the operation method thereof, and the following components are included:
- a handpiece 10 for controlling the endoscope body 20 is A handpiece 10 for controlling the endoscope body 20.
- An endoscope body 20 includes a hose body 21 and a rigid tube body 22 in a tubular structure.
- the endoscope body 20 is internally provided with a photographing device 23 and a light source 24.
- the hose body 21 is a part of the endoscope body 20 and is freely bendable and deformable, and the head end of the hose body 21 is connected to the hand piece 10.
- the rigid tube body 22 is a part of the endoscope body 20, and is not freely bendable and has a limited bending angle.
- the rigid tube body 22 is connected to the end of the hose body 21, and the lens of the photographing device 23 is The outlet of the light source 24 is disposed on the outer surface of the rigid tube body 22.
- the endoscope body 20 can be a gastroscope, a small endoscope, a bronchoscope, or a colonoscope.
- At least one loading device 30 is attached to the exterior of the endoscope body 20, and can enter the prospecting object with the endoscope body 20, and then separated from the endoscope body 20 for operation by the operator outside the prospecting object.
- the loading device 30 performs the necessary operations.
- a carrier 40 is attached to the exterior of the endoscope body 20 for securing the loading device 30 to the endoscope body 20 such that the loading device 30 and the endoscope body 20 can act together.
- the loading device 30 can be detached from the endoscope body 20 when the loading device 30 is properly pulled or the wrapping function of the carrier is released.
- the carrier 40 is a hose body 21 that can cover a part of the endoscope body 20 or a hose body 21 that covers most of the endoscope body 20.
- the carrier 40 can have a variety of different forms, and the carrier 40 is shown in FIGS. 1-4 as a sleeve 40 which is a tubular structure that is wrapped around the outer edge of the endoscope body 20 and makes the sleeve 40 can hold an object between the endoscope body 20; and the loading device 30 is placed between the sleeve 40 and the endoscope body 20, and is pressed by the sleeve 40 and the endoscope The body 20 is fixed so that it moves synchronously with the endoscope body 20.
- a sleeve 40 which is a tubular structure that is wrapped around the outer edge of the endoscope body 20 and makes the sleeve 40 can hold an object between the endoscope body 20
- the loading device 30 is placed between the sleeve 40 and the endoscope body 20, and is pressed by the sleeve 40 and the endoscope
- the body 20 is fixed so that it moves synchronously with the endoscope body 20.
- the carrier 40 is composed of a single body, wherein the two sides are combined with each other to form a tubular structure, so that the carrier can be opened and closed by operation, and the bonding manner can be engaging, bonding, magnetic attraction, and locking.
- One of the stitching is composed of a single body, wherein the two sides are combined with each other to form a tubular structure, so that the carrier can be opened and closed by operation, and the bonding manner can be engaging, bonding, magnetic attraction, and locking.
- the carrier 40 is a C-shaped sleeve 40 having an approximately tubular structure and covering the outer edge of the endoscope body 20.
- the C-shaped sleeve 40 is not closed. Having an opening, so that its cross section is approximately C-shaped, and the object can be clamped between the C-shaped sleeve 40 and the endoscope body 20; and the loading device 30 is placed on the C-shaped sleeve 40 and The endoscope scope 20 is pressed against the endoscope body 20 by the compression of the C-shaped sleeve 40, so that the loading device 30 is intended to be disengaged from the mirror body 20.
- the endoscope body 20 will be detached from the opening of the C-shaped sleeve 40.
- the loading device 30 can be a variety of medical surgical instruments, typically a tubular structure.
- the loading device 30 is first placed beside the outer edge of the endoscope body 20, and the loading device 30 and the endoscope body 20 are covered by the carrier 40 (step 100).
- the endoscope body 20 is then drilled deep into the interior of the object, and after reaching the appropriate position, a pulling force is applied to the loading device 30 to gradually disengage from the covering range of the carrier 40, independent of the endoscope body 20. Free to move (step 110).
- the operator can simultaneously operate the endoscope body 20 and the loading device 30 so that the two become independent operating devices without being pinned (step 120).
- the endoscope body 20 is first used to guide the loading device 30 to the portion to be operated, and then the loading device 30 is separated from the endoscope body 20 after reaching the portion, so the degree of freedom of the two is relatively small during operation. Large, not interfered with each other.
- the endoscope body 20 is used to carry a scalpel for the operation of resection of the large intestine (as shown in Figures 6-8).
- the operation steps are as follows. As shown in Figure 11:
- the scalpel is first placed beside the outer edge of the endoscope body 20, and the scalpel and the endoscope body 20 are covered by the sleeve 40 (step 200).
- the endoscope body 20 is then placed deep inside the large intestine, and after being brought into position, a pulling force is applied to the scalpel to gradually disengage from the covering range of the sleeve 40, and is freely movable independently of the endoscope body 20. (Step 210).
- the operator can simultaneously operate the endoscope body 20 and the scalpel so that the two become independent surgical instruments without being pinned (step 220).
- the endoscope body 20 is then used as a position to assist in fixing the tumor when the tumor is cut so as not to slip easily (step 230).
- the tumor is then removed using a loaded scalpel while the endoscope body 20 performs photography and illumination operations (step 240).
- the loading device 30 of the present invention can have various forms for performing various surgical treatments, such as polypectomy, endoscopic mucosal resection, submucosal resection, balloon expansion, etc., of course, the number of loading devices 30 is not limited to one. Multiple loading devices 30 can be loaded simultaneously to accommodate different surgical conditions.
- the advantage of the present case is that the surgical instrument that breaks through the traditional endoscope can only be placed inside the endoscope, and the loading device 30 is covered by the sleeve 40, and the loading device 30 is also brought into the exploration by the endoscope body 20.
- the loading device 30 is detached from the sleeve 40 by applying a pulling force or releasing the covering function of the carrier, and it becomes a freely movable structure, and thus is not restricted by the endoscope body 20.
- it is free to move to increase the range of motion and the angle of movement, allowing for more difficult surgical procedures to be performed more quickly.
Abstract
一种外部载送载体之内视镜结构及其操作方法，其可同时用于医疗及工业上，包含:一手持部，用于操控内视镜体之用；一内视镜体，为一管体结构包含一软管镜身与一硬管镜身，该内视镜体内部设有摄影装置、光源及器械通道；至少一加载器械，系依附在该内视镜体的外部，可随着该内视镜体进入探勘物体之内部，随后与该内视镜体分离，以由操作人员在探勘物体外部操作该加载器械进行必要的操作；一载体，系依附在该内视镜体的外部，用于固定该载入器械于该内视镜体上，而使得该加载器械与该内视镜体可一起动作，当适当的牵引该载入器械时，可另该载入器械脱离该内视镜体。
Description
本世界专利系有关于内视镜之载体，尤其是一种外部载送载体之内视镜结构及其操作方法，其可同时用于医疗及工业上。
传统的内视镜一般包含有器械信道、摄影装置、及光源、气体信道或液体信道，该内视镜结构一般包含一软管镜身与一硬管镜身，该器械通道可供各式医疗手术器械置入，使手术器械随着该内视镜移动以到达探勘物体病灶处，进行医疗处理。该摄影装置配合该光源之照射，可摄录探勘物体内部器官之影像。其中该器械信道、摄影装置、及光源之出口系设于该硬管镜身之外表面上。
在现有技术中系利用置于器械通道中的手术器械进行医疗手术，由于手术器械位于内视镜之内部，因此手术器械的运动会受到该内视镜的硬管镜身的限制，而影响该手术器械活动的灵活性及空间限制，无法独立于该硬管镜身之外而自由活动。
故本案希望提出一种崭新的外部载送载体之内视镜结构及其操作方法，以解决先前技术上的缺陷。
问题的解决方案
所以本世界专利的目的系为解决上述现有技术上的问题，提出一种外部载送载体之内视镜结构，其优点在于突破传统内视镜之手术器械只能置于内视镜内部之限制，利用套管包覆加载器械之方式，同样利用内视镜体将加载器械带入探勘物体中，并经由施加拉力使该加载器械脱离该套管之包覆或是解除该载体之包覆功能，而使加载器械成为可自由活动的结构，因此不会受到内视镜体的限制而影响其操作灵活性，可自由活动增大活动范围与移动角度，可更快速地进行更高难度的手术动作。
为达到上述目的本世界专利中提出一种外部载送载体之内视镜结构，包含：一手持部，用于操控内视镜体之用；一内视镜体，为一管体结构包含一软管镜身与一硬管镜身，该内视镜体内部设有摄影装置、光源及器械通道；至少一加载器械，系依附在该内视镜体的外部，可随着该内视镜体进入探勘物体之内部，随后与该内视镜体分离，以由操作人员在探勘物体外部操作该加载器械进行必要的操作；一载体，系依附在该内视镜体的外部，用于固定该载入器械于该内视镜体上，而使得该加载器械与该内视镜体可一起动作，当适当的牵引该载入器械时，可另该载入器械脱离该内视镜体。其中该载体可为一套管其为一管状结构系包覆于该内视镜体之外缘，并使得该套管与该内视镜体之间可夹持物体；而该加载器械系置于该套管及该内视镜体之间，受到该套管的压迫而与该内视镜体固定，因此会随着该内视镜体同步移动。
进一步的，其中该载体系包覆一部分之该内视镜体的软管镜身。
进一步的，其中该载体系包覆绝大部分之该内视镜体的软管镜身。
进一步的，其中该载体系由一片状物体组成，其中两侧边互相结合以形成管状结构，使该载体可经由操作而开合，其结合方式为卡合、黏合、磁吸、锁合、缝合之其中一种。
进一步的，其中该载体为一套管其为一管状结构系包覆于该内视镜体之外缘，并使得该套管与该内视镜体之间可夹持物体；而该加载器械系置于该套管及该内视镜体之间，受到该套管的压迫而与该内视镜体固定，因此会随着该内视镜体同步移动。
进一步的，其中该载体为一C型套管其近似管状结构且包覆于该内视镜体之外缘，该C型套管并未闭合具有一开口，其截面近似C字型，当该加载器械欲脱离该内视镜体时会从该C型套管之开口处脱离。
进一步的，其中该内视镜体为医疗用内视镜体。
进一步的，其中该内视镜体为工业用内视镜体。
进一步的，包含下列步骤：
将一加载器械置于一内视镜体之外缘旁侧，利用一载体将该加载器械及该内视镜体包覆固定；
然后将该内视镜体深入探勘物体内部，待到达适当位置后施加拉力于该加载器械上或是解除该载体之包覆功能，使该加载器械逐渐脱离该载体之包覆范围，而独立于该内视镜体而可自由活动；
此时操作人员可同时操作该内视镜体及该载入器械，使两者成为独立的操作器材，彼此之间不会受到牵制。
进一步的，所述的外部载送载体之内视镜结构之操作方法，尚包含步骤为利用该内视镜体作为切割肿瘤时辅助固定该肿瘤的位置使其不易滑移；
随后再利用加载之手术刀割除肿瘤，同时该内视镜体进行摄影及照明作业。
进一步的，所述的外部载送载体之内视镜结构之操作方法，，其中该载体系包覆一部分之该内视镜体的软管镜身。
进一步的，所述的外部载送载体之内视镜结构之操作方法，，其中该载体系包覆绝大部分之该内视镜体的软管镜身。
进一步的，所述的外部载送载体之内视镜结构之操作方法，其中该载体系由一片状物体组成，其中两侧边互相结合以形成管状结构，使该载体可经由操作而开合，其结合方式为卡合、黏合、磁吸、锁合、缝合之其中一种。
进一步的，所述的外部载送载体之内视镜结构之操作方法，其中该载体为一套管其为一管状结构系包覆于该内视镜体之外缘，并使得该套管与该内视镜体之间可夹持物体；而该加载器械系置于该套管及该内视镜体之间，受到该套管的压迫而与该内视镜体固定，因此会随着该内视镜体同步移动。
进一步的，所述的外部载送载体之内视镜结构之操作方法，其中该载体为一C型套管其近似管状结构且包覆于该内视镜体之外缘，该C型套管并未闭合具有一开口，其截面近似C字型，当该加载器械欲脱离该内视镜体时会从该C型套管之开口处脱离。
进一步的，所述的外部载送载体之内视镜结构之操作方法，其中该内视镜体为医疗用内视镜体。
进一步的，所述的外部载送载体之内视镜结构之操作方法，其中该内视镜体为工业用内视镜体。
由下文的说明可更进一步了解本世界专利的特征及其优点，阅读时并请参考附
图。
发明的有益效果
本案的优点在于，突破传统内视镜之手术器械只能置于内视镜内部之限制，利用套管40包覆加载器械30之方式，同样利用内视镜体20将加载器械30带入探勘物体中，并经由施加拉力或是解除该载体之包覆功能使该加载器械30脱离该套管40之包覆，而其成为可自由活动的结构，因此不会受到内视镜体20的限制而影响其操作灵活性，可自由活动增大活动范围与移动角度，可更快速地进行更高难度的手术动作。
对附图的简要说明
图1显示本案之结构图，其中该载体系紧包覆部分之内视镜体。
图2显示本案之结构图，其中该载体系紧包覆绝大部分之内视镜体。
图3显示本案已置入该加载器械，其中该载体系紧包覆部分之内视镜体。
图4显示本案已置入该加载器械，其中该载体系紧包覆绝大部分之内视镜体。
图5显示本案之载体为一C型套管。
图6显示本案之加载器械进入探勘物体手术位置之示意图。
图7显示本案之加载器械已脱离该内视镜体。
图8显示本案之加载器械进行切除肿瘤之示意图。
图9显示本案内视镜体之正视图。
图10显示本案之一般操作步骤。
图11显示本案用于大肠肿瘤切除手术之操作步骤。
【符号说明】
[Table 1]
| 10 | 手持部 |
| 20 | 内视镜体 |
| 21 | 软管镜身 |
| 22 | 硬管镜身 |
| 23 | 摄影装置 |
| 24 | 光源 |
| 30 | 载入器械 |
| 40 | 载体 |
发明实施例
兹谨就本案的结构组成，及所能产生的功效与优点，配合图式，举本案之一较佳实施例详细说明如下。
请参考图1至图11所示，显示本世界专利之外部载送载体之内视镜结构及其操作方法，包含下列组件：
一手持部10，用于操控内视镜体20之用。
一内视镜体20，为一管体结构包含一软管镜身21与一硬管镜身22，该内视镜体20内部设有摄影装置23及光源24。该软管镜身21为内视镜体20之一部分，可自由弯曲变形，该软管镜身21之头端与该手持部10连接。该硬管镜身22为内视镜体20之一部分，无法自由弯曲变形其弯曲角度有限，该硬管镜身22连接于该软管镜身21之尾端，而该摄影装置23之镜头及该光源24之出口设于该硬管镜身22之外表面上。
该内视镜体20可以为胃镜、小肠镜、气管镜、或大肠镜。
至少一加载器械30，系依附在该内视镜体20的外部，可随着该内视镜体20进入探勘物体，随后与该内视镜体20分离，以由操作人员在探勘物体外部操作该加载器械30进行必要的操作。
一载体40，系依附在该内视镜体20的外部，用于固定该载入器械30于该内视镜体20上，而使得该加载器械30与该内视镜体20可一起动作，当适当的牵引该加载器械30时或是解除该载体之包覆功能，可另该加载器械30脱离该内视镜体20。
其中该载体40系可包覆一部分之该内视镜体20的软管镜身21或包覆绝大部分之该内视镜体20的软管镜身21。
该载体40可具有多种不同的形式，在图1～4中显示该载体40为一套管40其为一管状结构系包覆于该内视镜体20之外缘，并使得该套管40与该内视镜体20之间可夹持物体；而该加载器械30系置于该套管40及该内视镜体20之间，受到该套管40的压迫而与该内视镜体20固定，因此会随着该内视镜体20同步移动。
在一实施例中，该载体40由一片体组成，其中两侧边互相结合以形成管状结构，使该载体可经由操作而开合，其结合方式可为卡合、黏合、磁吸、锁合、缝合之其中一种。
在另一实施例中，如图5所示，该载体40为一C型套管40其近似管状结构且包覆于该内视镜体20之外缘，该C型套管40并未闭合具有一开口，因此其截面近似C字型，并使得该C型套管40与该内视镜体20之间可夹持物体；而该载入器械30系置于该C型套管40及该内视镜体20之间，受到该C型套管40的压迫而与该内视镜体20固定，因此会随着该内视镜体20同步移动，当该载入器械30欲脱离该内视镜体20时会从该C型套管40之开口处脱离。
该加载器械30可为各式医疗手术器械，通常为一管状结构物。
本案之操作方式如下所述，如图10所示：
先将加载器械30置于该内视镜体20之外缘旁侧，利用该载体40将该加载器械30及该内视镜体20包覆固定(步骤100)。
然后将该内视镜体20深入探勘物体内部，待到达适当位置后施加拉力于该载入器械30上，使其逐渐脱离该载体40之包覆范围，而独立于该内视镜体20而可自由活动(步骤110)。
此时操作人员可同时操作该内视镜体20及该载入器械30，使两者成为独立的操作器材，彼此之间不会受到牵制(步骤120)。
在上述操作中，必要时也可以将其它的器件插入该内视镜体20中，并由该内视镜体20导引。
本案中先应用该内视镜体20将加载器械30导引到所要操作的部位，然后到达该部位后即将加载器械30与该内视镜体20分离，所以在操作时两者的自由度较大，彼此不会受到干扰。
现有之技术中进行类似的操作时，系将两种器件同时放到内视镜的内部，然后应用该内视镜将该两器件同时导引到操作部位，再分别操作该两器件。因为此两器件系被限制在该内视镜的内部，所以活动范围相当狭窄，操作上也很不方便。
兹举一列说明本案实际的手术操作情况，其中本案系使用该内视镜体20载送一手术刀以进行大肠内肿瘤切除之手术(如图6～8所示)，其操作步骤说明如下，如图11所示：
先将手术刀置于该内视镜体20之外缘旁侧，利用该套管40将该手术刀及该内视镜体20包覆固定(步骤200)。
然后将该内视镜体20深入大肠内部，待到达适当位置后施加拉力于该手术刀上使其逐渐脱离该套管40之包覆范围，而独立于该内视镜体20而可自由活动(步骤210)。
此时操作人员可同时操作该内视镜体20及该手术刀，使两者成为独立的手术器材，彼此之间不会受到牵制(步骤220)。
如图8所示，然后利用该内视镜体20作为切割肿瘤时辅助固定该肿瘤的位置使其不易滑移(步骤230)。
随后再利用加载之手术刀割除肿瘤，同时该内视镜体20进行摄影及照明作业(步骤240)。
本案的加载器械30可具有多种形式以进行各种手术处理，如息肉切除、内视镜黏膜切除术、黏膜下切除术、气球扩张等处理方式，当然加载器械30的数目并不限于一种，可同时载入多个载入器械30以适应不同的手术条件需求。
上列中有关的说明主要是以医学仪器及用途作为说明之用，但是这些说明并不限制本案的权力范围，内视镜一般也广泛用于工业上，尤其是电子工业，以应
用不拆解的方式探勘一些机械结构的内部并进行相关操作。所以本案的使用范围均涵盖所有内视镜的用途，包含医学及工业上之使用。
本案的优点在于，突破传统内视镜之手术器械只能置于内视镜内部之限制，利用套管40包覆加载器械30之方式，同样利用内视镜体20将加载器械30带入探勘物体中，并经由施加拉力或是解除该载体之包覆功能使该加载器械30脱离该套管40之包覆，而其成为可自由活动的结构，因此不会受到内视镜体20的限制而影响其操作灵活性，可自由活动增大活动范围与移动角度，可更快速地进行更高难度的手术动作。
综上所述，本案之创新设计，相当符合实际需求。其具体改进现有缺失，相较于现有技术明显具有突破性之进步优点，确实具有功效之增进，且非易于达成。本案未曾公开或揭露于国内与国外之文献与市场上，已符合专利法规定。
上列详细说明系针对本世界专利之一可行实施例之具体说明，惟该实施例并非用以限制本世界专利之专利范围，凡未脱离本世界专利技艺精神所为之等效实施或变更，均应包含于本案之专利范围中。
Claims (17)
- 一种外部载送载体之内视镜结构，包含：一手持部，用于操控内视镜体之用；一内视镜体，为一管体结构包含一软管镜身与一硬管镜身，该内视镜体内部设有摄影装置及光源；至少一加载器械，系依附在该内视镜体的外部，可随着该内视镜体进入探勘物体之内部，随后与该内视镜体分离，以由操作人员在探勘物体外部操作该加载器械进行必要的操作；一载体，依附在该内视镜体的外部，用于固定包覆该载入器械于该内视镜体上，而使得该加载器械与该内视镜体可一起动作，当适当的牵引该载入器械或解除该载体之包覆功能，可另该加载器械脱离该内视镜体。
- 如权利要求1所述的内视镜之载体载送结构，其中该载体系包覆一部分之该内视镜体的软管镜身。
- 如权利要求1所述的内视镜之载体载送结构，其中该载体系包覆绝大部分之该内视镜体的软管镜身。
- 如权利要求1所述的内视镜之载体载送结构，其中该载体系由一片状物体组成，其中两侧边互相结合以形成管状结构，使该载体可经由操作而开合，其结合方式为卡合、黏合、磁吸、锁合、缝合之其中一种。
- 如权利要求1所述的内视镜之载体载送结构，其中该载体为一套管其为一管状结构系包覆于该内视镜体之外缘，并使得该套管与该内视镜体之间可夹持物体；而该加载器械系置于该套管及该内视镜体之间，受到该套管的压迫而与该内视镜体固定，因此会随着该内视镜体同步移动。
- 如权利要求1所述的内视镜之载体载送结构，其中该载体为一C型套管其近似管状结构且包覆于该内视镜体之外缘，该C型套管并未闭合具有一开口，其截面近似C字型，当该加载器械欲脱离该内视镜体时会从该C型套管之开口处脱离。
- 如权利要求1所述的内视镜之载体载送结构，其中该内视镜体为医疗用内视镜体。
- 如权利要求1所述的内视镜之载体载送结构，其中该内视镜体为工业用内视镜体。
- 一种外部载送载体之内视镜结构之操作方法，包含下列步骤：将一加载器械置于一内视镜体之外缘旁侧，利用一载体将该加载器械及该内视镜体包覆固定；然后将该内视镜体深入探勘物体内部，待到达适当位置后施加拉力于该加载器械上或是解除该载体之包覆功能，使该加载器械逐渐脱离该载体之包覆范围，而独立于该内视镜体而可自由活动；此时操作人员可同时操作该内视镜体及该载入器械，使两者成为独立的操作器材，彼此之间不会受到牵制。
- 如权利要求9所述的外部载送载体之内视镜结构之操作方法，尚包含步骤为利用该内视镜体作为切割肿瘤时辅助固定该肿瘤的位置使其不易滑移；随后再利用加载之手术刀割除肿瘤，同时该内视镜体进行摄影及照明作业。
- 如权利要求9所述的外部载送载体之内视镜结构之操作方法，其中该载体系包覆一部分之该内视镜体的软管镜身。
- 如权利要求9所述的外部载送载体之内视镜结构之操作方法，其中该载体系包覆绝大部分之该内视镜体的软管镜身。
- 如权利要求9所述的外部载送载体之内视镜结构之操作方法，其中该载体系由一片状物体组成，其中两侧边互相结合以形成管状结构，使该载体可经由操作而开合，其结合方式为卡合、黏合、磁吸、锁合、缝合之其中一种。
- 如权利要求9所述的外部载送载体之内视镜结构之操作方法，其中该载体为一套管其为一管状结构系包覆于该内视镜体之外缘，并使得该套管与该内视镜体之间可夹持物体；而该加载器械系置于该套管及该内视镜体之间，受到该套管的压迫而与该内视镜体固定，因此会随着该内视镜体同步移动。
- 如权利要求9所述的外部载送载体之内视镜结构之操作方法，其中该载体为一C型套管其近似管状结构且包覆于该内视镜体之外缘，该C型套管并未闭合具有一开口，其截面近似C字型，当该加载器械欲脱离该内视镜体时会从该C型套管之开口处脱离。
- 如权利要求9所述的外部载送载体之内视镜结构之操作方法，其中该内视镜体为医疗用内视镜体。
- 如权利要求9所述的外部载送载体之内视镜结构之操作方法，其中该内视镜体为工业用内视镜体。
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| US20020183591A1 (en) * | 2001-02-06 | 2002-12-05 | Nobuyuki Matsuura | Endoscopic system and method for positioning an indwelling tube |
| US20030195387A1 (en) * | 2001-08-16 | 2003-10-16 | Syntheon, Llc | Methods and appartus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen |
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