WO2018209782A1 - 一种模块化内窥镜 - Google Patents

一种模块化内窥镜 Download PDF

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Publication number
WO2018209782A1
WO2018209782A1 PCT/CN2017/092575 CN2017092575W WO2018209782A1 WO 2018209782 A1 WO2018209782 A1 WO 2018209782A1 CN 2017092575 W CN2017092575 W CN 2017092575W WO 2018209782 A1 WO2018209782 A1 WO 2018209782A1
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WO
WIPO (PCT)
Prior art keywords
endoscope
sleeve
connecting pin
tube
pin shaft
Prior art date
Application number
PCT/CN2017/092575
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English (en)
French (fr)
Inventor
龙刚
胡学成
李金平
王少刚
张军晖
李建兴
吴耀辉
毛业云
Original Assignee
武汉佑康科技有限公司
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Publication date
Application filed by 武汉佑康科技有限公司 filed Critical 武汉佑康科技有限公司
Priority to EP17910100.1A priority Critical patent/EP3626154B1/en
Priority to JP2019563894A priority patent/JP2020520285A/ja
Publication of WO2018209782A1 publication Critical patent/WO2018209782A1/zh
Priority to US16/686,202 priority patent/US11357393B2/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00105Constructional details of the endoscope body characterised by modular construction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00112Connection or coupling means
    • A61B1/00121Connectors, fasteners and adapters, e.g. on the endoscope handle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00112Connection or coupling means
    • A61B1/00121Connectors, fasteners and adapters, e.g. on the endoscope handle
    • A61B1/00128Connectors, fasteners and adapters, e.g. on the endoscope handle mechanical, e.g. for tubes or pipes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00131Accessories for endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00131Accessories for endoscopes
    • A61B1/00135Oversleeves mounted on the endoscope prior to insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • A61B1/0052Constructional details of control elements, e.g. handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • A61B1/0057Constructional details of force transmission elements, e.g. control wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/01Guiding arrangements therefore
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015Control of fluid supply or evacuation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/04Instruments 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
    • A61B1/05Instruments 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 characterised by the image sensor, e.g. camera, being in the distal end portion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/06Instruments 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/06Instruments 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
    • A61B1/07Instruments 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04Constructional details of apparatus
    • A61B2560/0443Modular apparatus

Definitions

  • the present invention relates to the field of endoscope technology, and in particular to a modular endoscope.
  • the endoscope is a test instrument that integrates traditional optics, ergonomics, precision machinery, modern electronics, mathematics, and software. It is widely used in medical applications. It can enter the stomach through the oral cavity or enter the body through other natural channels. It can enter the body through a small incision to see the lesions that X-rays cannot display, and can be visually operated in the body with surgical instruments. Clinical in vivo examinations and visualized surgical procedures require clear-cut endoscopes to help doctors improve the accuracy of their diagnosis.
  • the existing endoscope is a monolithic structure, and integrates an image sensor, an optical lens, a light source illumination, a treatment device, and a working sheath.
  • the working sheath In order to make the working sheath more suitable for clinical treatment and observation of lesions, it is often integrated. Since the working sheath bending mechanism, the telescopic mechanism, and the rotating mechanism are employed, the manufacturing cost of the endoscope is high. In the course of clinical treatment, in order to avoid cross-infection, the endoscope is a disposable consumable, which leads to high treatment cost, especially in the course of surgical treatment, which greatly increases the cost of surgery and the economic burden on patients.
  • the object of the present invention is to solve the above-mentioned deficiencies of the prior art and to provide a modular endoscope structure with less disposable structure, low treatment cost and low cost.
  • the modular endoscope structure designed by the present invention comprises an endoscope handle, an endoscope working sheath and an endoscope tube, and the rear end of the endoscope working sheath is provided along the axial direction thereof.
  • a guiding hole wherein the guiding hole is provided with a first connecting pin axially movable along the guiding hole, and there is damping between the guiding hole and the first connecting pin;
  • the front end of the endoscope handle is along its axis
  • the damping force between the guiding hole of the end and the first connecting pin shaft and the damping force between the endoscope handle and the second connecting pin shaft are greater than the engaging force of the first connecting pin shaft and the second connecting pin shaft.
  • the endoscope a rear end of the working sheath is coupled to the front end of the endoscope handle;
  • the endoscope handle is provided with a tensioning mechanism capable of driving the second connecting pin shaft to extend along the axial direction thereof, the endoscope
  • the tube includes a hose extending from the front end of the working sheath of the endoscope and a rigid tube fixed in the working sheath of the endoscope, the first connecting pin connecting the steering wire of the hose through a wire rope, the first Two connecting pins are coupled to the tensioning mechanism.
  • the tensioning mechanism includes a pulsator rod disposed in the endoscope handle, the pulsator rod is fixedly connected to the second connecting pin shaft by a wire rope, and a rear end of the endoscope handle is provided A pulsator fixedly connected to both ends of the pulsator.
  • the invention has the following two types of pin connection forms and sleeve fit forms:
  • the endoscope working sheath is composed of a hollow conical working sheath having an axial hole, a cylindrical transition connecting tube section and a first connecting sleeve; the endoscope tube is fixed to the hollow cone In the axial hole of the working sheath, the rear end surface of the endoscope working sheath is fixedly connected with a hollow and cylindrical transition connecting pipe section, and the rear connecting end surface of the transition connecting pipe section is connected with a first connecting sleeve, and the first connecting sleeve a guiding hole is formed in the axial direction of the cylinder, and the first connecting pin shaft is disposed in the guiding hole;
  • the endoscope handle is an inner hollow handle, the front end surface of the endoscope handle is connected with a second connecting sleeve, and the second connecting sleeve has a guiding hole along the axial direction thereof, the second connection A pin is disposed in the guide hole.
  • the endoscope tube includes a rigid tube that is fixed in the axial hole of the working sheath of the endoscope and a hose that protrudes out of the working sheath of the endoscope, and the endoscope tube has a light source.
  • a three-chamber tube of the channel, the instrument channel and the water injection channel; a first three-way communicating with the light source channel of the endoscope tube and a second three connected to the instrument channel of the endoscope tube are connected to the wall of the transitional connection tube segment
  • the wall of the endoscope working sheath has a water injection hole communicating with the water injection channel.
  • the second connecting pin shaft includes a pin shaft, and the front end of the pin shaft is symmetrically disposed with a radially extending positioning short shaft;
  • the first connecting pin shaft includes a sleeve tube, a front end of the pin shaft of the second connecting pin can be inserted into the sleeve tube hole, and the tube wall of the sleeve tube is provided with two short-axis positioning grooves which are matched with the positioning short shaft.
  • the short-axis positioning groove is L-shaped in the axial direction.
  • the second connecting sleeve is a cylindrical sleeve, and a positioning hole is formed in the second connecting sleeve in the axial direction, and a sleeve positioning convex is symmetrically disposed on both sides of the hole wall of the positioning hole.
  • the first connecting sleeve is a cylindrical positioning tube that cooperates with an axial positioning hole of the second connecting sleeve, the first connecting sleeve
  • the tube wall of the nozzle is provided with two sleeve positioning grooves which cooperate with the sleeve positioning protrusions, and the sleeve positioning grooves are L-shaped in the axial direction.
  • Form 2 a first radial groove is formed on the outer surface of the rear end of the first connecting pin, and a second radial groove is formed on the outer surface of the front end of the second connecting pin, and the outer wall of the first radial groove is Embedded in the second radial groove, the outer wall of the second radial groove may be embedded in the first radial groove, the diameter of the first connecting pin shaft is the same as the diameter of the second connecting pin shaft, the first connection The outer surface of the pin is coplanar with the outer surface of the second connecting pin.
  • the rear end surface of the first connecting sleeve is a step surface
  • the front end surface of the second connecting sleeve is a step surface corresponding to the step surface of the first connecting sleeve
  • the outer step surface or the inner step surface of the rear end surface of the connecting sleeve is provided with strip-shaped L-shaped positioning bosses facing away from each other, and the longitudinal direction of the positioning boss is perpendicular to the axis of the first connecting sleeve;
  • An outer step surface or an inner step surface corresponding to the positioning boss on the front end surface of the second connecting sleeve is provided with a boss positioning card slot matched with the strip-shaped L-shaped positioning boss, the first connecting sleeve
  • the outer surface of the barrel is coplanar with the outer surface of the second connecting sleeve.
  • the invention has the beneficial effects that the front and rear portions are detachable by dividing the endoscope into two parts, the front end module is a disposable part, the rear end handle is a multi-use operation part, and the intermediate connection mechanism is connected through the connection hook.
  • the endoscope Rotating or horizontally inserting the front and rear modules, and controlling the bending angle of the endoscope tube through the wire rope, the endoscope has a simple structure and is convenient to use; since only the front working sheath portion is consumed, the cost of the endoscope is effectively reduced. It has good practicability and market application value, and effectively avoids iatrogenic cross infection.
  • FIG. 1 is a schematic structural view showing a first connecting pin shaft and a second connecting pin shaft of a modular endoscope structure according to Embodiment 1 of the present invention, when the first connecting sleeve and the second connecting sleeve are not matched;
  • Figure 2 is a cross-sectional view taken along line A-A of Figure 1;
  • FIG. 3 is a schematic structural view of the endoscope working sheath and the endoscope handle of the modular endoscope structure according to the first embodiment of the present invention
  • Figure 4 is a cross-sectional view taken along line B-B of Figure 3;
  • Figure 5 is a perspective view of a hook connecting portion of a modular endoscope structure according to Embodiment 1 of the present invention.
  • Figure 6 is a perspective view of a sleeve connecting portion of a modular endoscope structure according to Embodiment 1 of the present invention.
  • FIG. 7 is a schematic structural view of the endoscope working sheath and the endoscope handle of the modular endoscope structure according to the second embodiment of the present invention.
  • Figure 8 is a cross-sectional view taken along line C-C of Figure 7;
  • Figure 9 is a perspective view of a hook connecting portion of a modular endoscope structure according to a second embodiment of the present invention.
  • Figure 10 is a plan view showing the connection of the first connecting pin shaft and the second connecting pin shaft in the second embodiment of the present invention.
  • the modular endoscope structure shown in FIG. 1-6 includes an endoscope handle 1, an endoscope working sheath 2, and an endoscope tube 3 disposed in the endoscope working sheath 2, and the endoscope working sheath
  • the rear end of the connecting portion 2 is fixedly connected with a transition connecting pipe segment 9
  • the rear end of the transition connecting pipe segment 9 is fixedly connected with a first connecting sleeve 4
  • the first connecting portion of the transition connecting pipe segment 9 is connected with the light source channel of the endoscope tube 3
  • the endoscope working sheath 2 is provided with a water injection hole 12 communicating with the water injection channel.
  • the endoscope handle 1 is provided with a dial wheel 7 which is connected to the pulsator 6, and the dial rod 7 is connected to the second connecting pin shaft 14 through the wire rope 8;
  • the endoscope tube 3 has a light source channel and an instrument channel And a three-cavity tube of the water injection passage, the front end of the three-chamber tube is a hose, and the first connecting pin shaft 13 is connected to the steering wire of the hose through the wire rope 8.
  • the first connecting sleeve 4 is provided with a first connecting pin shaft 13; the front end of the endoscope handle 1 is fixedly connected with a second connecting sleeve 5 sleeved on the first connecting sleeve 4, and the second connecting sleeve 5
  • a second connecting pin shaft 14 that cooperates with the first connecting pin shaft 13 is provided therein.
  • Embodiment 1 is a diagrammatic representation of Embodiment 1:
  • the second connecting pin shaft 14 includes a pin shaft 14.1 disposed in the second connecting sleeve 5.
  • the front end of the pin shaft 14.1 is symmetrically disposed with an axis of the first pin shaft 14.1.
  • the vertical positioning short shaft 14.2 the first connecting pin shaft 13 includes a hollow sleeve tube 13.1 disposed in the first connecting sleeve 4, the front end of the pin shaft 14.1 is disposed in the sleeve tube 13.1, and the sleeve tube 13.1
  • the rear end has two short-axis positioning grooves 15 that cooperate with the positioning short shaft 14.2.
  • the short-axis positioning groove comprises a short-axis axial positioning groove 15.1 which is opened in the axial direction of the sleeve tube 13.1 and a short-axis radial positioning which is connected to the short-axis axial positioning groove 15.1 and which is opened in the radial direction of the hook sleeve rod 13.1.
  • Slot 15.2 A sleeve positioning protrusion 17 is symmetrically disposed on both sides of the front end inner wall of the second connecting sleeve 5.
  • the rear end of the first connecting sleeve 4 is provided with a sleeve positioning groove 18 that cooperates with the sleeve positioning protrusion 17.
  • the sleeve positioning groove includes a convex axial positioning groove 18.1 which is opened in the axial direction of the first connecting sleeve 4, and a protrusion which is connected to the convex axial positioning groove 18.1 and which is opened in the radial direction of the first connecting sleeve 4.
  • Embodiment 2 is a diagrammatic representation of Embodiment 1:
  • the outer surface of the rear end of the first connecting pin 13 is opened with a first radial groove 19, and the outer surface of the front end of the second connecting pin 14 is provided with a second radial groove 20, the first radial groove
  • the outer wall of the second radial groove 20 can be embedded in the first radial groove 19, and the diameter of the first connecting pin 13 is the same as the diameter of the second connecting pin shaft 14,
  • the outer surface of the first coupling pin 13 is coplanar with the outer surface of the second coupling pin 14.
  • the rear end of the first connecting sleeve 4 is a stepped structure.
  • the two sides of the rear end surface of the first connecting sleeve 4 are symmetrically disposed with an L-shaped positioning boss 21, and the positioning boss 21 includes a first connecting sleeve.
  • a first connecting portion 21.1 having a rear end surface perpendicular to the second connecting portion 21.1 perpendicular to the first connecting portion 21.1 and extending toward the outside of the first connecting sleeve 4;
  • a front end of the second connecting sleeve 5 is provided with a step
  • the front end of the second connecting sleeve 5 is provided with a boss positioning slot 16 for engaging with the second connecting portion 21.2.
  • the endoscope handle 1 and the disposable endoscope working sheath 2 are composed; the handle is composed of two handle detachable handle upper cover and a handle lower cover, and the handle 1 is provided with a dial lever 7, wave Both ends of the wheel rod 7 are connected with the pulsator 6, the dial rod 7 is connected with the wire rope 8, the wire rope 8 is connected with the second connecting pin shaft 14, and the second connecting pin shaft 14 is engaged with the first connecting pin shaft 13, the first connecting pin shaft The curved wire of the soft sheath of the endoscope tube 3 is connected. When the dial shaft 7 is driven, the second connecting pin 14 connected to the wire 8 is driven, and the second connecting pin 14 drives the first connecting pin 13 to pull.
  • the soft sheath of the front end of the speculum tube 3 is bent; the transition connecting tube section 9 of the endoscope working sheath 2 is provided with a tee with the working sheath light source hole, the water supply channel and the instrument hole, and the handle 1 is connected with the endoscope working sheath 2 , through the three-way side of the transition connecting pipe section 9 to connect the light source of the host
  • the port is powered by the light source cable to the light source, and the light is transmitted from the light source to the micro CMOS camera at the front end of the endoscope working sheath 2 through the light guiding fiber to provide illumination conditions for the camera, and the image taken by the camera is connected to the camera interface on the host computer.
  • the camera cable is transmitted to the host, and the image on the host is output to the image through the image transmission line.

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Abstract

一种模块化内窥镜结构,包括内窥镜手柄(1)、内窥镜工作鞘(2)和设置于内窥镜工作鞘(2)内的内窥镜管(3),内窥镜工作鞘(2)的后端固定连接有第一连接套筒(4),第一连接套筒(4)内设有第一连接销轴(13);内窥镜手柄(1)的前端固定连接有套设于第一连接套筒(4)上的第二连接套筒(5),第二连接套筒(5)内设有与第一连接销轴(13)配合的第二连接销轴(14)。通过将内窥镜分为前后两部分模块,前后部分可拆卸,前端模块为一次性使用部分,后端手柄为可多次使用的操作部分;中间连接机构通过连接挂钩的旋转或者横插将前后模块对接,且可通过钢丝绳(8)控制内窥镜管(3)的弯曲角度,内窥镜结构简单,使用方便;由于只消耗前端工作鞘部分,因此有效降低了内窥镜的消耗成本,同时有效避免了医源性交叉感染。

Description

一种模块化内窥镜 技术领域
本发明涉及内窥镜技术领域,具体地指一种模块化内窥镜。
背景技术
内窥镜是集中了传统光学、人体工程学、精密机械、现代电子、数学、软件等于一体的检测仪器,在医疗上应用十分广泛。它可以经口腔进入胃内或经其他天然孔道进入体内,能通过小切口进入体内看到X射线不能显示的病变,并且能配合手术器械在体内进行可视化手术治疗。临床上的体内检查及可视化手术治疗需要图像清晰的内窥镜来帮助医生提高诊断的准确性。但现有的内窥镜为一整体式结构,并集成了图像传感器、光学镜头、光源照明、治疗器械和工作鞘等机构,为使工作鞘更适用于临床治疗、观察病变部位,往往还集成了工作鞘弯曲机构、伸缩机构和旋转机构,因此内窥镜的制造成本高。在临床治疗过程中,为避免交叉感染,内窥镜属于一次性耗材,导致治疗成本高,尤其在手术治疗过程中,大大提高了手术费用,患者承受的经济负担重。
发明内容
本发明的目的就是要解决上述背景技术的不足,提供一种一次性结构少、治疗费用低且消耗成本低的模块化内窥镜结构。
为实现此目的,本发明所设计的模块化内窥镜结构,包括内窥镜手柄、内窥镜工作鞘和内窥镜管,所述内窥镜工作鞘的后端沿其轴向设有导向孔,所述导向孔内设有可沿导向孔轴向移动的第一连接销轴,所述导向孔与第一连接销轴之间存在阻尼;所述内窥镜手柄的前端沿其轴向设有导向孔,所述导向孔内设有可沿导向孔轴向移动的第二连接销轴,所述导向孔与第二连接销轴之间存在阻尼;所述内窥镜工作鞘后端的导向孔与第一连接销轴之间的阻尼力以及内窥镜手柄与第二连接销轴之间的阻尼力均大于第一连接销轴与第二连接销轴轴向配合的卡接力,所述第一连接销轴的后端与第二连接销轴的前端相互配合连接,所述内窥镜 工作鞘的后端与所述内窥镜手柄的前端相互配合连接;所述内窥镜手柄内设有能驱动第二连接销轴沿其轴向拉伸的张紧机构,所述内窥镜管包括前端伸出内窥镜工作鞘外的软管和后部固定于内窥镜工作鞘内的硬管,所述第一连接销轴通过钢丝绳连接所述软管的转向钢丝,所述第二连接销轴与所述张紧机构连接。
具体的,所述张紧机构包括设置于内窥镜手柄内的波轮杆,所述波轮杆通过钢丝绳与所述第二连接销轴固定连接,所述内窥镜手柄的后端设有与波轮杆两端固定连接的波轮。
本发明具有以下两种销轴连接形式和套筒配合形式:
形式一:所述内窥镜工作鞘由具有轴向孔的空心锥形工作鞘、圆筒形的过渡连接管段和第一连接套筒构成;所述内窥镜管固定于所述空心锥形工作鞘的轴向孔内,所述内窥镜工作鞘后端面固定连接有中空、圆筒形的过渡连接管段,所述过渡连接管段的后端面连接有第一连接套筒,第一连接套筒沿轴向开有导向孔,所述第一连接销轴设置于该导向孔内;
所述内窥镜手柄为内部空心的手柄,所述内窥镜手柄的前端面连接有第二连接套筒,所述第二连接套筒沿其轴向开有导向孔,所述第二连接销轴设置于该导向孔内。
具体的,所述内窥镜管包括后部固定于内窥镜工作鞘的轴向孔内的硬管和前端伸出内窥镜工作鞘外的软管,所述内窥镜管为具有光源通道、器械通道和注水通道的三腔管;所述过渡连接管段管壁上连接有与内窥镜管的光源通道连通的第一三通和与内窥镜管的器械通道连通的第二三通;所述内窥镜工作鞘管壁上开有与注水通道连通的注水孔。
具体的,所述第二连接销轴包括销轴杆,所述销轴杆的前端两侧对称设有径向伸出的定位短轴;所述第一连接销轴包括套筒管,所述第二连接销轴的销轴杆的前端可插入所述套筒管管孔内,所述套筒管的管口处管壁上开有两个与定位短轴配合的短轴定位槽,所述短轴定位槽沿轴向呈L形型。
更具体的,所述第二连接套筒为圆柱形套筒,所述第二连接套筒内沿轴向开有定位孔,所述定位孔的孔壁两侧对称设有一个套筒定位凸起,所述第一连接套筒为与所述第二连接套筒的轴向定位孔配合的圆柱形定位管,所述第一连接套筒 的管口处管壁上开有两个与套筒定位凸起配合的套筒定位槽,所述套筒定位槽沿轴向呈L型。
形式二:所述第一连接销轴后端外表面开有第一径向槽,所述第二连接销轴前端外表面开有第二径向槽,所述第一径向槽的外壁可嵌入第二径向槽内,所述第二径向槽的外壁可嵌入第一径向槽内,所述第一连接销轴的直径与第二连接销轴的直径相同,所述第一连接销轴的外表面与第二连接销轴的外表面共面。
具体的,所述第一连接套筒的后端面为阶梯面,所述第二连接套筒的前端面为与所述第一连接套筒的阶梯面对应的的阶梯面;所述第一连接套筒后端面上的外阶梯面或内阶梯面表面设有相互背对的条状L型的定位凸台,所述定位凸台长度方向与所述第一连接套筒的轴线垂直;所述第二连接套筒的前端面上的与定位凸台对应的外阶梯面或内阶梯面表面开有与条状L型的定位凸台配合的凸台定位卡槽,所述第一连接套筒的外表面与所述第二连接套筒的外表面共面。
本发明的有益效果是:通过将内窥镜分为前后两部分模块,前后部分可拆卸,前端模块为一次性使用部分,后端手柄为可多次使用的操作部分;中间连接机构通过连接挂钩的旋转或者横插将前后模块对接,且可通过钢丝绳控制内窥镜管的弯曲角度,内窥镜结构简单,使用方便;由于只消耗前端工作鞘部分,因此有效降低了内窥镜的消耗成本,具有很好的实用性和市场应用价值,同时有效避免了医源性交叉感染。
附图说明
图1为本发明中实施例一的模块化内窥镜结构的第一连接销轴和第二连接销轴配合、第一连接套筒和第二连接套筒未配合时的结构示意图;
图2为图1中A—A的剖视图;
图3为本发明中实施例一的模块化内窥镜结构的内窥镜工作鞘和内窥镜手柄完全配合时的结构示意图;
图4为图3中B—B的剖视图;
图5为本发明中实施例一的模块化内窥镜结构的挂钩连接部分的立体图;
图6为本发明中实施例一的模块化内窥镜结构的套筒连接部分的立体图;
图7为本发明中实施例二的模块化内窥镜结构的内窥镜工作鞘和内窥镜手柄完全配合时的结构示意图;
图8为图7中C—C的剖视图;
图9为本发明中实施例二的模块化内窥镜结构的挂钩连接部分的立体图;
图10为本发明中实施例二的第一连接销轴与第二连接销轴连接的平面示意图。
其中,1—内窥镜手柄,2—内窥镜工作鞘,3—内窥镜管,4—第一连接套筒,5—第二连接套筒,6—拨轮,7—拨轮杆,8—钢丝绳,9—过渡连接管段,10—第一三通,11—第二三通,12—注水孔,13—第一连接销轴(13.1—套筒管),14—第二连接销轴(14.1—销轴杆,14.2—定位短轴),15.1—短轴轴向定位槽,15.2—短轴径向定位槽,16—凸台定位卡槽,17—套筒定位凸起,18.1—凸起轴向定位槽,18.2—凸起径向定位槽,19—第一径向槽,20—第二径向槽,21—定位凸台(21.1—第一连接段,21.2—第二连接段)。
具体实施方式
下面结合附图和具体实施例对本发明作进一步的详细说明。
如图1—6所示的模块化内窥镜结构,包括内窥镜手柄1、内窥镜工作鞘2和设置于内窥镜工作鞘2内的内窥镜管3,内窥镜工作鞘2的后端固定连接有过渡连接管段9,过渡连接管段9的后端固定连接有第一连接套筒4,过渡连接管段9上连接有与内窥镜管3的光源通道连通的第一三通10和与内窥镜管3的器械通道连通的第二三通11;内窥镜工作鞘2上开有与注水通道连通的注水孔12。内窥镜手柄1内设有拨拨轮杆7,波轮杆7连接波轮6,拨轮杆7通过钢丝绳8连接第二连接销轴14;内窥镜管3为具有光源通道、器械通道和注水通道的三腔管,三腔管的前端为软管,第一连接销轴13通过钢丝绳8连接软管的转向钢丝。
第一连接套筒4内设有第一连接销轴13;内窥镜手柄1的前端固定连接有套设于第一连接套筒4上的第二连接套筒5,第二连接套筒5内设有与第一连接销轴13配合的第二连接销轴14。
实施例一:
如图5—6所示,第二连接销轴14包括设置于第二连接套筒5内的销轴杆14.1,销轴杆14.1的前端两侧对称设有一个与第一销轴杆14.1轴线垂直的定位短轴14.2,第一连接销轴13包括设置于第一连接套筒4内、中空的套筒管13.1,销轴杆14.1的前端设置于套筒管13.1内,套筒管13.1的后端开有两个与定位短轴14.2配合的短轴定位槽15。短轴定位槽包括沿套筒管13.1轴向方向开设的短轴轴向定位槽15.1和与短轴轴向定位槽15.1连接、沿挂钩套筒杆13.1的径向方向开设的短轴径向定位槽15.2。第二连接套筒5的前端内壁的两侧对称设有一个套筒定位凸起17,第一连接套筒4的后端开有与套筒定位凸起17配合的套筒定位槽18。套筒定位槽包括沿第一连接套筒4轴向方向开设的凸起轴向定位槽18.1和与凸起轴向定位槽18.1连接、沿第一连接套筒4的径向方向开设的凸起径向定位槽18.2。
实施例二:
如图7—10所示,第一连接销轴13后端外表面开有第一径向槽19,第二连接销轴14前端外表面开有第二径向槽20,第一径向槽19的外壁可嵌入第二径向槽20内,第二径向槽20的外壁可嵌入第一径向槽19内,第一连接销轴13的直径与第二连接销轴14的直径相同,第一连接销轴13的外表面与第二连接销轴14的外表面共面。第一连接套筒4的后端顶部为阶梯台结构,第一连接套筒4的后端面的两侧对称设有一个L型的定位凸台21,定位凸台21包括与第一连接套筒4的后端面垂直的第一连接段21.1和与第一连接段21.1垂直、朝向第一连接套筒4外侧延伸的第二连接段21.2;第二连接套筒5的前端顶部设有与阶梯台结构配合的凸台,第二连接套筒5的前端开有与第二连接段21.2配合的凸台定位卡槽16。
本发明中由内窥镜手柄1和一次性的内窥镜工作鞘2组成;手柄由两块相互配合可拆卸的手柄上盖和手柄下盖组成,手柄1中装有拨轮杆7,波轮杆7两端与波轮6连接,拨轮杆7连接钢丝绳8,钢丝绳8与第二连接销轴14连接,第二连接销轴14与第一连接销轴13配合,第一连接销轴13内窥镜管3的软鞘的弯曲钢丝连接,操作时拨动拨轮杆7带动钢丝绳8连接的后第二连接销轴14,第二连接销轴14带动第一连接销轴13拉动内窥镜管3前端的软鞘弯曲;内窥镜工作鞘2的过渡连接管段9上设有与工作鞘光源孔、供水通道、器械孔的三通,手柄1与内窥镜工作鞘2连接后,通过过渡连接管段9侧面的三通接通主机上光源供电接 口,通过光源线缆供电给光源,通过导光光纤将光从光源传导到内窥镜工作鞘2前端的微型CMOS摄像头,为摄像头提供照明条件,摄像头拍摄的图像通过与主机上的摄像头接口连接的摄像头线缆传到主机,主机上的图像通过图像传输线将图像输出到显示出来。
以上所述,仅是本发明的较佳实施例而已,并非对本发明的结构做任何形式上的限制。凡是依据本发明的技术实质对以上实施例所作的任何简单修改、等同变化与修饰,均仍属于本发明的技术方案的范围内。

Claims (8)

  1. 一种模块化内窥镜,包括内窥镜手柄(1)、内窥镜工作鞘(2)和内窥镜管(3),其特征在于:所述内窥镜工作鞘(2)的后端沿其轴向设有导向孔,所述导向孔内设有可沿导向孔轴向移动的第一连接销轴(13),所述导向孔与第一连接销轴(13)之间存在阻尼;所述内窥镜手柄(1)的前端沿其轴向设有导向孔,所述导向孔内设有可沿导向孔轴向移动的第二连接销轴(14),所述导向孔与第二连接销轴(14)之间存在阻尼;所述内窥镜工作鞘(2)后端的导向孔与第一连接销轴(13)之间的阻尼力以及内窥镜手柄(1)与第二连接销轴(14)之间的阻尼力均大于第一连接销轴(13)与第二连接销轴(14)轴向配合的卡接力,所述第一连接销轴(13)的后端与第二连接销轴(14)的前端相互配合连接,所述内窥镜工作鞘(2)的后端与所述内窥镜手柄(1)的前端相互配合连接;所述内窥镜手柄(1)内设有能驱动第二连接销轴(14)沿其轴向拉伸的张紧机构,所述内窥镜管(3)包括前端伸出内窥镜工作鞘(2)外的软管和后部固定于内窥镜工作鞘(2)内的硬管,所述第一连接销轴(13)通过钢丝绳(8)连接所述软管的转向钢丝,所述第二连接销轴(14)与所述张紧机构连接。
  2. 如权利要求1所述的一种模块化内窥镜结构,其特征在于:所述内窥镜工作鞘(2)由具有轴向孔的空心锥形工作鞘、圆筒形的过渡连接管段(9)和第一连接套筒(4)构成;所述内窥镜管(3)固定于所述空心锥形工作鞘的轴向孔内,所述内窥镜工作鞘(2)后端面固定连接有中空、圆筒形的过渡连接管段(9),所述过渡连接管段(9)的后端面连接有第一连接套筒(4),第一连接套筒(4)沿轴向开有导向孔,所述第一连接销轴(13)设置于该导向孔内;
    所述内窥镜手柄(1)为内部空心的手柄,所述内窥镜手柄(1)的前端面连接有第二连接套筒(5),所述第二连接套筒(5)沿其轴向开有导向孔,所述第二连接销轴(14)设置于该导向孔内。
  3. 如权利要求2所述的一种模块化内窥镜,其特征在于:所述内窥镜管(3)包括后部固定于内窥镜工作鞘(2)的轴向孔内的硬管和前端伸出内窥镜工作鞘(2)外的软管,所述内窥镜管(3)为具有光源通道、器械通道和注水通道的三腔管; 所述过渡连接管段(9)管壁上连接有与内窥镜管(3)的光源通道连通的第一三通(10)和与内窥镜管(3)的器械通道连通的第二三通(11);所述内窥镜工作鞘(2)管壁上开有与注水通道连通的注水孔(12)。
  4. 如权利要求2所述的一种模块化内窥镜,其特征在于:所述第二连接销轴(14)包括销轴杆(14.1),所述销轴杆(14.1)的前端两侧对称设有径向伸出的定位短轴(14.2);所述第一连接销轴(13)包括套筒管(13.1),所述第二连接销轴(14)的销轴杆(14.1)的前端可插入所述套筒管(13.1)管孔内,所述套筒管(13.1)的管口处管壁上开有两个与定位短轴(14.2)配合的短轴定位槽(15),所述短轴定位槽(15)沿轴向呈L形型。
  5. 如权利要求4所述的一种模块化内窥镜,其特征在于:所述第二连接套筒(5)为圆柱形套筒,所述第二连接套筒(5)内沿轴向开有定位孔,所述定位孔的孔壁两侧对称设有一个套筒定位凸起(17),所述第一连接套筒(4)为与所述第二连接套筒(5)的轴向定位孔配合的圆柱形定位管,所述第一连接套筒(4)的管口处管壁上开有两个与套筒定位凸起(17)配合的套筒定位槽(18),所述套筒定位槽(18)沿轴向呈L型。
  6. 如权利要求2所述的一种模块化内窥镜,其特征在于:所述第一连接销轴(13)后端外表面开有第一径向槽(19),所述第二连接销轴(14)前端外表面开有第二径向槽(20),所述第一径向槽(19)的外壁可嵌入第二径向槽(20)内,所述第二径向槽(20)的外壁可嵌入第一径向槽(19)内,所述第一连接销轴(13)的直径与第二连接销轴(14)的直径相同,所述第一连接销轴(13)的外表面与第二连接销轴(14)的外表面共面。
  7. 如权利要求6所述的一种模块化内窥镜,其特征在于:所述第一连接套筒(4)的后端面为阶梯面,所述第二连接套筒(5)的前端面为与所述第一连接套筒(4)的阶梯面对应的的阶梯面;所述第一连接套筒(4)后端面上的外阶梯面或内阶梯面表面设有相互背对的条状L型的定位凸台(21),所述定位凸台(21)长度方向与所述第一连接套筒(4)的轴线垂直;所述第二连接套筒(5)的前端面上的与定位凸台(21)对应的外阶梯面或内阶梯面表面开有与条状L型的定位凸台(21)配合的凸台定位卡槽(16),所述第一连接套筒(4)的外表面与所述 第二连接套筒(5)的外表面共面。
  8. 如权利要求1所述的一种模块化内窥镜,其特征在于:所述张紧机构包括设置于内窥镜手柄(1)内的波轮杆(7),所述波轮杆(7)通过钢丝绳(8)与所述第二连接销轴(14)固定连接,所述内窥镜手柄(1)的后端设有与波轮杆(7)两端固定连接的波轮(6)。
PCT/CN2017/092575 2017-05-17 2017-07-12 一种模块化内窥镜 WO2018209782A1 (zh)

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