WO2019075709A1 - 一种径直通道宫腔镜 - Google Patents

一种径直通道宫腔镜 Download PDF

Info

Publication number
WO2019075709A1
WO2019075709A1 PCT/CN2017/106957 CN2017106957W WO2019075709A1 WO 2019075709 A1 WO2019075709 A1 WO 2019075709A1 CN 2017106957 W CN2017106957 W CN 2017106957W WO 2019075709 A1 WO2019075709 A1 WO 2019075709A1
Authority
WO
WIPO (PCT)
Prior art keywords
outlet
instrument
channel
handle
water inlet
Prior art date
Application number
PCT/CN2017/106957
Other languages
English (en)
French (fr)
Inventor
周震华
Original Assignee
周震华
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.)
Filing date
Publication date
Application filed by 周震华 filed Critical 周震华
Priority to PCT/CN2017/106957 priority Critical patent/WO2019075709A1/zh
Publication of WO2019075709A1 publication Critical patent/WO2019075709A1/zh

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—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 characterised by internal passages or accessories therefor

Definitions

  • the invention relates to the field of medical instruments, in particular to a straight channel hysteroscope.
  • Hysteroscopy is mainly used as a light source hysteroscope for intrauterine examination and treatment. It uses the anterior part of the lens to enter the uterine cavity, which is the first choice for visual and accurate diagnosis of gynecological hemorrhagic diseases and intrauterine lesions.
  • it is usually necessary to first extend the hysteroscope from the patient into the uterus, observe the patient, and when the lesion is found, take the hysteroscope out to the patient.
  • the treatment, or the hysteroscopy is retained in the patient, and the treatment device is simultaneously inserted into the patient to treat the patient.
  • the utility model patent application CN201520128034.9 discloses an endoscope with a high-frequency ultrasonic probe, which comprises an insertion tube, a camera, a light source and a display portion.
  • the light source is arranged at the insertion end of the insertion tube, and the rear end of the insertion tube is arranged.
  • the display unit is connected to the camera, and the endoscope with the high-frequency ultrasonic probe further includes: a high frequency disposed in the insertion tube and extending from the insertion end of the insertion tube to the outside of the insertion tube or retracted into the insertion tube.
  • the ultrasonic probe and the high frequency ultrasonic probe are connected to control the high frequency ultrasonic probe from the insertion end of the insertion tube or retracted into the control device of the insertion tube.
  • the endoscope provided with the high-frequency ultrasonic probe provided by the utility model can detect the patient body by using the high-frequency ultrasonic probe, and the high-frequency ultrasonic probe has an elongated shape, and can penetrate into a relatively small part of the patient body and observe More careful.
  • the technical solution has a certain angle between the instrument channel inlet and the instrument channel, which is likely to cause light breakage during insertion of the medical device.
  • the patent document with the application number CN200710086023.9 provides an endoscope with improved operability, including an operating portion and an elongated insertion portion.
  • the tail end of the operating portion has an eyepiece coaxial with the insertion portion, and the user can directly observe the condition of the human body through the eyepiece, and another channel is provided on the side of the operating portion as the instrument channel or the inlet and outlet. aisle.
  • another channel is provided on the side of the operating portion as the instrument channel or the inlet and outlet. aisle.
  • the endoscope of the patent is easy to cause fiber breakage because the optical fiber is brittle and easy to fold, and the optical fiber passes through the corner or is inserted or pulled out too fast. And it has only one channel, it can't carry out gravel or water injection at the same time, which causes operation. Inconvenience.
  • An invention patent of CN201180018376.X provides an endoscope holding device and an endoscope system.
  • the endoscope holding device includes an insertion portion that forms a through path through which the endoscope can be inserted, and an opening that opens at the distal end in communication with the through path in order to protrude the endoscope from the distal end of the through path.
  • a pressing portion having a pressing surface that presses the living tissue with respect to a predetermined direction, the pressing portion being disposed at a distal end of the insertion portion and at a position farther than the opening portion extend.
  • the instrument channel inlet of the solution is also located on the side of the operating handle such that there is a certain angle between the instrument channel inlet and the instrument channel.
  • the invention patent of CN201010027202.7 discloses a percutaneous nephroscope, comprising a lens body and a mirror body, wherein a tail end of the lens body is connected to the lens body, and the mirror body and the lens body are provided with mutually communicating lumens;
  • the outer wall of the body is provided with a groove.
  • the invention can increase the drainage speed by adding a groove on the outer wall of the mirror body, thereby realizing the simultaneous water injection and drainage, and can form a continuous water circulation, which can not only keep the visual field clear during the operation, improve the efficiency of the operation, but also can Reduce the water pressure in the kidney to prevent postoperative hyperthermia.
  • the invention is provided with a sealing cap with a spacer at the inlet of the instrument, which can prevent backflow of water and gas, effectively prevent water from being sprayed out, protect the safety of medical personnel and prevent environmental pollution.
  • the nephroscope needs to be additionally inserted into the light source, and the operation is easy to be unstable as the insertion end moves or the impact of the water flow.
  • the nephroscope requires the operator to observe through the eyepiece as in the above literature. During use, the operator and the nephroscope need to maintain a certain distance to ensure focus, otherwise the lesion condition will not be clearly observed.
  • the above-mentioned endoscopes are repeatedly used, and the patient will be sterilized with glutaraldehyde for 20 hours after the examination, but the sterilization of the endoscope itself is not completely ensured by the immersion, and if the object 10 is a patient with an infectious disease, Such as tuberculosis, hepatitis B, AIDS, it is likely to cause infection due to negligence.
  • an infectious disease such as tuberculosis, hepatitis B, AIDS, it is likely to cause infection due to negligence.
  • the utility model patent of CN201120505231.9 relates to a disposable split fiber electronic endoscope applied for medical examination or surgery, the electronic endoscope comprising: an insertion portion, the inside of which is configured with optical observation a system, an infusion duct, and a gas pipeline, the optical observation system comprising a COMS micro camera disposed at a top end of the insertion portion, the COMS micro camera being connected to an imaging cable extending from a base of the insertion portion; an operation portion, a base portion of the insertion portion, which is integrally coupled by a threaded interface; the insertion portion is made of silicone rubber, non-toxic soft rubber or food grade nylon, and the insertion portion base is provided with a rigid internal thread interface for Cooperating with the operating portion.
  • This product is easy to carry and suitable for mobile medical personnel. It is easy to use and open for use. It basically avoids the cross infection problem that may occur between patients.
  • This product is a split type, and only need to replace the insertion part when using. Although the solution avoids cross-infection of the patient by replacing the disposable insertion end, the water channel and the airway at the insertion end are both in communication with the operation end. Therefore, there is also a hidden danger of the patient's cross infection caused by insufficient disinfection at the operation end. .
  • the prior art endoscope is easy to damage the optical fiber, and cannot be used at one time, and it is easy to cause cross infection of the patient.
  • the straight channel hysteroscope of the present invention is provided below.
  • the invention discloses a straight channel hysteroscope, comprising: an insertion portion, the insertion portion comprising an insertion tube and an imaging module holder fixed at a front end portion of the insertion tube, the imaging module holder is provided with an optical observation device and a light source; and the operation portion passes
  • the rigid connecting member is connected to the end of the insertion portion, and comprises a handle and a handle at an angle to the handle, the rear end of the handle is provided with an interface for connecting the display device; wherein the front end port of the insertion portion is provided with the first instrument outlet, and the handle is behind a first instrument inlet is provided at the end, the first instrument inlet is in communication with the first instrument outlet via a first instrument channel extending through the interior of the handle and the lumen of the insertion tube, and the axis of the first instrument inlet section is at an acute angle to the first instrument channel The angle is less than 15 degrees.
  • the handlebar is provided with a water inlet base and a water outlet base
  • the front end of the insertion tube is provided with a water inlet and a water outlet
  • the water inlet base is connected to the water inlet passage (36) which is inserted into the interior of the handlebar and inserted into the inner cavity of the tube.
  • the water inlet and the water outlet base communicate with the water outlet through a water outlet passage (37) which is disposed inside the handlebar and inserted into the inner cavity of the tube.
  • first instrument channel and the water inlet channel (36) share the same pipe, and the water inlet and the first instrument outlet are the same outlet disposed on the front end surface of the insertion pipe, and one end of the same pipe is connected to the same pipe.
  • An outlet, the other end of the same pipe has two branch pipes in a three-way valve shape, respectively connected to the first instrument inlet and the water inlet base; the same outlet is a circle disposed on the front end surface of the insertion pipe (11)
  • An outlet or a profiled outlet the profiled outlet is an outlet having an irregular geometry, and the profiled outlet is an outlet having an irregular geometry, the same for the first instrument channel (35) and the inlet channel (36).
  • the maximum effective internal diameter of the pipe is 2.5-2.9 mm.
  • the front end port of the insertion tube is further provided with a second instrument outlet
  • the rear end of the handle is further provided with a second instrument inlet
  • the second instrument inlet ' communicates with the second device via a second instrument passage which is disposed inside the handle and inside the insertion tube.
  • the second instrument channel is located side by side above the first instrument channel.
  • the second instrument channel and the water inlet channel (36) share the same pipe, and the water inlet and the second instrument outlet are the same outlet disposed on the front end surface of the insertion pipe, and one end of the same pipe is connected to the same outlet.
  • the other end of the same pipe has two branch pipes in the shape of a three-way valve, which are respectively connected to the second instrument inlet and the water inlet base; the same outlet is a circular outlet disposed on the front end surface of the insertion pipe (11)
  • a profiled outlet refers to an outlet having an irregular geometry, and the same effective diameter of the same pipe shared by the second instrument channel (35) and the inlet channel (36) is 2.5-2.9 mm.
  • the first instrument channel, the second instrument channel and the water inlet channel (36) share the same pipe, and the first instrument outlet, the second instrument outlet and the water inlet are the same outlet disposed on the front end surface of the insertion tube, Same pipe One end is connected to the same outlet, and the other end of the same pipe has three branch pipes respectively communicating with the first instrument inlet, the second instrument inlet and the water inlet base.
  • the same outlet shared by the first instrument outlet (15), the second instrument outlet (15') and the water inlet (16) is a circular outlet or a shaped outlet disposed on the front end surface of the insertion tube (11).
  • the profiled outlet refers to an outlet having an irregular geometry; the same effective diameter of the same pipe shared by the first instrument channel, the second instrument channel, and the inlet channel (36) is 2.5-2.9 mm.
  • the same conduit shared by the first instrument channel, the second instrument channel, and the inlet channel (36) has a maximum effective internal diameter of 2.8 mm.
  • first instrument inlet and/or the second instrument inlet are provided with a device inlet waterproof plug, the inner diameter of the instrument inlet waterproof plug is adjustable, and is connected to the medical device inserted into the first instrument channel through the connection structure.
  • the water inlet base and the water outlet base are both located on the side of the handle and on the same side of the handle as the handle; or the inlet base and the outlet base are located at the end of the handle.
  • the water inlet and the water outlet are both located on the front end surface of the insertion portion; or the water inlet is located on the front end surface of the insertion portion, and the water outlet is located on the front end side of the insertion portion.
  • the insertion tube is provided with a curved portion, the axis of the insertion end of the insertion tube being at an acute angle with the axis of the non-insertion end of the insertion tube.
  • the acute angle has an angle ranging from 15 to 30 degrees.
  • the handle is provided with a pluggable connection terminal, and the connection terminal is electrically connected to the optical observation device and the light source through a PIN pin interface, and is connected to the display device through a cable.
  • the outer casing of the operating portion is composed of an upper casing and a lower casing, and the upper casing and the lower casing are integrally formed.
  • the handle is provided with a grip portion, and the grip portion comprises a plurality of anti-slip structures arranged at intervals.
  • a pressure sensor is further disposed at the imaging module seat of the insertion portion.
  • the insertion portion and the operation portion are both made of a non-metallic material
  • the non-metal material is a high molecular polymer
  • the high molecular polymer is a polyurethane or a block polyether amide elastomer.
  • FIG. 1 is a schematic view showing the overall structure of a straight channel hysteroscope according to a first embodiment of the present invention
  • FIG. 3-1, and FIG. 3-2 are schematic structural views of three front end faces of a straight channel hysteroscope according to a first embodiment of the present invention
  • FIG. 4 is a schematic view showing the overall structure of a straight channel hysteroscope according to a second embodiment of the present invention.
  • FIG. 6-1 to FIG. 6-3 are schematic structural views of a front end surface of a straight channel hysteroscope according to a second embodiment of the present invention.
  • FIG. 7 is a schematic structural view of a front end surface and a side surface of a straight channel hysteroscope according to a third embodiment of the present invention.
  • Fig. 8 is a structural schematic view showing a curved portion of an insertion tube of a straight-channel hysteroscope according to an embodiment of the present invention.
  • the upper, lower, left, and right in FIG. 1 are regarded as the upper, lower, left, and right sides of the hysteroscope described in the present specification.
  • the present invention discloses a straight channel hysteroscope, comprising: an insertion portion 1 including an insertion tube 11 and an imaging module holder 12 fixed at a front end portion of the insertion tube 11, an imaging module
  • the seat 12 is provided with an optical observation device 13 and a light source 14;
  • the operation portion 2 is connected to the end of the insertion portion 1 via a rigid connector 21, and includes a handle 22 and a handle 23 at an angle to the handle 22, and a rear end of the handle 23 is provided.
  • the interface 24 for connecting the display device; wherein the front end port of the insertion portion 1 is provided with a first instrument outlet 15, and the rear end of the handle 22 is provided with a first instrument inlet 25, and the first instrument inlet 25 is inserted through the inside of the handle 22 and
  • the first instrument channel 35 of the lumen of the insertion tube 11 communicates with the first instrument outlet 15, and the angle between the axis of the cross section of the first instrument inlet 25 and the axis of the first instrument channel 35 is less than 5 degrees, 8 degrees, 10 degrees, Or 15 degrees.
  • a part of the first instrument channel 35 is disposed inside the insertion portion 1 and the operation portion 2 , and the first instrument inlet 25 communicating with one end of the first instrument channel 35 is located behind the operation handle 22 of the operation portion 2 .
  • the first instrument outlet 15 communicating with the other end of the first instrument channel 35 corresponding to the first instrument inlet 25 is located on the end face of the front end port of the insertion portion 1, and the medical device is removed from the first device during use.
  • the inlet 25 extends into the first instrument channel 35 and then extends into the interior of the body by the first instrument outlet 15.
  • the axis of the cross section of the first instrument inlet 25 and the first portion disposed inside the handle 22 The acute angle of the angle of the axis of the instrument channel 35 is less than 15 degrees.
  • the straight-channel hysteroscope according to the first embodiment of the present invention is used, compared with the hysteroscope in the prior art in which the instrument inlet is disposed on the side of the handle. It is possible to make the fiber almost no bending during the process of extending from the first instrument inlet 25, and since the fiber itself is brittle and easy to fold, the fiber can be effectively prevented from passing through the first device inlet 25 and the first device. Bending at the corners between the channels 35 causes damage to the fiber.
  • the handle 22 is provided with a water inlet base 26.
  • the front end of the insertion tube 11 is provided with a water inlet 16 through which the water inlet base 26 is inserted through the inside of the handlebar 23 and the lumen of the insertion tube 11.
  • the channel 36 is connected to the water inlet 16 and is adhered to the optical observation device 13 or the inner wall of the human body cavity by the blood.
  • the liquid in the cavity is turbid, which reduces the visibility, or the stone is blocked by the stone, etc.
  • the water suction base 26 injecting water into the human body, the water flowing through the water inlet passage 36, entering the human body from the water inlet 16 on the front end port of the insertion portion 1, and flushing the blood, turbid liquid or gravel, so that the optical observation device 13 can clearly observe
  • the water suction base 26 can also be used to suction and drain the water to discharge excess water or stones in the human body.
  • the first instrument channel 35 and the water inlet channel 36 can share the same pipe, and the water inlet 16 and the first instrument outlet 15 are disposed at the front end of the insertion tube 11.
  • the same outlet on the end face, one end of the same pipe is connected to the same outlet, and the other end of the same pipe has two branch pipes in the shape of a three-way valve, which are respectively connected to the first instrument inlet 25 and the water inlet base 26 .
  • the first instrument channel 35 and the water inlet channel 36 share a single pipe, so that the outer diameter of the insertion tube 11 of the hysteroscope can be made as small as possible, and the insertion portion 1 can be inserted from a narrower gap inside the human body, thereby reducing the surgical wound area. Further reduce the suffering of patients and improve the success rate of surgery.
  • the same outlet is a profiled outlet disposed on the front end surface of the insertion tube 11, and the profiled outlet refers to an outlet having an irregular geometry, the profiled outlet Means that the section is irregular
  • the exit of the geometry as will be understood by those skilled in the art, the same outlet may also be a circular or other shaped outlet.
  • the maximum of the water inlet 16 and the first instrument outlet 15 can be further increased if the outer diameter of the insertion pipe is kept constant in the prior art. Internal diameter. That is, the maximum internal diameter 281 of the outlets sharing the same pipe can be expanded to 2.5-2.9 mm.
  • the maximum internal diameter 281 of the outlets sharing the same pipe is preferably 2.8 mm, without increasing the insertion pipe 1
  • the outer diameter the inner diameter of the instrument tube and the water tube is maximized, the water inflow can be greatly increased, the insertion of medical instruments of various sizes can be facilitated, and the range of applicable medical instruments can be expanded.
  • the handle 22 is further provided with a water outlet base 27
  • the front end of the insertion tube 11 is further provided with a water outlet 17
  • the water outlet base 27 is disposed on the handlebar.
  • the inner water outlet passage 37 of the inner chamber of the insertion tube 11 communicates with the water outlet port 17.
  • a separate water inlet base 26 and a water outlet base 27 are respectively provided on the handle 22, and independent water inlet passages 36 and water outlet passages 37 are provided correspondingly inside the insertion tube 11 and the handle 22.
  • the water inlet 16 and the water outlet 17 are respectively disposed at the front end of the insertion tube 11, so that water is discharged at the same time as the water is introduced, and the internal pressure of the organ is prevented from being too high, thereby causing complications such as thrombus.
  • the liquid clarification inside the organ can be kept in the process of water flow replacement, which is more favorable for the operator to observe.
  • the water inlet 16 and the water outlet 17 are both located on the front end surface of the insertion tube 11, and adhere to the optical observation device 13 or the inner wall of the human body cavity, or obstacles such as gravel hinder the imaging.
  • the two faces are the same, and the water flow has a strong impact force when it is flushed into the human body from the water inlet 16, and the obstacle can be opened.
  • the optical viewing device 13 is provided with an open field of view.
  • the front end of the insertion tube 11 of the first embodiment of the present invention is fixedly provided with an imaging module holder 12.
  • the imaging module holder 12 has a cylindrical structure, and the optical module 13 can be fixedly embedded in the imaging module holder 12.
  • the light source 14, the optical observation device 13 is a micro camera disposed on the end surface of the front end port, the micro camera is connected to the interface 24 disposed at the rear end of the handlebar 23 through the electrical connection line 30, the interface 24 is used to connect the display, and the micro camera can be
  • the situation in the patient is captured in real time as an image and transmitted from the interface 24 through the electrical connection line 30.
  • the display receives the image and displays the captured image, and the operator can conveniently observe the lesion in the patient directly.
  • the camera is disposed on the top end surface of the imaging module holder 12;
  • the light source 14 is preferably an LED light source, and the LED light source has the advantages of small volume, long service life, high brightness, low heat, etc., and further improves The efficiency of diagnosis and treatment and the accuracy of diagnosis and treatment.
  • the present invention is not limited thereto, and any light-emitting member that can emit light can be used as the light source 14, such as an optical fiber, a light-emitting diode, or the like.
  • the light source 14 in the first embodiment of the present invention adopts an LED
  • the lamp is preferably provided with 1-8 light sources 14, more preferably 2-8 light sources 14, symmetrically distributed around the optical viewing device 13 to form a shadowless lamp, to avoid misdiagnosis or missed diagnosis due to shadows on the inner wall of the organ. .
  • the assembled imaging module holder 12 can be regarded as a camera module, and the assembled camera module can be directly inserted and inserted during the production process.
  • the tube 11 is assembled to improve assembly efficiency.
  • a buckle or other connection structure may be directly disposed on the outer casing of the imaging module holder 12, and at the same time, the corresponding position of the insertion tube 11 is correspondingly set.
  • the bayonet or the connection structure increases the reliability of the connection between the camera module and the insertion tube 11.
  • the operating portion 2 includes a handle 22 and a handle 23 at an angle to the handle 22, and the handle 23 is connected to the handle from about a quarter of the rear end of the handle 22. 22 below, and the handlebar 23 extends along its own axis toward the rear lower side of the handle 22 such that the handlebar 23 forms an acute angle 29 with about a quarter of the handle 22 of the rear portion, the handle 22 and the handlebar as a whole.
  • the handlebar 23 corresponds to the barrel portion of the pistol
  • the handle 22 corresponds to the handle portion of the pistol
  • the medical staff can hold the handle 22 and the handlebar 23 during the operation, which is convenient for the medical staff to hold the uterine cavity
  • the mirror operates.
  • the handle 23 is further provided with a grip portion 28 formed of a plurality of protrusions, preferably 2-6 protrusions, to increase the frictional force of the handlebar 23, thereby achieving a function of preventing slippage.
  • the water inlet base 26 and the water outlet base 27 are both located on the side of the handle 22, and are located on the same side of the handle 22 as the handlebars 22, as shown in Fig. 1, so that during the draining process, when operating When the handle 23 is held, under the action of gravity, the water pipes connected to the water inlet base 26 and the water outlet base 27 are naturally downward, the water pipe does not bend at a large angle, the water flow is smoother, and the water pipe is It will also be neat and tidy, and will not hinder the operation, so that the operator can simultaneously fill the water or absorb water while holding the handle 23.
  • the water inlet base 26 and the water outlet base 27 may also be located at the end of the handlebar 23, since the handlebar 23 of the present embodiment extends toward the lower rear of the handle 22 along its own axis, when the water inlet base 26 and the water outlet base 27 are located at the handlebar 23 At the end, the water pipe connected to the water inlet base 26 and the water outlet base 27 will not be bent at a large angle, the water flow will be smoother, and the water pipe will be relatively neat, which will not hinder the operation, so that the operator can hold the hand. At the same time, water or water is absorbed at 23 o'clock.
  • the water inlet base 26 and the water outlet base 27 can be respectively provided with a water inlet valve or a water outlet valve for switching, and the water inlet or the drainage can be freely controlled according to actual use requirements, and the water inlet or the displacement can be conveniently adjusted.
  • the insertion tube 11 is provided with a curved portion 1a such that the axis of the insertion end portion of the insertion tube 11 and the insertion tube 11 are
  • the angle of the axis of the non-insertion end is an acute angle 19, and the angle of the acute angle 19 is preferably 15 degrees to 30 degrees. Further, the angle of the acute angle 19 is preferably 25 degrees, 28 degrees or 30 degrees, when the doctor checks the patient.
  • the first instrument inlet 25 in this embodiment adopts a standard accessory luer interface, which is a standardized micro-non-infiltration joint, which is connected through a male luer connector and a matching female luer connector portion. It is a convenient connection device used in the medical industry, which greatly simplifies the management of liquid and gaseous medical fluids.
  • One end of the luer interface of the embodiment is inserted into the first instrument channel 35, and the outer surface of one end of the luer interface for mating with other components has a first external thread structure to facilitate connection with other components. connection.
  • connection terminal is further provided at the interface on the handlebar 23, and the connection terminal electrically connects the optical observation device 13 and the light source 14 through the PIN pin interface, and is connected to the display device through a cable.
  • the connection terminal is pluggable.
  • a metal material used in the PIN pin connector to complete electrical signal transmission By providing the connection terminal, the optical connector 13 and the light source 14 can use the same connector without externally connecting the cold light source line 14, without using the light guiding fiber, and at the same time making the image signal transmission speed faster, reducing image lag, and the power line. Consistent with the direction of the signal line, the line is simplified.
  • the first instrument inlet 25 is provided with a device inlet waterproof plug. Since the end of the first instrument channel 35 extending into the patient's body is not closed, it is preferable to sleeve the instrument inlet waterproof plug with adjustable aperture size at the end of the first instrument inlet 25, the instrument inlet waterproof plug and the first device.
  • the inlets 25 are preferably connected by threads. When the instrument inlet plug is tightened, the diameter of the sealing portion in the instrument inlet plug can be reduced to form a tight fit with the inserted medical device, thereby forming an effective seal. To prevent leakage of liquid in the patient's body through the instrument channel.
  • the instrument inlet waterproof plug includes a joint and a screw cap, and the joint and the middle of the screw cap are provided with through holes for the instrument to pass through.
  • a first internal thread is disposed on an inner surface of one end of the joint, and the first internal thread corresponds to the first external thread 25a disposed on the Luer interface, and the first internal thread and the first external thread are cooperatively screwed.
  • the inner wall of the other end of the joint has a certain taper, that is, the inner wall is a surface inclined toward the joint axis; the outer end of the other end of the joint is provided with a second external thread, and can be disposed on the inner wall of the cap of the cap
  • the internal threads are screwed together;
  • the cap of the joint also has a raised waterproof silicone plug, and the end of the waterproof silicone plug is fixed with a waterproof and elastic silicone plug, when the cap is screwed into the joint
  • the waterproof silicone plug is inserted into the joint, and as the screw cap is screwed in, the silicone plug on the waterproof silicone plug is screwed into the through hole of the joint, and since the diameter of the through hole is gradually reduced, the silicone plug is compressed, thereby realizing water-proof.
  • the device When the user is treating the patient, the device is first screwed into the mouth of the luer, and the screw cap does not need to be completely screwed to the joint.
  • the instrument When the medical device is needed, the instrument is inserted into the position from the first instrument into the mouth 21, and the cap is screwed, so that the silicone plug on the cap is elastically deformed after being pressed, and the silicone plug is compressed to closely cooperate with the medical device. Thereby, the liquid in the patient's body is prevented from seeping out from the first instrument inlet nozzle 21 and the instrument inlet nozzle waterproof plug.
  • the insertion end of the insertion tube 11 enters the uterus of the patient, and water is injected into the patient through the water tube to expand the uterus for convenient observation. Then, the patient is inspected by the camera. When the lesion is found, the first instrument tube is used to feed the medical device, and the patient is treated in time.
  • the outer casing of the operating portion 2 is composed of two parts, an upper casing and a lower casing, and the two parts are provided with mutually cooperating connecting members, which are completed in the operating portion 2. After the assembly work, the two parts can be assembled and closed. Further, the upper shell and the lower shell of the operating portion 2 are integrally formed separately, and the processing is simple and convenient, and the production cost is low, so that it can be used as a straight channel surgical consumable, and can be discarded after use, thereby eliminating secondary pollution and not being The patient is under financial stress.
  • the insertion tube 111 is made of a non-metallic material such as a soft hose such as polyamide (PA tube), polytetrafluoroethylene (PTFE tube), polyurethane tube (PU tube) or thermoplastic polyurethane elastomer rubber tube (TPU tube).
  • a soft hose such as polyamide (PA tube), polytetrafluoroethylene (PTFE tube), polyurethane tube (PU tube) or thermoplastic polyurethane elastomer rubber tube (TPU tube).
  • PA tube polyamide
  • PTFE tube polytetrafluoroethylene
  • PU tube polyurethane tube
  • TPU tube thermoplastic polyurethane elastomer rubber tube
  • the present invention is not limited thereto, and other materials of various materials may be selected as the insertion tube 11 depending on the use.
  • a pressure sensor 18 is further disposed on the front end port of the insertion portion 1, and the pressure sensor 18 may be disposed at the front end of the insertion portion 1. On the side, it can also be placed on the end face of the front end. It also transmits the pressure in the human body from the interface through the electrical connection line 30, and the operator can adjust the influent or effluent according to the real-time pressure condition in the organ to avoid the formation of a thrombus.
  • each component of the insertion portion 1 and the operation portion 2 is made of a non-metal material, which greatly reduces the cost of the hysteroscope, and avoids the possibility of cross-infection between patients due to incomplete disinfection.
  • the hysteroscope provided by the invention is single-use, and does not need to be made of a metal material that can withstand high temperature and high pressure sterilization like the hysteroscopy used repeatedly in the prior art.
  • the non-metal material is preferably a high molecular polymer, and the specific polymer type is not particularly limited and may be selected from the group consisting of polycarbonate (PC), acrylonitrile-butadiene-styrene copolymer (ABS), and polypropylene (PP).
  • PC polycarbonate
  • ABS acrylonitrile-butadiene-styrene copolymer
  • PP polypropylene
  • Polyolefins such as polyethylene, polyvinyl chloride, polyester (PET, PBT, etc.), polyamide, polyimide, polyurethane, polystyrene, silicone resin, fluoropolymer (PTFE, ETFE, PFA, etc.) Or one or more of various rubber materials such as composite materials of these materials, latex rubber, silicone rubber, and nylon elastomer.
  • the high molecular polymer is more preferably a polyurethane or a block polyether amide elastomer.
  • polyurethane has good distortion when exposed to human body temperature, and can be bent according to the cavity without puncturing the body tissue; polyurethane is non-toxic and can be left in the human body for a long time. It has good compatibility with body tissues and does not cause inflammation; most importantly, it has good strength and radial expansion, and provides better insertion strength.
  • Block polyetheramide elastomer (PEBAX) is a plasticizer-free thermoplastic elastomer with good biocompatibility and is extremely suitable for use in humans.
  • the present invention discloses a straight channel hysteroscope, comprising: an insertion portion 1 including an insertion tube 11 and an imaging module holder 12 fixed at a front end portion of the insertion tube 11, an imaging module
  • the seat 12 is provided with an optical observation device 13 and a light source 14;
  • the operation portion 2 is connected to the end of the insertion portion 1 via a rigid connector 21, and includes a handle 22 and a handle 23 at an angle to the handle 22, and a rear end of the handle 23 is provided.
  • an interface 24 for connecting the display device wherein the front end port of the insertion portion 1 is provided with a first instrument outlet 15 and a second instrument outlet 15', and a rear end of the handle 22 is provided with a first instrument inlet 25 through which the first instrument inlet 25 is passed.
  • a first instrument channel 35 disposed inside the handle 22 and inserted into the lumen of the tube 11 is in communication with the first instrument outlet 15 and the second instrument inlet 25' is passed through a second instrument channel 35 that is threaded into the interior of the handle 22 and inserted into the lumen of the tube 11.
  • the axis of the cross section of the first instrument inlet 25 coincides with the axis of the first instrument channel 35, the acute axis of the axis of the second instrument inlet 25' section and the axis of the second instrument channel 35'
  • the angle is less than 30 degrees.
  • the second instrument inlet 25' communicates with the second instrument outlet 15' through the second instrument channel 35', thereby forming a passage for the two surgical instruments to simultaneously enter the human body, such as a laser fiber.
  • the device is inserted into the human body from the first instrument channel 35, and a common surgical instrument having a different outer diameter is inserted into the human body from the second instrument channel 35'.
  • the two instruments can be operated simultaneously, thereby shortening the operation time, for example, the operation time. Similar surgery with a positive correlation with the incidence of urinary sepsis can greatly reduce the postoperative infection rate and improve the success rate of surgery.
  • the second instrument channel 35' can be disposed above the first instrument channel 35, which is easy to handle when the first instrument channel 35 is used alone.
  • the medical device is from the second instrument inlet 25'.
  • the fiber does not need to be bent, so that in the process of performing slice sampling, minimally invasive surgery, and laser lithotripsy, it is required to extend into the human body along the hysteroscope instrument channel.
  • the bending of the instrument can be avoided, and the use range of the straight channel hysteroscope of the second embodiment of the invention is expanded.
  • the straight channel hysteroscope according to the second embodiment of the present invention is used in comparison with the hysteroscope in the prior art in which the instrument inlet is disposed on the side of the handle 22.
  • the fiber can be bent from the second instrument inlet 25', and the fiber itself is hard to be brittle and easy to fold, so that the fiber can be effectively prevented from entering through the second device. Bending at the corner between the mouth 25' and the second instrument channel 35' causes fiber damage.
  • the handle 22 is provided with a water inlet base 26.
  • the front end of the insertion tube 11 is provided with a water inlet 16 through which the water inlet base 26 is inserted through the inside of the handlebar 23 and the lumen of the insertion tube 11.
  • the channel 36 is connected to the water inlet 16 and is adhered to the optical observation device 13 or the inner wall of the human body cavity by the blood.
  • the liquid in the cavity is turbid, which reduces the visibility, or the stone is blocked by the stone, etc.
  • the water suction base 26 injecting water into the human body, the water flowing through the water inlet passage 36, entering the human body from the water inlet 16 on the front end port of the insertion portion 1, and flushing the blood, turbid liquid or gravel, so that the optical observation device 13 can clearly observe
  • the water suction base 26 can also be used to suction and drain the water to discharge excess water or stones in the human body.
  • one of the first instrument channel 35 or the second instrument channel 35' and the water inlet channel 36 may share the same pipe
  • first One of the instrument outlet 15 or the second instrument outlet 15' and the water inlet 16 are the same outlet disposed on the front end face of the insertion tube 11, one end of the same pipe is connected to the same outlet, and the same pipe is another
  • Two branch pipes having a three-way valve shape at one end are respectively connected to the first instrument inlet 25 and the water inlet base 26, or communicate with the second instrument inlet 25' and the water inlet base 26, respectively.
  • the first instrument channel 35, the second instrument channel 35', and the water inlet channel 36 may also share the same pipe, the first instrument outlet 15, the second instrument outlet 15', and the water inlet.
  • 16 is the same outlet disposed on the front end face of the insertion tube 11, one end of the same pipe is connected to the same outlet, and the other end of the same pipe has three branch pipes respectively communicating with the first instrument inlet 25, the second Instrument inlet 25' and water inlet base 26.
  • the instrument channel and the water inlet channel 36 share a single pipe, so that the outer diameter of the insertion tube 11 of the hysteroscope can be as small as possible, and the insertion portion 1 can be inserted from a narrower gap inside the human body, thereby reducing the surgical wound area and further reducing the patient. Pain, improve the success rate of surgery.
  • the same outlet is a profiled outlet disposed on the front end surface of the insertion tube 11, the profiled outlet refers to an outlet having an irregular geometry, and the profiled outlet is a section The exit of the irregular geometry, as will be understood by those skilled in the art, the same outlet may also be a circular or other shaped outlet.
  • the water inlet 16 and the water inlet 16 can be further enlarged.
  • the maximum internal diameter 281 of the outlets sharing the same pipe is preferably 2.8 mm, without increasing the insertion pipe 1
  • the outer diameter the inner diameter of the instrument tube and the water tube is maximized, the water inflow can be greatly increased, the insertion of medical instruments of various sizes can be facilitated, and the range of applicable medical instruments can be expanded.
  • the handle 23 is further provided with a water outlet base 27, and the front end of the insertion tube 11 is further provided.
  • the water outlet 17 and the water outlet base 27 communicate with the water outlet 17 via a water outlet passage 37 that is bored inside the handlebar 23 and inserted into the inner cavity of the tube 11.
  • a separate water inlet base 26 and a water outlet base 27 are provided on the handle 22, respectively, and independent water inlet passages 36 and water outlet passages 37 are provided correspondingly inside the insertion tube 11 and the handle 22.
  • the water inlet 16 and the water outlet 17 are respectively disposed on the front end surface of the insertion tube 11, so that water is discharged at the same time as the water is introduced, and the internal pressure of the organ is prevented from being excessively high, thereby causing complications such as blood clots.
  • the liquid clarification inside the organ can be kept in the process of water flow replacement, which is more favorable for the operator to observe.
  • the front end of the insertion tube 11 of the second embodiment of the present invention is fixedly provided with an imaging module holder 12.
  • the imaging module holder 12 has a cylindrical structure, and the optical module 13 can be fixedly embedded in the imaging module holder 12.
  • the light source 14, the optical observation device 13 is a micro camera disposed on the end surface of the front end port, the micro camera is connected to the interface 24 disposed at the rear end of the handlebar 23 through the electrical connection line 30, the interface 24 is used to connect the display, and the micro camera can be
  • the situation in the patient is captured in real time as an image and transmitted from the interface 24 through the electrical connection line 30.
  • the display receives the image and displays the captured image, and the operator can conveniently observe the lesion in the patient directly.
  • the camera is disposed on the top end surface of the imaging module holder 12;
  • the light source 14 is preferably an LED light source, and the LED light source has the advantages of small volume, long service life, high brightness, low heat, etc., and further improves The efficiency of diagnosis and treatment and the accuracy of diagnosis and treatment.
  • the present invention is not limited thereto, and any light-emitting member that can emit light can be used as the light source 14, such as an optical fiber, a light-emitting diode, or the like.
  • the light source 14 in the second embodiment of the present invention employs an LED lamp, preferably 1-8 light sources 14, more preferably 2-8 light sources 14, symmetrically distributed around the optical viewing device 13 to form a shadowless lamp. The effect is to avoid misdiagnosis or missed diagnosis due to shadows on the inner wall of the organ.
  • the operating portion 2 includes a handle 22 and a handle 23 at an angle to the handle 22, and the handle 23 is connected to the handle from about a quarter of the rear end of the handle 22. 22 below, and the handlebar 23 extends along its own axis toward the rear lower side of the handle 22 such that the handlebar 23 forms an acute angle 29 with about a quarter of the handle 22 of the rear portion, the handle 22 and the handlebar as a whole.
  • the handlebar 23 corresponds to the barrel portion of the pistol
  • the handle 22 corresponds to the handle portion of the pistol
  • the medical staff can hold the handle 22 and the handlebar 23 during the operation, which is convenient for the medical staff to hold the uterine cavity
  • the handle 23 is further provided with a grip portion 28 formed of a plurality of protrusions, preferably 2-6 protrusions, to increase the frictional force of the handlebar 23, thereby achieving a function of preventing slippage.
  • the water inlet base 26 and the water outlet base 27 are both located on the side of the handle 22, and are located on the same side of the handle 22 as the handlebar 23, or the water inlet base 26 and the water outlet base 27 may also be located at the end of the handlebar 23, In this way, the water pipes connected to the water inlet base 26 and the water outlet base 27 are naturally downward, the water pipes are not bent at a large angle, the water flow is smoother, and the water pipes are relatively neat and will not hinder the operation. So that the operator can hold the handle 23 At the same time, water or water is absorbed.
  • the water inlet base 26 and the water outlet base 27 may also be located at the end of the handlebar 23, since the handlebar 23 of the present embodiment extends toward the lower rear of the handle 22 along its own axis, when the water inlet base 26 and the water outlet base 27 are located at the handlebar 23 At the end, the water pipe connected to the water inlet base 26 and the water outlet base 27 will not be bent at a large angle, the water flow will be smoother, and the water pipe will be relatively neat, which will not hinder the operation, so that the operator can hold the hand. At the same time, water or water is absorbed at 23 o'clock.
  • the water inlet base 26 and the water outlet base 27 can be respectively provided with a water inlet valve or a water outlet valve for switching, and the water inlet or the drainage can be freely controlled according to actual use requirements, and the water inlet or the displacement can be conveniently adjusted.
  • the water inlet 16 and the water outlet 17 are both located on the front end surface of the insertion tube 11, and when the blood adheres to the optical observation device 13 or the inner wall of the human body cavity, or an obstacle such as gravel blocks the imaging, the water inlet 16 And the optical observation device 13 is located on the end surface of the front end port, the two faces in the same direction, and the water flow has a strong impact force when rushing into the human body from the water inlet 16 to punch the obstacle, thereby providing the optical observation device 13 with An open view.
  • the insertion tube 11 is provided with a curved portion 1a such that the axis of the insertion end portion of the insertion tube 11 and the non-insertion end of the insertion tube 11 are provided.
  • the angle of the axis is an acute angle 19, and the angle of the acute angle 19 is preferably 15 degrees to 30 degrees.
  • the angle of the acute angle 19 is preferably 25 degrees, 28 degrees or 30 degrees, when the doctor checks the patient.
  • a small degree of rotation of the hysteroscope can be used to check all parts of the uterus, in order to avoid the patient in the process of examination, because the doctor needs to check the inner wall of the uterus, the hysteroscope is rotated with the cervix as the fulcrum to damage the cervix of the patient.
  • the first instrument inlet 25 and the second instrument inlet 25' in this embodiment both use a standard accessory Luer interface, which is a standardized micro-non-permeable joint that is matched by a male luer connector.
  • the female Luer connector is connected to the convenient connection device used in the medical industry, which greatly simplifies the management of liquid and gaseous medical fluids.
  • One end of the luer interface of the embodiment is inserted into the first instrument channel 35, and the outer surface of one end of the luer interface for mating with other components has a first external thread structure to facilitate connection with other components. connection.
  • connection terminal is further provided at the interface 24 on the handlebar 23, and the connection terminal electrically connects the optical observation device 13 and the light source 14 through a PIN pin interface, and is connected to the display device through a cable.
  • the connection terminal is pluggable.
  • a metal material used in the PIN pin connector to complete electrical signal transmission By providing the connection terminal, the optical connector 13 and the light source 14 can use the same connector without externally connecting the cold light source 14 line, without using the light guiding fiber, and at the same time making the image signal transmission speed faster, reducing image lag, and the power line. Consistent with the direction of the signal line, the line is simplified.
  • first instrument inlet 25 and the second instrument inlet 25' are provided with a device inlet waterproof plug. Since the end of the first instrument channel 35 and the second instrument channel 35' extending into the patient is not closed, it is preferably in the first device.
  • the end of the mechanical inlet 25 and the second instrument inlet 25' are sleeved with an adjustable inlet aperture waterproof plug, and the instrument inlet waterproof plug is preferably threadedly connected to the first instrument inlet 25 and the second instrument inlet 25'.
  • the outer casing of the operating portion 2 is composed of two parts, an upper casing and a lower casing, and the two parts are provided with mutually cooperating connecting members, which are completed in the operating portion 2. After the assembly work, the two parts can be assembled and closed. Further, the upper shell and the lower shell of the operating portion 2 are integrally formed separately, and the processing is simple and convenient, and the production cost is low, so that it can be used as a straight channel surgical consumable, and can be discarded after use, thereby eliminating secondary pollution and not being The patient is under financial stress.
  • the insertion tube 11 is made of a soft hose such as a non-metallic material, such as a polyamide (PA tube), a polytetrafluoroethylene (PTFE tube), a polyurethane tube (PU tube) or a thermoplastic polyurethane elastomer rubber tube (TPU tube).
  • a soft hose such as a non-metallic material, such as a polyamide (PA tube), a polytetrafluoroethylene (PTFE tube), a polyurethane tube (PU tube) or a thermoplastic polyurethane elastomer rubber tube (TPU tube).
  • PA tube polyamide
  • PTFE tube polytetrafluoroethylene
  • PU tube polyurethane tube
  • TPU tube thermoplastic polyurethane elastomer rubber tube
  • the present invention is not limited thereto, and other materials of various materials may be selected as the insertion tube 11 depending on the use.
  • a pressure sensor 18 is further disposed on the front end port of the insertion portion 1.
  • the pressure sensor 18 may be disposed on the side of the front end of the insertion portion 1, or may be disposed at the front end port. On the end face. It also transmits the pressure in the human body from the interface through the electrical connection line 30, and the operator can adjust the influent or effluent according to the real-time pressure condition in the organ to avoid the formation of a thrombus.
  • each component of the insertion portion 1 and the operation portion 2 is made of a non-metal material, which greatly reduces the cost of the hysteroscope, and avoids the possibility of cross-infection between patients due to incomplete disinfection.
  • the hysteroscope provided by the invention is single-use, and does not need to be made of a metal material that can withstand high temperature and high pressure sterilization like the hysteroscopy used repeatedly in the prior art.
  • the non-metal material is preferably a high molecular polymer, and the specific polymer type is not particularly limited and may be selected from the group consisting of polycarbonate (PC), acrylonitrile-butadiene-styrene copolymer (ABS), and polypropylene (PP).
  • PC polycarbonate
  • ABS acrylonitrile-butadiene-styrene copolymer
  • PP polypropylene
  • Polyolefins such as polyethylene, polyvinyl chloride, polyester (PET, PBT, etc.), polyamide, polyimide, polyurethane, polystyrene, silicone resin, fluoropolymer (PTFE, ETFE, PFA, etc.) Or one or more of various rubber materials such as composite materials of these materials, latex rubber, silicone rubber, and nylon elastomer.
  • the embodiment constitutes a passage for two surgical instruments to enter the human body at the same time, and the optical fiber does not need to be bent in the process of extending the medical device from the entrance of each device into the corresponding instrument channel, and the invention is expanded.
  • the range of use of the straight channel hysteroscope of the second embodiment is not limited.
  • the third embodiment of the present invention is different from the first embodiment and the second embodiment in that the water inlet is 16 is located on the front end face of the insertion tube 11, and the water outlet 17 is located on the front end side of the insertion tube 11. Therefore, the common configuration has been described in the above description, and the overlapping description will be omitted.
  • the water outlet 17 is located at the side of the front end of the insertion tube 11, so that there is a certain distance from the water inlet 16 on the end surface of the front end port, so that the water flow is prevented from being injected into the human body from the water inlet 16 and immediately discharged from the water outlet 17 along the side.
  • Such a setting is advantageous for increasing the distance of the water circulation, improving the cleaning efficiency, and saving the cleaning time.
  • the straight-channel hysteroscopy of the present invention can make the fiber almost no bending during the process of routinely inspecting the uterus of the patient, and the fiber itself is fragile. It is easy to fold, so that the fiber can be prevented from being bent when the angle between the entrance of the first instrument channel 35 and the first instrument channel 35 is bent to minimize the damage of the fiber, thereby improving the surgical efficiency and having a good Practical value.
  • the above-described embodiments of the present invention are merely illustrative of the principles of the present invention and its effects, and are not intended to limit the present invention. Modifications or variations of the above-described embodiments may be made by those skilled in the art without departing from the spirit and scope of the invention. Therefore, all equivalent modifications or changes made by those skilled in the art without departing from the spirit and scope of the invention are still covered by the appended claims.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

一种径直通道宫腔镜，包括插入部（1）和操作部（2），插入部（1）包括插入管（11）和固定于插入管前端部的成像模组座（12）；操作部（2）通过刚性连接件（21）连接于插入部（1）的末端，包括手柄（22）和与手柄（22）成一定角度的手把（23）；插入部（1）前端端口设有第一器械出口（15），手柄（22）后端设有第一器械入口（25），第一器械入口（25）经由穿设于手柄（22）内部和插入管内腔的第一器械通道（35）连通于第一器械出口（15），并且第一器械入口（25）截面的轴线与第一器械通道（35）的轴线的锐角夹角小于15度。本径直通道宫腔镜可使得光纤从器械通道入口伸入的过程中几乎不需要发生弯折，由于光纤本身易脆易折，这样便可以有效地避免光纤在通过器械通道入口和器械通道之间时发生弯折而造成光纤损坏，从而提高了手术效率，具有很好的实用价值。

Description

一种径直通道宫腔镜 技术领域
本发明涉及医疗器械领域，特别是涉及一种径直通道宫腔镜。
背景技术
宫腔镜主要用于子宫腔内检查和治疗的一种光源宫腔镜，它利用镜体的前部进入宫腔，以直观、准确成为妇科出血性疾病和宫内病变的首选检查方法。但是，在现有技术中，对患者子宫进行检查时，通常需要先将宫腔镜从患者体内伸入，进入子宫内，对患者进行观察，当发现病灶后，将宫腔镜取出对患者进行治疗，或是将宫腔镜保留在患者体内，向患者体内同时再伸入治疗器械，对患者进行治疗。
申请号为CN201520128034.9的实用新型专利公开了一种具有高频超声探头的内窥镜，包括插入管、摄像头、光源以及显示部，光源设于插入管的插入端，插入管的后端设置有显示部，显示部与摄像头相连接，该具有高频超声探头的内窥镜还包括：设置于插入管内，且可从插入管的插入端伸出插入管外或缩进插入管内的高频超声探头,以及与高频超声探头相连接，可控制高频超声探头从插入管的插入端伸出或缩进插入管内的控制装置。本实用新型所提供的一种具有高频超声探头的内窥镜可利用高频超声探头对患者体内进行检测，并且高频超声探头为细长的形状，可以深入患者体内较为细小的部位，观察较为仔细。然而，该技术方案的器械通道入口和器械通道之间具有一定弯角，在医疗器械的插入过程中，容易引起光线断裂。
申请号为CN200710086023.9的专利文件提供了一种操作性得到提高的内窥镜，包括了操作部和细长的插入部。在该技术方案中，操作部的尾端具有与插入部同轴的目镜，使用者可以通过该目镜直接观察人体内状况，在操作部侧面还设置有另一个通道，作为器械通道或者是进出水口通道。在这种内窥镜中，由于器械通道设置在侧面，与插入部具有一定的角度，二者相连的部分具有一个弯角。同样的，该专利的内窥镜在插入光纤进行激光碎石等过程中，由于光纤易脆易折，在光纤通过该弯角，或者是插入或拔出过快，都容易造成光纤断裂。并且其只有一个通道，不能同时进行碎石或者是注水吸水等，造成操作上 的不便。
申请号为CN201180018376.X的发明专利提供一种内窥镜保持装置及内窥镜系统。该内窥镜保持装置包括：插入部，其形成能够供内窥镜贯穿的贯穿路径，为了使内窥镜从该贯穿路径的顶端突出，形成有与上述贯穿路径相连通而在顶端开口的开口部；以及压排部，其具有相对于预定的方向对生物体组织进行压排的压排面，该压排部配置在上述插入部的顶端，并向比上述开口部靠远位侧的位置延伸。该技术方案的器械通道入口同样位于操作手柄的侧面，从而使得器械通道入口和器械通道之间具有一定弯角。
申请号为CN201010027202.7的发明专利公开了一种经皮肾镜，包括镜身、镜体，镜身的尾端连接镜体，镜身与镜体内设有相互连通的管腔；所述镜身的外壁设有沟槽。本发明通过在镜身外壁增设沟槽作为排水通道，能够加快排水速度，实现了注水与排水同时进行，能够形成连续的水循环，不仅能够保持手术过程中视野的清晰，提高手术的效率，而且能够降低肾脏内的水压，防止术后高热菌血症的发生。本发明在器械伸入口设置有带有隔瓣的封帽，能够防止水及气体发生逆流，有效避免水喷出，保护医务人员的安全并防止环境污染。该肾镜需要另外插入光源，操作中随着插入端移动，或者是水流的冲击，给光容易不稳定。该肾镜同上述文献一样需要操作者通过目镜观察，使用过程中，操作者和肾镜需要保持特定距离，才能保证对焦，否则将不能清楚地观察到病变状况。并且上述内窥镜都是反复使用，病人检查后会使用戊二醛消毒20钟，但本身内镜的消毒只靠浸泡并不能完全保证其安全性，如果检查对象10是有传染病的病人，如结核、乙肝、艾滋病，很可能会因为疏忽导致传染。
申请号为CN201120505231.9的实用新型专利涉及一种应用在医学检查或手术使用的一次性分体式纤维电子内窥镜，该电子内窥镜包括：插入部，该插入部的内部配置有光学观察系统及输液管道、输气管道，该光学观察系统包括设置在所述插入部顶端部的COMS微型摄像头，该COMS微型摄像头与从所述插入部的基部延伸过来的摄像线缆连接；操作部，设置于所述插入部的基部，二者通过螺纹接口联接为一体；所述插入部由硅胶、无毒软橡胶或食品级尼龙制成，所述插入部基部设有刚性内螺纹接口，用于和所述操作部联接。本产品携带方便，适合流动医务人员使用；使用方便，开袋即用，从根本上避免了病人之间可能出现的交叉感染问题；本产品为分体式，使用时只需要更换插入部即可。虽然该方案中通过更换一次性的插入端来避免患者的交叉感染，但是插入端的水道和气道都是和操作端相通的，因此，操作端同样存在20消毒不充分会造成患者的交叉感染的隐患。
因此，现有技术的内窥镜容易损坏光纤，且无法一次性使用，容易造成患者交叉感染。 为了解决以上专利所具有的问题，以下提供本发明的径直通道宫腔镜。
发明内容
本发明公开一种径直通道宫腔镜，包括：插入部，插入部包括插入管和固定于插入管前端部的成像模组座，成像模组座设置有光学观察装置和光源；操作部，通过刚性连接件连接于插入部的末端，包括手柄和与手柄成一定角度的手把，手把后端设有用于连接显示装置的接口；其中，插入部前端端口设有第一器械出口，手柄后端设有第一器械入口，第一器械入口经由穿设于手柄内部和插入管内腔的第一器械通道连通于第一器械出口，并且第一器械入口截面的轴线与第一器械通道的的锐角夹角小于15度。
优选地，手把上设有进水底座和出水底座，插入管的前端设有进水口和出水口，进水底座经由穿设于手把内部和插入管内腔的进水通道(36)连通于进水口，出水底座经由穿设于手把内部和插入管内腔的出水通道(37)连通于出水口。
进一步地，第一器械通道和进水通道(36)共用同一个管道，进水口和第一器械出口为设置在插入管前端端面上的同一个出口，该同一个管道的一端连通于该同一个出口，该同一个管道的另一端具有三通阀状的两根支管，分别连通于第一器械入口和进水底座；该同一个出口为设置于插入管(11)前端端面上的一个圆形出口或异形出口，异形出口是指截面为不规则几何形状的出口，异形出口是指截面为不规则几何形状的出口，第一器械通道(35)和进水通道(36)所共用的同一个管道最大的有效内部直径2.5-2.9毫米。
优选地，插入管前端端口还设有第二器械出口，手柄后端还设有第二器械入口，第二器械入口＇经由穿设于手柄内部和插入管内部的第二器械通道连通于第二器械出口，第二器械通道并排位于第一器械通道的上方。
进一步地，第二器械通道和进水通道(36)共用同一个管道，进水口和第二器械出口为设置在插入管前端端面上的同一个出口，该同一个管道的一端连通于同一个出口，该同一个管道的另一端具有三通阀状的两根支管，分别连通于第二器械入口和进水底座；该同一个出口为设置于插入管(11)前端端面上的一个圆形出口或异形出口，异形出口是指截面为不规则几何形状的出口，第二器械通道(35)和进水通道(36)所共用的同一个管道最大的有效内部直径为2.5-2.9毫米。
优选地，第一器械通道、第二器械通道和进水通道(36)共用同一个管道，第一器械出口、第二器械出口和进水口为设置在插入管前端端面上的同一个出口，该同一个管道的 一端连通于该同一个出口，该同一个管道的另一端具有三根支管，分别连通于第一器械入口、第二器械入口和进水底座。
进一步地，第一器械出口(15)、第二器械出口(15＇)和进水口(16)所共有的同一个出口为设置于插入管(11)前端端面上的一个圆形出口或异形出口,异形出口是指截面为不规则几何形状的出口；第一器械通道、第二器械通道和进水通道(36)所共用的同一个管道最大的有效内部直径为2.5-2.9毫米。
优选地，第一器械通道、第二器械通道和进水通道(36)所共用的同一个管道最大的有效内部直径为2.8毫米。
进一步地，第一器械入口和/或第二器械入口配设器械入嘴防水塞，器械入嘴防水塞的内部直径可调节，并通过连接结构连接于插入第一器械通道的医疗器械。
优选地，进水底座和出水底座均位于手柄的侧面，并且与手把位于手柄的同一侧；或者进水底座和出水底座均位于手把的末端。
进一步地，进水口和出水口均位于插入部的前端端面上；或者进水口位于插入部的前端端面上，出水口位于插入部的前端侧面上。
优选地，插入管上设有弯曲部，插入管的插入端部的轴线与插入管的非插入端的轴线的夹角成一锐角。
进一步地，锐角的角度范围为15-30度。
优选地，手把上设有可插拔式连接端子，所示连接端子通过PIN针接口将光学观察装置和光源进行电连接，并通过电缆连接于显示装置。
进一步地，操作部的的外壳由上壳及下壳两部分构成，上壳及下壳分别一体成型。
优选地，手把上设有握持部，握持部包括多个突起间隔排列形成的防滑结构。
进一步地，插入部的成像模组座处还设有压力传感器。
优选地，插入部和操作部均由非金属材料制成，非金属材料为高分子聚合物，高分子聚合物为聚氨酯或嵌段聚醚酰胺弹性体。
为让本发明的上述内容能更明显易懂，下文特举优选实施例，并结合附图，作详细说明如下。
附图说明
下面将结合附图介绍本发明。
图1为本发明第一实施例的径直通道宫腔镜的整体结构示意图；
图2、图3-1和图3-2为本发明第一实施例的径直通道宫腔镜的三种前端端面的结构示意图；
图4为本发明第二实施例的径直通道宫腔镜的整体结构示意图；
图5、图6-1到图6-3为本发明第二实施例的径直通道宫腔镜的前端端面的结构示意图；
图7为本发明第三实施例的径直通道宫腔镜的前端端面和侧面的结构示意图；
图8为本发明实施例中公开的径直通道宫腔镜的插入管上的弯曲部的结构示意图。
具体实施方式
以下由特定的具体实施例说明本发明的实施方式，本领域技术人员可由本说明书所揭示的内容轻易地了解本发明的其他优点及功效。
需说明的是，在本发明中，附图1中的上、下、左、右即视为本说明书中所述的宫腔镜的上、下、左、右。
现在参考附图介绍本发明的示例性实施方式，然而，本发明可以用许多不同的形式来实施，并且不局限于此处描述的实施例，提供这些实施例是为了详尽地且完全地公开本发明，并且向所属技术领域的技术人员充分传达本发明的范围。对于表示在附图中的示例性实施方式中的术语并不是对本发明的限定。在附图中，相同的单元/元件使用相同的附图标记。
除非另有说明，此处使用的术语(包括科技术语)对所属技术领域的技术人员具有通常的理解含义。另外，可以理解的是，以通常使用的词典限定的术语，应当被理解为与其相关领域的语境具有一致的含义，而不应该被理解为理想化的或过于正式的意义。
第一实施例
如图1和图2所示，本发明公开了径直通道宫腔镜，包括：插入部1，插入部1包括插入管11和固定于插入管11前端部的成像模组座12，成像模组座12设置有光学观察装置13和光源14；操作部2，通过刚性连接件21连接于插入部1的末端，包括手柄22和与手柄22成一定角度的手把23，手把23后端设有用于连接显示装置的接口24；其中，插入部1前端端口设有第一器械出口15，手柄22后端设有第一器械入口25，第一器械入口25口经由穿设于手柄22内部和插入管11内腔的第一器械通道35连通于第一器械出口15，并且第一器械入口25截面的轴线与第一器械通道35的轴线的锐角夹角小于5度、8度、10度、或者15度。
具体地，如图1所示，插入部1和操作部2的内部各配置一部分第一器械通道35，该第一器械通道35一端连通的第一器械入口25位于操作部2的操作手柄22后端，与该第一器械入口25相对应的第一器械通道35的另一端连通的第一器械出口15位于插入部1的前端端口的端面上，在使用过程中，将医疗器械从第一器械入口25伸入到第一器械通道35内，再由第一器械出口15伸入人体内部，本发明第一实施例中，由于第一器械入口25截面的轴线和配置于手柄22内部的第一器械通道35的轴线的夹角的锐角小于15度，在医疗器械自第一器械入口25伸入到第一器械通道35内的过程中，光纤几乎不需要发生弯折，这样在进行切片取样、微创手术和激光碎石等需要沿着宫腔镜的器械通道伸入人体的过程中，可以最大限度地避免器械发生弯折，扩大了本发明第一实施例的径直通道宫腔镜的使用范围。以激光碎石为例，在进行激光碎石手术的操作过程中，相对于现有技术中将器械入口设置于手柄侧面的宫腔镜，采用本发明第一实施例的径直通道宫腔镜，能够使得光纤从第一器械入口25伸入的过程中几乎不需要发生弯折，而由于光纤本身易脆易折，如此一来便可以有效地避免光纤在通过第一器械入口25和第一器械通道35之间的弯角时发生弯折而造成光纤损坏。
其中，手柄22上设有进水底座26，如图2所示，插入管11的前端设有进水口16，进水底座26经由穿设于手把23内部和插入管11内腔的进水通道36连通于进水口16，在有淤血粘附在光学观察装置13或人体腔室内壁上，腔体内液体浑浊，降低了可视性，或是碎石等阻碍摄像时，可以通过进水底座26向人体内注水，水流通过进水通道36，从插入部1的前端端口上的进水口16进入人体内，冲开淤血、浑浊的液体或是碎石，使得光学观察装置13可以清晰地观察到人体腔室内壁的情况，如果水压过高，或是碎石完成过后，同样可以通过该进水底座26进行负压吸引排水，以将人体内多余的水或结石排出。
本实施例中，如图3-1和图3-2所示，第一器械通道35和进水通道36可共用同一个管道，进水口16和第一器械出口15为设置在插入管11前端端面上的同一个出口，该同一个管道的一端连通于该同一个出口，该同一个管道的另一端具有三通阀状的两根支管，分别连通于第一器械入口25和进水底座26。将第一器械通道35和进水通道36共用一根管道，能够使得宫腔镜的插入管11外部直径尽可能小，插入部1可自人体内部更为狭小的缝隙插入，减少手术创口面积，进一步减轻患者的痛苦，提高手术的成功率。
进一步地，如图3-1和图3-2所示，该同一个出口为设置于插入管11的前端端面上的一个异形出口，异形出口是指截面为不规则几何形状的出口，异形出口是指截面为不规 则几何形状的出口，本领域技术人员可以理解，该同一个出口也可以为圆形或其他形状的出口。当第一器械通道35和进水通道36共用同一根管道时，如果在保持现有技术中插入管的外径不变的情况下，可以进一步增大进水口16和第一器械出口15的最大内部直径。即该共用同一根管道的出口的最大内部直径281可以扩大到2.5-2.9毫米，在本发明中，该共用同一根管道的出口的最大内部直径281优选为2.8毫米，在不增大插入管1的外部直径的情况下将器械管及水管的内部直径最大化，可以大幅提高进水量，还可以方便各种不同尺寸的医疗器械插入，也可扩大适用的医疗器械的范围。
进一步地，如图1、图3-1和图3-2所示，手柄22上还设有出水底座27，插入管11的前端还设有出水口17，出水底座27经由穿设于手把23内部和插入管11内腔的出水通道37连通于出水口17。在手术过程中，由于脏器内的液体压力过高，当其逆流时容易进入血管，造成血栓，从而引发长久且严重的危害。因此，如图1和图2中所示，在手柄22上分别设置独立的进水底座26和出水底座27，在插入管11和手柄22内部相应地设置独立的进水通道36和出水通道37，在插入管11前端对应地分别设置进水口16和出水口17，从而实现在进水的同时出水，避免脏器内部压力过高，造成血栓等并发症。并且在水流置换的过程中可以一直保持脏器内部的液体澄清，更加有利于操作者进行观察。
进一步地，如图2所示，进水口16和出水口17均位于插入管11的前端端面上，在有淤血黏附在光学观察装置13或人体腔室内壁上，或者碎石等障碍物阻碍摄像时，由于进水口16和光学观察装置13都是位于前端端口的端面上，二者朝向相同，水流从进水口16中冲入人体时具有较强的冲击力，可将障碍物冲开，从而为光学观察装置13提供开阔的视野。
具体地，本发明第一实施例的插入管11的前端固定设有成像模组座12，成像模组座12为圆筒状结构，成像模组座12内可固定嵌设有光学观察装置13和光源14，光学观察装置13为微型摄像头，设置于前端端口的端面上，该微型摄像头通过电连接线30连接于设置于手把23后端的接口24，接口24用于连接显示器，微型摄像头可将患者体内的情况实时拍摄成影像并通过电连接线30从接口24传输出来，显示器接收到影像并将所拍摄的影像显示出来，操作者可以方便地对患者体内的病变情况进行直接地观察。为了使摄像头所拍摄的画面更为清晰，摄像头设置于成像模组座12的顶端端面上；光源14优选LED光源，LED光源具有体积小、使用寿命长、高亮度、低热量等优点，进一步提高诊疗的效率以及诊疗的准确度。但本发明并不局限于此，任何可以发光的发光部件均可作为光源14使用，如光导纤维、发光二极管等。更进一步地，本发明第一实施例中的光源14采用LED 灯，优选设置1-8个光源14，更优选设置2-8个光源14，对称分布于光学观察装置13的周围以形成无影灯的效果，避免因为脏器内壁的褶皱产生阴影而造成误诊或漏诊。
进一步地，当将摄像头以及光源14装配于成像模组座12内后，即可将装配好的成像模组座12视为一个摄像模块，在生产过程中，装配好的摄像模块可直接与插入管11进行装配，提高了装配效率。更进一步地，为了使摄像模块与插入管11间的配合更为可靠，可直接在成像模组座12的外壳上设置卡扣或其他连接结构，同时在插入管11与之对应的位置设置对应的卡口或连接结构，增加摄像模块与插入管11间的连接可靠程度。
进一步地，如图1所示，在本实施例中，操作部2包括手柄22和与手柄22成一定角度的手把23，手把23自手柄22后端的约四分之一处连接于手柄22下方，且手把23沿其自身轴线向手柄22的后下方延伸，使得手把23与其后部的约四分之一手柄22之间构成锐角29，整体形状上来看，手柄22和手把23成手枪状，手把23对应于手枪的枪管部分，手柄22对应于手枪的枪把部分，医护人员在手术时，可握持住手柄22和手把23，十分方便医护人员手持宫腔镜进行操作。进一步地，手把23上还设有多个突起共同构成的握持部28，优选为2-6个突起，以增大手把23的摩擦力，实现防止滑动的功能。
本实施例中，进水底座26和出水底座27均位于手柄22的侧面，并且于手把23位于手柄22的同一侧，如均位于图1中所示，这样在排水的过程中，当操作者握住手把23时，在重力的作用下，与进水底座26和出水底座27相连接的水管都是自然向下，水管不会发生大角度的弯折，水流更为顺畅，同时水管也会比较整齐，不会阻碍操作，以便于操作人员握持手把23时同时进行注水或吸水。进水底座26和出水底座27也可以位于手把23的末端，由于本实施例的手把23沿其自身轴线向手柄22的后下方延伸，当进水底座26和出水底座27位于手把23末端时，与进水底座26和出水底座27相连接的水管也不会发生大角度的弯折，水流更为顺畅，同时水管也会比较整齐，不会阻碍操作，以便于操作人员握持手把23时同时进行注水或吸水。优选地，进水底座26与出水底座27上可分别设置进水阀门或者出水阀门进行开关，可以根据实际使用需要，自由地控制进水或排水，同时也可方便地调节进水或排水量。
进一步地，如图8所示，本发明第一实施例所公开的径直通道宫腔镜中，插入管11上设有弯曲部1a，使插入管11的插入端部的轴线与插入管11的非插入端的轴线的夹角为一锐角19，该锐角19的角度优选为15度到30度，进一步地，锐角19角度优选为25度、28度或30度，当医生在对患者进行检查时，只需小幅度转动宫腔镜即可对子宫内各部位进行检查，避免患者在接受检查的过程中，因医生需要检查子宫内壁时，以宫颈口为支点 转动宫腔镜而损伤患者的宫颈口。
优选地，本实施例中的第一器械入口25采用标准配件鲁尔接口，鲁尔接口是一种标准化的微量无渗接头，通过公鲁尔接头与相匹配的母鲁尔接头部分来连接，是在医疗行业使用的方便连接设备，它大大简化了液态和气态医疗流体的管理。本实施例的鲁尔接口的一端与第一器械通道35插合，鲁尔接口的用于与其它部件相配合的一端端部的外表面上具有第一外螺纹结构，以方便与其它部件相连接。
本发明第一实施例中，在手把23上的接口处还设有连接端子，该连接端子通过PIN针接口将光学观察装置13和光源14进行电连接，并通过电缆连接于显示装置。优选地，该连接端子为可插拔式。其中，PIN针式连接器中用来完成电信号传输的一种金属物质。通过设置该连接端子，可将光学观察装置13和光源14使用同一个连接器，不用外接冷光源线14，不使用导光光纤，同时使得图像信号传输速度更快，减少图像迟滞，并且电源线与信号线的走向一致，使得线路简化。
更进一步地，第一器械入口25配设器械入嘴防水塞。由于第一器械通道35的伸入患者体内的一端并不封闭，因此，优选在第一器械入口25端部套设可调节孔径大小的器械入嘴防水塞，器械入嘴防水塞与第一器械入口25间优选通过螺纹相连接，当器械入嘴防水塞拧紧时，可以使器械入嘴防水塞内的密封部的孔径缩小而与插入的医疗器械之间形成紧密的配合，从而形成有效的密封，防止患者体内的液体通过器械通道发生渗漏。
如图9至图11所示，器械入嘴防水塞包括一个接头以及一个旋盖，接头与旋盖的中部均设有通孔，以供器械穿过。接头的一端的内表面上设有第一内螺纹，第一内螺纹与鲁尔接口上设置的第一外螺纹25a相对应，第一内螺纹与第一外螺纹可相互配合旋紧。接头的另一端的内壁具有一定的锥度，即内壁为一个朝向接头轴线倾斜的表面；接头的另一端的外表面上设置有第二外螺纹，可与设置在旋盖的盖帽内壁上的第二内螺纹相互配合旋紧；接头的旋盖内还具有一个凸起的防水硅胶塞，防水硅胶塞的端部固定设有具有防水功能、且具有弹性的硅胶塞，当将旋盖旋入接头时，防水硅胶塞插入接头中，且随着旋盖的旋入，防水硅胶塞上的硅胶塞被旋入接头的通孔中，且由于通孔的孔径逐渐减小，硅胶塞被压缩，从而实现防水功能。
使用者在对患者进行诊疗时，先将器械入嘴防水塞旋在鲁尔接口上，此时，旋盖无需与接头完全旋紧。当需要使用医疗器械时，将器械从第一器械入嘴21插入到位后，旋紧旋盖，使旋盖上的硅胶塞收到压迫发生弹性形变，硅胶塞被压缩后可与医疗器械紧密配合，从而防止患者体内的液体从第一器械入嘴21以及器械入嘴防水塞的中部渗出。具体实施 时，将插入管11的插入端进入患者的子宫内，通过水管向患者体内注水，使子宫膨胀，方便观察。随后利用摄像头对患者进行检查，当发现问病灶时，利用第一器械管送入医疗器械，及时对患者进行诊疗。
进一步地，为了方便装配，在本实施例中，操作部2的外壳由上壳和下壳两部分构成，且这两部分间设有可相互配合的连接部件，当在操作部2内完成了装配作业后将两部分进行装配盖合即可。更进一步地，操作部2的上壳和下壳分别一体成型，加工时简单方便，生产成本低，因此可作为径直通道手术耗材，用后即可抛弃，杜绝了二次污染，也不会对患者造成经济压力。
优选地，插入管111选用非金属材质等质地软的软管，如聚酰胺(PA管),聚四氟乙烯(PTFE管),聚氨酯管(PU管)或热塑性聚氨酯弹性体橡胶管(TPU管)等，在插入人体内部时，能够最大程度地避免硬质材料制成的插入管11戳伤人体内部器官，减少人体损伤。但本发明并不局限于此，可根据使用需要选取其他各种材质的管材作为插入管11。
本发明第一实施例中，如图2和图3-1和图3-2所示，在插入部1的前端端口上还设有压力传感器18，压力传感器18可以设置于插入部1前端的侧面上，也可以设置于前端的端面上。其同样通过电连接线30将人体内的压力从接口传输出来，操作人员可以根据脏器内实时的压力情况，调节进水或出水，避免血栓的形成。
本发明实施例中，插入部1和操作部2的各个部件均由非金属材料制成，极大的降低了宫腔镜的成本，避免了可能的消毒不彻底而造成患者之间交叉感染的情况。本发明提供的宫腔镜为一次性使用，不需要同现有技术中反复使用的宫腔镜一样采用可以耐受高温高压消毒的金属材料制成。非金属材料优选为高分子聚合物，具体的聚合物种类没有特别的限定，可以选自聚碳酸酯(PC)，丙烯腈-丁二烯-苯乙烯共聚物(ABS)，聚丙烯(PP)，聚乙烯等聚烯烃，聚氯乙烯，聚酯(PET、PBT等)，聚酰胺，聚酰亚胺，聚氨酯，聚苯乙烯，有机硅树脂，含氟聚合物(PTFE、ETFE、PFA等)或者这些材料的复合材料、胶乳橡胶、硅氧橡胶、尼龙弹性体等各种橡胶材料中的一种或几种。
高分子聚合物更优选为聚氨酯或嵌段聚醚酰胺弹性体。聚氨酯相较于其他生物相容性材料，聚氨酯在遇到人体温度时有很好的扭曲性，可以根据腔体情况弯曲，而不会刺伤肌体组织；聚氨酯无毒，可以长期留置在人体内，与肌体组织具有良好的相容性，不会引发炎症；最重要的是，其具有良好的强度和径向扩张性，提供了较好的插入强度。嵌段聚醚酰胺弹性体(PEBAX)，是不含增塑剂的热塑性弹性体，生物相容性好，极其适用于人体内。其还具有相当广泛的硬度范围及良好的回弹性，易加工的性能和聚酰胺产品的性质,具有 显著的加工性能和生物相容性，同时具有优异的柔顺性/软性(范围广，手感、触感好)，可以为插入部1提供良好的导向性和插入强度；嵌段聚醚酰胺弹性体稳定性好，性质变化很小，低温不硬化；耐腐蚀和耐老化能力强，以此制成的宫腔镜即使长时间放置，结构也不会发生变化。
第二实施例
如图4和图5所示，本发明公开了径直通道宫腔镜，包括：插入部1，插入部1包括插入管11和固定于插入管11前端部的成像模组座12，成像模组座12设置有光学观察装置13和光源14；操作部2，通过刚性连接件21连接于插入部1的末端，包括手柄22和与手柄22成一定角度的手把23，手把23后端设有用于连接显示装置的接口24；其中，插入部1前端端口设有第一器械出口15和第二器械出口15＇，手柄22后端设有第一器械入口25，第一器械入口25经由穿设于手柄22内部和插入管11内腔的第一器械通道35连通于第一器械出口15，第二器械入口25＇经由穿设于手柄22内部和插入管11内腔的第二器械通道35＇连通于第二器械出口15＇，并且第一器械入口25截面的轴线与第一器械通道35的轴线相重合，第二器械入口25＇截面的轴线与第二器械通道35＇的轴线的锐角夹角小于30度。
本发明第二实施例中，第二器械入口25＇通过第二器械通道35＇与第二器械出口15＇相连通，从而构成了供两件手术器械同时进入人体内的通道，例如将激光光纤器械自第一器械通道35内插入人体，同时将外径不同的普通手术器械自第二器械通道35＇内插入人体内，两件器械可同时操作，从而能够缩短手术时间，在进行例如手术时间与尿脓毒血症发生率正相关的类似手术时，可以极大地降低术后感染率，提高手术的成功率。优选地，第二器械通道35＇可以设置于第一器械通道35的上方，当第一器械通道35单独使用时易于操作。
并且，本实施例中，由于第二器械入口25＇截面的轴线和配置于手柄22内部的第二器械通道35＇的轴线的锐角夹角小于15度，在医疗器械自第二器械入口25＇伸入到第二器械通道35＇内的过程中，光纤不需要发生弯折，这样在进行切片取样、微创手术和激光碎石等需要沿着宫腔镜的器械通道伸入人体的过程中，可以避免器械发生弯折，扩大了本发明第二实施例的径直通道宫腔镜的使用范围。以激光碎石为例，在进行激光碎石手术的操作过程中，相对于现有技术中将器械入口设置于手柄22侧面的宫腔镜，采用本发明第二实施例的径直通道宫腔镜，能够使得光纤从第二器械入口25＇伸入的过程中几乎不需要发生弯折，而由于光纤本身易脆易折，如此一来便可以有效地避免光纤在通过第二器械入 口25＇和第二器械通道35＇之间的弯角时发生弯折而造成光纤损坏。
其中，手柄22上设有进水底座26，如图5所示，插入管11的前端设有进水口16，进水底座26经由穿设于手把23内部和插入管11内腔的进水通道36连通于进水口16，在有淤血粘附在光学观察装置13或人体腔室内壁上，腔体内液体浑浊，降低了可视性，或是碎石等阻碍摄像时，可以通过进水底座26向人体内注水，水流通过进水通道36，从插入部1的前端端口上的进水口16进入人体内，冲开淤血、浑浊的液体或是碎石，使得光学观察装置13可以清晰地观察到人体腔室内壁的情况，如果水压过高，或是碎石完成过后，同样可以通过该进水底座26进行负压吸引排水，以将人体内多余的水或结石排出。
本发明第二实施例中，如图6-1和图6-2所示，第一器械通道35或者第二器械通道35＇的其中之一和进水通道36可共用同一个管道，第一器械出口15或者第二器械出口15＇的其中之一和进水口16为设置在插入管11前端端面上的同一个出口，该同一个管道的一端连通于同一个出口，该同一个管道的另一端具有三通阀状的两根支管，分别连通于第一器械入口25和进水底座26，或者分别连通于第二器械入口25＇和进水底座26。
进一步地，如图6-3所示，也可以第一器械通道35、第二器械通道35＇和进水通道36共用同一个管道，第一器械出口15、第二器械出口15＇和进水口16为设置在插入管11前端端面上的同一个出口，该同一个管道的一端连通于该同一个出口，该同一个管道的另一端具有三根支管，分别连通于第一器械入口25、第二器械入口25＇和进水底座26。将器械通道和进水通道36共用一根管道，能够使得宫腔镜的插入管11外部直径尽可能小，插入部1可自人体内部更为狭小的缝隙插入，减少手术创口面积，进一步减轻患者的痛苦，提高手术的成功率。
更进一步地，如图6-3所示，该同一个出口为设置于插入管11的前端端面上的一个异形出口，异形出口是指截面为不规则几何形状的出口，异形出口是指截面为不规则几何形状的出口，本领域技术人员可以理解，该同一个出口也可以为圆形或其他形状的出口。当第一器械通道35、第二器械通道35＇和进水通道36共用同一根管道时，如果在保持现有技术中插入管的外径不变的情况下，可以进一步增大进水口16和第一器械出口15的最大内部直径。即该共用同一根管道的出口的最大内部直径281可以扩大到2.5-2.9毫米，在本发明中，该共用同一根管道的出口的最大内部直径281优选为2.8毫米，在不增大插入管1的外部直径的情况下将器械管及水管的内部直径最大化，可以大幅提高进水量，还可以方便各种不同尺寸的医疗器械插入，也可扩大适用的医疗器械的范围。
进一步地，如图4和图5所示，手把23上还设有出水底座27，插入管11前端还设有 出水口17，出水底座27经由穿设于手把23内部和插入管11内腔的出水通道37连通于出水口17。在手术过程中，由于脏器内的液体压力过高，当其逆流时容易进入血管，造成血栓，从而引发长久且严重的危害。因此，如图4和图5中所示，在手柄22上分别设置独立的进水底座26和出水底座27，在插入管11和手柄22内部相应地设置独立的进水通道36和出水通道37，在插入管11前端端面上对应地分别设置进水口16和出水口17，从而实现在进水的同时出水，避免脏器内部压力过高，造成血栓等并发症。并且在水流置换的过程中可以一直保持脏器内部的液体澄清，更加有利于操作者进行观察。
具体地，本发明第二实施例的插入管11的前端固定设有成像模组座12，成像模组座12为圆筒状结构，成像模组座12内可固定嵌设有光学观察装置13和光源14，光学观察装置13为微型摄像头，设置于前端端口的端面上，该微型摄像头通过电连接线30连接于设置于手把23后端的接口24，接口24用于连接显示器，微型摄像头可将患者体内的情况实时拍摄成影像并通过电连接线30从接口24传输出来，显示器接收到影像并将所拍摄的影像显示出来，操作者可以方便地对患者体内的病变情况进行直接地观察。为了使摄像头所拍摄的画面更为清晰，摄像头设置于成像模组座12的顶端端面上；光源14优选LED光源，LED光源具有体积小、使用寿命长、高亮度、低热量等优点，进一步提高诊疗的效率以及诊疗的准确度。但本发明并不局限于此，任何可以发光的发光部件均可作为光源14使用，如光导纤维、发光二极管等。更进一步地，本发明第二实施例中的光源14采用LED灯，优选设置1-8个光源14，更优选设置2-8个光源14，对称分布于光学观察装置13的周围以形成无影灯的效果，避免因为脏器内壁的褶皱产生阴影而造成误诊或漏诊。
进一步地，在本实施例中，如图4所示，操作部2包括手柄22和与手柄22成一定角度的手把23，手把23自手柄22后端的约四分之一处连接于手柄22下方，且手把23沿其自身轴线向手柄22的后下方延伸，使得手把23与其后部的约四分之一手柄22之间构成锐角29，整体形状上来看，手柄22和手把23成手枪状，手把23对应于手枪的枪管部分，手柄22对应于手枪的枪把部分，医护人员在手术时，可握持住手柄22和手把23，十分方便医护人员手持宫腔镜进行操作。进一步地，手把23上还设有多个突起共同构成的握持部28，优选为2-6个突起，以增大手把23的摩擦力，实现防止滑动的功能。
本实施例中，进水底座26和出水底座27均位于手柄22的侧面，并且与手把23位于手柄22的同一侧，或者进水底座26和出水底座27也可以位于手把23的末端，这样一来，与进水底座26和出水底座27相连接的水管都是自然向下，水管不会发生大角度的弯折，水流更为顺畅，同时水管也会比较整齐，不会阻碍操作，以便于操作人员握持手把23时 同时进行注水或吸水。进水底座26和出水底座27也可以位于手把23的末端，由于本实施例的手把23沿其自身轴线向手柄22的后下方延伸，当进水底座26和出水底座27位于手把23末端时，与进水底座26和出水底座27相连接的水管也不会发生大角度的弯折，水流更为顺畅，同时水管也会比较整齐，不会阻碍操作，以便于操作人员握持手把23时同时进行注水或吸水。优选地，进水底座26与出水底座27上可分别设置进水阀门或者出水阀门进行开关，可以根据实际使用需要，自由地控制进水或排水，同时也可方便地调节进水或排水量。
进一步地，进水口16和出水口17均位于插入管11的前端端面上，在有淤血黏附在光学观察装置13或人体腔室内壁上，或者碎石等障碍物阻碍摄像时，由于进水口16和光学观察装置13都是位于前端端口的端面上，二者朝向相同，水流从进水口16中冲入人体时具有较强的冲击力，可将障碍物冲开，从而为光学观察装置13提供开阔的视野。
如图8所示，本发明第二实施例所公开的径直通道宫腔镜中，插入管11上设有弯曲部1a，使插入管11的插入端部的轴线与插入管11的非插入端的轴线的夹角为一锐角19，该锐角19的角度优选为15度到30度，进一步地，锐角19角度优选为25度、28度或30度，当医生在对患者进行检查时，只需小幅度转动宫腔镜即可对子宫内各部位进行检查，避免患者在接受检查的过程中，因医生需要检查子宫内壁时，以宫颈口为支点转动宫腔镜而损伤患者的宫颈口。
优选地，本实施例中的第一器械入口25和第二器械入口25＇均采用标准配件鲁尔接口，鲁尔接口是一种标准化的微量无渗接头，通过公鲁尔接头与相匹配的母鲁尔接头部分来连接，是在医疗行业使用的方便连接设备，它大大简化了液态和气态医疗流体的管理。本实施例的鲁尔接口的一端与第一器械通道35插合，鲁尔接口的用于与其它部件相配合的一端端部的外表面上具有第一外螺纹结构，以方便与其它部件相连接。
本发明第二实施例中，在手把23上的接口24处还设有连接端子，该连接端子通过PIN针接口将光学观察装置13和光源14进行电连接，并通过电缆连接于显示装置。优选地，该连接端子为可插拔式。其中，PIN针式连接器中用来完成电信号传输的一种金属物质。通过设置该连接端子，可将光学观察装置13和光源14使用同一个连接器，不用外接冷光源14线，不使用导光光纤，同时使得图像信号传输速度更快，减少图像迟滞，并且电源线与信号线的走向一致，使得线路简化。
更进一步地，第一器械入口25和第二器械入口25＇配设器械入嘴防水塞。由于第一器械通道35和第二器械通道35＇的伸入患者体内的一端并不封闭，因此，优选在第一器 械入口25和第二器械入口25＇端部套设可调节孔径大小的器械入嘴防水塞，器械入嘴防水塞与第一器械入口25、第二器械入口25＇之间优选通过螺纹相连接，当器械入嘴防水塞拧紧时，可以使器械入嘴防水塞内的密封部的孔径缩小而与插入的医疗器械之间形成紧密的配合，从而形成有效的密封，防止患者体内的液体通过器械通道发生渗漏。
进一步地，为了方便装配，在本实施例中，操作部2的外壳由上壳和下壳两部分构成，且这两部分间设有可相互配合的连接部件，当在操作部2内完成了装配作业后将两部分进行装配盖合即可。更进一步地，操作部2的上壳和下壳分别一体成型，加工时简单方便，生产成本低，因此可作为径直通道手术耗材，用后即可抛弃，杜绝了二次污染，也不会对患者造成经济压力。
优选地，插入管11选用非金属材质等质地柔软的软管，如聚酰胺(PA管),聚四氟乙烯(PTFE管),聚氨酯管(PU管)或热塑性聚氨酯弹性体橡胶管(TPU管)等，在插入人体内部时，能够最大程度地避免硬质材料制成的插入管11戳伤人体内部器官，减少人体损伤。但本发明并不局限于此，可根据使用需要选取其他各种材质的管材作为插入管11。
本发明第二实施例中，如图5所示，在插入部1的前端端口上还设有压力传感器18，压力传感器18可以设置于插入部1前端的侧面上，也可以设置于前端端口的端面上。其同样通过电连接线30将人体内的压力从接口传输出来，操作人员可以根据脏器内实时的压力情况，调节进水或出水，避免血栓的形成。
本发明实施例中，插入部1和操作部2的各个部件均由非金属材料制成，极大的降低了宫腔镜的成本，避免了可能的消毒不彻底而造成患者之间交叉感染的情况。本发明提供的宫腔镜为一次性使用，不需要同现有技术中反复使用的宫腔镜一样采用可以耐受高温高压消毒的金属材料制成。非金属材料优选为高分子聚合物，具体的聚合物种类没有特别的限定，可以选自聚碳酸酯(PC)，丙烯腈-丁二烯-苯乙烯共聚物(ABS)，聚丙烯(PP)，聚乙烯等聚烯烃，聚氯乙烯，聚酯(PET、PBT等)，聚酰胺，聚酰亚胺，聚氨酯，聚苯乙烯，有机硅树脂，含氟聚合物(PTFE、ETFE、PFA等)或者这些材料的复合材料、胶乳橡胶、硅氧橡胶、尼龙弹性体等各种橡胶材料中的一种或几种。
本实施例构成了供两件手术器械同时进入人体内的通道，且在医疗器械自各个器械入口伸入到相对应的器械通道内的过程中，光纤不需要发生弯折，扩大了本发明第二实施例的径直通道宫腔镜的使用范围。
第三实施例
如图7所示，本发明第三实施例和第一实施例、第二实施例的不同之处在于，进水口 16位于插入管11的前端端面上，出水口17位于插入管11的前端侧面上。因此，对于共同的构成，上述记载中已说明，故省略重复的说明。
出水口17位于插入管11前端的侧面，这样与位于前端端口的端面上的进水口16之间有一定的距离，避免了水流从进水口16注入人体立即就被从旁边的出水口17排出，这样的设置有利于增加水流循环的距离，提高清洗的效率，节约清洗的时间。
综上所述，本发明所涉及的径直通道宫腔镜可在对患者子宫进行常规检查时，能够使得光纤从器械通道入口伸入的过程中几乎不需要发生弯折，而由于光纤本身易脆易折，如此一来便可以最大限度地避免光纤在通过第一器械通道35入口和第一器械通道35之间的弯角时发生弯折而造成光纤损坏，从而提高了手术效率，具有很好的实用价值。此外，本发明所上述实施例仅例示性说明本发明的原理及其功效，而非用于限制本发明。任何本领域技术人员皆可在不违背本发明的精神及范畴下，对上述实施例进行修饰或改变。因此，本领域技术人员在未脱离本发明所揭示的精神与技术思想下所完成的一切等效修饰或改变，仍应由本发明的权利要求所涵盖。

Claims (10)

  1. 一种径直通道宫腔镜，其特征在于，包括：
    插入部(1)，所述插入部(1)包括插入管(11)和固定于所述插入管(11)前端部的成像模组座(12)，所述成像模组座(12)设置有光学观察装置(13)和光源(14)；
    操作部(2)，通过刚性连接件(21)连接于所述插入部(1)的末端，包括手柄(22)和与所述手柄(22)成一定角度的手把(23)，所述手把(23)后端设有用于连接显示装置的接口(24)；
    其中，所述插入部(1)前端端口设有第一器械出口(15)，所述手柄(22)后端设有第一器械入口(25)，所述第一器械入口(25)经由穿设于所述手柄内部和所述插入管内腔的第一器械通道(35)连通于所述第一器械出口(15)，并且所述第一器械入口(25)截面的轴线与所述第一器械通道(35)的轴线的锐角夹角小于15度。
  2. 如权利要求1所述的径直通道宫腔镜，其特征在于，所述手把(23)上设有进水底座(26)和出水底座(27)，所述插入管(11)的前端设有进水口(16)和出水口(17)，所述进水底座(26)经由穿设于所述手把(23)内部和所述插入管(11)内腔的进水通道(36)连通于所述进水口(16)，所述出水底座(27)经由穿设于所述手把(23)内部和所述插入管(11)内腔的出水通道(37)连通于所述出水口(17)。
  3. 如权利要求1所述的径直通道宫腔镜，其特征在于，所述第一器械通道(35)和所述进水通道(36)共用同一个管道，所述进水口(16)和所述第一器械出口(15)为设置在所述插入管(11)前端端面上的同一个出口，该同一个管道的一端连通于该同一个出口，该同一个管道的另一端具有三通阀状的两根支管，分别连通于所述第一器械入口(25)和所述进水底座(26)；该同一个出口为设置于所述插入管(11)前端端面上的一个圆形出口或异形出口，所述异形出口是指截面为不规则几何形状的出口，所述第一器械通道(35)和所述进水通道(36)所共用的同一个管道最大的有效内部直径为2.5-2.9毫米。
  4. 如权利要求1所述的径直通道宫腔镜，其特征在于，所述插入管(11)前端端口还设有第二器械出口(15＇)，所述手柄(22)后端还设有第二器械入口(25＇)，所述第二器 械入口(25＇)经由穿设于所述手柄(22)内部和所述插入管(11)内部的第二器械通道(35＇)连通于所述第二器械出口(15＇)，所述第二器械通道(35＇)并排位于所述第一器械通道(35)的上方。
  5. 如权利要求4所述的径直通道宫腔镜，其特征在于，所述第二器械通道(35＇)和所述进水通道(36)共用同一个管道，所述进水口(16)和所述第二器械出口(15＇)为设置在所述插入管(11)前端端面上的同一个出口，该同一个管道的一端连通于所述同一个出口，该同一个管道的另一端具有三通阀状的两根支管，分别连通于所述第二器械入口(25＇)和所述进水底座(26)；该同一个出口为设置于所述插入管(11)前端端面上的一个圆形出口或异形出口，所述异形出口是指截面为不规则几何形状的出口，所述第二器械通道(35)和所述进水通道(36)所共用的同一个管道最大的有效内部直径为2.5-2.9毫米。
  6. 如权利要求4所述的径直通道宫腔镜，其特征在于，所述第一器械通道(35)、所述第二器械通道(35＇)和所述进水通道(36)共用同一个管道，所述第一器械出口(15)、所述第二器械出口(15＇)和所述进水口(16)为设置在所述插入管(11)前端端面上的同一个出口，该同一个管道的一端连通于该同一个出口，该同一个管道的另一端具有三根支管，分别连通于所述第一器械入口(25)、所述第二器械入口(25＇)和所述进水底座(26)。
  7. 如权利要求6所述的径直通道宫腔镜，其特征在于，所述第一器械出口(15)、所述第二器械出口(15＇)和所述进水口(16)所共有的同一个出口为设置于所述插入管(11)前端端面上的一个圆形出口或异形出口,所述异形出口是指截面为不规则几何形状的出口；所述第一器械通道(35)、所述第二器械通道(35＇)和所述进水通道(36)所共用的同一个管道最大的有效内部直径为2.5-2.9毫米。
  8. 如权利要求1-7中任一所述的径直通道宫腔镜，其特征在于，所述进水底座(26)和所述出水底座(27)均位于所述手柄(22)的侧面，并且与所述手把(23)位于所述手柄(22)的同一侧；或者所述进水底座(26)和所述出水底座(27)均位于所述手把(23)的末端。
  9. 如权利要求8所述的径直通道宫腔镜，其特征在于，所述进水口(16)和所述出水口(17)均位于所述插入部(1)的前端端面上；或者所述进水口(16)位于所述插入部(1)的前端端面上，所述出水口(17)位于所述插入部(1)的前端侧面上。
  10. 如权利要求1-7中任一所述的径直通道宫腔镜，其特征在于，所述插入管(11)上设有弯曲部(1a)，所述插入管(11)的插入端部的轴线与所述插入管(11)的非插入端的轴线的夹角成一锐角(19)，所述锐角(19)的角度范围为15-30度。
PCT/CN2017/106957 2017-10-20 2017-10-20 一种径直通道宫腔镜 WO2019075709A1 (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/CN2017/106957 WO2019075709A1 (zh) 2017-10-20 2017-10-20 一种径直通道宫腔镜

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CN2017/106957 WO2019075709A1 (zh) 2017-10-20 2017-10-20 一种径直通道宫腔镜

Publications (1)

Publication Number Publication Date
WO2019075709A1 true WO2019075709A1 (zh) 2019-04-25

Family

ID=66173184

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2017/106957 WO2019075709A1 (zh) 2017-10-20 2017-10-20 一种径直通道宫腔镜

Country Status (1)

Country Link
WO (1) WO2019075709A1 (zh)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117017170A (zh) * 2023-10-09 2023-11-10 英姿医疗科技（杭州）有限公司 一种分流组件及宫腔内窥镜
EP4062820A4 (en) * 2019-11-19 2023-11-22 Hoya Corporation ENDOSCOPE

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030125607A1 (en) * 2001-12-28 2003-07-03 Richard Wolf Gmbh Hysteroscope with a shank exchange system
CN2698266Y (zh) * 2004-03-02 2005-05-11 申屠裕华 直型宫腔镜
CN202489921U (zh) * 2012-02-28 2012-10-17 广州宝胆医疗器械科技有限公司 一种接口集成式硬质电子宫腔镜
CN104042175A (zh) * 2011-12-30 2014-09-17 广州宝胆医疗器械科技有限公司 多普勒激光宫腔镜系统
CN105960192A (zh) * 2013-12-02 2016-09-21 安都乔斯公司 用于观察内窥镜的流体分配设备
CN205814290U (zh) * 2016-05-20 2016-12-21 广州德米医用设备有限公司 一种带双通道的直肠诊疗镜
CN107773203A (zh) * 2017-10-20 2018-03-09 上海安清医疗器械有限公司 大通道直插入内窥镜
CN107822581A (zh) * 2017-10-20 2018-03-23 上海安清医疗器械有限公司 一种径直通道宫腔镜

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030125607A1 (en) * 2001-12-28 2003-07-03 Richard Wolf Gmbh Hysteroscope with a shank exchange system
CN2698266Y (zh) * 2004-03-02 2005-05-11 申屠裕华 直型宫腔镜
CN104042175A (zh) * 2011-12-30 2014-09-17 广州宝胆医疗器械科技有限公司 多普勒激光宫腔镜系统
CN202489921U (zh) * 2012-02-28 2012-10-17 广州宝胆医疗器械科技有限公司 一种接口集成式硬质电子宫腔镜
CN105960192A (zh) * 2013-12-02 2016-09-21 安都乔斯公司 用于观察内窥镜的流体分配设备
CN205814290U (zh) * 2016-05-20 2016-12-21 广州德米医用设备有限公司 一种带双通道的直肠诊疗镜
CN107773203A (zh) * 2017-10-20 2018-03-09 上海安清医疗器械有限公司 大通道直插入内窥镜
CN107822581A (zh) * 2017-10-20 2018-03-23 上海安清医疗器械有限公司 一种径直通道宫腔镜

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4062820A4 (en) * 2019-11-19 2023-11-22 Hoya Corporation ENDOSCOPE
CN117017170A (zh) * 2023-10-09 2023-11-10 英姿医疗科技（杭州）有限公司 一种分流组件及宫腔内窥镜
CN117017170B (zh) * 2023-10-09 2024-02-13 英姿医疗科技（杭州）有限公司 一种分流组件及宫腔内窥镜

Similar Documents

Publication Publication Date Title
CN205867274U (zh) 可视输尿管通道鞘
CN109044258B (zh) 一种一次性电子输尿管肾镜
CN213309607U (zh) 一种设有出水通道的输尿管肾盂镜系统
CN211433155U (zh) 一种组装式循环不间断灌注的可调负压清石鞘套件
CN208002763U (zh) 一种径直通道宫腔镜
WO2019075709A1 (zh) 一种径直通道宫腔镜
CN208096721U (zh) 一种智能压力监控的可视化宫腔镜
CN110215262B (zh) 一种可弯曲吸引鞘
WO2019075705A1 (zh) 保护套、带有保护套的宫腔镜以及带有保护套的肾镜
CN210903223U (zh) 一种可弯曲吸引鞘
US20210093160A1 (en) SURGICAl SCOPE WITH REMOVABLE LUMEN
CN208447543U (zh) 多器械通道宫腔镜
JP2013075031A (ja) 内視鏡用鉗子栓
CN107822581B (zh) 一种径直通道宫腔镜
CN208447555U (zh) 宫腔镜
KR100748639B1 (ko) 삽입박막이 내장된 일회용 삽입부를 구비한 내시경
US20160029880A1 (en) Cystoscopic device and methods for operating same
CN113476004A (zh) 一种宫腔内窥镜和内窥镜治疗系统
CN207785128U (zh) 大通道直插入内窥镜
CN217040227U (zh) 一种用于输尿管结石或肾结石取石的导引鞘
WO2019075710A1 (zh) 宫腔镜
CN215227415U (zh) 硬管电子内窥镜
CN107773203B (zh) 大通道直插入内窥镜
CN218899409U (zh) 一次性使用电子膀胱内窥镜导管
CN221060633U (zh) 一种双器械通道宫腔镜

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 17929364

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 17929364

Country of ref document: EP

Kind code of ref document: A1