WO2021022867A1 - 多平面睡眠监测内镜 - Google Patents
多平面睡眠监测内镜 Download PDFInfo
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- WO2021022867A1 WO2021022867A1 PCT/CN2020/091291 CN2020091291W WO2021022867A1 WO 2021022867 A1 WO2021022867 A1 WO 2021022867A1 CN 2020091291 W CN2020091291 W CN 2020091291W WO 2021022867 A1 WO2021022867 A1 WO 2021022867A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/07—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
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Definitions
- the present invention relates to a multi-plane sleep monitoring endoscope, particularly a multi-plane sleep monitoring endoscope used for the treatment of snoring and obstructive sleep apnea/hypopnea syndrome (Obstructive Sleep Apnea/Hypopnea Syndrome, hereinafter referred to as OSAHS).
- OSAHS obstructive Sleep Apnea/Hypopnea Syndrome
- Obstructive sleep apnea hypopnea syndrome is a kind of sleep disordered breathing disease with clinical features of snoring, apnea and hypopnea caused by the collapse and blockage of the soft tissues of the upper airway during sleep.
- the obstructed site may be located in one or more of multiple planes such as the nasopharyngeal plane, the velopharyngeal plane, the glossopharyngeal plane, and the epiglottic plane.
- the determination of the obstruction plane is the basis for whether OSAHS can choose the correct treatment plan, and the most direct and effective method for detecting the obstruction plane is to directly observe the parts of the obstruction that may occur through a medical endoscope during sleep.
- OSAHS is the result of multiple factors. Patients often have obstructions on multiple planes during sleep. Therefore, it is necessary to detect multiple plane positions at the same time.
- the current medical endoscopes are all single imaging systems, and only one plane can be inspected each time. Therefore, the current medical endoscope for sleep detection cannot fully confirm the obstructed part of the patient at one time.
- the multi-plane sleep monitoring endoscope of the present invention is designed with 2 or more imaging systems capable of observing different planes.
- One sleep monitoring can monitor multiple obstruction planes at the same time, which has very important significance for the confirmation of OSAHS obstruction planes .
- the multi-plane sleep monitoring endoscope 100 includes an observation system 1, a data processing and output system 2, a lighting system 3, a display system 4, a circuit 5, a housing 6, and a power supply system 8;
- the observation system 1 is a camera system 11; the camera system 11 includes at least two imaging systems 11-1;
- the data processing and output system 2 is installed in the housing 6; the observation system 1, the data processing and output system 2, the lighting system 3, the display system 4 The line 5 and the power supply system 8 are connected together.
- Two or more sets of the imaging systems 11-1 can work simultaneously during sleep, monitor multiple parts at the same time, and realize one-time monitoring of multiple planes.
- the data collected by the imaging system 11-1 can be output to the same display system 4 for split-screen display after being processed by the data processing and output system 2, or it can be output to different display systems 4 Display separately.
- the lighting system 3 can provide sufficient lighting to the imaging system 11-1 to ensure the imaging effect of the monitoring process.
- the imaging system 11-1 includes a lens 11-11, a data processing and output system 2, a circuit 5, and a power supply system 8.
- the data collected by the lens 11-11 can be output after being processed by the data processing and output system 2 To the display system 4.
- the data collected by the multiple lenses 11-11 can be output to one display system 4 for split-screen display at the same time as required, or can be output to different display systems 4 for separate display.
- the distal end of the imaging system 11-1 constitutes an observation end 11-12, and the observation ends 11-12 of at least two imaging systems 11-1 are not on the same horizontal plane. Since the blocking planes are on different horizontal planes, the observation ends 11-12 of two or more imaging systems 11-1 are not on the same horizontal plane, and simultaneous monitoring of different blocking planes can be realized.
- the camera system 11 also includes a positioning system 11-2; the positioning system 11-2 can position the observation end 11-12 of the imaging system 11-1. Through the positioning system 11-2, the observation end 11-12 of the imaging system can be spatially positioned to ensure that the observation end can be located at a suitable monitoring position, which can well adapt to individual differences of different patients.
- the positioning system 11-2 may be a manual positioning system or an automatic control positioning system. Those skilled in the art can design different positioning systems according to their needs, without departing from the scope of protection of the present application.
- the positioning system 11-2 includes a monitoring plane positioning mechanism 11-21 and a spatial state positioning mechanism 11-22.
- the monitoring plane positioning mechanism 11-21 can adjust the level of the observation end 11-12 to ensure that the observation end 11-12 is on the blocking plane that needs to be monitored.
- the spatial state positioning mechanism 11-22 can adjust the spatial state of the observation end 11-12 during observation to ensure that different parts are monitored, and the observation end 11-12 can have a good observation field.
- the distance L between the planes where the observation ends 11-12 of at least two imaging systems 11-1 are located can be adjusted by the monitoring plane positioning mechanism 11-21. Due to individual differences and physiological structure characteristics, the distance between different patients and different obstruction planes is clinically different. Therefore, the distance L between the observation ends 11-12 can be adjusted to adapt to different The difference between different patients and different observation planes.
- the monitoring plane positioning mechanism 11-21 adjusts the distance L between the planes on which the observation ends 11-12 are located by means of a chute, or an axis rotation method, or a cam method.
- the applicant only lists the above-mentioned distance adjustment methods. In practical applications, those skilled in the art can design different distance adjustment methods as required, and they do not deviate from the scope of protection of this application.
- the space state positioning mechanism 11-22 can adjust the space state of the observation end 11-12.
- the spatial state positioning mechanism 11-22 can adjust the radian, angle and other different spatial position parameters of the observation end 11-12 to ensure a good observation field of view during the monitoring process.
- the imaging system 11-1 is a fiber endoscope 1101.
- the distal end of the image guiding fiber 11-13 of the fiber endoscope 1101 constitutes the observation end 11-12, and is connected to the lens 11-11.
- the illumination system 3 provides illumination to the observation end 11-12 through the light guide fiber 32.
- the imaging system 11-1 is an electronic endoscope 1102.
- the distal end of the lens 11-11 of the electronic endoscope 1102 constitutes the observation end 11-12; the data collected by the lens 11-11 is processed by the data processing and output system 2 and then output to the display system 4
- the illumination system 3 includes a light source 31 and a light guide fiber 32, and the light guide fiber 32 conducts the illumination light emitted by the light source 31 to the observation end 11-12 to provide illumination for the lens 11-11.
- the optical fiber light guide mode allows the light source to be placed behind, so there is no heat generated around the lens 11-11, it is very safe when placed in the human body for a long time, and will not cause accidental burns to surrounding tissues.
- An illumination system 3 is provided around the lens 11-11 of the electronic endoscope 1102 to provide illumination for the lens 11-11.
- the lighting system 3 is directly arranged around the lens 11-11, and the lighting effect is better.
- the lighting system 3 is an LED light source. Compared with ordinary lighting sources, LED light sources have the characteristics of small size, high luminous efficiency, and strong light source directivity. Especially in terms of safety, LED light sources have advantages that ordinary light sources cannot match. First of all, the LED light source is low-voltage DC power supply, and the power supply voltage is only 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning and other harm to the human body; more importantly, the LED light source is a cold light source, which will not Severe fever, safe to touch, and will not cause accidental high temperature burns to the human body.
- the electronic endoscope 1102 because the lens 11-11 is set at the far end of the multi-plane sleep monitoring endoscope 100, the data collected by the lens 11-11 can be transmitted through the small line 5, so in addition to the The lens 11-11 has a certain size, and other insertion parts of the multi-plane sleep monitoring endoscope 100 into the human body can ensure a very small size. Therefore, after the multi-plane sleep monitoring endoscope 100 is installed, The impact on the patient's sleep during the monitoring process will be very small.
- the data processed by the data processing and output system 2 can be output to the display system 4 in a wired or wireless manner.
- Data can be directly connected and output to the display system 4 through a wired method such as a USB cable, or can be transmitted to the display system 4 through a wireless method such as Bluetooth and WIFI.
- the processed data can also be output to a storage device for storage and copying.
- the display system 4 is a smart phone 41 or a computer 42 or a liquid crystal display 43 or a tablet computer 44.
- the multi-plane sleep monitoring endoscope 100 is made of medical materials.
- the good biological safety performance of medical materials makes the monitoring process safer and more reliable.
- the observation system 1 is delivered through a flexible sheath 6-1.
- the delivery process of the soft flexible sheath 6-1 is more comfortable.
- the flexible sheath 6-1 includes at least two working channels 6-11, and the channel outlet ends 6-11-1 of the working channels 6-11 are not on the same horizontal plane.
- the flexible sheath 6-1 contains multiple working channels 6-11, and multiple sets of the imaging system 11-1 can be placed in one flexible sheath 6-1 at the same time, and multiple planes can be completed in one delivery The installation of the imaging system 11-1.
- the observation system 1 is provided with a pressure sensor 7 or a flow rate sensor 9 near the observation end 11-12.
- the pressure sensor 7 can measure the pressure of the respiratory airflow near the observation end 11-12; the flow rate sensor 9 can measure the flow of the respiratory airflow near the observation end 11-12.
- the observation system 1, the lighting system 3, the data display system 4 and the power supply system 8 of the multi-plane sleep monitoring endoscope of the present invention are connected, the power supply system 8 is turned on, and the observation system 1 and the observation system 1 are activated.
- the lighting system 3, the observation system 1 starts to collect data, and the data is processed by the data processing and output system 2 and then transmitted to the display system 4 via the line 5 for display.
- the insertion portion 1-1 of the observation system 1 enters the upper respiratory system cavity along the nasal cavity and is delivered to different monitoring planes, such as the observation ends 11-12 They are delivered to the velopharyngeal plane and the glossopharyngeal plane, and the spatial position of the observation end 11-12 of each imaging system 11-1 is adjusted through the positioning system 11-2, and then the imaging system 11-1 Lock, you can start sleep monitoring.
- the bracket 6-2 can fix the observation system 1 on a fixed object such as a hospital bed to ensure that the observation end 11-12 of the observation system 1 is at the set monitoring position during long-term sleep monitoring.
- the multi-plane sleep monitoring endoscope of the present invention includes an observation system 1, a data processing and output system 2, a lighting system 3, a display system 4, a circuit 5, a housing 6, and a power supply system 8.
- the observation system 1 includes at least two sets of imaging systems 11-1, the distal end of the imaging system 11-1 constitutes the observation end 11-12, and the observation ends 11-12 of the imaging system 11-1 are not the same Horizontal surface.
- the positioning system 11-2 can adjust the distance L between the horizontal planes of the observation end 11-12 and the spatial state of the observation end 11-12. At least two sets of the imaging systems 11-1 can be observed simultaneously and displayed on the display system 4.
- the multi-plane sleep monitoring endoscope of the present invention can simultaneously monitor the sleep process of OSAHS patients on different levels, and is particularly suitable for simultaneous monitoring of the velopharyngeal plane and the glossopharyngeal plane, and the clinical use process is safe and efficient.
- FIG. 1 is a schematic diagram of the structure of the multi-plane sleep monitoring endoscope of the present invention containing two fiber endoscopes.
- Fig. 2 is a schematic diagram of the structure of the multi-plane sleep monitoring endoscope of the present invention containing a flexible sheath.
- Fig. 2-1 is a cross-sectional view taken along line A-A in Fig. 2.
- Fig. 2-2 is an enlarged view of B in Fig. 2.
- FIG. 3 is a schematic diagram of the structure of the multi-plane sleep monitoring endoscope of the present invention containing two electronic endoscopes.
- Figure 3-1 is an enlarged view of C in Figure 3.
- Fig. 4 is a schematic diagram of the structure of the multi-plane sleep monitoring endoscope of the present invention containing an LED light source.
- Figure 4-1 is an enlarged view of D in Figure 4.
- Fig. 4-2 is an enlarged view of E in Fig. 4.
- Fig. 5 is a schematic diagram of the structure of the multi-plane sleep monitoring endoscope of the present invention containing three electronic endoscopes.
- Figure 5-1 is a schematic diagram of the structure when the lock switch of the chute type distance adjustment mechanism in Figure 5 is closed.
- Fig. 5-2 is a schematic diagram of the structure when the lock switch of the chute type distance adjusting mechanism in Fig. 5 is turned on.
- Fig. 5-3 is a front view of the chute type distance adjusting mechanism in Fig. 5 when the lock switch is turned on.
- Fig. 5-4 is a front view of the chute type distance adjusting mechanism in Fig. 5 when the lock switch is closed.
- Figure 5-5 is a top view of Figure 5-3.
- Figure 5-6 is a top view of Figure 5-4.
- Fig. 5-7 is an enlarged view of F in Fig. 5.
- Fig. 6 is a schematic diagram of the multi-plane sleep monitoring endoscope of the present invention connected to the display system in a wireless manner.
- Fig. 7 is a working principle diagram of the multi-plane sleep monitoring endoscope of the present invention.
- Fig. 8 is a working principle diagram of the multi-plane sleep monitoring endoscope of the present invention with two sets of imaging systems separately installed on the forehead by the body surface fixing mechanism.
- Fig. 9 is a working principle diagram of the multi-planar sleep monitoring endoscope of the present invention with the imaging system incorporated in a sheath and fixed on the forehead.
- FIG. 10 is a working principle diagram of the multi-plane sleep monitoring endoscope of the present invention of FIG. 8 being pasted and fixed on the human body.
- Fig. 11 is a working principle diagram of the multi-plane sleep monitoring endoscope of the present invention of Fig. 9 being pasted and fixed on the human body.
- Fig. 12 is a working principle diagram of the multi-plane sleep monitoring endoscope of the present invention when the monitoring plane positioning mechanism and the body surface fixing mechanism are set together.
- Fig. 12-1 is an enlarged view of G in Fig. 12.
- Fig. 12-2 is a cross-sectional view taken along the line H-H of Fig. 12-1.
- 1 is the observation system
- 2 is the data processing and output system
- 3 is the lighting system
- 4 is the display system
- 5 is the line
- 6 is the housing
- 7 is the pressure sensor
- 8 is the power supply system
- 9 is the flow rate sensor
- 100 is the base Invented multi-plane sleep monitoring endoscope.
- 1-1 is the insertion part of the multi-plane sleep monitoring endoscope of the present invention.
- 11 is the camera system
- 11-1 is the imaging system
- 11-11 is the lens
- 11-12 is the observation end
- 11-13 is the image guide fiber
- 11-2 is the positioning system
- 11-21 is the monitoring plane positioning mechanism
- 11 -22 is the space state positioning mechanism
- 11-23 is the body surface positioning mechanism
- 11-21-1 is the lock switch
- 11-21-2 is the sliding slot hole
- 11-22-1 is the adjusting knob
- 1101 is the fiber endoscope
- 1102 is an electronic endoscope.
- 31 is a light source
- 32 is a light guide fiber.
- 41 is a smart phone
- 42 is a computer
- 43 is a liquid crystal display
- 44 is a tablet computer.
- 6-1 is the flexible sheath, 6-11 is the working channel, 6-11-1 is the exit end of the channel; 6-2 is the stent.
- Example 1 Fiber endoscope type multi-plane sleep monitoring endoscope of the present invention
- the multi-plane sleep monitoring endoscope 100 includes an observation system 1, a data processing and output system 2, a lighting system 3, a display system 4, a circuit 5, a housing 6, and a power supply system 8.
- the observation system 1 is a camera system 11; the camera system 11 includes two sets of imaging systems 11-1. There may also be more than two imaging systems 11-1. Referring to Figs. 5 and 6, the applicant will not list them one by one here.
- the data processing and output system 2 are installed in the housing 6, the observation system 1, the data processing and output system 2, the lighting system 3, and the display system 4
- the line 5 and the power supply system 8 are connected together.
- the data collected by the imaging system 11-1 is processed by the data processing and output system 2 and then output to the same display system 4 for split-screen display.
- the collected data can also be output to different display systems 4 for separate display, and the applicant will not specifically describe it here.
- the distal end of the imaging system 11-1 constitutes an observation end 11-12, through which a part to be monitored can be observed.
- the observation ends 11-12 of the two imaging systems 11-1 are on two horizontal planes, which can realize two obstructive planes, which is especially suitable for simultaneous monitoring of the velopharyngeal plane and the glossopharyngeal plane.
- the imaging system 11-1 is 3 sets or more, the observation end 11-12 of the imaging system 11-1 can be on 3 or more horizontal planes to achieve 3 or more blocked planes at the same time Monitoring, the applicant will not list them in detail here.
- the camera system 11 also includes a positioning system 11-2.
- the positioning system 11-2 can spatially position the observation end 11-12 of the imaging system 11-1 to ensure that the observation end can Located at a suitable monitoring site, it can adapt to the individual differences of different patients.
- the positioning system 11-2 is a manual positioning system, and those skilled in the art can design different positioning systems such as an automatic control positioning system as needed, without departing from the protection scope of the present application.
- the positioning system 11-2 includes a monitoring plane positioning mechanism 11-21 and a spatial state positioning mechanism 11-22.
- the monitoring plane positioning mechanism 11-21 can adjust the distance L between the horizontal planes of the two observation ends 11-12 by adjusting the level of the observation ends 11-12 to adapt to different patients and different observation planes. The difference between them ensures that the observation ends 11-12 are in the blocking plane that needs to be monitored.
- the monitoring plane positioning mechanism 11-21 adjusts the distance L between the planes on which the observation ends 11-12 are located by means of a sliding groove.
- the monitoring plane positioning mechanism 11-21 is provided with a lock switch 11-21-1 and a sliding slot hole 11-21-2, and the insertion portion 1-1 of the fiber endoscope 1101 passes through the sliding slot hole 11- 21-2.
- the lock switch 11-21-1 is turned on, the insertion portion 1-1 of the fiber endoscope 1101 can move up and down along the sliding slot hole 11-21-2 to adjust the observation end 11 -12 to the plane that needs to be monitored, such as the velopharyngeal plane or the glossopharyngeal plane.
- the monitoring plane positioning mechanism 11-21 can be fixed on a fixed object such as a hospital bed through a bracket 6-2.
- the space state positioning mechanism 11-22 is arranged at the proximal end of the fiber endoscope 1101, the space state positioning mechanism 11-22 includes an adjustment knob 11-22-1, and the adjustment knob 11-22-1 can be adjusted Adjusting the spatial state of the observation end 11-12 of the fiber endoscope 1101, such as the arc and angle of the observation end 11-12 and other spatial position parameters, ensures a good observation field of view during the monitoring process.
- the data processed by the data processing and output system 2 can be output to the display system 4 in a wired or wireless manner.
- Data can be directly connected and output to the display system 4 through a wired method such as a USB cable, or can be transmitted to the display system 4 through a wireless method such as Bluetooth, WIFI, etc., refer to FIG. 6.
- the imaging system 11-1 is a fiber endoscope 1101.
- the imaging system 11-1 includes a lens 11-11, an image-guide fiber 11-13, a data processing and output system 2, a line 5, and a power supply system 8.
- the image-guide fiber 11-13 of the fiber endoscope 1101 is remote The end constitutes the observation end 11-12, and is connected to the lens 11-11.
- the collected data can be output to the display system 4 for display after being processed by the data processing and output system 2.
- the processed data can also be stored and copied.
- the illumination system 3 includes a light source 31 and a light guide fiber 32, and the illumination system 3 provides illumination of the observation end 11-12 through the light guide fiber 32, refer to Fig. 2-2.
- the display system 4 may be a smart phone 41, a computer 42, or a liquid crystal display 43, or a tablet computer 44, and other display devices. Refer to FIG. 6.
- the multi-plane sleep monitoring endoscope 100 is made of medical materials.
- the good biological safety performance of medical materials makes the monitoring process safer and more reliable.
- the observation system 1 In clinical use, connect the observation system 1, the lighting system 3, the data display system 4 and the power supply system 8 of the multi-plane sleep monitoring endoscope of the present invention, turn on the power supply system 8, and start the observation system 1 and the The lighting system 3, the observation system 1 starts to collect data, and the data is processed by the data processing and output system 2 and then transmitted to the display system 4 via the line 5 for display.
- the multi-plane sleep monitoring endoscope 100 After the multi-plane sleep monitoring endoscope 100 operates normally, turn on the locking switch 11-21-1 of the monitoring plane positioning mechanism 11-21 fixed on the bed by the bracket 6-2, and set the first After the insertion portion 1-1 of the fiber endoscope 1101 passes through the chute hole 11-21-2 of the monitoring plane positioning mechanism 11-21, it can enter the upper respiratory tract along the nasal cavity and deliver it to the patient who needs monitoring. Planes, such as the velopharyngeal plane and the glossopharyngeal plane, turn off the lock switch 11-21-1, fix the insertion portion 1-1 of the first fiber endoscope 1101 on the monitoring plane positioning mechanism 11-21, repeat The above action inserts the second fiber endoscope 1101 into the monitoring plane and fixes it, refer to FIG. 1.
- the multi-plane sleep monitoring endoscope of this embodiment has two independent imaging systems 11-1, which can simultaneously monitor the states of two blocked planes. Since the imaging systems 11-1 are independent of each other, the relative position and the spatial state of the observation end 11-12 can be adjusted separately, and the flexibility during use is great.
- the multi-plane sleep monitoring endoscope of the present invention can simultaneously monitor the states of three blocked planes.
- Example 2 Multiplane sleep monitoring endoscope of the present invention containing flexible sheath
- the difference between this embodiment and Embodiment 1 is that in this embodiment, the multi-planar sleep monitoring endoscope 100 further includes a flexible sheath 6-1.
- the observation system 1 is delivered through the flexible sheath 6-1.
- the soft flexible sheath 6-1 makes the delivery process more comfortable.
- the flexible sheath 6-1 and the monitoring plane positioning mechanism 11-21 are manufactured as a whole.
- those skilled in the art can also design the flexible sheath 6-1 as a detachable structure, without departing from the scope of protection of the present application.
- the flexible sheath 6-1 includes two working channels 6-11, and the channel outlet ends 6-11-1 of the working channels 6-11 are not on the same horizontal plane.
- the power supply system 8 is activated, the multi-plane sleep monitoring endoscope of the present invention starts to work, and then the flexible sheath 6-1 is inserted through the nasal cavity and delivered along the respiratory system cavity to near the plane to be monitored, using the stent 6 -2 Fix the monitoring plane positioning mechanism 11-21 on the hospital bed.
- Turn on the lock switch 11-21-1 adjust the observation end 11-12 to a suitable monitoring plane height, turn off the lock switch 11-21-1, lock the insertion part 1-1, and then pass Adjusting the adjustment knob 11-22-1 of the space state positioning mechanism 11-22 provided at the proximal end of the fiber endoscope 1101 adjusts the space state of the observation end 11-12 of the fiber endoscope 1101 to a proper state, namely You can start sleep monitoring, refer to Figure 7.
- the flexible sheath 6-1 contains multiple working channels 6-11
- multiple sets of the imaging system 11-1 can be placed in one flexible sheath 6-1 at the same time, and the delivery process It can be completed at one time, and when the plane adjustment and the spatial state adjustment are monitored, the back and forth movement of the insertion portion 1-1 is completed in the flexible sheath 6-1, and the adjustment process will not cause discomfort to the human body.
- the clinical use of the multi-plane sleep monitoring endoscope in this embodiment is more comfortable and convenient.
- Example 3 The multi-plane sleep monitoring endoscope of the present invention containing an electronic endoscope
- the imaging system 11-1 is an electronic endoscope 1102.
- the lens 11-11 of the electronic endoscope 1102 is arranged at the distal end of the insertion portion 1-1 of the electronic endoscope 1102.
- the distal end of the lens 11-11 constitutes the observation end 11-12.
- the light guiding optical fiber 32 transmits the illumination light emitted by the light source 31 to the observation end 11-12 to provide illumination for the lens 11-11.
- the lens 11-11 is arranged at the distal end of the insertion portion 1-1 of the electronic endoscope 1102, the lens 11-11 can directly collect image data without passing through the image guiding fiber 11-13 conduct image transmission, the image is clearer and more real. Since the image data collected by the electronic endoscope is converted into electrical signals and then transmitted through the cable, only the lens 11-11 at the end needs to have a certain size, and the cable size can be very small. Therefore, compared with the fiber endoscope 1101, the electronic endoscope 1102 has a smaller size and better patient comfort.
- Example 4 Multi-plane sleep monitoring endoscope of the present invention containing LED light source
- this embodiment is compared with Embodiment 3.
- the lighting system 3 is directly arranged around the lens 11-11, and the lighting effect is better than that of Embodiment 3.
- the lighting system 3 uses an LED light source.
- the LED light source Compared with ordinary lighting sources, the LED light source has the characteristics of small size, high luminous efficiency, and strong light source directivity, especially in terms of safety. The advantages that ordinary light sources cannot match.
- the LED light source is a low-voltage DC power supply, and the power supply voltage is only 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning or other harm to the human body; more importantly, the LED light source is a cold light source, which will Severe fever, safe to touch, and will not cause accidental high temperature burns to the human body.
- proper heating of the LED light source can achieve a certain thermal balance around the lens, with a certain anti-fog effect, and the observation process is clearer and more stable.
- a pressure sensor 7 or a flow rate sensor 9 can also be arranged near the observation end 11-12, refer to Figs. 5 and 5-7.
- the pressure sensor 7 can measure the pressure during breathing near the observation end 11-12; the flow rate sensor 9 can measure the flow of the breathing airflow near the observation end 11-12, and can also measure the pressure sensor 7
- the measured pressure data and the air flow data measured by the flow rate sensor 9 are output to the display system 4 for real-time display and recording and storage, refer to FIG. 5.
- Example 5 The multi-plane sleep monitoring endoscope of the present invention including a body surface fixing mechanism
- the difference between this embodiment and Embodiment 4 is that in this embodiment, the positioning system 11-2 also includes a body surface fixing mechanism 11-23.
- the body surface fixing mechanism 11-23 can fix the imaging system 11-1 on the human body. Even if the patient's body position changes during sleep, it will not cause the imaging system 11-1 to shift, and will not Affect the shooting effect of the lens 11-11.
- the body surface fixing mechanism 11-23 fixes the imaging system 11-1 on the forehead of the human body by means of pasting.
- the body surface fixing mechanism 11-23 can also fix the imaging system 11-1 on various parts of the human body, such as the mandible, the middle of the human body, and the cheek, by other means such as strapping, mesh bag, etc. Refer to the figure 10 and Figure 11.
- the spatial state positioning mechanism 11-22 is adjusted to a proper spatial state and fixed, and then the body surface fixing mechanism 11-23 Paste on the patient's forehead, fix the distal end of the imaging system 11-1 on the patient's forehead, and then start sleep monitoring.
- the body surface fixing mechanism 11-23 fixes the distal end of the imaging system 11-1 on the body surface of the human body, the insertion portion 1-1 that enters the human body even if the body position occurs during sleep When it changes, it will not move relative to the human body, thereby better ensuring the observation plane and spatial position of the lens 11-11.
- the monitoring plane positioning mechanism 11-21 and the spatial state positioning mechanism 11-22 are provided separately from the body surface fixing mechanism 11-23.
- the The monitoring plane positioning mechanism 11-21 and/or the spatial state positioning mechanism 11-22 and the body surface fixing mechanism 11-23 are arranged together to facilitate the operation of the two steps of state adjustment and body surface fixing, refer to Figure 12 Go to Figure 12-2.
- the monitoring plane positioning mechanism 11-21 is arranged on the body surface fixing mechanism 11-23, and the distal end of the imaging system 11-1 is inserted into the sliding slot hole 11-21 of the monitoring plane positioning mechanism 11-21 After -2, press the lock switch 11-21-1 to fix the imaging system 11-1.
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Abstract
多平面睡眠监测内镜(100),含观察系统(1)、数据处理及输出系统(2)、照明系统(3)、显示系统(4)、线路(5)、壳体(6)、及电源系统(8)。观察系统(1)是摄像系统(11),至少含2套成像系统(11-1),成像系统(11-1)的远端构成观察端(11-12),观察端(11-12)不在同一个水平面上。定位系统(11-2)可以调整观察端(11-12)所处的水平面之间的距离L和观察端(11-12)的空间状态。至少2套成像系统(11-1)可以同时进行观察,并在显示系统(4)上进行显示。多平面睡眠监测内镜可以同时对OSAHS患者进行不同平面的睡眠过程监测,尤其适合于腭咽平面和舌咽平面的同时监测,临床使用过程安全、高效。
Description
本发明涉及多平面睡眠监测内镜,特别是在用于治疗鼾症和阻塞性睡眠呼吸暂停低通气综合征(Obstructive Sleep Apnea/Hypopnea Syndrome,以下简称:OSAHS)的多平面睡眠监测内镜。
阻塞性睡眠呼吸暂停低通气综合征(OSAHS)是由于睡眠时上气道的软组织出现塌陷、堵塞而引起的一种以打鼾、呼吸暂停和低通气为临床特征的睡眠呼吸障碍性疾病。
对于OSAHS的发病机理,一般认为有多因素共同作用。除了上气道解剖结构狭窄外,还有睡眠时维持上气道开放的扩咽肌松弛,出现软组织塌陷,而导致的阻塞因素。阻塞部位可位于鼻咽平面、腭咽平面、舌咽平面、会厌平面等多个平面中的一个或多个平面。
阻塞平面的确定是OSAHS能否选择正确的治疗方案的基础,而最直接、有效的阻塞平面的检测方法是在睡眠过程中,通过医用内镜直接观察可能出现阻塞的部位。而OSAHS是多因素共同作用的结果,患者往往在睡眠过程中可能会在多个平面出现阻塞现象,因此,需要同时检测多个平面位置。但目前的医用内镜都是单套成像系统,每次检测时只能检测一个平面。因此,目前的睡眠检测用医用内镜无法一次性全面的确认患者的阻塞部位。
本专利申请是对现有的睡眠监测用医用内镜的进一步改进和完善。
发明内容
本发明之多平面睡眠监测内镜,设计有2套或2套以上能观察不同平面的成像系统,一次睡眠监测可以同时进行多个阻塞平面的监测,对OSAHS阻塞平面的确认具有非常重要的意义。
本发明之多平面睡眠监测内镜,其特征在于:
A、所述多平面睡眠监测内镜100含观察系统1、数据处理及输出系统2、照明系统3、显示系统4、线路5、壳体6、及电源系统8;
B、所述观察系统1是摄像系统11;所述摄像系统11至少含2套成像系统11-1;
C、所述数据处理及输出系统2、所述线路5安装在所述壳体6内;所述观察系统1、所述数据处理及输出系统2、所述照明系统3、所述显示系统4通过所述线路5和所述电源系统8连接在一起。
2套或2套以上的所述成像系统11-1可以在睡眠过程中同时工作,同时监测多个部位,实现多个平面的一次性监测。所述成像系统11-1采集的数据,经所述数据处理及输出系统2处理后可输出到同一个所述显示系统4上进行分屏显示,也可以输出到不同的所述显示系统4上单独进行显示。所述照明系统3在监测过程中,可以对所述成像系统11-1提供充足的照明,保证监测过程的成像效果。
所述成像系统11-1含镜头11-11、数据处理及输出系统2、线路5、及电源系统8;所述镜头11-11采集的数据经所述数据处理及输出系统2处理后可输出到所述显示系统4。多个所述镜头11-11采集的数据根据需要,可以同时输出到1个所述显示系统4上进行分屏显示,也可以输出到不同的所述显示系统4上进行单独显示。
所述成像系统11-1的远端构成观察端11-12,至少2个所述成像系统11-1的观察端11-12不在同一个水平面上。因阻塞平面处于不同的水平面上,因此2个或2个以上所述成像系统11-1的观察端11-12不在同一个水平面上,就可以实现不同阻塞平面的同时监测。
所述摄像系统11还含定位系统11-2;所述定位系统11-2能对所述成像系统11-1的观察端11-12进行定位。通过所述定位系统11-2可以对所述成像系统的观察端11-12进行空间定位,保证所述观察端能够位于合适的监测部位,可以很好地适应不同患者的个体差异。所述定位系统11-2可以是手动定位系统,也可以是自动控制定位系统,本领域的技术人员可以根据需要设计出不同的定位系统,都并不脱离本申请的保护范围。
所述定位系统11-2含监测平面定位机构11-21和空间状态定位机构11-22。所述监测平面定位机构11-21可以调整所述观察端11-12的水平高度,保证所述观察端11-12处于需要监测的阻塞平面。所述空间状态定位机构11-22可以调整所述观察端11-12观察时的空间状态,保证监测不同的部位,所述观察端11-12都能具有良好的观察视野。
至少2个所述成像系统11-1的观察端11-12所处平面之间的距离L可以通过所述监测平面定位机构11-21进行调整。由于个体差异和生理结构特点,不同患者、不同阻塞平面之间的距离在临床上是有差异的,因此,所述观察端11-12之间的距离L可以调整,就可 以很好地适应不同的患者、不同的观察平面之间的差异性。
所述监测平面定位机构11-21通过滑槽方式、或绕轴旋转方式、或凸轮方式对所述观察端11-12所处平面之间的距离L进行调整。申请人在此只列举了上述几种距离调节方式,实际应用中,本领域的技术人员可以根据需要设计出不同的距离调节方式,都并不脱离本申请的保护范围。
所述空间状态定位机构11-22可以调整所述观察端11-12的空间状态。所述空间状态定位机构11-22可以调整所述观察端11-12的弧度、角度等不同空间位置参数,保证监测过程的良好观察视野。
所述成像系统11-1是纤维内镜1101。所述纤维内镜1101的导像光纤11-13的远端构成所述观察端11-12,并和所述镜头11-11连接。所述照明系统3通过所述导光光纤32向所述观察端11-12提供照明。
所述成像系统11-1是电子内镜1102。
所述电子内镜1102的镜头11-11的远端构成所述观察端11-12;所述镜头11-11采集的数据经所述数据处理及输出系统2处理后输出至所述显示系统4;所述照明系统3含光源31和导光光纤32,所述导光光纤32将所述光源31发出的照明光传导至所述观察端11-12,为所述镜头11-11提供照明。光纤导光的方式,可以将光源后置,因此所述镜头11-11周围完全不会产生发热,长时间置于人体内时非常安全,不会对周边组织产生意外烫伤。
所述电子内镜1102的镜头11-11的周围设置有照明系统3,为所述镜头11-11提供照明。所述照明系统3直接设置于所述镜头11-11周围,照明效果更好。
所述照明系统3是LED光源。由于LED光源与普通照明光源相比,具有体积小、发光效率高、光源指向性强等特点,尤其是在安全性方面,LED光源有普通光源无法比拟的优势。首先LED光源是低压直流供电,供电电压只需6到24V;其次LED光源中不添加汞,不会对人体造成中毒等伤害;此外更重要的是LED光源是冷光源,在工作过程中不会严重发热,可以安全触摸,不会对人体造成意外的高温烫伤。
所述电子内镜1102由于镜头11-11是设置于所述多平面睡眠监测内镜100的远端,所述镜头11-11采集的数据通过细小的线路5就可以进行传输,因此除了所述镜头11-11部位具有一定的尺寸外,所述多平面睡眠监测内镜100进入人体腔道的其它插入部可以保证非常小的尺寸,因此,所述多平面睡眠监测内镜100安装完毕后,在监测过程中对患者睡眠的影响将非常小。
经所述数据处理及输出系统2处理后的数据可通过有线或无线的方式输出到所述显示系统4。数据可以通过USB线等有线方式直接连接输出上所述显示系统4上,也可以通过 蓝牙、WIFI等无线方式传输到所述显示系统4上。处理后的数据还可以输出到存储装置中进行存储和拷贝。
所述显示系统4是智能手机41、或电脑42、或液晶显示器43、或平板电脑44。
所述多平面睡眠监测内镜100由医用材料制成。医用材料良好的生物安全性能,监测过程更加安全、可靠。
所述观察系统1通过柔性鞘管6-1递送。柔软的所述柔性鞘管6-1递送过程更加舒适。
所述柔性鞘管6-1至少含2个工作通道6-11,所述工作通道6-11的通道出口端6-11-1不在同一个水平面上。所述柔性鞘管6-1含多个工作通道6-11,可以将多套所述成像系统11-1同时置于一个所述柔性鞘管6-1内,一次递送即可完成多个平面的所述成像系统11-1的安装。
进一步,所述观察系统1在所述观察端11-12附近设置有压力传感器7或流速传感器9。所述压力传感器7能测量所述观察端11-12附近的呼吸气流的压力;所述流速传感器9能测量所述观察端11-12附近的呼吸气流的流量。
临床使用时,将本发明之多平面睡眠监测内镜的观察系统1、照明系统3、数据显示系统4和电源系统8相连接,开启所述电源系统8,启动所述观察系统1和所述照明系统3,所述观察系统1开始采集数据,数据经所述数据处理和输出系统2处理后经所述线路5传送至所述显示系统4进行显示。所述多平面睡眠监测内镜100运行正常后,将所述观察系统1的插入部1-1分别沿鼻腔进入上呼吸系统腔道递送至不同的监测平面,如将所述观察端11-12分别递送至腭咽平面和舌咽平面,同时通过所述定位系统11-2调整好各所述成像系统11-1的观察端11-12的空间位置,然后将各所述成像系统11-1锁定,即可开始睡眠监测。支架6-2可将所述观察系统1固定在病床等固定物体上,保证长时间睡眠监测过程中所述观察系统1的观察端11-12处于设定的监测位置。
本发明之多平面睡眠监测内镜,含观察系统1、数据处理及输出系统2、照明系统3、显示系统4、线路5、壳体6、及电源系统8。所述观察系统1至少含2套成像系统11-1,所述成像系统11-1的远端构成所述观察端11-12,所述成像系统11-1的观察端11-12不在同一个水平面上。所述定位系统11-2可以调整所述观察端11-12所处的水平面之间的距离L和所述观察端11-12的空间状态。至少2套所述成像系统11-1可以同时进行观察,并在所述显示系统4上进行显示。本发明之多平面睡眠监测内镜可以同时对OSAHS患者进行不同平面的睡眠过程监测,尤其适合于腭咽平面和舌咽平面的同时监测,临床使用过程安全、高效。
图1是含2个纤维内镜的本发明之多平面睡眠监测内镜的结构示意图。
图2是含柔性鞘管的本发明之多平面睡眠监测内镜的结构示意图。
图2-1是图2的A-A剖视图。
图2-2是图2的B处放大图。
图3是含2个电子内镜的本发明之多平面睡眠监测内镜的结构示意图。
图3-1是图3的C处放大图。
图4是含LED光源的本发明之多平面睡眠监测内镜的结构示意图。
图4-1是图4的D处放大图。
图4-2是图4的E处放大图。
图5是含3个电子内镜的本发明之多平面睡眠监测内镜的结构示意图。
图5-1是图5中滑槽式距离调节机构的锁定开关关闭时的结构示意图。
图5-2是图5中滑槽式距离调节机构的锁定开关开启时的结构示意图。
图5-3是图5中滑槽式距离调节机构的锁定开关开启时的主视图。
图5-4是图5中滑槽式距离调节机构的锁定开关闭合时的主视图。
图5-5是图5-3的俯视图。
图5-6是图5-4的俯视图。
图5-7是图5的F处放大图。
图6是本发明之多平面睡眠监测内镜的通过无线方式和显示系统连接的示意图。
图7是本发明之多平面睡眠监测内镜的工作原理图。
图8是两套成像系统单独设置的本发明之多平面睡眠监测内镜被体表固定机构粘贴固定在额头上的工作原理图。
图9是成像系统合并设计在一个鞘管内的本发明之多平面睡眠监测内镜被粘贴固定在额头上的工作原理图。
图10是图8之本发明之多平面睡眠监测内镜被粘贴固定在人中上的工作原理图。
图11是图9之本发明之多平面睡眠监测内镜被粘贴固定在人中上的工作原理图。
图12是监测平面定位机构和体表固定机构设置在一起时的本发明之多平面睡眠监测内镜的工作原理图。
图12-1是图12的G处放大图。
图12-2是图12-1的H-H剖视图。
上述图中:
1为观察系统,2为数据处理及输出系统,3为照明系统,4为显示系统,5为线路,6为壳体,7为压力传感器,8为电源系统,9为流速传感器,100为本发明之多平面睡眠监测内镜。
1-1为本发明之多平面睡眠监测内镜的插入部。
11为摄像系统,11-1为成像系统,11-11为镜头,11-12为观察端,11-13为导像光纤;11-2为定位系统,11-21为监测平面定位机构,11-22为空间状态定位机构,11-23为体表定位机构,11-21-1为锁定开关,11-21-2为滑槽孔,11-22-1为调节旋钮;1101为纤维内镜,1102为电子内镜。
31为光源,32为导光光纤。
41为智能手机,42为电脑,43为液晶显示器,44为平板电脑。
6-1为柔性鞘管,6-11为工作通道,6-11-1为通道出口端;6-2为支架。
实施例1:纤维内镜式本发明之多平面睡眠监测内镜
参考图1,本实施例中,所述多平面睡眠监测内镜100含观察系统1、数据处理及输出系统2、照明系统3、显示系统4、线路5、壳体6、及电源系统8。
本实施例中,所述观察系统1是摄像系统11;所述摄像系统11含2套成像系统11-1。所述成像系统11-1也可以是2套以上,参考图5和图6,申请人在此不一一列举。
所述数据处理及输出系统2、所述线路5安装在所述壳体6内,所述观察系统1、所述数据处理及输出系统2、所述照明系统3、所述显示系统4通过所述线路5和所述电源系统8连接在一起。
本实施例中,所述成像系统11-1采集的数据,经所述数据处理及输出系统2处理后输出到同一个所述显示系统4上进行分屏显示。采集的数据也可以输出到不同的所述显示系统4上单独进行显示,申请人在此不具体描述。
所述成像系统11-1的远端构成观察端11-12,通过所述观察端11-12可观察需要监测的部位。本实施例中,2套所述成像系统11-1的观察端11-12在2个水平面上,可以实现2个阻塞平面,尤其适合于腭咽平面和舌咽平面的同时监测。当所述成像系统11-1是3套或更多时,所述成像系统11-1的观察端11-12可以在3个或更多个水平面上,实现3个或更多阻塞平面的同时监测,申请人在此不再一一详细列举。
本实施例中,所述摄像系统11还含定位系统11-2,所述定位系统11-2能对所述成像系统11-1的观察端11-12进行空间定位,保证所述观察端能够位于合适的监测部位,可以 很好地适应不同患者的个体差异。
本实施例中,所述定位系统11-2是手动定位系统,本领域的技术人员可以根据需要设计出自动控制定位系统等不同的定位系统,都并不脱离本申请的保护范围。
本实施例中,所述定位系统11-2含监测平面定位机构11-21和空间状态定位机构11-22。所述监测平面定位机构11-21可以通过调整所述观察端11-12的水平高度来调整2个观察端11-12所处水平面之间的距离L,以适应不同的患者、不同的观察平面之间的差异性,保证所述观察端11-12处于需要监测的阻塞平面。
本实施例中,所述监测平面定位机构11-21通过滑槽方式对所述观察端11-12所处平面之间的距离L进行调整。所述监测平面定位机构11-21上设置有锁定开关11-21-1和滑槽孔11-21-2,所述纤维内镜1101的插入部1-1穿过所述滑槽孔11-21-2,当所述锁定开关11-21-1开启时,所述纤维内镜1101的插入部1-1可以沿所述滑槽孔11-21-2上下运动,调节所述观察端11-12至需要监测的平面,如腭咽平面、或舌咽平面。旋转所述锁定开关11-21-1至锁定状态,所述纤维内镜1101的插入部1-1被锁定,参考图5-1到图5-6。所述监测平面定位机构11-21通过支架6-2可固定在病床等固定物上。
本领域的技术人员可以根据需要设计出不同的距离调节方式,如绕轴旋转方式、或凸轮方式等,都并不脱离本申请的保护范围。
所述空间状态定位机构11-22设置在所述纤维内镜1101的近端,所述空间状态定位机构11-22含调节旋钮11-22-1,调节所述调节旋钮11-22-1可以调整所述纤维内镜1101的观察端11-12的空间状态,如所述观察端11-12的弧度、角度等不同空间位置参数,保证监测过程的良好观察视野。
经所述数据处理及输出系统2处理后的数据可通过有线或无线的方式输出到所述显示系统4。数据可以通过USB线等有线方式直接连接输出上所述显示系统4上,也可以通过蓝牙、WIFI等无线方式传输到所述显示系统4上,参考图6。
本实施例中,所述成像系统11-1是纤维内镜1101。所述成像系统11-1含镜头11-11、导像光纤11-13、数据处理及输出系统2、线路5、及电源系统8;所述纤维内镜1101的导像光纤11-13的远端构成所述观察端11-12,并和所述镜头11-11连接。采集的数据经所述数据处理及输出系统2处理后可输出到所述显示系统4进行显示。处理后的数据还可以进行存储和拷贝。
本实施例中,所述照明系统3含光源31和导光光纤32,所述照明系统3通过所述导光光纤32提供所述观察端11-12的照明,参考图2-2。
所述显示系统4可以是智能手机41、或电脑42、或液晶显示器43、或平板电脑44 等多种显示装置,参考图6。
所述多平面睡眠监测内镜100由医用材料制成。医用材料良好的生物安全性能,监测过程更加安全、可靠。
临床使用时,将本发明之多平面睡眠监测内镜的观察系统1、照明系统3、数据显示系统4和电源系统8相连接,开启所述电源系统8,启动所述观察系统1和所述照明系统3,所述观察系统1开始采集数据,数据经所述数据处理和输出系统2处理后经所述线路5传送至所述显示系统4进行显示。所述多平面睡眠监测内镜100运行正常后,打开通过所述支架6-2固定在病床上的所述监测平面定位机构11-21的锁定开关11-21-1,将第1支所述纤维内镜1101的插入部1-1穿过所述监测平面定位机构11-21的滑槽孔11-21-2后,可视的情况下沿鼻腔进入上呼吸系统腔道递送至需要监测的平面,如腭咽平面和舌咽平面,关闭所述锁定开关11-21-1,将第1支纤维内镜1101的插入部1-1固定在所述监测平面定位机构11-21上,重复上述动作将第2支所述纤维内镜1101插入至监测平面处并进行固定,参考图1。
然后通过调节设置在所述纤维内镜1101的近端的空间状态定位机构11-22的调节旋钮11-22-1调整所述纤维内镜1101的观察端11-12的空间状态,如所述观察端11-12的弧度、角度等不同空间位置参数。
所述观察端11-12全部调整至合适的位置和状态后,即可开始进行睡眠监测,参考图7。
本实施例之多平面睡眠监测内镜具有2套相互独立的所述成像系统11-1,可以同时监测2个阻塞平面的状态。由于所述成像系统11-1相互独立,所述观察端11-12的相对位置和空间状态可以单独进行调节,使用过程中灵活性大。
参考图3,当设计有3套所述成像系统11-1时,本发明之多平面睡眠监测内镜可以同时监测3个阻塞平面的状态。
实施例2:含柔性鞘管的本发明之多平面睡眠监测内镜
参考图2到图2-2,本实施例与实施例1的区别在于,本实施例中,所述多平面睡眠监测内镜100还含柔性鞘管6-1。
本实施例中,所述观察系统1通过所述柔性鞘管6-1递送。柔软的所述柔性鞘管6-1使得递送过程更加舒适。
本实施例中,所述柔性鞘管6-1和所述监测平面定位机构11-21制造成一个整体。实际使用中,本领域的技术人员也可以将所述柔性鞘管6-1设计成可拆卸的结构,都并不脱 离本申请的保护范围。
本实施例中,所述柔性鞘管6-1含2个工作通道6-11,所述工作通道6-11的通道出口端6-11-1不在同一个水平面上。
临床使用时,将所述纤维内镜1101的插入部1-1分别插入所述监测平面定位机构11-21的滑槽孔11-21-2,待2套所述成像系统11-1的观察端11-12分别从所述工作通道6-11的通道出口6-11-1处露出时,关闭所述锁定开关11-21-1,将所述插入部1-1固定。
启动所述电源系统8,本发明之多平面睡眠监测内镜开始工作,然后将所述柔性鞘管6-1经鼻腔插入沿呼吸系统腔道递送至需要监测的平面附近,用所述支架6-2将所述监测平面定位机构11-21固定在病床上。打开所述锁定开关11-21-1,分别调整所述观察端11-12到合适的监测平面高度,关闭所述锁定开关11-21-1,将所述插入部1-1锁定,然后通过调节设置在所述纤维内镜1101的近端的空间状态定位机构11-22的调节旋钮11-22-1调整所述纤维内镜1101的观察端11-12的空间状态至合适的状态,即可开始进行睡眠监测,参考图7。
本实施例中,因所述柔性鞘管6-1含多个工作通道6-11,可以将多套所述成像系统11-1同时置于一个所述柔性鞘管6-1内,递送过程可以一次完成,而且监测平面调整和空间状态调整时,所述插入部1-1的来回移动在所述柔性鞘管6-1内完成,调整过程不会造成人体的不适,相比实施例1,本实施例之多平面睡眠监测内镜临床使用过程更加舒适、方便。
实施例3:含电子内镜的本发明之多平面睡眠监测内镜
参考图3和图3-1,本实施例与实施例2的区别在于,本实施例中,所述成像系统11-1是电子内镜1102。
所述电子内镜1102的镜头11-11设置在所述电子内镜1102的插入部1-1的远端。所述镜头11-11的远端构成所述观察端11-12。所述导光光纤32将所述光源31发出的照明光传导至所述观察端11-12,为所述镜头11-11提供照明。
本实施例中,因为所述镜头11-11设置在所述电子内镜1102的插入部1-1的远端,所述镜头11-11能直接采集图像数据,不需要通过所述导像光纤11-13进行图像传导,图像更加清晰、真实。由于电子内镜采集的图像数据经转换成电信号后,通过电缆进行传输,因此,只有端部的所述镜头11-11处需要保证一定的尺寸大小,而电缆尺寸可以非常细小。因此,所述电子内镜1102与所述纤维内镜1101相比,尺寸更小,患者舒适度更好。
实施例4:含LED光源的本发明之多平面睡眠监测内镜
参考图4到图4-2,本实施例与实施例3相比,本实施例中,所述照明系统3直接设置在所述镜头11-11的周围,照明效果比实施例3更好。
本实施例中,所述照明系统3采用的是LED光源,LED光源与普通照明光源相比,具有体积小、发光效率高、光源指向性强等特点,尤其是在安全性方面,LED光源有普通光源无法比拟的优势。首先LED光源是低压直流供电,供电电压只需6到24V;其次LED光源中不添加汞,不会对人体造成中毒等伤害;此外更重要的是LED光源是冷光源,在工作过程中不会严重发热,可以安全触摸,不会对人体造成意外的高温烫伤。同时LED光源适当的发热,可以使得镜头周边达到一定的热平衡,具有一定的防雾效果,观察过程更加清晰、稳定。
此外,在所述观察端11-12附近还可以设置有压力传感器7或流速传感器9,参考图5和图5-7。所述压力传感器7能测量所述观察端11-12附近的呼吸时的压力;所述流速传感器9能测量所述观察端11-12附近的呼吸气流的流量,还能将所述压力传感器7测得的压力数据和所述流速传感器9测得的气流流量数据输出到所述显示系统4上进行实时显示并记录存储,参考图5。
实施例5:含体表固定机构的本发明之多平面睡眠监测内镜
参考图8和图9,本实施例与实施例4的区别在于,本实施例中,所述定位系统11-2还含体表固定机构11-23。
所述体表固定机构11-23可以将所述成像系统11-1固定在人体上,即使患者在睡眠过程中发生体位变化,也不会造成所述成像系统11-1的移位,不会影响所述镜头11-11的拍摄效果。
参考图8和图9,本实施例中,所述体表固定机构11-23通过粘贴的方式将所述成像系统11-1固定在人体额头上。实际应用中,所述体表固定机构11-23还可以通过捆扎、网袋等其它方式将所述成像系统11-1固定在人体的各个部位,如下颌、人中、脸颊等部位,参考图10和图11。
临床使用时,通过所述监测平面定位机构11-21调整好监测平面后,调整所述空间状态定位机构11-22至合适的空间状态并固定状态后,通过所述体表固定机构11-23粘贴在患者额头,将所述成像系统11-1的远端在患者额头上固定,然后开始睡眠监测。
本实施例中,由于所述体表固定机构11-23将所述成像系统11-1的远端固定在人体体表,这样进入人体的所述插入部1-1在睡眠过程中即使体位发生变化时也不会与人体发生 相对运动,从而更好地保证了所述镜头11-11的观察平面和空间位置。
本实施例中,所述监测平面定位机构11-21和所述空间状态定位机构11-22是和所述体表固定机构11-23分开设置的,实际应用中,为简化结构可以将所述监测平面定位机构11-21和/或所述空间状态定位机构11-22和所述体表固定机构11-23设置在一起,以方便状态调整和体表固定两个步骤的操作,参考图12至图12-2。
所述监测平面定位机构11-21设置在所述体表固定机构11-23上,所述成像系统11-1的远端插入在所述监测平面定位机构11-21的滑槽孔11-21-2后按下所述锁定开关11-21-1即可将所述成像系统11-1固定。
实际应用中,本领域的技术人员还能设计出其它各种组合结构,申请人在此不具体举例说明,但都不脱离本申请的保护范围。
应该注意,本文中公开和说明的结构可以用其它效果相同的结构代替,同时本发明所介绍的实施例并非实现本发明的唯一结构。虽然本发明的优先实施例已在本文中予以介绍和说明,但本领域内的技术人员都清楚知道这些实施例不过是举例说明而己,本领域内的技术人员可以做出无数的变化、改进和代替,而不会脱离本发明,因此,应按照本发明所附的权利要求书的精神和范围来的界定本发明的保护范围。
Claims (19)
- 多平面睡眠监测内镜,所述多平面睡眠监测内镜(100)其特征在于:A、所述多平面睡眠监测内镜(100)含观察系统(1)、数据处理及输出系统(2)、照明系统(3)、显示系统(4)、线路(5)、壳体(6)、及电源系统(8);B、所述观察系统(1)是摄像系统(11);所述摄像系统(11)至少含2套成像系统(11-1);C、所述数据处理及输出系统(2)、所述线路(5)安装在所述壳体(6)内;所述观察系统(1)、所述数据处理及输出系统(2)、所述照明系统(3)、以及所述显示系统(4)通过所述线路(5)与所述电源系统(8)连接在一起。
- 根据权利要求1所述多平面睡眠监测内镜,其特征在于:所述成像系统(11-1)含镜头(11-11)、数据处理及输出系统(2)、线路(5)、及电源系统(8);所述镜头(11-11)采集的数据经所述数据处理及输出系统(2)处理后可输出到所述显示系统(4)。
- 根据权利要求1所述多平面睡眠监测内镜,其特征在于:所述成像系统(11-1)的远端构成观察端(11-12),至少2个所述成像系统(11-1)的观察端(11-12)不在同一个水平面上。
- 根据权利要求1所述多平面睡眠监测内镜,其特征在于:所述摄像系统(11)还含定位系统(11-2);所述定位系统(11-2)能对所述成像系统(11-1)的观察端(11-12)进行定位。
- 根据权利要求4所述多平面睡眠监测内镜,其特征在于:所述定位系统(11-2)含监测平面定位机构(11-21)和空间状态定位机构(11-22)。
- 根据权利要求5所述多平面睡眠监测内镜,其特征在于:至少2个所述成像系统(11-1)的观察端(11-12)所处平面之间的距离L可以通过所述监测平面定位机构(11-21)进行调整。
- 根据权利要求6所述多平面睡眠监测内镜,其特征在于:所述监测平面定位机构(11-21)通过滑槽方式、或绕轴旋转方式、或凸轮方式对所述观察端(11-12)所处平面之间的距离L进行调整。
- 根据权利要求5所述多平面睡眠监测内镜,其特征在于:所述空间状态定位机构(11-22)可以调整所述观察端(11-12)的空间状态。
- 根据权利要求2所述多平面睡眠监测内镜,其特征在于:所述成像系统(11-1)是 纤维内镜(1101)。
- 根据权利要求2所述多平面睡眠监测内镜,其特征在于:所述成像系统(11-1)是电子内镜(1102)。
- 根据权利要求10所述多平面睡眠监测内镜,其特征在于:所述电子内镜(1102)的镜头(11-11)的远端构成所述观察端(11-12);所述镜头(11-11)采集的数据经所述数据处理及输出系统(2)处理后输出至所述显示系统(4);所述照明系统(3)含光源(31)和导光光纤(32),所述导光光纤(32)将所述光源(31)发出的照明光传导至所述观察端(11-12),为所述镜头(11-11)提供照明。
- 根据权利要求10所述多平面睡眠监测内镜,其特征在于:所述电子内镜(1102)的镜头(11-11)的周围设置有照明系统(3),为所述镜头(11-11)提供照明。
- 根据权利要求12所述多平面睡眠监测内镜,其特征在于:所述照明系统(3)是LED光源。
- 根据权利要求2所述多平面睡眠监测内镜,其特征在于:经所述数据处理及输出系统(2)处理后的数据可通过有线或无线的方式输出到所述显示系统(4)。
- 根据权利要求1所述多平面睡眠监测内镜,其特征在于:所述显示系统(4)是智能手机(41)、或电脑(42)、或液晶显示器(43)、或平板电脑(44)。
- 根据权利要求1所述多平面睡眠监测内镜,其特征在于:所述多平面睡眠监测内镜(100)由医用材料制成。
- 根据权利要求1所述多平面睡眠监测内镜,其特征在于:所述观察系统(1)通过柔性鞘管(6-1)递送。
- 根据权利要求17所述多平面睡眠监测内镜,其特征在于:所述柔性鞘管(6-1)至少含2个工作通道(6-11),所述工作通道(6-11)的通道出口端(6-11-1)不在同一个水平面上。
- 根据权利要求1所述多平面睡眠监测内镜,其特征在于:所述观察系统(1)在所述观察端(11-12)附近设置有压力传感器(7)或流速传感器(9)。
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