WO2022119009A1 - Arthroscope - Google Patents

Arthroscope Download PDF

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Publication number
WO2022119009A1
WO2022119009A1 PCT/KR2020/017573 KR2020017573W WO2022119009A1 WO 2022119009 A1 WO2022119009 A1 WO 2022119009A1 KR 2020017573 W KR2020017573 W KR 2020017573W WO 2022119009 A1 WO2022119009 A1 WO 2022119009A1
Authority
WO
WIPO (PCT)
Prior art keywords
unit
needle
tube
handle
injection
Prior art date
Application number
PCT/KR2020/017573
Other languages
English (en)
Korean (ko)
Inventor
김동진
김혜정
최기영
Original Assignee
해성옵틱스(주)
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 해성옵틱스(주) filed Critical 해성옵틱스(주)
Priority to PCT/KR2020/017573 priority Critical patent/WO2022119009A1/fr
Publication of WO2022119009A1 publication Critical patent/WO2022119009A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • 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
    • A61B1/015—Control of fluid supply or evacuation
    • 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
    • A61B1/04—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 combined with photographic or television appliances
    • A61B1/05—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 combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • 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
    • 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
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/317—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for bones or joints, e.g. osteoscopes, arthroscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles

Definitions

  • the present invention relates to an endoscope for a joint, and more particularly, to an endoscope for an articulation which inspects the inside of a joint, but suppresses the expansion of the incision site, and smoothly secures the field of view.
  • an endoscope is a kind of optical device, and is largely divided into an industrial endoscope for checking the inside of a narrow space such as a pipe or a ship building, and a medical endoscope for examining the inside of the human body.
  • Arthroscopic surgery using a medical endoscope uses a small hole to insert an arthroscope attached to a special small camera into the joint without incising the affected area, and then observes the inside of the joint through a monitor, etc. to perform special imaging (CT, MRI). Even lesions that cannot be detected even with this method can be accurately diagnosed, and surgery can be performed at the same time.
  • CT computed tomography
  • MRI magnetic resonance imaging
  • the handle part includes a handle body part that a user can grip; a handle control unit mounted on the handle body and connected to the camera unit to move the camera unit; and a handle guide part formed on the handle body part to which the injection part is mounted, and for guiding the fluid injected from the injection part to the needle part.
  • the needle portion is a needle tube portion mounted on the handle portion; a needle inclined portion extending from the needle tube portion and bent to have an inclination in the needle tube portion; and a needle tip portion formed at the end of the needle tube portion and having an inclined surface to cut the body.
  • the camera part since the camera part is moved forward to photograph the inside of the body after the needle part is inserted into the body, it prevents damage to the camera part when the needle part is inserted into the body, and provides a wide range without interference with the needle part after the needle part is inserted into the body. Filming may take place.
  • FIG. 1 is a diagram schematically showing an endoscope for an articular according to an embodiment of the present invention.
  • Figure 2 is a view schematically showing a handle portion in the endoscope for articulation according to an embodiment of the present invention.
  • FIG 3 is a view schematically showing a cable part in the endoscope for articulation according to an embodiment of the present invention.
  • FIG. 4 is a diagram schematically showing an injection unit in the endoscope for an articular according to an embodiment of the present invention.
  • FIG. 6 is an exploded view schematically showing a camera unit in the endoscope for articulation according to an embodiment of the present invention.
  • FIG. 7 is a cross-sectional view schematically showing a camera unit in the articular endoscope according to an embodiment of the present invention.
  • an endoscope for articulation 1 includes a handle portion 10 , a cable portion 20 , an injection portion 30 , a needle portion 40 , and a camera. part 50 .
  • a guide unit 60 may be added.
  • the handle portion 10 has a shape that can be gripped by a user.
  • the handle unit 10 may include a synthetic resin material or a metal material, and may include a plurality of components for processing and transmitting image signals captured by the camera unit 50 therein.
  • the cable unit 20 is connected to the handle unit 10 to transmit an image signal.
  • the cable part 20 may be integrally formed with the handle part 10 or may be detachably attached to the handle part 10 .
  • the injection unit 30 is mounted on the handle unit 10 to selectively supply fluid.
  • the injection unit 30 may supply a saline solution for washing or a medicine for treatment.
  • the needle part 40 is mounted on the handle part 10 and inserted into the body.
  • the needle part 40 has a curved end shape.
  • the needle part 40 may include a metal or alloy material to protect the inserted camera part 50 .
  • it may include a synthetic resin material having a certain hardness or more for body incision.
  • the end of the needle part 40 has a curved shape of 5 to 20 degrees to improve the output image range, thereby securing the image of the back of the joint hidden inside the joint. And, it is possible to secure the image of the back of the joint through the rotation of the camera unit 50 without an additional drilling operation.
  • the user may insert the needle unit 40 into a body part requiring joint treatment and photograph the inside of the body through the camera unit 50 .
  • the articular endoscope 1 is manufactured for one-time use, a separate washing and sterilization process is eliminated, and the used articular endoscope 1 can be disposed of.
  • Figure 2 is a view schematically showing a handle portion in the endoscope for articulation according to an embodiment of the present invention.
  • the handle unit 10 according to an embodiment of the present invention includes a handle body unit 11 , a handle control unit 12 , and a handle guide unit 13 .
  • the handle body 11 has a shape that can be gripped by a user.
  • the handle body portion 11 includes a body outer portion 111 that is coupled as a pair so as to be gripped by a user, and a body outlet portion formed at an end of the body outer portion 111 and through which the needle portion 40 penetrates. (112).
  • the handle body part 11 is exposed to the outside of the body outer part 111 , and one or more body button parts 113 for controlling the camera part 50 may be formed. More specifically, when the body button unit 113 is operated, the image captured by the camera unit 50 may be captured and stored.
  • the handle control unit 12 is mounted on the handle body unit 11 and is connected to the camera unit 50 .
  • the handle control unit 12 is mounted on the handle body unit 11 , and is connected to the camera unit 50 to move the camera unit 50 .
  • the handle control unit 12 is connected to the control button unit 121 that is exposed to the outside of the body exterior portion 111 and can slide and is connected to the control button unit 121 and is built into the exterior body portion 111 . It may include an adjustment connection unit 122 connected to the camera unit 50 .
  • the handle guide part 13 is formed on the handle body part 11 , the injection part 30 is mounted, and the fluid injected from the injection part 30 is guided to the needle part 40 .
  • the handle guide part 13 may include a guide pipe part 131 , an induction communication part 132 , and a guide sealing part 133 .
  • the guide pipe part 131 may protrude upward from the body external part 111 , and may be disposed between the end of the body external part 111 and the control button part 121 .
  • the induction communication portion 132 may be formed inside the body outer portion 111 to communicate with the guide tube portion 131 .
  • the flow communication part 132 may be connected to the needle part 40 to guide the fluid to the needle part 40 .
  • the induction sealing part 133 is built into the induction communication part 132 and can prevent the fluid supplied to the induction communication part 132 from leaking.
  • FIG. 3 is a view schematically showing a cable part in the endoscope for articulation according to an embodiment of the present invention.
  • the cable unit 20 according to an embodiment of the present invention is detachably attached to the handle unit 10 , and is connected to the display unit 100 .
  • the handle unit 10 is formed on the rear surface of the handle body unit 11, and may further include a handle terminal unit 14 for transmitting an image signal and an electric signal
  • the cable unit 20 has one end It is connected to the handle terminal unit 14, and the other end is connected to the display unit 100 such as a notebook computer or a monitor to transmit an image signal and an electric signal.
  • the cable part 20 can be reused without being discarded together with the used endoscope 1 for articulation.
  • the injection unit 30 includes an injection coupling portion 31 , an injection flow passage 32 , an injection opening/closing portion 33 , and an injection cover portion 34 .
  • the injection coupling part 31 is detachably attached to the handle part 10 .
  • the injection coupling portion 31 may be coupled to the guide tube portion 131 .
  • the injection coupling part 31 may be screw-coupled to the guide tube part 131 or may be fitted.
  • the injection passage part 32 is connected to the injection coupling part 31 and a three-way flow passage is formed.
  • the injection flow path part 32 includes a central flow path part 321 , an upper flow path part 322 communicating with an upper portion of the central flow path part 321 , and a lower flow path communicating with a lower part of the central flow path part 321 . It may include a portion 323 and a side passage portion 324 communicating with the side of the central passage portion 321 .
  • a saline solution supply unit 200 for supplying saline solution for washing may be connected to the upper flow path unit 322 .
  • An injection coupling part 31 may be mounted on the lower flow path part 323 .
  • a drug supply unit 300 for supplying a drug for treatment may be connected to the side flow path part 324 .
  • the injection opening/closing part 33 is formed in the injection passage part 32 and selectively opens and closes the injection passage part 32 .
  • the injection opening/closing unit 33 may include an opening/closing flow path unit 331 and an opening/closing operation unit 332 .
  • the opening/closing flow path part 331 is inserted into the cylindrical central flow path part 321 , and the opening/closing operation part 332 is connected to the opening/closing flow path part 331 to be operated by a user.
  • the opening/closing flow path part 331 communicates the upper flow path part 322 and the lower flow path part 323 or the side flow path part 324 and the lower flow path part 323 communicate with each other. can do it
  • the injection cover part 34 covers the injection passage part 33 .
  • the injection cover part 34 may be mounted on the side flow passage part 324 when drug supply is not required to block the inflow of foreign substances.
  • the needle portion 40 according to an embodiment of the present invention includes a needle tube portion 41 , a needle inclined portion 42 , and a needle tip portion 43 .
  • the needle tube portion 41 is mounted on the handle portion 10 .
  • the needle tube portion 41 may be coupled to the body outlet portion 112 to maintain a fixed state.
  • the end of the needle tube portion 41 communicates with the induction communication portion 132 to guide the fluid supplied through the handle guide portion 13 .
  • the needle tip portion 43 is formed at the end of the needle tube portion 41, the inclined surface is formed to cut the body.
  • the inclination angle of the inclined surface of the needle tip part 43 may be set in various ways according to the sliding distance and diameter of the camera part 50 .
  • FIG. 6 is an exploded view schematically showing a camera unit in the articular endoscope according to an embodiment of the present invention
  • FIG. 7 is a cross-sectional view schematically showing the camera unit in the articular endoscope according to an embodiment of the present invention.
  • the camera unit 50 according to an embodiment of the present invention includes a tube unit 51 , a lens unit 52 , an optical fiber unit 53 , and a light source unit 54 . do.
  • the tube part 51 is inserted into the needle part 40 and moved.
  • the tube portion 51 is embedded in the needle tube portion 41, and is coupled to the control connection (122). Due to this, when the control button unit 121 is moved forward, the tube unit 51 connected to the control connection unit 122 is moved forward, so that the front end of the tube unit 51 can be exposed to the outside of the needle pipe unit 41 . .
  • the lens unit 52 is mounted on the front end of the tube unit 51 to obtain an image signal.
  • the lens unit 52 includes one or more glass lenses or plastic lenses, and each lens may be disposed by combining a spherical surface and an aspherical surface. That is, the number and shape of the lenses may be variously set according to the target for forming the viewing angle.
  • the lens unit 52 may be connected to a substrate to process an image signal.
  • the optical fiber unit 53 is inserted into the tube unit 51 to transmit light, and the light source unit 54 is connected to the optical fiber unit 53 to generate light.
  • the light source unit 54 may be built in the body external portion 111 blocked from flowing in the fluid.
  • the light source unit 56 may be directly mounted on the tube unit 51 .
  • the optical fiber unit 53 may irradiate light.
  • the camera unit 50 may further include a cover unit 55 .
  • the cover part 55 is coupled to the end of the tube part 51 , and preserves the angle of view while protecting the lens part 52 .
  • the cover part 55 may cover the lens part 52 to protect the lens part 52 from external pressure and foreign substances.
  • a glass lens or a plastic lens is adopted for the cover part 55 to expand the angle of view of the lens part 52 and the irradiation angle of the optical fiber part 53 . For this reason, it is possible to photograph the internal state of the body while suppressing the rotation of the lens unit 52 .
  • the cover part 55 has a curved surface to suppress the occurrence of bodily injuries when the lens part 52 protrudes forward, and may include a soft material. And, the cover part 55 may be inserted into the tube part 51 to protect the outer circumferential surface.
  • the tube unit 51 may include a tube moving unit 511 , a tube connection unit 512 , and a tube photographing unit 513 .
  • the tube part 51 may include a tube moving part 511 and a tube photographing part 513 including a hard material, and only the tube connection part 512 may include a soft material.
  • the tube connection part 512 may have a corrugated shape to enable shape deformation.
  • the tube moving part 511 is connected to the handle part 10 and moved.
  • the tube moving portion 511 passes through the needle tube portion 41 , and one end may be coupled to the control connection portion 122 .
  • the tube moving unit 511 coupled to the control connection unit 122 may be moved forward.
  • the tube connection unit 512 connects the end of the tube moving unit 511 and the end of the tube photographing unit 513 .
  • the tube connection part 512 is made of silicone or rubber material, and has a tube shape so that the tube moving part 511 and the tube photographing part 513 can be inserted.
  • the tube part 51 may further include a tube holding part 514 .
  • the tube holding part 514 protrudes outwardly from the outer peripheral surface of the tube connection part 512 and comes into contact with the needle part 40 , thereby maintaining the distance between the tube part 51 and the needle part 40 .
  • the tube holding part 514 is integrally molded with the tube connection part 512 and is in close contact with the inner wall of the needle pipe part 41 to maintain a gap between the needle pipe part 41 and the tube connection part 512 . Due to this, the passage of the fluid moving between the needle tube part 41 and the tube part 51 is maintained, so that a stable fluid supply can be made.
  • the tube holding part 514 is uniformly disposed along the outer peripheral surface of the tube connection part 512 , the fluid may be uniformly discharged along the outer peripheral surface of the tube part 51 .
  • FIG. 8 is a perspective view schematically showing a guide unit in the articular endoscope according to an embodiment of the present invention
  • FIG. 9 is a schematic diagram showing a state in which the guide unit is mounted to the camera unit in the articular endoscope according to an embodiment of the present invention. It is a cross section. 8 and 9 , the guide unit 60 according to an embodiment of the present invention includes a guide mounting unit 61 and a guide protrusion 62 .
  • the guide mounting unit 61 surrounds the outer peripheral surface of the camera unit 50 .
  • the guide mounting portion 61 is made of silicone or rubber material, and has a tubular shape so that the tube portion 51 can pass therethrough.
  • a plurality of such guide mounting portions 61 may be disposed to be spaced apart from each other in the longitudinal direction of the tube portion 51 .
  • a plurality of guide protrusions 62 protrude from the guide mounting portion 61, and in contact with the needle portion 40 to maintain a gap with the needle portion 40, and guide the moving fluid.
  • the guide protrusion 62 is integrally formed with the guide mounting portion 61, and is in close contact with the inner wall of the needle tube portion 41 to maintain a constant distance between the needle tube portion 41 and the tube portion 51. . Due to this, the flow path of the fluid is maintained between the needle pipe part 41 and the tube part 51, so that a stable fluid supply can be made.
  • the moving fluid is uniformly distributed and may be uniformly discharged along the outer peripheral surface of the tube part 51 .
  • the user unpacks the disposable endoscope 1 for the joint, connects the cable 20 to the display 100, and injects at least one of the saline supply 200 and the drug supply 300. connected to the part 30 .
  • the user grips the handle unit 10, inserts the needle unit 40 into the body to reach the destination, and then moves the camera unit 50 forward to photograph the inside of the body.
  • saline is supplied through the saline supply unit 200 to wash the camera unit 50 , and, if necessary, a drug may be supplied through the drug supply unit 300 to perform treatment.
  • the camera unit 50 is moved forward to photograph the inside of the body, so when the needle unit 40 is inserted into the body Damage to the camera unit 50 is prevented, and after insertion of the needle unit 40 into the body, a wide range of shooting can be performed without interference with the needle unit 40 .
  • the endoscope for articulation (1) is bent so that the end of the needle unit 40 is inclined, so that the angle of view of the camera unit 50 discharged from the needle unit 40 is expanded to display an image of the back of the joint. can be obtained stably.

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

Abstract

La présente invention concerne un arthroscope qui est capable de capturer rapidement et de manière sûre des images de l'intérieur d'un corps humain, en comprenant : une unité de poignée ; une unité de câble qui est connectée à l'unité de poignée et qui permet la transmission de signaux d'image ; une unité d'injection qui est montée dans l'unité de poignée et qui permet l'alimentation sélective d'un fluide ; une unité d'aiguille qui est montée dans l'unité de poignée et insérée dans un corps humain et a une extrémité ayant une forme courbée ; et une unité de caméra qui est insérée dans l'unité d'aiguille et se déplace à l'intérieur de celle-ci, et, lorsqu'elle s'étend à partir de l'unité d'aiguille, fléchit de manière à correspondre à l'unité d'aiguille et capture des images de l'intérieur du corps humain, et guide le fluide.
PCT/KR2020/017573 2020-12-03 2020-12-03 Arthroscope WO2022119009A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/KR2020/017573 WO2022119009A1 (fr) 2020-12-03 2020-12-03 Arthroscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/KR2020/017573 WO2022119009A1 (fr) 2020-12-03 2020-12-03 Arthroscope

Publications (1)

Publication Number Publication Date
WO2022119009A1 true WO2022119009A1 (fr) 2022-06-09

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ID=81854028

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2020/017573 WO2022119009A1 (fr) 2020-12-03 2020-12-03 Arthroscope

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Country Link
WO (1) WO2022119009A1 (fr)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH05253167A (ja) * 1991-12-24 1993-10-05 Citation Medical Corp 関節鏡
JP2013500788A (ja) * 2009-07-29 2013-01-10 トランセンテリクス、インク 偏向可能な処置器具用ポート部
JP2017047169A (ja) * 2016-03-25 2017-03-09 パナソニック株式会社 内視鏡
KR20190049306A (ko) * 2017-11-01 2019-05-09 해성옵틱스(주) 관절용 내시경
KR20210028442A (ko) * 2019-09-04 2021-03-12 해성옵틱스(주) 관절용 내시경

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH05253167A (ja) * 1991-12-24 1993-10-05 Citation Medical Corp 関節鏡
JP2013500788A (ja) * 2009-07-29 2013-01-10 トランセンテリクス、インク 偏向可能な処置器具用ポート部
JP2017047169A (ja) * 2016-03-25 2017-03-09 パナソニック株式会社 内視鏡
KR20190049306A (ko) * 2017-11-01 2019-05-09 해성옵틱스(주) 관절용 내시경
KR20210028442A (ko) * 2019-09-04 2021-03-12 해성옵틱스(주) 관절용 내시경

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