WO2023087737A1 - Bending portion of endoscope insertion part, endoscope insertion part, and endoscope - Google Patents

Bending portion of endoscope insertion part, endoscope insertion part, and endoscope Download PDF

Info

Publication number
WO2023087737A1
WO2023087737A1 PCT/CN2022/103683 CN2022103683W WO2023087737A1 WO 2023087737 A1 WO2023087737 A1 WO 2023087737A1 CN 2022103683 W CN2022103683 W CN 2022103683W WO 2023087737 A1 WO2023087737 A1 WO 2023087737A1
Authority
WO
WIPO (PCT)
Prior art keywords
shaped groove
endoscope
bending
insertion part
bending part
Prior art date
Application number
PCT/CN2022/103683
Other languages
French (fr)
Chinese (zh)
Inventor
张剑
刘孟华
沈和良
Original Assignee
杭州莱恩瑟特医疗技术有限公司
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
Priority claimed from CN202122803514.9U external-priority patent/CN216535236U/en
Priority claimed from CN202122803494.5U external-priority patent/CN216535235U/en
Priority claimed from CN202111355715.5A external-priority patent/CN114451849A/en
Priority claimed from CN202111354645.1A external-priority patent/CN114504290A/en
Application filed by 杭州莱恩瑟特医疗技术有限公司 filed Critical 杭州莱恩瑟特医疗技术有限公司
Publication of WO2023087737A1 publication Critical patent/WO2023087737A1/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • A61B1/008Articulations

Definitions

  • the present application relates to the field of medical devices, in particular to a bending portion of an endoscope insertion part, an endoscope insertion part and an endoscope.
  • An endoscope is a common medical instrument, consisting of an operation part and an insertion part.
  • the insertion part is located at the far end of the operation part, and is used to enter the human body through the natural orifice of the human body or through an incision formed by surgery.
  • the insertion part includes a front end and a bending part in order from far to near, and an observation mirror is arranged on the front end.
  • the bending part can be bent according to the control of the operating part, so as to change the observation direction of the observation mirror or change the direction in which the surgical instrument protrudes from the surgical instrument channel or the working channel.
  • the bending part generally adopts a split snake bone structure, that is, multiple tube sections are connected in sequence and can rotate at a certain angle with each other, and the traction wire passes through each tube section to control the bending of the bending part so that the doctor can observe the relevant parts.
  • This structure is often too complex in structure and high in production cost.
  • the device for internal imaging in the related art includes a handpiece, and a connecting pipe extending from the proximal end of the handpiece, and the connecting pipe may include a single flexible or deformable support structure.
  • the monolithic support structure has a series of offset ring segments of a first set of segments and a second set of segments offset approximately 90 degrees from the first set of segments, the first set of segments and the second set of segments.
  • the two sets of segments are connected by pairs of flexure bridges that generally allow flexure in at least one direction, so that the support structure can be manipulated in two dimensions by pulling and/or pushing on appropriate guy wires , to achieve the bending of the connecting pipe.
  • the endoscope bending part in the related art includes a snake bone body; wherein the snake bone body includes a first side and a second side; the first side is opposite to the second side, and the first side is opposite to the second side
  • the second side is provided with a plurality of first grooves arranged in sequence along the axial direction.
  • the snake bone body is provided with a number of first through holes and traction holes axially penetrating through the snake bone body, and a first shaft.
  • the first support member installation hole axially penetrates the inside of the serpentine body, and the first axial rigid support member is arranged in the first support member installation hole, so as to The snake bone body is prevented from being deformed in the axial direction, which is convenient for use.
  • a curved portion of an endoscope insertion portion comprising a strip-shaped body extending along a first direction, and the cross-sectional outer profile of the body in the first direction is 6- 12-sided shape, the body is provided with a plurality of through holes extending along the first direction and passing through the body, and the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward the second direction, the second direction is perpendicular to first direction.
  • the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward the third direction, and the third direction is perpendicular to the second direction and the first direction at the same time.
  • the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward the opposite direction of the second direction and/or toward the opposite direction of the third direction.
  • a V-shaped groove facing the second direction is opposite to a V-shaped groove facing the opposite direction of the second direction to form a first V-shaped groove group; a V-shaped groove facing the third direction is connected to a V-shaped groove facing the second direction.
  • the V-shaped grooves facing the direction opposite to the third direction are oppositely arranged to form a second V-shaped groove group.
  • the interval between two V-shaped grooves with opposite opening directions of the first V-shaped groove group, and/or, the interval between two V-shaped grooves with opposite opening directions of the second V-shaped groove group is 0.3 -0.9mm.
  • first V-shaped groove set and the second V-shaped groove set are arranged at intervals along the first direction.
  • the maximum opening angle of the V-shaped groove is 3.75 times the diameter in millimeters of the circumscribed circle of the cross section of the body.
  • the through holes include a working channel through hole, an auxiliary channel through hole and a harness channel through hole.
  • the harness channel through holes provide paths for pull wires, optical fibers and electrical wires; the working channel through holes provide paths for working channel tubing.
  • the auxiliary channel through-hole provides a path for water pipe or air pipe.
  • the curved portion of the endoscope insertion portion is integrally injection molded.
  • the material of the curved part of the endoscope insertion part is one of silicone rubber, TPE, TPU, PVC and PP.
  • the opening angle of the V-shaped groove increases sequentially.
  • the minimum opening angle of the V-shaped groove is 10 degrees.
  • the present application also provides an endoscope insertion part, including the above-mentioned curved part of the endoscope insertion part.
  • a pulling wire connecting the distal end of the bending part and the operating part of the endoscope is provided in the through hole of the wire harness channel, and the pulling wire is used to control the bending of the bending part according to the action of the operating part;
  • the part between the V-shaped grooves defines a condyle, and every two condyles are separated from each other.
  • the present application also provides an endoscope, including the above-mentioned endoscope insertion part.
  • a curved portion of the insertion portion of the endoscope comprising a strip-shaped body extending along the first direction, and a plurality of holes extending along the first direction and penetrating the body are provided in the body.
  • a through hole the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening towards the second direction, the second direction is perpendicular to the first direction, wherein, the area where the V-shaped grooves are arranged on the outside of the body is provided with
  • the groove has a flat bottom surface, so that the outer edge of the side wall of the V-shaped groove forms a straight edge.
  • the V-shaped groove and the groove form a V-shaped groove area
  • the body is provided with a plurality of V-shaped groove areas arranged along the first direction and opening toward the third direction, and the third direction is perpendicular to the second direction at the same time. direction and first direction.
  • the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward the opposite direction of the second direction and/or toward the opposite direction of the third direction.
  • a V-shaped groove area facing the second direction is opposite to a V-shaped groove area facing the opposite direction of the second direction, forming a first V-shaped groove area group; a V-shaped groove area facing the third direction The groove area is opposite to a V-shaped groove area facing the direction opposite to the third direction, forming a second V-shaped groove area group.
  • the projection of the outer edge of the V-shaped groove of a first V-shaped groove block group or a second V-shaped groove block group on a reference plane perpendicular to the first direction is a 6-12 polygon.
  • the interval is 0.3-0.9 mm.
  • first V-shaped groove group and the second V-shaped groove group are arranged at intervals along the first direction.
  • the maximum opening angle of the V-shaped groove is 3.75 times the diameter in millimeters of the circumscribed circle of the cross-section of the outer edge of the V-shaped groove of the V-shaped groove block group.
  • the through holes include a working channel through hole, an auxiliary channel through hole and a harness channel through hole.
  • a rib extending along the first direction is provided on the outer periphery of the bending portion body.
  • the curved portion of the endoscope insertion portion is integrally injection molded.
  • the material of the curved part of the endoscope insertion part is one of silicone rubber, TPE, TPU, PVC and PP.
  • the opening angle of the V-shaped groove increases sequentially.
  • the present application also provides an endoscope insertion part, including the above-mentioned curved part of the endoscope insertion part.
  • a pulling wire connecting the distal end of the bending part and the operating part of the endoscope is provided in the through hole of the wire harness channel, and the pulling wire is used to control the bending of the bending part according to the action of the operating part;
  • the part between the V-shaped grooves defines a condyle, and every two condyles are separated from each other.
  • it also includes: a protective sleeve, which is used to be sleeved on the outside of the bending part; a working channel pipeline placed in the through hole of the working channel, and the material of the working channel pipeline is PVC, TPE, PTFE and TPU
  • a water pipe or air pipe placed in the through hole of the auxiliary channel, the material of the water pipe or the air pipe is one of PVC, TPE, PTFE and TPU.
  • the present application also provides an endoscope, including the above-mentioned endoscope insertion part.
  • FIG. 1 illustrates a perspective view of a structure of a curved portion of an insertion portion of an endoscope according to one or more embodiments.
  • FIG. 2 illustrates a bottom view of a structure of a curved portion of an insertion portion of an endoscope according to one or more embodiments.
  • Figure 3 illustrates a front view of a bend structure provided in accordance with one or more embodiments.
  • FIG. 4 illustrates a left side view of a structure of a bending portion according to one or more embodiments.
  • Fig. 5 shows a sectional view along A-A in Fig. 2 and Fig. 4 .
  • FIG. 6 is a schematic diagram of force acting on the edge of the side wall of the notch or the groove when the bending part is bent in the related art.
  • Fig. 7 is a schematic diagram of force acting on the edge of the side wall of the V-shaped groove when the bending part is bent according to one or more embodiments.
  • FIG. 8 illustrates a front view of a partial structure of a curved portion of an insertion portion of an endoscope according to one or more embodiments.
  • FIG. 9 shows a top view of the structure shown in FIG. 8 .
  • FIG. 10 shows a cross-sectional view along B-B of FIG. 9 .
  • Fig. 11 is a structural perspective view of an endoscope according to one or more embodiments.
  • Fig. 12 is a perspective view of an internal structure of an operating portion of an endoscope according to one or more embodiments.
  • FIG. 13 is a partially enlarged schematic view at point C in FIG. 12 .
  • orientation or positional relationship indicated by the term "upper” is based on the orientation or positional relationship shown in the drawings, or the orientation or position that the inventive product is usually placed in use.
  • the relationship is only for the convenience of describing the present application and simplifying the description, but does not indicate or imply that the referred device or element must have a specific orientation, be constructed and operated in a specific orientation, and thus should not be construed as a limitation of the present application.
  • the terms “near” and “far” are relative positional relationships.
  • the side close to the operator is "Near”
  • the side closer to the target object is "Far”.
  • the terms "setting”, “connecting” and “connecting” should be understood in a broad sense, for example, it can be a fixed connection or a A detachable connection, or an integral connection; it may be a mechanical connection or an electrical connection; it may be a direct connection or an indirect connection through an intermediary, and it may be an internal communication between two components.
  • the terms "setting”, “connecting” and “connecting” should be understood in a broad sense, for example, it can be a fixed connection or a A detachable connection, or an integral connection; it may be a mechanical connection or an electrical connection; it may be a direct connection or an indirect connection through an intermediary, and it may be an internal communication between two components.
  • Electronic endoscopy is a medical electronic optical instrument that can be inserted into the human body cavity and viscera cavity for direct observation, diagnosis and treatment, integrating light, mechanics, electricity and other technologies. It uses extremely small electronic imaging components to image the object in the cavity to be observed through a tiny objective lens optical system, then sends the received image signal to the image processing system, and finally outputs the processed image on the monitor for doctors Observation and diagnosis.
  • Electronic endoscopes are divided into electronic gastroscopes, electronic duodenoscopes, and electronic colonoscopes.
  • ERAT Endoscopic Retrograde Appendicitis Therapy
  • ERAT can directly observe the shape of the opening of the appendix through colonoscopy, confirm the diagnosis of appendicitis, and use ERCP-related catheter guide wire technology to perform operations such as intubation, suction decompression, angiography, flushing, and stent drainage of the appendix lumen. .
  • the appendix is located at the lower right of the human abdomen, between the cecum and the ileum. It is a slender and curved blind tube. Its root is connected to the posteromedial wall of the cecum. any direction in the abdominal cavity. According to published literature, the opening of the appendix is often covered by Gerlach's valve, which makes intubation difficult. Among the various steps of ERAT, intubation is the most difficult and the most critical step.
  • the position of the appendix varies a lot, and the internal opening of the appendix is not necessarily at the position facing the endoscope;
  • the colonoscope does not have a lifter, and the direction of the catheter cannot be adjusted by the lifter after the catheter extends out of the endoscopic end during intubation.
  • the bending part and the corresponding insertion part provided by the present application have a large bending angle, and the manipulation force required to form a large bending angle is small, which can be completely applied to an appendoscope and is beneficial to solve the above-mentioned problem of difficult intubation.
  • electronic endoscopes including the above-mentioned appendoscope usually include an operation part and an elongated insertion part positioned at the distal end side of the operation part. Bending in different directions, the observation optical system located on the distal end surface of the insertion part obtains images of the desired observation site, and the operator can perform observation, diagnosis, photography, treatment, etc. based on this. That is to say, when used as the bending part of the insertion part of the endoscope, the distal end of the bending part is provided with an observation optical system, and the proximal end is connected with other parts of the insertion part, and is controlled by the operation part to realize bending.
  • the reason why the bending part deviates from the expected bending orientation in the working state is because the cross section of the bending part body is often circular or ring-shaped. In actual use, it is pulled by the pulling wire, When the bending part is bent, it is actually accompanied by a rotation in the circumferential direction, which can also be called twisting or twisting, which affects the desired bending orientation of the bending part.
  • the split snake bone structure is less twisted because the mutual rotation angles are restricted between the pipe joints, but the split snake bone structure is complicated and the production cost is high; the one-piece snake bone structure usually has the above-mentioned obvious Problem with inaccurate bend orientation.
  • Fig. 1 shows a perspective view of the structure of the bending part of the insertion part of the endoscope provided by an embodiment of the first aspect of the present application.
  • the present application provides a bending part 1 of an endoscope insertion part, including a strip-shaped body 10 extending along a first direction X, and the cross-sectional outer profile of the body 10 in the first direction X is 6 - a 12-sided shape (as an example, shown as a 12-sided shape in Figures 1 to 5), the body 10 is provided with a plurality of through holes 11 extending along the first direction X and passing through the body 10, and the body 10 is provided with a plurality of The V-shaped grooves 111 a are arranged along the first direction X and open toward the second direction Y, and the second direction Y is perpendicular to the first direction X.
  • the cross-sectional outer contour of the body 10 in the first direction is set to be 6-12 polygonal, so that the bending part of the endoscope insertion part provided by the application is not easy to be twisted when it is controlled to bend; through V Compared with other shapes, the setting of the shaped groove further strengthens the above-mentioned beneficial effect of not being easily twisted.
  • the cross-section of the curved part of the endoscope insertion tube is generally designed to be circular or annular, that is, it appears as a cylinder in a relaxed state (not pulled by the pulling wire).
  • the bending part is pulled by the pulling wire and bends.
  • the bending is often accompanied by rotation in the circumferential direction, that is, twisting or twisting, which affects the reach of the bending part. Desired bending orientation, which deviates the viewing angle.
  • the cross-sectional outer contour of the main body 10 in the first direction is set to be 6-12 polygonal, so that the bending part 1 of the endoscope insertion part provided by the present application is bent in the second direction Y 7, the opposite side wall edges of the V-shaped groove are folded straight sides.
  • the V-shaped groove provided by the embodiment of the application follows the bending of the bending part 1, the opposite side walls of the V-shaped groove fit together.
  • the force on the edge of the side wall is not uniform in the circumferential direction, that is, the force at the corner is different from that at the straight edge, so that the bending part 1 can be prevented from rotating in the circumferential direction to a certain extent when it is bent.
  • the cross-sectional outer profile of the body 10 in the first direction is set as a polygon with sides less than 6, it will affect the bending flexibility of the bending part 1 and reduce the number and size of the through holes 11 that the body 10 can accommodate. ; and the anti-distortion performance will also decrease with the increase of the number of sides. Therefore, after trial and error, it is appropriate to set the number of sides of the polygon between 6-12.
  • V-shaped configuration of the V-shaped groove means that the bottom of the groove is linear, so that when the curved part is bent and the opposite side walls of the groove are attached, the area where the two side walls are attached to each other is larger.
  • U-shaped groove or the non-linear bottom arrangement in the related art such an arrangement is also helpful for realizing the effect of anti-distortion.
  • the bending part 1 is a part of the insertion part, and the insertion part needs to be inserted into a human body or a narrow environment, the bending part often needs to be provided with a protective cover outside.
  • Setting the outer contour of the bending part body 10 as a polygon, compared with the circular shape in the related art, is also conducive to axial penetration of the protective sleeve at the bending part.
  • Thread the protective sleeve axially.
  • Fig. 2 shows a bottom view of the structure of the curved portion of the insertion portion of the endoscope provided by an embodiment of the first aspect of the present application, that is, a viewing angle along the Y direction.
  • Fig. 3 shows a front view of the bending part structure provided by an embodiment of the first aspect of the present application, that is, a viewing angle along the Z' direction.
  • Fig. 4 shows a left view of the bending part structure provided by an embodiment of the first aspect of the present application.
  • Fig. 5 shows a sectional view along A-A in Fig. 2 and Fig. 4 .
  • the body 10 is provided with a plurality of V-shaped grooves 112a arranged along the first direction X and opening toward the third direction Z, and the third direction Z is perpendicular to the second direction Y and the first direction at the same time.
  • Direction X The main body 10 is also provided with a plurality of V-shaped grooves 111b arranged along the first direction X and opening toward the opposite direction Y' of the second direction Y, and/or V-shaped grooves 111b opening toward the opposite direction Z' of the third direction Z. shaped groove 112b.
  • a V-shaped groove 111a facing the second direction Y is opposite to a V-shaped groove 111b facing the opposite direction Y' of the second direction Y, forming a first V-shaped groove group 111;
  • the V-shaped groove 112 a in the third direction Z is opposite to a V-shaped groove 112 b facing in the opposite direction Z′ of the third direction Z, forming a second V-shaped groove group 112 .
  • the first V-shaped groove group 111 and the second V-shaped groove group 112 are arranged at intervals along the first direction X, which is beneficial to ensure that the bending part 1 is in the second direction Y, the opposite direction Y' of the second direction, When bending in the third direction Z or the opposite direction Z' of the third direction, the normal bending and structural stability of the bending part 1 are achieved.
  • the interval d between two V-shaped grooves with opposite opening directions in the first V-shaped groove group 111 and/or the second V-shaped groove group 112 is 0.3-0.9 millimeters (as shown in FIG. 2 and Figure 3), to ensure that the bending part 1 has enough bending times.
  • the diameter of the circumscribed circle of the cross section of the body 10 of the bending part 1 is approximately 12 millimeters.
  • the maximum opening angle of the V-shaped groove is 45 degrees. After testing and comparison, it is found that based on the For the structure and material of each component in the embodiment, a larger opening angle is not conducive to the accurate control of the bending angle, and has an adverse effect on the anti-twisting performance; the minimum opening angle of the V-shaped groove is 10 degrees, based on each of the embodiments provided by the application. Due to the combination of component structure and material, a smaller opening angle is difficult to provide the required degree of bending, that is, the angle at which the bending part is controlled to bend in the axial direction.
  • the opening angle of the above-mentioned V-shaped groove is directly related to the diameter of the circumscribed circle of the cross section of the body 10 of the bending part 1, and the cooperation between the two directly affects the bending performance and anti-torsion performance of the bending part 1.
  • the opening angle of the V-shaped groove is roughly linearly related to the diameter of the circumscribed circle of the cross-section of the body 10 of the bending part 1, that is, the maximum opening angle value of the V-shaped groove is the circumscribed circle of the cross-section of the body 10 of the bending part 1.
  • the unit of circle diameter is 3.75 times the numerical value of millimeter.
  • the opening angles ⁇ 1, ⁇ 2, ⁇ 3 of the V-shaped grooves are at most 45 degrees and at least 10 degrees.
  • the opening angle of the V-shaped groove gradually increases, ie ⁇ 1 ⁇ 2 ⁇ 3.
  • ⁇ 1 and ⁇ 3 represent the opening angles of the V-shaped groove closest to the end of the bending part 1 respectively
  • ⁇ 2 represents the opening angle of the V-shaped groove not closest to the end of the bending part 1 .
  • the above-mentioned maximum opening angle and minimum opening angle of the V-shaped groove need not be satisfied at the same time. Especially the minimum opening angle can be adjusted as needed.
  • the through holes 11 may include a working channel through hole 14 , an auxiliary channel through hole 15 or a harness channel through hole 16 .
  • the harness passage through hole 16 may include sub-holes 16a, 16b, 16c to provide paths for pull wires 16a', optical fibers and electrical wires, respectively.
  • the function of the pulling wire 16a' is to control the bending of the bending part 1 according to the operation of the operating part 200. Specifically, one end of the pulling wire 16a' may be fixed to the operating part 200, and the other end of the pulling wire 16a' may be fixed to the bending part after passing through the proximal end of the bending part 1.
  • the pulling wire 16a' can be pulled and loosened by the operating part 200 to drive the head end of the bending part 1 to be pulled and loosened, so as to realize the bending control of the bending part 1 of the insertion part;
  • the optical fiber can pass through The light from the external light source is transmitted to the required position to provide illumination for the process of inserting the endoscope into the human cavity and observing;
  • the wire can be a camera cable that transmits electronic data, or a cable that transmits a large current.
  • the working channel through hole 14 provides a path for the working channel pipeline, and the material of the working channel pipeline can be PVC (Chinese name: polyvinyl chloride), TPE (Chinese name: thermoplastic elastomer), PTFE (Chinese name: polytetrafluoroethylene) And one of TPU (Chinese name: thermoplastic polyurethane elastomer).
  • PVC Polyvinyl chloride
  • TPE Chinese name: thermoplastic elastomer
  • PTFE Polytetrafluoroethylene
  • TPU thermoplastic polyurethane elastomer
  • Auxiliary channel through hole 15 provides path for water pipe or air pipe
  • the material of water pipe or air pipe can be PVC (Chinese name: polyvinyl chloride), TPE (Chinese name: thermoplastic elastomer), PTFE (Chinese name: polytetrafluoroethylene) and One of TPU (Chinese name: thermoplastic polyurethane elastomer).
  • the material of the water pipe or air pipe, the material of the working channel pipeline and the material of the bending part 1 body 10 can cooperate with each other, and the required manipulation strength, bending angle and bending stability can be further controlled through the mutual deployment of the two materials sex.
  • the material of the bending part 1 body 10 can be silicone rubber, TPE (Chinese name: thermoplastic elastomer), TPU (Chinese name: thermoplastic polyurethane elastomer), PVC (Chinese name: polyvinyl chloride) and One of PP (Chinese name: polypropylene).
  • the selection of the above materials is suitable for the integrated arrangement of the bending part 1, and is also suitable for the non-integrated arrangement, that is, the selection of the above materials helps to strengthen the friction between the joints 20 when the joints 20 are separated from each other, so that when After the separated joints 20 are bent with each other, due to the frictional interaction between the joints 20 and the axial pressure formed by the traction wire on the joints 20, the parts in contact with each other can keep their relative positions unchanged, so the reduction can be achieved smoothly.
  • the subhole 16a is provided with a pulling wire 16a' connecting the distal end 13 of the bending part 1 and the operating part 200 of the endoscope, and the pulling wire 16a' is used to control the bending of the bending part 1 according to the action of the operating part 200;
  • the part between two adjacent V-shaped grooves is defined as a joint 20 , and every two joints 20 are separated from each other.
  • the pulling wire 16a' passes through the joints 20 of the bending part 1 one by one along the sub-hole 16a of the wire harness channel 16, and connects the joints 20 together, and the joints 20 are separated or disconnected (that is, not a whole) , but are kept in contact by the connecting effect of the pulling wire 16a'.
  • the bending part 1 is pulled by the traction wire 16a', it bends. Since the joints 20 are separated from each other, they are integrally connected with each other, which reduces the mutual bending constraints and is beneficial to the bending part 1. A larger bending angle is realized; and while a larger bending angle is realized, the pulling force required by the pulling wire 16a' can also be smaller.
  • the bending part 1 can still return to the shape before bending after bending.
  • a protective cover is also provided, and the protective cover also helps the recovery of the shape of the bending part 1 .
  • the curved part of the insertion part of the endoscope is split, and a plurality of metal pipe sections are connected in sequence, or the metal pipes are carved, and the assembly process is complicated and the cost is high.
  • the bending part 1 of the endoscope insertion part provided by the present application is integrally injection-molded, which reduces the assembly of components and reduces the production cost.
  • the first aspect of the present application also provides an endoscope insertion part 300, which includes the bending part 1 of the endoscope insertion part 300 described in the above embodiment, and further includes: a protective sleeve, which is used to be sleeved on the bending part 1; the working channel pipeline placed in the through hole 14 of the working channel, the material of the working channel pipeline is one of PVC, TPE, PTFE and TPU; placed in the auxiliary channel through hole 15
  • the water pipe or air pipe inside, the material of the water pipe or the air pipe is one of PVC, TPE, PTFE and TPU.
  • the first aspect of the present application also provides an endoscope 100 , including the above-mentioned endoscope insertion portion 300 , which has a simple structure and can be manufactured at low cost.
  • the embodiment of the application discloses a bending part 1 of the insertion part of the endoscope, including a strip-shaped body 10 extending along the first direction X, and inside the body 10 is a A direction X extends through a plurality of through holes 11 of the body 10.
  • the body 10 is provided with a plurality of V-shaped grooves 111a arranged along the first direction X and opening toward the second direction Y.
  • the second direction Y is perpendicular to the first direction Y.
  • the straight-edge structure is formed by the outer edge 18 of the side wall of the V-shaped groove 111a, so that the bending part 1 of the insertion part of the endoscope provided by the application is not easily twisted when it is controlled to bend; through the V-shaped groove 111a Compared with other shapes, the setting of further strengthens the above-mentioned beneficial effect that distortion is not easy to occur.
  • multiple grooves 17' are provided along the circumferential direction of the body 10, so that the outer edge 18 of the side wall of the V-shaped groove 111a forms a folding line edge composed of straight sides.
  • the specific implementation of the second aspect of the present application compared to the related art, it can still be realized that when the bending part 1 bends to the second direction Y, due to the V-shaped
  • the outer edge 18 of the opposite side wall of the groove 111a is a straight edge, or further a straight edge forming a fold line, which can prevent the bending part 1 from rotating in the circumferential direction during bending to a certain extent.
  • the V-shaped groove and the groove are defined as the V-shaped groove area.
  • the body 10 may be provided with a plurality of V-shaped groove areas 112a' arranged along the first direction X and opening toward the third direction Z (as shown in FIG. 2 , the plane bottom surface 17 is not shown in the figure), and the third direction Z is perpendicular to the second direction Y and the first direction X at the same time.
  • the body 10 may also be provided with a plurality of V-shaped groove areas 111b' arranged along the first direction X and opening toward the opposite direction Y' of the second direction Y (as shown in FIG. 3 , the plane bottom surface 17 is not shown in the figure. out), and/or the V-shaped groove area 112b' opening toward the direction Z' opposite to the third direction Z (as shown in FIG. 2 , the plane bottom surface 17 is not shown in the figure).
  • a V-shaped groove area 111a' facing the second direction Y and a V-shaped groove area 111b' facing the opposite direction Y' of the second direction Y are arranged opposite to form a first V-shaped groove area group 111'.
  • a V-shaped groove area 112a' facing the third direction Z can be arranged opposite to a V-shaped groove area 112b' facing the opposite direction Z' of the third direction Z, forming a second V-shaped groove area group 112' .
  • V-shaped groove side wall outer edge 18 of a first V-shaped groove area group 111' or a second V-shaped groove area group 112' can be on a reference plane perpendicular to the first direction X
  • the projection is 6-12 polygons. The beneficial effect of such setting is as described in the specific implementation manner of the first aspect of the present application.
  • the interval d between the two V-shaped grooves with opposite opening directions in the first V-shaped groove group 111' and/or the second V-shaped groove group 112' is 0.3-0.9 mm (as shown in Figure 2 and Figure 3), to ensure the bending times of the bending part 1.
  • the first V-shaped groove group 111' and the second V-shaped groove group 112' are arranged at intervals along the first direction X.
  • the maximum opening angle of the V-shaped groove area is 3.75 times the diameter of the circumscribed circle in millimeters of the outer edge 18 of the V-shaped groove side wall of the V-shaped groove area group.
  • the through holes 11 may include a working channel through hole 14 , an auxiliary channel through hole 15 and a harness channel through hole 16 .
  • the sub-hole 16a of the harness channel through hole 16 is provided with a pulling wire 16a' connecting the distal end 13 of the bending part 1 and the operating part 200 of the endoscope, and the pulling wire 16a' is used to control the The bending of the bending part 1 ; the part between two adjacent V-shaped grooves is defined as a joint 20 , and every two joints 20 are separated from each other.
  • the pulling wire 16a' passes through each condyle 20 of the bending part 1 one by one along the wire harness channel, and connects each condyle 20 together. 16a' connection to maintain contact.
  • the condyles 20 are separated from each other, and compared with the condyles 20, they are integrally connected to each other, which reduces the mutual constraints and is beneficial to the bending part 1 to achieve more Large-angle bending; and while achieving a larger bending angle, the pulling force required by the pulling wire 16a' can also be smaller.
  • a protective cover is provided on the outside of the bending part 1 of the endoscope, and the protective cover also helps to restore the shape of the bending part 1 .
  • a rib 19 extending along the first direction X is provided on the outer periphery of the body 10 of the bending part 1 .
  • it may also be a bump, a bump, etc. arranged along the first direction X, or a groove extending along the first direction X (different from the aforementioned groove 17').
  • such arrangement is beneficial to insert the bending part 1 into the protective sheath along the axial direction (ie, the first direction X) more quickly.
  • the curved portion 1 of the insertion portion of the endoscope can be integrally injection molded.
  • the material of the bending part 1 of the insertion part of the endoscope can be one of silicone rubber, TPE, TPU, PVC and PP. From the proximal end 12 of the curved part 1 to the distal end 13 of the curved part 1, the opening angle of the V-shaped groove can be set to increase sequentially.
  • the above material pair helps to strengthen the friction between the joints 20, so that when the separated joints 20 are bent, due to the interaction of the friction force between the joints 20, the pulling wire will
  • the axial pressure formed by the condyle 20 can keep the relative position of the parts in contact with each other unchanged, so the reduction can be smoothly realized.
  • the second aspect of the present application further provides an endoscope insertion part 300, including the above-mentioned bending part 1 of the endoscope insertion part.
  • the bending part 1 can also include: a protective sleeve, which is used to be sleeved on the outside of the bending part 1; a working channel pipeline placed in the working channel through hole 14, and the material of the working channel pipeline is PVC, TPE, PTFE and TPU One of them; the water pipe or air pipe placed in the through hole 15 of the auxiliary channel, the material of the water pipe or the air pipe is one of PVC, TPE, PTFE and TPU.
  • a pulling wire 16a' connecting the distal end 13 of the bending part 1 and the operating part 200 of the endoscope is provided in the through hole 16 of the wire harness channel, and the pulling wire 16a' is used to control the bending part according to the action of the operating part 200 1; the part between two adjacent V-shaped grooves is defined as a joint 20, and every two joints 20 are separated from each other.
  • the pulling wire 16a' passes through each condyle 20 of the bending part 1 one by one along the wire harness channel, and connects each condyle 20 together. 16a' connection to maintain contact.
  • the condyles 20 are separated from each other, and compared with the condyles 20, they are integrally connected to each other, which reduces the mutual constraints and is beneficial to the bending part 1 to achieve more Large-angle bending; and while achieving a larger bending angle, the pulling force required by the pulling wire 16a' can also be smaller.
  • the second aspect of the present application further provides an endoscope 100 , including the above-mentioned endoscope insertion part 300 .

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Rehabilitation Therapy (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)

Abstract

A bending portion (1) of an endoscope insertion part, an endoscope insertion part (300), and an endoscope (100). The bending portion (1) of the endoscope insertion part comprises a strip-shaped body (10) extending along a first direction. The body (10) has a cross-sectional profile having 6-12 sides in the first direction; the body (10) is provided with multiple through holes (11) extending in the first direction and running through the body; the body (10) is provided with multiple V-shaped grooves (111a) arranged along the first direction and opening towards a second direction, the second direction being perpendicular to the first direction.

Description

内窥镜插入部的弯曲部、内窥镜插入部及内窥镜Bending part of endoscope insertion part, endoscope insertion part and endoscope
相关申请related application
本申请要求2021年11月16日申请的,申请号为202111354645.1,发明名称为“内窥镜插入部的弯曲部、内窥镜插入部及内窥镜”的中国专利申请的优先权;2021年11月16日申请的,申请号为202122803514.9,发明名称为“内窥镜插入部的弯曲部、内窥镜插入部及内窥镜”的中国专利申请的优先权;2021年11月16日申请的,申请号为202111355715.5,发明名称为“内窥镜插入部的弯曲部、内窥镜插入部及内窥镜”的中国专利申请的优先权;以及2021年11月16日申请的,申请号为202122803494.5,发明名称为“内窥镜插入部的弯曲部、内窥镜插入部及内窥镜”的中国专利申请的优先权,其全部内容通过引用结合在本申请中。This application claims the priority of the Chinese patent application filed on November 16, 2021, with the application number 202111354645.1, and the title of the invention is "the bending part of the endoscope insertion part, the endoscope insertion part and the endoscope"; 2021 Applied on November 16, the application number is 202122803514.9, and the invention title is the priority of the Chinese patent application entitled "Bending part of endoscope insertion part, endoscope insertion part and endoscope"; application on November 16, 2021 , the application number is 202111355715.5, the priority of the Chinese patent application titled "the bending part of the endoscope insertion part, the endoscope insertion part and the endoscope"; and the application on November 16, 2021, the application number It is the priority of the Chinese patent application 202122803494.5 with the title of "bending part of endoscope insertion part, endoscope insertion part and endoscope", the entire content of which is incorporated in this application by reference.
技术领域technical field
本申请涉及医疗器械领域,特别涉及一种内窥镜插入部的弯曲部、内窥镜插入部及内窥镜。The present application relates to the field of medical devices, in particular to a bending portion of an endoscope insertion part, an endoscope insertion part and an endoscope.
背景技术Background technique
内窥镜是一种常见的医疗器械,由操作部和插入部组成,插入部设于操作部的远端,用于经人体的天然孔道或者经手术形成的切口进入人体。插入部由远及近依次包括前端部、弯曲部,前端部上设有观察镜。弯曲部可以根据操作部的控制实现弯曲,从而改变观察镜的观察方向或改变手术器械从手术器械通道或称为工作通道伸出的方向。An endoscope is a common medical instrument, consisting of an operation part and an insertion part. The insertion part is located at the far end of the operation part, and is used to enter the human body through the natural orifice of the human body or through an incision formed by surgery. The insertion part includes a front end and a bending part in order from far to near, and an observation mirror is arranged on the front end. The bending part can be bent according to the control of the operating part, so as to change the observation direction of the observation mirror or change the direction in which the surgical instrument protrudes from the surgical instrument channel or the working channel.
目前,弯曲部一般采用分体式蛇骨结构,即多个管节依次连接且可以相互以一定角度旋转,通过牵引线穿过各个管节,从而控制弯曲部弯曲,以便医生观察有关部位。这种结构往往结构过于复杂,生产成本高。At present, the bending part generally adopts a split snake bone structure, that is, multiple tube sections are connected in sequence and can rotate at a certain angle with each other, and the traction wire passes through each tube section to control the bending of the bending part so that the doctor can observe the relevant parts. This structure is often too complex in structure and high in production cost.
因此,又出现了单体式或称为一体式的弯曲部。Therefore, a single-piece or one-piece bending part has appeared.
相关技术中的内部成像的设备包括手持件、从手持件近端延伸的连接管道,连接管道可以包括单体式柔性或可变形支撑结构。该单体式支撑结构具有第一组部段的一系列偏移环形部段和与所述第一组部段偏移大约90度的第二组部段,所述第一组部段和第二组部段通过成对的挠曲桥连接,所述挠曲桥通常允许在至少一个方向上挠曲,使得支撑结构可以通过牵拉和/或推动适当的拉线而在二维方向上被操控,以实现连接管道的弯曲。The device for internal imaging in the related art includes a handpiece, and a connecting pipe extending from the proximal end of the handpiece, and the connecting pipe may include a single flexible or deformable support structure. The monolithic support structure has a series of offset ring segments of a first set of segments and a second set of segments offset approximately 90 degrees from the first set of segments, the first set of segments and the second set of segments The two sets of segments are connected by pairs of flexure bridges that generally allow flexure in at least one direction, so that the support structure can be manipulated in two dimensions by pulling and/or pushing on appropriate guy wires , to achieve the bending of the connecting pipe.
相关技术中的内窥镜弯曲部包括蛇骨本体;其中所述蛇骨本体包括第一侧面和第二侧面;所述第一侧面和所述第二侧面相对,所述第一侧面和所述第二侧面均设置由多个沿轴 向方向依次排列的第一凹槽,所述蛇骨本体,其内部设有轴向贯穿蛇骨本体的若干第一通孔和牵引孔,以及第一轴向刚性支撑件、第一支撑件安装孔,所述第一支撑件安装孔轴向贯穿蛇骨本体内部,所述第一轴向刚性支撑件设置在所述第一支撑件安装孔内,以防止蛇骨本体发生轴向方向上的变形,便于使用。The endoscope bending part in the related art includes a snake bone body; wherein the snake bone body includes a first side and a second side; the first side is opposite to the second side, and the first side is opposite to the second side The second side is provided with a plurality of first grooves arranged in sequence along the axial direction. The snake bone body is provided with a number of first through holes and traction holes axially penetrating through the snake bone body, and a first shaft. To the rigid support member and the first support member installation hole, the first support member installation hole axially penetrates the inside of the serpentine body, and the first axial rigid support member is arranged in the first support member installation hole, so as to The snake bone body is prevented from being deformed in the axial direction, which is convenient for use.
然而,相关技术中实现弯曲功能的部件,其在工作状态下的实际弯曲方向与期待的弯曲方位经常存在一定的偏差,或者结构复杂,生产成本高。However, in the related art, there is often a certain deviation between the actual bending direction and the expected bending orientation of the components that realize the bending function in the working state, or the structure is complex and the production cost is high.
发明内容Contents of the invention
根据本申请的第一方面的各种实施例,提供一种内窥镜插入部的弯曲部,包括沿第一方向延伸的条状本体,本体在第一方向上的横截面外轮廓为6-12边形,本体内设有沿第一方向延伸并贯穿本体的多个通孔,本体上设有多个沿第一方向排布并朝向第二方向开口的V形槽,第二方向垂直于第一方向。According to various embodiments of the first aspect of the present application, there is provided a curved portion of an endoscope insertion portion, comprising a strip-shaped body extending along a first direction, and the cross-sectional outer profile of the body in the first direction is 6- 12-sided shape, the body is provided with a plurality of through holes extending along the first direction and passing through the body, and the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward the second direction, the second direction is perpendicular to first direction.
在一实施例中,本体上设有多个沿第一方向排布并朝向第三方向开口的V形槽,第三方向同时垂直于第二方向和第一方向。In one embodiment, the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward the third direction, and the third direction is perpendicular to the second direction and the first direction at the same time.
在一实施例中,本体上设有多个沿第一方向排布并朝向第二方向的反方向和/或朝向第三方向的反方向开口的V形槽。In one embodiment, the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward the opposite direction of the second direction and/or toward the opposite direction of the third direction.
在一实施例中,一个朝向第二方向的V形槽与一个朝向第二方向的反方向的V形槽相对设置,形成第一V形槽组;一个朝向第三方向的V形槽与一个朝向第三方向的反方向的V形槽相对设置,形成第二V形槽组。可选地,第一V形槽组的开口方向相反的两个V形槽之间间隔,和/或,第二V形槽组的开口方向相反的两个V形槽之间间隔,为0.3-0.9毫米。In one embodiment, a V-shaped groove facing the second direction is opposite to a V-shaped groove facing the opposite direction of the second direction to form a first V-shaped groove group; a V-shaped groove facing the third direction is connected to a V-shaped groove facing the second direction. The V-shaped grooves facing the direction opposite to the third direction are oppositely arranged to form a second V-shaped groove group. Optionally, the interval between two V-shaped grooves with opposite opening directions of the first V-shaped groove group, and/or, the interval between two V-shaped grooves with opposite opening directions of the second V-shaped groove group is 0.3 -0.9mm.
在一实施例中,第一V形槽组与第二V形槽组沿第一方向间隔设置。In one embodiment, the first V-shaped groove set and the second V-shaped groove set are arranged at intervals along the first direction.
在一实施例中,V形槽的最大开口角度度数为本体的横截面外接圆直径毫米数的3.75倍。In one embodiment, the maximum opening angle of the V-shaped groove is 3.75 times the diameter in millimeters of the circumscribed circle of the cross section of the body.
在一实施例中,通孔包括工作通道通孔、辅助通道通孔和线束通道通孔。In one embodiment, the through holes include a working channel through hole, an auxiliary channel through hole and a harness channel through hole.
在一实施例中,线束通道通孔为牵引线、光纤和电线提供路径;工作通道通孔为工作通道管路提供路径。可选地,辅助通道通孔为水管或气管提供路径。In one embodiment, the harness channel through holes provide paths for pull wires, optical fibers and electrical wires; the working channel through holes provide paths for working channel tubing. Optionally, the auxiliary channel through-hole provides a path for water pipe or air pipe.
在一实施例中,内窥镜插入部的弯曲部为一体注塑成型。In one embodiment, the curved portion of the endoscope insertion portion is integrally injection molded.
在一实施例中,内窥镜插入部的弯曲部的材质为硅橡胶、TPE、TPU、PVC和PP中的一种。In one embodiment, the material of the curved part of the endoscope insertion part is one of silicone rubber, TPE, TPU, PVC and PP.
在一实施例中,从弯曲部的近端到弯曲部的远端,V形槽的开口角度依次增大。In one embodiment, from the proximal end of the curved portion to the distal end of the curved portion, the opening angle of the V-shaped groove increases sequentially.
在一实施例中,V形槽的最小开口角度为10度。In one embodiment, the minimum opening angle of the V-shaped groove is 10 degrees.
本申请还提供一种内窥镜插入部,包括上述所述的内窥镜插入部的弯曲部。The present application also provides an endoscope insertion part, including the above-mentioned curved part of the endoscope insertion part.
在一实施例中,线束通道通孔内设有连接弯曲部远端和内窥镜的操作部的牵引线,牵引线用于根据操作部的动作控制弯曲部的弯曲;将两个相邻的V形槽之间的部分定义为一个骨节,每两个骨节之间相互分离。In one embodiment, a pulling wire connecting the distal end of the bending part and the operating part of the endoscope is provided in the through hole of the wire harness channel, and the pulling wire is used to control the bending of the bending part according to the action of the operating part; The part between the V-shaped grooves defines a condyle, and every two condyles are separated from each other.
本申请还提供一种内窥镜,包括上述内窥镜插入部。The present application also provides an endoscope, including the above-mentioned endoscope insertion part.
根据本申请的第二方面的各种实施例,提供一种内窥镜插入部的弯曲部,包括沿第一方向延伸的条状本体,本体内设有沿第一方向延伸并贯穿本体的多个通孔,本体上设有多个沿第一方向排布并朝向第二方向开口的V形槽,第二方向垂直于第一方向,其中,在本体外侧上设置V形槽的区域设有具有一平面底面的凹槽,使V形槽的侧壁外边缘形成直边。According to various embodiments of the second aspect of the present application, there is provided a curved portion of the insertion portion of the endoscope, comprising a strip-shaped body extending along the first direction, and a plurality of holes extending along the first direction and penetrating the body are provided in the body. A through hole, the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening towards the second direction, the second direction is perpendicular to the first direction, wherein, the area where the V-shaped grooves are arranged on the outside of the body is provided with The groove has a flat bottom surface, so that the outer edge of the side wall of the V-shaped groove forms a straight edge.
在一实施例中,凹槽沿本体的周向具有多个,使V形槽的侧壁外边缘形成直边组成的折线边。In one embodiment, there are multiple grooves along the circumferential direction of the body, so that the outer edge of the side wall of the V-shaped groove forms a folding line edge composed of straight sides.
在一实施例中,V形槽和凹槽形成V形槽区,本体上设有多个沿第一方向排布并朝向第三方向开口的V形槽区,第三方向同时垂直于第二方向和第一方向。In one embodiment, the V-shaped groove and the groove form a V-shaped groove area, and the body is provided with a plurality of V-shaped groove areas arranged along the first direction and opening toward the third direction, and the third direction is perpendicular to the second direction at the same time. direction and first direction.
在一实施例中,本体上设有多个沿第一方向排布并朝向第二方向的反方向和/或朝向第三方向的反方向开口的V形槽区。In one embodiment, the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward the opposite direction of the second direction and/or toward the opposite direction of the third direction.
在一实施例中,一个朝向第二方向的V形槽区与一个朝向第二方向的反方向的V形槽区相对设置,形成第一V形槽区组;一个朝向第三方向的V形槽区与一个朝向第三方向的反方向的V形槽区相对设置,形成第二V形槽区组。In one embodiment, a V-shaped groove area facing the second direction is opposite to a V-shaped groove area facing the opposite direction of the second direction, forming a first V-shaped groove area group; a V-shaped groove area facing the third direction The groove area is opposite to a V-shaped groove area facing the direction opposite to the third direction, forming a second V-shaped groove area group.
在一实施例中,一个第一V形槽区组或一个第二V形槽区组的V形槽外侧边缘在垂直于第一方向的参考平面上的投影呈6-12边形。In one embodiment, the projection of the outer edge of the V-shaped groove of a first V-shaped groove block group or a second V-shaped groove block group on a reference plane perpendicular to the first direction is a 6-12 polygon.
在一实施例中,第一V形槽区组的开口方向相反的两个V形槽之间间隔,和/或,第二V形槽区组的开口方向相反的两个V形槽之间间隔,为0.3-0.9毫米。In one embodiment, there is an interval between two V-shaped grooves with opposite opening directions of the first V-shaped groove group, and/or, between two V-shaped grooves with opposite opening directions of the second V-shaped groove group. The interval is 0.3-0.9 mm.
在一实施例中,第一V形槽区组与第二V形槽区组沿第一方向间隔设置。In one embodiment, the first V-shaped groove group and the second V-shaped groove group are arranged at intervals along the first direction.
在一实施例中,V形槽的最大开口角度度数为V形槽区组的V形槽外侧边缘横截面外接圆直径毫米数的3.75倍。In one embodiment, the maximum opening angle of the V-shaped groove is 3.75 times the diameter in millimeters of the circumscribed circle of the cross-section of the outer edge of the V-shaped groove of the V-shaped groove block group.
在一实施例中,通孔包括工作通道通孔、辅助通道通孔和线束通道通孔。In one embodiment, the through holes include a working channel through hole, an auxiliary channel through hole and a harness channel through hole.
在一实施例中,弯曲部本体外周设有沿第一方向延伸的凸筋。In one embodiment, a rib extending along the first direction is provided on the outer periphery of the bending portion body.
在一实施例中,内窥镜插入部的弯曲部为一体注塑成型。In one embodiment, the curved portion of the endoscope insertion portion is integrally injection molded.
在一实施例中,内窥镜插入部的弯曲部的材质为硅橡胶、TPE、TPU、PVC和PP中的一种。In one embodiment, the material of the curved part of the endoscope insertion part is one of silicone rubber, TPE, TPU, PVC and PP.
在一实施例中,从弯曲部的近端到弯曲部的远端,V形槽的开口角度依次增大。In one embodiment, from the proximal end of the curved portion to the distal end of the curved portion, the opening angle of the V-shaped groove increases sequentially.
本申请还提供一种内窥镜插入部,包括上述所述的内窥镜插入部的弯曲部。The present application also provides an endoscope insertion part, including the above-mentioned curved part of the endoscope insertion part.
在一实施例中,线束通道通孔内设有连接弯曲部远端和内窥镜的操作部的牵引线,牵引线用于根据操作部的动作控制弯曲部的弯曲;将两个相邻的V形槽之间的部分定义为一个骨节,每两个骨节之间相互分离。In one embodiment, a pulling wire connecting the distal end of the bending part and the operating part of the endoscope is provided in the through hole of the wire harness channel, and the pulling wire is used to control the bending of the bending part according to the action of the operating part; The part between the V-shaped grooves defines a condyle, and every two condyles are separated from each other.
在一实施例中,还包括:保护套,用于套设于弯曲部的外部;置于工作通道通孔内的工作通道管路,工作通道管路的材质为PVC、TPE、PTFE和TPU中的一种;置于所述辅助通道通孔内的水管或气管,所述水管或所述气管的材质为PVC、TPE、PTFE和TPU中的一种。In one embodiment, it also includes: a protective sleeve, which is used to be sleeved on the outside of the bending part; a working channel pipeline placed in the through hole of the working channel, and the material of the working channel pipeline is PVC, TPE, PTFE and TPU A water pipe or air pipe placed in the through hole of the auxiliary channel, the material of the water pipe or the air pipe is one of PVC, TPE, PTFE and TPU.
本申请还提供一种内窥镜,包括上述内窥镜插入部。The present application also provides an endoscope, including the above-mentioned endoscope insertion part.
本申请的一个或多个实施例的细节在下面的附图和描述中提出。本申请的其它特征、目的和优点将从说明书、附图以及权利要求书变得明显。The details of one or more embodiments of the application are set forth in the accompanying drawings and the description below. Other features, objects and advantages of the present application will be apparent from the description, drawings and claims.
附图说明Description of drawings
为了更好地描述和说明这里公开的那些发明的实施例和/或示例,可以参考一幅或多幅附图。用于描述附图的附加细节或示例不应当被认为是对所公开的发明、目前描述的实施例和/或示例以及目前理解的这些发明的最佳模式中的任何一者的范围的限制。In order to better describe and illustrate embodiments and/or examples of the inventions disclosed herein, reference may be made to one or more of the accompanying drawings. Additional details or examples used to describe the drawings should not be considered limitations on the scope of any of the disclosed inventions, the presently described embodiments and/or examples, and the best mode of these inventions currently understood.
图1示出根据一个或多个实施例的内窥镜插入部的弯曲部的结构的立体图。FIG. 1 illustrates a perspective view of a structure of a curved portion of an insertion portion of an endoscope according to one or more embodiments.
图2示出根据一个或多个实施例的内窥镜插入部的弯曲部的结构的仰视图。FIG. 2 illustrates a bottom view of a structure of a curved portion of an insertion portion of an endoscope according to one or more embodiments.
图3示出根据一个或多个实施例提供的弯曲部结构的主视图。Figure 3 illustrates a front view of a bend structure provided in accordance with one or more embodiments.
图4示出根据一个或多个实施例的弯曲部的结构的左视图。FIG. 4 illustrates a left side view of a structure of a bending portion according to one or more embodiments.
图5示出沿着图2和图4中A-A的剖视图。Fig. 5 shows a sectional view along A-A in Fig. 2 and Fig. 4 .
图6为相关技术的弯曲部弯曲时切口或者凹槽的侧壁边缘受力示意图。FIG. 6 is a schematic diagram of force acting on the edge of the side wall of the notch or the groove when the bending part is bent in the related art.
图7为根据一个或多个实施例的弯曲部弯曲时V形槽的侧壁边缘受力示意图。Fig. 7 is a schematic diagram of force acting on the edge of the side wall of the V-shaped groove when the bending part is bent according to one or more embodiments.
图8示出根据一个或多个实施例的内窥镜插入部的弯曲部局部结构的主视图。FIG. 8 illustrates a front view of a partial structure of a curved portion of an insertion portion of an endoscope according to one or more embodiments.
图9示出图8所示结构的俯视图。FIG. 9 shows a top view of the structure shown in FIG. 8 .
图10示出沿着图9的B-B的剖视图。FIG. 10 shows a cross-sectional view along B-B of FIG. 9 .
图11为根据一个或多个实施例的内窥镜的结构立体图。Fig. 11 is a structural perspective view of an endoscope according to one or more embodiments.
图12为根据一个或多个实施例的内窥镜的操作部的内部结构立体图。Fig. 12 is a perspective view of an internal structure of an operating portion of an endoscope according to one or more embodiments.
图13为图12中C处的局部放大示意图。FIG. 13 is a partially enlarged schematic view at point C in FIG. 12 .
具体实施方式Detailed ways
以下由特定的具体实施例说明本申请的实施方式,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申请的其他优点及功效。虽然本申请的描述将结合较佳实施例一起介绍,但这并不代表此发明的特征仅限于该实施方式。恰恰相反,结合实施方式作发明介绍的目的是为了覆盖基于本申请的权利要求而有可能延伸出的其它选择或改造。为了提供对本申请的深度了解,以下描述中将包含许多具体的细节。本申请也可以不使用这些细节实施。此外,为了避免混乱或模糊本申请的重点,有些具体细节将在描述中被省略。需要说明的是,在不冲突的情况下,本申请中的实施例及实施例中的特征可以相互组合。The implementation of the present application will be illustrated by specific specific examples below, and those skilled in the art can easily understand other advantages and effects of the present application from the content disclosed in this specification. Although the description of the present application will be introduced in conjunction with a preferred embodiment, it does not mean that the features of the invention are limited to this embodiment. On the contrary, the purpose of introducing the invention in conjunction with the embodiments is to cover other options or modifications that may be extended based on the claims of the present application. The following description contains numerous specific details in order to provide an in-depth understanding of the present application. The application may also be practiced without these details. Furthermore, some specific details will be omitted from the description in order to avoid obscuring or obscuring the focus of the application. It should be noted that, in the case of no conflict, the embodiments in the present application and the features in the embodiments can be combined with each other.
应注意的是,在本说明书中,相似的标号和字母在下面的附图中表示类似项,因此,一旦某一项在一个附图中被定义,则在随后的附图中不需要对其进行进一步定义和解释。It should be noted that in this specification, similar numerals and letters denote similar items in the following drawings, therefore, once an item is defined in one drawing, it does not need to be identified in subsequent drawings. for further definition and explanation.
在本实施例的描述中,需要说明的是,术语“上”等指示的方位或位置关系为基于附图所示的方位或位置关系,或者是该发明产品使用时惯常摆放的方位或位置关系,仅是为了便于描述本申请和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本申请的限制。In the description of this embodiment, it should be noted that the orientation or positional relationship indicated by the term "upper" is based on the orientation or positional relationship shown in the drawings, or the orientation or position that the inventive product is usually placed in use. The relationship is only for the convenience of describing the present application and simplifying the description, but does not indicate or imply that the referred device or element must have a specific orientation, be constructed and operated in a specific orientation, and thus should not be construed as a limitation of the present application.
在本实施例的描述中,需要说明的是,术语“近”、“远”是相对的位置关系,当操作者操作一器械对目标物体进行处理时,沿这个器械,靠近操作者的一边为“近”,靠近目标物体的一边为“远”。In the description of this embodiment, it should be noted that the terms "near" and "far" are relative positional relationships. When the operator operates a device to process the target object, along the device, the side close to the operator is "Near", the side closer to the target object is "Far".
术语“第一”、“第二”、“第三”等仅用于区分描述,而不能理解为指示或暗示相对重要性。The terms "first", "second", "third", etc. are only used for distinguishing descriptions, and should not be construed as indicating or implying relative importance.
在本实施例的描述中,还需要说明的是,除非另有明确的规定和限定,术语“设置”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本实施例中的具体含义。In the description of this embodiment, it should also be noted that, unless otherwise clearly specified and limited, the terms "setting", "connecting" and "connecting" should be understood in a broad sense, for example, it can be a fixed connection or a A detachable connection, or an integral connection; it may be a mechanical connection or an electrical connection; it may be a direct connection or an indirect connection through an intermediary, and it may be an internal communication between two components. Those of ordinary skill in the art can understand the specific meanings of the above terms in this embodiment in specific situations.
为使本申请的目的、技术方案和优点更加清楚,下面将结合附图对本申请的实施方式作进一步地详细描述。In order to make the purpose, technical solution and advantages of the present application clearer, the implementation manner of the present application will be further described in detail below in conjunction with the accompanying drawings.
电子内窥镜(endoscopy)是一种可插入人体体腔和脏器内腔进行直接观察、诊断、治疗的集光、机、电等技术于一体的医用电子光学仪器。它采用尺寸极小的电子成像元件将所要观察的腔内物体通过微小的物镜光学系统成像,然后将接收到的图像信号送到图像处理系统上,最后在显示器上输出处理后的图像,供医生观察和诊断。电子内窥镜分为电子胃镜、电子十二指肠镜、电子结肠镜等。Electronic endoscopy (endoscopy) is a medical electronic optical instrument that can be inserted into the human body cavity and viscera cavity for direct observation, diagnosis and treatment, integrating light, mechanics, electricity and other technologies. It uses extremely small electronic imaging components to image the object in the cavity to be observed through a tiny objective lens optical system, then sends the received image signal to the image processing system, and finally outputs the processed image on the monitor for doctors Observation and diagnosis. Electronic endoscopes are divided into electronic gastroscopes, electronic duodenoscopes, and electronic colonoscopes.
随着内镜微创诊疗技术的发展,许多疾病可以在保留器官的基础上得到有效治疗。阑 尾切除术一直是治疗急性阑尾炎的主要手段,受到ERCP(Endoscopic Retrograde Cholangiopancreatography,内镜逆行胰胆管造影技术)治疗急性梗阻化脓性胆管炎的启发,近年来内镜逆行阑尾炎治疗术(Endoscopic Retrograde Appendicitis Therapy,ERAT)被提出,与传统的治疗方法比较,ERAT能够迅速减轻症状,减少复发机会,避免长期使用抗生素对肠道菌群影响,避免手术创伤,保留阑尾功能,提高生活质量。简而言之,ERAT通过结肠镜可以直接观察阑尾开口形态,明确阑尾炎诊断,并运用ERCP相关的导管导丝技术对阑尾管腔进行插管、抽吸减压、造影、冲洗及支架引流等操作。With the development of endoscopic minimally invasive diagnosis and treatment technology, many diseases can be effectively treated on the basis of organ preservation. Appendectomy has always been the main method for the treatment of acute appendicitis. Inspired by ERCP (Endoscopic Retrograde Cholangiopancreatography, Endoscopic Retrograde Cholangiopancreatography) in the treatment of acute obstructive suppurative cholangitis, in recent years Endoscopic Retrograde Appendicitis Therapy (Endoscopic Retrograde Appendicitis Therapy) , ERAT) was proposed. Compared with traditional treatment methods, ERAT can quickly relieve symptoms, reduce the chance of recurrence, avoid the impact of long-term use of antibiotics on intestinal flora, avoid surgical trauma, preserve appendix function, and improve quality of life. In short, ERAT can directly observe the shape of the opening of the appendix through colonoscopy, confirm the diagnosis of appendicitis, and use ERCP-related catheter guide wire technology to perform operations such as intubation, suction decompression, angiography, flushing, and stent drainage of the appendix lumen. .
在ERAT诊疗术被提出以后,业内逐渐意识到,ERAT采用放射线造影技术可以对于阑尾炎进行诊断、灌洗、取石、放置支架等治疗,但不能直视阑尾腔内影像,无法完全排除阑尾腔内肿瘤的存在,尚不能达到精准地实现阑尾粪石的取石。因此,有学者提出在ERAT原理的基础上,应用一款一次性使用电子内窥镜子镜,穿过结肠镜的工作通道进入阑尾腔开展诊疗活动。为明确定义,本申请将上述用于ERAT的一次性使用电子内窥镜子镜定义为一次性使用电子阑尾内窥镜,简称阑尾镜或阑尾内窥镜。After the ERAT diagnosis and treatment technique was proposed, the industry gradually realized that ERAT can diagnose, lavage, remove stones, place stents and other treatments for appendicitis using radiographic technology, but it cannot directly view the image of the appendix cavity, and cannot completely rule out the tumor in the appendix cavity However, it is still not possible to achieve accurate extraction of appendix coprolites. Therefore, some scholars proposed that on the basis of the principle of ERAT, a single-use electronic endoscope should be used to pass through the working channel of the colonoscope and enter the appendix cavity to carry out diagnosis and treatment activities. For a clear definition, this application defines the above-mentioned single-use electronic endoscope for ERAT as a single-use electronic appendix endoscope, referred to as appendix or appendix endoscope.
然而,阑尾在人体腹部的右下方,位于盲肠与回肠之间,是条细长弯曲的盲管,其根部与盲肠的后内侧壁相连接,远端游离并闭锁,活动范围变化很大,可能伸向腹腔的任何方位。有公开文献指出,阑尾开口常有Gerlach’s瓣覆盖,导致插管困难。在ERAT各步骤中,插管是难度最大、也是最关键的一步,原因有以下两点:一是阑尾位置变异较多,阑尾内口并不一定在面对内镜的位置;二是ERAT使用的结肠镜无抬钳器,插管时导管伸出内镜头端之后无法用抬钳器调整其方向。本申请提供的弯曲部以及相应的插入部,弯曲角度大,且形成大弯曲角度所需要的操控力小,完全可以适用于阑尾镜,有利于解决上述插管难的问题。However, the appendix is located at the lower right of the human abdomen, between the cecum and the ileum. It is a slender and curved blind tube. Its root is connected to the posteromedial wall of the cecum. any direction in the abdominal cavity. According to published literature, the opening of the appendix is often covered by Gerlach's valve, which makes intubation difficult. Among the various steps of ERAT, intubation is the most difficult and the most critical step. There are two reasons: first, the position of the appendix varies a lot, and the internal opening of the appendix is not necessarily at the position facing the endoscope; The colonoscope does not have a lifter, and the direction of the catheter cannot be adjusted by the lifter after the catheter extends out of the endoscopic end during intubation. The bending part and the corresponding insertion part provided by the present application have a large bending angle, and the manipulation force required to form a large bending angle is small, which can be completely applied to an appendoscope and is beneficial to solve the above-mentioned problem of difficult intubation.
相关技术中包括上述阑尾镜在内的电子内窥镜通常包括操作部、位于操作部远端侧的细长的插入部,操作者通过对操作部进行操作而使位于插入部远端的弯曲部向不同方向弯曲,位于插入部远端端面的观察光学系统得到期望的观察部位的图像,操作者据此可以进行观察、诊断、拍摄、治疗等。也就是说,作为内窥镜插入部的弯曲部使用时,弯曲部的远端设置有观察光学系统,近端则与插入部的其它部位相连,并受操作部的控制实现弯曲。In the related art, electronic endoscopes including the above-mentioned appendoscope usually include an operation part and an elongated insertion part positioned at the distal end side of the operation part. Bending in different directions, the observation optical system located on the distal end surface of the insertion part obtains images of the desired observation site, and the operator can perform observation, diagnosis, photography, treatment, etc. based on this. That is to say, when used as the bending part of the insertion part of the endoscope, the distal end of the bending part is provided with an observation optical system, and the proximal end is connected with other parts of the insertion part, and is controlled by the operation part to realize bending.
发明人发现,相关技术中,弯曲部在工作状态下之所以与期待的弯曲方位存在偏差,是因为弯曲部本体的横截面往往采用圆形或环形,在实际使用中,受牵引丝的牵扯,弯曲部发生弯曲,在弯曲的同时事实上还伴随有周向方向的旋转,也可以称为扭曲或扭转,这就影响弯曲部达到期望的弯曲方位。分体式蛇骨结构由于在各管节之间约束了相互之间的旋转角度,出现扭曲现象的情况少,但是分体式蛇骨结构复杂,生产成本高;一体式蛇骨 结构则通常明显具有上述弯曲方位不准确的问题。The inventor found that in the related art, the reason why the bending part deviates from the expected bending orientation in the working state is because the cross section of the bending part body is often circular or ring-shaped. In actual use, it is pulled by the pulling wire, When the bending part is bent, it is actually accompanied by a rotation in the circumferential direction, which can also be called twisting or twisting, which affects the desired bending orientation of the bending part. The split snake bone structure is less twisted because the mutual rotation angles are restricted between the pipe joints, but the split snake bone structure is complicated and the production cost is high; the one-piece snake bone structure usually has the above-mentioned obvious Problem with inaccurate bend orientation.
根据本申请的第一方面的具体实施方式,图1示出本申请在第一方面的一实施例提供的内窥镜插入部的弯曲部的结构的立体图。如图1所示,本申请提供了一种内窥镜插入部的弯曲部1,包括沿第一方向X延伸的条状本体10,本体10在第一方向X上的横截面外轮廓为6-12边形(作为示例,图1至图5所示为12边形),本体10内设有沿第一方向X延伸并贯穿本体10的多个通孔11,本体10上设有多个沿第一方向X排布并朝向第二方向Y开口的V形槽111a,第二方向Y垂直于第一方向X。According to the specific implementation manner of the first aspect of the present application, Fig. 1 shows a perspective view of the structure of the bending part of the insertion part of the endoscope provided by an embodiment of the first aspect of the present application. As shown in FIG. 1 , the present application provides a bending part 1 of an endoscope insertion part, including a strip-shaped body 10 extending along a first direction X, and the cross-sectional outer profile of the body 10 in the first direction X is 6 - a 12-sided shape (as an example, shown as a 12-sided shape in Figures 1 to 5), the body 10 is provided with a plurality of through holes 11 extending along the first direction X and passing through the body 10, and the body 10 is provided with a plurality of The V-shaped grooves 111 a are arranged along the first direction X and open toward the second direction Y, and the second direction Y is perpendicular to the first direction X.
采用上述技术方案,通过本体10在第一方向上的横截面外轮廓为6-12边形的设置,使得本申请提供的内窥镜插入部的弯曲部受控弯曲时不易发生扭曲;通过V形槽的设置,相对于其它形状,进一步强化了上述不易发生扭曲的有益效果。By adopting the above technical solution, the cross-sectional outer contour of the body 10 in the first direction is set to be 6-12 polygonal, so that the bending part of the endoscope insertion part provided by the application is not easy to be twisted when it is controlled to bend; through V Compared with other shapes, the setting of the shaped groove further strengthens the above-mentioned beneficial effect of not being easily twisted.
相关技术中内窥镜插入管弯曲部横截面一般设计为圆形或环形,即在松弛状态(未受到牵引线的牵拉)下呈现为圆柱体。在插入部进入人体体腔等需观察位置时,弯曲部受到牵引线的牵拉发生弯曲,此时往往在弯曲的同时还伴随有周向方向的旋转,即扭曲或扭转,这就影响弯曲部达到期望的弯曲方位,使观察角度发生偏差。究其原因,如图6所示,相关技术的大致呈圆柱体的弯曲部弯曲时,扇形切口或者凹槽的两个相对设置的面发生贴合,此时在两个相互贴合的面的边缘是圆形,意味着在相对设置的面的边缘各个点的受力基本相同;此外,为了使弯曲部既便于实现弯曲,又能够在不再受到牵引线的牵拉时恢复初始形状,弯曲部往往采用弹性材料。这就导致相关技术提供的弯曲部在弯曲时就容易在周向上发生旋转,也就是扭曲。而采用本申请上述技术方案,通过本体10在第一方向上的横截面外轮廓为6-12边形的设置,使得本申请提供的内窥镜插入部的弯曲部1向第二方向Y弯曲时,如图7所示,V形槽的相对设置的侧壁边缘为折线式的直边,当本申请实施例提供的V形槽随弯曲部1的弯曲,其相对设置的侧壁贴合时,侧壁边缘的受力在周向上并非是均匀的,即在折角处不同于直边处的受力,这样,可以在一定程度上防止弯曲部1在弯曲时在周向上发生旋转。然而,如果将本体10在第一方向上的横截面外轮廓设置为边的数量低于6的多边形,会影响弯曲部1的弯曲的灵活性以及减少本体10可容纳通孔11的数量和大小;而抗扭曲的性能也会随着边的数量的增加而减弱。因此,经过反复试验,将多边形的边数设置在6-12之间是合适的。In the related art, the cross-section of the curved part of the endoscope insertion tube is generally designed to be circular or annular, that is, it appears as a cylinder in a relaxed state (not pulled by the pulling wire). When the insertion part enters the human body cavity and other places that need to be observed, the bending part is pulled by the pulling wire and bends. At this time, the bending is often accompanied by rotation in the circumferential direction, that is, twisting or twisting, which affects the reach of the bending part. Desired bending orientation, which deviates the viewing angle. The reason is that, as shown in Figure 6, when the substantially cylindrical curved portion of the related art is bent, the two oppositely arranged surfaces of the scallop or groove fit together, and at this time, the two mutually fitted surfaces The edge is rounded, which means that the force at each point on the edge of the opposite surface is basically the same; in addition, in order to make the bending part not only easy to realize bending, but also to restore the original shape when it is no longer pulled by the pulling line, the bending The parts are often made of elastic material. This leads to the fact that the curved portion provided by the related art is prone to rotate in the circumferential direction when it is bent, that is to say twisted. However, by adopting the above-mentioned technical solution of the present application, the cross-sectional outer contour of the main body 10 in the first direction is set to be 6-12 polygonal, so that the bending part 1 of the endoscope insertion part provided by the present application is bent in the second direction Y 7, the opposite side wall edges of the V-shaped groove are folded straight sides. When the V-shaped groove provided by the embodiment of the application follows the bending of the bending part 1, the opposite side walls of the V-shaped groove fit together. At the same time, the force on the edge of the side wall is not uniform in the circumferential direction, that is, the force at the corner is different from that at the straight edge, so that the bending part 1 can be prevented from rotating in the circumferential direction to a certain extent when it is bent. However, if the cross-sectional outer profile of the body 10 in the first direction is set as a polygon with sides less than 6, it will affect the bending flexibility of the bending part 1 and reduce the number and size of the through holes 11 that the body 10 can accommodate. ; and the anti-distortion performance will also decrease with the increase of the number of sides. Therefore, after trial and error, it is appropriate to set the number of sides of the polygon between 6-12.
还有,V形槽的V形设置,也就是说槽的底部呈线性,这样在弯曲部弯曲、槽的相对的侧壁贴合时,两侧壁相互贴合的面积更大。这样的设置相对于相关技术的U形槽或者底部并非呈线性的设置,对实现抗扭曲的效果也有帮助。In addition, the V-shaped configuration of the V-shaped groove means that the bottom of the groove is linear, so that when the curved part is bent and the opposite side walls of the groove are attached, the area where the two side walls are attached to each other is larger. Compared with the U-shaped groove or the non-linear bottom arrangement in the related art, such an arrangement is also helpful for realizing the effect of anti-distortion.
另外,由于弯曲部1属于插入部的一部分,而插入部需要被插入人体或者狭窄环境, 因此弯曲部往往还需要在外侧设置保护套。将弯曲部本体10的外侧轮廓设置为多边形,相对于相关技术中的圆形,也有利于在弯曲部沿轴向穿入保护套。本领域技术人员可以理解,这是因为减少了弯曲部1外侧与保护套内侧的接触面积;多边形的直边与通常为圆形的保护套内壁之间留有空隙,也同样有利于弯曲部1沿轴向穿入保护套。上述效果在保护套和弯曲部1均为弹性材料时尤为明显。最重要地,以上技术方案结构简单,可低成本地制造。In addition, since the bending part 1 is a part of the insertion part, and the insertion part needs to be inserted into a human body or a narrow environment, the bending part often needs to be provided with a protective cover outside. Setting the outer contour of the bending part body 10 as a polygon, compared with the circular shape in the related art, is also conducive to axial penetration of the protective sleeve at the bending part. Those skilled in the art can understand that this is because the contact area between the outside of the curved part 1 and the inside of the protective cover is reduced; a gap is left between the straight sides of the polygon and the inner wall of the protective cover that is usually circular, which is also beneficial to the bending part 1. Thread the protective sleeve axially. The above effects are particularly obvious when both the protective cover and the bending portion 1 are made of elastic materials. Most importantly, the above technical solution has a simple structure and can be manufactured at low cost.
图2示出本申请在第一方面的一实施例提供的内窥镜插入部的弯曲部的结构的仰视图,即沿Y方向的视角。图3示出本申请在第一方面的一实施例提供的弯曲部结构的主视图,即是沿Z’方向的视角。图4示出本申请在第一方面的一实施例提供的弯曲部结构的左视图。图5示出沿着图2和图4中A-A的剖视图。如图1至图5所示,本体10上设有多个沿第一方向X排布并朝向第三方向Z开口的V形槽112a,第三方向Z同时垂直于第二方向Y和第一方向X。本体10上还设有多个沿第一方向X排布并朝向第二方向Y的反方向Y’开口的V形槽111b,和/或,朝向第三方向Z的反方向Z’开口的V形槽112b。Fig. 2 shows a bottom view of the structure of the curved portion of the insertion portion of the endoscope provided by an embodiment of the first aspect of the present application, that is, a viewing angle along the Y direction. Fig. 3 shows a front view of the bending part structure provided by an embodiment of the first aspect of the present application, that is, a viewing angle along the Z' direction. Fig. 4 shows a left view of the bending part structure provided by an embodiment of the first aspect of the present application. Fig. 5 shows a sectional view along A-A in Fig. 2 and Fig. 4 . As shown in Figures 1 to 5, the body 10 is provided with a plurality of V-shaped grooves 112a arranged along the first direction X and opening toward the third direction Z, and the third direction Z is perpendicular to the second direction Y and the first direction at the same time. Direction X. The main body 10 is also provided with a plurality of V-shaped grooves 111b arranged along the first direction X and opening toward the opposite direction Y' of the second direction Y, and/or V-shaped grooves 111b opening toward the opposite direction Z' of the third direction Z. shaped groove 112b.
继续参考图1至图5,一个朝向第二方向Y的V形槽111a与一个朝向第二方向Y的反方向Y’的V形槽111b相对设置,形成第一V形槽组111;一个朝向第三方向Z的V形槽112a与一个朝向第三方向Z的反方向Z’的V形槽112b相对设置,形成第二V形槽组112。其中相对设置是指V形槽111a与V形槽111b在第一方向X上的轴向位置基本相同,换句话说V形槽111a与V形槽111b距离弯曲部1的一端的距离相同,使得弯曲部1在弯曲过程中,V形槽111a与V形槽111b中一个V形槽进行闭合时,另一个V形槽进行进一步张开,有利于保证弯曲部1在弯曲过程中保持稳定。Continuing to refer to FIG. 1 to FIG. 5, a V-shaped groove 111a facing the second direction Y is opposite to a V-shaped groove 111b facing the opposite direction Y' of the second direction Y, forming a first V-shaped groove group 111; The V-shaped groove 112 a in the third direction Z is opposite to a V-shaped groove 112 b facing in the opposite direction Z′ of the third direction Z, forming a second V-shaped groove group 112 . The relative setting means that the axial positions of the V-shaped groove 111a and the V-shaped groove 111b in the first direction X are basically the same, in other words, the distance between the V-shaped groove 111a and the V-shaped groove 111b from one end of the bending part 1 is the same, so that During the bending process of the bending part 1, when one of the V-shaped grooves 111a and 111b is closed, the other V-shaped groove is further opened, which is beneficial to ensure that the bending part 1 remains stable during the bending process.
继续参考图1,第一V形槽组111与第二V形槽组112沿第一方向X间隔设置,有利于保证弯曲部1在沿第二方向Y、第二方向的反方向Y’、第三方向Z或第三方向的反方向Z’弯曲时,弯曲部1的正常弯曲以及结构稳定。在本申请另一实施例中,第一V形槽组111和/或第二V形槽组112中的开口方向相反的两个V形槽之间的间隔d为0.3-0.9毫米(如图2和图3所示),以保证弯曲部1具有足够的折弯次数。Continuing to refer to FIG. 1 , the first V-shaped groove group 111 and the second V-shaped groove group 112 are arranged at intervals along the first direction X, which is beneficial to ensure that the bending part 1 is in the second direction Y, the opposite direction Y' of the second direction, When bending in the third direction Z or the opposite direction Z' of the third direction, the normal bending and structural stability of the bending part 1 are achieved. In another embodiment of the present application, the interval d between two V-shaped grooves with opposite opening directions in the first V-shaped groove group 111 and/or the second V-shaped groove group 112 is 0.3-0.9 millimeters (as shown in FIG. 2 and Figure 3), to ensure that the bending part 1 has enough bending times.
弯曲部1本体10的横截面的外接圆直径大致为12毫米,参考图2,在本申请的实施例中,V形槽的最大开口角度为45度,经过试验对比发现,基于本申请提供的实施例中各部件的结构和材质,更大的开口角度不利于弯曲角度的准确控制,对抗扭曲性能也有不利影响;V形槽的最小开口角度为10度,基于本申请提供的实施例中各部件结构和材质的配合,更小的开口角度难以提供需要的弯曲程度,即弯曲部受控在轴向方向上弯曲的角度。本领域技术人员可以了解,上述V形槽的开口角度与弯曲部1本体10横截面的外接圆直 径有直接关系,两者的配合关系直接影响弯曲部1的弯曲性能以及抗扭曲性能。根据试验,为保证上述性能,V形槽的开口角度与弯曲部1本体10的横截面外接圆直径大致呈线性关系,即V形槽的最大开口角度数值是弯曲部1本体10的横截面外接圆直径的单位为毫米的数值的3.75倍。The diameter of the circumscribed circle of the cross section of the body 10 of the bending part 1 is approximately 12 millimeters. With reference to FIG. 2, in the embodiment of the application, the maximum opening angle of the V-shaped groove is 45 degrees. After testing and comparison, it is found that based on the For the structure and material of each component in the embodiment, a larger opening angle is not conducive to the accurate control of the bending angle, and has an adverse effect on the anti-twisting performance; the minimum opening angle of the V-shaped groove is 10 degrees, based on each of the embodiments provided by the application. Due to the combination of component structure and material, a smaller opening angle is difficult to provide the required degree of bending, that is, the angle at which the bending part is controlled to bend in the axial direction. Those skilled in the art can understand that the opening angle of the above-mentioned V-shaped groove is directly related to the diameter of the circumscribed circle of the cross section of the body 10 of the bending part 1, and the cooperation between the two directly affects the bending performance and anti-torsion performance of the bending part 1. According to the test, in order to ensure the above performance, the opening angle of the V-shaped groove is roughly linearly related to the diameter of the circumscribed circle of the cross-section of the body 10 of the bending part 1, that is, the maximum opening angle value of the V-shaped groove is the circumscribed circle of the cross-section of the body 10 of the bending part 1. The unit of circle diameter is 3.75 times the numerical value of millimeter.
如图2和图3所示,V形槽的开口角度α1、α2、α3最大为45度,最小为10度。结合图1至图5,在本申请的一个实施例中,从弯曲部1的近端12到远端13,V形槽的开口角度逐渐增大,即α1<α2<α3。其中,α1和α3分别表示最靠近弯曲部1端部的V形槽的开口角度,α2表示非最靠近弯曲部1端部的V形槽的开口角度。As shown in Fig. 2 and Fig. 3, the opening angles α1, α2, α3 of the V-shaped grooves are at most 45 degrees and at least 10 degrees. Referring to FIG. 1 to FIG. 5 , in one embodiment of the present application, from the proximal end 12 to the distal end 13 of the curved portion 1 , the opening angle of the V-shaped groove gradually increases, ie α1<α2<α3. Wherein, α1 and α3 represent the opening angles of the V-shaped groove closest to the end of the bending part 1 respectively, and α2 represents the opening angle of the V-shaped groove not closest to the end of the bending part 1 .
然而,上述V形槽的最大开口角度和最小开口角度不需要同时满足。尤其是最小开口角度,可以根据需要进行调整。However, the above-mentioned maximum opening angle and minimum opening angle of the V-shaped groove need not be satisfied at the same time. Especially the minimum opening angle can be adjusted as needed.
如图4、图11-图13所示,通孔11可以包括工作通道通孔14、辅助通道通孔15或者线束通道通孔16。线束通道通孔16可以包括子孔16a、16b、16c,分别为牵引线16a’、光纤和电线提供路径。牵引线16a’的作用在于根据操作部200的操作,控制弯曲部1弯曲,具体可以是牵引线16a’的一端固定于操作部200,另一端穿过弯曲部1的近端后固定在弯曲部1的远端13,通过操作部200对牵引线16a’一拉一松就可以带动弯曲部1的头端进行一拉一松,从而实现对插入部的弯曲部1的弯曲控制;光纤可以通过将外部光源的光传递至需要的位置,为内窥镜插入人体腔内部且观察的过程提供照明;电线可以是传输电子数据的摄像线缆,也可以是传递较大电流的线缆。工作通道通孔14为工作通道管路提供路径,工作通道管路材质可以为PVC(中文名称:聚氯乙烯)、TPE(中文名称:热塑性弹性体)、PTFE(中文名称:聚四氟乙烯)和TPU(中文名称:热塑性聚氨酯弹性体)中的一种。辅助通道通孔15为水管或气管提供路径,水管或气管的材质可以为PVC(中文名称:聚氯乙烯)、TPE(中文名称:热塑性弹性体)、PTFE(中文名称:聚四氟乙烯)和TPU(中文名称:热塑性聚氨酯弹性体)中的一种。水管或气管材质、工作通道管路的材质与弯曲部1本体10的材质相互之间可以有配合作用,可以通过两者材料的相互调配,进一步控制所需的操控力度、弯曲角度以及弯曲的稳定性。在本申请实施例中,弯曲部1本体10的材质可以为硅橡胶、TPE(中文名称:热塑性弹性体)、TPU(中文名称:热塑性聚氨酯弹性体)、PVC(中文名称:聚氯乙烯)和PP(中文名称:聚丙烯)中的一种。As shown in FIGS. 4 , 11 - 13 , the through holes 11 may include a working channel through hole 14 , an auxiliary channel through hole 15 or a harness channel through hole 16 . The harness passage through hole 16 may include sub-holes 16a, 16b, 16c to provide paths for pull wires 16a', optical fibers and electrical wires, respectively. The function of the pulling wire 16a' is to control the bending of the bending part 1 according to the operation of the operating part 200. Specifically, one end of the pulling wire 16a' may be fixed to the operating part 200, and the other end of the pulling wire 16a' may be fixed to the bending part after passing through the proximal end of the bending part 1. 1, the pulling wire 16a' can be pulled and loosened by the operating part 200 to drive the head end of the bending part 1 to be pulled and loosened, so as to realize the bending control of the bending part 1 of the insertion part; the optical fiber can pass through The light from the external light source is transmitted to the required position to provide illumination for the process of inserting the endoscope into the human cavity and observing; the wire can be a camera cable that transmits electronic data, or a cable that transmits a large current. The working channel through hole 14 provides a path for the working channel pipeline, and the material of the working channel pipeline can be PVC (Chinese name: polyvinyl chloride), TPE (Chinese name: thermoplastic elastomer), PTFE (Chinese name: polytetrafluoroethylene) And one of TPU (Chinese name: thermoplastic polyurethane elastomer). Auxiliary channel through hole 15 provides path for water pipe or air pipe, and the material of water pipe or air pipe can be PVC (Chinese name: polyvinyl chloride), TPE (Chinese name: thermoplastic elastomer), PTFE (Chinese name: polytetrafluoroethylene) and One of TPU (Chinese name: thermoplastic polyurethane elastomer). The material of the water pipe or air pipe, the material of the working channel pipeline and the material of the bending part 1 body 10 can cooperate with each other, and the required manipulation strength, bending angle and bending stability can be further controlled through the mutual deployment of the two materials sex. In the embodiment of the present application, the material of the bending part 1 body 10 can be silicone rubber, TPE (Chinese name: thermoplastic elastomer), TPU (Chinese name: thermoplastic polyurethane elastomer), PVC (Chinese name: polyvinyl chloride) and One of PP (Chinese name: polypropylene).
以上材质的选用适合于弯曲部1一体式设置,也适用于非一体式的设置,即以上材质的选用在骨节20相互分离的状态下,有助于加强骨节20之间的摩擦力,从而当分离的骨节20相互之间发生弯曲后,由于骨节20间摩擦力的相互作用以及牵引丝对骨节20形成的轴向压力,相互接触的部位可以保持相对位置不变,因此可以顺利实现复位。The selection of the above materials is suitable for the integrated arrangement of the bending part 1, and is also suitable for the non-integrated arrangement, that is, the selection of the above materials helps to strengthen the friction between the joints 20 when the joints 20 are separated from each other, so that when After the separated joints 20 are bent with each other, due to the frictional interaction between the joints 20 and the axial pressure formed by the traction wire on the joints 20, the parts in contact with each other can keep their relative positions unchanged, so the reduction can be achieved smoothly.
可选地,子孔16a内设有连接弯曲部1远端13和内窥镜的操作部200的牵引线16a’,牵引线16a’用于根据操作部200的动作控制弯曲部1的弯曲;将两个相邻的V形槽之间的部分定义为一个骨节20,每两个骨节20之间相互分离。Optionally, the subhole 16a is provided with a pulling wire 16a' connecting the distal end 13 of the bending part 1 and the operating part 200 of the endoscope, and the pulling wire 16a' is used to control the bending of the bending part 1 according to the action of the operating part 200; The part between two adjacent V-shaped grooves is defined as a joint 20 , and every two joints 20 are separated from each other.
这样,牵引线16a’沿线束通道16的子孔16a逐个穿过弯曲部1的各个骨节20,将各个骨节20连接在一起,骨节20之间相互分离或称为断开(即不是一个整体),但受牵引线16a’的连接作用而保持接触。当弯曲部1受牵引线16a’牵拉时发生弯曲,各个骨节20之间由于相互分离,相对于骨节20之间相互一体式地连接,减少了相互之间的弯曲约束,有利于弯曲部1实现更大角度的弯曲;而且在实现更大弯曲角度的同时,牵引线16a’所需要的牵拉的力量也可以更小。In this way, the pulling wire 16a' passes through the joints 20 of the bending part 1 one by one along the sub-hole 16a of the wire harness channel 16, and connects the joints 20 together, and the joints 20 are separated or disconnected (that is, not a whole) , but are kept in contact by the connecting effect of the pulling wire 16a'. When the bending part 1 is pulled by the traction wire 16a', it bends. Since the joints 20 are separated from each other, they are integrally connected with each other, which reduces the mutual bending constraints and is beneficial to the bending part 1. A larger bending angle is realized; and while a larger bending angle is realized, the pulling force required by the pulling wire 16a' can also be smaller.
虽然骨节20之间相互分离或断开,但是由于骨节20之间摩擦力和牵引线16a’的连接作用,弯曲部1在弯曲后仍然能够恢复至弯曲前的形状。而且,作为内窥镜的弯曲部1的外侧,还会设置保护套,保护套也对弯曲部1形状的恢复具有帮助作用。Although the joints 20 are separated or disconnected from each other, due to the friction force between the joints 20 and the connection effect of the traction line 16a', the bending part 1 can still return to the shape before bending after bending. Moreover, as the outer side of the bending part 1 of the endoscope, a protective cover is also provided, and the protective cover also helps the recovery of the shape of the bending part 1 .
相关技术中采用分体式的内窥镜插入部的弯曲部,多个金属管节依次链接,或者是金属管雕刻而成,装配工艺复杂,造价成本高。本申请提供的内窥镜插入部的弯曲部1为一体注塑成型,减少了零部件的组装,降低生产成本。In the related art, the curved part of the insertion part of the endoscope is split, and a plurality of metal pipe sections are connected in sequence, or the metal pipes are carved, and the assembly process is complicated and the cost is high. The bending part 1 of the endoscope insertion part provided by the present application is integrally injection-molded, which reduces the assembly of components and reduces the production cost.
本申请的第一方面还提供一种内窥镜插入部300,包括上述实施例所述的内窥镜插入部300的弯曲部1,还包括:保护套,用于套设于所述弯曲部1的外部;置于所述工作通道通孔14内的工作通道管路,所述工作通道管路的材质为PVC、TPE、PTFE和TPU中的一种;置于所述辅助通道通孔15内的水管或气管,所述水管或所述气管的材质为PVC、TPE、PTFE和TPU中的一种。The first aspect of the present application also provides an endoscope insertion part 300, which includes the bending part 1 of the endoscope insertion part 300 described in the above embodiment, and further includes: a protective sleeve, which is used to be sleeved on the bending part 1; the working channel pipeline placed in the through hole 14 of the working channel, the material of the working channel pipeline is one of PVC, TPE, PTFE and TPU; placed in the auxiliary channel through hole 15 The water pipe or air pipe inside, the material of the water pipe or the air pipe is one of PVC, TPE, PTFE and TPU.
如图11-图13所示,本申请的第一方面还提供一种内窥镜100,包括上述所述的内窥镜插入部300,结构简单且可低成本地制造。As shown in FIGS. 11-13 , the first aspect of the present application also provides an endoscope 100 , including the above-mentioned endoscope insertion portion 300 , which has a simple structure and can be manufactured at low cost.
根据本申请的第二方面的具体实施方式,本申请的实施方式公开一种内窥镜插入部的弯曲部1,包括沿第一方向X延伸的条状本体10,本体10内设有沿第一方向X延伸并贯穿本体10的多个通孔11,本体10上设有多个沿第一方向X排布并朝向第二方向Y开口的V形槽111a,第二方向Y垂直于第一方向X,其中,如图8所示,在本体10外侧上设置V形槽111a的区域设有具有一平面底面17的凹槽17’,使V形槽111a的侧壁外边缘18形成直边。According to the specific implementation of the second aspect of the application, the embodiment of the application discloses a bending part 1 of the insertion part of the endoscope, including a strip-shaped body 10 extending along the first direction X, and inside the body 10 is a A direction X extends through a plurality of through holes 11 of the body 10. The body 10 is provided with a plurality of V-shaped grooves 111a arranged along the first direction X and opening toward the second direction Y. The second direction Y is perpendicular to the first direction Y. Direction X, wherein, as shown in Figure 8, the region where the V-shaped groove 111a is provided on the outside of the body 10 is provided with a groove 17' having a flat bottom surface 17, so that the side wall outer edge 18 of the V-shaped groove 111a forms a straight edge .
采用上述技术方案,通过V形槽111a的侧壁外边缘18形成直边的结构设置,使得本申请提供的内窥镜插入部的弯曲部1受控弯曲时不易发生扭曲;通过V形槽111a的设置,相对于其它形状,进一步强化了上述不易发生扭曲的有益效果。By adopting the above-mentioned technical scheme, the straight-edge structure is formed by the outer edge 18 of the side wall of the V-shaped groove 111a, so that the bending part 1 of the insertion part of the endoscope provided by the application is not easily twisted when it is controlled to bend; through the V-shaped groove 111a Compared with other shapes, the setting of further strengthens the above-mentioned beneficial effect that distortion is not easy to occur.
在其它实施例中,凹槽17’沿本体10的周向设有多个,使V形槽111a的侧壁外边缘18形成直边组成的折线边。In other embodiments, multiple grooves 17' are provided along the circumferential direction of the body 10, so that the outer edge 18 of the side wall of the V-shaped groove 111a forms a folding line edge composed of straight sides.
如上述对本申请的第一方面的具体实施方式的描述,在本申请第二方面的具体实施方式中,相对于相关技术,仍然能够实现在弯曲部1向第二方向Y弯曲时,由于V形槽111a的相对设置的侧壁外边缘18为直边,或者进一步为形成折线的直边,可以在一定程度上防止弯曲部1在弯曲时在周向上发生旋转。As described above for the specific implementation of the first aspect of the present application, in the specific implementation of the second aspect of the present application, compared to the related art, it can still be realized that when the bending part 1 bends to the second direction Y, due to the V-shaped The outer edge 18 of the opposite side wall of the groove 111a is a straight edge, or further a straight edge forming a fold line, which can prevent the bending part 1 from rotating in the circumferential direction during bending to a certain extent.
为方便表述,将V形槽和凹槽定义为V形槽区。可以在本体10上设有多个沿第一方向X排布并朝向第三方向Z开口的V形槽区112a’(如图2所示,图中平面底面17未示出),第三方向Z同时垂直于第二方向Y和第一方向X。还可以在本体10上设有多个沿第一方向X排布并朝向第二方向Y的反方向Y’开口的V形槽区111b’(如图3所示,图中平面底面17未示出),和/或朝向第三方向Z的反方向Z’开口的V形槽区112b’(如图2所示,图中平面底面17未示出)。For the convenience of expression, the V-shaped groove and the groove are defined as the V-shaped groove area. The body 10 may be provided with a plurality of V-shaped groove areas 112a' arranged along the first direction X and opening toward the third direction Z (as shown in FIG. 2 , the plane bottom surface 17 is not shown in the figure), and the third direction Z is perpendicular to the second direction Y and the first direction X at the same time. The body 10 may also be provided with a plurality of V-shaped groove areas 111b' arranged along the first direction X and opening toward the opposite direction Y' of the second direction Y (as shown in FIG. 3 , the plane bottom surface 17 is not shown in the figure. out), and/or the V-shaped groove area 112b' opening toward the direction Z' opposite to the third direction Z (as shown in FIG. 2 , the plane bottom surface 17 is not shown in the figure).
如图1所示,将一个朝向第二方向Y的V形槽区111a’与一个朝向第二方向Y的反方向Y’的V形槽区111b’相对设置,形成第一V形槽区组111’。相应的,可以将一个朝向第三方向Z的V形槽区112a’与一个朝向第三方向Z的反方向Z’的V形槽区112b’相对设置,形成第二V形槽区组112’。As shown in Figure 1, a V-shaped groove area 111a' facing the second direction Y and a V-shaped groove area 111b' facing the opposite direction Y' of the second direction Y are arranged opposite to form a first V-shaped groove area group 111'. Correspondingly, a V-shaped groove area 112a' facing the third direction Z can be arranged opposite to a V-shaped groove area 112b' facing the opposite direction Z' of the third direction Z, forming a second V-shaped groove area group 112' .
在另一实施例中,可以使一个第一V形槽区组111’或一个第二V形槽区组112’的V形槽侧壁外边缘18在垂直于第一方向X的参考平面上的投影呈6-12边形。这样设置的有益效果如本申请第一方面的具体实施方式中所描述的。In another embodiment, the V-shaped groove side wall outer edge 18 of a first V-shaped groove area group 111' or a second V-shaped groove area group 112' can be on a reference plane perpendicular to the first direction X The projection is 6-12 polygons. The beneficial effect of such setting is as described in the specific implementation manner of the first aspect of the present application.
在另一实施例中,第一V形槽区组111’,和/或,第二V形槽区组112’中的开口方向相反的两个V形槽区之间间隔d为0.3-0.9毫米(如图2和图3所示),以保证弯曲部1的折弯次数。第一V形槽区组111’与第二V形槽区组112’沿第一方向X间隔设置。V形槽区的最大开口角度度数为V形槽区组的V形槽侧壁外边缘18横截面外接圆直径毫米数的3.75倍。In another embodiment, the interval d between the two V-shaped grooves with opposite opening directions in the first V-shaped groove group 111' and/or the second V-shaped groove group 112' is 0.3-0.9 mm (as shown in Figure 2 and Figure 3), to ensure the bending times of the bending part 1. The first V-shaped groove group 111' and the second V-shaped groove group 112' are arranged at intervals along the first direction X. The maximum opening angle of the V-shaped groove area is 3.75 times the diameter of the circumscribed circle in millimeters of the outer edge 18 of the V-shaped groove side wall of the V-shaped groove area group.
如图4和图5所示,通孔11可以包括工作通道通孔14、辅助通道通孔15和线束通道通孔16。As shown in FIGS. 4 and 5 , the through holes 11 may include a working channel through hole 14 , an auxiliary channel through hole 15 and a harness channel through hole 16 .
可选地,线束通道通孔16的子孔16a内设有连接弯曲部1远端13和内窥镜的操作部200的牵引线16a’,牵引线16a’用于根据操作部200的动作控制弯曲部1的弯曲;将两个相邻的V形槽之间的部分定义为一个骨节20,每两个骨节20之间相互分离。Optionally, the sub-hole 16a of the harness channel through hole 16 is provided with a pulling wire 16a' connecting the distal end 13 of the bending part 1 and the operating part 200 of the endoscope, and the pulling wire 16a' is used to control the The bending of the bending part 1 ; the part between two adjacent V-shaped grooves is defined as a joint 20 , and every two joints 20 are separated from each other.
这样,牵引线16a’沿线束通道逐个穿过弯曲部1的各个骨节20,将各个骨节20连接在一起,骨节20之间相互分离或称为断开(即不是一个整体),但受牵引线16a’的连接作 用而保持接触。当弯曲部1受牵引线16a’牵拉时发生弯曲,各个骨节20之间由于相互分离,相对于骨节20之间相互一体式地连接,减少了相互之前的约束,有利于弯曲部1实现更大角度的弯曲;而且在实现更大弯曲角度的同时,牵引线16a’所需要的牵拉的力量也可以更小。In this way, the pulling wire 16a' passes through each condyle 20 of the bending part 1 one by one along the wire harness channel, and connects each condyle 20 together. 16a' connection to maintain contact. When the bending part 1 is pulled by the traction wire 16a', bending occurs, the condyles 20 are separated from each other, and compared with the condyles 20, they are integrally connected to each other, which reduces the mutual constraints and is beneficial to the bending part 1 to achieve more Large-angle bending; and while achieving a larger bending angle, the pulling force required by the pulling wire 16a' can also be smaller.
虽然骨节20之间相互分离或断开,但是由于骨节20之间摩擦力和牵引线16a’的连接作用,弯曲部1在弯曲后仍然能够恢复至弯曲前的形状。而且,作为内窥镜的弯曲部1的外侧,还会设置保护套,保护套也对弯曲部1形状的恢复具有帮助。Although the joints 20 are separated or disconnected from each other, due to the friction force between the joints 20 and the connection effect of the traction line 16a', the bending part 1 can still return to the shape before bending after bending. In addition, a protective cover is provided on the outside of the bending part 1 of the endoscope, and the protective cover also helps to restore the shape of the bending part 1 .
在一实施例中,如图8-图10所示,弯曲部1本体10外周设有沿第一方向X延伸的凸筋19。在其它实施例中也可以是沿第一方向X设置的凸块、凸点等,或者是沿第一方向X延伸的凹槽(不同于前述凹槽17’)。同前所述,这样设置有利于更快速地将弯曲部1沿轴向(即第一方向X)穿入保护套。In one embodiment, as shown in FIGS. 8-10 , a rib 19 extending along the first direction X is provided on the outer periphery of the body 10 of the bending part 1 . In other embodiments, it may also be a bump, a bump, etc. arranged along the first direction X, or a groove extending along the first direction X (different from the aforementioned groove 17'). As mentioned above, such arrangement is beneficial to insert the bending part 1 into the protective sheath along the axial direction (ie, the first direction X) more quickly.
同本申请第一方面,内窥镜插入部的弯曲部1可以为一体注塑成型。内窥镜插入部的弯曲部1的材质可以为硅橡胶、TPE、TPU、PVC和PP中的一种。从弯曲部1的近端12到弯曲部1的远端13,V形槽的开口角度可以设置为依次增大。以上材质对在骨节20相互分离的状态下,有助于加强骨节20之间的摩擦力,从而当分离的骨节20相互之间发生弯曲后,由于骨节20间摩擦力的相互作用,牵引丝对骨节20形成的轴向压力,相互接触的部位可以保持相对位置不变,因此可以顺利实现复位。Similar to the first aspect of the present application, the curved portion 1 of the insertion portion of the endoscope can be integrally injection molded. The material of the bending part 1 of the insertion part of the endoscope can be one of silicone rubber, TPE, TPU, PVC and PP. From the proximal end 12 of the curved part 1 to the distal end 13 of the curved part 1, the opening angle of the V-shaped groove can be set to increase sequentially. When the joints 20 are separated from each other, the above material pair helps to strengthen the friction between the joints 20, so that when the separated joints 20 are bent, due to the interaction of the friction force between the joints 20, the pulling wire will The axial pressure formed by the condyle 20 can keep the relative position of the parts in contact with each other unchanged, so the reduction can be smoothly realized.
本申请的第二方面还提供一种内窥镜插入部300,包括上述所述的内窥镜插入部的弯曲部1。该弯曲部1还可以包括:保护套,用于套设于弯曲部1的外部;置于工作通道通孔14内的工作通道管路,工作通道管路的材质为PVC、TPE、PTFE和TPU中的一种;置于所述辅助通道通孔15内的水管或气管,所述水管或所述气管的材质为PVC、TPE、PTFE和TPU中的一种。The second aspect of the present application further provides an endoscope insertion part 300, including the above-mentioned bending part 1 of the endoscope insertion part. The bending part 1 can also include: a protective sleeve, which is used to be sleeved on the outside of the bending part 1; a working channel pipeline placed in the working channel through hole 14, and the material of the working channel pipeline is PVC, TPE, PTFE and TPU One of them; the water pipe or air pipe placed in the through hole 15 of the auxiliary channel, the material of the water pipe or the air pipe is one of PVC, TPE, PTFE and TPU.
在一实施例中,线束通道通孔16内设有连接弯曲部1远端13和内窥镜的操作部200的牵引线16a’,牵引线16a’用于根据操作部200的动作控制弯曲部1的弯曲;将两个相邻的V形槽之间的部分定义为一个骨节20,每两个骨节20之间相互分离。In one embodiment, a pulling wire 16a' connecting the distal end 13 of the bending part 1 and the operating part 200 of the endoscope is provided in the through hole 16 of the wire harness channel, and the pulling wire 16a' is used to control the bending part according to the action of the operating part 200 1; the part between two adjacent V-shaped grooves is defined as a joint 20, and every two joints 20 are separated from each other.
这样,牵引线16a’沿线束通道逐个穿过弯曲部1的各个骨节20,将各个骨节20连接在一起,骨节20之间相互分离或称为断开(即不是一个整体),但受牵引线16a’的连接作用而保持接触。当弯曲部1受牵引线16a’牵拉时发生弯曲,各个骨节20之间由于相互分离,相对于骨节20之间相互一体式地连接,减少了相互之前的约束,有利于弯曲部1实现更大角度的弯曲;而且在实现更大弯曲角度的同时,牵引线16a’所需要的牵拉的力量也可以更小。In this way, the pulling wire 16a' passes through each condyle 20 of the bending part 1 one by one along the wire harness channel, and connects each condyle 20 together. 16a' connection to maintain contact. When the bending part 1 is pulled by the traction wire 16a', bending occurs, the condyles 20 are separated from each other, and compared with the condyles 20, they are integrally connected to each other, which reduces the mutual constraints and is beneficial to the bending part 1 to achieve more Large-angle bending; and while achieving a larger bending angle, the pulling force required by the pulling wire 16a' can also be smaller.
如图11-图13所示,本申请的第二方面还提供一种内窥镜100,包括上述内窥镜插入部300。As shown in FIGS. 11-13 , the second aspect of the present application further provides an endoscope 100 , including the above-mentioned endoscope insertion part 300 .
虽然通过参照本申请的某些优选实施方式,已经对本申请进行了图示和描述,但本领域的普通技术人员应该明白,以上内容是结合具体的实施方式对本申请所作的进一步详细说明,不能认定本申请的具体实施只局限于这些说明。本领域技术人员可以在形式上和细节上对其作各种改变,包括做出若干简单推演或替换,而不偏离本申请的精神和范围。Although the application has been illustrated and described by referring to some preferred implementations of the application, those of ordinary skill in the art should understand that the above content is a further detailed description of the application in conjunction with specific implementations, and cannot be deemed The specific implementation of the application is limited only by these descriptions. Those skilled in the art may make various changes in form and details, including some simple deduction or substitution, without departing from the spirit and scope of the application.

Claims (17)

  1. 一种内窥镜插入部的弯曲部,包括沿第一方向延伸的条状本体,所述本体在所述第一方向上的横截面外轮廓为6-12边形,所述本体内设有沿所述第一方向延伸并贯穿所述本体的多个通孔,所述本体上设有多个沿所述第一方向排布并朝向第二方向开口的V形槽,所述第二方向垂直于所述第一方向。A bending part of an endoscope insertion part, comprising a strip-shaped body extending along a first direction, the cross-sectional outer contour of the body in the first direction is 6-12 polygonal, and the body is provided with A plurality of through holes extending along the first direction and passing through the body, the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward the second direction, the second direction perpendicular to the first direction.
  2. 根据权利要求1所述的内窥镜插入部的弯曲部,其中,所述本体上设有多个沿所述第一方向排布并朝向第三方向开口的V形槽,所述第三方向同时垂直于所述第二方向和所述第一方向。The bending part of the endoscope insertion part according to claim 1, wherein the body is provided with a plurality of V-shaped grooves arranged along the first direction and opening toward a third direction, and the third direction At the same time, it is perpendicular to the second direction and the first direction.
  3. 根据权利要求2所述的内窥镜插入部的弯曲部,其中,所述本体上设有多个沿所述第一方向排布并朝向所述第二方向的反方向和/或朝向所述第三方向的反方向开口的V形槽。The bending part of the insertion part of the endoscope according to claim 2, wherein, the body is provided with a plurality of objects arranged along the first direction and facing the opposite direction of the second direction and/or facing the A V-shaped groove opening in the opposite direction of the third direction.
  4. 根据权利要求3所述的内窥镜插入部的弯曲部,其中,一个朝向所述第二方向的所述V形槽与一个朝向所述第二方向的反方向的所述V形槽相对设置,形成第一V形槽组;一个朝向所述第三方向的所述V形槽与一个朝向所述第三方向的反方向的所述V形槽相对设置,形成第二V形槽组,所述第一V形槽组与所述第二V形槽组沿所述第一方向间隔设置。The bending portion of the insertion portion of an endoscope according to claim 3, wherein one of the V-shaped grooves facing the second direction is opposite to one of the V-shaped grooves facing the opposite direction of the second direction , forming a first V-shaped groove group; one of the V-shaped grooves facing the third direction is opposite to the V-shaped groove facing the opposite direction of the third direction, forming a second V-shaped groove group, The first V-shaped groove group and the second V-shaped groove group are arranged at intervals along the first direction.
  5. 一种内窥镜插入部的弯曲部,包括沿第一方向延伸的条状本体,所述本体内设有沿所述第一方向延伸并贯穿所述本体的多个通孔,所述本体上设有多个沿所述第一方向排布并朝向第二方向开口的V形槽,所述第二方向垂直于所述第一方向,其中,在所述本体外侧上设置所述V形槽的区域设有具有一平面底面的凹槽,使所述V形槽的侧壁外边缘形成直边。A bending part of an endoscope insertion part, comprising a strip-shaped body extending along a first direction, the body is provided with a plurality of through holes extending along the first direction and passing through the body, the body is There are a plurality of V-shaped grooves arranged along the first direction and opening toward a second direction, the second direction is perpendicular to the first direction, wherein the V-shaped grooves are arranged on the outer side of the body The region is provided with a groove with a flat bottom surface, so that the outer edge of the side wall of the V-shaped groove forms a straight edge.
  6. 根据权利要求5所述的内窥镜插入部的弯曲部,其中,所述V形槽和所述凹槽形成V形槽区,所述本体上设有多个沿所述第一方向排布并朝向第三方向开口的V形槽区,所述第三方向同时垂直于所述第二方向和所述第一方向。The bending part of the endoscope insertion part according to claim 5, wherein, the V-shaped groove and the groove form a V-shaped groove area, and the body is provided with a plurality of and a V-shaped groove area opening toward a third direction, the third direction being perpendicular to the second direction and the first direction at the same time.
  7. 根据权利要求6所述的内窥镜插入部的弯曲部,其中,所述本体上设有多个沿所述第一方向排布并朝向所述第二方向的反方向和/或朝向所述第三方向的反方向开口的V形槽区。The bending part of the insertion part of the endoscope according to claim 6, wherein, the body is provided with a plurality of objects arranged along the first direction and facing the opposite direction of the second direction and/or facing the A V-shaped groove area opening in the direction opposite to the third direction.
  8. 根据权利要求7所述的内窥镜插入部的弯曲部,其中,一个朝向所述第二方向的所述V形槽区与一个朝向所述第二方向的反方向的所述V形槽区相对设置,形成第一V形槽区组;一个朝向所述第三方向的所述V形槽区与一个朝向所述第三方向的反方向的所述 V形槽区相对设置,形成第二V形槽区组,所述第一V形槽区组与所述第二V形槽区组沿所述第一方向间隔设置。The curved portion of the insertion portion of an endoscope according to claim 7, wherein one of said V-shaped groove regions facing said second direction and one said V-shaped groove region facing a direction opposite to said second direction Set oppositely to form a first V-shaped groove area group; one V-shaped groove area facing the third direction is opposite to the V-shaped groove area facing the opposite direction of the third direction to form a second V-shaped groove area. V-shaped groove group, the first V-shaped groove group and the second V-shaped groove group are arranged at intervals along the first direction.
  9. 根据权利要求8所述的内窥镜插入部的弯曲部,其中,一个所述第一V形槽区组或一个所述第二V形槽区组的所述V形槽外侧边缘在垂直于所述第一方向的参考平面上的投影呈6-12边形。The bending part of the endoscope insertion part according to claim 8, wherein, said V-shaped groove outer edge of one said first V-shaped groove block group or one said second V-shaped groove block block is perpendicular to The projection on the reference plane of the first direction is a 6-12 polygon.
  10. 根据权利要求5所述的内窥镜插入部的弯曲部,其中,所述本体外周设有沿所述第一方向延伸的凸筋。The bending part of the insertion part of the endoscope according to claim 5, wherein the outer periphery of the main body is provided with ribs extending along the first direction.
  11. 一种内窥镜插入部,包括如权利要求1-10中任一项所述的内窥镜插入部的弯曲部。An insertion part of an endoscope, comprising the bending part of the insertion part of an endoscope according to any one of claims 1-10.
  12. 根据权利要求11所述的内窥镜插入部,其中,所述通孔包括工作通道通孔、辅助通道通孔和线束通道通孔,所述线束通道通孔内设有连接所述弯曲部远端和内窥镜的操作部的牵引线,所述牵引线用于根据操作部的动作控制所述弯曲部的弯曲;将两个相邻的所述V形槽之间的部分定义为一个骨节,每两个所述骨节之间相互分离。The endoscope insertion part according to claim 11, wherein said through holes include a working channel through hole, an auxiliary channel through hole and a wire harness channel through hole, and said wire harness channel through hole is provided with a end and the traction line of the operating part of the endoscope, the traction line is used to control the bending of the bending part according to the action of the operating part; the part between two adjacent V-shaped grooves is defined as a condyle , every two joints are separated from each other.
  13. 根据权利要求11所述的内窥镜插入部,其中,所述内窥镜插入部的弯曲部为一体注塑成型。The endoscope insertion part according to claim 11, wherein the curved part of the endoscope insertion part is integrally injection-molded.
  14. 根据权利要求11所述的内窥镜插入部,其中,所述内窥镜插入部的弯曲部的材质为硅橡胶、TPE、TPU、PVC和PP中的一种。The endoscope insertion part according to claim 11, wherein the material of the curved part of the endoscope insertion part is one of silicone rubber, TPE, TPU, PVC and PP.
  15. 根据权利要求11所述的内窥镜插入部,其中,从所述弯曲部的近端到所述弯曲部的远端,所述V形槽的开口角度依次增大。The endoscope insertion portion according to claim 11, wherein an opening angle of the V-shaped groove increases sequentially from a proximal end of the curved portion to a distal end of the curved portion.
  16. 根据权利要求12所述的内窥镜插入部,其中,还包括:The endoscope insertion part according to claim 12, further comprising:
    保护套,用于套设于所述弯曲部的外部;A protective sleeve is used to be sleeved on the outside of the curved portion;
    置于所述工作通道通孔内的工作通道管路,所述工作通道管路的材质为PVC、TPE、PTFE和TPU中的一种;The working channel pipeline placed in the through hole of the working channel, the material of the working channel pipeline is one of PVC, TPE, PTFE and TPU;
    置于所述辅助通道通孔内的水管或气管,所述水管或所述气管的材质为PVC、TPE、PTFE和TPU中的一种。The water pipe or the air pipe placed in the through hole of the auxiliary channel, the material of the water pipe or the air pipe is one of PVC, TPE, PTFE and TPU.
  17. 一种内窥镜,包括如权利要求11至16任一项所述的内窥镜插入部。An endoscope comprising the endoscope insertion portion according to any one of claims 11 to 16.
PCT/CN2022/103683 2021-11-16 2022-07-04 Bending portion of endoscope insertion part, endoscope insertion part, and endoscope WO2023087737A1 (en)

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
CN202111354645.1 2021-11-16
CN202122803514.9 2021-11-16
CN202122803494.5 2021-11-16
CN202122803514.9U CN216535236U (en) 2021-11-16 2021-11-16 Bending section of endoscope insertion section, and endoscope
CN202111355715.5 2021-11-16
CN202122803494.5U CN216535235U (en) 2021-11-16 2021-11-16 Bending section of endoscope insertion section, and endoscope
CN202111355715.5A CN114451849A (en) 2021-11-16 2021-11-16 Bending section of endoscope insertion section, and endoscope
CN202111354645.1A CN114504290A (en) 2021-11-16 2021-11-16 Bending section of endoscope insertion section, and endoscope

Publications (1)

Publication Number Publication Date
WO2023087737A1 true WO2023087737A1 (en) 2023-05-25

Family

ID=86396204

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2022/103683 WO2023087737A1 (en) 2021-11-16 2022-07-04 Bending portion of endoscope insertion part, endoscope insertion part, and endoscope

Country Status (1)

Country Link
WO (1) WO2023087737A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109893073A (en) * 2019-04-19 2019-06-18 广州瑞派医疗器械有限责任公司 Medical snake bone pipe

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000048506A1 (en) * 1999-02-15 2000-08-24 Herrmann Ingo F Deformable fiberscope with a displaceable supplementary device
US20080287963A1 (en) * 2005-12-30 2008-11-20 Rogers Theodore W Methods and apparatus to shape flexible entry guides for minimally invasive surgery
CN102772193A (en) * 2012-06-27 2012-11-14 杭州好克光电仪器有限公司 Flexible electron mirror
WO2020080938A2 (en) * 2018-10-16 2020-04-23 Fortimedix Assets Ii B.V. Steerable instrument comprising a tube element
CN114451849A (en) * 2021-11-16 2022-05-10 杭州莱恩瑟特医疗技术有限公司 Bending section of endoscope insertion section, and endoscope
CN216535235U (en) * 2021-11-16 2022-05-17 杭州莱恩瑟特医疗技术有限公司 Bending section of endoscope insertion section, and endoscope
CN216535236U (en) * 2021-11-16 2022-05-17 杭州莱恩瑟特医疗技术有限公司 Bending section of endoscope insertion section, and endoscope
CN114504290A (en) * 2021-11-16 2022-05-17 杭州莱恩瑟特医疗技术有限公司 Bending section of endoscope insertion section, and endoscope

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000048506A1 (en) * 1999-02-15 2000-08-24 Herrmann Ingo F Deformable fiberscope with a displaceable supplementary device
US20080287963A1 (en) * 2005-12-30 2008-11-20 Rogers Theodore W Methods and apparatus to shape flexible entry guides for minimally invasive surgery
CN102772193A (en) * 2012-06-27 2012-11-14 杭州好克光电仪器有限公司 Flexible electron mirror
WO2020080938A2 (en) * 2018-10-16 2020-04-23 Fortimedix Assets Ii B.V. Steerable instrument comprising a tube element
CN114451849A (en) * 2021-11-16 2022-05-10 杭州莱恩瑟特医疗技术有限公司 Bending section of endoscope insertion section, and endoscope
CN216535235U (en) * 2021-11-16 2022-05-17 杭州莱恩瑟特医疗技术有限公司 Bending section of endoscope insertion section, and endoscope
CN216535236U (en) * 2021-11-16 2022-05-17 杭州莱恩瑟特医疗技术有限公司 Bending section of endoscope insertion section, and endoscope
CN114504290A (en) * 2021-11-16 2022-05-17 杭州莱恩瑟特医疗技术有限公司 Bending section of endoscope insertion section, and endoscope

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109893073A (en) * 2019-04-19 2019-06-18 广州瑞派医疗器械有限责任公司 Medical snake bone pipe

Similar Documents

Publication Publication Date Title
AU752555B2 (en) Video rectoscope
US10299662B2 (en) Endoscopic sleeve
US6974411B2 (en) Endoscope with single step guiding apparatus
EP2953518B1 (en) Endoscopic sleeve
EP1964509A1 (en) Therapeutic system used with steps for approaching lesion using overtube
JP6063258B2 (en) Endoscope accessory clip
US20180160893A1 (en) Endoscope and method of use
US20070167684A1 (en) Endoscope device, endoscope system, and method for inserting endoscope device into body cavity
WO2018082196A1 (en) Endoscope sleeve cylinder
US20180153380A1 (en) Endoscopic sleeve with wings
WO2023087737A1 (en) Bending portion of endoscope insertion part, endoscope insertion part, and endoscope
JPWO2017043124A1 (en) Endoscope
CN216535235U (en) Bending section of endoscope insertion section, and endoscope
CN114451849A (en) Bending section of endoscope insertion section, and endoscope
CN113143171A (en) Multi-point observation endoscope probe
JP5400118B2 (en) Endoscopy forceps plug
US10827909B2 (en) Alimentary engagement device
JP4777005B2 (en) Endoscope
JP2023521171A (en) Endoscopic combined device with locking element
JPH10309259A (en) Endoscope
JPH06261855A (en) Endoscope device of endoscope cover system
WO2022156872A2 (en) Flexible endoscopes
JP2005046276A (en) Endoscope system

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: 22894280

Country of ref document: EP

Kind code of ref document: A1