WO2023202465A1 - Medical catheter, device and system - Google Patents

Medical catheter, device and system Download PDF

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Publication number
WO2023202465A1
WO2023202465A1 PCT/CN2023/088142 CN2023088142W WO2023202465A1 WO 2023202465 A1 WO2023202465 A1 WO 2023202465A1 CN 2023088142 W CN2023088142 W CN 2023088142W WO 2023202465 A1 WO2023202465 A1 WO 2023202465A1
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WO
WIPO (PCT)
Prior art keywords
catheter
medical
channel
distal end
catheter body
Prior art date
Application number
PCT/CN2023/088142
Other languages
French (fr)
Chinese (zh)
Inventor
经历
王雄伟
李伟伟
石益海
Original Assignee
微创优通医疗科技(上海)有限公司
石益海
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 CN202211098156.9A external-priority patent/CN116920245A/en
Priority claimed from CN202222390295.0U external-priority patent/CN219110583U/en
Application filed by 微创优通医疗科技(上海)有限公司, 石益海 filed Critical 微创优通医疗科技(上海)有限公司
Publication of WO2023202465A1 publication Critical patent/WO2023202465A1/en

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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
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing

Definitions

  • the present invention relates to the technical field of medical devices, and in particular to a medical catheter, device and system.
  • Endoscopic retrograde cholangiopancreatography is a pancreatic and bile duct surgery that has been developed for many years.
  • the operator When performing ERCP surgery, the operator first passes the duodenoscope through the mouth, esophagus and stomach to the duodenal papilla, then inserts instruments through the instrument channel of the duodenoscope, and with the assistance of fluoroscopy, The instrument is passed through the duodenal papilla to the target lumen, which is the pancreatic duct or bile duct. Finally, contrast fluid is injected to observe the lesions inside the pancreatic duct or bile duct, and corresponding treatment is performed. The corresponding treatment includes placing a drainage tube. And stents, lithotripsy and stone removal, stricture dilation, etc.
  • the operator In the process of bringing the medical catheter to the duodenal papilla, due to the various shapes of the duodenal papilla and the internal sphincter tend to contract when encountering mechanical stimulation, thereby covering the common segment of the bile duct and pancreatic duct, the application It is difficult for the surgeon to directly insert the device, and repeated insertion may cause inflammation or other complications. Therefore, in actual operation, the operator usually first inserts a guide wire through the instrument channel of the duodenoscope, then inserts it into the target lumen with the assistance of fluoroscopy, and finally inserts the instrument into the target lumen along the guide wire.
  • the operator usually obtains the bending angle of the guidewire relative to the duodenum through fluoroscopy.
  • the internal structure of the duodenal papilla is easily blocked by the sphincter and cannot be seen clearly.
  • the resistance caused by sphincter contraction increases, and the guidewire passes through the duodenal papilla and enters the target lumen.
  • One operation becomes the difficulty of ERCP.
  • the object of the present invention is to provide a medical catheter, device and system, the distal end of which can be inserted into the duodenal papilla smoothly and reduce stimulation and damage to the duodenal papilla.
  • the present invention provides a medical catheter, which includes a catheter body and an imaging probe; the catheter body is provided with an instrument channel extending through the axial direction, and the imaging probe is disposed at the distal end of the catheter body. end, and at least partially protrudes from the distal end surface of the catheter body, the imaging probe is located outside the instrument channel; on the axial projection of the medical catheter, the projected outer contour of the imaging probe does not exceed the projected outer contour of the catheter body.
  • the catheter body includes a first segment and a second segment, the second segment is connected to the distal end of the first segment, and the outer diameter of the second segment extends along the proximal end. It gradually decreases toward the distal end; the imaging probe is disposed at the distal end of the second section, and the outer diameter of the imaging probe is less than or equal to the minimum outer diameter of the second section.
  • the distal section of the instrument channel is a beveled section, so that the outer diameter of the second section gradually decreases from the proximal end to the distal end.
  • the axial distance between the point on the oblique section farthest from the distal end surface of the second segment and the distal end surface of the second segment is approximately 2 mm to 3 mm.
  • At least part of the sidewalls of the instrument channel are configured to be elastic.
  • At least part of the side wall of the instrument channel is made of elastic material.
  • the imaging probe includes an imaging module and a transparent body.
  • the imaging module is disposed in the distal end of the catheter body.
  • the transparent body is disposed on the distal end surface of the catheter body and is in contact with the distal end of the catheter body.
  • the catheter body seals the imaging module inside.
  • the outer surface of the transparent body is part of a spherical surface.
  • the catheter body is further provided with a liquid channel extending through the axial direction thereof, and the liquid channel is located outside the imaging probe.
  • liquid channel and the instrument channel are arranged symmetrically in the circumferential direction of the catheter body.
  • the medical catheter further includes a pressure monitoring module, which is disposed at the distal end of the liquid channel.
  • the medical catheter further includes a cable; the catheter body is also provided with a cable channel extending through its axial direction, the cable channel and the instrument channel are isolated from each other, and the cable channel The cable is passed through the cable channel; the imaging module is arranged in the cable channel, and the imaging module is connected to the cable.
  • the medical catheter further includes a bend-controlling wire; the catheter body is also provided with a wire channel extending through its axial direction, and the wire channel and the instrument channel are isolated from each other.
  • the bending control wire is passed through, and the distal end of the bending control wire is fixed to the catheter body.
  • the present invention also provides a medical device, which includes a handle and a medical catheter as described above, the handle is connected to the proximal end of the catheter body, and the handle is provided with a device connected to the instrument.
  • a medical device which includes a handle and a medical catheter as described above, the handle is connected to the proximal end of the catheter body, and the handle is provided with a device connected to the instrument.
  • Channel-connected import channels are provided.
  • the present invention also provides a medical system, including an image processing device, an image display device and a medical catheter as mentioned above.
  • the image processing device is communicatively connected with the imaging probe for receiving and processing
  • the image display device is communicatively connected with the image processing device and is used to display the image.
  • the catheter body is also provided with a liquid channel extending through the axial direction thereof, and the liquid channel is located outside the imaging probe; the medical system further includes a negative pressure suction device, and the negative pressure A suction device is used to connect with the proximal end of the instrument channel.
  • the medical catheter, device and system of the present invention have the following advantages:
  • the aforementioned medical catheter includes a catheter body and an imaging probe.
  • the catheter body is provided with an instrument channel extending through the axial direction.
  • the imaging probe is disposed at the distal end of the catheter body and at least partially protrudes from the catheter body.
  • the distal end face of the catheter body, the imaging probe is located outside the instrument channel, and on the axial projection of the medical catheter, the projected outer contour of the imaging probe does not exceed the projected outer contour of the catheter body. contour line. That is, the imaging probe has a smaller radial dimension.
  • the medical catheter can be used to perform ERCP.
  • the distal end of the duodenoscope reaches the duodenal papilla
  • the distal end of the medical catheter is introduced into the body along the instrument channel of the duodenoscope, and Insert the target lumen (pancreatic duct or bile duct) through the duodenal papilla, and finally insert the instrument into the target lumen along the instrument channel of the medical catheter, wherein the imaging probe extends out of the instrument channel of the duodenoscope.
  • images of the inside of the duodenum can be taken and a direct view of the duodenal papilla is provided to facilitate guiding the distal end of the medical catheter through the duodenal papilla, and due to the relatively small outer diameter of the imaging probe Small, This enables the distal end of the medical catheter to be inserted into the duodenal papilla relatively smoothly and reduces stimulation and damage to the duodenal papilla.
  • Figure 1 is a schematic structural diagram of a medical catheter provided according to an embodiment of the present invention.
  • Figure 2 is a schematic structural diagram of a medical catheter provided according to an embodiment of the present invention. The viewing directions of Figure 2 are different from that of Figure 1;
  • Figure 3 is an A-A cross-sectional view of the medical catheter shown in Figure 1;
  • Figure 4 is a B-B cross-sectional view of the medical catheter shown in Figure 2;
  • Figure 5 is an axial projection schematic diagram of a medical catheter according to an embodiment of the present invention.
  • the projected outer contour of the imaging probe is all located inside the projected outer contour of the catheter body;
  • Figure 6 is an axial projection schematic diagram of a medical catheter provided according to an embodiment of the present invention.
  • the projected outer contour of the imaging probe partially coincides with the projected outer contour of the catheter body;
  • Figure 7 is a schematic structural diagram of a medical catheter provided by the present invention according to an alternative embodiment
  • Figure 8 is a cross-sectional view of the medical catheter shown in Figure 7;
  • Figure 9 is a schematic structural diagram of a medical catheter provided according to an embodiment of the present invention.
  • the side wall of the instrument channel is not deformed so that the instrument channel has a smaller inner diameter
  • Figure 10 is a schematic structural diagram of a medical catheter provided according to an embodiment of the present invention.
  • the side wall of the instrument channel is deformed so that the instrument channel has a larger inner diameter
  • FIG 11 is a schematic structural diagram of a medical catheter provided according to another embodiment of the present invention.
  • a liquid channel is provided on the catheter body, and the liquid channel is located above the instrument channel;
  • Figure 12 is a schematic structural diagram of a medical device provided according to an embodiment of the present invention.
  • each embodiment described below has one or more technical features, but this does not mean that the inventor must implement all the technical features in any embodiment at the same time, or can only implement them in different embodiments separately. some or all of the technical features.
  • those skilled in the art can selectively implement some or all of the technical features in any embodiment based on the disclosure of the present invention and design specifications or implementation requirements, or Selectively implement a combination of some or all of the technical features in multiple embodiments, thereby increasing the flexibility of the implementation of the present invention.
  • the singular forms “a,” “an,” and “the” include plural referents, and the plural form “plurality” includes two or more referents unless the content clearly dictates otherwise.
  • the term “or” is generally used in its sense including “and/or” unless the content clearly indicates otherwise, and the terms “installed”, “connected” and “connected” shall To be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection.
  • the connection can be mechanical or electrical. It can be a direct connection or an indirect connection through an intermediary. It can be an internal connection between two elements or an interaction between two elements.
  • the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
  • proximal and distal refer to the relative orientation, relative position, direction of elements or actions relative to each other from the perspective of a physician using the medical device, although “proximal”, “distal” ” is not meant to be limiting, but “proximal” generally refers to the end of the medical device that is closest to the physician during normal operation, while “distal” generally refers to the end that first enters the patient’s body.
  • a medical catheter 10 provided by an embodiment of the present invention includes a catheter body 100 and an imaging probe 200 .
  • the catheter body 100 is provided with an instrument channel 101 extending through the axial direction of the catheter body 100 .
  • the imaging probe 200 is disposed at the distal end of the catheter body 100 and at least partially protrudes from the distal end surface of the catheter body 100, and the imaging probe 200 is located outside the instrument channel 101, so that the The imaging probe 200 does not block the instrument channel 101.
  • the projected outer contour of the imaging probe 200 does not exceed the projected outer contour of the catheter body 100 .
  • the axial projection of the medical catheter 10 refers to the projection of the medical catheter 10 on a plane perpendicular to the axis of the medical catheter 10 .
  • the projected outer contour of the imaging probe 200 does not exceed the projected outer contour of the catheter body 100 , including that the projection of the imaging probe 200 is completely inside the projection of the catheter body 100 as shown in FIG. 5
  • This situation also includes the situation where a part of the projected outer contour of the imaging probe 200 is located inside the projection of the catheter body 100 and the other part coincides with the projected outer contour of the catheter body 100 as shown in FIG. 6 Condition. That is to say, the outer diameter of the imaging probe 200 is smaller.
  • the outside of the instrument channel 101 refers to the outside in the radial direction.
  • the medical catheter 10 may be used to perform ERCP. Specifically, when the distal end of the duodenoscope reaches the duodenal papilla, the distal end of the medical catheter 10 is introduced into the body along the instrument channel of the duodenoscope, and inserted into the target through the duodenal papilla. lumen (pancreatic duct or bile duct), and finally the instrument is inserted into the target lumen along the instrument channel 101 of the medical catheter 10 . After extending out of the instrument channel of the duodenoscope, the imaging probe 200 can take images of the inside of the duodenum and provide a direct view of the duodenal papilla, so as to guide without the aid of fluoroscopy.
  • the distal end of the medical catheter 10 passes through the duodenal papilla, and because the outer diameter of the imaging probe 200 is small, the distal end of the medical catheter 10 can be inserted into the duodenal papilla relatively smoothly, and Reduce irritation and damage to the duodenal papilla.
  • the instruments described here include but are not limited to biopsy forceps.
  • the instrument channel 101 is also used to thread guide wires, laser fibers, etc.
  • the imaging probe 200 includes an imaging module 210 and a transparent body 220 .
  • the imaging module 210 is disposed in the distal end of the catheter body 100 . Please refer to FIGS. 3 and 5 .
  • the catheter body 100 is also provided with a cable channel 102 extending through the axial direction of the catheter body 100 .
  • the cable channel 102 and the instrument channel 101 are isolated from each other.
  • the imaging module 210 is at least partially inserted into the cable channel 102 , and preferably the distal end of the imaging module 210 is flush with the distal end of the catheter body 100 .
  • the transparent body 220 is disposed on the distal end surface of the catheter body 100 and seals the imaging module 210 together with the catheter body 100 .
  • the transparent body 220 extends away from the distal end of the catheter body 100 so that the distal end of the transparent body 220 exceeds the imaging module 210 .
  • the transparent body 220 can be a cap structure to cover the imaging module 210 to achieve sealing of the imaging module 210, and can be used as the distal end of the catheter for contact with tissue. With such an imaging probe 200, even if the distal end of the medical catheter 10 abuts the tissue, the distal end of the transparent body 220 abuts the tissue, so that there is a certain gap between the imaging module 210 and the tissue. The distance ensures that the imaging module 210 can still perform normal imaging, allowing the operator to control the medical catheter to find and pass through the duodenal papilla.
  • the transparent body 220 is made of a fully transparent or highly transparent material.
  • the hardness of the material of the transparent body 220 is moderate. If the hardness is too small, it will bend when it contacts tissue, affecting imaging. If the hardness is too high, it will easily cause damage to tissues.
  • the imaging probe 200 further includes a light source (not shown in the figure), the light source may also be disposed in the cable channel 102, and the distal end of the light source is in contact with the catheter body 100.
  • the distal end surface of the imaging module 210 is flush with each other to provide illumination for the imaging module 210 .
  • the outer surface of the transparent body 220 of the imaging probe 200 is part of a sphere, and the transparent body 220 is coaxial with the cable channel 102.
  • the medical catheter 10 may also include a cable 300 that is partially threaded in the cable channel 102 .
  • the cable 300 may include a first cable and a second cable.
  • the distal end of the first cable is electrically connected to the light source to transmit power provided by an external power source to the light source.
  • the distal end of the second cable is connected to the imaging module 210 to transmit the power provided by an external power supply to the imaging module 210, and the proximal end of the second cable is also connected to an external image processing device (Fig. (not shown in ) connection to send the image information collected by the imaging module 210 to The image processing device.
  • the catheter body 100 includes a first section 110 and a second section 120.
  • the second section 120 is connected to the first section.
  • the distal end of one segment 110 so that the distal end of the second segment 120 is the distal end of the medical catheter 10 .
  • the outer diameter of the second section 120 gradually decreases from the proximal end to the distal end, and the outer diameter of the imaging probe 200 is less than or equal to the minimum outer diameter of the second section 120 .
  • the outer diameter of the second segment 120 may be continuously reduced along the direction from the proximal end to the distal end, or may be reduced stepwise along the direction from the proximal end to the distal end, which is not limited in this embodiment.
  • part of the side wall of the instrument channel 101 is removed, so that the distal end surface of the instrument channel 101 is a chamfered surface 121, so that the outer diameter of the second segment 120 is formed along the proximal surface. It decreases continuously from end to end.
  • the advantage of this is that it facilitates the shaping of the catheter body 100 .
  • the point on the bevel 121 that is farthest from the distal end surface of the second segment 120 is called the proximal end point 121a, and the proximal end
  • the distance between the end point 121a and the distal end surface of the second segment 120 is approximately 2 mm to 3 mm.
  • the distal portion of the catheter body 100 has a uniform outer diameter.
  • the outer diameter of the imaging probe 200 is smaller than the outer diameter of the distal portion of the catheter body 100 .
  • At least part of the side walls of the instrument channel 101 is configured to be elastic, so that the instrument channel 101 has a smaller inner diameter when it is not subjected to radially outward pressure (as shown in Figure 9) , and when the instrument channel 101 is subjected to radially outward pressure, the elastic part of the side wall of the instrument channel 101 deforms to increase the inner diameter of the instrument channel 101 (as shown in Figure 10 ).
  • the radially outward pressure may be provided by an instrument passed through the instrument channel 101 or by fluid passing through the instrument channel 101 .
  • the catheter body 100 has a smaller outer diameter and can pass through the human body lumen and duodenal papilla more easily.
  • at least part of the side walls of the instrument channel 101 is made of elastic material.
  • the shape of the transparent body 220 can reduce the adhesion of body fluids and flocculent secretions on the transparent body 220 , thereby improving the integrity and clarity of image information collected by the imaging module 210 .
  • the catheter body 100 is also provided with an axis along the axial direction of the catheter body 100 .
  • the liquid channel 103 extends through and is located outside the imaging probe 200 , that is, the liquid channel 103 is not blocked by the imaging probe 200 .
  • the purpose of this arrangement is that even if liquid or other secretions adhere to the outer surface of the transparent body 220 , the flushing liquid can be poured through the liquid channel 103 to flush the transparent body 220 .
  • the flushing fluid includes but is not limited to physiological saline, and the flushing fluid can be discharged from the body through the instrument channel 101 .
  • the liquid channel 103 and the instrument channel 101 are symmetrically arranged in the circumferential direction of the catheter body 100, and during actual operation, the posture of the medical catheter body 100 is adjusted so that the The liquid channel 103 is located above the instrument channel 101 (the orientation shown in Figure 11). In this way, the flushing liquid can flow into the instrument channel 101 along the outer surface of the transparent body 220 under the action of gravity. Then it is discharged from the body through the instrument channel 101, and the flow direction of the flushing fluid is shown by arrow S in Figure 11.
  • a negative pressure suction device (not shown in the figure) can be connected to the proximal end of the instrument channel 101 to suck the irrigation fluid into the instrument channel 101 through the action of negative pressure. , and then excreted from the body.
  • the medical catheter 10 when the irrigation fluid is sucked into the instrument channel 101 through negative pressure, the medical catheter 10 further includes a pressure monitoring module (not shown in the figure), and the pressure monitoring module can be disposed in the liquid channel. The far end of 103.
  • the negative pressure suction device is first turned on.
  • the pressure monitoring module detects that the pressure at the far end of the liquid channel 103 reaches a predetermined value, the irrigation fluid can be poured into the liquid channel 103.
  • the flushing liquid flushes the transparent body 220 under the guidance of negative pressure, and then flows through the instrument channel 101 and is discharged from the body.
  • the flushing liquid can be manually poured into the liquid channel 103 through a syringe, or the flushing liquid can be poured into the liquid channel 103 by controlling a liquid injection pump through an intelligent control module.
  • the catheter body 100 is also provided with a wire channel 104 extending through the axial direction of the catheter body 100 .
  • the wire channel 104 is connected with the instrument channel 101 and the liquid channel. 103 and the cable channel 102 are isolated from each other.
  • the medical catheter 10 further includes a bend-controlling wire 400 , which is partially inserted into the wire channel 104 , and the distal end of the bending-controlling wire 400 is connected to the distal end of the catheter body 100 , the proximal end of the bending control wire 400 can pass through the proximal end of the catheter body 100, so that the operator can control the bending of the catheter body 100 by manipulating the bending control wire 400.
  • the material of the catheter body 100 should have appropriate hardness and good resilience to facilitate bending.
  • Optional materials include but are not limited to PTFE (polytetrafluoroethylene). ethylene).
  • the proximal end of the bending control wire 400 can also be connected to a high-frequency electric generator, so as to be used as a nipple cutting knife when the electric power is supplied.
  • the embodiment of the present invention also provides a medical device 1.
  • the medical device 1 includes a handle 20 and the medical catheter 10 as mentioned above.
  • the handle 20 and the medical catheter 10 The proximal end of the catheter body 100 is connected, and the handle 20 is provided with an introduction channel (not shown in the figure) that communicates with the instrument channel 101 .
  • an introduction channel (not shown in the figure) that communicates with the instrument channel 101 .
  • various medical instruments enter the instrument channel 101 through the introduction channel, and when a negative pressure suction device is used to aspirate the irrigation fluid, the negative pressure suction device can also pass through the The introduction channel is connected with the instrument channel 101 .
  • embodiments of the present invention also provide a medical system, which includes an image processing device (not shown in the figure), an image display device (not shown in the figure), and the medical catheter as described above. 10.
  • the image processing device is communicatively connected with the imaging probe 200 (specifically, the imaging module 210) for receiving and processing images collected by the imaging probe 200.
  • the medical system further includes the negative pressure suction device.

Abstract

The invention provides a medical catheter, device and system. The medical catheter comprises a catheter body and an imaging probe; the catheter body is provided with an instrument channel passing therethrough and extending in the axial direction thereof, the imaging probe is arranged at the distal end of the catheter body and at least partially protrudes out of the face of the distal end of the catheter body, and the imaging probe is located on the outside of the instrument channel; along the axial projection of the medical catheter, the outer contour line of the projection of the imaging probe does not exceed the outer contour line of the projection of the catheter body. The medical catheter can be used in ERCP operations and can be passed through the duodenal papilla without the assistance of radioscopy. Further, owing to the small outer diameter of the distal end portion of the catheter, irritation or damage to the duodenal papilla is reduced.

Description

一种医用导管、装置及系统A medical catheter, device and system
相关申请的交叉引用Cross-references to related applications
本申请要求申请号为202210424877.8,申请日为2022年4月21日,名称为“一种医用导管、装置及系统”、申请号为202220939253.5,申请日为2022年4月21日,名称为“一种医用导管、装置及系统”、申请号为202211098156.9,申请日为2022年9月8日,名称为“一种医用导管、装置及系统”以及申请号为202222390295.0,申请日为2022年9月8日,名称为“一种医用导管、装置及系统”的优先权,并通过引用将其内容整体并入本文,以供所有目的之用。This application requires that the application number is 202210424877.8, the application date is April 21, 2022, and the name is "A medical catheter, device and system". The application number is 202220939253.5, the application date is April 21, 2022, and the name is "A medical catheter, device and system". A medical catheter, device and system", the application number is 202211098156.9, the application date is September 8, 2022, the name is "a medical catheter, device and system" and the application number is 202222390295.0, the application date is September 8, 2022 , entitled "A Medical Catheter, Device and System," the contents of which are incorporated herein by reference in their entirety for all purposes.
技术领域Technical field
本发明涉及医疗器械技术领域,具体涉及一种医用导管、装置及系统。The present invention relates to the technical field of medical devices, and in particular to a medical catheter, device and system.
背景技术Background technique
经内视镜逆行性胆胰管摄影术(ERCP)是一种已经发展了多年的胰胆管手术。在执行ERCP手术时,施术者首先将十二指肠镜经口腔、食道及胃抵达十二指肠乳头处,然后通过十二指肠镜的器械通道插入器械,并在透视的辅助下,使器械经十二指肠乳头抵达目标管腔,目标管腔为胰管或胆管,最后注入造影液观察胰管或胆管内部的病变情况,并执行相应的治疗,相应的治疗包括放入引流管及支架、碎石及取石、狭窄扩张术等等。Endoscopic retrograde cholangiopancreatography (ERCP) is a pancreatic and bile duct surgery that has been developed for many years. When performing ERCP surgery, the operator first passes the duodenoscope through the mouth, esophagus and stomach to the duodenal papilla, then inserts instruments through the instrument channel of the duodenoscope, and with the assistance of fluoroscopy, The instrument is passed through the duodenal papilla to the target lumen, which is the pancreatic duct or bile duct. Finally, contrast fluid is injected to observe the lesions inside the pancreatic duct or bile duct, and corresponding treatment is performed. The corresponding treatment includes placing a drainage tube. And stents, lithotripsy and stone removal, stricture dilation, etc.
在使医用导管到达十二指肠乳头的过程中,由于十二指肠乳头的形状多样,且其内部的括约肌在遇到机械刺激时易发生收缩,从而覆盖胆管和胰管的共有段,施术者直接插入器械的难度较高,反复插入又会引起炎症或其他并发症。因此,实际操作中,施术者通常先将一导丝从十二指肠镜的器械通道插入,再在透视辅助下插入目标管腔,最后使器械沿导丝进入目标管腔。在插入导丝的过程中,施术者通常会通过透视获得导丝相对于十二指肠的弯曲角度,然而由于十二指肠乳头的内部的结构容易被括约肌挡住而无法看清,加上括约肌收缩导致的阻力增加,导丝穿过十二指肠乳头并进入目标管腔这 一操作成为ERCP的难点。In the process of bringing the medical catheter to the duodenal papilla, due to the various shapes of the duodenal papilla and the internal sphincter tend to contract when encountering mechanical stimulation, thereby covering the common segment of the bile duct and pancreatic duct, the application It is difficult for the surgeon to directly insert the device, and repeated insertion may cause inflammation or other complications. Therefore, in actual operation, the operator usually first inserts a guide wire through the instrument channel of the duodenoscope, then inserts it into the target lumen with the assistance of fluoroscopy, and finally inserts the instrument into the target lumen along the guide wire. During the process of inserting the guidewire, the operator usually obtains the bending angle of the guidewire relative to the duodenum through fluoroscopy. However, the internal structure of the duodenal papilla is easily blocked by the sphincter and cannot be seen clearly. In addition, The resistance caused by sphincter contraction increases, and the guidewire passes through the duodenal papilla and enters the target lumen. One operation becomes the difficulty of ERCP.
发明内容Contents of the invention
本发明的目的在于提供一种医用导管、装置及系统,所述医用导管的远端能够顺利插入十二指肠乳头,并减少对十二指肠乳头的刺激及损伤。The object of the present invention is to provide a medical catheter, device and system, the distal end of which can be inserted into the duodenal papilla smoothly and reduce stimulation and damage to the duodenal papilla.
为实现上述目的,本发明提供了一种医用导管,包括导管体和成像探头;所述导管体上设有沿轴向贯通地延伸的器械通道,所述成像探头设置在所述导管体的远端,并至少部分地突出于所述导管体的远端端面,所述成像探头位于所述器械通道的外侧;在所述医用导管的轴向投影上,所述成像探头的投影的外轮廓线不超出所述导管体的投影的外轮廓线。In order to achieve the above object, the present invention provides a medical catheter, which includes a catheter body and an imaging probe; the catheter body is provided with an instrument channel extending through the axial direction, and the imaging probe is disposed at the distal end of the catheter body. end, and at least partially protrudes from the distal end surface of the catheter body, the imaging probe is located outside the instrument channel; on the axial projection of the medical catheter, the projected outer contour of the imaging probe does not exceed the projected outer contour of the catheter body.
可选地,所述导管体包括第一节段和第二节段,所述第二节段连接于所述第一节段的远端,且所述第二节段的外径沿近端向远端的方向逐渐减小;所述成像探头设置在所述第二节段的远端,且所述成像探头的外径小于或等于所述第二节段的最小外径。Optionally, the catheter body includes a first segment and a second segment, the second segment is connected to the distal end of the first segment, and the outer diameter of the second segment extends along the proximal end. It gradually decreases toward the distal end; the imaging probe is disposed at the distal end of the second section, and the outer diameter of the imaging probe is less than or equal to the minimum outer diameter of the second section.
可选地,所述器械通道的远端断面为斜切面,以使得所述第二节段的外径沿近端向远端的方向逐渐减小。Optionally, the distal section of the instrument channel is a beveled section, so that the outer diameter of the second section gradually decreases from the proximal end to the distal end.
可选地,所述斜切面上距离所述第二节段的远端端面最远的点与所述第二节段的远端端面的轴向距离约为2mm~3mm。Optionally, the axial distance between the point on the oblique section farthest from the distal end surface of the second segment and the distal end surface of the second segment is approximately 2 mm to 3 mm.
可选地,所述器械通道的至少部分侧壁被配置为具有弹性。Optionally, at least part of the sidewalls of the instrument channel are configured to be elastic.
可选地,所述器械通道的至少部分侧壁采用弹性材料制作而成。Optionally, at least part of the side wall of the instrument channel is made of elastic material.
可选地,所述成像探头包括成像模组和透明体,所述成像模组设置在所述导管体的远端内,所述透明体设置在所述导管体的远端端面上且与所述导管体将所述成像模组密封在内。Optionally, the imaging probe includes an imaging module and a transparent body. The imaging module is disposed in the distal end of the catheter body. The transparent body is disposed on the distal end surface of the catheter body and is in contact with the distal end of the catheter body. The catheter body seals the imaging module inside.
可选地,所述透明体的外表面为球面的一部分。Optionally, the outer surface of the transparent body is part of a spherical surface.
可选地,所述导管体上还设有沿其轴向贯通地延伸的液体通道,所述液体通道位于所述成像探头的外侧。Optionally, the catheter body is further provided with a liquid channel extending through the axial direction thereof, and the liquid channel is located outside the imaging probe.
可选地,所述液体通道与所述器械通道在所述导管体的周向上对称设置。Optionally, the liquid channel and the instrument channel are arranged symmetrically in the circumferential direction of the catheter body.
可选地,所述医用导管还包括压力监测模块,所述压力监测模块设置在所述液体通道的远端。 Optionally, the medical catheter further includes a pressure monitoring module, which is disposed at the distal end of the liquid channel.
可选地,所述医用导管还包括缆线;所述导管体上还设有沿其轴向贯通地延伸的缆线通道,所述缆线通道与所述器械通道相互隔离,且所述缆线通道内穿设所述缆线;所述成像模组设置在所述缆线通道内,且所述成像模组与所述缆线连接。Optionally, the medical catheter further includes a cable; the catheter body is also provided with a cable channel extending through its axial direction, the cable channel and the instrument channel are isolated from each other, and the cable channel The cable is passed through the cable channel; the imaging module is arranged in the cable channel, and the imaging module is connected to the cable.
可选地,所述医用导管还包括控弯拉线;所述导管体上还设有沿其轴向贯通地延伸的拉线通道,所述拉线通道与所述器械通道相互隔离,所述拉线通道内穿设所述控弯拉线,且所述控弯拉线的远端与所述导管体固定。Optionally, the medical catheter further includes a bend-controlling wire; the catheter body is also provided with a wire channel extending through its axial direction, and the wire channel and the instrument channel are isolated from each other. The bending control wire is passed through, and the distal end of the bending control wire is fixed to the catheter body.
为实现上述目的,本发明还提供了一种医用装置,包括手柄和如前所述的医用导管,所述手柄与所述导管体的近端连接,且所述手柄上设有与所述器械通道连通的导入通道。In order to achieve the above object, the present invention also provides a medical device, which includes a handle and a medical catheter as described above, the handle is connected to the proximal end of the catheter body, and the handle is provided with a device connected to the instrument. Channel-connected import channels.
为实现上述目的,本发明还提供了一种医用系统,包括图像处理装置、图像显示装置和如前所述的医用导管,所述图像处理装置与所述成像探头通信连接,用于接收并处理所述成像探头所采集的图像,所述图像显示装置与所述图像处理装置通信连接,并用于显示所述图像。In order to achieve the above object, the present invention also provides a medical system, including an image processing device, an image display device and a medical catheter as mentioned above. The image processing device is communicatively connected with the imaging probe for receiving and processing For the image collected by the imaging probe, the image display device is communicatively connected with the image processing device and is used to display the image.
可选地,所述导管体上还设有沿其轴向贯通地延伸的液体通道,所述液体通道位于所述成像探头的外侧;所述医用系统还包括负压吸引装置,所述负压吸引装置用于与所述器械通道的近端连接。Optionally, the catheter body is also provided with a liquid channel extending through the axial direction thereof, and the liquid channel is located outside the imaging probe; the medical system further includes a negative pressure suction device, and the negative pressure A suction device is used to connect with the proximal end of the instrument channel.
与现有技术相比,本发明的医用导管、装置及系统具有如下优点:Compared with the existing technology, the medical catheter, device and system of the present invention have the following advantages:
前述的医用导管包括导管体和成像探头,所述导管体上设有沿轴向贯通地延伸的器械通道,所述成像探头设置在所述导管体的远端,并至少部分地突出于所述导管体的远端端面,所述成像探头位于所述器械通道的外侧,在所述医用导管的轴向投影上,所述成像探头的投影的外轮廓线不超出所述导管体的投影的外轮廓线。也就是说,所述成像探头具有较小的径向尺寸。所述医用导管可用于执行ERCP,具体是在十二指肠镜的远端达到十二指肠乳头处时,将所述医用导管的远端沿十二指肠镜的器械通道导入体内,并经十二指肠乳头插入目标管腔(胰管或胆管),最后将器械沿所述医用导管的器械通道插入目标管腔,其中,所述成像探头在伸出十二指肠镜的器械通道之后,能够拍摄十二指肠内部的图像且提供直视十二指肠乳头的视野,便于引导所述医用导管的远端穿过十二指肠乳头,并且由于所述成像探头的外径较小, 使得所述医用导管的远端能够较为顺利地插入十二指肠乳头,并减少对十二指肠乳头的刺激和损伤。The aforementioned medical catheter includes a catheter body and an imaging probe. The catheter body is provided with an instrument channel extending through the axial direction. The imaging probe is disposed at the distal end of the catheter body and at least partially protrudes from the catheter body. The distal end face of the catheter body, the imaging probe is located outside the instrument channel, and on the axial projection of the medical catheter, the projected outer contour of the imaging probe does not exceed the projected outer contour of the catheter body. contour line. That is, the imaging probe has a smaller radial dimension. The medical catheter can be used to perform ERCP. Specifically, when the distal end of the duodenoscope reaches the duodenal papilla, the distal end of the medical catheter is introduced into the body along the instrument channel of the duodenoscope, and Insert the target lumen (pancreatic duct or bile duct) through the duodenal papilla, and finally insert the instrument into the target lumen along the instrument channel of the medical catheter, wherein the imaging probe extends out of the instrument channel of the duodenoscope. Afterwards, images of the inside of the duodenum can be taken and a direct view of the duodenal papilla is provided to facilitate guiding the distal end of the medical catheter through the duodenal papilla, and due to the relatively small outer diameter of the imaging probe Small, This enables the distal end of the medical catheter to be inserted into the duodenal papilla relatively smoothly and reduces stimulation and damage to the duodenal papilla.
附图说明Description of the drawings
附图用于更好地理解本发明,不构成对本发明的不当限定。其中:The accompanying drawings are used to better understand the present invention and do not constitute an improper limitation of the present invention. in:
图1是本发明根据一实施例所提供的医用导管的结构示意图;Figure 1 is a schematic structural diagram of a medical catheter provided according to an embodiment of the present invention;
图2是本发明根据一实施例所提供的医用导管的结构示意图,图2与图1的观察方位不同;Figure 2 is a schematic structural diagram of a medical catheter provided according to an embodiment of the present invention. The viewing directions of Figure 2 are different from that of Figure 1;
图3是图1所示的医用导管的A-A剖视图;Figure 3 is an A-A cross-sectional view of the medical catheter shown in Figure 1;
图4是图2所示的医用导管的B-B剖视图;Figure 4 is a B-B cross-sectional view of the medical catheter shown in Figure 2;
图5是本发明根据一实施例所提供的医用导管的轴向投影示意图,图示中成像探头的投影的外轮廓线全部位于所述导管体的投影的外轮廓线的内侧;Figure 5 is an axial projection schematic diagram of a medical catheter according to an embodiment of the present invention. In the illustration, the projected outer contour of the imaging probe is all located inside the projected outer contour of the catheter body;
图6是本发明根据一实施例所提供的医用导管的轴向投影示意图,图示中,成像探头的投影的外轮廓线与导管体的投影的外轮廓线部分地重合;Figure 6 is an axial projection schematic diagram of a medical catheter provided according to an embodiment of the present invention. In the illustration, the projected outer contour of the imaging probe partially coincides with the projected outer contour of the catheter body;
图7是本发明根据一替代性的实施例所提供的医用导管的结构示意图;Figure 7 is a schematic structural diagram of a medical catheter provided by the present invention according to an alternative embodiment;
图8是图7所示的医用导管的剖视图;Figure 8 is a cross-sectional view of the medical catheter shown in Figure 7;
图9是本发明根据一实施例所提供的医用导管的结构示意图,图示中器械通道的侧壁未发生变形以使得器械通道具有较小的内径;Figure 9 is a schematic structural diagram of a medical catheter provided according to an embodiment of the present invention. In the illustration, the side wall of the instrument channel is not deformed so that the instrument channel has a smaller inner diameter;
图10是本发明根据一实施例所提供的医用导管的结构示意图,图示中器械通道的侧壁发生变形以使得器械通道具有较大的内径;Figure 10 is a schematic structural diagram of a medical catheter provided according to an embodiment of the present invention. In the illustration, the side wall of the instrument channel is deformed so that the instrument channel has a larger inner diameter;
图11是本发明根据另一实施例所提供的医用导管的结构示意图,图示中,导管体上设置有液体通道,且液体通道位于器械通道的上方;Figure 11 is a schematic structural diagram of a medical catheter provided according to another embodiment of the present invention. In the illustration, a liquid channel is provided on the catheter body, and the liquid channel is located above the instrument channel;
图12是本发明根据一实施例所提供的医用装置的结构示意图。Figure 12 is a schematic structural diagram of a medical device provided according to an embodiment of the present invention.
[附图标记说明如下]:
10-医用导管,100-导管体,110-第一节段,120-第二节段,121-斜切面,
121a-近端端点,101-器械通道,102-缆线通道,103-液体通道,104-拉线通道,200-成像探头,210-成像模组,220-透明体,300-缆线,400-控弯拉线,20-手柄。
[Reference symbols are explained as follows]:
10-Medical catheter, 100-Catheter body, 110-First segment, 120-Second segment, 121-Bevel section,
121a-proximal endpoint, 101-instrument channel, 102-cable channel, 103-liquid channel, 104-wire channel, 200-imaging probe, 210-imaging module, 220-transparent body, 300-cable, 400- Bending control cable, 20-handle.
具体实施方式Detailed ways
以下通过特定的具体实例说明本发明的实施方式,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,本说明书中的各项细节也可以基于不同观点与应用,在没有背离本发明的精神下进行各种修饰或改变。需要说明的是,本实施例中所提供的图示仅以示意方式说明本发明的基本构想,遂图式中仅显示与本发明中有关的组件而非按照实际实施时的组件数目、形状及尺寸绘制,其实际实施时各组件的型态、数量及比例可为一种随意的改变,且其组件布局型态也可能更为复杂。The following describes the embodiments of the present invention through specific examples. Those skilled in the art can easily understand other advantages and effects of the present invention from the content disclosed in this specification. The present invention can also be implemented or applied through other different specific embodiments. Various details in this specification can also be modified or changed in various ways based on different viewpoints and applications without departing from the spirit of the present invention. It should be noted that the diagrams provided in this embodiment only illustrate the basic concept of the present invention in a schematic manner. The drawings only show the components related to the present invention and do not follow the actual implementation of the component numbers, shapes and components. Dimension drawing, in actual implementation, the type, quantity and proportion of each component can be arbitrarily changed, and the component layout type may also be more complex.
另外,以下说明内容的各个实施例分别具有一或多个技术特征,然此并不意味着使用本发明者必需同时实施任一实施例中的所有技术特征,或仅能分开实施不同实施例中的一部或全部技术特征。换句话说,在实施为可能的前提下,本领域技术人员可依据本发明的公开内容,并视设计规范或实作需求,选择性地实施任一实施例中部分或全部的技术特征,或者选择性地实施多个实施例中部分或全部的技术特征的组合,借此增加本发明实施时的弹性。In addition, each embodiment described below has one or more technical features, but this does not mean that the inventor must implement all the technical features in any embodiment at the same time, or can only implement them in different embodiments separately. some or all of the technical features. In other words, on the premise that implementation is possible, those skilled in the art can selectively implement some or all of the technical features in any embodiment based on the disclosure of the present invention and design specifications or implementation requirements, or Selectively implement a combination of some or all of the technical features in multiple embodiments, thereby increasing the flexibility of the implementation of the present invention.
如在本说明书中所使用的,单数形式“一”、“一个”以及“该”包括复数对象,复数形式“多个”包括两个以上的对象,除非内容另外明确指出外。如在本说明书中所使用的,术语“或”通常是以包括“和/或”的含义而进行使用的,除非内容另外明确指出外,以及术语“安装”、“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或两个元件的相互作用关系。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。As used in this specification, the singular forms "a," "an," and "the" include plural referents, and the plural form "plurality" includes two or more referents unless the content clearly dictates otherwise. As used in this specification, the term "or" is generally used in its sense including "and/or" unless the content clearly indicates otherwise, and the terms "installed", "connected" and "connected" shall To be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection. The connection can be mechanical or electrical. It can be a direct connection or an indirect connection through an intermediary. It can be an internal connection between two elements or an interaction between two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
在本文中,术语“近端”、“远端”是从使用该医疗器械的医生角度来看相对于彼此的元件或动作的相对方位、相对位置、方向,尽管“近端”、“远端”并非是限制性的,但是“近端”通常指该医疗设备在正常操作过程中靠近医生的一端,而“远端”通常是指首先进入患者体内的一端。 As used herein, the terms "proximal" and "distal" refer to the relative orientation, relative position, direction of elements or actions relative to each other from the perspective of a physician using the medical device, although "proximal", "distal" ” is not meant to be limiting, but “proximal” generally refers to the end of the medical device that is closest to the physician during normal operation, while “distal” generally refers to the end that first enters the patient’s body.
为使本发明的目的、优点和特征更加清楚,以下结合附图对本发明作进一步详细说明。需说明的是,附图均采用非常简化的形式且均使用非精准的比例,仅用以方便、明晰地辅助说明本发明实施例的目的。附图中相同或相似的附图标记代表相同或相似的部件。In order to make the purpose, advantages and features of the present invention clearer, the present invention will be described in further detail below with reference to the accompanying drawings. It should be noted that the drawings are in a very simplified form and use imprecise proportions, and are only used to conveniently and clearly assist in explaining the embodiments of the present invention. The same or similar reference numbers in the drawings represent the same or similar parts.
请参考图1至图4,本发明一实施例所提供的医用导管10包括导管体100和成像探头200。所述导管体100上设有沿所述导管体100的轴向贯通地延伸的器械通道101。所述成像探头200设置在所述导管体100的远端,并至少部分地突出于所述导管体100的远端端面,且所述成像探头200位于所述器械通道101的外侧,以使得所述成像探头200不遮挡所述器械通道101。在所述医用导管10的轴向投影上,所述成像探头200的投影的外轮廓线不超出所述导管体100的投影的外轮廓线。这里,所述医用导管10的轴向投影是指所述医用导管10在垂直于所述医用导管10的轴线的平面上的投影。所述成像探头200的投影的外轮廓线不超出所述导管体100的投影的外轮廓线包括如图5所示的所述成像探头200的投影完全位于所述导管体100的投影的内侧的情况,也包括如图6所示的所述成像探头200的投影的外轮廓线的一部分位于所述导管体100的投影的内侧、另一部分与所述导管体100的投影的外轮廓线重合的情况。也就是说,所述成像探头200的外径较小。其中,所述器械通道101的外侧指的是在其径向方向上的外侧。Referring to FIGS. 1 to 4 , a medical catheter 10 provided by an embodiment of the present invention includes a catheter body 100 and an imaging probe 200 . The catheter body 100 is provided with an instrument channel 101 extending through the axial direction of the catheter body 100 . The imaging probe 200 is disposed at the distal end of the catheter body 100 and at least partially protrudes from the distal end surface of the catheter body 100, and the imaging probe 200 is located outside the instrument channel 101, so that the The imaging probe 200 does not block the instrument channel 101. In the axial projection of the medical catheter 10 , the projected outer contour of the imaging probe 200 does not exceed the projected outer contour of the catheter body 100 . Here, the axial projection of the medical catheter 10 refers to the projection of the medical catheter 10 on a plane perpendicular to the axis of the medical catheter 10 . The projected outer contour of the imaging probe 200 does not exceed the projected outer contour of the catheter body 100 , including that the projection of the imaging probe 200 is completely inside the projection of the catheter body 100 as shown in FIG. 5 This situation also includes the situation where a part of the projected outer contour of the imaging probe 200 is located inside the projection of the catheter body 100 and the other part coincides with the projected outer contour of the catheter body 100 as shown in FIG. 6 Condition. That is to say, the outer diameter of the imaging probe 200 is smaller. Wherein, the outside of the instrument channel 101 refers to the outside in the radial direction.
所述医用导管10可用于执行ERCP。具体是在十二指肠镜的远端达到十二指肠乳头处时,将所述医用导管10的远端沿十二指肠镜的器械通道导入体内,并经十二指肠乳头插入目标管腔(胰管或胆管),最后将器械沿所述医用导管10的所述器械通道101插入目标管腔。其中,所述成像探头200在伸出十二指肠镜的器械通道之后,能够拍摄十二指肠内部的图像并提供直视十二指肠乳头的视野,以在不借助透视的情况下引导所述医用导管10的远端穿过十二指肠乳头,并且由于所述成像探头200的外径较小,使得所述医用导管10的远端能够较为顺利地插入十二指肠乳头,并减少对十二指肠乳头的刺激和损伤。此处所述的器械包括但不限于活检钳,此外,所述器械通道101还用于穿设导丝、激光光纤等。The medical catheter 10 may be used to perform ERCP. Specifically, when the distal end of the duodenoscope reaches the duodenal papilla, the distal end of the medical catheter 10 is introduced into the body along the instrument channel of the duodenoscope, and inserted into the target through the duodenal papilla. lumen (pancreatic duct or bile duct), and finally the instrument is inserted into the target lumen along the instrument channel 101 of the medical catheter 10 . After extending out of the instrument channel of the duodenoscope, the imaging probe 200 can take images of the inside of the duodenum and provide a direct view of the duodenal papilla, so as to guide without the aid of fluoroscopy. The distal end of the medical catheter 10 passes through the duodenal papilla, and because the outer diameter of the imaging probe 200 is small, the distal end of the medical catheter 10 can be inserted into the duodenal papilla relatively smoothly, and Reduce irritation and damage to the duodenal papilla. The instruments described here include but are not limited to biopsy forceps. In addition, the instrument channel 101 is also used to thread guide wires, laser fibers, etc.
于本发明实施例中,所述成像探头200包括成像模组210和透明体220。 所述成像模组210设置在所述导管体100的远端内。请参考图3及图5,所述导管体100上还设有沿所述导管体100的轴向贯通地延伸的缆线通道102,所述缆线通道102与所述器械通道101相互隔离。所述成像模组210至少部分地插设在所述缆线通道102内,且优选所述成像模组210的远端端部与所述导管体100的远端端面齐平。所述透明体220设置在所述导管体100的远端端面上且与所述导管体100一起密封所述成像模组210。也就是说,所述透明体220由所述导管体100的远端端面向远处延伸,以使得所述透明体220的远端超出所述成像模组210。其中,所述透明体220可以为盖帽结构,以罩设所述成像模组210,实现对所述成像模组210的密封,且能够作为导管的最远端用于与组织接触。这样的成像探头200,即使所述医用导管10的远端抵靠在组织上,也是所述透明体220的远端与组织抵靠,从而使得所述成像模组210与组织之间存在一定的距离而保证所述成像模组210仍可正常成像,便于施术者控制所述医用导管寻找并穿过十二指肠乳头。可以理解,所述透明体220采用全透明或高透明材料制作,另外所述透明体220的材质的硬度适中,硬度太小,其在接触组织时发生弯折,影响成像,硬度太大,又容易对组织造成损伤。In this embodiment of the present invention, the imaging probe 200 includes an imaging module 210 and a transparent body 220 . The imaging module 210 is disposed in the distal end of the catheter body 100 . Please refer to FIGS. 3 and 5 . The catheter body 100 is also provided with a cable channel 102 extending through the axial direction of the catheter body 100 . The cable channel 102 and the instrument channel 101 are isolated from each other. The imaging module 210 is at least partially inserted into the cable channel 102 , and preferably the distal end of the imaging module 210 is flush with the distal end of the catheter body 100 . The transparent body 220 is disposed on the distal end surface of the catheter body 100 and seals the imaging module 210 together with the catheter body 100 . That is to say, the transparent body 220 extends away from the distal end of the catheter body 100 so that the distal end of the transparent body 220 exceeds the imaging module 210 . The transparent body 220 can be a cap structure to cover the imaging module 210 to achieve sealing of the imaging module 210, and can be used as the distal end of the catheter for contact with tissue. With such an imaging probe 200, even if the distal end of the medical catheter 10 abuts the tissue, the distal end of the transparent body 220 abuts the tissue, so that there is a certain gap between the imaging module 210 and the tissue. The distance ensures that the imaging module 210 can still perform normal imaging, allowing the operator to control the medical catheter to find and pass through the duodenal papilla. It can be understood that the transparent body 220 is made of a fully transparent or highly transparent material. In addition, the hardness of the material of the transparent body 220 is moderate. If the hardness is too small, it will bend when it contacts tissue, affecting imaging. If the hardness is too high, it will Easily cause damage to tissues.
进一步优选地,所述成像探头200还包括光源(图中未示出),所述光源也可以设置在所述缆线通道102内,且所述光源的远端端部与所述导管体100的远端端面齐平,以为所述成像模组210提供光照。较佳地,如图1、图2及图4所示,所述成像探头200的所述透明体220的外表面为球面的一部分,且所述透明体220与所述缆线通道102同轴布置,这样做的好处是可以使得所述光源所提供的光线尽可能地汇聚在所述成像模组210的中心,降低因所述透明体220的折射率参差导致的成像扭曲。Further preferably, the imaging probe 200 further includes a light source (not shown in the figure), the light source may also be disposed in the cable channel 102, and the distal end of the light source is in contact with the catheter body 100. The distal end surface of the imaging module 210 is flush with each other to provide illumination for the imaging module 210 . Preferably, as shown in Figures 1, 2 and 4, the outer surface of the transparent body 220 of the imaging probe 200 is part of a sphere, and the transparent body 220 is coaxial with the cable channel 102. The advantage of this arrangement is that the light provided by the light source can be concentrated at the center of the imaging module 210 as much as possible, thereby reducing imaging distortion caused by the varying refractive index of the transparent body 220 .
可以理解,所述医用导管10还可以包括缆线300,所述缆线300部分地穿设在所述缆线通道102内。所述缆线300可包括第一缆线和第二缆线,所述第一缆线的远端与所述光源电性连接,以将外部电源提供的电能传输至所述光源,所述第二缆线的远端与所述成像模组210连接,以将外部电源提供的电能传输至所述成像模组210,且所述第二缆线的近端还与外部的图像处理装置(图中未示出)连接,以将所述成像模组210所采集的图像信息发送至 所述图像处理装置。It can be understood that the medical catheter 10 may also include a cable 300 that is partially threaded in the cable channel 102 . The cable 300 may include a first cable and a second cable. The distal end of the first cable is electrically connected to the light source to transmit power provided by an external power source to the light source. The distal end of the second cable is connected to the imaging module 210 to transmit the power provided by an external power supply to the imaging module 210, and the proximal end of the second cable is also connected to an external image processing device (Fig. (not shown in ) connection to send the image information collected by the imaging module 210 to The image processing device.
请参考图1、图2及图4,在一个示范性的实施例中,所述导管体100包括第一节段110和第二节段120,所述第二节段120连接于所述第一节段110的远端,以使得所述第二节段120的远端即为所述医用导管10的远端。所述第二节段120的外径沿近端向远端的方向逐渐减小,且所述成像探头200的外径小于或等于所述第二节段120的最小外径。所述第二节段120的外径可以沿近端向远端的方向连续地减小,也可以沿近端向远端的方向阶梯式地减小,本实施例对此不作限定。Please refer to Figures 1, 2 and 4. In an exemplary embodiment, the catheter body 100 includes a first section 110 and a second section 120. The second section 120 is connected to the first section. The distal end of one segment 110 , so that the distal end of the second segment 120 is the distal end of the medical catheter 10 . The outer diameter of the second section 120 gradually decreases from the proximal end to the distal end, and the outer diameter of the imaging probe 200 is less than or equal to the minimum outer diameter of the second section 120 . The outer diameter of the second segment 120 may be continuously reduced along the direction from the proximal end to the distal end, or may be reduced stepwise along the direction from the proximal end to the distal end, which is not limited in this embodiment.
可选地,本实施例中通过去除所述器械通道101的部分侧壁,以使得所述器械通道101的远端端面为斜切面121,来使得所述第二节段120的外径沿近端向远端的方向连续地减小。这样做的好处是便于所述导管体100成型。可选地,在所述导管体100的轴向上,所述斜切面121上距离所述第二节段120的远端端面最远的点被称之为近端端点121a,所述近端端点121a与所述第二节段120的远端端面的距离约为2mm~3mm。Optionally, in this embodiment, part of the side wall of the instrument channel 101 is removed, so that the distal end surface of the instrument channel 101 is a chamfered surface 121, so that the outer diameter of the second segment 120 is formed along the proximal surface. It decreases continuously from end to end. The advantage of this is that it facilitates the shaping of the catheter body 100 . Optionally, in the axial direction of the catheter body 100, the point on the bevel 121 that is farthest from the distal end surface of the second segment 120 is called the proximal end point 121a, and the proximal end The distance between the end point 121a and the distal end surface of the second segment 120 is approximately 2 mm to 3 mm.
在一替代性的实施例中,请参考图7及图8,所述导管体100的远端部分具有均一的外径。如此,所述成像探头200的外径小于所述导管体100的远端部分的外径。In an alternative embodiment, please refer to FIGS. 7 and 8 , the distal portion of the catheter body 100 has a uniform outer diameter. As such, the outer diameter of the imaging probe 200 is smaller than the outer diameter of the distal portion of the catheter body 100 .
进一步地,所述器械通道101的至少部分侧壁被配置为具有弹性,以使得当所述器械通道101在未受到沿径向向外的压力时具有较小的内径(如图9所示),而当所述器械通道101受到沿径向向外的压力时,所述器械通道101的侧壁的具有弹性的部分发生变形,以增大所述器械通道101的内径(如图10所示)。所述沿径向向外的压力可由穿设在所述器械通道101中的器械提供,或由通过所述器械通道101的流体提供。换句话说,在所述器械通道101中未穿设器械或未通入流体时,所述导管体100具有较小的外径,更容易地通过人体腔道和十二指肠乳头。在此,为实现该目的,所述器械通道101的至少部分侧壁采用弹性材料制作而成。Further, at least part of the side walls of the instrument channel 101 is configured to be elastic, so that the instrument channel 101 has a smaller inner diameter when it is not subjected to radially outward pressure (as shown in Figure 9) , and when the instrument channel 101 is subjected to radially outward pressure, the elastic part of the side wall of the instrument channel 101 deforms to increase the inner diameter of the instrument channel 101 (as shown in Figure 10 ). The radially outward pressure may be provided by an instrument passed through the instrument channel 101 or by fluid passing through the instrument channel 101 . In other words, when no instrument is inserted into the instrument channel 101 or no fluid is introduced, the catheter body 100 has a smaller outer diameter and can pass through the human body lumen and duodenal papilla more easily. Here, to achieve this purpose, at least part of the side walls of the instrument channel 101 is made of elastic material.
所述透明体220的形状可以减少体液及絮状分泌物在所述透明体220上的粘附,进而提高所述成像模组210所采集的图像信息的完整度和清晰度。进一步地,如图11所示,所述导管体100上还设有沿所述导管体100的轴向 贯通地延伸的液体通道103,所述液体通道103位于所述成像探头200的外侧,也即所述液体通道103未被所述成像探头200遮挡。这样设置的目的是,即使所述透明体220的外表面上粘附有液体或其他分泌物,也可以通过所述液体通道103灌注冲洗液,以对所述透明体220进行冲洗。The shape of the transparent body 220 can reduce the adhesion of body fluids and flocculent secretions on the transparent body 220 , thereby improving the integrity and clarity of image information collected by the imaging module 210 . Further, as shown in FIG. 11 , the catheter body 100 is also provided with an axis along the axial direction of the catheter body 100 . The liquid channel 103 extends through and is located outside the imaging probe 200 , that is, the liquid channel 103 is not blocked by the imaging probe 200 . The purpose of this arrangement is that even if liquid or other secretions adhere to the outer surface of the transparent body 220 , the flushing liquid can be poured through the liquid channel 103 to flush the transparent body 220 .
所述冲洗液包括但不限于生理盐水,所述冲洗液可通过所述器械通道101排出体外。具体地,在一些实现方式中,所述液体通道103与所述器械通道101在所述导管体100的周向上对称布置,且实际工作过程中,通过调整所述医用导管体100的姿态使得所述液体通道103位于所述器械通道101的上方(如图11所示方位),如此,所述冲洗液能够在重力的作用下沿着所述透明体220的外表面流入所述器械通道101,进而从所述器械通道101排出体外,所述冲洗液的流通方向如图11中箭头S所示。或者,在另一些实现方式中,可以通过在所述器械通道101的近端连接一负压吸引装置(图中未示出),通过负压的作用将所述冲洗液吸入所述器械通道101,进而排出体外。The flushing fluid includes but is not limited to physiological saline, and the flushing fluid can be discharged from the body through the instrument channel 101 . Specifically, in some implementations, the liquid channel 103 and the instrument channel 101 are symmetrically arranged in the circumferential direction of the catheter body 100, and during actual operation, the posture of the medical catheter body 100 is adjusted so that the The liquid channel 103 is located above the instrument channel 101 (the orientation shown in Figure 11). In this way, the flushing liquid can flow into the instrument channel 101 along the outer surface of the transparent body 220 under the action of gravity. Then it is discharged from the body through the instrument channel 101, and the flow direction of the flushing fluid is shown by arrow S in Figure 11. Alternatively, in other implementations, a negative pressure suction device (not shown in the figure) can be connected to the proximal end of the instrument channel 101 to suck the irrigation fluid into the instrument channel 101 through the action of negative pressure. , and then excreted from the body.
进一步地,当通过负压将所述冲洗液吸入所述器械通道101时,所述医用导管10还包括压力监测模块(图中未示出),所述压力监测模块可设置在所述液体通道103的远端。实际工作时,首先开启所述负压吸引装置,当所述压力监测模块监测到所述液体通道103的远端的压力达到预定值时,便可以向所述液体通道103灌注冲洗液,所述冲洗液在负压的引导下冲洗所述透明体220,之后流经所述器械通道101并排出体外。本实施例中,可通过注射器手动地向所述液体通道103灌注所述冲洗液,也可以通过智能控制模块控制注液泵向所述液体通道103灌注所述冲洗液。Further, when the irrigation fluid is sucked into the instrument channel 101 through negative pressure, the medical catheter 10 further includes a pressure monitoring module (not shown in the figure), and the pressure monitoring module can be disposed in the liquid channel. The far end of 103. During actual operation, the negative pressure suction device is first turned on. When the pressure monitoring module detects that the pressure at the far end of the liquid channel 103 reaches a predetermined value, the irrigation fluid can be poured into the liquid channel 103. The flushing liquid flushes the transparent body 220 under the guidance of negative pressure, and then flows through the instrument channel 101 and is discharged from the body. In this embodiment, the flushing liquid can be manually poured into the liquid channel 103 through a syringe, or the flushing liquid can be poured into the liquid channel 103 by controlling a liquid injection pump through an intelligent control module.
此外,请返回参考图3,所述导管体100上还设有沿所述导管体100的轴向贯通地延伸的拉线通道104,所述拉线通道104与所述器械通道101、所述液体通道103及所述缆线通道102相互隔离。所述医用导管10还包括控弯拉线400,所述控弯拉线400部分地穿设在所述拉线通道104内,且所述控弯拉线400的远端与所述导管体100的远端连接,所述控弯拉线400的近端可从所述导管体100的近端穿出,以便于施术者通过操纵所述控弯拉线400来控制所述导管体100弯曲。应理解,所述导管体100的材质应具有合适的硬度,且具有良好的回弹性,以便于弯曲,可选的材料包括但不限于PTFE(聚四氟 乙烯)。此外,所述控弯拉线400的近端还可以与一高频电发生器连接,以在通电时作为乳头切割刀使用。In addition, please refer back to FIG. 3 . The catheter body 100 is also provided with a wire channel 104 extending through the axial direction of the catheter body 100 . The wire channel 104 is connected with the instrument channel 101 and the liquid channel. 103 and the cable channel 102 are isolated from each other. The medical catheter 10 further includes a bend-controlling wire 400 , which is partially inserted into the wire channel 104 , and the distal end of the bending-controlling wire 400 is connected to the distal end of the catheter body 100 , the proximal end of the bending control wire 400 can pass through the proximal end of the catheter body 100, so that the operator can control the bending of the catheter body 100 by manipulating the bending control wire 400. It should be understood that the material of the catheter body 100 should have appropriate hardness and good resilience to facilitate bending. Optional materials include but are not limited to PTFE (polytetrafluoroethylene). ethylene). In addition, the proximal end of the bending control wire 400 can also be connected to a high-frequency electric generator, so as to be used as a nipple cutting knife when the electric power is supplied.
进一步地,如图12所示,本发明实施例还提供了一种医用装置1,所述医用装置1包括手柄20和如前所述的医用导管10,所述手柄20与所述医用导管10的导管体100的近端连接,且所述手柄20上设有与所述器械通道101连通的导入通道(图中未示出)。在执行ERCP手术时,各种医疗器械科通过所述导入通道进入所述器械通道101,以及,在利用负压吸引装置抽吸所述冲洗液时,所述负压吸引装置也可通过所述导入通道与所述器械通道101连通。Further, as shown in Figure 12, the embodiment of the present invention also provides a medical device 1. The medical device 1 includes a handle 20 and the medical catheter 10 as mentioned above. The handle 20 and the medical catheter 10 The proximal end of the catheter body 100 is connected, and the handle 20 is provided with an introduction channel (not shown in the figure) that communicates with the instrument channel 101 . When performing an ERCP operation, various medical instruments enter the instrument channel 101 through the introduction channel, and when a negative pressure suction device is used to aspirate the irrigation fluid, the negative pressure suction device can also pass through the The introduction channel is connected with the instrument channel 101 .
再进一步地,本发明实施例还提供了一种医用系统,所述医用系统包括图像处理装置(图中未示出)、图像显示装置(图中未示出)及如前所述的医用导管10。所述图像处理装置与所述成像探头200(具体是所述成像模组210)通信连接,用于接收并处理所述成像探头200所采集的图像,所述图像显示装置与所述图像处理装置通信连接,并用于显示所述图像。Furthermore, embodiments of the present invention also provide a medical system, which includes an image processing device (not shown in the figure), an image display device (not shown in the figure), and the medical catheter as described above. 10. The image processing device is communicatively connected with the imaging probe 200 (specifically, the imaging module 210) for receiving and processing images collected by the imaging probe 200. The image display device and the image processing device communication connection and used to display the image.
此外,当所述导管体100上设置所述液体通道103时,所述医用系统还包括所述负压吸引装置。In addition, when the liquid channel 103 is provided on the catheter body 100, the medical system further includes the negative pressure suction device.
虽然本发明披露如上,但并不局限于此。本领域的技术人员可以对本发明进行各种改动和变型而不脱离本发明的精神和范围。这样,倘若本发明的这些修改和变型属于本发明权利要求及其等同技术的范围之内,则本发明也意图包含这些改动和变型在内。 Although the present invention is disclosed above, it is not limited thereto. Various changes and modifications can be made to the present invention by those skilled in the art without departing from the spirit and scope of the invention. In this way, if these modifications and variations of the present invention fall within the scope of the claims of the present invention and equivalent technologies, the present invention is also intended to include these modifications and variations.

Claims (16)

  1. 一种医用导管,其特征在于,包括导管体和成像探头;所述导管体上设有沿轴向贯通地延伸的器械通道,所述成像探头设置在所述导管体的远端,并至少部分地突出于所述导管体的远端端面,所述成像探头位于所述器械通道的外侧;在所述医用导管的轴向投影上,所述成像探头的投影的外轮廓线不超出所述导管体的投影的外轮廓线。A medical catheter, characterized in that it includes a catheter body and an imaging probe; the catheter body is provided with an instrument channel extending axially through; the imaging probe is disposed at the distal end of the catheter body and at least partially Protruding beyond the distal end face of the catheter body, the imaging probe is located outside the instrument channel; on the axial projection of the medical catheter, the projected outer contour of the imaging probe does not exceed the catheter The projected outer contour of the body.
  2. 根据权利要求1所述的医用导管,其特征在于,所述导管体包括第一节段和第二节段,所述第二节段连接于所述第一节段的远端,且所述第二节段的外径沿近端向远端的方向逐渐减小;所述成像探头设置在所述第二节段的远端,且所述成像探头的外径小于或等于所述第二节段的最小外径。The medical catheter according to claim 1, wherein the catheter body includes a first segment and a second segment, the second segment is connected to the distal end of the first segment, and the The outer diameter of the second segment gradually decreases from the proximal end to the distal end; the imaging probe is disposed at the distal end of the second segment, and the outer diameter of the imaging probe is less than or equal to the second segment. The minimum outer diameter of the segment.
  3. 根据权利要求2所述的医用导管,其特征在于,所述器械通道的远端端面为斜切面,以使得所述第二节段的外径沿近端向远端的方向逐渐减小。The medical catheter according to claim 2, wherein the distal end surface of the instrument channel is a beveled surface, so that the outer diameter of the second section gradually decreases from the proximal end to the distal end.
  4. 根据权利要求3所述的医用导管,其特征在于,所述斜切面上距离所述第二节段的远端端面最远的点与所述第二节段的远端端面的轴向距离约为2mm~3mm。The medical catheter according to claim 3, wherein the axial distance between the point on the oblique section farthest from the distal end surface of the second segment and the distal end surface of the second segment is about It is 2mm~3mm.
  5. 根据权利要求1-4中任一项所述的医用导管,其特征在于,所述器械通道的至少部分侧壁被配置为具有弹性。The medical catheter according to any one of claims 1-4, wherein at least part of the side wall of the instrument channel is configured to be elastic.
  6. 根据权利要求5所述的医用导管,其特征在于,所述器械通道的至少部分侧壁采用弹性材料制作而成。The medical catheter according to claim 5, wherein at least part of the side wall of the instrument channel is made of elastic material.
  7. 根据权利要求1所述的医用导管,其特征在于,所述成像探头包括成像模组和透明体,所述成像模组设置在所述导管体的远端内,所述透明体设置在所述导管体的远端端面上且与所述导管体将所述成像模组密封在内。The medical catheter according to claim 1, wherein the imaging probe includes an imaging module and a transparent body, the imaging module is disposed in the distal end of the catheter body, and the transparent body is disposed in the The imaging module is sealed on the distal end surface of the catheter body and with the catheter body.
  8. 根据权利要求7所述的医用导管,其特征在于,所述透明体的外表面为球面的一部分。The medical catheter according to claim 7, wherein the outer surface of the transparent body is part of a spherical surface.
  9. 根据权利要求7或8所述的医用导管,其特征在于,所述导管体上还设有沿其轴向贯通地延伸的液体通道,所述液体通道位于所述成像探头的外侧。The medical catheter according to claim 7 or 8, characterized in that the catheter body is further provided with a liquid channel extending through the axial direction thereof, and the liquid channel is located outside the imaging probe.
  10. 根据权利要求9所述的医用导管,其特征在于,所述液体通道与所 述器械通道在所述导管体的周向上对称设置。The medical catheter according to claim 9, wherein the liquid channel and the The instrument channels are symmetrically arranged in the circumferential direction of the catheter body.
  11. 根据权利要求9所述的医用导管,其特征在于,所述医用导管还包括压力监测模块,所述压力监测模块设置在所述液体通道的远端。The medical catheter according to claim 9, characterized in that the medical catheter further includes a pressure monitoring module, and the pressure monitoring module is disposed at the distal end of the liquid channel.
  12. 根据权利要求7所述的医用导管,其特征在于,所述医用导管还包括缆线;所述导管体上还设有沿其轴向贯通地延伸的缆线通道,所述缆线通道与所述器械通道相互隔离,且所述缆线通道内穿设所述缆线;所述成像模组设置在所述缆线通道内,且所述成像模组与所述缆线连接。The medical catheter according to claim 7, wherein the medical catheter further includes a cable; the catheter body is further provided with a cable channel extending through the axial direction thereof, and the cable channel is connected to the cable channel. The instrument channels are isolated from each other, and the cable is passed through the cable channel; the imaging module is arranged in the cable channel, and the imaging module is connected to the cable.
  13. 根据权利要求1所述的医用导管,其特征在于,所述医用导管还包括控弯拉线;所述导管体上还设有沿其轴向贯通地延伸的拉线通道,所述拉线通道与所述器械通道相互隔离,所述拉线通道内穿设所述控弯拉线,且所述控弯拉线的远端与所述导管体固定。The medical catheter according to claim 1, characterized in that the medical catheter further includes a bending control wire; the catheter body is also provided with a wire channel extending through the axial direction thereof, and the wire channel is connected to the wire channel. The instrument channels are isolated from each other, the bending control wire is passed through the wire channel, and the distal end of the bending control wire is fixed to the catheter body.
  14. 一种医用装置,其特征在于,包括手柄和如权利要求1-13中任一项所述的医用导管,所述手柄与所述医用导管的所述导管体的近端连接,且所述手柄上设有与所述导管体上的所述器械通道连通的导入通道。A medical device, characterized in that it includes a handle and the medical catheter according to any one of claims 1 to 13, the handle is connected to the proximal end of the catheter body of the medical catheter, and the handle There is an introduction channel connected with the instrument channel on the catheter body.
  15. 一种医用系统,其特征在于,包括图像处理装置、图像显示装置和如权利要求1-13中任一项所述的医用导管,所述图像处理装置与所述医用导管的所述成像探头通信连接,用于接收并处理所述成像探头所采集的图像,所述图像显示装置与所述图像处理装置通信连接,并用于显示所述图像。A medical system, characterized by comprising an image processing device, an image display device and a medical catheter as claimed in any one of claims 1 to 13, the image processing device communicating with the imaging probe of the medical catheter Connection is used to receive and process images collected by the imaging probe. The image display device is communicatively connected with the image processing device and is used to display the image.
  16. 根据权利要求15所述的医用系统,其特征在于,所述医用导管的所述导管体上还设有沿其轴向贯通地延伸的液体通道,所述液体通道位于所述成像探头的外侧;所述医用系统还包括负压吸引装置,所述负压吸引装置用于与所述导管体上的所述器械通道的近端连接。 The medical system according to claim 15, wherein the catheter body of the medical catheter is further provided with a liquid channel extending through its axial direction, and the liquid channel is located outside the imaging probe; The medical system further includes a negative pressure suction device for connecting with the proximal end of the instrument channel on the catheter body.
PCT/CN2023/088142 2022-04-21 2023-04-13 Medical catheter, device and system WO2023202465A1 (en)

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CN202222390295.0 2022-09-08
CN202211098156.9A CN116920245A (en) 2022-04-21 2022-09-08 Medical catheter, device and system
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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1557510A (en) * 1996-11-26 2004-12-29 ���»���������ѧ��˾ Multiple lumen access device
US20090048486A1 (en) * 2007-08-08 2009-02-19 Wilson-Cook Medical Inc. Distal Tip for an Endoscope
CN201612587U (en) * 2010-03-16 2010-10-27 广州市番禺区胆囊病研究所 Integrated rigid ultrasonic cholecystoscope system
CN106793922A (en) * 2015-01-15 2017-05-31 奥林巴斯株式会社 Outer tube
US20170231477A1 (en) * 2016-02-12 2017-08-17 Children's Medical Center Corporation Instrument port with integrated imaging system
CN108095674A (en) * 2018-01-26 2018-06-01 浙江成运医疗器械有限公司 The leading end portion of fujinon electronic video endoscope
CN113316428A (en) * 2019-01-18 2021-08-27 Ipg光子公司 High efficiency multifunctional endoscopic instrument
CN113349705A (en) * 2020-03-04 2021-09-07 南微医学科技股份有限公司 Imaging catheter, tip, tube body and medical device
CN113613544A (en) * 2019-03-22 2021-11-05 奥林巴斯株式会社 Endoscope with a detachable handle

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1557510A (en) * 1996-11-26 2004-12-29 ���»���������ѧ��˾ Multiple lumen access device
US20090048486A1 (en) * 2007-08-08 2009-02-19 Wilson-Cook Medical Inc. Distal Tip for an Endoscope
CN201612587U (en) * 2010-03-16 2010-10-27 广州市番禺区胆囊病研究所 Integrated rigid ultrasonic cholecystoscope system
CN106793922A (en) * 2015-01-15 2017-05-31 奥林巴斯株式会社 Outer tube
US20170231477A1 (en) * 2016-02-12 2017-08-17 Children's Medical Center Corporation Instrument port with integrated imaging system
CN108095674A (en) * 2018-01-26 2018-06-01 浙江成运医疗器械有限公司 The leading end portion of fujinon electronic video endoscope
CN113316428A (en) * 2019-01-18 2021-08-27 Ipg光子公司 High efficiency multifunctional endoscopic instrument
CN113613544A (en) * 2019-03-22 2021-11-05 奥林巴斯株式会社 Endoscope with a detachable handle
CN113349705A (en) * 2020-03-04 2021-09-07 南微医学科技股份有限公司 Imaging catheter, tip, tube body and medical device

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