WO2024131413A1 - Medical resection device and endoscope system - Google Patents

Medical resection device and endoscope system Download PDF

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Publication number
WO2024131413A1
WO2024131413A1 PCT/CN2023/132778 CN2023132778W WO2024131413A1 WO 2024131413 A1 WO2024131413 A1 WO 2024131413A1 CN 2023132778 W CN2023132778 W CN 2023132778W WO 2024131413 A1 WO2024131413 A1 WO 2024131413A1
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WO
WIPO (PCT)
Prior art keywords
cutter
motor
electric frequency
medical
resection device
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Application number
PCT/CN2023/132778
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French (fr)
Chinese (zh)
Inventor
金莹莹
王光辉
Original Assignee
微创优通医疗科技(上海)有限公司
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Application filed by 微创优通医疗科技(上海)有限公司 filed Critical 微创优通医疗科技(上海)有限公司
Publication of WO2024131413A1 publication Critical patent/WO2024131413A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision 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
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02PCLIMATE CHANGE MITIGATION TECHNOLOGIES IN THE PRODUCTION OR PROCESSING OF GOODS
    • Y02P70/00Climate change mitigation technologies in the production process for final industrial or consumer products
    • Y02P70/10Greenhouse gas [GHG] capture, material saving, heat recovery or other energy efficient measures, e.g. motor control, characterised by manufacturing processes, e.g. for rolling metal or metal working

Definitions

  • the present application relates to the technical field of medical devices, and in particular to a medical resection device and an endoscope system.
  • a medical endoscope is a medical device that can enter the natural cavity of the human body for inspection and treatment.
  • endoscopes play an important role in the detection, diagnosis and removal of early cancer.
  • the medical devices used in each key surgical point of endoscopic surgery are different, and the operator needs to pay attention to or switch to different instruments at the same time during the operation, resulting in a long endoscopic operation time. Generally, it takes about 1 to 2 hours to successfully remove a lesion of about 3 cm.
  • each instrument relies on manual operation of the operator throughout the process, resulting in low accuracy and poor stability of the instrument implementation.
  • the purpose of the present application is to provide a medical resection device and an endoscope system to solve at least one of the following problems: how to improve the accuracy of intraoperative resection operations, how to reduce the complexity of intraoperative instrument operations, and how to improve surgical efficiency.
  • a medical resection device comprising: a cutter, a sheath tube and an adjustment component; the cutter is arranged at the distal end of the sheath tube, and the adjustment component is at least connected to the proximal end of the sheath tube;
  • the regulating component includes a shell, a motor, an electric frequency regulator, a fluid regulating valve and an intermediate piece;
  • the shell has a accommodating cavity and is communicated with the inner cavity of the sheath tube;
  • the intermediate piece is penetrated through the accommodating cavity and the inner cavity of the sheath tube, the motor, the electric frequency regulator and the fluid regulating valve are arranged at intervals in the shell, and are respectively connected to the cutter through the intermediate piece to respectively adjust the displacement of the cutter, the electric frequency received by the cutter and the fluid pressure in the cutter.
  • the medical resection device further comprises a protective cover;
  • the protective sleeve is sleeved on the outer surface of the cutter and connected to the distal end of the sheath tube.
  • the medical resection device further comprises a position sensor, and the position sensor is arranged on the inner wall of the protective sleeve or the sheath tube to monitor the displacement of the cutter.
  • the axial length of the protective sleeve is greater than or equal to the axial length of the cutting knife.
  • a limiting structure is provided on the inner wall of the protective sleeve to limit the maximum distance that the cutting knife extends out of the protective sleeve.
  • the middle piece includes an adjusting rod; both ends of the adjusting rod are respectively connected to the cutter and the motor, so that the motor pushes and pulls the cutter via the adjusting rod.
  • the intermediate piece also includes a wire; the two ends of the wire are respectively connected to the cutter and the electric frequency regulator; wherein the electric frequency regulator is also connected to the electric frequency host to adjust the electric frequency applied by the electric frequency host to the cutter.
  • the intermediate piece also includes a catheter; the two ends of the catheter are respectively connected to the cutter and the fluid regulating valve; wherein the cutter has an injection cavity, and the inner cavity of the catheter is connected to the injection cavity; the fluid regulating valve is also connected to the fluid equipment to adjust the pressure of the fluid introduced into the cutter by the fluid equipment.
  • the adjustment component also includes a display screen and a plurality of adjustment keys; the display screen and the plurality of adjustment keys are both arranged on the outer surface of the shell; the motor, the electric frequency regulator and the fluid regulating valve are respectively connected to the display screen; and, some of the adjustment keys are connected to the motor to adjust the motor; some of the adjustment keys are connected to the electric frequency regulator to adjust the electric frequency regulator; and some of the adjustment keys are connected to the fluid regulating valve to adjust the fluid regulating valve.
  • the present application also provides an endoscope system, including the medical resection device.
  • the present application provides a medical resection device and an endoscope system.
  • the medical resection device comprises: a cutter, a sheath tube and an adjustment component; the cutter is arranged at the distal end of the sheath tube, and the adjustment component is at least connected to the proximal end of the sheath tube; the adjustment component comprises a housing, a motor, an electric frequency regulator, a fluid regulating valve and an intermediate piece; the housing has a containing cavity and is connected to the proximal end of the sheath tube.
  • the inner cavities are interconnected; the intermediate piece is arranged in the inner cavities of the accommodating cavity and the sheath tube, and the motor, the electric frequency regulator and the fluid regulating valve are arranged in the shell at intervals, and are respectively connected to the cutter through the intermediate piece to respectively adjust the displacement of the cutter, the electric frequency received by the cutter and the fluid pressure in the cutter.
  • the medical resection device uses the motor to replace manual application of driving force to the cutter, avoiding the disadvantages of manual operation, improving the accuracy of the cutter movement, and also improving the efficiency of the operation.
  • the motor, the electric frequency regulator and the fluid regulating valve are all integrated into the adjustment component, which improves the convenience and flexibility of the operator's operation, further shortens the operation time, and improves the efficiency of the operation.
  • FIG. 1 is a cross-sectional view of a medical resection device in an embodiment of the present application.
  • FIG. 2 is a schematic diagram of the structure of a medical resection device in an embodiment of the present application.
  • proximal end usually refers to the end of the medical device that first enters the patient's body during normal operation
  • proximal end usually refers to the end of the medical device that is close to the operator during normal operation.
  • This embodiment provides a medical resection device, including: a cutter 10, a sheath tube 20 and an adjustment component 30; the cutter 10 is arranged at the distal end of the sheath tube 20, and the adjustment component 30 is at least connected to the proximal end of the sheath tube 20; wherein the adjustment component 30 includes a motor 301, an electric frequency regulator 302, a fluid regulating valve 303, an intermediate piece 304 and a shell 305; the shell 305 has a receiving cavity and is communicated with the inner cavity of the sheath tube 20; the intermediate piece 304 is penetrated in the receiving cavity and the inner cavity of the sheath tube 20, the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 are arranged in the shell 305 at intervals, and are respectively connected to the cutter 10 through the intermediate piece 304, so as to respectively adjust the displacement of the cutter 10, the electric frequency received by the cutter 10 and the fluid pressure in the cutter 10.
  • the medical cutting device uses the motor 301 to replace manual operation to apply driving force to the cutter 10, avoiding the disadvantages of manual operation, improving the accuracy of the movement of the cutter 10, and improving the efficiency of the operation.
  • the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 are all integrated into the regulating component 30, which improves the convenience of the operator's operation, further shortens the operation time, and improves the efficiency of the operation.
  • the medical resection device provided in this embodiment is described in detail below with reference to FIGS. 1 to 2 .
  • the medical resection device includes: a cutter 10, a sheath 20 and an adjustment component 30.
  • the cutter 10 is used to mark and cut the diseased tissue.
  • the cutter 10 is a high-frequency electric knife dedicated to endoscopes, which can mark the diseased tissue at a low frequency and cut the diseased tissue at a high frequency.
  • the sheath 20 is a delivery pipeline that can move in the cavity of a biological body or an instrument to support and transport the cutter 10 to the lesion.
  • the material of the sheath 20 is a biopolymer material with a certain flexibility.
  • the adjustment component 30 is used to adjust the motion parameters of the cutter 10 and the parameters of other devices that cooperate with the cutter 10 during the operation.
  • the cutter 10 is arranged at the distal end of the sheath 20 to be close to the lesion; part of the structure in the adjustment component 30 is arranged at the proximal end of the sheath 20 to facilitate flexible operation by the operator.
  • the operator is required to manually advance the cutter 10. Due to the unevenness of manual force application, the application of manual force and the movement of the cutter 10 are often not synchronized, making it difficult for the operator to accurately grasp the displacement of the cutter 10, and even causing the cutter 10 to break. rupture, seriously affecting the safety and success rate of the operation.
  • the existing endoscopic equipment is set on the main unit for adjusting other surgical parameters such as electric frequency, which is separated from the device for operating the cutter 10. Therefore, while the operator is operating the cutter 10, he will also divert his attention to other devices to adjust parameters as needed, which is extremely inconvenient for the operator and has a certain impact on the safety of the operation.
  • the medical resection device provided in this embodiment overcomes the above-mentioned technical problems.
  • the adjustment component 30 includes: a motor 301, an electric frequency regulator 302 and a fluid regulating valve 303.
  • the motor 301 is used to apply a driving force to the cutter 10 to replace manual operation and overcome the disadvantages of manual operation.
  • the electric frequency regulator 302 and the fluid regulating valve 303 are integrated into the regulating assembly 30 together with the motor 301, so that when the operator drives the cutter 10 through the motor 301, the operator can synchronously adjust the electric frequency received by the cutter 10 and the fluid pressure in the cutter 10 without switching multiple devices, thereby improving surgical efficiency and flexibility and reducing surgical risks.
  • the adjustment component 30 also includes an intermediate piece 304.
  • Part of the structure of the intermediate piece 304 is accommodated in the sheath tube 20, and is used to connect the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 to the cutter 10 respectively.
  • the intermediate piece 304 includes an adjustment rod 3041, a catheter 3042 and a wire 3043. The distal end of the adjustment rod 3041 is connected to the proximal end of the cutter 10, and the proximal end of the adjustment rod 3041 is connected to the motor 301.
  • the adjustment rod 3041 is a metal wire or a metal tube, and has a certain rigidity, so that the motor 301 pushes and pulls the cutter 10 through the adjustment rod 3041 to drive the cutter 10 to produce displacement.
  • the distal end of the catheter 3042 is connected to the proximal end of the cutter 10, and the proximal end of the catheter 3042 is connected to the fluid regulating valve 303.
  • the cutter 10 in this embodiment has an injection cavity 101, and the inner cavity of the catheter 3042 is connected to the injection cavity 101.
  • the other end of the fluid regulating valve 303 is connected to the fluid device; the fluid provided by the fluid device can be injected into the diseased tissue through the fluid regulating valve 303, the catheter 3042 and the injection cavity 101 in sequence.
  • the fluid is physiological saline.
  • the cutter 10 cuts an injection port on the diseased tissue, and the physiological saline in the cutter 10 flows into the diseased tissue through the injection port, so that the diseased tissue swells, which is convenient for subsequent marking and resection.
  • the fluid regulating valve 303 can adjust the pressure of the fluid introduced into the cutter 10 by the fluid device to meet different surgical needs.
  • the distal end of the wire 3043 is connected to the proximal end of the cutter 10,
  • the proximal end of the wire 3043 is connected to the electric frequency regulator 302.
  • the wire 3043 referred to in this embodiment is not limited to a wire group formed by one wire or two or more wires in the art, and can be selected according to the specific type of the cutter 10.
  • the electric frequency regulator 302 is also connected to the electric frequency host.
  • the electric frequency host is used to apply electric frequency to the cutter 10, and the electric frequency regulator 302 is used to adjust the frequency range so that the cutter 10 marks the diseased tissue at a low electric frequency and peels off the diseased tissue at a high electric frequency.
  • this embodiment does not limit the specific setting positions of the adjustment rod 3041, the catheter 3042 and the wire 3043.
  • the adjustment rod 3041 is a tube body, which is sleeved on the catheter 3042; and the wire 3043 is embedded in the sheath 20, or wrapped around the outer periphery of the adjustment rod 3041.
  • the adjustment component 30 also includes a housing 305, a display screen 306 and a plurality of adjustment keys 307.
  • the proximal end of the sheath tube 20 is connected to the housing 305, and the housing 305 has a receiving cavity, which is connected to the inner cavity of the sheath tube 20.
  • the middle piece 304 is arranged in the receiving cavity and the inner cavity of the sheath tube 20. That is, part of the structure of the middle piece 304 extends into the receiving cavity, and the remaining structure extends into the inner cavity of the sheath tube 20.
  • the display screen 306 and the plurality of adjustment keys 307 are all arranged on the outer surface of the housing 305; the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 are all accommodated in the housing 305 and are respectively connected to the display screen 306; the connection mode can be wireless connection or wired connection. Among them, the display screen 306 can display the direction and speed of the motor 301, the electric frequency and the fluid pressure. Further, some of the adjustment keys 307 are connected to the motor 301 to adjust the motor 301; some of the adjustment keys 307 are connected to the electric frequency regulator 302 to adjust the electric frequency regulator 302; and some of the adjustment keys 307 are connected to the fluid regulating valve 303 to adjust the fluid regulating valve 303.
  • the adjustment component 30 is provided with six adjustment keys 307, namely, a first adjustment key 3071, a second adjustment key 3072, a third adjustment key 3073, a fourth adjustment key 3074, a fifth adjustment key 3075 and a sixth adjustment key 3076.
  • the first adjustment key 3071 and the second adjustment key 3072 are connected to the motor 301 to respectively adjust the motor 301 to drive the cutter 10 to advance and retreat, and/or adjust the corresponding displacement.
  • the third adjustment key 3073 and the fourth adjustment key 3074 are connected to the electric frequency regulator 302 to respectively switch high and low frequencies and/or adjust the electric frequency.
  • the fifth adjustment key 3075 and the sixth adjustment key 3076 are connected to the fluid regulating valve 303 to respectively increase and decrease fluid pressure.
  • the adjustment key 307 is used to adjust various parameters, and the operation is convenient. It should be noted that the present embodiment does not limit the specific structure of the adjustment key 307, and it can be a knob-type adjustment key, a button-type adjustment key, or a sliding-type adjustment key.
  • the medical resection device also includes a protective sleeve 40.
  • the protective sleeve 40 is sleeved on the outer surface of the cutter 10 and connected to the distal end of the sheath 20.
  • the protective sleeve 40 is detachably connected to the sheath 20.
  • the proximal periphery of the protective sleeve 40 is provided with a threaded structure
  • the distal inner wall of the sheath 20 is provided with a corresponding threaded structure
  • the proximal end of the protective sleeve 40 can extend into the distal end of the sheath 20 and engage with the thread.
  • the axial length of the protective sleeve 40 is greater than or equal to the axial length of the cutter 10, so that the cutter 10 can be completely accommodated in the protective sleeve 40, then during the transportation and withdrawal process, the cutter 10 is completely located in the protective sleeve 40, and will not contact other tissues or instruments, thereby avoiding damage to the cutter 10 and scratching other tissues or instruments.
  • the inner wall of the protective cover 40 is provided with a limiting structure to limit the maximum distance that the cutter 10 extends out of the protective cover 40.
  • the inner wall of the protective cover 40 has a first protruding structure 401 as the limiting structure.
  • the proximal end of the cutter 10 has a second protruding structure 102.
  • the limiting structure can also stabilize the position of the cutter 10 to prevent the cutter 10 from moving abnormally. It should be noted that this embodiment does not limit the specific form of the limiting structure, and a guide rail of a fixed length can also be provided on the inner wall of the protective cover 40 to serve as the limiting structure.
  • the second protruding structure 102 is stuck in the guide rail and can slide relative to the guide rail, so that when the second protruding structure 102 slides to the far end of the guide rail, the cutter 10 is blocked from continuing to move toward the far end.
  • the medical resection device further includes a position sensor 50.
  • the position sensor 50 can be disposed on the inner wall surface of the protective cover 40 or the sheath tube 20, or can be embedded in the inner wall to monitor the displacement of the cutter 10.
  • the position sensor 50 is wirelessly connected to the display screen 306 so that the actual displacement of the cutter 10 detected by the position sensor 50 can be displayed to the operator in real time, so that the operator can grasp the displacement of the cutter 10. 10. The specific location of the vehicle.
  • this embodiment also provides an endoscope system, including the medical resection device.
  • the endoscope is first used to determine the location of the lesion, and then the sheath 20 is used to transport the cutter 10 to the location of the lesion.
  • the sheath 20 extends along the inner cavity of the delivery tube of the endoscope, and the cutter 10 is hidden in the protective cover 40.
  • the position and angle of the distal end of the endoscope are adjusted to approach the lesion tissue and determine the operating position.
  • the operator adjusts the first adjustment key 3071 so that the motor 301 drives the cutter 10 to smoothly extend out of the protective cover 40.
  • the operator can see the displacement information fed back by the position sensor 50 through the display screen 306 to determine the specific displacement of the cutter 10.
  • the motor 301 can stop automatically.
  • the operator can operate the fourth adjustment key 3074 to make the electric frequency host apply a low electric frequency to the cutter 10 to mark the diseased tissue.
  • adjust the fifth adjustment key 3075 and the sixth adjustment key 3076 as needed to make the fluid device inject fluid into the injection cavity 101 of the cutter 10 and make the diseased tissue bulge.
  • adjust the third adjustment key 3073 to make the electric frequency host apply a high electric frequency to the cutter 10 to peel off the diseased tissue.
  • the motor 301 can stop automatically. After the cutter 10 is completely placed in the protective cover 40, the cutter 10 is withdrawn along the inner wall of the output tube of the endoscope, and the instrument is replaced later to remove the peeled tissue. It should be noted that, in actual operation, the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 may be adjusted repeatedly as needed.
  • the medical resection device and endoscope system adopts the motor 301 to replace manual operation to apply driving force to the cutter 10, thereby avoiding the disadvantages of manual operation, improving the accuracy and stability of the movement of the cutter 10, and improving the efficiency of the operation.
  • the motor 301, the electric frequency regulator 302, and the fluid regulating valve 303 are all integrated into the regulating component 30. During the operation, the operator only needs to operate the regulating component 30, without having to pay attention to multiple devices at the same time, which improves the convenience and flexibility of the operator's operation, further shortens the operation time, and improves the efficiency of the operation.

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Abstract

A medical resection device and an endoscope system. The medical resection device comprises a cutter (10), a sheath tube (20), and a regulating assembly (30). The cutter (10) is arranged at a distal end of the sheath tube (20), and the regulating assembly (30) is at least connected to a proximal end of the sheath tube (20). The regulating assembly (30) comprises a housing (305), a motor (301), an electrical current frequency regulator (302), a fluid regulating valve (303), and an intermediate member (304). The housing (305) has an accommodating cavity and is in communication with an inner cavity of the sheath tube (20). The intermediate member (304) is arranged in the accommodating cavity and the inner cavity of the sheath tube (20) in a penetrating manner. The motor (301), the electrical current frequency regulator (302), and the fluid regulating valve (303) are arranged in the housing (305) at intervals and are each connected to the cutter (10) by means of the intermediate member (304) to adjust displacement of the cutter (10), electrical current frequency received by the cutter (10), and fluid pressure in the cutter (10), respectively. According to the device, the motor (301) is used in place of manpower to apply a driving force to the cutter (10), such that the movement accuracy of the cutter (10) is improved, and the operation efficiency is also improved. At the same time, the motor (301), the electrical current frequency regulator (302), and the fluid regulating valve (303) are all integrated in the regulating assembly (30), thereby improving the convenience of operations, shortening the operation time, and improving the operation efficiency.

Description

医用切除装置及内窥镜系统Medical resection devices and endoscope systems 技术领域Technical Field
本申请涉及医疗器械技术领域,特别涉及一种医用切除装置及内窥镜系统。The present application relates to the technical field of medical devices, and in particular to a medical resection device and an endoscope system.
背景技术Background technique
医用内窥镜是一种可以进入人体自然腔道,进行检查和诊疗的医疗设备。随着内窥镜技术的不断发展,内窥镜对于早癌的发现、诊断和切除起到重要的作用。然而,目前内镜手术各关键术点应用的医疗器械不同,需要施术者在术中同时关注或切换使用不同的器械,造成内镜手术时间较长。一般情况下,1至2小时左右才能成功切除一个3厘米左右的病变。并且,在内镜手术中,各个器械全程依靠施术者的手动操作,导致器械实施的精准度低和稳定性差。A medical endoscope is a medical device that can enter the natural cavity of the human body for inspection and treatment. With the continuous development of endoscopic technology, endoscopes play an important role in the detection, diagnosis and removal of early cancer. However, the medical devices used in each key surgical point of endoscopic surgery are different, and the operator needs to pay attention to or switch to different instruments at the same time during the operation, resulting in a long endoscopic operation time. Generally, it takes about 1 to 2 hours to successfully remove a lesion of about 3 cm. In addition, in endoscopic surgery, each instrument relies on manual operation of the operator throughout the process, resulting in low accuracy and poor stability of the instrument implementation.
因此,亟需一种新的内窥镜装置,以提高内镜手术的效率,保障内镜手术的精准度。Therefore, there is an urgent need for a new endoscopic device to improve the efficiency of endoscopic surgery and ensure the accuracy of endoscopic surgery.
发明内容Summary of the invention
本申请的目的在于提供一种医用切除装置及内窥镜系统,以解决如何提高术中切除操作的精准度,如何降低术中器械操作的复杂度以及如何提高手术效率中的至少一个问题。The purpose of the present application is to provide a medical resection device and an endoscope system to solve at least one of the following problems: how to improve the accuracy of intraoperative resection operations, how to reduce the complexity of intraoperative instrument operations, and how to improve surgical efficiency.
为解决上述技术问题,本申请提供一种医用切除装置,包括:切刀、鞘管和调节组件;所述切刀设置于所述鞘管的远端,所述调节组件至少与所述鞘管的近端相接;In order to solve the above technical problems, the present application provides a medical resection device, comprising: a cutter, a sheath tube and an adjustment component; the cutter is arranged at the distal end of the sheath tube, and the adjustment component is at least connected to the proximal end of the sheath tube;
其中,所述调节组件包括壳体、电机、电频调节器、流体调节阀和中间件;所述壳体具有容置腔,且与所述鞘管的内腔相连通;所述中间件穿设于所述容置腔和所述鞘管的内腔中,所述电机、所述电频调节器和所述流体调节阀间隔设置于所述壳体内,且分别经所述中间件与所述切刀相接,以分别调节所述切刀的位移量、所述切刀接收的电频率和所述切刀内的流体压强。Wherein, the regulating component includes a shell, a motor, an electric frequency regulator, a fluid regulating valve and an intermediate piece; the shell has a accommodating cavity and is communicated with the inner cavity of the sheath tube; the intermediate piece is penetrated through the accommodating cavity and the inner cavity of the sheath tube, the motor, the electric frequency regulator and the fluid regulating valve are arranged at intervals in the shell, and are respectively connected to the cutter through the intermediate piece to respectively adjust the displacement of the cutter, the electric frequency received by the cutter and the fluid pressure in the cutter.
可选的,在所述的医用切除装置中,所述医用切除装置还包括保护套; 所述保护套套设于所述切刀的外表面,且与所述鞘管的远端相接。Optionally, in the medical resection device, the medical resection device further comprises a protective cover; The protective sleeve is sleeved on the outer surface of the cutter and connected to the distal end of the sheath tube.
可选的,在所述的医用切除装置中,所述医用切除装置还包括位置传感器,所述位置传感器设置于所述保护套或所述鞘管的内壁上,以监测所述切刀的位移量。Optionally, in the medical resection device, the medical resection device further comprises a position sensor, and the position sensor is arranged on the inner wall of the protective sleeve or the sheath tube to monitor the displacement of the cutter.
可选的,在所述的医用切除装置中,所述保护套的轴向长度大于或等于所述切刀的轴向长度。Optionally, in the medical resection device, the axial length of the protective sleeve is greater than or equal to the axial length of the cutting knife.
可选的,在所述的医用切除装置中,所述保护套的内壁设置有限位结构,以限定所述切刀伸出所述保护套的最大距离。Optionally, in the medical resection device, a limiting structure is provided on the inner wall of the protective sleeve to limit the maximum distance that the cutting knife extends out of the protective sleeve.
可选的,在所述的医用切除装置中,所述中间件包括调节杆;所述调节杆的两端分别与所述切刀和所述电机相接,以使所述电机经所述调节杆推拉所述切刀。Optionally, in the medical resection device, the middle piece includes an adjusting rod; both ends of the adjusting rod are respectively connected to the cutter and the motor, so that the motor pushes and pulls the cutter via the adjusting rod.
可选的,在所述的医用切除装置中,所述中间件还包括导线;所述导线的两端分别与所述切刀和所述电频调节器相接;其中,所述电频调节器还与电频主机相接,以调节所述电频主机向所述切刀施加的电频率。Optionally, in the medical resection device, the intermediate piece also includes a wire; the two ends of the wire are respectively connected to the cutter and the electric frequency regulator; wherein the electric frequency regulator is also connected to the electric frequency host to adjust the electric frequency applied by the electric frequency host to the cutter.
可选的,在所述的医用切除装置中,所述中间件还包括导管;所述导管的两端分别与所述切刀和所述流体调节阀相接;其中,所述切刀具有注射腔,所述导管的内腔与所述注射腔相连通;所述流体调节阀还与流体设备相接,以调节所述流体设备向所述切刀内通入流体的压强。Optionally, in the medical resection device, the intermediate piece also includes a catheter; the two ends of the catheter are respectively connected to the cutter and the fluid regulating valve; wherein the cutter has an injection cavity, and the inner cavity of the catheter is connected to the injection cavity; the fluid regulating valve is also connected to the fluid equipment to adjust the pressure of the fluid introduced into the cutter by the fluid equipment.
可选的,在所述的医用切除装置中,所述调节组件还包括显示屏和多个调节键;所述显示屏和所述多个调节键均设置于所述壳体的外表面;所述电机、所述电频调节器和所述流体调节阀分别与所述显示屏相接;以及,部分所述调节键与所述电机相接,以调节所述电机;部分所述调节键与所述电频调节器相接,以调节所述电频调节器;部分所述调节键与所述流体调节阀相接,以调节所述流体调节阀。Optionally, in the medical resection device, the adjustment component also includes a display screen and a plurality of adjustment keys; the display screen and the plurality of adjustment keys are both arranged on the outer surface of the shell; the motor, the electric frequency regulator and the fluid regulating valve are respectively connected to the display screen; and, some of the adjustment keys are connected to the motor to adjust the motor; some of the adjustment keys are connected to the electric frequency regulator to adjust the electric frequency regulator; and some of the adjustment keys are connected to the fluid regulating valve to adjust the fluid regulating valve.
基于同一构思,本申请还提供一种内窥镜系统,包括所述的医用切除装置。Based on the same concept, the present application also provides an endoscope system, including the medical resection device.
综上所述,本申请提供一种医用切除装置及内窥镜系统。其中,所述医用切除装置包括:切刀、鞘管和调节组件;所述切刀设置于所述鞘管的远端,所述调节组件至少与所述鞘管的近端相接;所述调节组件包括壳体、电机、电频调节器、流体调节阀和中间件;所述壳体具有容置腔,且与所述鞘管的 内腔相连通;所述中间件穿设于所述容置腔和所述鞘管的内腔中,所述电机、所述电频调节器和所述流体调节阀间隔设置于所述壳体内,且分别经所述中间件与所述切刀相接,以分别调节所述切刀的位移量、所述切刀接收的电频率和所述切刀内的流体压强。可见,本申请提供的所述医用切除装置采用所述电机替代人工向所述切刀施加驱动力,避免了人工操作的弊端,提高了所述切刀运动的精准度,也提高了手术的效率。以及,将所述电机、所述电频调节器和所述流体调节阀均集成于所述调节组件中,提高了施术者操作的便捷度和灵活度,进一步缩短手术时间,提高手术效率。In summary, the present application provides a medical resection device and an endoscope system. The medical resection device comprises: a cutter, a sheath tube and an adjustment component; the cutter is arranged at the distal end of the sheath tube, and the adjustment component is at least connected to the proximal end of the sheath tube; the adjustment component comprises a housing, a motor, an electric frequency regulator, a fluid regulating valve and an intermediate piece; the housing has a containing cavity and is connected to the proximal end of the sheath tube. The inner cavities are interconnected; the intermediate piece is arranged in the inner cavities of the accommodating cavity and the sheath tube, and the motor, the electric frequency regulator and the fluid regulating valve are arranged in the shell at intervals, and are respectively connected to the cutter through the intermediate piece to respectively adjust the displacement of the cutter, the electric frequency received by the cutter and the fluid pressure in the cutter. It can be seen that the medical resection device provided by the present application uses the motor to replace manual application of driving force to the cutter, avoiding the disadvantages of manual operation, improving the accuracy of the cutter movement, and also improving the efficiency of the operation. In addition, the motor, the electric frequency regulator and the fluid regulating valve are all integrated into the adjustment component, which improves the convenience and flexibility of the operator's operation, further shortens the operation time, and improves the efficiency of the operation.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1是本申请实施例中医用切除装置的剖视图。FIG. 1 is a cross-sectional view of a medical resection device in an embodiment of the present application.
图2是本申请实施例中医用切除装置的结构示意图。FIG. 2 is a schematic diagram of the structure of a medical resection device in an embodiment of the present application.
其中,附图标记为:
10-切刀;101-注射腔;102-第二凸出结构;
20-鞘管;
30-调节组件;301-电机;302-电频调节器;303-流体调节阀;304-中间
件;3041-调节杆;3042-导管;3043-导线;305-壳体;306-显示屏;307-调节键;3071-第一调节键;3072-第二调节键;3073-第三调节键;3074-第四调节键;3075-第五调节键;3076-第六调节键;
40-保护套;401-第一凸出结构;
50-位置传感器。
Wherein, the accompanying drawings are marked as follows:
10-cutter; 101-injection cavity; 102-second protruding structure;
20-sheath;
30-adjustment assembly; 301-motor; 302-electric frequency regulator; 303-fluid regulating valve; 304-middle piece; 3041-adjustment rod; 3042-conduit; 3043-wire; 305-housing; 306-display screen; 307-adjustment key; 3071-first adjustment key; 3072-second adjustment key; 3073-third adjustment key; 3074-fourth adjustment key; 3075-fifth adjustment key; 3076-sixth adjustment key;
40-protective cover; 401-first protruding structure;
50- Position sensor.
具体实施方式Detailed ways
为使本申请的目的、优点和特征更加清楚,以下结合附图和具体实施例对本申请作进一步详细说明。需说明的是,附图均采用非常简化的形式且未按比例绘制,仅用以方便、明晰地辅助说明本申请实施例的目的。此外,附图所展示的结构往往是实际结构的一部分。特别的,各附图需要展示的侧重点不同,有时会采用不同的比例。还应当理解的是,除非特别说明或者指出,否则说明书中的术语“第一”、“第二”、“第三”等描述仅仅用于区分说明书中的各个组件、元素、步骤等,而不是用于表示各个组件、元素、步骤之间的逻 辑关系或者顺序关系等。以及,本文中“近端”和“远端”的定义为:“远端”通常指该医疗设备在正常操作过程中首先进入患者体内的一端,而“近端”通常是指该医疗设备在正常操作过程中靠近操作者的一端。In order to make the purpose, advantages and features of the present application clearer, the present application is further described in detail below in conjunction with the drawings and specific embodiments. It should be noted that the drawings are all in a very simplified form and are not drawn to scale, and are only used to conveniently and clearly assist in explaining the purpose of the embodiments of the present application. In addition, the structure shown in the drawings is often part of the actual structure. In particular, the various drawings need to show different focuses, and sometimes different scales are used. It should also be understood that, unless otherwise specified or indicated, the terms "first", "second", "third", etc. in the specification are only used to distinguish between the various components, elements, steps, etc. in the specification, and are not used to represent the logic between the various components, elements, and steps. Logical relationship or sequential relationship, etc. Also, the definitions of "proximal end" and "distal end" in this article are: "distal end" usually refers to the end of the medical device that first enters the patient's body during normal operation, and "proximal end" usually refers to the end of the medical device that is close to the operator during normal operation.
请参阅图1,本实施例提供一种医用切除装置,包括:切刀10、鞘管20和调节组件30;所述切刀10设置于所述鞘管20的远端,所述调节组件30至少与所述鞘管20的近端相接;其中,所述调节组件30包括电机301、电频调节器302、流体调节阀303、中间件304和壳体305;所述壳体305具有容置腔,且与所述鞘管20的内腔相连通;所述中间件304穿设于所述容置腔和所述鞘管20的内腔中,所述电机301、所述电频调节器302和所述流体调节阀303间隔设置于所述壳体305内,且分别经所述中间件304与所述切刀10相接,以分别调节所述切刀10的位移量、所述切刀10接收的电频率和所述切刀10内的流体压强。Please refer to Figure 1. This embodiment provides a medical resection device, including: a cutter 10, a sheath tube 20 and an adjustment component 30; the cutter 10 is arranged at the distal end of the sheath tube 20, and the adjustment component 30 is at least connected to the proximal end of the sheath tube 20; wherein the adjustment component 30 includes a motor 301, an electric frequency regulator 302, a fluid regulating valve 303, an intermediate piece 304 and a shell 305; the shell 305 has a receiving cavity and is communicated with the inner cavity of the sheath tube 20; the intermediate piece 304 is penetrated in the receiving cavity and the inner cavity of the sheath tube 20, the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 are arranged in the shell 305 at intervals, and are respectively connected to the cutter 10 through the intermediate piece 304, so as to respectively adjust the displacement of the cutter 10, the electric frequency received by the cutter 10 and the fluid pressure in the cutter 10.
可见,本实施例提供的所述医用切除装置采用所述电机301替代人工向所述切刀10施加驱动力,避免了人工操作的弊端,提高了所述切刀10运动的精准度,也提高了手术的效率。以及,将所述电机301、所述电频调节器302和所述流体调节阀303均集成于所述调节组件30中,提高了施术者操作的便捷度,进一步缩短手术时间,提高手术效率。It can be seen that the medical cutting device provided in this embodiment uses the motor 301 to replace manual operation to apply driving force to the cutter 10, avoiding the disadvantages of manual operation, improving the accuracy of the movement of the cutter 10, and improving the efficiency of the operation. In addition, the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 are all integrated into the regulating component 30, which improves the convenience of the operator's operation, further shortens the operation time, and improves the efficiency of the operation.
以下结合附图1~2具体说明本实施例提供的所述医用切除装置。The medical resection device provided in this embodiment is described in detail below with reference to FIGS. 1 to 2 .
请继续参阅图1,所述医用切除装置包括:切刀10、鞘管20和调节组件30。其中,所述切刀10用于标记并切割病变组织。优选的,所述切刀10为内窥镜专用高频电刀,以在低频下对病变组织进行标记,并在高频下切割病变组织。所述鞘管20为一输送管道,能够在生物体或器械的腔道中移动,以支撑并输送所述切刀10至病灶处。优选的,所述鞘管20的材质为生物高分子材料,具有一定的挠性。所述调节组件30用于在术中调节所述切刀10的运动参数以及其他与所述切刀10相配合作用的器件的参数。进一步的,所述切刀10设置于所述鞘管20的远端,以靠近病灶处;所述调节组件30中的部分结构设置于所述鞘管20的近端,以便于施术者灵活操作。Please continue to refer to Figure 1. The medical resection device includes: a cutter 10, a sheath 20 and an adjustment component 30. The cutter 10 is used to mark and cut the diseased tissue. Preferably, the cutter 10 is a high-frequency electric knife dedicated to endoscopes, which can mark the diseased tissue at a low frequency and cut the diseased tissue at a high frequency. The sheath 20 is a delivery pipeline that can move in the cavity of a biological body or an instrument to support and transport the cutter 10 to the lesion. Preferably, the material of the sheath 20 is a biopolymer material with a certain flexibility. The adjustment component 30 is used to adjust the motion parameters of the cutter 10 and the parameters of other devices that cooperate with the cutter 10 during the operation. Further, the cutter 10 is arranged at the distal end of the sheath 20 to be close to the lesion; part of the structure in the adjustment component 30 is arranged at the proximal end of the sheath 20 to facilitate flexible operation by the operator.
需要说明的是,在现有的内镜手术中,需要施术者手动推进所述切刀10。鉴于人工操作施力的不均匀性,往往会导致人工作用力的实施与切刀10的运动不同步,使得施术者很难精准把握切刀10的位移量,甚至导致切刀10断 裂,严重影响手术的安全性和成功率。除此之外,现有的内镜设备对于电频等其他手术参数的调节均是设置在主机上,与操作切刀10的设备相分离。因此,施术者在对所述切刀10进行操作的同时,还会根据需要转移注意力至其他设备进行参数调节,对于施术者来说极为不便捷,且对手术安全造成一定影响。对此,本实施例提供的所述医用切除装置克服了上述的技术问题。请参阅图1和图2,所述调节组件30包括:电机301、电频调节器302和流体调节阀303。所述电机301用于向所述切刀10施加驱动力,以替代人工操作,并克服人工操作的弊端。所述电频调节器302和所述流体调节阀303与所述电机301一并集成于所述调节组件30中,以便于施术者在通过所述电机301对所述切刀10进行驱动时,能够同步调节所述切刀10接收的电频率和所述切刀10内的流体压强,无需切换操作多个设备,提高了手术效率和灵活度,降低了手术风险。It should be noted that in existing endoscopic surgeries, the operator is required to manually advance the cutter 10. Due to the unevenness of manual force application, the application of manual force and the movement of the cutter 10 are often not synchronized, making it difficult for the operator to accurately grasp the displacement of the cutter 10, and even causing the cutter 10 to break. rupture, seriously affecting the safety and success rate of the operation. In addition, the existing endoscopic equipment is set on the main unit for adjusting other surgical parameters such as electric frequency, which is separated from the device for operating the cutter 10. Therefore, while the operator is operating the cutter 10, he will also divert his attention to other devices to adjust parameters as needed, which is extremely inconvenient for the operator and has a certain impact on the safety of the operation. In this regard, the medical resection device provided in this embodiment overcomes the above-mentioned technical problems. Please refer to Figures 1 and 2, the adjustment component 30 includes: a motor 301, an electric frequency regulator 302 and a fluid regulating valve 303. The motor 301 is used to apply a driving force to the cutter 10 to replace manual operation and overcome the disadvantages of manual operation. The electric frequency regulator 302 and the fluid regulating valve 303 are integrated into the regulating assembly 30 together with the motor 301, so that when the operator drives the cutter 10 through the motor 301, the operator can synchronously adjust the electric frequency received by the cutter 10 and the fluid pressure in the cutter 10 without switching multiple devices, thereby improving surgical efficiency and flexibility and reducing surgical risks.
进一步的,所述调节组件30还包括中间件304。所述中间件304的部分结构容置于所述鞘管20内,用于将所述电机301、所述电频调节器302和所述流体调节阀303分别与所述切刀10相接。其中,如图1所示,所述中间件304包括调节杆3041、导管3042和导线3043。所述调节杆3041的远端与所述切刀10的近端相接,所述调节杆3041的近端与所述电机301相接。优选的,所述调节杆3041为金属丝或金属管,具有一定的刚度,以使所述电机301经所述调节杆3041推拉所述切刀10,实现驱动所述切刀10产生位移。所述导管3042的远端与所述切刀10的近端相接,所述导管3042的近端与所述流体调节阀303相接。需要说明的是,当病变组织呈凹陷状时,不利于切除,需要通过注入液体或气体使得病变组织膨起,来提高切除的便捷度。因此,本实施例中所述切刀10具有注射腔101,所述导管3042的内腔与所述注射腔101相连通。且所述流体调节阀303的另一端与流体设备相接;所述流体设备提供的流体可以依次经所述流体调节阀303、所述导管3042和所述注射腔101注入至病变组织内。示例性的,所述流体为生理盐水。在术中,所述切刀10在病变组织上切开一个注入口,所述切刀10内的生理盐水经所述注入口流入所述病变组织内,使得所述病变组织膨起,以便于后续的标记和切除。其中,所述流体调节阀303可以调节所述流体设备向所述切刀10内通入流体的压强,以满足不同的手术需求。所述导线3043的远端与所述切刀10的近端相接, 所述导线3043的近端与所述电频调节器302相接。其中,本实施例所指的导线3043不限于为本领域中的一根导线或两根以上导线形成的导线组,可根据所述切刀10的具体种类进行选定。进一步的,所述电频调节器302还与电频主机相接。所述电频主机用于向所述切刀10施加电频,所述电频调节器302则用于调节频率范围,以使所述切刀10在低电频下标记病变组织,以及在高电频下剥离病变组织。进一步的,本实施例不限定所述调节杆3041、导管3042和导线3043的具体设置位置,可以如图1所示三者呈分离状,并分别与所述切刀10相接。示例性的,所述调节杆3041为管体,套设在所述导管3042上;以及,所述导线3043嵌入于所述鞘管20内,或缠绕于所述调节杆3041的外周等。Furthermore, the adjustment component 30 also includes an intermediate piece 304. Part of the structure of the intermediate piece 304 is accommodated in the sheath tube 20, and is used to connect the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 to the cutter 10 respectively. As shown in FIG1 , the intermediate piece 304 includes an adjustment rod 3041, a catheter 3042 and a wire 3043. The distal end of the adjustment rod 3041 is connected to the proximal end of the cutter 10, and the proximal end of the adjustment rod 3041 is connected to the motor 301. Preferably, the adjustment rod 3041 is a metal wire or a metal tube, and has a certain rigidity, so that the motor 301 pushes and pulls the cutter 10 through the adjustment rod 3041 to drive the cutter 10 to produce displacement. The distal end of the catheter 3042 is connected to the proximal end of the cutter 10, and the proximal end of the catheter 3042 is connected to the fluid regulating valve 303. It should be noted that when the diseased tissue is concave, it is not conducive to resection. It is necessary to inject liquid or gas to make the diseased tissue swell to improve the convenience of resection. Therefore, the cutter 10 in this embodiment has an injection cavity 101, and the inner cavity of the catheter 3042 is connected to the injection cavity 101. And the other end of the fluid regulating valve 303 is connected to the fluid device; the fluid provided by the fluid device can be injected into the diseased tissue through the fluid regulating valve 303, the catheter 3042 and the injection cavity 101 in sequence. Exemplarily, the fluid is physiological saline. During the operation, the cutter 10 cuts an injection port on the diseased tissue, and the physiological saline in the cutter 10 flows into the diseased tissue through the injection port, so that the diseased tissue swells, which is convenient for subsequent marking and resection. Among them, the fluid regulating valve 303 can adjust the pressure of the fluid introduced into the cutter 10 by the fluid device to meet different surgical needs. The distal end of the wire 3043 is connected to the proximal end of the cutter 10, The proximal end of the wire 3043 is connected to the electric frequency regulator 302. The wire 3043 referred to in this embodiment is not limited to a wire group formed by one wire or two or more wires in the art, and can be selected according to the specific type of the cutter 10. Further, the electric frequency regulator 302 is also connected to the electric frequency host. The electric frequency host is used to apply electric frequency to the cutter 10, and the electric frequency regulator 302 is used to adjust the frequency range so that the cutter 10 marks the diseased tissue at a low electric frequency and peels off the diseased tissue at a high electric frequency. Further, this embodiment does not limit the specific setting positions of the adjustment rod 3041, the catheter 3042 and the wire 3043. As shown in FIG1, the three can be separated and connected to the cutter 10 respectively. Exemplarily, the adjustment rod 3041 is a tube body, which is sleeved on the catheter 3042; and the wire 3043 is embedded in the sheath 20, or wrapped around the outer periphery of the adjustment rod 3041.
请继续参阅图1和图2,所述调节组件30还包括壳体305、显示屏306和多个调节键307。所述鞘管20的近端与所述壳体305相接,且所述壳体305具有容置腔,所述容置腔与鞘管20的内腔相连通,所述中间件304穿设于容置腔和鞘管20的内腔中。即,所述中间件304的部分结构伸入于所述容置腔中,剩余的结构伸入于所述鞘管20的内腔中。所述显示屏306和所述多个调节键307均设置于所述壳体305的外表面;所述电机301、所述电频调节器302和所述流体调节阀303均容置于所述壳体305内,且分别与所述显示屏306相接;所述连接方式可以为无线连接或有线连接。其中,所述显示屏306能够显示所述电机301的转向和转速、电频率以及流体压强。进一步的,部分所述调节键307与所述电机301相接,以调节所述电机301;部分所述调节键307与所述电频调节器302相接,以调节所述电频调节器302;部分所述调节键307与所述流体调节阀303相接,以调节所述流体调节阀303。示例性的,所述调节组件30设置有六个所述调节键307,分别为第一调节键3071、第二调节键3072、第三调节键3073、第四调节键3074、第五调节键3075和第六调节键3076。其中,所述第一调节键3071和所述第二调节键3072与所述电机301相接,以分别调节电机301驱动所述切刀10的推进和回退,和/或调节对应的位移量。所述第三调节键3073和所述第四调节键3074与所述电频调节器302相接,以分别用于开闭高电频和低频率,和/或调节电频率大小。所述第五调节键3075和所述第六调节键3076与所述流体调节阀303相接,以分别用于增大流体压强和减小流体压强。基于此,施术者可以直接通过各个 所述调节键307实现对各个参数的调节,操作便捷。需要说明的是,本实施例不限定所述调节键307的具体结构,可以是旋钮式调节键,也可以是按钮式调节键,亦可以是滑动式调节键等。Please continue to refer to Figures 1 and 2. The adjustment component 30 also includes a housing 305, a display screen 306 and a plurality of adjustment keys 307. The proximal end of the sheath tube 20 is connected to the housing 305, and the housing 305 has a receiving cavity, which is connected to the inner cavity of the sheath tube 20. The middle piece 304 is arranged in the receiving cavity and the inner cavity of the sheath tube 20. That is, part of the structure of the middle piece 304 extends into the receiving cavity, and the remaining structure extends into the inner cavity of the sheath tube 20. The display screen 306 and the plurality of adjustment keys 307 are all arranged on the outer surface of the housing 305; the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 are all accommodated in the housing 305 and are respectively connected to the display screen 306; the connection mode can be wireless connection or wired connection. Among them, the display screen 306 can display the direction and speed of the motor 301, the electric frequency and the fluid pressure. Further, some of the adjustment keys 307 are connected to the motor 301 to adjust the motor 301; some of the adjustment keys 307 are connected to the electric frequency regulator 302 to adjust the electric frequency regulator 302; and some of the adjustment keys 307 are connected to the fluid regulating valve 303 to adjust the fluid regulating valve 303. Exemplarily, the adjustment component 30 is provided with six adjustment keys 307, namely, a first adjustment key 3071, a second adjustment key 3072, a third adjustment key 3073, a fourth adjustment key 3074, a fifth adjustment key 3075 and a sixth adjustment key 3076. The first adjustment key 3071 and the second adjustment key 3072 are connected to the motor 301 to respectively adjust the motor 301 to drive the cutter 10 to advance and retreat, and/or adjust the corresponding displacement. The third adjustment key 3073 and the fourth adjustment key 3074 are connected to the electric frequency regulator 302 to respectively switch high and low frequencies and/or adjust the electric frequency. The fifth adjustment key 3075 and the sixth adjustment key 3076 are connected to the fluid regulating valve 303 to respectively increase and decrease fluid pressure. Based on this, the operator can directly adjust the pressure of the fluid through each adjustment key. The adjustment key 307 is used to adjust various parameters, and the operation is convenient. It should be noted that the present embodiment does not limit the specific structure of the adjustment key 307, and it can be a knob-type adjustment key, a button-type adjustment key, or a sliding-type adjustment key.
为保护所述切刀10,以及避免所述切刀10在输送和回撤过程中损伤其他组织或器械,所述医用切除装置还包括保护套40。所述保护套40套设于所述切刀10的外表面,且与所述鞘管20的远端相接。优选的,所述保护套40与所述鞘管20可拆卸连接。示例性的,所述保护套40的近端外周设置有螺纹结构,所述鞘管20的远端内壁设置有对应的螺纹结构,所述保护套40的近端能够伸入至所述鞘管20的远端并经螺纹咬合相接。进一步的,所述保护套40的轴向长度大于或等于所述切刀10的轴向长度,以使所述切刀10能够全部容置于所述保护套40内,则在输送和回撤的过程中,所述切刀10完全位于所述保护套40内,不会与其他组织或器械相接触,避免所述切刀10的损坏以及刮伤其他组织或器械。其中,所述保护套40的内壁设置有限位结构,以限定所述切刀10伸出所述保护套40的最大距离。示例性的,如图1所示,所述保护套40的内壁具有第一凸出结构401,以作为所述限位结构。相应的,所述切刀10的近端具有第二凸出结构102。当所述切刀10在所述电机301的推动下,朝向远端移动时,且当所述第二凸出结构102接触到所述第一凸出结构401时,在所述第一凸出结构401的阻挡下,所述切刀10无法继续朝向远端移动,限定了所述切刀10的最大伸出距离,避免所述切刀10脱离所述保护套40。同时,所述限位结构还能够起到稳定所述切刀10位置的作用,避免切刀10发生异动。需要说明的是,本实施例不限定所述限位结构的具体形态,还可以是在所述保护套40的内壁设置固定长度的导轨,以作为所述限位结构。所述第二凸出结构102卡于所述导轨内,并能够相对所述导轨滑动,从而在所述第二凸出结构102滑动至所述导轨的远端时,阻挡所述切刀10继续朝向远端移动。In order to protect the cutter 10 and prevent the cutter 10 from damaging other tissues or instruments during the transportation and withdrawal process, the medical resection device also includes a protective sleeve 40. The protective sleeve 40 is sleeved on the outer surface of the cutter 10 and connected to the distal end of the sheath 20. Preferably, the protective sleeve 40 is detachably connected to the sheath 20. Exemplarily, the proximal periphery of the protective sleeve 40 is provided with a threaded structure, and the distal inner wall of the sheath 20 is provided with a corresponding threaded structure, and the proximal end of the protective sleeve 40 can extend into the distal end of the sheath 20 and engage with the thread. Further, the axial length of the protective sleeve 40 is greater than or equal to the axial length of the cutter 10, so that the cutter 10 can be completely accommodated in the protective sleeve 40, then during the transportation and withdrawal process, the cutter 10 is completely located in the protective sleeve 40, and will not contact other tissues or instruments, thereby avoiding damage to the cutter 10 and scratching other tissues or instruments. Among them, the inner wall of the protective cover 40 is provided with a limiting structure to limit the maximum distance that the cutter 10 extends out of the protective cover 40. Exemplarily, as shown in FIG1 , the inner wall of the protective cover 40 has a first protruding structure 401 as the limiting structure. Correspondingly, the proximal end of the cutter 10 has a second protruding structure 102. When the cutter 10 moves toward the distal end under the push of the motor 301, and when the second protruding structure 102 contacts the first protruding structure 401, the cutter 10 cannot continue to move toward the distal end under the obstruction of the first protruding structure 401, which limits the maximum extension distance of the cutter 10 and prevents the cutter 10 from detaching from the protective cover 40. At the same time, the limiting structure can also stabilize the position of the cutter 10 to prevent the cutter 10 from moving abnormally. It should be noted that this embodiment does not limit the specific form of the limiting structure, and a guide rail of a fixed length can also be provided on the inner wall of the protective cover 40 to serve as the limiting structure. The second protruding structure 102 is stuck in the guide rail and can slide relative to the guide rail, so that when the second protruding structure 102 slides to the far end of the guide rail, the cutter 10 is blocked from continuing to move toward the far end.
为进一步精准把握所述切刀10的位移量,所述医用切除装置还包括位置传感器50。所述位置传感器50可以设置于所述保护套40或所述鞘管20的内壁表面,也可以嵌于内壁中,以监测所述切刀10的位移量。其中,所述位置传感器50与所述显示屏306无线连接,以能够将所述位置传感器50检测到的所述切刀10的实际位移量实时地展示给施术者,便于施术者把握所述切刀 10的具体位置情况。In order to further accurately grasp the displacement of the cutter 10, the medical resection device further includes a position sensor 50. The position sensor 50 can be disposed on the inner wall surface of the protective cover 40 or the sheath tube 20, or can be embedded in the inner wall to monitor the displacement of the cutter 10. The position sensor 50 is wirelessly connected to the display screen 306 so that the actual displacement of the cutter 10 detected by the position sensor 50 can be displayed to the operator in real time, so that the operator can grasp the displacement of the cutter 10. 10. The specific location of the vehicle.
基于同一构思,本实施例还提供一种内窥镜系统,包括所述医用切除装置。基于此,在内镜手术中,先采用内窥镜确定病灶位置,再利用所述鞘管20将所述切刀10输送至病灶位置处。其中,在输送的过程中,所述鞘管20沿内窥镜的输送管的内腔延伸,且所述切刀10隐藏于所述保护套40内。然后,调整内窥镜远端的位置及角度,以靠近病变组织并确定操作位置。继而,施术者调节所述第一调节键3071,以使所述电机301驱动所述切刀10平缓地伸出所述保护套40。同时,施术者可以经所述显示屏306看到所述位置传感器50反馈的位移信息,以确定所述切刀10的具体位移量。当所述切刀10伸出至最大距离时,即所述限位结构阻挡所述切刀10时,所述电机301可以自动停止。随之,施术者可以操作所述第四调节键3074,以使电频主机向所述切刀10施加低电频,来标记病灶组织。以及,根据需要调节所述第五调节键3075和所述第六调节键3076,以使所述流体设备向所述切刀10的注射腔101中注入流体,并使病变组织隆起。其次,调节所述第三调节键3073,以使电频主机向所述切刀10施加高电频,来剥离病变组织。最后,操作所述第二调节键3072,以使所述切刀10回收至所述保护套40内,且当所述位置传感器50检测所述切刀10回归至初始位置时,所述电机301可自动停止。所述切刀10完全容置于所述保护套40内之后,沿所述内窥镜的输出管的内壁回撤所述切刀10,后续再更换器械取出剥离组织。需要说明的是,在实际操作中,可以根据需要反复对所述电机301、所述电频调节器302和所述流体调节阀303进行调节。Based on the same concept, this embodiment also provides an endoscope system, including the medical resection device. Based on this, in endoscopic surgery, the endoscope is first used to determine the location of the lesion, and then the sheath 20 is used to transport the cutter 10 to the location of the lesion. In the process of transportation, the sheath 20 extends along the inner cavity of the delivery tube of the endoscope, and the cutter 10 is hidden in the protective cover 40. Then, the position and angle of the distal end of the endoscope are adjusted to approach the lesion tissue and determine the operating position. Then, the operator adjusts the first adjustment key 3071 so that the motor 301 drives the cutter 10 to smoothly extend out of the protective cover 40. At the same time, the operator can see the displacement information fed back by the position sensor 50 through the display screen 306 to determine the specific displacement of the cutter 10. When the cutter 10 is extended to the maximum distance, that is, when the limit structure blocks the cutter 10, the motor 301 can stop automatically. Then, the operator can operate the fourth adjustment key 3074 to make the electric frequency host apply a low electric frequency to the cutter 10 to mark the diseased tissue. Also, adjust the fifth adjustment key 3075 and the sixth adjustment key 3076 as needed to make the fluid device inject fluid into the injection cavity 101 of the cutter 10 and make the diseased tissue bulge. Secondly, adjust the third adjustment key 3073 to make the electric frequency host apply a high electric frequency to the cutter 10 to peel off the diseased tissue. Finally, operate the second adjustment key 3072 to retract the cutter 10 into the protective cover 40, and when the position sensor 50 detects that the cutter 10 returns to the initial position, the motor 301 can stop automatically. After the cutter 10 is completely placed in the protective cover 40, the cutter 10 is withdrawn along the inner wall of the output tube of the endoscope, and the instrument is replaced later to remove the peeled tissue. It should be noted that, in actual operation, the motor 301, the electric frequency regulator 302 and the fluid regulating valve 303 may be adjusted repeatedly as needed.
综上所述,本实施例提供的所述医用切除装置及内窥镜系统采用所述电机301替代人工向所述切刀10施加驱动力,避免了人工操作的弊端,提高了所述切刀10运动的精准度和稳定性,也提高了手术的效率。以及,将所述电机301、所述电频调节器302和所述流体调节阀303均集成于所述调节组件30中,在手术实施过程中,施术者仅需要对所述调节组件30进行操作即可,无需同时关注多个设备,提高了施术者操作的便捷度和灵活性,进一步缩短了手术时间,提高手术效率。In summary, the medical resection device and endoscope system provided in this embodiment adopts the motor 301 to replace manual operation to apply driving force to the cutter 10, thereby avoiding the disadvantages of manual operation, improving the accuracy and stability of the movement of the cutter 10, and improving the efficiency of the operation. In addition, the motor 301, the electric frequency regulator 302, and the fluid regulating valve 303 are all integrated into the regulating component 30. During the operation, the operator only needs to operate the regulating component 30, without having to pay attention to multiple devices at the same time, which improves the convenience and flexibility of the operator's operation, further shortens the operation time, and improves the efficiency of the operation.
此外还应该认识到,虽然本申请已以较佳实施例披露如上,然而上述实施例并非用以限定本申请。对于任何熟悉本领域的技术人员而言,在不脱离 本申请技术方案范围情况下,都可利用上述揭示的技术内容对本申请技术方案作出许多可能的变动和修饰,或修改为等同变化的等效实施例。因此,凡是未脱离本申请技术方案的内容,依据本申请的技术实质对以上实施例所做的任何简单修改、等同变化及修饰,均仍属于本申请技术方案保护的范围。 In addition, it should be recognized that although the present application has been disclosed as a preferred embodiment, the above embodiment is not intended to limit the present application. For any technician familiar with the art, without departing from the Within the scope of the technical solution of this application, the technical content disclosed above can be used to make many possible changes and modifications to the technical solution of this application, or modified into equivalent embodiments with equivalent changes. Therefore, any simple modification, equivalent change and modification made to the above embodiments based on the technical essence of this application without departing from the content of the technical solution of this application still falls within the scope of protection of the technical solution of this application.

Claims (10)

  1. 一种医用切除装置,其特征在于,包括:切刀、鞘管和调节组件;所述切刀设置于所述鞘管的远端,所述调节组件至少与所述鞘管的近端相接;A medical excision device, characterized in that it comprises: a cutter, a sheath tube and an adjustment component; the cutter is arranged at the distal end of the sheath tube, and the adjustment component is at least connected to the proximal end of the sheath tube;
    其中,所述调节组件包括壳体、电机、电频调节器、流体调节阀和中间件;所述壳体具有容置腔,且与所述鞘管的内腔相连通;所述中间件穿设于所述容置腔和所述鞘管的内腔中,所述电机、所述电频调节器和所述流体调节阀间隔设置于所述壳体内,且分别经所述中间件与所述切刀相接,以分别调节所述切刀的位移量、所述切刀接收的电频率和所述切刀内的流体压强。Wherein, the regulating component includes a shell, a motor, an electric frequency regulator, a fluid regulating valve and an intermediate piece; the shell has a accommodating cavity and is communicated with the inner cavity of the sheath tube; the intermediate piece is penetrated through the accommodating cavity and the inner cavity of the sheath tube, the motor, the electric frequency regulator and the fluid regulating valve are arranged at intervals in the shell, and are respectively connected to the cutter through the intermediate piece to respectively adjust the displacement of the cutter, the electric frequency received by the cutter and the fluid pressure in the cutter.
  2. 根据权利要求1所述的医用切除装置,其特征在于,所述医用切除装置还包括保护套;所述保护套套设于所述切刀的外表面,且与所述鞘管的远端相接。The medical resection device according to claim 1 is characterized in that it further comprises a protective sleeve; the protective sleeve is sleeved on the outer surface of the cutter and connected to the distal end of the sheath.
  3. 根据权利要求2所述的医用切除装置,其特征在于,所述医用切除装置还包括位置传感器,所述位置传感器设置于所述保护套或所述鞘管的内壁上,以监测所述切刀的位移量。The medical resection device according to claim 2 is characterized in that the medical resection device also includes a position sensor, which is arranged on the inner wall of the protective sleeve or the sheath to monitor the displacement of the cutter.
  4. 根据权利要求2所述的医用切除装置,其特征在于,所述保护套的轴向长度大于或等于所述切刀的轴向长度。The medical resection device according to claim 2, characterized in that the axial length of the protective sleeve is greater than or equal to the axial length of the cutting knife.
  5. 根据权利要求2所述的医用切除装置,其特征在于,所述保护套的内壁设置有限位结构,以限定所述切刀伸出所述保护套的最大距离。The medical resection device according to claim 2, characterized in that a limiting structure is provided on the inner wall of the protective sleeve to limit the maximum distance that the cutter extends out of the protective sleeve.
  6. 根据权利要求1所述的医用切除装置,其特征在于,所述中间件包括调节杆;所述调节杆的两端分别与所述切刀和所述电机相接,以使所述电机经所述调节杆推拉所述切刀。The medical resection device according to claim 1 is characterized in that the intermediate piece comprises an adjusting rod; two ends of the adjusting rod are respectively connected to the cutter and the motor, so that the motor pushes and pulls the cutter through the adjusting rod.
  7. 根据权利要求1所述的医用切除装置,其特征在于,所述中间件还包括导线;所述导线的两端分别与所述切刀和所述电频调节器相接;其中,所述电频调节器还与电频主机相接,以调节所述电频主机向所述切刀施加的电频率。The medical resection device according to claim 1 is characterized in that the intermediate piece also includes a wire; the two ends of the wire are respectively connected to the cutter and the electric frequency regulator; wherein the electric frequency regulator is also connected to the electric frequency host to adjust the electric frequency applied by the electric frequency host to the cutter.
  8. 根据权利要求1所述的医用切除装置,其特征在于,所述中间件还包括导管;所述导管的两端分别与所述切刀和所述流体调节阀相接;其中,所述切刀具有注射腔,所述导管的内腔与所述注射腔相连通;所述流体调节阀还与流体设备相接,以调节所述流体设备向所述切刀内通入流体的压强。 The medical resection device according to claim 1 is characterized in that the intermediate piece also includes a catheter; the two ends of the catheter are respectively connected to the cutter and the fluid regulating valve; wherein the cutter has an injection cavity, and the inner cavity of the catheter is connected to the injection cavity; the fluid regulating valve is also connected to a fluid device to adjust the pressure of the fluid introduced into the cutter by the fluid device.
  9. 根据权利要求1所述的医用切除装置,其特征在于,所述调节组件还包括显示屏和多个调节键;所述显示屏和所述多个调节键均设置于所述壳体的外表面;所述电机、所述电频调节器和所述流体调节阀分别与所述显示屏相接;以及,部分所述调节键与所述电机相接,以调节所述电机;部分所述调节键与所述电频调节器相接,以调节所述电频调节器;部分所述调节键与所述流体调节阀相接,以调节所述流体调节阀。The medical resection device according to claim 1 is characterized in that the adjustment component also includes a display screen and a plurality of adjustment keys; the display screen and the plurality of adjustment keys are both arranged on the outer surface of the shell; the motor, the electric frequency regulator and the fluid regulating valve are respectively connected to the display screen; and some of the adjustment keys are connected to the motor to adjust the motor; some of the adjustment keys are connected to the electric frequency regulator to adjust the electric frequency regulator; and some of the adjustment keys are connected to the fluid regulating valve to adjust the fluid regulating valve.
  10. 一种内窥镜系统,其特征在于,所述内窥镜系统包括如权利要求1~9中任意一项所述的医用切除装置。 An endoscope system, characterized in that the endoscope system comprises the medical resection device according to any one of claims 1 to 9.
PCT/CN2023/132778 2022-12-22 2023-11-21 Medical resection device and endoscope system WO2024131413A1 (en)

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CN219147788U (en) * 2022-12-22 2023-06-09 微创优通医疗科技(上海)有限公司 Medical excision device and endoscope system

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