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CN111657837A - Assembled endoscope for gastrointestinal tumors - Google Patents

Assembled endoscope for gastrointestinal tumors Download PDF

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Publication number
CN111657837A
CN111657837A CN202010648970.8A CN202010648970A CN111657837A CN 111657837 A CN111657837 A CN 111657837A CN 202010648970 A CN202010648970 A CN 202010648970A CN 111657837 A CN111657837 A CN 111657837A
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groove
gear
sealing plate
probe tube
rotating rod
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李硕果
任婧
孔国强
高社干
李婉莹
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First Affiliated Hospital of Henan University of Science and Technology
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    • 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
    • A61B1/273Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • 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
    • A61B1/273Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2736Gastroscopes
    • 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
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • A61M2210/1053Stomach

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  • Radiology & Medical Imaging (AREA)
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  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Anesthesiology (AREA)
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  • Endoscopes (AREA)

Abstract

本发明公开了一种胃肠肿瘤用组装式内窥镜,具体涉及医疗器械领域,包括探管、手柄和物镜,所述探管设在手柄一端,所述物镜设在手柄顶端,所述探管一端设有调节机构,所述探管顶端设有进液机构;所述调节机构包括第一凹槽,所述第一凹槽开设在探管底端,所述第一凹槽内壁固定设有封板,所述封板将第一凹槽密封,所述第一凹槽内部设有转杆,所述转杆两端均与第一凹槽内壁通过轴承活动连接,所述转杆一端固定设有第二齿轮,所述第二齿轮设在封板一侧,所述探管一端设有透明外壳,所述透明外壳一端设有反射镜。本发明通过转动反射镜使得探管能够全面观察周围的情况,通过进液机构进行给药,给药稳定,效果好,减少患者痛苦。

Figure 202010648970

The invention discloses an assembled endoscope for gastrointestinal tumors, in particular to the field of medical devices, comprising a probe tube, a handle and an objective lens. The probe tube is arranged at one end of the handle, the objective lens is arranged at the top of the handle, and the probe One end of the pipe is provided with an adjustment mechanism, and the top of the probe pipe is provided with a liquid inlet mechanism; the adjustment mechanism includes a first groove, the first groove is opened at the bottom end of the probe pipe, and the inner wall of the first groove is fixedly provided. There is a sealing plate, the sealing plate seals the first groove, a rotating rod is arranged inside the first groove, both ends of the rotating rod are movably connected with the inner wall of the first groove through bearings, and one end of the rotating rod is A second gear is fixedly arranged, the second gear is arranged on one side of the sealing plate, one end of the probe tube is arranged with a transparent casing, and one end of the transparent casing is arranged with a reflector. The invention enables the probe tube to comprehensively observe the surrounding situation by rotating the mirror, and administers the drug through the liquid feeding mechanism, the drug administration is stable, the effect is good, and the pain of the patient is reduced.

Figure 202010648970

Description

一种胃肠肿瘤用组装式内窥镜An assembled endoscope for gastrointestinal tumors

技术领域technical field

本发明实施例涉及医疗器械领域,具体涉及一种胃肠肿瘤用组装式内窥镜。Embodiments of the present invention relate to the field of medical devices, in particular to an assembled endoscope for gastrointestinal tumors.

背景技术Background technique

内窥镜是集中了传统光学、人体工程学、精密机械、现代电子、数学、软件等于一体的检测仪器。一个具有图像传感器、光学镜头、光源照明、机械装置等,它可以经口腔进入胃内或经其他天然孔道进入体内。利用内窥镜可以看到X射线不能显示的病变,因此它对医生非常有用,医生可以借助内窥镜观察胃肠肿瘤,根据情况进行治疗。An endoscope is a testing instrument that integrates traditional optics, ergonomics, precision machinery, modern electronics, mathematics, and software. One has an image sensor, optical lens, light source illumination, mechanical device, etc. It can enter the stomach through the mouth or enter the body through other natural orifices. Using an endoscope can see lesions that cannot be shown by X-rays, so it is very useful for doctors, who can use the endoscope to observe gastrointestinal tumors and treat them according to the situation.

现有的内窥镜探管伸入人体后,由于其观察范围有限,故需要转动等操作才能全面观察周围情况,不停的转动内窥镜增加了患者的痛苦,且现有的内窥镜仅仅是用来观察病况,不能进行给药等操作,后续通过另外的仪器进行给药,不仅操作繁琐,且容易增加患者痛苦。After the existing endoscope probe tube is inserted into the human body, due to its limited observation range, operations such as rotation are required to fully observe the surrounding situation, and the continuous rotation of the endoscope increases the pain of the patient, and the existing endoscope It is only used to observe the condition, and cannot perform operations such as drug administration. Subsequent administration of drugs through another instrument is not only cumbersome to operate, but also easily increases the pain of patients.

发明内容SUMMARY OF THE INVENTION

为此,本发明实施例提供一种胃肠肿瘤用组装式内窥镜,通过转动反射镜使得探管能够全面观察周围的情况,通过进液机构与探管组装,将药液注入细管和气囊中,气囊膨胀,药液通过微孔渗出,给药稳定,效果好,减少患者痛苦,以解决现有技术中内窥镜观察范围有限,不能进行给药等操作,患者痛苦大的问题。To this end, the embodiment of the present invention provides an assembled endoscope for gastrointestinal tumors, the probe tube can fully observe the surrounding situation by rotating the mirror, and the liquid feeding mechanism is assembled with the probe tube, and the liquid medicine is injected into the thin tube and the probe tube. In the air bag, the air bag is inflated, the liquid medicine seeps out through the micropores, the administration is stable, the effect is good, and the pain of the patient is reduced, so as to solve the problem of the limited observation range of the endoscope in the prior art, the inability to perform operations such as drug administration, and the great pain of the patient .

为了实现上述目的,本发明实施例提供如下技术方案:一种胃肠肿瘤用组装式内窥镜,包括探管、手柄和物镜,所述探管设在手柄一端,所述物镜设在手柄顶端,所述探管一端设有调节机构,所述探管顶端设有进液机构;In order to achieve the above purpose, the embodiments of the present invention provide the following technical solutions: an assembled endoscope for gastrointestinal tumors, comprising a probe tube, a handle and an objective lens, the probe tube is provided at one end of the handle, and the objective lens is provided at the top of the handle , one end of the probe tube is provided with an adjustment mechanism, and the top of the probe tube is provided with a liquid inlet mechanism;

所述调节机构包括第一凹槽,所述第一凹槽开设在探管底端,所述第一凹槽内壁固定设有封板,所述封板将第一凹槽密封,所述第一凹槽内部设有转杆,所述转杆一端贯穿封板一侧,所述转杆两端均与第一凹槽内壁通过轴承活动连接,所述转杆一端固定设有第二齿轮,所述第二齿轮设在封板一侧,所述探管一端设有透明外壳,所述透明外壳外端固定设有第一齿轮,所述第一齿轮设在第二齿轮顶端,所述第一齿轮与第二齿轮相啮合,所述透明外壳一端设有反射镜,所述第一凹槽内部设有拉绳,所述拉绳两端分别延伸出封板一侧和底端,所述拉绳设在转杆底部,所述转杆外端固定设有第一锥齿轮,所述第一锥齿轮设在第一凹槽内部,所述第一锥齿轮底端啮合有第二锥齿轮,所述第二锥齿轮底端固定设有转轴,所述转轴贯穿封板底端并与封板通过轴承连接,所述转轴设在拉绳一侧;The adjustment mechanism includes a first groove, the first groove is opened at the bottom end of the probe tube, and a sealing plate is fixed on the inner wall of the first groove, the sealing plate seals the first groove, and the first groove is sealed. A groove is provided with a rotating rod, one end of the rotating rod penetrates one side of the sealing plate, both ends of the rotating rod are movably connected with the inner wall of the first groove through bearings, and one end of the rotating rod is fixed with a second gear, The second gear is arranged on one side of the sealing plate, a transparent casing is arranged at one end of the probe tube, a first gear is fixedly arranged at the outer end of the transparent casing, the first gear is arranged on the top of the second gear, and the first gear is arranged at the top of the second gear. A gear meshes with the second gear, one end of the transparent casing is provided with a reflector, the inside of the first groove is provided with a pull cord, and the two ends of the pull cord extend out from one side and the bottom end of the sealing plate, respectively. The pull rope is arranged at the bottom of the rotating rod, the outer end of the rotating rod is fixed with a first bevel gear, the first bevel gear is arranged inside the first groove, and the bottom end of the first bevel gear is meshed with a second bevel gear , the bottom end of the second bevel gear is fixedly provided with a rotating shaft, the rotating shaft penetrates the bottom end of the sealing plate and is connected with the sealing plate through a bearing, and the rotating shaft is arranged on one side of the pulling rope;

所述进液机构包括第二凹槽,所述第二凹槽开设在探管顶端,所述第二凹槽内部一侧固定设有固定板,所述固定板内部设有细管,所述细管一端固定设有气囊,所述气囊设在第二凹槽内部,所述气囊外端开设有多个微孔,所述探管顶端固定设有套筒,所述套筒设在第二凹槽一侧,所述套筒外端套设有支撑圆筒,所述支撑圆筒内部固定设有管道,所述细管另一端穿过套筒延伸入支撑圆筒内部并与细管通过快速接头连接。The liquid inlet mechanism includes a second groove, the second groove is opened at the top of the probe pipe, a fixing plate is fixed on one side of the inner side of the second groove, and a thin tube is arranged inside the fixing plate. One end of the thin tube is fixedly provided with an airbag, the airbag is arranged inside the second groove, the outer end of the airbag is provided with a plurality of micro-holes, the top of the probe tube is fixedly provided with a sleeve, and the sleeve is arranged in the second groove. On one side of the groove, a support cylinder is sleeved at the outer end of the sleeve, a pipe is fixed inside the support cylinder, and the other end of the thin tube extends through the sleeve into the inside of the support cylinder and passes through the thin tube Quick connector connection.

进一步地,所述透明外壳外端设有防护外壳,所述防护外壳固定设在探管一端,所述防护外壳与透明外壳通过密封轴承活动连接,所述第一齿轮以及第二齿轮均设在防护外壳内部,所述拉绳贯穿防护外壳。Further, the outer end of the transparent casing is provided with a protective casing, the protective casing is fixed on one end of the probe tube, the protective casing and the transparent casing are movably connected through a sealed bearing, and the first gear and the second gear are both arranged at Inside the protective casing, the pulling rope penetrates the protective casing.

进一步地,所述反射镜外端固定设有镜框,所述镜框设在透明外壳一端,所述镜框底端与透明外壳一端通过弹簧铰链铰接,所述拉绳一端与镜框底端固定连接。Further, a mirror frame is fixed at the outer end of the reflector, the mirror frame is arranged on one end of the transparent casing, the bottom end of the mirror frame is hinged with one end of the transparent casing through a spring hinge, and one end of the pull rope is fixedly connected to the bottom end of the mirror frame.

进一步地,所述拉绳与防护外壳以及转杆连接处均套设有橡胶筒,两个所述橡胶筒分别与防护外壳以及转杆固定连接,所述橡胶筒与拉绳相接触。Further, rubber cylinders are sleeved at the connection between the pull rope, the protective casing and the rotating rod, the two rubber cylinders are respectively fixedly connected with the protective casing and the rotating rod, and the rubber cylinders are in contact with the pull rope.

进一步地,所述转轴底端固定设有转柄。Further, the bottom end of the rotating shaft is fixedly provided with a rotating handle.

进一步地,所述第二凹槽顶端设有多个限位块,所述限位块与第二凹槽过盈配合,所述限位块底端与细管顶端相接触,所述限位块上开设有通孔。Further, the top of the second groove is provided with a plurality of limit blocks, the limit blocks are in interference fit with the second groove, the bottom end of the limit blocks is in contact with the top of the thin tube, and the limit blocks are in contact with the top of the thin tube. The block is provided with through holes.

进一步地,所述管道远离细管的一端固定设有管道接头,所述管道接头设在支撑圆筒一端。Further, a pipe joint is fixed at one end of the pipe away from the thin pipe, and the pipe joint is arranged at one end of the support cylinder.

本发明实施例具有如下优点:The embodiments of the present invention have the following advantages:

1、本发明通过将探管伸入患者胃肠内,经过反射镜的反射可以观察周围情况,同时通过转动反射镜使得通过探管能够全面观察周围的情况,通过拉动拉绳从而拉动镜框,使得镜框沿着与透明外壳连接的弹簧铰链转动,使得反射镜转至水平,此时探管的视线不被反射镜遮挡,从而可以看到前方的情况,松开拉绳,镜框的弹簧铰链的弹力下恢复原状,与现有技术相比,不需要转动整个探管就可以对周围的情况全面观察,减少转动探管对患者带来的痛苦;1. In the present invention, the probe tube can be inserted into the stomach of the patient, and the surrounding situation can be observed through the reflection of the mirror. At the same time, the surrounding situation can be fully observed through the probe tube by rotating the mirror. The mirror frame rotates along the spring hinge connected with the transparent casing, so that the mirror is turned to the level, at this time, the sight of the probe is not blocked by the mirror, so that the situation in front can be seen, loosen the pull rope, the elastic force of the spring hinge of the mirror frame Compared with the prior art, the surrounding situation can be fully observed without turning the entire probe tube, reducing the pain caused by rotating the probe tube to the patient;

2、本发明通过将进液机构与探管组装,然后将管道通与外界的管道连接,通过管道将药液注入细管中,然后再进入气囊中,气囊膨胀,同时气囊中的药液通过微孔渗出,通过膨胀的气囊使得其与患者胃肠内壁接触产生压力,使得探管固定在当前位置,提高给药时的稳定性,同时气囊上渗出的药液能够更好的与胃肠内壁接触,给药效果好,并且在观察病情的同时可以做到给药,减小后续使用其他设备再次深入患者胃肠内给药给患者带来的痛苦。2. In the present invention, the liquid inlet mechanism is assembled with the probe tube, and then the pipeline is connected to the external pipeline, and the liquid medicine is injected into the thin tube through the pipeline, and then enters the airbag, the airbag expands, and the liquid medicine in the airbag passes through. The micropores exudate, and the inflated air bag makes it contact with the patient's gastrointestinal inner wall to generate pressure, so that the probe tube is fixed in the current position, improving the stability during administration, and the liquid exuded from the air bag can better communicate with the stomach Intestinal wall contact, the drug administration effect is good, and the drug can be administered while observing the condition, reducing the pain caused by the subsequent use of other equipment to penetrate the patient's gastrointestinal tract again.

附图说明Description of drawings

为了更清楚地说明本发明的实施方式或现有技术中的技术方案,下面将对实施方式或现有技术描述中所需要使用的附图作简单地介绍。显而易见地,下面描述中的附图仅仅是示例性的,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据提供的附图引伸获得其它的实施附图。In order to illustrate the embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that are required to be used in the description of the embodiments or the prior art. Obviously, the drawings in the following description are only exemplary, and for those of ordinary skill in the art, other implementation drawings can also be obtained according to the extension of the drawings provided without creative efforts.

本说明书所绘示的结构、比例、大小等,均仅用以配合说明书所揭示的内容,以供熟悉此技术的人士了解与阅读,并非用以限定本发明可实施的限定条件,故不具技术上的实质意义,任何结构的修饰、比例关系的改变或大小的调整,在不影响本发明所能产生的功效及所能达成的目的下,均应仍落在本发明所揭示的技术内容得能涵盖的范围内。The structures, proportions, sizes, etc. shown in this specification are only used to cooperate with the contents disclosed in the specification, so as to be understood and read by those who are familiar with the technology, and are not used to limit the conditions for the implementation of the present invention, so there is no technical The substantive meaning above, any modification of the structure, the change of the proportional relationship or the adjustment of the size should still fall within the technical content disclosed in the present invention without affecting the effect and the purpose that the present invention can produce. within the range that can be covered.

图1为本发明提供的整体结构示意图;Fig. 1 is the overall structure schematic diagram provided by the present invention;

图2为本发明提供的调节机构和进液机构主视结构示意图;Fig. 2 is the front view structural schematic diagram of the adjustment mechanism and the liquid inlet mechanism provided by the present invention;

图3为本发明提供的图2中A部放大图;Fig. 3 is the enlarged view of A part in Fig. 2 provided by the present invention;

图4为本发明提供的图2中B部放大图;Fig. 4 is the enlarged view of B part in Fig. 2 provided by the present invention;

图5为本发明提供的第一凹槽和第二凹槽中侧视结构图;5 is a side view structural view of the first groove and the second groove provided by the present invention;

图6为本发明提供的调节机构侧视结构图;FIG. 6 is a side structural view of the adjustment mechanism provided by the present invention;

图7为本发明提供的气囊膨胀示意图;FIG. 7 is a schematic diagram of balloon inflation provided by the present invention;

图中:1探管、2手柄、3物镜、4调节机构、5进液机构、6第一凹槽、7封板、8转杆、9透明外壳、10第一齿轮、11第二齿轮、12反射镜、13拉绳、14第一锥齿轮、15第二锥齿轮、16转轴、17第二凹槽、18固定板、19细管、20气囊、21微孔、22套筒、23支撑圆筒、24管道、25防护外壳、26镜框、27橡胶筒、28转柄、29限位块。In the figure: 1 probe, 2 handle, 3 objective lens, 4 adjustment mechanism, 5 liquid inlet mechanism, 6 first groove, 7 sealing plate, 8 rotating rod, 9 transparent casing, 10 first gear, 11 second gear, 12 mirrors, 13 pull ropes, 14 first bevel gears, 15 second bevel gears, 16 shafts, 17 second grooves, 18 fixed plates, 19 thin tubes, 20 airbags, 21 micro holes, 22 sleeves, 23 supports Cylinder, 24 pipes, 25 protective shells, 26 mirror frames, 27 rubber barrels, 28 turning handles, 29 limit blocks.

具体实施方式Detailed ways

以下由特定的具体实施例说明本发明的实施方式,熟悉此技术的人士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及功效,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The embodiments of the present invention are described below by specific specific embodiments. Those who are familiar with the technology can easily understand other advantages and effects of the present invention from the contents disclosed in this specification. Obviously, the described embodiments are part of the present invention. , not all examples. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

参照说明书附图1-6,该实施例的一种胃肠肿瘤用组装式内窥镜,包括探管1、手柄2和物镜3,所述探管1设在手柄2一端,所述物镜3设在手柄2顶端,所述探管1一端设有调节机构4,所述探管1顶端设有进液机构5;1-6 of the specification, an assembled endoscope for gastrointestinal tumors in this embodiment includes a probe tube 1 , a handle 2 and an objective lens 3 , the probe tube 1 is provided at one end of the handle 2 , and the objective lens 3 Set at the top of the handle 2, one end of the probe tube 1 is provided with an adjustment mechanism 4, and the top of the probe tube 1 is provided with a liquid inlet mechanism 5;

所述调节机构4包括第一凹槽6,所述第一凹槽6开设在探管1底端,所述第一凹槽6内壁固定设有封板7,所述封板7将第一凹槽6密封,所述第一凹槽6内部设有转杆8,所述转杆8一端贯穿封板7一侧,所述转杆8两端均与第一凹槽6内壁通过轴承活动连接,所述转杆8一端固定设有第二齿轮11,所述第二齿轮11设在封板7一侧,所述探管1一端设有透明外壳9,所述透明外壳9外端固定设有第一齿轮10,所述第一齿轮10设在第二齿轮11顶端,所述第一齿轮10与第二齿轮11相啮合,所述透明外壳9一端设有反射镜12,所述第一凹槽6内部设有拉绳13,所述拉绳13两端分别延伸出封板7一侧和底端,所述拉绳13设在转杆8底部,所述转杆8外端固定设有第一锥齿轮14,所述第一锥齿轮14设在第一凹槽6内部,所述第一锥齿轮14底端啮合有第二锥齿轮15,所述第二锥齿轮15底端固定设有转轴16,所述转轴16贯穿封板7底端并与封板7通过轴承连接,所述转轴16设在拉绳13一侧。The adjusting mechanism 4 includes a first groove 6, which is opened at the bottom end of the probe tube 1, and a sealing plate 7 is fixed on the inner wall of the first groove 6, and the sealing plate 7 seals the first groove 6. The groove 6 is sealed, the first groove 6 is provided with a rotating rod 8, one end of the rotating rod 8 penetrates one side of the sealing plate 7, and both ends of the rotating rod 8 are movable with the inner wall of the first groove 6 through bearings One end of the rotating rod 8 is fixed with a second gear 11, the second gear 11 is arranged on one side of the sealing plate 7, one end of the probe 1 is provided with a transparent casing 9, and the outer end of the transparent casing 9 is fixed A first gear 10 is provided, the first gear 10 is arranged at the top of the second gear 11, the first gear 10 is meshed with the second gear 11, and one end of the transparent casing 9 is provided with a reflector 12, and the first gear 10 is provided with a mirror 12. A pull rope 13 is provided inside a groove 6, and the two ends of the pull rope 13 extend out of one side and the bottom end of the sealing plate 7 respectively. The pull rope 13 is arranged at the bottom of the rotating rod 8, and the outer end of the rotating rod 8 is fixed A first bevel gear 14 is provided, the first bevel gear 14 is arranged inside the first groove 6, the bottom end of the first bevel gear 14 is meshed with a second bevel gear 15, and the bottom end of the second bevel gear 15 A rotating shaft 16 is fixedly arranged, and the rotating shaft 16 penetrates the bottom end of the sealing plate 7 and is connected with the sealing plate 7 through a bearing.

进一步地,所述透明外壳9外端设有防护外壳25,所述防护外壳25固定设在探管1一端,所述防护外壳25与透明外壳9通过密封轴承活动连接,便于防护外壳25转动,所述第一齿轮10以及第二齿轮11均设在防护外壳25内部,所述拉绳13贯穿防护外壳25,实现对第一齿轮10以及第二齿轮11等零件进行防护。Further, the outer end of the transparent casing 9 is provided with a protective casing 25, the protective casing 25 is fixed on one end of the probe tube 1, and the protective casing 25 is movably connected with the transparent casing 9 through a sealing bearing, which is convenient for the protective casing 25 to rotate, The first gear 10 and the second gear 11 are both disposed inside the protective casing 25 , and the pull cord 13 penetrates through the protective casing 25 to protect the first gear 10 and the second gear 11 and other parts.

进一步地,所述反射镜12外端固定设有镜框26,所述镜框26设在透明外壳9一端,所述镜框26底端与透明外壳9一端通过弹簧铰链铰接,所述拉绳13一端与镜框26底端固定连接,拉动拉绳13可使镜框26绕着弹簧铰链转动,松开拉绳13,镜框2返回原位。Further, a mirror frame 26 is fixed at the outer end of the reflector 12 , the mirror frame 26 is arranged on one end of the transparent casing 9 , the bottom end of the mirror frame 26 is hinged with one end of the transparent casing 9 through a spring hinge, and one end of the pull rope 13 is connected with the transparent casing 9 . The bottom end of the mirror frame 26 is fixedly connected, and the mirror frame 26 can be rotated around the spring hinge by pulling the pulling rope 13, and the mirror frame 2 can be returned to the original position by loosening the pulling rope 13.

进一步地,所述拉绳13与防护外壳25以及转杆8连接处均套设有橡胶筒27,两个所述橡胶筒27分别与防护外壳25以及转杆8固定连接,所述橡胶筒27与拉绳13相接触,减少拉绳13移动时与防护外壳25以及转杆8产生的磨损。Further, rubber cylinders 27 are sleeved at the connection between the pull rope 13 and the protective casing 25 and the rotating rod 8, and the two rubber cylinders 27 are respectively fixedly connected with the protective casing 25 and the rotating rod 8. The rubber cylinders 27 The contact with the pull rope 13 reduces the wear on the protective casing 25 and the rotating rod 8 when the pull rope 13 moves.

进一步地,所述转轴16底端固定设有转柄28,便于转动转轴16。Further, the bottom end of the rotating shaft 16 is fixedly provided with a rotating handle 28 , which is convenient for rotating the rotating shaft 16 .

实施场景具体为:将探管1伸入患者胃肠内,探管1的光线通过透明外壳9照射到反射镜12上,经过反射镜12的反射可以观察周围情况,人员转动转柄28带动转轴16转动,从而带动第二锥齿轮15转动,进而带动第一锥齿轮14转动,第一锥齿轮14转动带动转杆8转动,从而带动第二齿轮11转动,进而带动与第二齿轮11啮合的第一齿轮10转动,第一齿轮10转动带动透明外壳9转动,从而带动镜框26以及反射镜12转动,通过反射镜12反射的光照射在周围,使得通过探管1能够全面观察周围的情况,人员拉动拉绳13从而拉动镜框26,使得镜框26沿着与透明外壳9连接的弹簧铰链转动,使得反射镜12转至水平,此时探管1的视线不被反射镜12遮挡,从而可以看到前方的情况,松开拉绳13,镜框26的弹簧铰链的弹力下恢复原状,进而不需要转动整个探管1就可以对周围的情况全面观察,减少转动探管1对患者带来的痛苦,该实施方式具体解决了现有技术中内窥镜探管伸入人体后,由于其观察范围有限,故需要转动等操作才能全面观察周围情况,不停的转动内窥镜增加了患者痛苦的问题。The implementation scenario is as follows: the probe tube 1 is inserted into the stomach of the patient, the light from the probe tube 1 is irradiated on the reflector 12 through the transparent casing 9, and the surrounding situation can be observed through the reflection of the reflector 12, and the person rotates the handle 28 to drive the rotating shaft. 16 rotates, thereby driving the second bevel gear 15 to rotate, which in turn drives the first bevel gear 14 to rotate. The first gear 10 rotates, and the rotation of the first gear 10 drives the transparent casing 9 to rotate, thereby driving the mirror frame 26 and the reflector 12 to rotate, and the light reflected by the reflector 12 is irradiated around, so that the probe 1 can comprehensively observe the surrounding situation, The person pulls the pull rope 13 to pull the mirror frame 26, so that the mirror frame 26 rotates along the spring hinge connected with the transparent casing 9, so that the reflector 12 is turned to the level, at this time, the sight of the probe 1 is not blocked by the reflector 12, so that the view can be seen. In the case of the front, loosen the pull rope 13, and the spring hinge of the mirror frame 26 will return to its original state, and then the entire probe tube 1 can be fully observed without turning the probe tube 1, thereby reducing the pain caused by rotating the probe tube 1 to the patient. This embodiment specifically solves the problem that after the endoscope probe tube is extended into the human body in the prior art, due to its limited observation range, operations such as rotation are required to fully observe the surrounding situation, and the continuous rotation of the endoscope increases the pain of the patient. question.

参照说明书附图1、2、3、5和7,所述进液机构5包括第二凹槽17,所述第二凹槽17开设在探管1顶端,所述第二凹槽17内部一侧固定设有固定板18,所述固定板18内部设有细管19,所述细管19一端固定设有气囊20,所述气囊20设在第二凹槽17内部,所述气囊20外端开设有多个微孔21,所述探管1顶端固定设有套筒22,所述套筒22设在第二凹槽17一侧,所述套筒22外端套设有支撑圆筒23,所述支撑圆筒23内部固定设有管道24,所述细管19另一端穿过套筒22延伸入支撑圆筒23内部并与细管19通过快速接头连接。1 , 2 , 3 , 5 and 7 of the specification, the liquid inlet mechanism 5 includes a second groove 17 , the second groove 17 is opened at the top of the probe tube 1 , and an inner part of the second groove 17 is formed. A fixing plate 18 is fixed on the side, a thin tube 19 is arranged inside the fixing plate 18, and an airbag 20 is fixed at one end of the thin tube 19. The airbag 20 is arranged inside the second groove 17 and outside the airbag 20 A plurality of micro-holes 21 are opened at the ends, a sleeve 22 is fixed at the top of the probe tube 1, the sleeve 22 is arranged on one side of the second groove 17, and the outer end of the sleeve 22 is sleeved with a support cylinder 23. A pipe 24 is fixed inside the support cylinder 23, and the other end of the thin tube 19 extends through the sleeve 22 into the support cylinder 23 and is connected with the thin tube 19 through a quick connector.

进一步地,所述第二凹槽17顶端设有多个限位块29,所述限位块29与第二凹槽17过盈配合,所述限位块29底端与细管19顶端相接触,实现对细管19限位固定,所述限位块29上开设有通孔,使用镊子等工具插入通孔中就可以将限位块29从第二凹槽17拔出,便于限位块29的拆装。Further, the top end of the second groove 17 is provided with a plurality of limit blocks 29 , the limit blocks 29 are in interference fit with the second groove 17 , and the bottom end of the limit block 29 is in contact with the top end of the thin tube 19 . contact to realize the limit and fixation of the thin tube 19, the limit block 29 is provided with a through hole, and the limit block 29 can be pulled out from the second groove 17 by inserting a tool such as tweezers into the through hole, which is convenient for limit Disassembly and assembly of block 29.

进一步地,所述管道24远离细管19的一端固定设有管道接头,所述管道接头设在支撑圆筒23一端,便于管道24与外接的管道连接。Further, one end of the pipe 24 away from the thin pipe 19 is fixedly provided with a pipe joint, and the pipe joint is provided at one end of the support cylinder 23 to facilitate the connection of the pipe 24 with an external pipe.

实施场景具体为:将细管19放入第二凹槽17中,然后一端贯穿套筒22与管道24连接,然后再将支撑圆筒23套在套筒22上,然后再将限位块29安装在第二凹槽17中对细管19限位,进而实现进液机构5与探管1的组装,然后将管道24通过管道接头与外界的管道连接,通过管道24将药液注入细管19中,然后再进入气囊20中,气囊20膨胀,同时气囊20中的药液通过微孔21渗出,通过膨胀的气囊20使得其与患者胃肠内壁接触产生压力,使得探管1固定在当前位置,提高给药时的稳定性,同时气囊20上渗出的药液能够更好的与胃肠内壁接触,给药效果好,并且在观察病情的同时可以做到给药,减小后续使用其他设备再次深入患者胃肠内给药给患者带来的痛苦,该实施方式具体解决了现有技术中内窥镜仅仅是用来观察病况,不能进行给药等操作,后续通过另外的仪器进行给药,不仅操作繁琐,且容易增加患者痛苦的问题。The implementation scenario is as follows: put the thin tube 19 into the second groove 17, and then connect one end to the pipe 24 through the sleeve 22, then put the support cylinder 23 on the sleeve 22, and then put the limit block 29 Installed in the second groove 17 to limit the position of the thin tube 19, and then realize the assembly of the liquid inlet mechanism 5 and the probe tube 1, and then connect the pipeline 24 to the external pipeline through the pipeline joint, and inject the medicinal liquid into the thin tube through the pipeline 24. 19, and then into the airbag 20, the airbag 20 is inflated, and the liquid medicine in the airbag 20 seeps out through the micropores 21, and the inflated airbag 20 makes it contact with the patient's gastrointestinal inner wall to generate pressure, so that the probe tube 1 is fixed in the gastrointestinal tract. The current position improves the stability during administration, and at the same time, the medicinal liquid exuded from the airbag 20 can better contact the gastrointestinal inner wall, and the administration effect is good. Using other equipment to go deep into the patient's gastrointestinal tract again brings pain to the patient, this embodiment specifically solves the problem that the endoscope in the prior art is only used to observe the disease condition, and cannot perform operations such as drug administration, and the subsequent use of another instrument Dosing is not only cumbersome to operate, but also easy to increase the pain of patients.

虽然,上文中已经用一般性说明及具体实施例对本发明作了详尽的描述,但在本发明基础上,可以对之作一些修改或改进,这对本领域技术人员而言是显而易见的。因此,在不偏离本发明精神的基础上所做的这些修改或改进,均属于本发明要求保护的范围。Although the present invention has been described in detail above with general description and specific embodiments, some modifications or improvements can be made on the basis of the present invention, which will be obvious to those skilled in the art. Therefore, these modifications or improvements made without departing from the spirit of the present invention fall within the scope of the claimed protection of the present invention.

Claims (7)

1. The utility model provides a gastrointestinal tumour is with assembled endoscope, includes spy pipe (1), handle (2) and objective (3), spy pipe (1) and establish in handle (2) one end, objective (3) are established on handle (2) top, its characterized in that: one end of the probe tube (1) is provided with an adjusting mechanism (4), and the top end of the probe tube (1) is provided with a liquid inlet mechanism (5);
the adjusting mechanism (4) comprises a first groove (6), the first groove (6) is arranged at the bottom end of the probe tube (1), a sealing plate (7) is fixedly arranged on the inner wall of the first groove (6), the sealing plate (7) seals the first groove (6), a rotating rod (8) is arranged inside the first groove (6), one end of the rotating rod (8) penetrates through one side of the sealing plate (7), both ends of the rotating rod (8) are movably connected with the inner wall of the first groove (6) through bearings, a second gear (11) is fixedly arranged at one end of the rotating rod (8), the second gear (11) is arranged at one side of the sealing plate (7), a transparent shell (9) is arranged at one end of the probe tube (1), a first gear (10) is fixedly arranged at the outer end of the transparent shell (9), the first gear (10) is arranged at the top end of the second gear (11), and the first gear (10) is meshed with the second gear (11), a reflector (12) is arranged at one end of the transparent shell (9), a pull rope (13) is arranged inside the first groove (6), two ends of the pull rope (13) respectively extend out of one side and the bottom end of the sealing plate (7), the pull rope (13) is arranged at the bottom of the rotating rod (8), a first bevel gear (14) is fixedly arranged at the outer end of the rotating rod (8), the first bevel gear (14) is arranged inside the first groove (6), a second bevel gear (15) is meshed at the bottom end of the first bevel gear (14), a rotating shaft (16) is fixedly arranged at the bottom end of the second bevel gear (15), the rotating shaft (16) penetrates through the bottom end of the sealing plate (7) and is connected with the sealing plate (7) through a bearing, and the rotating shaft (16) is arranged at one;
the liquid inlet mechanism (5) comprises a second groove (17), the second groove (17) is arranged at the top end of the probe tube (1), a fixing plate (18) is fixedly arranged on one side in the second groove (17), a thin tube (19) is arranged in the fixing plate (18), one end of the thin tube (19) is fixedly provided with an air bag (20), the air bag (20) is arranged in the second groove (17), the outer end of the air bag (20) is provided with a plurality of micropores (21), the top end of the probe tube (1) is fixedly provided with a sleeve (22), the sleeve (22) is arranged at one side of the second groove (17), a supporting cylinder (23) is sleeved at the outer end of the sleeve (22), support drum (23) inside fixed pipeline (24) that is equipped with, tubule (19) other end passes sleeve (22) and extends into support drum (23) inside and passes through quick-operation joint with tubule (19) and be connected.
2. The assembled endoscope for gastrointestinal tumor according to claim 1, wherein: transparent shell (9) outer end is equipped with protecting sheathing (25), protecting sheathing (25) are fixed to be established in exploring tube (1) one end, protecting sheathing (25) pass through sealed bearing swing joint with transparent shell (9), first gear (10) and second gear (11) are all established inside protecting sheathing (25), stay cord (13) run through protecting sheathing (25).
3. The assembled endoscope for gastrointestinal tumor according to claim 1, wherein: the outer end of the reflector (12) is fixedly provided with a mirror frame (26), the mirror frame (26) is arranged at one end of the transparent shell (9), the bottom end of the mirror frame (26) is hinged to one end of the transparent shell (9) through a spring hinge, and one end of the pull rope (13) is fixedly connected with the bottom end of the mirror frame (26).
4. The assembled endoscope for gastrointestinal tumor according to claim 2, wherein: stay cord (13) and protective housing (25) and bull stick (8) junction all overlap and are equipped with rubber tube (27), two rubber tube (27) respectively with protective housing (25) and bull stick (8) fixed connection, rubber tube (27) contact with stay cord (13).
5. The assembled endoscope for gastrointestinal tumor according to claim 1, wherein: the bottom end of the rotating shaft (16) is fixedly provided with a rotating handle (28).
6. The assembled endoscope for gastrointestinal tumor according to claim 1, wherein: second recess (17) top is equipped with a plurality of stoppers (29), stopper (29) and second recess (17) interference fit, stopper (29) bottom contacts on tubule (19) top, the through-hole has been seted up on stopper (29).
7. The assembled endoscope for gastrointestinal tumor according to claim 1, wherein: the fixed pipe joint that is equipped with of one end that tubule (19) were kept away from in pipeline (24), pipe joint establishes in support drum (23) one end.
CN202010648970.8A 2020-07-07 2020-07-07 Assembled endoscope for gastrointestinal tumors Pending CN111657837A (en)

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CN114668647B (en) * 2022-03-25 2025-03-25 西安交通大学医学院第一附属医院 Gastrointestinal motility assist device for general surgery

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