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WO2017041693A1 - Dispositif d'endoscope et application associée - Google Patents

Dispositif d'endoscope et application associée Download PDF

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Publication number
WO2017041693A1
WO2017041693A1 PCT/CN2016/098195 CN2016098195W WO2017041693A1 WO 2017041693 A1 WO2017041693 A1 WO 2017041693A1 CN 2016098195 W CN2016098195 W CN 2016098195W WO 2017041693 A1 WO2017041693 A1 WO 2017041693A1
Authority
WO
WIPO (PCT)
Prior art keywords
catheter
patient
conduit
endoscopic device
camera assembly
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2016/098195
Other languages
English (en)
Chinese (zh)
Inventor
徐杰伟
张钿钿
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ningbo Sunny Opotech Co Ltd
Original Assignee
Ningbo Sunny Opotech Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from CN201520696564.3U external-priority patent/CN205126172U/zh
Priority claimed from CN201510569629.2A external-priority patent/CN105147229B/zh
Application filed by Ningbo Sunny Opotech Co Ltd filed Critical Ningbo Sunny Opotech Co Ltd
Publication of WO2017041693A1 publication Critical patent/WO2017041693A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/04—Endoscopic instruments, e.g. catheter-type instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body

Definitions

  • the present invention relates to an endoscope, and more particularly to an endoscopic device for simultaneous medical examination, sampling and treatment, and more particularly, as a minimally invasive and non-invasive medical device.
  • the application of the medical endoscope has been continuously developed and expanded, and the main use thereof is for medical examination and medical operation.
  • the medical endoscope when used for medical treatment, it has a relatively obvious superiority with respect to the conventional medical treatment.
  • the medical endoscope is used for medical examination, the internal condition of the patient's body can be clearly and clearly seen.
  • the medical endoscope when used for medical manipulation, the wound caused by endoscopic surgery is finer than that of the wound treated with conventional surgery, compared to the conventional surgical treatment. Therefore, when an endoscope is used for medical examination or surgery, the trauma of the operation can be reduced, and the accuracy and safety of the medical treatment can be increased, so that the patient's acceptance of medical treatment is greatly increased.
  • medical endoscopes can be roughly classified into the following three types: a rigid endoscope, a hose endoscope (optical fiber endoscope), and an electronic endoscope.
  • the components of the rigid tube endoscope and the hose endoscope are generally classified into a steel or flexible tube, an image transmission system, and a lighting system.
  • some endoscopes are accompanied by working tubes, such as negative pressure chambers, to perform the desired medical actions, such as surgery or sample collection.
  • the lens of the image transmission system often sticks to objects in the body, such as blood, mucus, gel, etc., thus causing the image transmission system to display images unclearly.
  • the conventional medical endoscopes for detection generally have only a detection function, and therefore, it is not possible to perform treatment at the same time at the time of detection. Understandably, because of the structure of the human body, general pharmacological treatment is difficult to directly treat the inside of the patient's body, so that the pharmacological effects of pharmacological treatment cannot be exerted to a greater extent, thus often prolonging the healing time of the patient. .
  • the outer diameter of the medical endoscopes currently on the market is generally relatively large, usually above 7 mm, so that when the medical endoscope is used, the patient suffers a great pain during use.
  • Another object of the present invention is to provide an endoscope apparatus, wherein the endoscope apparatus can be used for treating the inside of a patient's body at the same time for examination, further enabling the medicine to directly cover the medicine via the endoscope apparatus For the body-related parts of the desired treatment.
  • Another object of the present invention is to provide an endoscopic device that can be used for medical examination, treatment, minimally invasive, and non-invasive medical behavior.
  • Another object of the present invention is to provide an endoscope apparatus including a first catheter having a first passage for accessing the interior of the patient's body for obtaining an internal image of the patient's body, and extracting the patient The foreign body in the body collects the relevant relevant samples in the patient.
  • Another object of the present invention is to provide an endoscope apparatus wherein an outer diameter of the first passage is sized to be such that when the insertion end of the endoscopic device enters the body inside the body The patient will experience relatively little discomfort during use.
  • the outer diameter of the first passage of the endoscopic device is smaller than the outer diameter of the medical endoscope currently on the market, and thus, the endoscope device of the present invention is used. At the time, the patient will be able to withstand less pain.
  • Another object of the present invention is to provide an endoscopic apparatus including an imaging assembly for obtaining an internal image of the patient's body.
  • Another object of the present invention is to provide an endoscopic device comprising a second catheter forming a second passage for providing the medicament to the interior of the patient's body for direct pharmacological treatment. Or providing a cleaning substance through the second channel to clean the surface of the camera assembly to ensure that the internal image can be provided through the camera assembly.
  • the second channel is for injecting the drug as a disinfecting, therapeutic or health care.
  • the second passage is for injecting a cleaning substance as a surface for cleaning the camera assembly or for other cleaning purposes.
  • Another object of the present invention is to provide an endoscope apparatus, wherein the first passage is to extract foreign matter in the patient under the action of a negative pressure, and collect relevant relevant samples in the patient, such as a flow of people.
  • the Qing Palace or the body tissue fluid extraction, etc. to bring a non-invasive treatment experience to patients.
  • Another object of the present invention is to provide an endoscopic device wherein, in one embodiment, the second conduit forming the second passage is placed in the first conduit forming the first passage, thereby Inside The size of the front end of the speculum device is primarily dependent on the first conduit forming the first passage, thereby reducing the overall size.
  • Another object of the present invention is to provide an endoscope apparatus, wherein the camera assembly further includes an illumination unit for providing illumination to the endoscope apparatus such that the endoscope is in the absence of a light source Can work normally.
  • Another object of the present invention is to provide an endoscope apparatus including an adapter unit electrically connected to the camera assembly, such that the internal image of the patient's body obtained by the camera assembly can be transferred via the camera The unit outputs the internal image.
  • Another object of the present invention is to provide an endoscopic device in which an expensive or complicated structure is not required in the present invention in order to achieve the above object.
  • the present invention successfully and efficiently provides a solution that not only provides a simple endoscopic device, but also increases the utility and reliability of the endoscopic device.
  • the present invention provides an endoscope apparatus adapted to be operatively coupled to a host computer via a data transmission unit, wherein the endoscope apparatus has a first passage for passing a negative pressure
  • the driver mode completes an extraction operation and includes:
  • a camera assembly for capturing a predetermined portion of a patient to obtain an image image
  • An switching unit operatively coupled to the camera assembly and further adapted to be coupled to the data transmission unit to transmit data of the image image to the host computer.
  • the endoscopic device includes a first catheter having an interior formed therein, wherein the first catheter has an opening on a side of the distal end thereof, and the camera assembly is Disposed within the first catheter and toward the opening to cause the endoscopic device to form a side view endoscope device.
  • the endoscope device further has a second channel independent of the first channel for delivering a medical solution to the patient or for delivering a cleaning solution for cleaning The camera assembly.
  • At least a portion of the second channel that needs to be placed in the patient is embedded in the first channel.
  • the endoscope device further has a second channel independent of the first channel for delivering a medical solution to the patient or for delivering a cleaning solution for cleaning
  • the endoscopic device further includes a second catheter internally forming the second passage, the first conduit and the second conduit being arranged in parallel; or the endoscope device further comprising a second conduit , It includes an input end formed at a proximal end thereof and an output end formed at a distal end thereof, wherein at least a portion of the second conduit is disposed within the first conduit and the second conduit is The output end delivers the medical fluid outward via the opening of the first catheter.
  • the first conduit includes at its distal end an insertion end and a head end member that are interconnected and form the opening on a side thereof, wherein the insertion end has a communication a inlet to the opening for extracting foreign matter in the patient or collecting a sample, wherein the head end member and the insertion end form a receiving cavity for accommodating the camera assembly and The camera assembly is arranged in a lateral direction to face the opening.
  • the second conduit further includes an extension end and the output end and an outer extension and an inner extension, wherein the outer extension is located at the first An exterior of the catheter, wherein the inner extension is located inside the first conduit, wherein the output end further includes a connecting section extending laterally from the inner extension for transporting the medical fluid Or the cleaning solution.
  • the output end of the second conduit further comprises an output section extending longitudinally of the connecting section for outputting the medical fluid or the cleaning fluid.
  • the top side of the head end member forms a longitudinally extending fixing groove, and the output section is positioned in the fixing groove.
  • the camera assembly includes a lens unit and a photosensitive unit, wherein the photosensitive unit is operatively coupled to the switching unit.
  • the camera assembly further includes a lighting unit, wherein the photosensitive unit comprises a photosensitive chip and a circuit board, wherein the lighting unit comprises a light source electrically connected to the circuit board.
  • the camera assembly includes a lens unit, a photosensitive unit and a lighting unit, wherein the lens unit includes a lens and a lens holder, and the photosensitive unit includes a photosensitive chip and a circuit board.
  • the lighting unit includes a light source and an assembly seat, the light source is located in the assembly base and electrically connected to the circuit board, the light source emits light, and the light reaches the patient body and is reflected and penetrates the The lens reaches the sensor chip, wherein the assembly base and the lens holder are connected.
  • the camera assembly further includes a transparent lens cover for covering the lens and a transparent light source cover for covering the light source.
  • the assembly base and the mirror holder are integrally formed, and further include first and second side flaps on both sides of the mirror mount, wherein the transparent lens cover is located at the first And second Between the wings.
  • the first side flap has a positioning groove extending in a lateral direction, and the connecting section of the second duct is positioned in the positioning groove.
  • the light source is an LED cold light source.
  • the size of the opening is larger than the size of the camera assembly, thereby allowing foreign matter or collecting samples in the patient to enter the first catheter.
  • the endoscopic device further includes a handle member, wherein the first catheter further includes a fixing portion extending from the insertion end and the object end And an extension, wherein the fixing portion is mounted in the handle member, the extension portion extends to the fixing portion and is used for introduction into the patient.
  • the fixing portion has an opening through which the inner extension of the second conduit is placed in the first conduit.
  • the switching unit provides a transfer interface device, and further includes a connecting wire device connected to the camera assembly, wherein the connecting wire device is placed through the opening Inside the first conduit.
  • the interface device is a USB interface device.
  • the first conduit has a diameter within 5.5 mm.
  • the first conduit and the second conduit are made of a rigid metal material.
  • the first conduit and the second conduit are made of a soft material
  • the endoscope device is adapted to be placed by inserting into the catheter and a rigid guiding member A first and a second catheter are directed into the patient.
  • the present invention also provides a method for applying an endoscope apparatus to medical treatment, comprising the steps of:
  • the method further comprises the step of injecting a cleaning liquid through the second conduit for cleaning the camera assembly.
  • the image pickup unit is disposed toward an opening of a side surface of the first duct and performs a photographing operation, so that the endoscope apparatus is a side view endoscope apparatus.
  • the medical solution or cleaning solution when injecting a medical solution or a cleaning solution, enters an outer extension of the second catheter outside the first catheter and is further delivered to An inner extension of the second catheter located inside the first catheter and further into the patient or the surface of the camera assembly.
  • a step of arranging and capturing the image in the patient's body in a lateral direction is further included.
  • the method further includes: a light emitted by an LED light source of the camera assembly, the light reaching the patient body and reflecting through a lens of the camera assembly and further Arrived at a sensor chip.
  • the first catheter of the method may be used for a human flow clearing or a body fluid extraction from a patient in the patient.
  • FIG. 1 is a perspective view of an endoscopic device in accordance with a preferred embodiment of the present invention.
  • FIG. 2 is a partial enlarged view of an insertion end portion of a first catheter of an endoscope apparatus according to the above preferred embodiment of the present invention.
  • FIG 3 is a partial enlarged view of a grip member of an endoscope apparatus according to the above preferred embodiment of the present invention.
  • Figure 4 is a cross-sectional view of an endoscopic device in accordance with the above-described preferred embodiment of the present invention.
  • Figure 5 is a front elevational view of an endoscopic device in accordance with the above-described preferred embodiment of the present invention.
  • Figure 6 is a perspective view of an endoscopic device in accordance with another preferred embodiment of the present invention.
  • Figure 7 is an exploded perspective view of an endoscope apparatus in accordance with the above other preferred embodiment of the present invention.
  • Fig. 8 is a schematic view showing the mounting structure between the conduits of the two passages of an endoscope apparatus according to the above-described another preferred embodiment of the present invention.
  • Figure 9 is a cross-sectional structural view showing a grip member of an endoscope apparatus according to another preferred embodiment of the present invention.
  • Figure 10 is a partially enlarged schematic view showing the structure of the grip member of an endoscope apparatus according to another preferred embodiment of the present invention.
  • Figure 11 is a partially enlarged exploded perspective view showing the front end of an endoscope apparatus according to another preferred embodiment of the present invention.
  • Figure 12 is a partially enlarged schematic view showing the front end of an endoscope apparatus according to another preferred embodiment of the present invention.
  • an endoscope apparatus and a medical operation method according to a preferred embodiment of the present invention are used for clearly obtaining an internal image of a patient's body during medical treatment by a medical professional. And at the same time, according to the needs of treatment, it can be directly treated, sampled or examined. It is worth mentioning that the endoscope device of the present invention can ensure clear output of the internal image if the endoscope device is attached to an object in the patient during use.
  • the endoscopic device is operatively coupled to a host computer via a transmission unit to obtain relevant data while performing medical activities, and at the same time, medical treatment is possible.
  • the endoscope device includes a first catheter 10, a camera assembly 20, an adapter unit 30, and a handle member 40.
  • the first passage 10 extends through the grip member 40.
  • the camera assembly 20 is disposed at a front end of the first duct 10.
  • the switching unit 30 is electrically connected to the camera assembly 20, such that the internal image of the patient's body acquired by the camera assembly 20 is output via the switching unit 30.
  • the handle member 40 can accommodate a portion of the first conduit 10 and the adapter unit 30. It is worth mentioning that the handle member 40 can be regarded as a grip portion that facilitates gripping and operation of the hand-held endoscope device.
  • the first catheter 10 has an insertion end portion 11 and an intake end portion 12.
  • the handle member 40 includes a first end surface 41 and a second end surface 42.
  • the insertion end 11 of the first duct 10 extends from the first end face 41 of the grip member 40.
  • the take-up end 12 of the first conduit 10 extends from the second end face 42 of the handle member 40.
  • the camera assembly 20 is disposed adjacent to the insertion end 11 of the first catheter 10 such that when the insertion end 11 of the first catheter 10 enters the patient's body, the photographing
  • the kit 20 can directly record the internal image of the patient's body and output to the host computer via the switching unit 30.
  • the first catheter 10 is provided with a rounded head end member 13 coupled to the insertion end portion 11 such that when the insertion end portion 11 of the first catheter 10 enters the patient's body, The head end member 13 allows the first catheter 10 to enter the patient's body with less resistance, thus slowing the patient's discomfort.
  • the first duct 10 has an opening 14 which is located on a side between the insertion end 11 and the head end member 13 through which the camera assembly 20 passes.
  • An internal image of the patient is obtained, and the internal image is output to the upper computer via the switching unit 30.
  • the desired medical behavior can be performed directly from the opening 14 of the first catheter 10, such as taking out foreign bodies in the body and collecting samples. It will be appreciated that the foreign body and sample in the body pass through the opening 14 through the first conduit 10 and are finally removed from the take-up end 12.
  • the first duct 10 of the endoscopic device has a first passage 15 inside, via the negative pressure principle, when the insertion end 11 of the first catheter 10 enters the
  • the first catheter 10 draws the foreign body or the sample from the opening 14 by the negative pressure principle when the internal image is taken by the camera assembly 20 and the adapter unit 30, and The foreign body or the sample in the body is discharged from the take-up end 12 via the first conduit 10.
  • the embryo can be directly drawn from the first catheter 10 via a negative pressure to achieve a true Painless abortion surgery and provides a non-invasive treatment.
  • the outer diameter of the first duct 10 is designed to be within 5.5 millimeters (mm), that is, less than or equal to 5.5 millimeters (mm), so that when medical behavior is performed, the said Suffer Discomfort and injury.
  • mm millimeters
  • a typical urethral endoscope is about 7 to 8 millimeters (mm) in diameter, which can cause pain and physical and mental harm to the patient during medical procedures.
  • the first catheter 10 of the endoscopic device of the present invention has a diameter within 5.5 millimeters (mm) to greatly reduce the damage to the patient.
  • the first catheter 10 can be made of stainless steel or various medical materials.
  • the first conduit 10 can be a hollow stainless steel tube.
  • the camera assembly 20 includes a lens unit 21, a lighting unit 22, and a photosensitive unit 23.
  • the lens unit 21 is directly disposed at the opening 14 facing the first duct 10, and the photosensitive unit 23 is disposed at the rear of the lens unit 21 such that the photosensitive unit 23 passes through the lens unit 21
  • the internal image is transmitted to the upper computer via the switching unit 30.
  • the illumination unit 22 is located adjacent to the opening 14 of the first catheter 10 and adjacent to the lens unit 21 such that the illumination unit 22 can provide illumination to the brightness required for the medical action while being available
  • a light source is given to the lens unit 21 such that the medical behavior is performed with sufficient brightness, and the lens unit 21 is capable of obtaining a clear internal image.
  • the lens unit 21 of the camera assembly 20 is photographed via VGA pixel color and provides an LED cold light source via the illumination unit 22 of the camera assembly 20, and thus, within the use When the speculum device performs an inspection or detection, the camera assembly 20 can limit the detection of foreign matter greater than 6 individual cells (ie, a diameter greater than 0.15 mm).
  • the switching unit 30 includes a transfer interface device 31, which can be implemented, for example, as a USB interface, disposed on the second end surface 42 of the handle member 40, such that the transfer unit is connected via the transfer unit
  • the transfer interface device 31 of the 30 and the upper computer are configured to transmit the internal image acquired by the image capture unit to the upper position.
  • the transmission unit can be a USB transmission line.
  • the upper computer can be a computer device or a personal computer in order to easily read or display the data output by the camera assembly 20. In other words, the lens unit 21 of the camera assembly 20 and the sensor 23 of the camera assembly 20 are converted into the data when the internal image is acquired, and connected to the transfer via the transmission line.
  • the transfer interface device 31 of the unit 30 and the host computer transfer the data from the camera assembly to the host computer. It is worth mentioning that the interface device 31 of the switching unit 30 can also be connected to a display device via the transmission line to directly read the data and display it in the display device. The endoscope device is more convenient to use.
  • the endoscopic device includes a second catheter 50 for providing a medicament to a desired treatment-related site of the patient's body.
  • the second conduit 50 extends through the grip member 40.
  • the second duct 50 has an output port 51 and an input port 52, and forms a second passage 53.
  • the output port 51 of the second duct 50 is located on a side corresponding to the first end surface 41 of the grip member 40.
  • the input port 52 of the second duct 50 is located on the side corresponding to the second end face 42 of the grip member 40.
  • the second conduit 50 is embedded within the handle member 40 to the first conduit 10.
  • the second duct 50 passes through the second end surface 42 of the grip member 40 to the inside of the grip member 40, it passes through a wall of the first duct 10, The second conduit 50 is caused to enter the first conduit 10 and finally pass through the opening 14 of the first conduit 10.
  • the output port 51 of the second duct 50 is located at the opening 14 of the first duct 10, such that the medicine is via the input port 52 of the second duct 50, The output port 51 delivered to the second conduit 50, that is, the opening 14 of the first conduit 10 is delivered.
  • the second catheter 50 is a micro-small needle.
  • the lens unit 21 of the camera assembly 20 may affect the quality of the internal image if it is attached to the body fluid, and thus may be via the second catheter.
  • the input port 52 of the 50 is injected with a cleaning substance, such that the cleaning substance can clean the lens unit 21 of the camera assembly 20 via the output port 51 of the second duct 50 to ensure the lens The surface of unit 21 remains clean and, further, the clarity of the internal image can be maintained.
  • the cleaning substance can also be cleaned by other purposes according to the use requirements of the endoscope device via the output port 51 of the second catheter 50.
  • the output port 51 of the second duct 50 is located at the upper end surface of the lens unit 21 of the camera assembly 20 so that the cleaning substance can be from the second duct 50.
  • the output port 51 directly cleans the surface of the lens unit 21 of the camera assembly 20 so that the imaging quality is not affected, thereby ensuring that the internal image can be clearly output.
  • first duct 10 and the second duct 50 may be integrally injection molded, and the first passage 15 and the second passage 53 which are not connected to each other are formed inside.
  • the first guide The tube 10 and the second conduit 50 are separate components and form the first passage 15 and the second passage 53, respectively.
  • the present invention also provides a medical operation method of an endoscope apparatus, comprising the steps of:
  • an imaging component 20 acquires an internal image of the patient
  • an switching unit 30 transmits the internal image from the camera assembly 20 to a host computer
  • the camera assembly 20 in step (B), includes a lens unit 21, a lighting unit 22, and a photosensitive unit 23.
  • the photosensitive unit 23 is disposed at the rear of the lens unit 21.
  • the illumination unit 22 is adjacent to the lens unit 21 for providing brightness required for illumination to a medical behavior, while a light source is supplied to the lens unit 21, such that the lens unit 21 and the sensor 23 The clear internal image can be obtained.
  • the lens unit 21 of the camera assembly 20 is photographed via VGA pixel color, and provides an LED cold light source via the illumination unit 22, and thus, when performing inspection or detection using the endoscope device,
  • the camera assembly 20 can limit detection of foreign matter greater than 6 individual cells (i.e., greater than 0.15 mm in diameter).
  • the switching unit 30 includes a transfer interface device 31, which can be regarded as a USB interface device, so that it can be directly connected via a transmission unit, such as a USB transmission line.
  • the endoscope device and a host computer can be regarded as a computer, a personal computer or a display. Therefore, the internal image obtained in the step (B) can be transmitted to the upper computer via the switching unit 30.
  • the first catheter 10 draws an alien or sample of the patient's body, such as a small solid, liquid or gel, via a vacuum principle.
  • steps (D), (E), (F) are not sequential and need to be selected according to the medical treatment of the patient. In other words, steps (D), (E), (F) are not necessarily performed except for the order.
  • the opening 14 of the first catheter 10 of the present invention is the side surface between the insertion end 11 and the head end member 13. This causes the camera assembly 20 to also be disposed facing the side of the first duct 10 at the same time. Therefore, when the opening 14 is located at the front end of the head end member 13, then the camera assembly 20 is also located at the front end of the first catheter 10, so as not to affect the operation of the endoscope device, and the The output port 51 of the second duct 50 is also located on the upper end surface of the lens unit 21 of the camera module 20 to facilitate various medical activities.
  • the endoscope device includes a first catheter 100, a camera assembly 200, an adapter unit 300, a handle member 400, and a second catheter 500.
  • the first catheter 100 is configured to extract foreign matter in a patient and to collect samples under negative pressure driving
  • the second catheter 500 is configured to inject a medical liquid into the patient or inject a cleaning liquid to clean the a camera assembly 200 for acquiring images in the patient
  • the adapter unit 30 being operatively coupled to the camera assembly 200 for passing image data acquired by the camera assembly 200
  • the data transmission unit is transmitted to the upper computer for analysis.
  • the handle member 400 is configured to support the first catheter 100, the adapter unit 300 and the second catheter 500, and can also be held by an operator or an automated robot arm, thereby enabling the endoscope device to be Perform internal and medical operations.
  • the first catheter 100 includes a distal end portion 110 and a distal end portion 120 at its distal end and proximal end, respectively, and includes, integrally, one step extending integrally a fixing portion 130 and an extending portion 140 disposed between the end portion 110 and the receiving end portion 120, wherein the first duct 100 defines a first passage 150 integrally extending from the object
  • the end portion 120, the fixing portion 130, the extension portion 140 and the insertion end portion 110 are adapted to be placed in the patient, the fixing portion 130 is positioned in the handle member 400, and the pickup end portion 120 is for connecting to a negative pressure Device.
  • the insertion end portion 110 has a receiving inlet 111
  • the receiving end portion 120 has a receiving opening 121 when the insertion end portion 110 and the extending portion 140 are adjacent to the positioning portion
  • a predetermined portion of the inlet portion 110 is placed into the patient, the first end portion 120 is coupled to the negative pressure device and the negative pressure device is in an operational state and generates a negative pressure, the first The channel 150 becomes a negative pressure chamber, such that the substance entering the patient in the end portion 110, such as a foreign body in the body or a sample to be collected in the body, more specifically, a human body or a body fluid is extracted from the body.
  • the inlet 111 enters and passes from the extension 140 and the fixed portion 130 and reaches the take-up opening 121 of the take-up end 120, and is further collected.
  • the second conduit 500 and the first conduit 100 can be independent Catheter parts.
  • the first and second conduits 100 and 500 may be arranged side by side in parallel, and in the preferred embodiment, the front ends of the first and second conduits 100 and 500 are assembled in an in-line manner.
  • the second conduit 500 includes an output end 510 and an input end 520 at its distal and proximal ends, respectively, and further includes an extension end 510 and an input end 520 An outer extension 530 and an inner extension 540 therebetween, wherein the second conduit 500 is formed to extend from the output end 510, the input end 520, the outer extension 530 and the inner extension A second channel 550 of segment 540.
  • the outer extension 530 extends outside of the first conduit 100 and the inner extension 540 is embedded within the interior of the first conduit 100. Accordingly, it can be understood that the inner diameter of the second conduit 500 is smaller than the inner diameter of the first conduit 100.
  • a suitable position of the side surface of the fixing portion 130 of the first duct 100 has an opening 131 between the output end 510 of the second duct 500 and the input end 520
  • the inner extension 540 enters the first conduit 100 from the opening 131 to be embedded in the first conduit 100.
  • the outer extension 530 can be suitably bent such that the input end 520 of the second conduit 500 and the take-up end 120 of the first conduit 100 are substantially parallel to each other and spaced apart from each other.
  • the entire second duct 500 is not inserted into the first duct 100 from the take-up end 120 of the first duct 100, so as to be completely embedded in the first duct 100. Passing into the first conduit 100 from a suitable position of the fixing portion 130 of the first conduit 100, the take-up end 120 of the first conduit 100 and the second conduit 500 The input ends 520 are independent of each other and spaced apart from each other so that they can be easily operated.
  • the input end 520 of the second conduit 500 has an input port 521, and the output end 510 has an output port 511 such that when the output end 510 of the second conduit 500 is placed
  • the input end 520 is connected to a drug injection device, and when the drug injection device is in an operating state to deliver the medical solution through the input port 521 into the second catheter 500, The medical solution enters the patient from the output port 511.
  • the input end 520 is coupled to a detergent injection device, and the detergent injection device is in an operational state to deliver detergent via the input port 521 into the second conduit 500, the cleaning agent
  • the output port 511 is reached from the output port 511 and used to clean the camera assembly 200.
  • the input end 520 may not be the outer extension
  • the 530 is integrally formed, but has a larger outer diameter with a passageway that communicates internally to the interior of the outer extension 530.
  • the input end 520 having a larger outer diameter can be conveniently assembled to the external drug injection device or the detergent injection device.
  • the inner extension 540 of the second catheter 500 is embedded in the first catheter 100, and the extension portion 140 and the insertion end portion 110 of the first catheter 100 are used for plugging Into the patient, the size of the catheter that is inserted into the patient is only dependent on the size of the first catheter 100, thereby reducing the overall size of the catheter that is inserted into the patient.
  • the handle member 400 can be implemented as a support housing including a first end surface 410 and a second end surface 420 on opposite sides, and a support extending from the first and second end surfaces 410 and 420
  • the body 430, the first and second end faces 410 and 420 and the support body 430 may form a lumen 440.
  • the first conduit 100, the second conduit 500 and the adapter unit 300 are mounted in position by the grip member 400.
  • the first end face 410 is adjacent to the take-up end 120 of the first conduit 100 and the input end 520 of the second conduit 500.
  • the first end face 420 is located on an opposite side of the take-up end 120 of the first conduit 100 and the input end 520 of the second conduit 500.
  • the first end surface 410 of the handle member 400 has a first through hole 411 and a second through hole 412
  • the second end surface 420 has a third through hole 421, wherein the first through hole 411 and the third through hole 421 are correspondingly positioned to allow the first pipe 100 to pass through the first through hole 411 and the third through hole 421.
  • the first catheter 100 is assembled and positioned on the handle member 400, wherein the fixing portion 130 of the first catheter 100 is positioned within the handle member 400, the pickup end portion 120 and the The extending portion 130 passes through the first through hole 411 and the third through hole 421, respectively.
  • the second through hole 412 of the first end surface 410 is for passing the input end 520 of the second duct 500, and the portion of the second duct 500 passing inside the grip member 400 is passed Bending and inserting into the first conduit 100 through the opening 131 to form the outer extension 530 and the inner extension 540 such that the handle member 400 is only required at the second end face 420
  • the third perforation 421 for the extension 130 of the first catheter 100 is provided. That is, within the inner cavity 440 of the handle member 400, the first conduit 100 and the second conduit 500 achieve a phase-embedded structure.
  • the first end surface 410 of the handle member 400 further has a fourth through hole 413
  • the switching unit 300 includes a transfer interface device 310 and a transit circuit board 320
  • the transfer interface device 310 is a data output port device such as a USB interface device, which corresponds to the position of the fourth through hole 413, so that an external data transmission unit such as a connector of the USB connection line can be inserted into the interface device 310 to achieve the
  • the image data acquired by the camera assembly 100 is transmitted to the host computer for analysis.
  • the upper computer may be a computer that can display an image captured by the camera assembly 100 through a display for further analysis.
  • the transit circuit board 320 includes a transit circuit board main body 321, an electronic component 322 located on the transit circuit board main body 321, and a main body connected to the transit circuit board.
  • the connecting wire device 323 of 321 is a flexible wiring device
  • the handle member 400 further includes a positioning plate 450 fixed in the support body 430 and which is transferred by a suitable projection 451
  • the electronic component 322 of the circuit board 320 is snap mounted in place.
  • the connecting wire arrangement 323 also passes through the opening 131 and is placed within the first conduit 100 for connection to the camera assembly 200. It is worth mentioning that it is understood that the opening 131 allows the connecting wire device 323 and the inner extension 540 of the second conduit 500 to pass, and is further seamlessly sealed, thus ensuring A negative pressure chamber can be formed in the first conduit 100.
  • the first catheter 100 further includes a head end member 160 coupled to the insertion end portion 110.
  • the head end member 160 and the insertion end portion 110 are connected, such as assembled or integrally formed by a connecting member, and an opening 170 is formed on a side of the first duct 100,
  • the endoscope apparatus of the present invention forms a side view endoscope apparatus.
  • the camera assembly 200 includes a lens unit 210, a lighting unit 220, and a photosensitive unit 230.
  • the camera assembly 200 can be a fixed focus camera device or a focus camera device.
  • the camera assembly 200 is a dynamic focus camera device, and the lens unit 210 includes a lens 211, a voice coil motor 212 (there is no such component in the fixed focus module), and a lens holder. 213 and other possible components such as color filters.
  • the lens unit 210 may further include a transparent lens cover 214 assembled above the lens 211.
  • the photosensitive unit 230 includes a photosensitive chip 231 and a circuit board 232.
  • the circuit board 232 is connected to the switching unit 300 to connect the wire device 323 to pass the image data acquired by the camera assembly 200.
  • the transfer interface device 310 is transmitted to the upper computer.
  • the lighting unit 220 includes a light source 221, and an assembly seat 222.
  • the assembly base 222 is positioned.
  • the circuit board 232 is disposed, and the light source 221 is electrically connected to the circuit board 232.
  • the assembly base 222 forms a light source accommodating chamber 223, the light source 221 is housed in the accommodating chamber 223, and optionally, the upper side of the accommodating chamber 223 has a top side opening 224, the assembly Also mounted on the upper side of the seat 222 is a transparent light source cover 225 that covers the receiving chamber 223 and is located at the top side opening 224.
  • the assembly base 222 is disposed around the light source 221, and optionally, it can also be reflected by the inner surface to function as a concentrating light.
  • the light source 22 if implemented as an LED cold light source, provides illumination, and the light reaches the patient tissue to be observed to be reflected, and the light further passes through the lens 211 to reach the light sensitivity.
  • the chip 231 is imaged, and the image data can be transmitted to the host computer for analysis by the interface device 310.
  • the assembly base 222 can be assembled or integrally formed with the mirror base 213.
  • the two are integrally formed, and the mirror base 213 is further connected to both sides.
  • a first side wing 215 and a second side wing 216 provide a suitably sized recess 2161 for assembling the lens cover 214.
  • the output end 510 of the second conduit 500 includes a connecting section 512 extending laterally from the inner extending section 540, the first side flap 215 includes a positioning slot 2151 extending in a lateral direction, wherein The connecting section 512 is positioned in the positioning slot 2151 such that the connecting section 512 is mounted in place and does not create an offset.
  • the output port 511 of the second catheter 500 may be located at the end of the connecting section 512 such that the medical solution or cleaning liquid is transported along the longitudinally extending inner segment 540 and ultimately from the lateral direction One end of the connecting section 512 is discharged.
  • the output end 510 further includes an output section 513 extending longitudinally from the connecting section 512, wherein the output port 511 of the second duct 500 corresponds to Ground may be located at the end of the output segment 513.
  • the head end member 160 may further define a fixing groove 162 at the top side wall, and the output portion 513 is positioned at the fixing groove 162 to prevent the second duct 500 from being displaced.
  • the medical solution or cleaning liquid is transported along the longitudinal direction of the inner extending section 540 and enters the connecting section 512 in the lateral direction, and is again discharged from the end of the output section 513 in the longitudinal direction. It is to be understood that the lateral or longitudinal directions are relative and are merely illustrative and not limiting of the invention.
  • the camera assembly 200 is arranged in a lateral direction perpendicular to the longitudinal direction of the bodies of the first and second conduits 100 and 500, that is, along the same as the second conduit 500 shown in the drawing.
  • Output The connecting sections 412 of the end portions 510 are arranged in parallel directions such that the cleaning liquid discharged from the output sections 513 can be easily accessed to the cover plates 214 and 225, so that the camera assembly 200 can be relatively easily accessed. Wash it.
  • the injection flow rate can be appropriately adjusted according to the situation, for example, when used for injecting the medical liquid, a relatively low flow rate can be used, so that The medical solution does not immediately block the lens unit 210.
  • a relatively large flow rate can be used to facilitate cleaning of the outer surface of the camera assembly 200.
  • the camera assembly 200 is assembled in such a manner that the entire size of the portion that is inserted into the patient body is reduced, such that the size of the first catheter 100 is the size of the endoscope device. In the present invention, it can be reduced to within 5.5 millimeters (mm), i.e., less than or equal to 5.5 millimeters (mm), so that discomfort and injury of the patient can be reduced when performing medical activities.
  • mm millimeters
  • mm i.e., less than or equal to 5.5 millimeters (mm)
  • the opening 170 formed on the side of the first conduit 100 at the insertion end is further formed by a first side formed on the top side of the receiving cavity 161 of the head end member 160.
  • the opening 171 is composed of a second opening 172 formed on a side of the insertion end portion 110.
  • the lens unit 210 is disposed facing the first opening 171
  • the lighting unit 220 is disposed facing the second opening 172
  • the assembly seat 222 of the lighting unit 220 is smaller in size than the second opening 172.
  • the inlet 111 is then further flowed through the extension 140 and the fixing portion 130 and reaches the take-up opening 121 of the take-up end 120. That is to say, the camera assembly 200 disposed in the lateral direction installed in the first duct 110 does not block or affect the operation of extracting samples or foreign objects in the body.
  • the above-mentioned opening 170 is formed by way of example only and does not limit the invention.
  • the receiving cavity 161 formed by the head end member 160 can also completely accommodate the camera.
  • the component 200 such that the lens unit 210 and the illumination unit 200 of the camera assembly 200 face the first opening 171 on the top side of the receiving cavity 161.
  • the second opening 172 is formed on the side of the insertion end portion 110 for extracting an internal sample or foreign matter.
  • first and second conduits 100 and 500 can be formed from a suitable rigid material, such as a stainless steel tube or other suitable metal or metal alloy material.
  • the first and second conduits 100 and 500 may also be made of a suitable hose material such that the first conduit 100 is internally required
  • a suitable rigid guiding member is provided for guiding the first catheter 100 into the patient.
  • the endoscopic device of this preferred embodiment of the present invention can be assembled by passing the second catheter 500 through the opening 131 to embed a portion of the second catheter 500
  • a connecting wire device 323 connected to the first unit 100 and connecting the photosensitive unit 230 to the interface device 310 also passes through the opening 131 and places the main portion thereof
  • the camera assembly 200 is assembled into the insertion head of the first catheter 100 and its lens 211 and light source 221 are facing the lateral opening 170 of the first catheter 100, and then the grip is
  • the support body 430 of the handle member 400 is sleeved outside the first and second conduits 100 and 500 and the position of the opening 131 is located within the support body 430, and then the first and second end faces 410 and 420 are respectively assembled on both sides of the support body 430 to pass the extension portion 141 of the first duct 100 out of the second end surface 420, and the take-up end portion 120 of the first duct 100
  • the input end 520 of the second conduit 500 respectively passes through the first End surface 410,
  • the image of the position to be detected is captured by the camera assembly 200 mounted adjacent to the head end member 160, and the obtained image data is further transmitted to the upper computer for analysis by the switching unit 300;
  • the foreign body in the patient is taken by the first catheter 100 or a sample is taken, or a medical solution is injected into the patient through a second catheter 500.
  • the method may further include the step of injecting a cleaning liquid through the second conduit 500 for cleaning the camera assembly 200. Accordingly, the above steps can be performed after the endoscopic device is withdrawn from the patient's body.
  • the position to be detected is located on the side of the first duct 100 and the camera assembly 200 is disposed toward the opening 170 of the side of the first duct 100 and performs a photographing operation, that is,
  • the endoscope device is a side view endoscope device.
  • the medical liquid or the cleaning liquid enters the outer extension 530 of the second catheter 500 located outside the first catheter 100 and further The inner extension 540 of the second catheter 500 located inside the first catheter 100 is delivered to the patient or to the surface of the camera assembly 200. Further, the medical fluid or cleaning fluid is transported in the longitudinal direction in the outer and inner extensions 530 and 540 of the second catheter 500, and at an output end 510 of the second catheter 500. It is discharged in the lateral direction or in the longitudinal direction, or in the width direction or the length direction in which the second duct 500 extends.
  • the output end 510 when discharged in the lateral direction, has a connecting section 512 extending laterally perpendicularly to the inner extending section 540 to discharge the medical liquid or cleaning liquid; when discharged in the longitudinal direction
  • the output end 510 has a connecting section 512 extending laterally perpendicularly to the inner extending section 540 and an output section 513 extending further longitudinally from the connecting section 512, that is, the output
  • the segments 513 are arranged substantially parallel to the inner extension 540 and are disposed along the length of the second conduit 500.

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

Abstract

La présente invention concerne un dispositif d'endoscope et une application associée. Le procédé d'application comprend les étapes suivantes consistant à : insérer une extrémité distale d'un premier tube (10, 100) dans le corps d'un patient et plus loin jusqu'à un site d'examen à l'intérieur du corps du patient ; capturer une image du site d'examen à l'aide d'un ensemble caméra (20, 200) installé à proximité de l'extrémité distale du premier tube (10, 100) et situé à l'intérieur du premier tube (10, 100), et transmettre en outre à un ordinateur maître les données de l'image capturée par l'intermédiaire d'une unité de transfert (30, 300) à des fins d'analyse ; et extraire un objet étranger à l'intérieur du corps du patient ou recueillir un échantillon à travers le premier tube (10, 100), ou injecter un médicament pharmaceutique liquide dans le corps du patient à travers un second tube (50, 500), ou injecter un liquide de nettoyage utilisé sur l'ensemble caméra (20, 200) à travers le second tube (50, 500).
PCT/CN2016/098195 2015-09-09 2016-09-06 Dispositif d'endoscope et application associée Ceased WO2017041693A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
CN201520696564.3 2015-09-09
CN201510569629.2 2015-09-09
CN201520696564.3U CN205126172U (zh) 2015-09-09 2015-09-09 内窥镜装置
CN201510569629.2A CN105147229B (zh) 2015-09-09 2015-09-09 内窥镜装置及其应用

Publications (1)

Publication Number Publication Date
WO2017041693A1 true WO2017041693A1 (fr) 2017-03-16

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TW (1) TWI622377B (fr)
WO (1) WO2017041693A1 (fr)

Cited By (3)

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CN112043226A (zh) * 2020-09-29 2020-12-08 珠海万图医疗技术有限公司 一种内窥镜先端头和内窥镜
TWI751581B (zh) * 2020-06-11 2022-01-01 亞星健康科技有限公司 治療內腔室傷口之藥劑推進裝置
CN115364356A (zh) * 2022-09-23 2022-11-22 王伟强 一种妇产科临床用喷射式上药装置

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TWI648034B (zh) * 2017-10-19 2019-01-21 醫百科技股份有限公司 具鏡頭之輔助夾具及把手
TWI765393B (zh) * 2020-10-30 2022-05-21 秀傳醫療財團法人彰濱秀傳紀念醫院 遮光設備
CN114869359B (zh) * 2022-05-27 2023-08-22 四川大学华西医院 导管设备
TWI836767B (zh) * 2022-12-02 2024-03-21 群光電子股份有限公司 內視鏡模組

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CN105147229A (zh) * 2015-09-09 2015-12-16 宁波舜宇光电信息有限公司 内窥镜装置及其应用
CN205126172U (zh) * 2015-09-09 2016-04-06 宁波舜宇光电信息有限公司 内窥镜装置

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US5569162A (en) * 1994-09-01 1996-10-29 Fuji Photo Optical Co. Ltd. Structure of end portion of side-looking type electronic endoscope
EP2022389A1 (fr) * 2007-08-10 2009-02-11 Olympus Medical Systems Corporation Endoscope et appareil d'endoscope
CN103732120A (zh) * 2011-08-18 2014-04-16 恩多卓斯创新中心有限公司 多观察元件内窥镜
CN203417179U (zh) * 2013-06-28 2014-02-05 苏州联科盛世科技有限公司 多腔道一次性内窥镜
CN105147229A (zh) * 2015-09-09 2015-12-16 宁波舜宇光电信息有限公司 内窥镜装置及其应用
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Publication number Priority date Publication date Assignee Title
TWI751581B (zh) * 2020-06-11 2022-01-01 亞星健康科技有限公司 治療內腔室傷口之藥劑推進裝置
CN112043226A (zh) * 2020-09-29 2020-12-08 珠海万图医疗技术有限公司 一种内窥镜先端头和内窥镜
CN115364356A (zh) * 2022-09-23 2022-11-22 王伟强 一种妇产科临床用喷射式上药装置
CN115364356B (zh) * 2022-09-23 2023-08-04 王伟强 一种妇产科临床用喷射式上药装置

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