CN102949225A - Visualization endoscopic incision knife device - Google Patents
Visualization endoscopic incision knife device Download PDFInfo
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- CN102949225A CN102949225A CN2012104729740A CN201210472974A CN102949225A CN 102949225 A CN102949225 A CN 102949225A CN 2012104729740 A CN2012104729740 A CN 2012104729740A CN 201210472974 A CN201210472974 A CN 201210472974A CN 102949225 A CN102949225 A CN 102949225A
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- incision knife
- visual
- hard tube
- optical fiber
- transmission beam
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Abstract
The invention discloses a visualization endoscopic incision knife device which comprises an incision knife (3), further comprises a hard tube (1) which is internally provided with an imaging objective lens component (2) and an optical fiber image transmission beam (4), an eye lens (5) for receiving the reflected light of the optical fiber image transmission beam (4), a charge coupled device (CCD) image sensor (6) for acquiring and converting an optical signal focused by the eye lens (5), and an electronic computer terminal (7), wherein the incision knife (3) is arranged at one end of the hard tube (1) near the imaging objective lens component (2); and the eye lens (5) is arranged at one end outside the hard tube (1) near the optical fiber image transmission beam (4). The visualization endoscopic incision knife device has the advantages that endoscopic retrograde cholangiopancreatography (ERCP) intubation can be carried out at a visual state, and the pancreatic duct and the bile duct can be distinguished by observing the image, so that the time that doctors and patients are exposed to the X-ray is reduced; and meanwhile the success rate in selective intubation is improved, and the happening of complications is reduced.
Description
Technical field
The present invention relates to technical field of medical instruments, peep the incision knife device in a kind of ERCP of being applicable to intubate visual specifically.
Background technology
ERCP is namely through endoscopic retrograde cholangiopancreatography (Encoscopic Retrograde Cholangio-Pancreatography, ERCP) english abbreviation, under scope, to inject contrast agent through Duodenal papilla cannula, showing pancreaticobiliary shadowgraph technique thereby drive in the wrong direction, is the goldstandard of present diagnosis diseases of pancreaticobiliary duct of generally acknowledging.On the basis of ERCP, can carry out Internal biliary drainage (ERBD) under Endoscopic Sphincterotomy of Duodenal Papilla Attached art (EST), endoscopic bile drainage (ENBD), the scope, Extraction of Biliary Stones, the interventional therapys such as gallbladder ductus pancreaticus tumor stent drainage art, owing to not opening abdomen and Wicresoft, can greatly alleviate patient's misery and shorten the hospital stays.
Key also is that the most difficult technology is the intubate of selectivity bile duct or ductus pancreaticus in the ERCP operation, because if intubate is unsuccessful, follow-up diagnosis and treatment also just can't be carried out.By the improvement of maneuver and the progress of apparatus, the success rate of selectivity gallbladder pancreatic canula is significantly improved, but still lower through the success rate after the improvement, and the incidence rate of complication is also higher.
Conventional gallbladder pancreatic canula adopts the auxiliary pull-type incision knife intubation of seal wire, namely through the duodenoscope accessory passageway, will be with the shallow insertion vater's papilla of the pull-type incision knife opening of hydrophilic superslide seal wire, after under X-ray examination, using the seal wire selectivity to detect bile duct or the success of ductus pancreaticus opening, again incision knife is inserted bile duct or ductus pancreaticus along seal wire.The problem that the method exists is:
1, operation doctor and patient is exposed under the roentgen radiation x for a long time, has a harmful effect to healthy;
2, when intubate, can only the rough alignment bile duct or the direction of ductus pancreaticus (be respectively 11 o'clock and 1 o'clock direction) blindmate, accurate intubate and may damage nipple, bile duct or ductus pancreaticus;
If 3 intubate are unsuccessful, can't judge accurately its concrete reason.
The super choosing of the seal wire at the selective catheterizaiton of selectivity left and right sides common hepatic duct and branch thereof and bile duct stricture of pancreatic duct position is another difficult problem among the ERCP.Conventional method also is to adopt the super choosing of the auxiliary seal wire of the auxiliary pull-type incision knife of seal wire, and therefore above-mentioned problem exists equally.
Summary of the invention
The purpose of this invention is to provide and a kind ofly peep the incision knife device in visual, this device can enter human body by the duodenoscope biopsy channel, can under the direct-view state, seek the opening of opening, left and right sides common hepatic duct and branch thereof of bile duct ductus pancreaticus and the opening of narrow positions, and can carry out conventional Sphincterotomy operation, realize the lower selective catheterizaiton of direct-view.
The present invention is a kind of to peep the incision knife device in visual, comprise incision knife 3, be set as in also comprising picture objective lens unit 2 and optical fiber image transmission beam 4 hard tube 1, be used for receiving optical fiber image transmission beam 4 catoptrical eyepieces 5, be used for gathering and ccd image sensor (Charged Coupled Device) 6 and the electronic computer terminal 7 of the optical signalling that conversion eyepiece 5 focuses on, described incision knife 3 is arranged on nearly image-forming objective lens assembly 2 one ends on the hard tube 1, and described eyepiece 5 is arranged on fine coherent fiber bundle 4 one ends of hard tube 1 outside dipped beam.
Described image-forming objective lens assembly 2 comprises concavees lens 8 and the convex lens 9 that sets gradually, and described concavees lens 8 are arranged near the object end, and convex lens 9 is arranged on thing end far away.
Described image-forming objective lens assembly 2 length are 3-5mm, and the angle of visual field is 40 °-60 °.
The external diameter of described concavees lens 8 and convex lens 9 is 0.6-0.8mm.
Described hard tube 1 external diameter is less than 1mm, and length is less than 10mm.
Described optical fiber image transmission beam 4 external diameters are 0.6-0.8mm.
Peeping the incision knife device in the present invention is visual is achieved in that and will peeps the incision knife device in visual by arrival duodenum top, duodenoscope biopsy hole, focus on optical fiber image transmission beam 4 end faces from the light of object observing 12 surface reflections through based endoscopic imaging objective lens unit 2, optical fiber image transmission beam 4 transfers to eyepiece 5 with reflected light, eyepiece 5 focuses on ccd image sensor 6 surfaces with optical signalling, gather optical signalling with ccd image sensor 6, and transfer optical signal to the signal of telecommunication, process and show by electronic computer terminal 7.
The advantage of peeping the incision knife device in the present invention is visual is: can carry out the ERCP intubate under the direct-view state, can differentiate ductus pancreaticus and bile duct by observing image, therefore can reduce operation doctor and patient and be exposed to time under the X ray, can improve simultaneously the success rate of selective catheterizaiton, reduce simultaneously the generation of some complication.
Description of drawings
Fig. 1 is structural representation of the present invention.
Fig. 2 is the structural representation of image-forming objective lens assembly of the present invention.
Fig. 3 is that the present invention inserts nipple and the lower schematic diagram of selecting common bile duct or ductus pancreaticus of direct-view.
Fig. 4 is that the present invention observes and the schematic diagram by stenosis of common bile duct.
Fig. 5 is that the present invention observes the schematic diagram that optionally inserts left and right sides common hepatic duct and branch.
Wherein, 1 is hard tube, and 2 is the image-forming objective lens assembly, and 3 is incision knife, and 4 is optical fiber image transmission beam, and 5 is eyepiece, and 6 is ccd image sensor, and 7 is the electronic computer terminal, and 8 is concavees lens, and 9 is convex lens, and 10 is endoscope, and 11 is cancerous stricture, and 12 is object observing.
The specific embodiment
Embodiment one
Below in conjunction with accompanying drawing, the present invention is further specified: shown in Fig. 1-5, a kind ofly peep the incision knife device in visual, comprise incision knife 3, be set as in also comprising picture objective lens unit 2 and optical fiber image transmission beam 4 hard tube 1, be used for receiving optical fiber image transmission beam 4 catoptrical eyepieces 5, be used for gathering and ccd image sensor 6 and the electronic computer terminal 7 of the optical signalling that conversion eyepiece 5 focuses on, described incision knife 3 is arranged on nearly image-forming objective lens assembly 2 one ends on the hard tube 1, and described eyepiece 5 is arranged on fine coherent fiber bundle 4 one ends of hard tube 1 outside dipped beam.
Described image-forming objective lens assembly 2 comprises concavees lens 8 and the convex lens 9 that sets gradually, and described concavees lens 8 are arranged near the object end, and convex lens 9 is arranged on thing end far away.
Described optical fiber image transmission beam 4 external diameters are 0.7mm.
Focus on optical fiber image transmission beam 4 end faces from the light of object observing 12 surface reflections through based endoscopic imaging objective lens unit 2, optical fiber image transmission beam 4 transfers to eyepiece 5 with reflected light, eyepiece 5 focuses on ccd image sensor 6 surfaces with optical signalling, gather optical signalling with ccd image sensor 6, and transfer optical signal to the signal of telecommunication, process and show by electronic computer terminal 7.Optical fiber image transmission beam 4 is bonding with miniature based endoscopic imaging objective lens unit 2 usefulness epoxy glues, and uses the medical stainless steel material package, and hard tube 1 part external diameter is less than 1mm, and length less than incision knife silk guide passage internal diameter, can enter human body less than 10mm by the incision knife silk guide passage.With reference to figure 2, the based endoscopic imaging objective lens unit 2 that adopts is the optical imaging system of autonomous Design, and these object lens are combined by concavees lens 8 and convex lens 9, and concavees lens 8 and convex lens 9 external diameters are 0.7mm, the length of image-forming objective lens assembly 2 is 4mm, and the angle of visual field is 50 °.With reference to Fig. 3-5, peeping the incision knife device in the present invention is visual can be in the descending ERCP intubate of direct-view state, and can be under the direct-view state selectivity enter left or right common hepatic duct is observed.Operating procedure is as follows:
A. insert mirror: according to the gastroscopy way, endoscope rapidly by esophagus, body of stomach, is arrived descendant duodenum;
B. seek nipple: by stretching duodenoscope shank, the adjusting angle knob allows nipple be positioned at upper right side, the visual field;
C. intubate: insert this device through duodenoscope biopsy hole, regulate duodenum mirror angle button and lift the pincers device, make this device vertical with the nipple opening;
D. advance mirror: this device is observed by the shallow insertion nipple of incision knife silk guide passage opening, regulate and control direction by the flexibility of adjusting shank and pull-type incision knife, examine and seek bile duct and ductus pancreaticus opening and insert bile duct or ductus pancreaticus, further observe and operation according to state of an illness needs.
Embodiment two
A kind ofly peep the incision knife device in visual, comprise incision knife 3, be set as in also comprising picture objective lens unit 2 and optical fiber image transmission beam 4 hard tube 1, be used for receiving optical fiber image transmission beam 4 catoptrical eyepieces 5, be used for gathering and ccd image sensor 6 and the electronic computer terminal 7 of the optical signalling that conversion eyepiece 5 focuses on, described incision knife 3 is arranged on nearly image-forming objective lens assembly 2 one ends on the hard tube 1, and described eyepiece 5 is arranged on fine coherent fiber bundle 4 one ends of hard tube 1 outside dipped beam.
Described image-forming objective lens assembly 2 comprises concavees lens 8 and the convex lens 9 that sets gradually, and described concavees lens 8 are arranged near the object end, and convex lens 9 is arranged on thing end far away.
Described image-forming objective lens assembly 2 length are 3mm, and the angle of visual field is 60 °.
The external diameter of described concavees lens 8 and convex lens 9 is 0.6mm.
Described hard tube 1 external diameter is less than 1mm, and length is less than 10mm.
Described optical fiber image transmission beam 4 external diameters are 0.6mm.
Embodiment three
A kind ofly peep the incision knife device in visual, comprise incision knife 3, be set as in also comprising picture objective lens unit 2 and optical fiber image transmission beam 4 hard tube 1, be used for receiving optical fiber image transmission beam 4 catoptrical eyepieces 5, be used for gathering and ccd image sensor 6 and the electronic computer terminal 7 of the optical signalling that conversion eyepiece 5 focuses on, described incision knife 3 is arranged on nearly image-forming objective lens assembly 2 one ends on the hard tube 1, and described eyepiece 5 is arranged on fine coherent fiber bundle 4 one ends of hard tube 1 outside dipped beam.
Described image-forming objective lens assembly 2 comprises concavees lens 8 and the convex lens 9 that sets gradually, and described concavees lens 8 are arranged near the object end, and convex lens 9 is arranged on thing end far away.
Described image-forming objective lens assembly 2 length are 5mm, and the angle of visual field is 40 °.
The external diameter of described concavees lens 8 and convex lens 9 is 0.8mm.
Described hard tube 1 external diameter is less than 1mm, and length is less than 10mm.
Described optical fiber image transmission beam 4 external diameters are 0.8mm.
Above-described specific embodiment; purpose of the present invention, technical scheme and useful result have been carried out further detailed description; institute is understood that; the above only is specific embodiments of the invention; be not limited to the present invention; all in the spirit and principles in the present invention and so on, any modification of making, be equal to replacement, improvement etc., all should be included within protection scope of the present invention.
Claims (6)
1. peep the incision knife device in visual for one kind, comprise incision knife ⑶, it is characterized in that: be set as in also comprising picture objective lens unit ⑵ and optical fiber image transmission beam ⑷ hard tube ⑴, be used for receiving the catoptrical eyepiece ⑸ of optical fiber image transmission beam ⑷, be used for gathering and ccd image sensor ⑹ and the electronic computer terminal ⑺ of the optical signalling that conversion eyepiece ⑸ focuses on, described incision knife ⑶ is arranged on upper nearly image-forming objective lens assembly ⑵ one end of hard tube ⑴, and described eyepiece ⑸ is arranged on the fine coherent fiber bundle ⑷ of the outside dipped beam of hard tube ⑴ one end.
2. as claimed in claim 1ly peep the incision knife device in visual, it is characterized in that: described image-forming objective lens assembly ⑵ comprises concavees lens ⑻ and the convex lens ⑼ that sets gradually, and described concavees lens ⑻ is arranged near the object end, and convex lens ⑼ is arranged on thing end far away.
3. as claimed in claim 1 or 2ly peep the incision knife device in visual, it is characterized in that: described image-forming objective lens assembly ⑵ length is 3-5mm, and the angle of visual field is 40 °-60 °.
4. as claimed in claim 2ly peep the incision knife device in visual, it is characterized in that: the external diameter of described concavees lens ⑻ and convex lens ⑼ is 0.6-0.8mm.
5. as claimed in claim 1 or 2ly peep the incision knife device in visual, it is characterized in that: described hard tube ⑴ external diameter is less than 1mm, and length is less than 10mm.
6. as claimed in claim 1 or 2ly peep the incision knife device in visual, it is characterized in that: described optical fiber image transmission beam ⑷ external diameter is 0.6-0.8mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012104729740A CN102949225A (en) | 2012-11-21 | 2012-11-21 | Visualization endoscopic incision knife device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012104729740A CN102949225A (en) | 2012-11-21 | 2012-11-21 | Visualization endoscopic incision knife device |
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| CN102949225A true CN102949225A (en) | 2013-03-06 |
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| CN2012104729740A Pending CN102949225A (en) | 2012-11-21 | 2012-11-21 | Visualization endoscopic incision knife device |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104127222A (en) * | 2014-07-29 | 2014-11-05 | 电子科技大学 | Minimally invasive scalpel for surgery |
| CN106814437A (en) * | 2015-11-30 | 2017-06-09 | 东莞酷派软件技术有限公司 | A kind of camera head and its manufacture method, mobile terminal |
| CN108650444A (en) * | 2018-05-29 | 2018-10-12 | 努比亚技术有限公司 | Camera module and terminal |
| CN111999808A (en) * | 2020-08-31 | 2020-11-27 | 南京锐普创科科技有限公司 | Method for coupling precision optical fiber |
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| CN2694898Y (en) * | 2003-06-13 | 2005-04-27 | 范良藻 | Lighting source used for endoscope |
| US20090005637A1 (en) * | 2001-09-27 | 2009-01-01 | Scimed Life Systems, Inc. | Method and Apparatus for Measuring and Controlling Blade Depth of a Tissue Cutting Apparatus in an Endoscopic Catheter |
| CN101919725A (en) * | 2010-08-03 | 2010-12-22 | 安瑞医疗器械(杭州)有限公司 | Medical equipment of micro-invasive interventional therapy for pancreaticobiliary duct |
| CN202086457U (en) * | 2011-05-22 | 2011-12-28 | 王宗贵 | Paranasal sinus endoscope |
| CN102331623A (en) * | 2010-07-13 | 2012-01-25 | 北京北玻科技产业中心 | Ultra-narrow handheld monitorable optical fiber endoscope |
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2012
- 2012-11-21 CN CN2012104729740A patent/CN102949225A/en active Pending
Patent Citations (5)
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| US20090005637A1 (en) * | 2001-09-27 | 2009-01-01 | Scimed Life Systems, Inc. | Method and Apparatus for Measuring and Controlling Blade Depth of a Tissue Cutting Apparatus in an Endoscopic Catheter |
| CN2694898Y (en) * | 2003-06-13 | 2005-04-27 | 范良藻 | Lighting source used for endoscope |
| CN102331623A (en) * | 2010-07-13 | 2012-01-25 | 北京北玻科技产业中心 | Ultra-narrow handheld monitorable optical fiber endoscope |
| CN101919725A (en) * | 2010-08-03 | 2010-12-22 | 安瑞医疗器械(杭州)有限公司 | Medical equipment of micro-invasive interventional therapy for pancreaticobiliary duct |
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Non-Patent Citations (1)
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104127222A (en) * | 2014-07-29 | 2014-11-05 | 电子科技大学 | Minimally invasive scalpel for surgery |
| CN104127222B (en) * | 2014-07-29 | 2017-02-15 | 电子科技大学 | Minimally invasive scalpel for surgery |
| CN106814437A (en) * | 2015-11-30 | 2017-06-09 | 东莞酷派软件技术有限公司 | A kind of camera head and its manufacture method, mobile terminal |
| CN108650444A (en) * | 2018-05-29 | 2018-10-12 | 努比亚技术有限公司 | Camera module and terminal |
| CN111999808A (en) * | 2020-08-31 | 2020-11-27 | 南京锐普创科科技有限公司 | Method for coupling precision optical fiber |
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Application publication date: 20130306 |