CN108577904B - Double-forceps-channel single-hole bendable laparoscope system - Google Patents
Double-forceps-channel single-hole bendable laparoscope system Download PDFInfo
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- 238000005452 bending Methods 0.000 claims abstract description 78
- 238000003780 insertion Methods 0.000 claims abstract description 15
- 230000037431 insertion Effects 0.000 claims abstract description 15
- 230000033001 locomotion Effects 0.000 claims abstract description 14
- 229910001220 stainless steel Inorganic materials 0.000 claims abstract description 10
- 239000010935 stainless steel Substances 0.000 claims abstract description 10
- 229910000831 Steel Inorganic materials 0.000 claims description 18
- 239000010959 steel Substances 0.000 claims description 18
- 241000270295 Serpentes Species 0.000 claims description 9
- 210000000988 bone and bone Anatomy 0.000 claims description 9
- 230000005540 biological transmission Effects 0.000 claims description 6
- 230000008014 freezing Effects 0.000 claims description 6
- 238000007710 freezing Methods 0.000 claims description 6
- 230000007797 corrosion Effects 0.000 claims description 3
- 238000005260 corrosion Methods 0.000 claims description 3
- 239000007779 soft material Substances 0.000 claims description 3
- 239000010963 304 stainless steel Substances 0.000 claims description 2
- 229910000589 SAE 304 stainless steel Inorganic materials 0.000 claims description 2
- 238000000034 method Methods 0.000 description 6
- 238000005516 engineering process Methods 0.000 description 5
- 210000000683 abdominal cavity Anatomy 0.000 description 4
- 206010011732 Cyst Diseases 0.000 description 2
- 208000005646 Pneumoperitoneum Diseases 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 208000031513 cyst Diseases 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 238000005286 illumination Methods 0.000 description 2
- 210000004185 liver Anatomy 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 210000002784 stomach Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000025865 Ulcer Diseases 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000002192 cholecystectomy Methods 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- 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
- A61B1/005—Flexible endoscopes
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- 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
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
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- Instruments For Viewing The Inside Of Hollow Bodies (AREA)
- Endoscopes (AREA)
Abstract
A dual-jaw single-port flexible laparoscopic system comprising: an outlet of the instrument pipeline, an image sensor and a light source are arranged at the front end of the end part of the endoscope lens; a bending section, the front end of which is connected to the tail end of the endoscope head end; the main body of the insertion tube is a stainless steel tube, the front end of the stainless steel tube is connected with the tail end of the bending part, a first instrument pipeline and a second instrument pipeline which are connected in parallel are arranged in the tube, and an outlet of the second instrument pipeline is arranged on the insertion tube; the operation part comprises a bending control device acting on the end part of the endoscope lens, the bending control device controls bending motions of the bending part in multiple directions, a cable plug, an instrument pipeline I inlet and an instrument pipeline II inlet are arranged on the operation part, the instrument pipeline I inlet is connected with the instrument pipeline I tail end, the instrument pipeline I front end is connected with an instrument pipeline I outlet, the instrument pipeline II inlet is connected with the instrument pipeline II tail end, and the instrument pipeline II front end is connected with an instrument pipeline I outlet; a connection part and a control display part. The invention has rigidity and flexibility.
Description
Technical Field
The invention belongs to the technical field of hard mirrors and soft mirrors of medical equipment, and particularly relates to a double-forceps-channel single-hole bendable laparoscope system.
Background
Modern surgery is continually evolving and optimizing with advances in technology, increased medical diagnosis and treatment levels, and patient health needs. Minimally invasive surgery, which is a very vigorous development, is the inevitable result of the continual exploration of surgeons for the surgical principles of "reduced trauma, pain relief" and the patient's requirements for "painless, scarless, small wounds" of the operation.
Laparoscopic techniques, which arose in the nineties of the last century, led to surgery in the minimally invasive era. From the first example of laparoscopic cholecystectomy in the world to the introduction and integration of a minimally invasive surgical robotic platform, the development of minimally invasive surgery is rapid, and the traditional various open-abdominal operations have been switched to traditional laparoscopic and single Kong Fuqiang-scope operations. However, the single-port laparoscopic technique does not change the surgical habit of the surgeon rapidly as compared with the traditional laparoscopic technique, because all instruments occupy the space of a unique poking card at the same time in the operation, which causes mutual interference of the instruments, is difficult to form an operation triangle, and has great operation difficulty and long learning curve; meanwhile, the diameter of a single incision is large, and practical minimally invasive benefits are limited. In this regard, related practitioners have attempted to increase the operability of single-port laparoscopic techniques by bending instruments, but single-port laparoscopic techniques have remained difficult to popularize due to the drawbacks of the hard rod instruments themselves, and the fact that certain instruments can only perform certain operations.
Endoscope technology has advanced the medical industry over time, and is a tube equipped with a light source that can be passed orally into the stomach or through other natural orifices to the corresponding site in the body. The lesions that cannot be seen by X-rays can be seen with an endoscope, so that it is very useful for doctors. For example, a physician may view ulcers or tumors in the stomach via a gastroscope, thereby developing an optimal treatment regimen. The endoscope used clinically is usually a soft endoscope, the external diameter of the endoscope is smaller, and is generally about 10mm, the endoscope body is softer and more flexible, and the endoscope can be bent in a large scale to complete related operations. At present, means for solving surgical diseases under an endoscope are also continuously developed. However, the soft and flexible nature of the device also results in insufficient rigidity, difficulty in achieving satisfactory positioning in the abdominal cavity, and fewer procedures to perform.
Disclosure of Invention
In order to overcome the defects in the prior art, the invention aims to provide a double-forceps-channel single-hole bendable laparoscope system, which combines a single-hole laparoscope technology with an endoscope technology, can finish single-hole laparoscope operation, and improves minimally invasive and flexible design; on one hand, the operation can be completed in a 10mm incision, so that the minimally invasive performance is improved; on the other hand, the hard endoscope and the soft endoscope are mutually matched to make the best of the advantages and complement each other, and the rigidity of the endoscope and the flexible structure of the endoscope are fused.
In order to achieve the above purpose, the technical scheme adopted by the invention is as follows:
a dual-jaw single-port flexible laparoscopic system comprising:
An endoscope head end 1, the front end of which is provided with an instrument pipeline-outlet 7, an image sensor 8 and a light source 9;
a bending part 2 which is of a bent tubular structure, and the front end of which is connected with the tail end of the endoscope head end 1;
The main body of the insertion tube 3 is a stainless steel tube 13, the front end of the stainless steel tube 13 is connected with the tail end of the bending part 2, a first instrument pipeline 16 and a second instrument pipeline 14 which are connected in parallel are arranged in the tube, and a second instrument pipeline outlet 15 is arranged on the insertion tube 3;
The operation part 4 comprises a bending control device 19 acting on the end part 1 of the endoscope lens, wherein the bending control device 19 controls bending motions of the bending part 2 in multiple directions, a cable plug 20, an instrument pipeline I inlet 17 and an instrument pipeline II inlet 18 are arranged on the operation part 4, the cable plug 20 is connected with the image sensor 8 through an image transmission line, the instrument pipeline I inlet 17 is connected with the tail end of the instrument pipeline I16, the front end of the instrument pipeline I16 is connected with the instrument pipeline I outlet 7, the instrument pipeline II inlet 18 is connected with the tail end of the instrument pipeline II 14, and the front end of the instrument pipeline II 14 is connected with the instrument pipeline I outlet 7;
A connection part 5, which is an image transmission line, one end of which is connected with the cable plug 20;
And
The control display unit 6 is connected to the other end of the connection unit 5, and receives and displays image information.
The bending part 2 comprises a bent angle skin 10 and a snake bone 11, wherein the bent angle skin 10 is made of soft materials outside the bending part 2, the inside of the bent angle skin wraps the snake bone 11, a clamp pipe 12 is formed in the snake bone 11 as a bending part structure foundation, and the front end of the clamp pipe 12 corresponds to an outlet 7 of a bending part instrument pipe.
The bending part 2 is connected with the insertion tube 3 by welding.
The stainless steel tube 13 is made of corrosion-resistant food-grade 304 stainless steel.
The bending control device 19 comprises N handwheels, 2N connection points are equidistantly arranged at the front end of the bending part 2, each handwheel is connected with two steel wires, the front end of each steel wire is connected to the connection point, and the bending motion control of the bending part 2 is realized by rotating the handwheels, pulling or releasing the steel wires.
The bending control device 19 comprises two handwheels, four connecting points are arranged at equal intervals at the front end of the bending part 2, a chain is fixed on the handwheels, one end of the chain is connected with the tail end of a steel wire, the front end of the steel wire penetrates out of the bending part 2 to be connected with the connecting points, the handwheels are rotated, and the steel wire is pulled or released through the chain to realize the bending motion control of the bending part 2.
And controlling the length of each steel wire and controlling the bending movement of the bending part up, down, left and right. For example, upper: 210 degrees, lower: 100 degrees and about 100 degrees each.
The operation portion 4 is provided at the rear end of the insertion tube 3.
The operation part 4 is provided with an attraction button 21, a freezing button 22 and a video button 23, the freezing button 22 and the video button 23 are connected with a working control unit of the image sensor 8 to realize image interception and video operation, and the attraction button 21 is connected with a working control unit of the attraction device to realize attraction operation.
The bending part 2 is flexible multi-directional bending, the length of the bending part can be 80mm, the insertion tube 3 is a hard straight tube, the outer diameter of the insertion tube can be 9mm, and the effective length of the whole system is about 360mm.
Compared with the prior art, the invention has the beneficial effects that:
1. The traditional single-port laparoscope has the advantages that the abdominal incision is about 30mm, the minimally invasive performance is difficult to embody, and the simple laparoscopic operation can be completed only by 10mm incision.
2. The existing single-port laparoscope and endoscope equipment have the inherent defects, the laparoscope and the endoscope technology are combined, and the rigid structure of the laparoscope and the flexible structure of the endoscope are combined, so that the single-port laparoscope and the endoscope equipment have the advantages of being good for and short of each other, and have certain rigidity and flexibility, and the operability in the abdominal cavity is improved.
Drawings
FIG. 1 is a schematic view of the structure of a single-channel curved laparoscope of the present invention.
Detailed Description
Embodiments of the present invention will be described in detail below with reference to the accompanying drawings and examples.
Referring to fig. 1, the invention relates to a double-forceps-channel single-hole bendable laparoscope capable of completing single Kong Fuqiang-scope operation and improving minimally invasive and flexibility, which mainly comprises a laparoscope system and a host, wherein the laparoscope system is a single-hole laparoscope, has a small pipe diameter, can pass through a 10mm traditional laparoscope poking card, and a scope body is provided with an instrument pipeline two outlet 15 and can pass through a laparoscopic instrument; the front end of the laparoscope system is provided with a bending part which can form an operation angle, and the bending part is provided with an instrument pipeline and an outlet 7, so that the operation such as gas injection (pneumoperitoneum manufacturing), suction, operation and the like can be satisfied.
Specifically, the forefront end of the double-forceps single-port laparoscope is an endoscope head end part 1, the endoscope head end part 1 is connected to the front end of the bending part 2, and the front end of the endoscope head end part 1 is provided with an instrument pipeline outlet 7, an image sensor 8 and a light source 9. The light source 9 is used for illumination during operation, and the image sensor 8 acquires pictures or images during operation.
The bending part 2 is of a bending tubular structure and comprises a bent angle skin 10 and a snake bone 11, the bent angle skin 10 is made of soft materials outside the bending part 2, the inside of the bent angle skin wraps the snake bone 11, the bent angle skin is the structural foundation of the bending part 2, a clamp pipe 12 is formed in the snake bone 11, and the front port of the clamp pipe 12 is correspondingly connected with an outlet 7 of an instrument pipe.
The main body of the insertion tube 3 is a stainless steel tube 13, and corrosion-resistant food-grade stainless steel is adopted. The front end is welded with the tail end of the bending part 2, a first instrument pipeline 16 and a second instrument pipeline 14 which are connected in parallel are arranged in the pipe, and a second instrument pipeline outlet 15 is arranged on the side surface of the insertion pipe 3.
The operation part 4 is arranged at the rear end of the insertion tube 3 and can be properly coated, and comprises a bending control device 19 acting on the end part 1 of the endoscope lens, wherein the bending control device 19 controls bending motions of the bending part 2 in multiple directions so as to drive the bending motions of the end part 1 of the endoscope lens in corresponding directions.
The bending control device 19 comprises two handwheels, four connecting points are arranged at equal intervals at the front end of the bending part 2, chains are fixed on the handwheels, one end of each chain is connected with the tail end of each steel wire, the front end of each steel wire penetrates out of the bending part 2 to be connected with the connecting point, the handwheels are rotated, the tightness of the steel wires of the internal micro precise chain is changed, the steel wires are pulled or released, and then the corresponding connecting points are pulled or released, so that bending movement of the head end part in multiple directions is realized.
In the present invention, the bending movement of the bending portion 2 can be controlled by controlling the length of each steel wire. The bending control section is a structure and function of the existing flexible tube endoscope system.
The operation part 4 is provided with a cable plug 20, an instrument pipeline I inlet 17 and an instrument pipeline II inlet 18, the cable plug 20 is connected with the image sensor 8 through an image transmission line, the instrument pipeline I inlet 17 is connected with the tail end of the instrument pipeline I16, the front end of the instrument pipeline I16 is connected with the instrument pipeline I outlet 7, the instrument pipeline II inlet 18 is connected with the tail end of the instrument pipeline II 14, and the front end of the instrument pipeline II 14 is connected with the instrument pipeline I outlet 7.
The operation part 4 is also provided with an attraction button 21, a freezing button 22 and a video button 23, the freezing button 22 and the video button 23 are connected with a working control unit of the image sensor 8 to realize image interception and video operation, and the attraction button 21 is connected with a working control unit of the attraction device to realize attraction operation.
The connecting part 5 is an image transmission line, and one end of the connecting part is connected with the cable plug 20;
the control display part 6 is connected with the other end of the connecting part 5, receives and displays image information, and the control display part 6 is used as a host machine and is provided with an optical fiber interface, a USB interface, a mouse interface, a power interface and the like.
The working principle of the invention is as follows:
Taking single-port laparoscopic liver cyst fenestration drainage as an example, the patient is supine on an operation table after anesthesia; then, gas is injected through 10mm stamping cards, so that pneumoperitoneum is manufactured; the connecting part 5 is connected with the control display part 6, the power supply is connected, then the double-forceps-channel single-hole bendable laparoscope is placed into the abdominal cavity through a 10mm poking card, the position is adjusted to be near the liver cyst through the first instrument pipeline inlet 17, then the operation instrument is converted, the operation instrument can be respectively stretched out through the path from the first instrument pipeline inlet 17 to the first instrument pipeline 16 to the first instrument pipeline outlet 7 and the path from the second instrument pipeline inlet 18 to the second instrument pipeline outlet 15. In the operation, the bending movement of the end part of the abdominal cavity lens in multiple directions can be realized through the bending control device 19 according to the requirements, so that the illumination, the shooting and the display of the exposure condition of the operation field in the operation are realized, and the operation is facilitated; after the wall of the capsule is cut, the aspirator is connected, and the capsule liquid is sucked through the first inlet 17 of the instrument pipeline by the suction button 21, and after the operation is finished, the endoscope is pulled out of the body; and (5) finishing after operation.
Claims (8)
1. A dual-jaw single-port flexible laparoscopic system, comprising:
an endoscope head end (1), the front end of which is provided with an instrument pipeline-outlet (7), an image sensor (8) and a light source (9);
A bending part (2) which is of a bending tubular structure, and the front end of which is connected with the tail end of the head end (1) of the endoscope; the bending part (2) is flexible multi-direction bending and comprises a bent angle skin (10) and a snake bone (11), the bent angle skin (10) is made of soft materials outside the bending part (2), the inside of the bent angle skin is wrapped with the snake bone (11) and is a bending part structure foundation, a clamp pipe (12) is formed in the snake bone (11), and the front end of the clamp pipe (12) corresponds to an outlet (7) of a bending part instrument pipe;
The insertion pipe (3) is a hard straight pipe, the main body is a stainless steel pipe (13), the front end of the stainless steel pipe (13) is connected with the tail end of the bending part (2), a first instrument pipeline (16) and a second instrument pipeline (14) which are connected in parallel are arranged in the pipe, and a second instrument pipeline outlet (15) is arranged on the insertion pipe (3);
The operation part (4) comprises a bending control device (19) acting on the head end (1) of the endoscope, the bending control device (19) controls bending motions of the bending part (2) in multiple directions, a cable plug (20), an instrument pipeline I inlet (17) and an instrument pipeline II inlet (18) are arranged on the operation part (4), the cable plug (20) is connected with the image sensor (8) through an image transmission line, the instrument pipeline I inlet (17) is connected with the tail end of the instrument pipeline I (16), the front end of the instrument pipeline I (16) is connected with an instrument pipeline I outlet (7), the instrument pipeline II inlet (18) is connected with the tail end of the instrument pipeline II (14), and the front end of the instrument pipeline II (14) is connected with an instrument pipeline II outlet (15);
A connecting part (5) which is an image transmission line, one end of which is connected with the cable plug (20);
And a control display unit (6) connected to the other end of the connection unit (5) and receiving and displaying the image information.
2. A double-jaw single-hole bendable laparoscopic system according to claim 1, characterized in that the bending part (2) is connected with the insertion tube (3) in a welded manner.
3. The double-forceps single-hole bendable laparoscope system according to claim 1, wherein the stainless steel tube (13) is made of corrosion-resistant food-grade 304 stainless steel.
4. The double-forceps single-hole bendable laparoscope system according to claim 1, wherein the bending control device (19) comprises N handwheels, 2N connecting points are arranged at equal intervals at the front end of the bending part (2), each handwheel is connected with two steel wires, the front end of each steel wire is connected to the connecting point, and the bending motion control of the bending part (2) is realized by rotating the handwheels, pulling or releasing the steel wires.
5. The double-forceps-channel single-hole bendable laparoscope system according to claim 1, wherein the bending control device (19) comprises two hand wheels, four connecting points are arranged at equal intervals at the front end of the bending part (2), a chain is fixed on the hand wheels, one end of the chain is connected with the tail end of a steel wire, the front end of the steel wire penetrates out of the bending part (2) to be connected with the connecting points, the hand wheels are rotated, and the steel wire is pulled or released through the chain to realize bending motion control of the bending part (2).
6. The dual-jaw single-hole bendable laparoscopic system according to claim 5, wherein the up, down, left and right bending movements of the bending part are controlled by controlling the lengths of the respective wires.
7. The double-jaw single-hole bendable laparoscopic system according to claim 1, characterized in that the operating part (4) is provided at the rear end of the insertion tube (3).
8. The double-forceps single-hole bendable laparoscope system according to claim 1, wherein the operation part (4) is provided with an attraction button (21), a freezing button (22) and a video button (23), the freezing button (22) and the video button (23) are connected with a working control unit of the image sensor (8) to realize image interception and video operation, and the attraction button (21) is connected with a working control unit of the aspirator to realize attraction operation.
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CN109316162A (en) * | 2018-10-26 | 2019-02-12 | 深圳市儿童医院 | A kind of children's laparoscope system |
CN111772564A (en) * | 2020-07-06 | 2020-10-16 | 上海优益基医用材料有限公司 | Multi-instrument channel bronchoscope |
CN112754612A (en) * | 2021-01-26 | 2021-05-07 | 潍坊医学院附属医院 | Gynecological laparoscopic tumor resectoscope |
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