CN109820472A - A kind of temperature, pressure monitoring control endoscope - Google Patents
A kind of temperature, pressure monitoring control endoscope Download PDFInfo
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- CN109820472A CN109820472A CN201910172059.1A CN201910172059A CN109820472A CN 109820472 A CN109820472 A CN 109820472A CN 201910172059 A CN201910172059 A CN 201910172059A CN 109820472 A CN109820472 A CN 109820472A
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- 239000012530 fluid Substances 0.000 claims abstract description 30
- 238000002347 injection Methods 0.000 claims abstract description 30
- 239000007924 injection Substances 0.000 claims abstract description 30
- 230000010412 perfusion Effects 0.000 claims abstract description 10
- 239000007788 liquid Substances 0.000 claims abstract description 9
- 238000005286 illumination Methods 0.000 claims abstract description 6
- 229910000831 Steel Inorganic materials 0.000 claims description 12
- 239000010959 steel Substances 0.000 claims description 12
- 210000003813 thumb Anatomy 0.000 claims description 10
- 230000008676 import Effects 0.000 claims description 6
- 238000012546 transfer Methods 0.000 claims description 6
- 239000007787 solid Substances 0.000 claims description 3
- 238000005452 bending Methods 0.000 claims description 2
- 239000011521 glass Substances 0.000 claims description 2
- 210000000056 organ Anatomy 0.000 abstract description 16
- 238000001356 surgical procedure Methods 0.000 abstract description 10
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 abstract description 7
- 230000002457 bidirectional effect Effects 0.000 abstract 1
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- 206010028980 Neoplasm Diseases 0.000 description 4
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- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
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- 206010029148 Nephrolithiasis Diseases 0.000 description 2
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- 238000003745 diagnosis Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 208000026292 Cystic Kidney disease Diseases 0.000 description 1
- 206010020852 Hypertonia Diseases 0.000 description 1
- 206010038423 Renal cyst Diseases 0.000 description 1
- 208000006568 Urinary Bladder Calculi Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
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- 201000011066 hemangioma Diseases 0.000 description 1
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- 238000001727 in vivo Methods 0.000 description 1
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- 210000003734 kidney Anatomy 0.000 description 1
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- Endoscopes (AREA)
Abstract
The invention discloses a kind of temperature, pressures to monitor control endoscope, and endoscope working sheath is interior to be provided with image channel, instrument channel and sensor passage along its axial direction;Endoscope handle is equipped with the image illumination device fitting being connected to image channel and the instrument connector fluid injection connector being connected to simultaneously with instrument channel;Sensor fixing pipe is fixed in sensor passage, pressure sensor and temperature sensor are fixed on the tube wall of sensor fixing pipe, the rear end of sensor fixing pipe is fixedly connected with controllable and monitoring pressure sensor and temperature sensor sensor monitor control system.Pass through temperature in the organ of patient in temperature sensor real-time monitoring surgical procedure, pass through pressure in the organ of patient in pressure sensor real-time monitoring surgical procedure, the display screen real-time display temperature value and pressure value of handle rear end, and being injected and extracted from by return water between sheath and charge pump bidirectional modulation perfusion liquid, to control temperature and pressure in organ.
Description
Technical field
The present invention relates to endoscopic technique fields, monitor control endoscope in particular to a kind of temperature, pressure.
Background technique
Endoscope is widely used in medical field, industrial circle etc..Endoscope includes elongated insertion section and for holding
Hold and control the operation handle of insertion section.On clinical medicine, carrying out treatment using endoscope is most common minimally invasive diagnosis and treatment
Mode, which damage patient smaller.Medical endoscope is widely used to insertion inside of human body as a kind of medical instrument
It is a kind of important means of disease examination in the clinical observation and diagnosis of various cavities.It is needed in endoscopic surgery to organ
The effect of interior water filling, water is to wash away the impurity near endoscope lens, convenient for the clear of the visual field, while also cooling down and washing away
The effect of foreign matter, it usually needs outer water pump, connection are inconvenient.More importantly the use of water will result in organ in operation
The variation of portion's pressure, when hypertonia in organ and it is too low when can all be caused huge harm to human body.Therefore, clinical operation
In be for the monitoring of pressure and temperature in organ it is very necessary, be directly related to the operation safety of patient.
Summary of the invention
The purpose of the present invention is to solve the deficiency of the above background technology, and providing one kind can monitor in organ during surgery
The endoscope of pressure and temperature.
In order to achieve this, the monitoring control endoscope of temperature, pressure designed by the present invention, including endoscope handle and interior
Sight glass working sheath, it is characterised in that: be provided with along its axial direction from its rear end in the endoscope working sheath and extend to its front end
Image channel, instrument channel and sensor passage;The endoscope handle is equipped with and is connected to, can will scheme with described image channel
It the image illumination device fitting that is imported in described image channel as lighting device and is connected to, can distinguish with the instrument channel respectively
Surgical instrument and perfusion liquid are imported to the instrument connector and fluid injection connector of the instrument channel;It is fixed in the sensor passage
Pressure sensor and temperature sensor, the pressure sensor and temperature sensor, which are connected with, can control and monitor the pressure biography
The sensor monitor control system of sensor and the temperature sensor.
Further, sensor fixing pipe, the pressure sensor and temperature sensing are fixed in the sensor passage
Device is fixed in the sensor fixing pipe, and the rear end of the sensor fixing pipe is fixedly connected with the sensor monitoring control system
System.
Further, the outer wall with the conduit wall of the sensor passage of the sensor fixing pipe are bonded fixation, described
Pressure sensor and temperature sensor are fixed on the inner wall of the sensor fixing pipe.
Further, the pressure sensor and temperature sensor are set to the sensor fixing pipe far from the biography
One end of sensor monitor control system.
Further, the sensor monitor control system includes being fixedly connected with the rear end of the sensor fixing pipe
Sensor control chip, the sensor control chip are fixed in the endoscope handle, and the endoscope handle is equipped with
It is connect with the sensor control chip, can show the aobvious of the sensed data of pressure sensor and the sensed data of temperature sensor
Display screen.
Further, the endoscope working sheath include soft sheath and coaxial sleeve be set on the soft sheath, can be relative to described
The hard sheath that soft sheath axially moves up and down;It is logical that the soft sheath is provided with the described image for extending to its front end from its rear end along its axial direction
Road, instrument channel and sensor passage, the soft intrathecal steering steel wire being fixed with and its axial direction is parallel, the endoscope handle
It is equipped with and is connect with the steering fixation with steel wire, can control the transfer for turning to steel wire bent direction.
Preferably, the transfer includes the thumb wheel being set in the endoscope handle and connection and the endoscope
Driving lever on handle, the thumb wheel are fixedly connected with the steering steel wire, and the center of the thumb wheel is fixedly connected with drive shaft, described
The both ends of drive shaft are fixedly connected with the driving lever.
Further, being fixedly connected between described image lighting device connector and described image channel can be by described image
Lighting device imports the image connecting conduit in described image channel from described image lighting device connector.
Further, the instrument connector and the fluid injection connector are connected to by tee tube with the instrument channel;Institute
State tee tube include with the first junction block of the instrument fittings, with the second junction block of the fluid injection fittings and with
The third junction block of the instrument channel connection.
Also further, being fixedly connected between the instrument connector and first junction block can be by the surgical instrument
Import the instrument connecting conduit of first junction block from the instrument connector, the fluid injection connector and second junction block it
Between be fixedly connected with the fluid injection connecting conduit that the perfusion liquid can be imported from the fluid injection connector in second junction block, institute
State that be fixedly connected between instrument channel and the third junction block can be by the surgical instrument and the perfusion liquid from described
Three junction blocks import the connection common excretory duct of the instrument fluid injection in the instrument channel.
Further, charge pump is connected in the fluid injection connecting conduit, the endoscope handle is equipped with and the filling
The charge pump hand push button of the connection of note pump, controllable charge pump fluid injection.
Further, it is additionally provided in the endoscope handle and is connect with the display screen, can control the brightness of display screen
Brightness regulation knob.
Further, being fixed in the endoscope handle can drive the hard sheath axial up and down relative to the soft sheath
Mobile hard sheath driving device;The hard sheath driving device include along the hard sheath axial direction, be set to the hard sheath surface
Rack gear and with the rack gear meshed gears, the gear is connected with gear driven mechanism, and the endoscope handle is equipped with can
Control the gear driven mechanism switch of the gear driven mechanism operation.
The beneficial effects of the present invention are:
It 1, can temperature in the organ in real-time inspection and control surgical procedure: passing through temperature sensor real-time monitoring surgical procedure
Temperature in the organ of middle patient, the display screen real-time display temperature value of handle rear end, and it is two-way by return water between sheath and charge pump
Being injected and extracted from for perfusion liquid is adjusted, to control temperature in organ.
It 2, can pressure in the organ in real-time inspection and control surgical procedure: passing through pressure sensor real-time monitoring surgical procedure
Pressure in the organ of middle patient, the display screen real-time display pressure value of handle rear end, and it is two-way by return water between sheath and charge pump
Being injected and extracted from for perfusion liquid is adjusted, organ internal pressure, the automatic alarm when pressure is too high or too low in organ are controlled.
3, have a wide range of application: the application on Urology Surgery: for complex renal calculi, can will peep in designed by the present invention
Mirror is used in percutaneous nephrolithy operation, and can optimize current cystoscope, percutaneous nephrolithy, real-time pressure/temperature monitoring and automatic filling
Stream can reduce operation risk, for treating kidney stone, vesical calculus, renal cyst, tumour etc. in kidney.
In the utilization of liver and gall surgical department: can by the endoscope-use designed by the present invention in biliary tract videoendoscopic surgery, laparoscopic resection
Benign liver operation, including more typical tumor operations such as hemangioma, liver multiple cysts.Real-time pressure/temperature detection and
Automatic perfusion can reduce operation risk.It is not easy to be found when sometimes benign tumour does routine inspection, and laparoscopic surgery can
To do conventional inspection to liver, benign tumour can be found early, can economize on resources and mitigate the burden and pain of patient
Hardship, while also can be reduced the scar generated by operation.Further, it is also possible to be used in gastroenterology, pancreatic surgery, outside blood vessel
The departments such as section, division of respiratory disease.
Detailed description of the invention
Fig. 1 is the perspective view of endoscope designed by the present invention;
Fig. 2 is the cross-sectional view of A-A in the present invention;
Fig. 3 is the top view of endoscope designed by the present invention;
Fig. 4 is the cross-sectional view of B-B in the present invention;
Fig. 5 is enlarged drawing at C in Fig. 4;
Fig. 6 is the perspective view of hard sheath driving device in the present invention;
Wherein, 1-endoscope handle, 2-endoscope working sheaths (2.1-soft sheaths, 2.2-hard sheaths), 3-image channels,
4-instrument channels, 5-sensor passages, 6-image illumination device fittings, 7-instrument connectors, 8-fluid injection connectors, 9-sensings
Device fixing pipe, 10-pressure sensors, 11-temperature sensors, 12-sensor control chips, 13-display screens, 14-turn to
Steel wire, 15-thumb wheels, 16-image connecting conduits, 17-tee tubes (the 17.1-the first junction block, the 17.2-the second junction block,
17.3-third junction blocks), 18-instrument connecting conduits, 19-fluid injection connecting conduits, 20-instrument fluid injections connection common excretory duct,
21-charge pumps, 22-charge pump hand push buttons, 23-brightness regulation knobs, 24-rack gears, 25-gears, the driving of 26-gears
Organization switch, 27-gear drive motors, 28-electric machine supports (28.1-supports, 28.2-connecting rods), 29-driving levers, 30-fishes
Mouth cap.
Specific embodiment
The following further describes the present invention in detail with reference to the accompanying drawings and specific embodiments.
The monitoring control endoscope of the temperature, pressure as shown in Fig. 1-6, including endoscope handle 1 and endoscope working sheath 2,
Endoscope working sheath 2 include soft sheath 2.1 and coaxial sleeve be set on soft sheath 2.1, can axially be moved up and down relative to soft sheath 2.1 it is hard
Sheath 2.2;It is logical that soft sheath 2.1 is provided with the image channel 3, instrument channel 4 and sensor for extending to its front end from its rear end along its axial direction
Road 5, be fixed in soft sheath 2.1 with its axial parallel steering steel wire 14, endoscope handle 1 is equipped with control, and to turn to steel wire 14 curved
The transfer of Qu Fangxiang.Transfer includes on the thumb wheel 15 being set in endoscope handle 1 and connection and endoscope handle 1
Driving lever 29, thumb wheel 15, which is fixedly connected, turns to steel wire 14, and the center of thumb wheel 15 is fixedly connected with drive shaft, and the both ends of drive shaft are solid
Surely driving lever 29 is connected.Endoscope handle 1 be equipped with the image illumination device fitting 6 that is connected to image channel 3 and respectively with instrument
The instrument connector 7 and fluid injection connector 8 that channel 4 is connected to.As shown in figure 4, solid between image illumination device fitting 6 and image channel 3
Surely it is connected with image connecting conduit 16.Instrument connector 4 and fluid injection connector 8 are connected to by tee tube 17 with instrument channel 4;Tee tube
17 include the first junction block 17.1 being connected to instrument connector 4, the second junction block 17.2 being connected to fluid injection connector 8 and and instrument
The third junction block 17.3 that channel 4 is connected to.Instrument connecting conduit is fixedly connected between instrument connector 4 and the first junction block 17.1
18, it is fixedly connected with fluid injection connecting conduit 19 between fluid injection connector 8 and the second junction block 17.2, is connected in fluid injection connecting conduit 19
There is charge pump 21, instrument fluid injection connection common excretory duct 20 is fixedly connected between instrument channel 4 and third junction block 17.3.
As shown in Fig. 2-5, it is fixed with sensor fixing pipe 9 in sensor passage 5, consolidates on the tube wall of sensor fixing pipe 9
Surely there are pressure sensor 10 and temperature sensor 11, the rear end of sensor fixing pipe 9 is fixedly connected with sensor control chip 12,
Sensor control chip 12 is fixed in endoscope handle 1, endoscope handle 1 be equipped with connect with sensor control chip 12,
Show the display screen 13 of the sensed data of pressure sensor 10 and the sensed data of temperature sensor 11.
As shown in figure 3, endoscope handle 1 is equipped with the charge pump hand that 21 fluid injection of charge pump is connect, controlled with charge pump 21
Dynamic button 22 and the brightness regulation knob 23 that 13 brightness of display screen is connect, controlled with display screen 13.
As shown in figures 1 to 6, the hard sheath 2.2 of driving is fixed in endoscope handle 1 relative to moving down in soft 2.1 axial direction of sheath
Dynamic hard sheath driving device;Hard sheath driving device include along hard sheath 2.2 axial direction, be set to 24 and of rack gear on hard 2.1 surface of sheath
With 24 meshed gears 25 of rack gear, gear 25 is connected with gear driven mechanism, and endoscope handle 1 is equipped with control gear driving machine
The gear driven mechanism switch 26 of structure operation.Gear driven mechanism includes gear drive motor 27, and the center of gear 25 offers
The motor shaft of axis hole, gear drive motor 27 is fixedly connected in axis hole, and gear drive motor 27 and gear driven mechanism 26 are opened
Pass is both secured on electric machine support 28, and electric machine support 28 is fixed in endoscope handle 1.
In the present invention, after soft sheath 2.1 stretches out hard sheath 2.2, soft sheath 2.1 can compound bending, turn by thumb wheel 15 and driving lever
29 controls.It is inserted into lighting source (such as fibre scope) by image channel 3, provides necessary light for operation.It is put in soft sheath 2.1
Pressure sensor 10 and temperature sensor 11, for monitoring the pressure, temperature variation of human organ in operation, endoscope handle 1
Surface have display screen 13.Inside endoscope handle 1 be equipped with charge pump 21, can according to pressure, temperature variation automatic filling,
It can manually adjust.When hard sheath 2.2, which protrudes into, needs to adjust its position in vivo, manual operation gear driven mechanism switch 26, control
Gear drive motor 27 drives gear 25 to rotate forward or reverse, by gear drive motor 27, the then band of the rack gear 24 on hard sheath 2.2
It moves hard sheath 2.2 to move in a straight line, scale is set along its length on hard sheath 2.2, carved by the length read on hard sheath 2.2
Degree, grasps the distance of elongation or the contraction of hard sheath 2.2, so that the flexible of hard sheath 2.2 is accurately controlled, it is easy to operate, it is artificial right
The distance of stretch out and draw back of hard sheath 2.2 is controlled precisely, practical.
Endoscope and commonly used equipment in operation are combined by the present invention, and structure is simple, easy to use.Mitigate doctor's operation
Burden, and greatly improve the safety of operation.
The above described is only a preferred embodiment of the present invention, not being done in any form to structure of the invention
Limitation.Any simple modification, equivalent change and modification to the above embodiments according to the technical essence of the invention,
In the range of still falling within technical solution of the present invention.
Claims (10)
1. a kind of temperature, pressure monitoring control endoscope, including endoscope handle (1) and endoscope working sheath (2), feature exists
In: image channel (3), the device that its front end is extended to from its rear end are provided in the endoscope working sheath (2) along its axial direction
Tool channel (4) and sensor passage (5);The endoscope handle (1) is equipped with and is connected to, can will scheme with described image channel (3)
The image illumination device fitting (6) and connect respectively with the instrument channel (4) that picture lighting device imports in described image channel (3)
Instrument connector (7) and fluid injection connector (8) logical, that surgical instrument and perfusion liquid can be imported to the instrument channel (4) respectively;It is described
Pressure sensor (10) and temperature sensor (11), the pressure sensor (10) and temperature are fixed in sensor passage (5)
Sensor (11) is connected with sensor prison that is controllable and monitoring the pressure sensor (10) and the temperature sensor (11)
Survey control system.
2. temperature, pressure monitoring control endoscope as described in claim 1, it is characterised in that: in the sensor passage (5)
It is fixed with sensor fixing pipe (9), the pressure sensor (10) and temperature sensor (11), which are fixed on the sensor, to be fixed
It manages in (9), the rear end of the sensor fixing pipe (9) is fixedly connected with the sensor monitor control system.
3. temperature, pressure monitoring control endoscope as claimed in claim 2, it is characterised in that: the sensor fixing pipe (9)
Outer wall fixation, the pressure sensor (10) and temperature sensor (11) are bonded with the conduit wall of the sensor passage (5)
It is fixed on the inner wall of the sensor fixing pipe (9).
4. temperature, pressure as claimed in claim 3 monitoring control endoscope, it is characterised in that: the pressure sensor (10) and
Temperature sensor (11) is set to the one end of the sensor fixing pipe (9) far from the sensor monitor control system.
5. temperature, pressure monitoring control endoscope as claimed in claim 4, it is characterised in that: the sensor monitoring control system
System includes the sensor control chip (12) being fixedly connected with the rear end of the sensor fixing pipe (9), the sensor control
Chip (12) is fixed in the endoscope handle (1), and the endoscope handle (1) is equipped with and the sensor control chip
(12) it connects, can show the display screen of the sensed data of pressure sensor (10) and the sensed data of temperature sensor (11)
(13)。
6. temperature, pressure monitoring control endoscope as described in claim 1, it is characterised in that: the endoscope working sheath (2)
It is set on the soft sheath (2.1) including soft sheath (2.1) and coaxial sleeve, can axially be moved up and down relative to the soft sheath (2.1)
Hard sheath (2.2);The soft sheath (2.1) is provided with described image channel (3), the instrument that its front end is extended to from its rear end along its axial direction
Channel (4) and sensor passage (5), be fixed in the soft sheath (2.1) with its axial parallel steering steel wire (14), it is described in
Sight glass handle (1), which is equipped with, to be fixedly connected with steering steel wire (14), can control described steering steel wire (14) bending direction
Transfer;The transfer includes that the thumb wheel (15) that is set in the endoscope handle (1) and connecting interior is peeped with described
Driving lever (29) on mirror handle (1), the thumb wheel (15) are fixedly connected with the steering steel wire (14), the center of the thumb wheel (15)
It is fixedly connected with drive shaft, the both ends of the drive shaft are fixedly connected with the driving lever (29).
7. temperature, pressure monitoring control endoscope as described in claim 1, it is characterised in that: described image lighting device connector
(6) being fixedly connected between described image channel (3) can be by described image lighting device from described image lighting device connector
(6) the image connecting conduit (16) in described image channel (3) is imported.
8. temperature, pressure monitoring control endoscope as described in claim 1, it is characterised in that: the instrument connector (4) and institute
Fluid injection connector (8) are stated to be connected to by tee tube (17) with the instrument channel (4);The tee tube (17) includes and the instrument
The first junction block (17.1) of connector (4) connection, the second junction block (17.2) for being connected to the fluid injection connector (8) and with it is described
The third junction block (17.3) of instrument channel (4) connection;It is solid between the instrument connector (4) and first junction block (17.1)
Surely being connected with can lead the surgical instrument from the instrument connection that the instrument connector (4) imports first junction block (17.1)
It manages (18), being fixedly connected between the fluid injection connector (8) and second junction block (17.2) can be by the perfusion liquid from institute
State the fluid injection connecting conduit (19) that fluid injection connector (8) import in second junction block (17.2), the instrument channel (4) and institute
State that be fixedly connected between third junction block (17.3) can be by the surgical instrument and the perfusion liquid from the third junction block
(17.3) the instrument fluid injection imported in the instrument channel (4) connects common excretory duct (20).
9. temperature, pressure monitoring control endoscope as claimed in claim 8, it is characterised in that: the fluid injection connecting conduit (19)
On be connected with charge pump (21), the endoscope handle (1) be equipped with connect with the charge pump (21), can control charge pump
(21) the charge pump hand push button (22) of fluid injection.
10. temperature, pressure monitoring control endoscope as claimed in claim 5, it is characterised in that: on the endoscope handle (1)
It is additionally provided with the brightness regulation knob (23) that the display screen (13) brightness is connect, can control with the display screen (13).
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CN115813550A (en) * | 2022-12-13 | 2023-03-21 | 广州医科大学附属第一医院(广州呼吸中心) | Percutaneous nephrolithotomy lithotomy mechanical arm and control method thereof |
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CN110123288B (en) * | 2019-06-27 | 2024-06-07 | 上海英诺伟医疗器械股份有限公司 | Inner cavity temperature and multifunctional monitoring device, system, guide sheath and endoscope |
CN115192811A (en) * | 2022-07-19 | 2022-10-18 | 上海诺英医疗器械有限公司 | Intelligent perfusion system |
CN115813550A (en) * | 2022-12-13 | 2023-03-21 | 广州医科大学附属第一医院(广州呼吸中心) | Percutaneous nephrolithotomy lithotomy mechanical arm and control method thereof |
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