CN117773563A - Split low-resistance and expansion small intestine mirror and assembly method thereof - Google Patents

Split low-resistance and expansion small intestine mirror and assembly method thereof Download PDF

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Publication number
CN117773563A
CN117773563A CN202410004502.5A CN202410004502A CN117773563A CN 117773563 A CN117773563 A CN 117773563A CN 202410004502 A CN202410004502 A CN 202410004502A CN 117773563 A CN117773563 A CN 117773563A
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China
Prior art keywords
pipe
main mirror
imaging module
fixing
plug
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CN202410004502.5A
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Chinese (zh)
Inventor
刘金华
孙学军
刘丹阳
余均辉
袁永峰
刘晋延
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Suzhou Fazheng Technology Development Co ltd
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Suzhou Fazheng Technology Development Co ltd
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Priority to CN202410004502.5A priority Critical patent/CN117773563A/en
Publication of CN117773563A publication Critical patent/CN117773563A/en
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Abstract

A split low-resistance and expansion small intestine mirror and an assembling method thereof belong to the technical field of medical appliances. Comprises a head section assembly, an operation handle assembly, an assembly plug part, an operation part and a plug part assembly. The symmetrical metal fixing sheath outside the main mirror increases space yield, and is beneficial to small intestine superposition; the metal fixing sheath is attached with a hydrophilic coating, which is favorable for low-resistance power transmission, and is only accessed through the mouth, so that the tolerance degree of patients is high; the vision module is separated from the main mirror, which is beneficial to repeated disinfection of the endoscope; the two operation channels and the one flushing channel can be operated alternately, so that the operation efficiency is improved.

Description

Split low-resistance and expansion small intestine mirror and assembly method thereof
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a split low-resistance and expansion enteroscope and an assembly method thereof.
Background
The small intestine endoscope is an endoscope examination, can find lesions in the small intestine of a patient, and has good diagnostic value on small intestine diseases. The imported double-air-bag small intestine endoscope adopted clinically at present mainly comprises a main scope, a main machine, a display and accessory equipment.
The front end of the main lens is provided with an air hole for connecting the air bag, the air bag is inflated and deflated, the length of the main lens is 2000mm, the outer diameter of the lens body is 8.5mm, the biopsy channel is 2.2mm, the outer diameter of the outer sleeve is 12.2mm, the front end of the main lens and the front section of the outer sleeve are respectively provided with the air bag, the near end of the front section of the outer sleeve is covered with a metal ring so as to be capable of identifying the approximate position under X rays, the near end of the outer sleeve is provided with two catheter connecting ends, one connecting the air pump and the outer sleeve air bag to inflate and deflate the outer sleeve is implemented, the other connecting end is led into the cavity of the outer sleeve and is used for injecting water to improve the lubricity between the outer sleeve and the endoscope, the air bag is made of latex, the thickness is about 0.1mm, and the main lens air bag is provided with a special device, and two ends of the air bag are fixed by rubber rings.
Double-air-bag small intestine endoscope working principle: the double-air-bag small intestine endoscope adopts a positive pressure and alternative working principle.
The specific working steps are as follows: when the double-balloon electronic small intestine endoscope just begins to work, the front balloon and the rear balloon are not inflated, the endoscope is firstly inflated from the oral cavity along the stomach and the duodenum, the balloons at the body part are inflated after passing through the duodenum by 20-30 cm, the small intestine is relatively fixed, then the auxiliary sleeve is pushed along the endoscope for about 50cm, the balloons of the auxiliary sleeve are inflated and kept in place, the gas of the balloon at the front end part of the endoscope body is pumped out and pushed forward, the balloon at the front end part is inflated, the sleeve of the endoscope is pushed forward, the relative operation is carried out, and the small intestine is continuously sleeved on the outer sleeve of the double-balloon endoscope by combining the skills of hooking and the like when necessary. Meanwhile, the treatment such as biopsy, mucosa marking, polypectomy and the like can be performed according to actual conditions. The full intestinal examination is completed by oral joint and anus two-way butt joint.
Currently, the above devices have the following drawbacks:
1. because the relative operations of inflation, propulsion and deflation are required to be continuously carried out according to the above process during the examination, and meanwhile, the space yield of the design structure of the small intestine mirror (the space yield is that the small intestine content volume is subtracted by the difference value of the volume occupied by the small intestine mirror, the small intestine content volume is a constant value, the larger the small intestine mirror and the auxiliary structure occupy, the smaller the space left in the small intestine is, the smaller the space for overlapping the intestinal canal is), the small intestine overlapping effect is poor as shown by the shadow part area in the figure 1, the small intestine is easy to slip during the operation, and the small intestine can be continuously sleeved on the outer sleeve of the double-air-bag endoscope by combining the skills of hooking and the like when necessary, so that the detection time is long:
2. the traditional small intestine mirror has only a single operation channel and cannot carry out complex operation: for example, collection of the specimen while cutting the specimen, or simultaneous clotting or pipetting when bleeding;
3. the prior endoscope imaging module is solidified at the front end and disinfected together with the whole endoscope, so that leakage and non-imaging are easy to occur, and the inspection process and efficiency are affected;
4. the examination is not tolerated by patients because the examination requires a complete intestinal examination by oral and anal bi-directional docking.
Disclosure of Invention
Aiming at the problems in the prior art, the invention provides a split low-resistance-capacitance-expansion small intestine mirror, and the design of double operation channels can realize symmetrical and alternate operation of surgical instruments, thereby being beneficial to improving the operation efficiency; the imaging module is not cured at the front end and is separated from the main mirror, so that the medical safety is improved; the metal sheath is fixed outside the auxiliary catheter, so that the space yield is increased, and the small intestine superposition is facilitated.
The technical scheme adopted by the invention for achieving the purpose is as follows:
the assembling method of the split low-resistance and expansion small intestine mirror is characterized by comprising the following steps of:
s1, assembling a head section:
s11, firstly, determining the front end face of an imaging module, selecting a proper CMOS clamp, horizontally projecting the end face of the imaging module by 1mm from the end face of the clamp, adjusting the imaging module by using a magnifying glass, loading the imaging module into an objective lens sleeve, adjusting the focal length, and recording deep scales;
s12, roughening the plastic tip parts of the air supply pipe, the water pipe and the suction pipe by using a file to roughen for 10mm, removing smoothness of the plastic tip parts and easily coating glue, coating the roughening parts with glue, and naturally drying for 24 hours, wherein the roughening parts of the plastic pipe and the root parts of the metal pipe seats are required to be uniformly coated;
s13, fully cleaning the inner and outer lens surfaces of the objective lens sleeve, repeatedly cleaning by using a thin bamboo stick or toothpick roll lens paper dipping mixed liquid, and observing by using a magnifying glass, wherein dust and flaw points are avoided; the lens paper mixed liquid is used for fully cleaning the objective lens sleeve seat and the protective glass cover at the tip end unit part, the cleaned and fixed objective lens sleeve is arranged in the objective lens sleeve seat, and the objective lens sleeve is fixed by screws;
S14, aligning the end of the objective lens to the nearest position from the resolution drawing board, observing the end surface of the eyepiece by using a magnifying lens, and lightly screwing a fixing screw of a channel sleeve of the objective lens after the horizontal and vertical lines on the image of the resolution drawing board are exactly consistent with the parallel and vertical lines of the imaging module to be the clearest; adjusting the objective lens part to a position 100mm away from the drawing board, and observing the end face by using a magnifying glass, wherein the objective lens is the optimal observation visibility in a long distance;
s15, assembling the lens into a front end objective lens sleeve seat which is fixed with an air supply pipe, water pipe and a suction plastic pipe according to the requirements, fixing all parts by using sealant, and naturally drying for 24 hours; the inner wall and the outer wall of the main mirror are inspected visually, and a hairbrush is used for fully coating lubricant;
s16, fully checking the components of each part of the front end part again: the lens face of the objective lens, the end face of the eyepiece, the imaging module channel, the air supply pipe, the water pipe and the suction pipe are all subjected to comprehensive inspection; the imaging module channel, the air supply pipe, the water pipe and the suction pipe are naturally and parallelly stretched, the imaging module channel, the air supply pipe, the water pipe and the suction pipe can not be rolled in a crossing way, all pipelines are uniformly coated by lens paper dipped with lubricant, the imaging module channel, the air supply pipe, the water pipe, the suction pipe and the suction pipe are bound into a bundle by a tape, and the imaging module channel is bound into a cone by a metal tape, so that the resistance is reduced and the imaging module channel is filled into a main mirror;
S17, determining the up-down left-right directions of four angle steel wires for controlling steering in the main mirror by taking the external length mark of the main mirror as the standard, wherein the length mark line of the main mirror faces upwards, then horizontally placing a desktop, holding a spiral sleeve of the angle steel wire with a left hand, pulling the steel wire with a right hand, judging according to the swinging direction of the front end part of the main mirror, and then fixing the steel wires at intervals by using adhesive tape paper; the screw notch of the front end unit part is upwards fixed on a special clamp, the clamp is fixed by bench clamp, the clamp is fixed firmly, two pieces of lens paper can be padded when necessary, and the front end unit part is prevented from twisting in the clamp; the plastic film bag is used for wrapping the main mirror, so that the surface is prevented from being scratched or polluted during assembly;
s18, checking whether the metal connecting ring is arranged at the front end part of the main mirror, abutting the threaded bulge at the end part of the main mirror upwards and the threaded notch of the front end unit, loading the main mirror from the bundling end of the conical body to the front end unit, taking care to always keep the bulge upwards when wearing, holding the arrangement objects such as an imaging module channel, air supply, water, a suction tube and the like, holding the main mirror to gradually and slowly advance to the left by the right hand, holding the arrangement objects from rolling all the time, and removing the metal tape paper until the front end part is worn;
S19, the threaded convex opening at the end part of the main mirror is relatively good with the threaded concave opening of the front end unit, the main mirror is connected with a metal connecting ring, and the main mirror is well fixed by rotation through a special ring spanner, so that the main mirror needs to be carefully operated and the best degree is achieved: the two ends are fixed tightly without thin threads, the concave-convex openings are tightly connected, the edges of the metal rings tightly clamp the rubber parts at the two ends, the main mirror is tightly held by force and rotated, the judgment can be made according to whether the main mirror can be rotated, and whether the concave-convex openings are clamped or not is checked; after trial assembly, hanging and unscrewing the metal connecting ring by using a special ring spanner, unloading until 1/3 of the screw is left, fully cleaning the screw by using mixed liquid, uniformly coating sealant on the screw, screwing by using the special ring spanner, and naturally drying for 12 hours; detecting leakage of the front-end main mirror part after drying;
s2, assembling an operation handle
S21, placing the assembled main mirror part on a table, holding a spiral protective sleeve outside the angle steel wire by a left hand, pulling the angle steel wire by a right hand, judging the up-down left-right directions of the four angle steel wires according to the swinging direction of the front end part of the main mirror by using the main mirror part with the scale line as the upper direction, and fixing the four angle steel wires by using a tape to make marks; the left hand holds the front end part of the main mirror, the right hand holds the other end of the main mirror, the left hand is slightly bent up and down and left and right naturally and moves for a plurality of times, so as to aim at naturally stretching the arrangement objects in the tube, and the phenomenon of twisting, hardness and bending resistance does not occur;
S22, assembling the front end part of the main mirror subjected to leak testing and bending movement inspection to an operation handle, enabling an imaging module channel and various pipelines to be carefully penetrated into the operation handle, and enabling the tail end of the imaging module channel to be in butt joint with a connecting ring at a movable outlet at the operation rear end of the handle; the rest of the contents are carefully penetrated from the operation part and can be conveyed into a hole connected with the plug part, carefully bundled, fixed by a tape, then four angle steel wires are separated to the side of the baffle angle steel wires after passing through the operation hole, and the imaging module channel pipe, the air supply pipe, the water pipe and the suction pipe are arranged on the other side, and notice the upper and lower layers, the imaging module channel pipe and the like can not be extruded and rolled; the main mirror and the connecting nut of the operation part are screwed in the forward direction, the bayonet spanner is used for screwing and fastening three fixing screws, and the cross screwdriver is used for screwing in the forward direction; dripping the rubber sleeve of the vertebral body by using forceps, and screwing the rubber sleeve into the notch for fixing;
s3, assembling the plug part
S31, the air supply pipe, the water pipe and the suction pipe are parallel and unfolded from the operation part, the air supply pipe, the water pipe and the suction pipe cannot be folded, 3-4 turns of adhesive tape paper is used for binding, the end part of the pipeline needs to be bound into a cone shape, the pipe needs not to be pulled too long, the allowance is left for 90mm, whether the rubber protective sleeve is arranged on the hose or not is checked, one side of the two ends of the hose is connected with the operation part, the end part is connected with the joint part, the direction is not wrong, the imaging module channel pipe, the air supply pipe, the water pipe and the suction pipe are held by the left hand, the endoscope hose is slowly penetrated, the adhesive tape is subtracted until one end of the hose is connected with the operation part, and three fixing screws are used for forward screwing and fixing at one end of the operation part;
S32, unwinding adhesive tape paper bound on a pipeline at the end of the plug head, preventing an imaging module channel pipe or a functional pipeline from being scratched in the penetrating process, abutting against the functional pipeline from a hose hole of an operation part by using a biopsy forceps, penetrating into the plug part, tightly closing a valve when penetrating out of the plug head, opening the valve after penetrating out of the plug head, clamping the end part of a flexible wire on a plug bakelite seat, manually pulling the flexible wire, checking whether the flexible wire is clamped or not, preferably clamping two to three flexible wires each time, so as to reduce the penetrating times, firstly pulling thick wires, then pulling thin wires, slowly pulling back to the operation part after clamping, paying attention to the fact that the valve must be clamped, loosening the rear part of the flexible wire after pulling out, if resistance is not capable of being pulled strongly, pulling back the flexible wire, and repeatedly pulling at a reselecting position; fixing the imaging module channel tube exposed at the plug part on a hose through a tape in a large bending way;
s33, blowing air or smoke from two thin pipe openings of the plug part, judging and determining which is air supply according to the air or smoke position of the operation part, and supplying water, wherein the air or smoke is an air supply pipe which is connected to the plug part bakelite seat air supply metal seat mouth; the end parts of the pipelines, the metal nozzles and the conical copper rings are fully cleaned by mixed liquid, the mouth expander of the pipeline is expanded into a horn mouth, the heating is suitable, the deformation is prevented, if the pipeline is sleeved into the metal nozzle part, the pipeline is not required to be expanded, after the pipeline is connected, the pipeline is fastened by the conical copper rings, and the fault cannot be detected in the conical direction;
S34, unfastening a gummed paper tape for fixing the imaging module passage pipe, putting on a circular foam plastic protection ring, penetrating the imaging module passage pipe into an original bakelite seat hole, and screwing and fixing the imaging module passage pipe forward by using a fixing jackscrew after the end faces are adjusted to be aligned; separating the plug outer cover with the exposure index meter from the rubber protective sleeve, and pulling the plug outer cover to the end part of the plug to be sleeved on the bakelite seat, wherein a copper ring is arranged in the bakelite seat, so that the outer cover can be possibly clamped, the index meter and the imaging module channel tube are arranged on one side, and the two holes are aligned with water supply and suction screw holes and cannot deviate;
s35, fully cleaning the suction nozzle, the threads and the bakelite seat threads by using the mixed solution, coating sealant on the suction nozzle threads, and screwing the bakelite seat forward; installing a multi-line compression ring of the suction nozzle, and forward screwing by using a small-size special socket wrench; sufficiently cleaning the screw threads of the water supply nozzle and the bakelite seat, coating sealant on the water supply nozzle and the screw threads, and screwing the sealing sealant on the bakelite seat in the forward direction; fully cleaning a multi-grain compression ring of a water supply nozzle, then assembling the multi-grain compression ring on an bakelite seat, and forward screwing the multi-grain compression ring by using a small socket wrench; installing a metal inner compression ring at the end part of the plug, and forward screwing by using a medium-sized socket wrench; the two jackscrews for fixing the light beam metal protective cover and the plug outer cover are screwed forward by a flat screwdriver; installing a metal spiral ring with a thin ring, and forward screwing by using a large socket wrench; installing a metal connecting ring of the plug part, holding the plug part by one hand, and clamping the metal connecting ring by the other hand relatively forcefully; naturally flatly straightening each hose to enable the suction nozzle to face upwards, fixing three screws of the hose and the operation part by using a cross screwdriver, and rotating the rubber protection sleeve on the side to be in situ by using a dripping sleeve taking method, so that each hose can not be folded to influence the use during the actual use operation, and if the hose is unsuitable, the hose should be repeatedly aligned after the assembly, and the plug parts of the hoses are installed;
S4, assembling the operation part and the plug part
S41, firstly, adhering air supply, water and suction pipes by using glue, and carrying out operation parts and plug parts together, wherein before adhering, the ports of the pipes and the metal pipe orifice seats are fully cleaned by using mixed liquid; proper amount of prepared glue can not be excessively applied, but is uniform and firm, and the glue is uniformly applied repeatedly for a small amount of times each time;
s42, arranging the adjusting button of the operation part facing the desktop to enable the imaging module channel pipe and each pipeline to be displayed under the eyes, paying attention to protect the imaging module channel pipe, preventing the imaging module channel pipe from being extruded and folded by other pipelines, and adjusting the imaging module channel pipe and each pipeline to a proper position; sequentially bonding layers from bottom to top, connecting an air supply pipe, sleeving an air supply pipe orifice at the root of an air supply metal nozzle, turning by a copper taper ring, then coating a nut with a sealant, screwing the nut by a flat nozzle pliers in the forward direction, and simultaneously holding a pipeline by the other hand when taking care of screwing to prevent turning and screwing the pipeline; sleeving a water delivery pipe opening at the root of a water delivery metal pipe seat nozzle, buckling the water delivery metal pipe seat nozzle by using a copper cone ring, uniformly coating glue at two ends of the copper ring, tightly wrapping the copper ring by the glue, but only forming a thin layer, preventing the copper ring from agglomerating or blocking, forming a hard knot, and naturally drying for 12 hours;
s43, sleeving the suction pipe orifice at the root of the suction metal pipe nozzle seat, coating sealant on the threads, forward screwing the nut by using a flat nose pliers, and holding the pipeline by the other hand when taking care of screwing so as to prevent turning; the plug part is connected with the air supply, water and suction pipelines and is bonded by glue, the bonding part is cleaned fully, then the lower layer is bonded successively, the glue is uniformly thin and one layer is covered by copper rings, the copper rings are dried naturally for 12 hours, and the operation part and the part of the plug part, which is to be bonded by the glue, are bonded together, so that the adhesive is saved, and the drying time is saved; after the plug part is naturally dried for 12 hours, firstly, the plug part is assembled, the hoses are naturally flatly placed and straightened, the suction nozzles face upwards, three screws of the hose and the plug part are positively fixed by a cross screwdriver, the plug part is tried out according to actual use operation, the plug part is prevented from being twisted when being inserted into an imaging module to influence the use, and then the asphalt skin protective sleeve is positively screwed back to the original position by a dripping sleeve taking method, so that the plug part is assembled;
S44, welding four-color flexible wires of an operation part, namely cleaning out four wires passing through the eyepiece direction and four wires passing through a plug part respectively, connecting four pairs of tips with the same color of yellow, white, red and black by 2mm, wherein the yellow is a video wire, the red is a positive power wire, the white is a negative power wire, the welding oil is coated, electrostatic removal welding is carried out by a 30W soldering iron to prevent false welding, the welding is carried out by hand test, the welding is fully cleaned after the welding, a plastic sleeve is sleeved for insulation, then the welding is carried out on a potentiometer binding post respectively, the insulation adhesive tape is isolated from the outer cover of the operation part, the black is a public ground wire, and the welding is carried out on a wire nose; respectively fixing the potentiometer and the ground wire nose of the welded lead at the original positions, and fixing two screws respectively, wherein the pressing of the imaging module channel tube, the air supply, the water and the suction pipeline is avoided; the side parts are arranged well so as not to be mutually extruded, twisted or extruded by the outer cover, then the outer cover plate is arranged, 4 black round head screws are rotationally fixed in the forward direction, and E.P oil can be coated on the screws so as to prevent rust; turning the operation part to make the adjusting button upward, checking and judging the directions of the four angle steel wires, holding the steel wire sleeve by a left hand, pulling the angle steel wires by a right hand with force, changing the angle direction of the tip part of the main mirror, judging and determining the angle steel wire directions according to the appearance lines and numbers of the air supply pipe, the water pipe and the suction pipe facing to the front of the chest and the main mirror, and dividing the directions into two groups according to the upper left and the lower right; the steel wire sleeve fixing device which is divided into groups is arranged in an angle fixing device which is opposite to the chest by a group on the upper side and the left side, two screws are rotated forward, the lower side and the right side are arranged in another angle fixing device by a group, the two screws are fixed by a clamping plate, and the two screws are screwed forward;
S45, naturally flatly straightening a main mirror to enable four square screws at the end parts of angle steel wires to be aligned naturally, firstly, assembling the lower two angle steel wires to be respectively L, R on the left and right, fixing a L, R adjusting button at a zero position to enable two connecting sliding block square nuts to be aligned on a straight line horizontally, then holding the square screws in the left hand and holding the square nuts in the right hand, rotating the square nuts in the forward direction until the root parts and the end surfaces of the square nuts are not provided with convex-concave shapes, and arranging the other square nuts in order, parallel and consistent; adjusting R, L adjusting buttons, checking whether the angle is satisfactory or not by using an angle plate, if not, adjusting the distance of square nuts, if not, adjusting the distance of a backward loosening of an angle limiting stop block by a certain distance, and fixing 2 screws after adjustment; fixing the upper and lower adjusting buttons, namely U, D adjusting buttons, at zero positions by the same method, so that two square slide block nuts are naturally aligned on the partition plate and are well connected with square screws; fixing and gluing screws, assembling an outer cover plate of an operation part, fixing four black screws, and coating a small amount of E.P oil to prevent the screws from rusting and being corroded; assembling a power conduit fixing piece: the endoscope is penetrated from the head end part to the central part of the power conduit fixing piece, and the front end part of the endoscope exceeds 10cm; four polished auxiliary power guide pipes penetrate into the peripheral parts of the power guide pipe fixing pieces, and the tail ends of the auxiliary power guide pipes are connected with an air pump after the front ends of the auxiliary power guide pipes are connected with the air pump.
The imaging module is a CMOS module or an image conducting beam containing optical fibers.
The CMOS module comprises OV6946, OV6948 and OH01A.
And in the step S12, the roughening part is coated with A3 glue.
In the step S15, the sealant is KE-41 sealant, and the lubricant is molybdenum disulfide.
In the step S16, the lubricant is molybdenum disulfide, the metal tape should be bundled from the tape, and the ends of the air supply pipe, the water pipe and the suction pipe are bundled, otherwise, the lubricant cannot be exposed outside the mouth of the main mirror after penetrating into the main mirror, and is difficult to be released.
In the step S19, the sealant is KE-42 sealant, the main mirror portion should be firmly held by the left hand during assembly, the special ring spanner is rotated by the right hand, the front end unit portion must be firmly fixed, the main mirror portion cannot be rotated on the fixture, the main mirror portion must be held with force and cannot be twisted, and the internal arrangement is prevented from twisting and winding to damage the imaging module channel.
The sealant in the steps S35 and S42 is kulark wire.
The glue in the steps S41, S42 and S43 is A3 glue.
The utility model provides a components of a whole that can function independently low resistance expands appearance little intestines mirror, includes interior dressing table of complete machine and places display screen and host computer on it, its characterized in that: still include power traction portion, remove module, handle portion, main mirror portion and water spray portion, handle portion connects in main mirror portion upper end, main mirror portion is including removing module passageway, water spray portion passageway and two operating duct that are used for the surgical instruments to penetrate, it connects the host computer through removing module data conduction portion to remove the module, power traction portion is connected on main mirror portion through the low resistance power traction control of continuous lap-winding to the sheath.
The mobile module comprises a mobile module host machine connection part, a module color adjustment part, a module white balance adjustment part and a module LED adjustment part which are positioned on the host machine, and further comprises a mobile module data transmission part used for connecting the module and the host machine, wherein a brightness reducing aperture is arranged at the tail end opening of a mobile module channel.
The power traction part comprises four low-resistance power traction air pressure connection interfaces and a low-resistance power traction pipe connected to the interfaces, the tail end of the low-resistance power traction pipe is connected with the directional small intestine fixing part, and the pressure in the pipe is controlled by an air pressure switch and a pressure adjusting slide block.
The continuous lap winding mode of the low-resistance power traction control steering sheath is as follows: and winding at least three circles of the tube and the main mirror from the tail end of the low-resistance power traction tube upwards, winding the main mirror for at least 18 circles or winding length of 45-50cm, winding the next tube and the main mirror for at least three circles, and repeating the winding structure to enable at least two groups of low-resistance power traction tubes to be wound on each low-resistance power traction tube to control the direction sheath.
The interval between every two circles of the low-resistance power traction control winding of the sheath is more than or equal to 1mm, the total length of the sheath is 1200-1800mm, and a polytetrafluoroethylene film is covered outside and hydrophilic coating treatment is carried out.
The front end steering adjusting button is arranged on the handle part.
The main mirror portion comprises a main mirror, a bending portion and a front end portion, wherein the upper end and the lower end of the main mirror are respectively connected with the handle portion and the bending portion, and the lower end of the bending portion is connected with the front end portion.
The water spraying part channel of the water spraying part is connected with the host through the separable nozzle water vapor channel, and the air inlet and the water inlet of the water spraying part are respectively controlled through the nozzle air inlet control key and the nozzle water inlet control key which are arranged on the handle part.
According to the symmetrical metal fixing sheath outside the endoscope main mirror, the metal sheaths are continuously overlapped into a symmetrical state, so that the space yield is increased, and the small intestine overlapping is facilitated; the metal fixing sheath is attached with a hydrophilic coating, so that low-resistance power transmission is facilitated, the examination time is shortened, and meanwhile, the examination can be completed only by entering the metal fixing sheath through an oral cavity, and the tolerance degree of a patient is high; the main mirror is provided with a movable electronic imaging module passage, and the vision module is separated from the main mirror, so that repeated disinfection of the endoscope is facilitated; the two operation channels and the one flushing channel can be operated alternately, so that the operation efficiency is improved.
Drawings
FIG. 1 is a schematic diagram of a currently employed inlet double balloon small intestine endoscope spatial yield;
FIG. 2 is a schematic diagram of a split low-resistance-capacitance-expansion enteroscope spatial yield condition according to the present invention;
FIG. 3 is a schematic diagram of the structure of the present invention;
FIG. 4 is an enlarged view of the front end of FIG. 3;
FIG. 5 is a schematic diagram of the low resistance power traction control steering sheath winding form of the present invention;
in the figure: 1. display screen 2, screen color adjustment 3, out-put sound adjustment 4, screen on-off key 5, host 6, nozzle on-off valve 7, air intake on-off valve 8, water intake on-off valve 9, mobile module host interface 10, host on-off key 11, module color adjustment 12, module white balance adjustment 13, module LED adjustment 14, low resistance power traction air pressure connection 15, pressure adjustment slider 16, air pressure switch 17, low resistance power traction tube 18, internal mirror stage 19, nozzle on-control 20, nozzle in-water control 21, mobile module data transmission 22, detachable nozzle water vapor channel 23, operating duct inlet 24, front end steering knob 25, handle portion 26, main mirror 27, low resistance power traction control sheath 28, directional small intestine fixture 29, elbow 30, front end 31, mobile module full end image acquisition window 32, light reduction aperture 33, nozzle 34.
Detailed Description
The present invention will be described in detail below with reference to the drawings and examples, but the present invention is not limited to the specific examples.
Example 1
As shown in fig. 1-5, a split low-resistance and expansion enteroscope comprises a complete machine inner stage 18, a display screen 1 and a host machine 5 which are arranged on the complete machine inner stage, a power traction part, a moving module, a handle part, a main mirror part and a water spraying part, wherein the handle part 25 is connected to the upper end of the main mirror part, the main mirror part comprises a moving module channel 31, a water spraying part channel 33 and two operation channels 34 used for penetrating surgical instruments, the moving module is connected with the host machine 5 through a moving module data transmission part 21, and the power traction part is connected to the main mirror part through a continuously overlapped low-resistance power traction control steering sheath 27.
The mobile module comprises a mobile module host machine connecting part 9, a module color adjustment 11, a module white balance adjustment 12 and a module LED adjustment 13 which are positioned on the host machine 5, and further comprises a mobile module data transmission part 21 used for connecting the module and the host machine 5, wherein a glow-reducing ring 32 is arranged at the tail end opening of a mobile module channel 31.
The power traction part comprises four low-resistance power traction air pressure connection interfaces 14 and a low-resistance power traction pipe 17 connected to the interfaces, the tail end of the low-resistance power traction pipe 17 is connected with a directional small intestine fixing part 28, and the pressure in the pipe is controlled by an air pressure switch 16 and a pressure adjusting slide block 15.
The continuous lap winding mode of the low-resistance power traction control directional sheath 27 is as follows: the tail end of the low-resistance power traction tube 17 is upwards, one tube and the main mirror 26 are wound at least three times, the main mirror 26 is wound at least 18 times or the winding length reaches 45-50cm, the next tube and the main mirror 26 are wound at least three times, the winding structure is repeated, and at least two groups of low-resistance power traction control directional sheaths 27 are wound on each low-resistance power traction tube 17.
The interval between each circle of the winding of the low-resistance power traction control steering sheath 27 is more than or equal to 1mm, the total length of the sheath is 1200-1800mm, and a polytetrafluoroethylene film is covered outside and hydrophilic coating treatment is carried out.
The handle portion 25 is provided with a front end steering knob 24.
The main mirror part comprises a main mirror 26, a bending part 29 and a front end part 30, wherein the upper end and the lower end of the main mirror 26 are respectively connected with the handle part 25 and the bending part 29, and the lower end of the bending part 29 is connected with the front end part 30.
The water spraying part channel 33 of the water spraying part is connected with the host machine 5 through the separable nozzle water vapor channel 22, and the air inlet and the water inlet of the water spraying part are respectively controlled through the nozzle air inlet control key 19 and the nozzle water inlet control key 20 which are arranged on the handle part 25.
The working process of the invention is as follows: when the front end part of the small intestine endoscope enters a position 30-50 cm away from the upper jejunum, the air pressure switch 16 is opened, the 1-3 limit group directional small intestine fixing part 28 is pulled, after the pressure reaches the positive upper limit, the 1-3 limit group low-resistance power traction tube 17 is pulled, the position 45cm backwards is stopped, the main endoscope 26 is pushed forward properly, the 2-4 limit group directional small intestine fixing part 28 is opened, after the pressure reaches the positive upper limit, the 2-4 limit group low-resistance power traction tube 17 is pulled, the small intestine is gradually accumulated backwards, when the pressure reaches the position 43-45 cm, the 1-3 limit group is pulled, the pressure is pushed forwards to the initial working position, then the 2-4 limit group is pulled backwards to the position 46cm, the 2-4 limit group is stopped, the 2-4 group positive pressure is kept unchanged, the 1-3 group low-resistance power traction tube 17 is pulled backwards at the initial position, when the pressure reaches the position 44-46 cm, the 2-4 limit group is pushed forwards, the position 1-3 group is pulled forwards, the initial position is stopped, the colon is continued until the colon is repeatedly seen until the colon is stopped repeatedly, and the colon is left until the position is repeatedly seen for 6-10 cm.
Example 2
A method of assembling the split low resistance-to-expansion enteroscope of example 1:
the assembling method of the split low-resistance and expansion small intestine mirror is characterized by comprising the following steps of:
s1, assembling a head section:
s11, firstly, determining the front end face of an imaging module, selecting a proper CMOS clamp, horizontally projecting the end face of the imaging module by 1mm from the end face of the clamp, adjusting the imaging module by using a magnifying glass, loading the imaging module into an objective lens sleeve, adjusting the focal length, and recording deep scales;
s12, roughening the plastic tip parts of the air supply pipe, the water pipe and the suction pipe by using a file to roughen for 10mm, removing smoothness of the plastic tip parts and easily coating glue, coating the roughening parts with glue, and naturally drying for 24 hours, wherein the roughening parts of the plastic pipe and the root parts of the metal pipe seats are required to be uniformly coated;
s13, fully cleaning the inner and outer lens surfaces of the objective lens sleeve, repeatedly cleaning the inner and outer lens surfaces by using a thin bamboo stick or toothpick roll lens paper dipped with 75% alcohol, and observing the lens surface by using an magnifying glass, wherein dust and flaw points are avoided; the lens paper mixed liquid is used for fully cleaning the objective lens sleeve seat and the protective glass cover at the tip end unit part, the cleaned and fixed objective lens sleeve is arranged in the objective lens sleeve seat, and the objective lens sleeve is fixed by screws;
s14, aligning the end of the objective lens to the nearest position from the resolution drawing board, observing the end surface of the eyepiece by using a magnifying lens, and lightly screwing a fixing screw of a channel sleeve of the objective lens after the horizontal and vertical lines on the image of the resolution drawing board are exactly consistent with the parallel and vertical lines of the imaging module to be the clearest; adjusting the objective lens part to a position 100mm away from the drawing board, and observing the end face by using a magnifying glass, wherein the objective lens is the optimal observation visibility in a long distance;
S15, assembling the lens into a front end objective lens sleeve seat which is fixed with an air supply pipe, water pipe and a suction plastic pipe according to the requirements, fixing all parts by using sealant, and naturally drying for 24 hours; the inner wall and the outer wall of the main mirror are inspected visually, and a hairbrush is used for fully coating lubricant;
s16, fully checking the components of each part of the front end part again: the lens face of the objective lens, the end face of the eyepiece, the imaging module channel, the air supply pipe, the water pipe and the suction pipe are all subjected to comprehensive inspection; the imaging module channel, the air supply pipe, the water pipe and the suction pipe are naturally and parallelly stretched, the imaging module channel, the air supply pipe, the water pipe and the suction pipe can not be rolled in a crossing way, all pipelines are uniformly coated by lens paper dipped with lubricant, the imaging module channel, the air supply pipe, the water pipe, the suction pipe and the suction pipe are bound into a bundle by a tape, and the imaging module channel is bound into a cone by a metal tape, so that the resistance is reduced and the imaging module channel is filled into a main mirror;
s17, confirming the up-down left-right directions of four angle steel wires for controlling steering in the main mirror 26 by taking the external length mark of the main mirror as the standard, wherein the length mark line of the main mirror 26 faces upwards, then horizontally placing a table top, holding a spiral sleeve of the angle steel wire with the left hand, pulling the steel wire with the right hand, judging according to the swinging direction of the front end part of the main mirror, and then fixing the steel wire with adhesive tape paper at intervals; the screw notch of the front end unit part is upwards fixed on a special clamp, the clamp is fixed by bench clamp, the clamp is fixed firmly, two pieces of lens paper can be padded when necessary, and the front end unit part is prevented from twisting in the clamp; the plastic film bag is used for wrapping the main mirror, so that the surface is prevented from being scratched or polluted during assembly;
S18, checking whether a metal connecting ring is arranged at the front end part 30 of the main mirror or not, abutting the threaded bulge at the end part of the main mirror upwards with the threaded notch of the unit threaded port at the front end part, loading the main mirror from the bundling end of the conical body to the unit part at the front end part, taking care of always keeping the bulge upwards when wearing, holding the arrangement objects such as an imaging module channel, air supply, water, a suction tube and the like by left hand, gradually and slowly pushing the main mirror left by right hand, and holding the arrangement objects from rolling all the time until the front end part is worn, and releasing the metal poise tape paper by one section of release tape;
s19, the threaded convex opening at the end part of the main mirror is relatively good with the threaded concave opening of the front end unit, the main mirror is connected with a metal connecting ring, and the main mirror is well fixed by rotation through a special ring spanner, so that the main mirror needs to be carefully operated and the best degree is achieved: the two ends are fixed tightly without thin threads, the concave-convex openings are tightly connected, the edges of the metal rings tightly clamp the rubber parts at the two ends, the main mirror is tightly held by force and rotated, the judgment can be made according to whether the main mirror can be rotated, and whether the concave-convex openings are clamped or not is checked; after trial assembly, hanging and unscrewing the metal connecting ring by using a special ring spanner, unloading until 1/3 of the screw is left, fully cleaning the screw by using mixed liquid, uniformly coating sealant on the screw, screwing by using the special ring spanner, and naturally drying for 12 hours; detecting leakage of the front-end main mirror part after drying;
S2, assembling an operation handle
S21, placing the assembled main mirror part on a table, holding a spiral protective sleeve outside the angle steel wire by a left hand, pulling the angle steel wire by a right hand, judging the up-down left-right directions of the four angle steel wires according to the swinging direction of the front end part of the main mirror by using the main mirror part with the scale line as the upper direction, and fixing the four angle steel wires by using a tape to make marks; the left hand holds the front end part of the main mirror, the right hand holds the other end of the main mirror, the left hand is slightly bent up and down and left and right naturally and moves for a plurality of times, so as to aim at naturally stretching the arrangement objects in the tube, and the phenomenon of twisting, hardness and bending resistance does not occur;
s22, assembling the front end part of the main mirror subjected to leak testing and bending movement inspection to an operation handle, enabling an imaging module channel and various pipelines to be carefully penetrated into the operation handle, and enabling the tail end of the imaging module channel to be in butt joint with a connecting ring at a movable outlet at the operation rear end of the handle; the rest of the contents are carefully penetrated from the operation part and can be conveyed into a hole connected with the plug part, carefully bundled, fixed by a tape, then four angle steel wires are separated to the side of the baffle angle steel wires after passing through the operation hole, and the imaging module channel pipe, the air supply pipe, the water pipe and the suction pipe are arranged on the other side, and notice the upper and lower layers, the imaging module channel pipe and the like can not be extruded and rolled; the main mirror and the connecting nut of the operation part are screwed in the forward direction, the bayonet spanner is used for screwing and fastening three fixing screws, and the cross screwdriver is used for screwing in the forward direction; dripping the rubber sleeve of the vertebral body by using forceps, and screwing the rubber sleeve into the notch for fixing;
S3, assembling the plug part
S31, the air supply pipe, the water pipe and the suction pipe are parallel and unfolded from the operation part, the air supply pipe, the water pipe and the suction pipe cannot be folded, 3-4 turns of adhesive tape paper is used for binding, the end part of the pipeline needs to be bound into a cone shape, the pipe needs not to be pulled too long, the allowance is left for 90mm, whether the rubber protective sleeve is arranged on the hose or not is checked, one side of the two ends of the hose is connected with the operation part, the end part is connected with the joint part, the direction is not wrong, the imaging module channel pipe, the air supply pipe, the water pipe and the suction pipe are held by the left hand, the endoscope hose is slowly penetrated, the adhesive tape is subtracted until one end of the hose is connected with the operation part, and three fixing screws are used for forward screwing and fixing at one end of the operation part;
s32, unwinding adhesive tape paper bound on a pipeline at the end of the plug head, preventing an imaging module channel pipe or a functional pipeline from being scratched in the penetrating process, abutting against the functional pipeline from a hose hole of an operation part by using a biopsy forceps, penetrating into the plug part, tightly closing a valve when penetrating out of the plug head, opening the valve after penetrating out of the plug head, clamping the end part of a flexible wire on a plug bakelite seat, manually pulling the flexible wire, checking whether the flexible wire is clamped or not, preferably clamping two to three flexible wires each time, so as to reduce the penetrating times, firstly pulling thick wires, then pulling thin wires, slowly pulling back to the operation part after clamping, paying attention to the fact that the valve must be clamped, loosening the rear part of the flexible wire after pulling out, if resistance is not capable of being pulled strongly, pulling back the flexible wire, and repeatedly pulling at a reselecting position; fixing the imaging module channel tube exposed at the plug part on a hose through a tape in a large bending way;
S33, blowing air or smoke from two thin pipe openings of the plug part, judging and determining which is air supply according to the air or smoke position of the operation part, and supplying water, wherein the air or smoke is an air supply pipe which is connected to the plug part bakelite seat air supply metal seat mouth; the end parts of the pipelines, the metal nozzles and the conical copper rings are fully cleaned by mixed liquid, the mouth expander of the pipeline is expanded into a horn mouth, the heating is suitable, the deformation is prevented, if the pipeline is sleeved into the metal nozzle part, the pipeline is not required to be expanded, after the pipeline is connected, the pipeline is fastened by the conical copper rings, and the fault cannot be detected in the conical direction;
s34, unfastening a gummed paper tape for fixing the imaging module passage pipe, putting on a circular foam plastic protection ring, penetrating the imaging module passage pipe into an original bakelite seat hole, and screwing and fixing the imaging module passage pipe forward by using a fixing jackscrew after the end faces are adjusted to be aligned; separating the plug outer cover with the exposure index meter from the rubber protective sleeve, and pulling the plug outer cover to the end part of the plug to be sleeved on the bakelite seat, wherein a copper ring is arranged in the bakelite seat, so that the outer cover can be possibly clamped, the index meter and the imaging module channel tube are arranged on one side, and the two holes are aligned with water supply and suction screw holes and cannot deviate;
s35, fully cleaning the suction nozzle, the threads and the bakelite seat threads by using the mixed solution, coating sealant on the suction nozzle threads, and screwing the bakelite seat forward; installing a multi-line compression ring of the suction nozzle, and forward screwing by using a small-size special socket wrench; sufficiently cleaning the screw threads of the water supply nozzle and the bakelite seat, coating sealant on the water supply nozzle and the screw threads, and screwing the sealing sealant on the bakelite seat in the forward direction; fully cleaning a multi-grain compression ring of a water supply nozzle, then assembling the multi-grain compression ring on an bakelite seat, and forward screwing the multi-grain compression ring by using a small socket wrench; installing a metal inner compression ring at the end part of the plug, and forward screwing by using a medium-sized socket wrench; the two jackscrews for fixing the light beam metal protective cover and the plug outer cover are screwed forward by a flat screwdriver; installing a metal spiral ring with a thin ring, and forward screwing by using a large socket wrench; installing a metal connecting ring of the plug part, holding the plug part by one hand, and clamping the metal connecting ring by the other hand relatively forcefully; naturally flatly straightening each hose to enable the suction nozzle to face upwards, fixing three screws of the hose and the operation part by using a cross screwdriver, and rotating the rubber protection sleeve on the side to be in situ by using a dripping sleeve taking method, so that each hose can not be folded to influence the use during the actual use operation, and if the hose is unsuitable, the hose should be repeatedly aligned after the assembly, and the plug parts of the hoses are installed;
S4, assembling the operation part and the plug part
S41, firstly, adhering air supply, water and suction pipes by using glue, and carrying out operation parts and plug parts together, wherein before adhering, the ports of the pipes and the metal pipe orifice seats are fully cleaned by using mixed liquid; proper amount of prepared glue can not be excessively applied, but is uniform and firm, and the glue is uniformly applied repeatedly for a small amount of times each time;
s42, arranging the adjusting button of the operation part facing the desktop to enable the imaging module channel pipe and each pipeline to be displayed under the eyes, paying attention to protect the imaging module channel pipe, preventing the imaging module channel pipe from being extruded and folded by other pipelines, and adjusting the imaging module channel pipe and each pipeline to a proper position; sequentially bonding layers from bottom to top, connecting an air supply pipe, sleeving an air supply pipe orifice at the root of an air supply metal nozzle, turning by a copper taper ring, then coating a nut with a sealant, screwing the nut by a flat nozzle pliers in the forward direction, and simultaneously holding a pipeline by the other hand when taking care of screwing to prevent turning and screwing the pipeline; sleeving a water delivery pipe opening at the root of a water delivery metal pipe seat nozzle, buckling the water delivery metal pipe seat nozzle by using a copper cone ring, uniformly coating glue at two ends of the copper ring, tightly wrapping the copper ring by the glue, but only forming a thin layer, preventing the copper ring from agglomerating or blocking, forming a hard knot, and naturally drying for 12 hours;
s43, sleeving the suction pipe orifice at the root of the suction metal pipe nozzle seat, coating sealant on the threads, forward screwing the nut by using a flat nose pliers, and holding the pipeline by the other hand when taking care of screwing so as to prevent turning; the plug part is connected with the air supply, water and suction pipelines and is bonded by glue, the bonding part is cleaned fully, then the lower layer is bonded successively, the glue is uniformly thin and one layer is covered by copper rings, the copper rings are dried naturally for 12 hours, and the operation part and the part of the plug part, which is to be bonded by the glue, are bonded together, so that the adhesive is saved, and the drying time is saved; after the plug part is naturally dried for 12 hours, firstly, the plug part is assembled, the hoses are naturally flatly placed and straightened, the suction nozzles face upwards, three screws of the hose and the plug part are positively fixed by a cross screwdriver, the plug part is tried out according to actual use operation, the plug part is prevented from being twisted when being inserted into an imaging module to influence the use, and then the asphalt skin protective sleeve is positively screwed back to the original position by a dripping sleeve taking method, so that the plug part is assembled;
S44, welding four-color flexible wires of an operation part, namely cleaning out four wires passing through the eyepiece direction and four wires passing through a plug part respectively, connecting four pairs of tips with the same color of yellow, white, red and black by 2mm, wherein the yellow is a video wire, the red is a positive power wire, the white is a negative power wire, the welding oil is coated, electrostatic removal welding is carried out by a 30W soldering iron to prevent false welding, the welding is carried out by hand test, the welding is fully cleaned after the welding, a plastic sleeve is sleeved for insulation, then the welding is carried out on a potentiometer binding post respectively, the insulation adhesive tape is isolated from the outer cover of the operation part, the black is a public ground wire, and the welding is carried out on a wire nose; respectively fixing the potentiometer and the ground wire nose of the welded lead at the original positions, and fixing two screws respectively, wherein the pressing of the imaging module channel tube, the air supply, the water and the suction pipeline is avoided; the side parts are arranged well so as not to be mutually extruded, twisted or extruded by the outer cover, then the outer cover plate is arranged, 4 black round head screws are rotationally fixed in the forward direction, and E.P oil can be coated on the screws so as to prevent rust; turning the operation part to make the adjusting button upward, checking and judging the directions of the four angle steel wires, holding the steel wire sleeve by a left hand, pulling the angle steel wires by a right hand with force, changing the angle direction of the tip part of the main mirror, judging and determining the angle steel wire directions according to the appearance lines and numbers of the air supply pipe, the water pipe and the suction pipe facing to the front of the chest and the main mirror, and dividing the directions into two groups according to the upper left and the lower right; the steel wire sleeve fixing device which is divided into groups is arranged in an angle fixing device which is opposite to the chest by a group on the upper side and the left side, two screws are rotated forward, the lower side and the right side are arranged in another angle fixing device by a group, the two screws are fixed by a clamping plate, and the two screws are screwed forward;
S45, naturally flatly straightening a main mirror to enable four square screws at the end parts of angle steel wires to be aligned naturally, firstly, assembling the lower two angle steel wires to be respectively L, R on the left and right, fixing a L, R adjusting button at a zero position to enable two connecting sliding block square nuts to be aligned on a straight line horizontally, then holding the square screws in the left hand and holding the square nuts in the right hand, rotating the square nuts in the forward direction until the root parts and the end surfaces of the square nuts are not provided with convex-concave shapes, and arranging the other square nuts in order, parallel and consistent; adjusting R, L adjusting buttons, checking whether the angle is satisfactory or not by using an angle plate, if not, adjusting the distance of square nuts, if not, adjusting the distance of a backward loosening of an angle limiting stop block by a certain distance, and fixing 2 screws after adjustment; fixing the upper and lower adjusting buttons, namely U, D adjusting buttons, at zero positions by the same method, so that two square slide block nuts are naturally aligned on the partition plate and are well connected with square screws; fixing and gluing screws, assembling an outer cover plate of an operation part, fixing four black screws, and coating a small amount of E.P oil to prevent the screws from rusting and being corroded; assembling a power conduit fixing piece: the endoscope is penetrated from the head end part to the central part of the power conduit fixing piece, and the front end part of the endoscope exceeds 10cm; four polished auxiliary power guide pipes penetrate into the peripheral parts of the power guide pipe fixing pieces, and the tail ends of the auxiliary power guide pipes are connected with an air pump after the front ends of the auxiliary power guide pipes are connected with the air pump.
The imaging module is a CMOS module or an image conducting beam containing optical fibers.
The CMOS module comprises OV6946, OV6948 and OH01A.
And in the step S12, the roughening part is coated with A3 glue.
In the step S15, the sealant is KE-41 sealant, and the lubricant is molybdenum disulfide.
In the step S16, the lubricant is molybdenum disulfide, the metal tape should be bundled from the tape, and the ends of the air supply pipe, the water pipe and the suction pipe are bundled, otherwise, the lubricant cannot be exposed outside the mouth of the main mirror after penetrating into the main mirror, and is difficult to be released.
In the step S19, the sealant is KE-42 sealant, the main mirror portion should be firmly held by the left hand during assembly, the special ring spanner is rotated by the right hand, the front end unit portion must be firmly fixed, the main mirror portion cannot be rotated on the fixture, the main mirror portion must be held with force and cannot be twisted, and the internal arrangement is prevented from twisting and winding to damage the imaging module channel.
The sealant in the steps S35 and S42 is kulark wire.
The glue in the steps S41, S42 and S43 is A3 glue.
The above description of the present invention will be further described in detail with reference to the accompanying drawings, and it should not be construed as limiting the practice of the invention to these descriptions. It should be understood by those skilled in the art that the present invention may be simply put forth and substituted without departing from the spirit of the invention.

Claims (9)

1. The assembling method of the split low-resistance and expansion small intestine mirror is characterized by comprising the following steps of:
s1, assembling a head section:
s11, firstly, determining the front end face of an imaging module, selecting a proper CMOS clamp, horizontally projecting the end face of the imaging module by 1mm from the end face of the clamp, adjusting the imaging module by using a magnifying glass, loading the imaging module into an objective lens sleeve, adjusting the focal length, and recording deep scales;
s12, roughening the plastic tip parts of the air supply pipe, the water pipe and the suction pipe by using a file to roughen for 10mm, removing smoothness of the plastic tip parts and easily coating glue, coating the roughening parts with glue, and naturally drying for 24 hours, wherein the roughening parts of the plastic pipe and the root parts of the metal pipe seats are required to be uniformly coated;
s13, fully cleaning the inner and outer lens surfaces of the objective lens sleeve, repeatedly cleaning the inner and outer lens surfaces by using a thin bamboo stick or toothpick roll lens paper dipped with 75% alcohol, and observing the lens surface by using an magnifying glass, wherein dust and flaw points are avoided; the lens paper mixed liquid is used for fully cleaning the objective lens sleeve seat and the protective glass cover at the tip end unit part, the cleaned and fixed objective lens sleeve is arranged in the objective lens sleeve seat, and the objective lens sleeve is fixed by screws;
s14, aligning the end of the objective lens to the nearest position from the resolution drawing board, observing the end surface of the eyepiece by using a magnifying lens, and lightly screwing a fixing screw of a channel sleeve of the objective lens after the horizontal and vertical lines on the image of the resolution drawing board are exactly consistent with the parallel and vertical lines of the imaging module to be the clearest; adjusting the objective lens part to a position 100mm away from the drawing board, and observing the end face by using a magnifying glass, wherein the objective lens is the optimal observation visibility in a long distance;
S15, assembling the lens into a front end objective lens sleeve seat which is fixed with an air supply pipe, water pipe and a suction plastic pipe according to the requirements, fixing all parts by using sealant, and naturally drying for 24 hours; the inner wall and the outer wall of the main mirror are inspected visually, and a hairbrush is used for fully coating lubricant;
s16, fully checking the components of each part of the front end part again: the lens face of the objective lens, the end face of the eyepiece, the imaging module channel, the air supply pipe, the water pipe and the suction pipe are all subjected to comprehensive inspection; the imaging module channel, the air supply pipe, the water pipe and the suction pipe are naturally and parallelly stretched, the imaging module channel, the air supply pipe, the water pipe and the suction pipe can not be rolled in a crossing way, all pipelines are uniformly coated by lens paper dipped with lubricant, the imaging module channel, the air supply pipe, the water pipe, the suction pipe and the suction pipe are bound into a bundle by a tape, and the imaging module channel is bound into a cone by a metal tape, so that the resistance is reduced and the imaging module channel is filled into a main mirror;
s17, confirming the up-down left-right direction of four angle steel wires for controlling steering in the main mirror by taking the external length mark of the main mirror as the standard, wherein the length mark line of the main mirror faces upwards, then horizontally placing a table top, holding a spiral sleeve of the angle steel wire by a left hand, pulling the steel wire by a right hand, judging according to the swinging direction of the front end part of the main mirror, and then fixing the steel wire at intervals by using adhesive tape paper; the screw notch of the front end unit part is upwards fixed on a special clamp, the clamp is fixed by bench clamp, the clamp is fixed firmly, two pieces of lens paper can be padded when necessary, and the front end unit part is prevented from twisting in the clamp; the plastic film bag is used for wrapping the main mirror, so that the surface is prevented from being scratched or polluted during assembly;
S18, checking whether the metal connecting ring is arranged at the front end part of the main mirror, abutting the threaded bulge at the end part of the main mirror upwards and the threaded notch of the front end unit, loading the main mirror from the bundling end of the conical body to the front end unit, taking care to always keep the bulge upwards when wearing, holding the arrangement objects such as an imaging module channel, air supply, water, a suction tube and the like, holding the main mirror to gradually and slowly advance to the left by the right hand, holding the arrangement objects from rolling all the time, and removing the metal tape paper until the front end part is worn;
s19, the threaded convex opening at the end part of the main mirror is relatively good with the threaded concave opening of the front end unit, the main mirror is connected with a metal connecting ring, and the main mirror is well fixed by rotation through a special ring spanner, so that the main mirror needs to be carefully operated and the best degree is achieved: the two ends are fixed tightly without thin threads, the concave-convex openings are tightly connected, the edges of the metal rings tightly clamp the rubber parts at the two ends, the main mirror is tightly held by force and rotated, the judgment can be made according to whether the main mirror can be rotated, and whether the concave-convex openings are clamped or not is checked; after trial assembly, hanging and unscrewing the metal connecting ring by using a special ring spanner, unloading until 1/3 of the screw is left, fully cleaning the screw by using mixed liquid, uniformly coating sealant on the screw, screwing by using the special ring spanner, and naturally drying for 12 hours; detecting leakage of the front-end main mirror part after drying;
S2, assembling an operation handle
S21, placing the assembled main mirror part on a table, holding a spiral protective sleeve outside the angle steel wire by a left hand, pulling the angle steel wire by a right hand, judging the up-down left-right directions of the four angle steel wires according to the swinging direction of the front end part of the main mirror by using the main mirror part with the scale line as the upper direction, and fixing the four angle steel wires by using a tape to make marks; the left hand holds the front end part of the main mirror, the right hand holds the other end of the main mirror, the left hand is slightly bent up and down and left and right naturally and moves for a plurality of times, so as to aim at naturally stretching the arrangement objects in the tube, and the phenomenon of twisting, hardness and bending resistance does not occur;
s22, assembling the front end part of the main mirror subjected to leak testing and bending movement inspection to an operation handle, enabling an imaging module channel and various pipelines to be carefully penetrated into the operation handle, and enabling the tail end of the imaging module channel to be in butt joint with a connecting ring at a movable outlet at the operation rear end of the handle; the rest of the contents are carefully penetrated from the operation part and can be conveyed into a hole connected with the plug part, carefully bundled, fixed by a tape, then four angle steel wires are separated to the side of the baffle angle steel wires after passing through the operation hole, and the imaging module channel pipe, the air supply pipe, the water pipe and the suction pipe are arranged on the other side, and notice the upper and lower layers, the imaging module channel pipe and the like can not be extruded and rolled; the main mirror and the connecting nut of the operation part are screwed in the forward direction, the bayonet spanner is used for screwing and fastening three fixing screws, and the cross screwdriver is used for screwing in the forward direction; dripping the rubber sleeve of the vertebral body by using forceps, and screwing the rubber sleeve into the notch for fixing;
S3, assembling the plug part
S31, the air supply pipe, the water pipe and the suction pipe are parallel and unfolded from the operation part, the air supply pipe, the water pipe and the suction pipe cannot be folded, 3-4 turns of adhesive tape paper is used for binding, the end part of the pipeline needs to be bound into a cone shape, the pipe needs not to be pulled too long, the allowance is left for 90mm, whether the rubber protective sleeve is arranged on the hose or not is checked, one side of the two ends of the hose is connected with the operation part, the end part is connected with the joint part, the direction is not wrong, the imaging module channel pipe, the air supply pipe, the water pipe and the suction pipe are held by the left hand, the endoscope hose is slowly penetrated, the adhesive tape is subtracted until one end of the hose is connected with the operation part, and three fixing screws are used for forward screwing and fixing at one end of the operation part;
s32, unwinding adhesive tape paper bound on a pipeline at the end of the plug head, preventing an imaging module channel pipe or a functional pipeline from being scratched in the penetrating process, abutting against the functional pipeline from a hose hole of an operation part by using a biopsy forceps, penetrating into the plug part, tightly closing a valve when penetrating out of the plug head, opening the valve after penetrating out of the plug head, clamping the end part of a flexible wire on a plug bakelite seat, manually pulling the flexible wire, checking whether the flexible wire is clamped or not, preferably clamping two to three flexible wires each time, so as to reduce the penetrating times, firstly pulling thick wires, then pulling thin wires, slowly pulling back to the operation part after clamping, paying attention to the fact that the valve must be clamped, loosening the rear part of the flexible wire after pulling out, if resistance is not capable of being pulled strongly, pulling back the flexible wire, and repeatedly pulling at a reselecting position; fixing the imaging module channel tube exposed at the plug part on a hose through a tape in a large bending way;
S33, blowing air or smoke from two thin pipe openings of the plug part, judging and determining which is air supply according to the air or smoke position of the operation part, and supplying water, wherein the air or smoke is an air supply pipe which is connected to the plug part bakelite seat air supply metal seat mouth; the end parts of the pipelines, the metal nozzles and the conical copper rings are fully cleaned by mixed liquid, the mouth expander of the pipeline is expanded into a horn mouth, the heating is suitable, the deformation is prevented, if the pipeline is sleeved into the metal nozzle part, the pipeline is not required to be expanded, after the pipeline is connected, the pipeline is fastened by the conical copper rings, and the fault cannot be detected in the conical direction;
s34, unfastening a gummed paper tape for fixing the imaging module passage pipe, putting on a circular foam plastic protection ring, penetrating the imaging module passage pipe into an original bakelite seat hole, and screwing and fixing the imaging module passage pipe forward by using a fixing jackscrew after the end faces are adjusted to be aligned; separating the plug outer cover with the exposure index meter from the rubber protective sleeve, and pulling the plug outer cover to the end part of the plug to be sleeved on the bakelite seat, wherein a copper ring is arranged in the bakelite seat, so that the outer cover can be possibly clamped, the index meter and the imaging module channel tube are arranged on one side, and the two holes are aligned with water supply and suction screw holes and cannot deviate;
s35, fully cleaning the suction nozzle, the threads and the bakelite seat threads by using the mixed solution, coating sealant on the suction nozzle threads, and screwing the bakelite seat forward; installing a multi-line compression ring of the suction nozzle, and forward screwing by using a small-size special socket wrench; sufficiently cleaning the screw threads of the water supply nozzle and the bakelite seat, coating sealant on the water supply nozzle and the screw threads, and screwing the sealing sealant on the bakelite seat in the forward direction; fully cleaning a multi-grain compression ring of a water supply nozzle, then assembling the multi-grain compression ring on an bakelite seat, and forward screwing the multi-grain compression ring by using a small socket wrench; installing a metal inner compression ring at the end part of the plug, and forward screwing by using a medium-sized socket wrench; the two jackscrews for fixing the light beam metal protective cover and the plug outer cover are screwed forward by a flat screwdriver; installing a metal spiral ring with a thin ring, and forward screwing by using a large socket wrench; installing a metal connecting ring of the plug part, holding the plug part by one hand, and clamping the metal connecting ring by the other hand relatively forcefully; naturally flatly straightening each hose to enable the suction nozzle to face upwards, fixing three screws of the hose and the operation part by using a cross screwdriver, and rotating the rubber protection sleeve on the side to be in situ by using a dripping sleeve taking method, so that each hose can not be folded to influence the use during the actual use operation, and if the hose is unsuitable, the hose should be repeatedly aligned after the assembly, and the plug parts of the hoses are installed;
S4, assembling the operation part and the plug part
S41, firstly, adhering air supply, water and suction pipes by using glue, and carrying out operation parts and plug parts together, wherein before adhering, the ports of the pipes and the metal pipe orifice seats are fully cleaned by using mixed liquid; proper amount of prepared glue can not be excessively applied, but is uniform and firm, and the glue is uniformly applied repeatedly for a small amount of times each time;
s42, arranging the adjusting button of the operation part facing the desktop to enable the imaging module channel pipe and each pipeline to be displayed under the eyes, paying attention to protect the imaging module channel pipe, preventing the imaging module channel pipe from being extruded and folded by other pipelines, and adjusting the imaging module channel pipe and each pipeline to a proper position; sequentially bonding layers from bottom to top, connecting an air supply pipe, sleeving an air supply pipe orifice at the root of an air supply metal nozzle, turning by a copper taper ring, then coating a nut with a sealant, screwing the nut by a flat nozzle pliers in the forward direction, and simultaneously holding a pipeline by the other hand when taking care of screwing to prevent turning and screwing the pipeline; sleeving a water delivery pipe opening at the root of a water delivery metal pipe seat nozzle, buckling the water delivery metal pipe seat nozzle by using a copper cone ring, uniformly coating glue at two ends of the copper ring, tightly wrapping the copper ring by the glue, but only forming a thin layer, preventing the copper ring from agglomerating or blocking, forming a hard knot, and naturally drying for 12 hours;
s43, sleeving the suction pipe orifice at the root of the suction metal pipe nozzle seat, coating sealant on the threads, forward screwing the nut by using a flat nose pliers, and holding the pipeline by the other hand when taking care of screwing so as to prevent turning; the plug part is connected with the air supply, water and suction pipelines and is bonded by glue, the bonding part is cleaned fully, then the lower layer is bonded successively, the glue is uniformly thin and one layer is covered by copper rings, the copper rings are dried naturally for 12 hours, and the operation part and the part of the plug part, which is to be bonded by the glue, are bonded together, so that the adhesive is saved, and the drying time is saved; after the plug part is naturally dried for 12 hours, firstly, the plug part is assembled, the hoses are naturally flatly placed and straightened, the suction nozzles face upwards, three screws of the hose and the plug part are positively fixed by a cross screwdriver, the plug part is tried out according to actual use operation, the plug part is prevented from being twisted when being inserted into an imaging module to influence the use, and then the asphalt skin protective sleeve is positively screwed back to the original position by a dripping sleeve taking method, so that the plug part is assembled;
S44, welding four-color flexible wires of an operation part, namely cleaning out four wires passing through the eyepiece direction and four wires passing through a plug part respectively, connecting four pairs of tips with the same color of yellow, white, red and black by 2mm, wherein the yellow is a video wire, the red is a positive power wire, the white is a negative power wire, the welding oil is coated, electrostatic removal welding is carried out by a 30W soldering iron to prevent false welding, the welding is carried out by hand test, the welding is fully cleaned after the welding, a plastic sleeve is sleeved for insulation, then the welding is carried out on a potentiometer binding post respectively, the insulation adhesive tape is isolated from the outer cover of the operation part, the black is a public ground wire, and the welding is carried out on a wire nose; respectively fixing the potentiometer and the ground wire nose of the welded lead at the original positions, and fixing two screws respectively, wherein the pressing of the imaging module channel tube, the air supply, the water and the suction pipeline is avoided; the side parts are arranged well so as not to be mutually extruded, twisted or extruded by the outer cover, then the outer cover plate is arranged, 4 black round head screws are rotationally fixed in the forward direction, and E.P oil can be coated on the screws so as to prevent rust; turning the operation part to make the adjusting button upward, checking and judging the directions of the four angle steel wires, holding the steel wire sleeve by a left hand, pulling the angle steel wires by a right hand with force, changing the angle direction of the tip part of the main mirror, judging and determining the angle steel wire directions according to the appearance lines and numbers of the air supply pipe, the water pipe and the suction pipe facing to the front of the chest and the main mirror, and dividing the directions into two groups according to the upper left and the lower right; the steel wire sleeve fixing device which is divided into groups is arranged in an angle fixing device which is opposite to the chest by a group on the upper side and the left side, two screws are rotated forward, the lower side and the right side are arranged in another angle fixing device by a group, the two screws are fixed by a clamping plate, and the two screws are screwed forward;
S45, naturally flatly straightening a main mirror to enable four square screws at the end parts of angle steel wires to be aligned naturally, firstly, assembling the lower two angle steel wires to be respectively L, R on the left and right, fixing a L, R adjusting button at a zero position to enable two connecting sliding block square nuts to be aligned on a straight line horizontally, then holding the square screws in the left hand and holding the square nuts in the right hand, rotating the square nuts in the forward direction until the root parts and the end surfaces of the square nuts are not provided with convex-concave shapes, and arranging the other square nuts in order, parallel and consistent; adjusting R, L adjusting buttons, checking whether the angle is satisfactory or not by using an angle plate, if not, adjusting the distance of square nuts, if not, adjusting the distance of a backward loosening of an angle limiting stop block by a certain distance, and fixing 2 screws after adjustment; fixing the upper and lower adjusting buttons, namely U, D adjusting buttons, at zero positions by the same method, so that two square slide block nuts are naturally aligned on the partition plate and are well connected with square screws; fixing and gluing screws, assembling an outer cover plate of an operation part, fixing four black screws, and coating a small amount of E.P oil to prevent the screws from rusting and being corroded; assembling a power conduit fixing piece: the endoscope is penetrated from the head end part to the central part of the power conduit fixing piece, and the front end part of the endoscope exceeds 10cm; four polished auxiliary power guide pipes penetrate into the peripheral parts of the power guide pipe fixing pieces, and the tail ends of the auxiliary power guide pipes are connected with an air pump after the front ends of the auxiliary power guide pipes are connected with the air pump.
2. The method of claim 1, wherein the imaging module is a CMOS module or an image conducting bundle containing optical fibers.
3. The method for assembling a split low-resistance-to-expansion enteroscope according to claim 2, wherein the CMOS module comprises OV6946, OV6948, OH01A.
4. The method for assembling a split low-resistance-to-expansion enteroscope according to claim 1, wherein the roughening part in step S12 is coated with A3 glue.
5. The method for assembling a split low-resistance-to-expansion small intestine mirror according to claim 1, wherein the sealant in the step S15 is KE-41 sealant, and the lubricant is molybdenum disulfide.
6. The method for assembling the split low-resistance-to-expansion small intestine mirror according to claim 1, wherein the lubricant in the step S16 is molybdenum disulfide, the metal foil tape is bundled from the foil tape, and the ends of the air supply pipe, the water pipe and the suction pipe are bundled, otherwise, the split low-resistance-to-expansion small intestine mirror cannot be exposed outside the mouth of the main mirror after penetrating the main mirror, and is difficult to detach.
7. The assembling method of the split low-resistance-to-expansion small intestine mirror according to claim 1, wherein the sealant in the step S19 is KE-42 sealant, the main mirror portion is firmly held by a left hand during assembling, the special ring spanner is rotated by a right hand, the front end unit portion is firmly fixed and cannot rotate on a clamp, the main mirror portion is also firmly held and cannot twist, and the imaging module channels are prevented from being damaged by torsion and rolling of internal arrangement objects.
8. The method for assembling a split low-resistance-to-expansion enteroscope according to claim 1, wherein the sealant in the steps S35 and S42 is kulark wire.
9. The method for assembling the split low-resistance-to-expansion small intestine mirror according to claim 1, wherein the gluing in the steps S41, S42 and S43 is A3 glue.
CN202410004502.5A 2024-01-03 2024-01-03 Split low-resistance and expansion small intestine mirror and assembly method thereof Pending CN117773563A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202410004502.5A CN117773563A (en) 2024-01-03 2024-01-03 Split low-resistance and expansion small intestine mirror and assembly method thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202410004502.5A CN117773563A (en) 2024-01-03 2024-01-03 Split low-resistance and expansion small intestine mirror and assembly method thereof

Publications (1)

Publication Number Publication Date
CN117773563A true CN117773563A (en) 2024-03-29

Family

ID=90384944

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202410004502.5A Pending CN117773563A (en) 2024-01-03 2024-01-03 Split low-resistance and expansion small intestine mirror and assembly method thereof

Country Status (1)

Country Link
CN (1) CN117773563A (en)

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