CN209951215U - Throat endoscope operation device - Google Patents
Throat endoscope operation device Download PDFInfo
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- CN209951215U CN209951215U CN201822277218.8U CN201822277218U CN209951215U CN 209951215 U CN209951215 U CN 209951215U CN 201822277218 U CN201822277218 U CN 201822277218U CN 209951215 U CN209951215 U CN 209951215U
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- conveying rod
- operating mechanism
- throat
- joint
- endoscope
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Abstract
The utility model discloses a throat endoscope operation device, which comprises a conveying rod and an operating mechanism, wherein the conveying rod comprises a rigid part and a flexible part, the flexible part is provided with at least one joint, the joint can be bent under the control of the operating mechanism, the operating mechanism is arranged at the rear end of the conveying rod or the rigid part of the conveying rod, and the conveying rod internally comprises an imaging channel and a working channel and runs through the conveying rod; the device also includes a splice. The utility model has an arc structure, and can expose sufficient throat cavity without extremely backward tilting of the head, so that the imaging component and the surgical instrument can smoothly enter the throat; the bendable conveying rod can reduce the damage to the normal structure of the throat and the mucous membrane thereof in the operation process, expand the visual field range of the endoscope and eliminate blind areas; the connecting part can be connected with the mouth gag, the direct laryngoscope lens and the tracheal intubation slot, so that the use and the fixation of the mouth gag and the direct laryngoscope lens are convenient; a plurality of endoscope working channels enrich the endoscope function; the mirror can be held by a single hand, so that the operation is more stable and more refined.
Description
Technical Field
The utility model relates to a throat's scope surgical device especially relates to a throat's scope surgical device.
Background
Laryngoscopes are important diagnosis and treatment tools for otolaryngological department, and due to the appearance of supporting laryngoscopes and microscopes, throat minimally invasive surgery under the supporting laryngoscopes is widely applied to various benign and malignant lesions of the throats of pharynx. The traditional laryngoscope supporting operation needs general anesthesia, has higher requirement on the placement of the body position of a patient, and requires that the eyes, the incisors and the focus of an operator are in a straight line, namely, the patient needs to be bent backwards severely, the operation can be carried out after the straight line body position is formed (as shown in figure 1), the patient can be injured greatly due to the fact that the patient is bent backwards severely, the head of the patient cannot be bent backwards for the patient with the focus of the cervical vertebra or the short jaw, and the application of the traditional laryngoscope supporting operation in special patients with advanced age, poor general condition, small jaw deformity, thoracic vertebra deformity, short neck or thick tongue body and the like has certain limit; after the endoscope enters the oral cavity, the endoscope can prop against the teeth, the teeth are abraded, the incisors are easy to damage, and the adverse effect of looseness can be caused; the tubular lighting range of the laryngoscope is further narrow, the space of the throat part is large and irregular, and a plurality of sunken and gully-like structures exist, so that a visual field blind area is caused; on the other hand, the traditional support laryngoscope has a single working channel, and instruments operated by two hands easily collide in the single working channel, so that inconvenience in operation is caused.
Therefore, if an endoscope with a plurality of working channels is available, the body of the endoscope can adapt to the natural curve of the throat, and the tip can move flexibly, the technical bottleneck faced by the current clinic can be overcome to a great extent. The diagnosis and treatment efficiency of the laryngoscope is enhanced, the surgical wound is reduced, and the laryngeal operation is more minimally invasive and refined.
SUMMERY OF THE UTILITY MODEL
In view of the above-mentioned defects of the prior art, the utility model provides a throat endoscope operation device, including conveying pole and operating device, the conveying pole includes rigidity portion and the flexible portion that is located rigidity portion front end, flexible portion has at least one joint, the joint can operating device's control is crooked down, operating device set up in the rear end of conveying pole or the rigidity portion of conveying pole, conveying pole is inside to include formation of image passageway and working channel, formation of image passageway with the working channel axial runs through the conveying pole.
Further, the bending angle of the joint can be locked.
Optionally, the joint is connected to the operating mechanism by a pull wire, and the bending of the joint is achieved by adjusting the operating mechanism to pull or release the pull wire.
Preferably, the number of the joints is two or more.
Further, the working channel is multiple, and the working channel is used for conveying instruments used in the laryngeal endoscope operation into an operation area, and comprises but is not limited to an aspirator, a biopsy forceps, a probe, an injector, a light source, a laser optical fiber and the like.
Further, the front end of the imaging channel comprises a lens used for capturing images in the throat; the lens is preferably a camera, the rear end of the lens is connected with an electric signal transmission line, the rear end of the lens, which extends out of the conveying rod, is connected with an external display device, and an operator can observe the condition in the throat through the external display device.
Optionally, the intranasal endoscope device of the present invention comprises one or more lenses; preferably, two lenses are included to form a stereoscopic image. Optionally, the external display device comprises a computer display or the like.
In addition to cameras, lenses may also be used in combination with objective lenses and ocular lenses to view the conditions inside the nose.
Further, the front end of one of the plurality of working channels may include a light source for providing illumination to the surgical site so that the surgical personnel can clearly observe the condition of the surgical site, and a wire at the rear end of the light source extends from the rear end of the delivery rod. The light source can be arranged in the working channel and can be arranged in the imaging channel together with the lens.
Furthermore, in the throat endoscopic surgery process, the surgical instrument can reach the affected part through the working channel to perform the surgical operation. Through set up working channel in throat endoscope surgical device, operating personnel singlehanded can realize observing and partial operation to can be more convenient, safe carry out complicated operation.
Further, sensors may be included in the working channel or the imaging channel for sensing the environment in the throat, including but not limited to: photosensitive sensors, acoustic sensors, gas sensors, chemical sensors, and the like.
Furthermore, the throat endoscope operation device also comprises a plurality of connecting parts which are used for connecting and fixing auxiliary devices required by the operation, such as electric wires, mouth openers, direct laryngoscope lenses, tracheal intubation grooves and the like, so that the devices can be conveniently used and fixed.
Further, the total length of the laryngeal endoscopic surgical device of the present invention is preferably 20-25cm, and the length of the flexible portion is preferably 13-15 cm. The total diameter of the conveying rod in the utility model is preferably 1.5-2 cm.
Further, the rigid part can be made of hard material, so that the rigid part is not deformed due to bending of the flexible part or operation of a surgical instrument in the surgical process, and accidental injury to the throat is avoided.
According to the structural characteristics of teeth, tongue root and throat (vocal cord), in a preferred embodiment of the present invention, the flexible portion of the laryngeal endoscopic surgical device has a first joint and a second joint; the first joint can bend the flexible part into the throat part under the condition that the rigid part is kept still, and the first joint can realize bending with a maximum angle of 90 degrees and is locked; preferably, the first joint is arranged 5-10cm away from the front end of the flexible part; the second joint can realize bending and locking in the positive and negative directions, the maximum bending angle is preferably +/-90 degrees or further preferably +/-60 degrees, and the flexible part can be freely bent at the throat part within the angle range to effectively observe and operate different areas; preferably, the second joint is arranged 2-3cm from the front end of the flexible portion.
Accordingly, in the above embodiments, the laryngeal endoscopic surgical device includes a first operating mechanism and a second operating mechanism, the first joint and the second joint being bendable under the control of the first operating mechanism and the second operating mechanism, respectively; the first operating mechanism and the second operating mechanism are independently provided at the rear end of the transport rod or at the rigid portion of the transport rod, and may be provided separately or together. Optionally, the first joint is connected with the first operating mechanism through a traction wire, the traction wire is tightened or loosened by adjusting the operating mechanism to achieve bending of the first joint, the second joint is connected with the second operating mechanism through the traction wire, and the traction wire is tightened or loosened by adjusting the operating mechanism to achieve bending of the second joint. The throat endoscope operation device of the utility model can also comprise a handheld part, and the handheld part is connected with the rear end of the conveying rod.
Further, the first operating mechanism and the second operating mechanism of the present invention may be located at the rear end of the conveying rod, such as on the hand-held portion. Alternatively, the operating mechanism may be an operating handle, the operator controlling the bending of the flexible portion by pushing the handle in different directions.
Further, in the present invention, in a preferred embodiment, the first operating mechanism may be located at one side of the rear end of the conveying rod, and the second operating mechanism may be located at the top end of the rear end of the conveying rod, or may be arranged side by side with the first operating mechanism, so as to facilitate the single-handed operation of the operating personnel.
Furthermore, the throat endoscope operation device also comprises an operation instrument for throat endoscope operation, and the operation instrument can pass through the working channel to reach the affected part for operation; optionally, the surgical instrument may include an aspirator, a clamping device, a probe, a laser fiber, and the like, optionally the clamping device is a biopsy forceps.
Further, the utility model discloses a throat endoscope operation device's transport pole outside still has the sleeve pipe, the sleeve pipe can be made by biocompatible macromolecular material, and its surface is smooth for prevent to carry the pole to cause the harm to tooth, tongue, oral cavity, throat mucous membrane, and can prevent to carry the pole to be polluted by the blood stain, also easy to clean.
The utility model discloses "front end" means the one end that operating personnel was kept away from to throat portion scope surgical device, "rear end" means the one end that throat portion scope surgical device is close to operating personnel.
Compared with the prior art, the technical scheme of the utility model have following advantage:
1) the utility model has a flexible and bendable structure, can fit the natural curve of tooth, tongue root and throat, can convey the imaging component and the surgical instrument into the throat without the need of extremely backward tilting of the head, minimizes the harm of the operation to the patient, and can reduce the pharyngeal reflex without picking up the epiglottis;
2) the throat endoscope operation device of the utility model is provided with a linking part which can be fixedly connected with a mouth gag, a direct laryngoscope lens, a tracheal intubation slot and the like, so as to better fix the relative position of the oral cavity and the throat, prevent the operation device from accidentally shifting in the operation and facilitate the use and fixation of devices;
3) the flexible conveying rod, the imaging component and the light source thereof can protect the normal structure of the throat and the mucous membrane thereof, enlarge the visual field range of the endoscope and eliminate blind areas;
4) a plurality of endoscope working channels are opened, the endoscope functions are enriched, the functions of suction, probe and the like which are most commonly used are met, and the application range of the endoscope in the throat surgery is expanded;
5) due to the optimization of the control mode, the endoscope can be held by one hand, other parts can be operated by the other hand, and the two hands can work cooperatively, so that the operation is more stable, and the endoscopic surgery is more refined.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
FIG. 1 is a schematic view of the prior art laryngoscope apparatus in operation in connection with a laryngeal endoscope;
fig. 2 is a schematic structural diagram of an embodiment of the present invention;
FIG. 3 is a cross-sectional view of a transfer rod according to an embodiment of the present invention;
FIG. 4 is a schematic view of the operation of the laryngeal endoscope of the present invention;
in the figure, 1, a conveying rod; 11. a rigid portion; 12. a flexible portion; 121. a first joint; 122. a second joint; 2. a hand-held portion; 21. a first operating mechanism; 22. a second operating mechanism; 3. a joining section; 4. an imaging channel; 5-7, a working channel; 8. a sleeve; 9. a mouth gag.
Detailed Description
The conception, the specific structure and the technical effects of the present invention will be further described with reference to the accompanying drawings to fully understand the objects, the features and the effects of the present invention.
As shown in fig. 2, in an embodiment of the present invention, the laryngo pharynx endoscopic surgery device includes a feeding rod 1 and a hand-held portion 2, a first operating mechanism 21 and a second operating mechanism 22 are disposed on the hand-held portion 2, the feeding rod 1 is composed of a rigid portion 11 and a flexible portion 12, the rigid portion 11 is not bendable, the flexible portion 12 has two bendable joints, namely a first joint 121 and a second joint 122, the first joint 121 can be bent and fixed at a maximum bending angle of 90 ° (represented by α angle in the figure) under the control of the first operating mechanism 21 for controlling the bending of the flexible portion at the root of the tongue of the patient, the second joint 122 can be bent in any direction under the control of the second operating mechanism 22, the bending angle (represented by β angle in the figure) is less than ± 90 °, preferably not more than ± 60 °, for controlling the front end of the flexible portion at the lower portion of the pharynx, and the second operating mechanism 22 for controlling the front end of the pharynx, The surgical procedure at the laryngeal operation site, as shown in fig. 4, can be performed at an angle that conforms to the natural curvature of the human body, i.e., the surgical area of the teeth, tongue root, and throat (vocal cords). The first operating mechanism and the second operating mechanism are not arranged in a unique mode, and in other embodiments of the invention, the first operating mechanism and the second operating mechanism can be arranged at the rear end of the conveying rod separately or in a combined mode so as to be convenient to operate; even in embodiments without a handle, the first and/or second operating mechanism may be disposed at a rearward portion of the feed bar, such as a rigid portion.
As can be seen from fig. 2, the laryngeal endoscope operation device further comprises a plurality of linking parts 3 arranged on the conveying part 1, the linking parts can be used for fixing some instruments, electric wires, mouth openers and the like used in the operation, and the mouth openers are connected with the conveying part 1 through the linking parts 3, so that the mouth opening size of a patient can be conveniently fixed. As shown in fig. 4, the first joint 121 of the present invention can send the main structure of the transportation unit 1 into the mouth of the patient through bending, and the operation of the doctor is very convenient in the outside, the second joint 122 of the present invention enables the front end of the transportation unit 1 to rotate freely and bend in the throat, and the bending of the double joints enables the transportation unit to form an S-shaped structure as a whole to fit the physiological curve of the human body. The overall length of the laryngeal endoscopic surgical device in this embodiment is preferably 20-25cm, wherein the flexible portion is preferably 13-15cm in length, wherein the first joint 121 is located 5-10cm from the front end of the flexible portion and the second joint 122 is located 2-3cm from the front end of the flexible portion.
Alternatively, the first joint 121 may be connected to the first operating mechanism 21 by a pull wire, and the control of the bending angle and direction of the first joint 121 may be achieved by adjusting the pull wire to be tightened or loosened by the first operating mechanism 21, and the second joint 122 may be connected to the second operating mechanism 22 by a pull wire, and the control of the bending angle and direction of the first joint 122 may be achieved by adjusting the pull wire to be tightened or loosened by the second operating mechanism 22. In addition to the method described in this embodiment, any means known to those skilled in the art for bending and securing the transfer bar is possible.
As shown in fig. 3, the outer layer of the conveying rod 1 is a sleeve 8, the side surface of the conveying rod is further provided with a connecting part 3, the conveying rod 1 comprises an imaging channel 4 and three working channels 5, 6 and 7, the imaging channel 4 and the working channels 5, 6 and 7 axially penetrate through the conveying rod 1, and in order to provide enough working channels to facilitate the operation, the diameter of the conveying rod of the present invention is slightly thicker, and the diameter of the conveying rod in the present embodiment is preferably 1.5-2 cm.
The front end of the imaging channel 4 comprises a camera for capturing images in the throat, the electric wire of the camera extends out from the rear end of the conveying rod and is connected with an external display device, and an operator can observe the conditions in the throat through the external display device. In addition to the camera, it is also possible to view the inside of the throat using a combination of an objective lens and an eyepiece.
The three working channels are used for conveying instruments used in laryngeal endoscopic surgery into an operation area, and the surgical instruments include but are not limited to suction apparatuses, biopsy forceps, probes, light sources and the like.
In the process of the laryngeal endoscope operation, the surgical instrument can reach the affected part through any one of the working channels 3, 4 and 5 to carry out the operation. Through set up working channel in throat endoscope device, operating personnel singlehanded can realize observing and partial operation, can the left hand hold mirror in the operation, other surgical equipment is held to the right hand to can carry out complicated operation more conveniently, safely.
The foregoing has described in detail preferred embodiments of the present invention. It should be understood that numerous modifications and variations can be devised by those skilled in the art in light of the teachings of the present invention without undue experimentation. Therefore, the technical solutions that can be obtained by a person skilled in the art through logic analysis, reasoning or limited experiments based on the prior art according to the concepts of the present invention should be within the scope of protection defined by the claims.
Claims (10)
1. The throat endoscope operation device is characterized by comprising a conveying rod and an operating mechanism, wherein the conveying rod comprises a rigid part and a flexible part located at the front end of the rigid part, the flexible part is provided with at least one joint, the joint can be bent under the control of the operating mechanism, an imaging channel and a working channel are arranged inside the conveying rod, and the imaging channel and the working channel axially penetrate through the conveying rod.
2. A laryngeal endoscopic surgical device according to claim 1, characterised in that said articulation is connected to said operating means by a pull wire, the bending of said articulation being obtained by adjusting the operating means to tighten or loosen the pull wire.
3. A laryngeal endoscopic surgical device according to claim 2, wherein said working channel is multi-banded.
4. A laryngeal endoscopic surgical device according to claim 1, wherein the front end of the imaging channel comprises a lens.
5. A laryngeal endoscopic surgical device according to claim 1, wherein the number of said joints is two or more.
6. A laryngeal endoscopic surgical device according to claim 1, further comprising a plurality of joins.
7. A laryngeal endoscopic surgical device according to claim 1, further comprising a hand-held portion connected to the rear end of said delivery rod.
8. The throat endoscope operation device is characterized by comprising a conveying rod, a first operating mechanism and a second operating mechanism, wherein the conveying rod comprises a rigid part and a flexible part located at the front end of the rigid part, the flexible part is provided with a first joint and a second joint, the first operating mechanism and the second operating mechanism can bend under the control of the flexible part, an imaging channel and a working channel are arranged inside the conveying rod, and the imaging channel and the working channel axially penetrate through the conveying rod.
9. A laryngeal endoscopic surgical device according to claim 8, wherein the maximum bending angle of said first joint is 90 °.
10. A laryngeal endoscopic surgical device according to claim 8, wherein the maximum bending angle of said second joint is 90 °.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201822277218.8U CN209951215U (en) | 2018-12-29 | 2018-12-29 | Throat endoscope operation device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201822277218.8U CN209951215U (en) | 2018-12-29 | 2018-12-29 | Throat endoscope operation device |
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| CN209951215U true CN209951215U (en) | 2020-01-17 |
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| CN201822277218.8U Active CN209951215U (en) | 2018-12-29 | 2018-12-29 | Throat endoscope operation device |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109645946A (en) * | 2018-12-29 | 2019-04-19 | 上海交通大学医学院附属第九人民医院 | A kind of bottleneck throat endoscopic surgery device |
| CN111544197A (en) * | 2020-04-20 | 2020-08-18 | 西安交通大学 | Flexible force-sensitive operating mechanism of ophthalmic surgery robot |
| WO2023277141A1 (en) * | 2021-07-01 | 2023-01-05 | 国立大学法人 東京医科歯科大学 | Laryngoscope |
-
2018
- 2018-12-29 CN CN201822277218.8U patent/CN209951215U/en active Active
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109645946A (en) * | 2018-12-29 | 2019-04-19 | 上海交通大学医学院附属第九人民医院 | A kind of bottleneck throat endoscopic surgery device |
| CN111544197A (en) * | 2020-04-20 | 2020-08-18 | 西安交通大学 | Flexible force-sensitive operating mechanism of ophthalmic surgery robot |
| WO2023277141A1 (en) * | 2021-07-01 | 2023-01-05 | 国立大学法人 東京医科歯科大学 | Laryngoscope |
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