TW202315569A

TW202315569A - Endoscope assembly having surgical instrument and endoscope system having the same

Info

Publication number: TW202315569A
Application number: TW110136442A
Authority: TW
Inventors: 高宏碩; 張錦標
Original assignee: 高宏碩; 張錦標
Priority date: 2021-09-30
Filing date: 2021-09-30
Publication date: 2023-04-16
Also published as: TWI800933B

Abstract

The invention discloses an endoscope set with a working instrument and an endoscope system. The endoscope system comprises the endoscope set with the working instrument and an output device. The endoscope set with the working apparatus comprises an endoscope device and the working apparatus. The endoscope device includes a base, an injection needle tube, and a lens unit. The base part is provided with a light source input end. The work apparatus is provided with an operating grab handle, a connecting rod and a clamp structure. The clamp structure is provided with two clamping pieces, a connecting rod assembly and a push rod, wherein the two ends of the connecting rod assembly are connected to the clamping pieces respectively, the connecting rod assembly can be bent towards the connecting rod, and the push rod is connected to the connecting rod assembly. The clamp structure can be controlled to be converted from a closed clamping state of the clamping pieces to an open state of the clamping pieces at intervals, so that the push rod moves in the direction away from the connecting rod.

Description

具有工作器械的內視鏡套組及內視鏡系統Endoscope set and endoscope system with working instruments

本發明是有關於一種內視鏡套組，特別是指一種內視鏡結合工作器械，內視鏡定位後可直接使用工作器械處理生物組織的具有工作器械的內視鏡套組及內視鏡系統。The invention relates to an endoscope set, in particular to an endoscope combined with a working instrument. After the endoscope is positioned, the working instrument can be directly used to process biological tissues. The endoscope set and the endoscope with the working instrument system.

隨著醫療技術的不斷進步，從傳統的開放式手術到採用內視鏡與外科器械(例如：夾鉗)的微創手術已廣泛應用於外科手術中，例如：關節鏡外科手術和腹腔鏡外科手術。習知的內視鏡具有軟性管線，及裝設於軟性管線一端的鏡頭。其用作醫療檢測的方法是將內視鏡管線***體內，使光源透過內視鏡管線照射於鏡頭周圍，以便於鏡頭擷取畫面，並回傳至觀察者或相關電子儀器内，供醫師讀取畫面進行診療。其中，內視鏡會配合不同部位的外科手術或醫療檢測，而採用不同類型的鏡頭。此外，醫師可依手術需求使用不同的外科器械對內臟或內部組織進行抓取、剝離、切割或修補等功用。然而，在進行微創手術時，通常需要先透過內視鏡管伸入至人體內部確認病源處的位置，然後再***管狀導管(例如：插管和套針)，並透過管狀導管引入注射針管或外科器械，以便執行藥劑注射或手術切割等治療，使得手術執行的步驟繁瑣，除了造成使用上的不便，也使手術時間延長，增加手術風險。此外，為了***注射針管或是外科器械，需要先在皮膚上做較大的開口，才能引入注射針管或是外科器械，導致手術後需縫合傷口，並且使得恢復期較長。另一方面，習知的內視鏡配合外科器械僅能進行抓取、剝離、切割或修補等功用，而不具備放置醫材或藥物的功能，亦造成使用上的不便。With the continuous advancement of medical technology, from traditional open surgery to minimally invasive surgery using endoscopes and surgical instruments (such as: clamps) has been widely used in surgical operations, such as: arthroscopic surgery and laparoscopic surgery Operation. A known endoscope has a flexible pipeline and a lens installed at one end of the flexible pipeline. The method used for medical detection is to insert the endoscope pipeline into the body, so that the light source shines on the lens through the endoscope pipeline, so that the lens can capture the picture and send it back to the observer or related electronic equipment for the doctor to read. Take the screen for diagnosis and treatment. Among them, the endoscope will use different types of lenses to cooperate with surgical operations or medical inspections on different parts. In addition, doctors can use different surgical instruments to grasp, strip, cut or repair viscera or internal tissues according to surgical needs. However, when performing minimally invasive surgery, it is usually necessary to first penetrate the endoscope tube into the human body to confirm the location of the source of the disease, and then insert a tubular catheter (such as: cannula and trocar), and introduce the injection needle through the tubular catheter Or surgical instruments, in order to perform treatments such as medicament injection or surgical cutting, which makes the steps of the operation cumbersome, in addition to causing inconvenience in use, it also prolongs the operation time and increases the risk of the operation. In addition, in order to insert the injection needle or surgical instrument, it is necessary to make a large opening in the skin before introducing the injection needle or surgical instrument, resulting in the need to suture the wound after the operation and making the recovery period longer. On the other hand, conventional endoscopes combined with surgical instruments can only perform functions such as grasping, stripping, cutting or repairing, but do not have the function of placing medical materials or medicines, which also causes inconvenience in use.

因此，本發明的目的，即在提供一種術後恢復期短且便於使用的具有工作器械的內視鏡套組。Therefore, the object of the present invention is to provide an endoscope set with a working instrument that has a short postoperative recovery period and is easy to use.

於是，本發明具有工作器械的內視鏡套組包含一內視鏡裝置及一工作器械。該內視鏡裝置包括一基部、一接頭、一注射針管及一鏡頭單元。Thus, the inventive endoscope set with a working instrument comprises an endoscope device and a working instrument. The endoscope device includes a base, a connector, an injection needle tube and a lens unit.

該基部具有一光源輸入端。該注射針管連接於該基部。該注射針管的末端具有一穿刺端面。該鏡頭單元具有一自該光源輸入端伸入該注射針管的管部，及一連接於該管部的末端且鄰近該穿刺端面的鏡頭。The base has a light source input end. The injection needle is connected to the base. The end of the injection needle tube has a piercing end surface. The lens unit has a tube extending from the light source input end into the injection needle tube, and a lens connected to the end of the tube and adjacent to the puncture end surface.

該工作器械包括一操作握柄、一連接於該操作握柄且伸入該注射針管的連接桿，及一裝設於該連接桿的末端的鉗具結構。該鉗具結構具有二夾取件、一連接於該等夾取件之間的連桿組件，及一連接該連桿組件朝遠離該連接桿的方向延伸的推桿。該鉗具結構可受控由一該等夾取件併攏的夾取狀態變換成一該等夾取件彼此間隔的撐開狀態，使該推桿朝遠離該連接桿的方向移動。The working equipment includes an operating handle, a connecting rod connected to the operating handle and extending into the injection needle tube, and a clamp structure installed at the end of the connecting rod. The clamp structure has two clamping parts, a connecting rod assembly connected between the clamping parts, and a push rod connected to the connecting rod assembly and extending away from the connecting rod. The clamp structure can be controlled to change from a clamping state in which the clamping parts are close together to a stretching state in which the clamping parts are spaced apart from each other, so that the push rod moves away from the connecting rod.

在一些實施態樣中，各該夾取件具有一容置空間，在該鉗具結構處於該夾取狀態，該等容置空間供該連桿組件與該推桿容置其中。In some embodiments, each clamping member has an accommodating space, and when the clamp structure is in the clamping state, the accommodating spaces are used for accommodating the connecting rod assembly and the push rod.

在一些實施態樣中，該連桿組件具有一轉軸，及二分別連接於該等夾取件的橫桿，每一橫桿可樞轉地連接於該轉軸，且該等橫桿之間反向於該連接桿的夾角不大於180度，使該連桿組件可朝該連接桿彎折。In some embodiments, the connecting rod assembly has a rotating shaft, and two cross bars respectively connected to the clamping parts, each cross bar is pivotally connected to the rotating shaft, and the cross bars are in turn connected to each other. The included angle toward the connecting rod is not more than 180 degrees, so that the connecting rod assembly can be bent toward the connecting rod.

在一些實施態樣中，該具有工作器械的內視鏡套組還包含一接頭，該接頭連接於該基部，並具有彼此連通的一銜接端口、一第一工作端口、一注射接口及一第二工作端口，該銜接端口與該注射針管連接，該注射接口適用於導入藥劑經由該銜接端口流入該注射針管，該第一工作端口與該第二工作端口的其中一者與該基部可分離地連接，該第一工作端口與該第二工作端口的另一者供該工作器械伸入至該注射針管內，使得該基部與該操作握柄彼此分隔。In some implementations, the endoscope set with working instruments further includes a connector, which is connected to the base and has a connecting port, a first working port, an injection port, and a first connecting port communicated with each other. Two working ports, the connecting port is connected with the injection needle tube, the injection interface is suitable for introducing medicine into the injection needle tube through the connecting port, one of the first working port and the second working port is detachable from the base Connected, the other of the first working port and the second working port allows the working instrument to extend into the injection needle tube, so that the base and the operating handle are separated from each other.

在一些實施態樣中，該接頭具有一呈直管狀且兩端分別形成該第一工作端口及該銜接端口的第一分支；該工作器械自該第一工作端口經由該第一分支伸入至該注射針管內。In some implementations, the joint has a straight tube with two ends respectively forming the first working port and the first branch of the connecting port; the working instrument extends from the first working port through the first branch to Inside the injection needle.

在一些實施態樣中，該接頭具有一呈直管狀且兩端分別形成該第一工作端口及該銜接端口的第一分支、一連接於該第一分支且具有該注射接口的第二分支，及一具有該第二工作端口且自該第一分支的側面朝該銜接端口的反向傾斜延伸的第三分支，該第三分支與該第一分支的夾角不大於90度；該連接桿可撓曲，使該工作器械自該第二工作端口沿傾斜延伸的該第三分支，經由該第一分支伸入至該注射針管內。In some implementation aspects, the connector has a first branch in a straight pipe shape with two ends respectively forming the first working port and the connecting port, a second branch connected to the first branch and having the injection port, and a third branch that has the second working port and extends obliquely from the side of the first branch toward the opposite direction of the connection port, the angle between the third branch and the first branch is not more than 90 degrees; the connecting rod can flexing, so that the third branch extending obliquely from the second working port of the working instrument extends into the injection needle through the first branch.

在一些實施態樣中，該連接桿、該管部與該注射針管的內壁之間形成一通道空間，該內視鏡裝置還包括一可分離地伸入該通道空間的實心部，該內視鏡裝置可在一該實心部遮蔽該通道空間的穿刺狀態，及一該通道空間顯露的注射狀態之間變換。In some embodiments, a channel space is formed between the connecting rod, the tube portion and the inner wall of the injection needle tube, and the endoscope device further includes a solid portion detachably protruding into the channel space, the inner The viewing mirror device can be switched between a puncturing state in which the solid portion covers the channel space, and an injection state in which the channel space is revealed.

在一些實施態樣中，該注射針管可分離地連接於該基部，使該注射針管可拆卸替換。In some embodiments, the syringe is detachably connected to the base so that the syringe can be detachably replaced.

在一些實施態樣中，該穿刺端面相對於該鏡頭的表面傾斜，該內視鏡裝置還包括一裝設於該注射針管內且設置於該鏡頭前方的光學構件，該光學構件為可透光的材質，並具有一入光側及一出光側，該入光側與該出光側之間的夾角小於90度，該入光側沿該穿刺端面延伸且適用於導引光線進入，該出光側面向該鏡頭且沿該鏡頭的表面延伸，並適用於導引來自該入光側的光線射出至該鏡頭的表面，以使該鏡頭可經由該光學構件取得影像。In some embodiments, the puncturing end surface is inclined relative to the surface of the lens, and the endoscope device further includes an optical component installed in the injection needle tube and in front of the lens, and the optical component is light-transmissive material, and has a light incident side and a light exit side, the angle between the light incident side and the light exit side is less than 90 degrees, the light incident side extends along the puncture end face and is suitable for guiding light into, the light exit side Extending towards the lens and along the surface of the lens, it is suitable for guiding the light from the light-incident side to exit to the surface of the lens, so that the lens can obtain images through the optical component.

在一些實施態樣中，該光學構件呈中空結構，該入光側與該出光側共同界定出一空間，該出光側適用於導引經由該入光側與該空間折射後的光線以近似於垂直於該鏡頭表面的方向射出至該鏡頭的表面。In some embodiments, the optical component is a hollow structure, the light-incident side and the light-outside jointly define a space, and the light-outside is suitable for guiding light refracted through the light-incident side and the space to approximate The direction perpendicular to the surface of the lens is emitted to the surface of the lens.

在一些實施態樣中，該入光側具有數個平行於該鏡頭的表面的第一入射面，該等第一入射面沿該穿刺端面的延伸方向間隔排列，每一第一入射面沿該鏡頭表面的長度不大於微米尺寸。In some implementation aspects, the light incident side has several first incident surfaces parallel to the surface of the lens, the first incident surfaces are arranged at intervals along the extension direction of the puncture end surface, and each first incident surface is along the The length of the lens surface is not larger than the micrometer size.

在一些實施態樣中，該基部還包括一轉接機構，該轉接機構為光纖集光結構、影像傳輸轉接機構與LED光源所需電源的其中一者。In some embodiments, the base further includes an adapter mechanism, which is one of the optical fiber light collection structure, the image transmission adapter mechanism, and the power required by the LED light source.

在一些實施態樣中，該工作器械為活檢鉗、電凝器械、超音波手術刀、電燒刀、雷射光纖器械與其組合的其中一者。In some embodiments, the working instrument is one of biopsy forceps, electrocoagulation instrument, ultrasonic scalpel, electric cautery knife, laser fiber optic instrument and combinations thereof.

因此，本發明的目的，即在提供一種術後恢復期短且便於使用的內視鏡系統。Therefore, the object of the present invention is to provide an endoscopic system with short postoperative recovery period and easy to use.

於是，本發明內視鏡系統包含前述的具有工作器械的內視鏡套組及一輸出裝置。Thus, the endoscope system of the present invention comprises the aforementioned endoscope set with working instruments and an output device.

該輸出裝置連接於該基部的一輸出端，並具有一電連接該鏡頭的通訊裝置、一通訊連接該通訊裝置的控制裝置，及一電連接該控制裝置的顯示裝置。該通訊裝置用於發送該鏡頭擷取的影像訊號。該控制裝置用於接收該通訊裝置發送的影像訊號，並進行影像處理。該顯示裝置用於顯示該控制裝置處理後的影像訊號。The output device is connected to an output end of the base, and has a communication device electrically connected to the lens, a control device connected to the communication device, and a display device electrically connected to the control device. The communication device is used for sending the image signal captured by the lens. The control device is used for receiving the image signal sent by the communication device and performing image processing. The display device is used for displaying the image signal processed by the control device.

在一些實施態樣中，該輸出裝置是以無線連接方式連接於該輸出端。In some implementation aspects, the output device is wirelessly connected to the output end.

本發明之功效在於：藉由該等夾取件可受控由併攏狀態變換成間隔狀態，使該推桿能朝遠離該連接桿的方向移動，進而讓操作者可操控該工作器械將醫材或藥物微調推移至病源處，達到便於使用的目的。此外，藉由該第一工作端口與該第二工作端口分別供該基部與該工作器械裝設使用，使得該基部與該操作握柄彼此分隔，增加該操作握柄的操作空間，也能達到便於使用的目的。另外，藉由該通道空間可導引藥劑自該針孔流出，使得該具有工作器械的內視鏡套組能直接將藥劑注射於鄰近該鏡頭的病源處，而不需要重複固定該結合注射針頭之內視鏡的位置，同樣能達到便於使用的目的。並且，藉由該工作器械已裝設於該內視鏡裝置，在手術進行時可直接操作該工作器械使用，而免去植入導管以***外科器械等步驟，可縮短手術時間，亦可避免擴大傷口，達到術後恢復期短的目的。另一方面，藉由該注射針頭處於該穿刺狀態時，可使穿刺處的皮膚傷口周圍平整；並且，該注射針頭處於該注射狀態時，該通道空間可供手術器械裝置穿至病源處，而不需要擴大傷口或是二次穿刺皮膚，使傷口易於復原，故能達到術後恢復期短的目的。The effect of the present invention lies in that the push rod can move away from the connecting rod through the controllable change of the clamping parts from the closed state to the spaced state, so that the operator can control the working instrument to move the medical material Or fine-tune the medicine and move it to the source of the disease to achieve the purpose of ease of use. In addition, by using the first working port and the second working port respectively for the installation of the base and the working instrument, the base and the operating handle are separated from each other, increasing the operating space of the operating handle, and achieving for ease of use. In addition, the channel space can guide the medicament to flow out from the needle hole, so that the endoscope set with the working instrument can directly inject the medicament at the disease source adjacent to the lens without repeatedly fixing the combined injection needle The position of the endoscope can also achieve the purpose of ease of use. Moreover, since the working instrument has been installed in the endoscope device, the working instrument can be directly operated during the operation, and steps such as implanting a catheter to insert a surgical instrument can be avoided, the operation time can be shortened, and the operation time can also be avoided. Enlarge the wound to achieve the purpose of short postoperative recovery period. On the other hand, when the injection needle is in the puncture state, the skin wound at the puncture site can be flattened; and, when the injection needle is in the injection state, the channel space can be used for surgical instruments to pass through to the source of disease, and There is no need to expand the wound or puncture the skin twice, so that the wound can be easily restored, so the postoperative recovery period can be shortened.

參閱圖1至圖3、圖13，為本發明內視鏡系統的一實施例。該內視鏡系統包含一具有工作器械的內視鏡套組1，及一如圖13所示的輸出裝置231。該具有工作器械的內視鏡套組1包括一內視鏡裝置20及一工作器械10。Referring to Fig. 1 to Fig. 3 and Fig. 13, it is an embodiment of the endoscope system of the present invention. The endoscope system includes an endoscope set 1 with working instruments, and an output device 231 as shown in FIG. 13 . The endoscope set 1 with working instruments includes an endoscope device 20 and a working instrument 10 .

參閱圖1至圖3，該內視鏡裝置20具有一基部40、一連接於該基部40的接頭30、一連接於該接頭30遠離該基部40的一端的注射針管24、一自該接頭30伸入該注射針管24的鏡頭單元21、一自該接頭30可分離地伸入該注射針管24的實心部102，及一裝設於該注射針管24內且位於該注射針管24的末端的光學構件215。1 to 3, the endoscope device 20 has a base 40, a joint 30 connected to the base 40, an injection needle tube 24 connected to the end of the joint 30 away from the base 40, and a joint 30 from the joint 30. A lens unit 21 extending into the injection needle tube 24, a solid part 102 detachably extending into the injection needle tube 24 from the joint 30, and an optical lens mounted in the injection needle tube 24 and positioned at the end of the injection needle tube 24 Member 215.

參閱圖1與圖12，該基部40具有一用於導入一光源101至該鏡頭單元21的光源輸入端22、一連接於該光源輸入端22的延伸部的輸出端23，及一連接於該輸出端23的轉接機構25。在本實施例中，該轉接機構25為光纖集光結構、影像傳輸轉接機構與LED光源所需電源的其中一者，且該轉接機構25可具有圖中未示出的一無線傳輸模組或傳統線傳輸。前述的輸出裝置231可以透過該轉接機構25與該輸出端23連接。然而，該轉接機構25是可以省略的，舉例來說，該輸出端23為目鏡，讓使用者可直接觀看該鏡頭單元21所取得的影像。此外，該基部40也可以是僅有該光源輸入端22，使該基部40的整體體積減小而能讓操作者在使用上較為輕便靈活。且本實施例中，所使用的光源頻率也可以視不同的檢查需求而變化、調整。Referring to FIGS. 1 and 12, the base 40 has a light source input end 22 for introducing a light source 101 to the lens unit 21, an output end 23 connected to the extension of the light source input end 22, and an output end 23 connected to the light source input end 22. The switching mechanism 25 of the output end 23. In this embodiment, the adapter mechanism 25 is one of the optical fiber light collection structure, the image transmission adapter mechanism and the power supply required by the LED light source, and the adapter mechanism 25 can have a wireless transmission not shown in the figure. Modular or traditional line transmission. The aforementioned output device 231 can be connected to the output end 23 through the adapter mechanism 25 . However, the transfer mechanism 25 can be omitted. For example, the output end 23 is an eyepiece, allowing the user to directly watch the image captured by the lens unit 21 . In addition, the base 40 can also only have the light source input end 22 , so that the overall volume of the base 40 is reduced so that the operator can use it lightly and flexibly. And in this embodiment, the frequency of the light source used can also be changed and adjusted according to different inspection requirements.

參閱圖1與圖12，該接頭30具有一兩端分別形成一銜接端口311及一第一工作端口312的第一分支31、一連接於該第一分支31且具有一注射接口321的第二分支32，及一連接於該第一分支31且具有一第二工作端口331的第三分支33。該銜接端口311、該第一工作端口312、該注射接口321及該第二工作端口331彼此連通。該注射接口321適用於導入藥劑經由該第二分支32、該第一分支31至該銜接端口311。該第一工作端口312與該第二工作端口331的其中一者與該基部40可分離地連接，該第一工作端口312與該第二工作端口331的另一者供該工作器械10可分離地伸入至該注射針管24內，使得該基部40與該工作器械10彼此分隔，以增加操作該工作器械10的空間，避免操作該工作器械10時受到該基部40干擾。同時，該基部40與該接頭30可分離地連接的設計，也可以讓操作者視使用情況任意拆卸該基部40，使該接頭30空餘的工作端口能供其他管路伸入。在本實施例中，該第一分支31呈直管狀。並且，該第三分支33自該第一分支31的側面朝該銜接端口311的反向傾斜延伸。更具體來說，該第三分支33與該第一分支31的夾角不大於90度，且該第二工作端口331反向於該銜接端口311。如圖1所示，該工作器械10可自該第一工作端口312經由該第一分支31伸入至該注射針管24內，以避免該工作器械10彎折而不易於直觀地操作。該基部40則裝設於該第二工作端口331，且該光源輸入端22經由該第三分支33將該光源101導入該鏡頭單元21。然而，如圖12所示，該工作器械10也可以自該第二工作端口331沿傾斜延伸的該第三分支33，經由該第一分支31伸入至該注射針管24內。如此，該工作器械10位於該內視鏡裝置20的側邊，而有較大操作空間。該基部40則裝設於該第一工作端口312，且該光源輸入端22經由該第一分支31將該光源101導入該鏡頭單元21Referring to Fig. 1 and Fig. 12, the joint 30 has a first branch 31 whose two ends respectively form a connecting port 311 and a first working port 312, a second branch 31 connected to the first branch 31 and having an injection port 321 A branch 32 , and a third branch 33 connected to the first branch 31 and having a second working port 331 . The connecting port 311 , the first working port 312 , the injection interface 321 and the second working port 331 communicate with each other. The injection interface 321 is suitable for introducing medicine to the connection port 311 via the second branch 32 , the first branch 31 . One of the first working port 312 and the second working port 331 is detachably connected to the base 40 , and the other of the first working port 312 and the second working port 331 is detachably connected to the working instrument 10 Extend into the injection needle tube 24 so that the base 40 and the working instrument 10 are separated from each other, so as to increase the space for operating the working instrument 10 and avoid being interfered by the base 40 when operating the working instrument 10 . At the same time, the detachable design of the base 40 and the joint 30 allows the operator to disassemble the base 40 arbitrarily according to the use situation, so that the spare working port of the joint 30 can be used for other pipelines to enter. In this embodiment, the first branch 31 is in the shape of a straight tube. Moreover, the third branch 33 extends obliquely from the side of the first branch 31 toward the opposite direction of the connection port 311 . More specifically, the included angle between the third branch 33 and the first branch 31 is not greater than 90 degrees, and the second working port 331 is opposite to the connecting port 311 . As shown in FIG. 1 , the working instrument 10 can extend from the first working port 312 into the injection needle tube 24 through the first branch 31 , so as to prevent the working instrument 10 from being bent and not easy to operate intuitively. The base 40 is mounted on the second working port 331 , and the light source input end 22 guides the light source 101 into the lens unit 21 through the third branch 33 . However, as shown in FIG. 12 , the working instrument 10 can also extend from the second working port 331 along the obliquely extending third branch 33 , and extend into the injection needle tube 24 through the first branch 31 . In this way, the working instrument 10 is located at the side of the endoscope device 20 , and there is a larger operating space. The base 40 is mounted on the first working port 312 , and the light source input end 22 guides the light source 101 into the lens unit 21 through the first branch 31

參閱圖1與圖2，該注射針管24連接於該銜接端口311。該注射針管24的末端具有一穿刺端面242，及一形成於該穿刺端面242的針孔243。該針孔243適用於導引自該銜接端口311流入的藥劑流出。在本實施例中，該穿刺端面242相對於該鏡頭單元21朝向該針孔243的表面傾斜，使該注射針管24末端形成一呈尖銳狀的尖角部241而易於刺入皮膚，讓該注射針管24可直接穿入皮膚而不需要額外割開皮膚，以減小傷口的面積，使術後的傷口能快速恢復。舉例來說，該注射針管24的外徑為1.2公釐至2.5公釐，可使傷口的口徑不大於2.5公釐，而能在術後不需要縫合傷口，且利於縮短術後的恢復期。另外，該注射針管24可分離地連接於該銜接端口311，使該注射針管24可拆卸替換，而不需要重複消毒使用，以減少傷口感染的風險。Referring to FIG. 1 and FIG. 2 , the injection needle 24 is connected to the connecting port 311 . The end of the injection needle tube 24 has a piercing end surface 242 and a needle hole 243 formed on the piercing end surface 242 . The needle hole 243 is suitable for guiding the medicine flowing in from the connection port 311 to flow out. In this embodiment, the puncture end surface 242 is inclined relative to the surface of the lens unit 21 facing the needle hole 243, so that the end of the injection needle tube 24 forms a sharp corner 241, which is easy to penetrate the skin, allowing the injection The needle tube 24 can directly penetrate the skin without additional incision of the skin, so as to reduce the area of the wound and enable the postoperative wound to recover quickly. For example, the outer diameter of the injection needle tube 24 is 1.2 mm to 2.5 mm, so that the diameter of the wound is not larger than 2.5 mm, and there is no need to suture the wound after the operation, and it is beneficial to shorten the recovery period after the operation. In addition, the injection needle tube 24 is detachably connected to the connection port 311 , so that the injection needle tube 24 can be detachable and replaced without repeated disinfection, so as to reduce the risk of wound infection.

參閱圖1、圖2、圖5與圖6，該鏡頭單元21具有一自該光源輸入端22經由該銜接端口311伸入該注射針管24的管部213，及一連接於該管部213的末端且鄰近該穿刺端面242的鏡頭211。該管部213、該工作器械10與該注射針管24的內壁之間形成一如圖3所示的通道空間50。該鏡頭211的類型可以為傳統光學影像傳輸器(例如：光纖)、感光耦合元件(Charge Coupled Device, CCD)鏡頭，或是互補性氧化金屬半導體 (Complementary Metal-Oxide Semiconductor, CMOS) 鏡頭，但不以此為限。該鏡頭211內可設置一圖中未示出的晶片，用以將影像處理後傳送至該輸出端23。如圖6所示，在本實施例中，該光源輸入端22所導入的該光源101為光纖光束，並環繞地設置於呈圓形的該鏡頭211周圍。然而，該光源101也可以是如圖5所示設置於呈方形的該鏡頭211的兩側。當藥劑由該注射接口321注入時，藥劑可分布於該注射針管24內壁與該管部213、該實心部102之間的間隙。構成該光源101的光纖光束可以是局部地設置於該鏡頭211周圍。如圖5C所示，構成該光源101的光纖光束也可以是全部環繞地設置於該鏡頭211周圍。另外，該光源輸入端22所導入的該光源101也可以是LED光源，並設置於該注射針管24的末端。且該注射針管24内設有LED電源線。此外，該管部213的外徑為0.8公釐至1.6公釐之間。該鏡頭211的直徑為0.6公釐，該鏡頭單元21的長度為20公分至2公尺。Referring to Fig. 1, Fig. 2, Fig. 5 and Fig. 6, the lens unit 21 has a tube portion 213 extending from the light source input end 22 through the connecting port 311 into the injection needle tube 24, and a tube portion 213 connected to the tube portion 213. The end and the lens 211 adjacent to the piercing end surface 242 . A channel space 50 as shown in FIG. 3 is formed between the tube portion 213 , the working instrument 10 and the inner wall of the injection needle tube 24 . The type of the lens 211 can be a traditional optical image transmitter (for example: optical fiber), a photosensitive coupling device (Charge Coupled Device, CCD) lens, or a complementary metal oxide semiconductor (Complementary Metal-Oxide Semiconductor, CMOS) lens, but not This is the limit. A chip not shown in the figure can be disposed in the lens 211 to process the image and send it to the output terminal 23 . As shown in FIG. 6 , in this embodiment, the light source 101 introduced by the light source input port 22 is a fiber optic beam, and is arranged around the circular lens 211 . However, the light source 101 may also be disposed on both sides of the square lens 211 as shown in FIG. 5 . When the medicine is injected through the injection interface 321 , the medicine can be distributed in the gap between the inner wall of the injection needle 24 , the tube part 213 and the solid part 102 . The fiber optic light beam constituting the light source 101 may be partially arranged around the lens 211 . As shown in FIG. 5C , the optical fiber beam constituting the light source 101 can also be arranged around the lens 211 completely. In addition, the light source 101 introduced by the light source input end 22 can also be an LED light source, and is arranged at the end of the injection needle tube 24 . And the injection needle tube 24 is provided with an LED power cord. In addition, the outer diameter of the tube portion 213 is between 0.8mm and 1.6mm. The diameter of the lens 211 is 0.6 mm, and the length of the lens unit 21 is 20 cm to 2 meters.

參閱圖1至圖3，該實心部102可分離地伸入該通道空間50，並遮蔽該針孔243，使得該內視鏡裝置20可在一該實心部102遮蔽該針孔243的穿刺狀態，及一該針孔243顯露的注射狀態之間變換。在該內視鏡裝置20刺入皮膚的過程中，可操控該實心部102讓該內視鏡裝置20處於該穿刺狀態，以避免皮膚組織在該注射針管24穿刺時擠入該針孔243中，造成穿刺處的傷口不規則的破裂而難以癒合。同時，也可以避免體內組織進入該通道空間50之後造成堵塞而無法流出藥劑。另一方面，當操作者透過該鏡頭211找到病源處，可讓該內視鏡裝置20處於該注射狀態。也就是說，將該實心部102自該接頭30抽出，使該針孔243顯露而能讓藥劑自該通道空間50流出該針孔243外至病源處，以達到治療的效果。然而，該內視鏡裝置20的使用方法不限於前述方式，也可以是先將該實心部102自該接頭30抽出後。接著，將一軟管(圖未示)***該通道空間50並從該針孔243穿出，以便於操作者在治療過程中透過該軟管注入沖洗液於病源處清洗體內組織。反之，也可以透過該軟管將注入體內的沖洗液抽離，或是抽吸堆積於病源處的血液、組織液，以利治療進行，此外，將該軟管配合通道空間40內多餘的空隙，也可以達成同時進行注入沖洗液與抽出沖洗液的作業。或者，在該管部213與該工作器械10皆位於該注射針管24內的情況下，空出來的該通道空間50也可以提供其他需要的器件伸入該注射針管24中使用，此外，在該管部213、該工作器械10與該實心部102均位在該注射針管24內的情況下，藥劑也可以經由該注射針管24內壁與該管部213、該實心部102之間的間隙流通。Referring to FIGS. 1 to 3 , the solid portion 102 can detachably extend into the channel space 50 and cover the pinhole 243 , so that the endoscope device 20 can be in a piercing state where the solid portion 102 covers the pinhole 243 , and an injection state in which the needle hole 243 is revealed. During the puncture process of the endoscope device 20 into the skin, the solid part 102 can be manipulated to keep the endoscope device 20 in the puncture state, so as to prevent skin tissue from being squeezed into the needle hole 243 when the injection needle tube 24 is punctured. , resulting in irregular rupture of the wound at the puncture site, making it difficult to heal. At the same time, it is also possible to avoid blockage caused by internal tissue entering the channel space 50 and preventing the drug from flowing out. On the other hand, when the operator finds the source of the disease through the lens 211, the endoscope device 20 can be in the injection state. That is to say, the solid part 102 is pulled out from the joint 30 to expose the needle hole 243 so that the medicine can flow out of the needle hole 243 from the passage space 50 to the source of the disease, so as to achieve the therapeutic effect. However, the method of using the endoscope device 20 is not limited to the aforementioned method, and the solid part 102 can also be pulled out from the joint 30 first. Next, a hose (not shown) is inserted into the channel space 50 and passed through the needle hole 243 , so that the operator injects irrigation fluid through the hose to clean internal tissues at the source of the disease during treatment. Conversely, the flushing fluid injected into the body can also be extracted through the flexible tube, or the blood and tissue fluid accumulated at the source of the disease can be sucked to facilitate treatment. In addition, the flexible tube can be matched with the redundant gap in the channel space 40, It is also possible to simultaneously perform the operation of injecting the flushing liquid and withdrawing the flushing liquid. Or, under the condition that the tube part 213 and the working instrument 10 are both located in the injection needle tube 24, the vacated channel space 50 can also provide other required devices to be inserted into the injection needle tube 24 for use. In addition, in the injection needle tube 24 When the tube part 213 , the working instrument 10 and the solid part 102 are all located in the injection needle tube 24 , the medicine can also flow through the gap between the inner wall of the injection needle tube 24 and the tube part 213 and the solid part 102 .

參閱圖1、圖4A與圖4B，該光學構件215設置於該鏡頭211前方且位在該尖角部241，並靠近該針孔243，以配合該實心部102共同遮避相對於該鏡頭211表面傾斜的該針孔243。該光學構件215除了輔助該鏡頭211取得影像以外，將其設置於該尖角部241的另一個作用也在於用以避免尖銳狀的該穿刺端面242刺入組織時，造成穿刺處的傷口不規則的破裂而難以癒合。同時，也可以避免體內組織堆積遮蔽在該鏡頭211前方，進而影響該鏡頭211取得影像。該光學構件215為可透光的材質(例如：玻璃或塑膠)，並具有一入光側61、一連接於該入光側61的一側緣的出光側62，及一兩側緣分別連接於該入光側61與該出光側62的反射側63。更具體來說，該光學構件215配合該尖角部241中該鏡頭211前方的三角空間(如圖4A、4B所示)，呈現為一末端呈斜面的半圓筒形態。該入光側61大致平行該穿刺端面242的傾斜方向且適用於導引光線進入。並且，該出光側62面向該鏡頭211並且沿該鏡頭211朝向該針孔243的表面延伸，且適用於導引來自該入光側61的光線射出至該鏡頭211的表面，以使該鏡頭211可經由該光學構件215取得影像。在本實施例中，該入光側61與該出光側62之間的夾角小於90度。Referring to FIG. 1 , FIG. 4A and FIG. 4B , the optical member 215 is disposed in front of the lens 211 and at the sharp corner portion 241 , and is close to the pinhole 243 to cooperate with the solid portion 102 to shield the lens 211 together. The pinhole 243 has an inclined surface. In addition to assisting the lens 211 to obtain images, the optical member 215 is arranged at the sharp corner 241 to prevent the sharp puncture end surface 242 from piercing into the tissue, causing irregular wounds at the puncture site. broken and difficult to heal. At the same time, it is also possible to prevent tissue accumulation in the body from covering the front of the lens 211 , thereby affecting the image obtained by the lens 211 . The optical member 215 is made of a light-transmitting material (such as glass or plastic), and has a light incident side 61, a light exit side 62 connected to one side edge of the light incident side 61, and a two side edges connected respectively On the light incident side 61 and the reflective side 63 of the light exit side 62 . More specifically, the optical component 215 fits into the triangular space in front of the lens 211 in the sharp corner portion 241 (as shown in FIGS. 4A and 4B ), and presents a semi-cylindrical shape with a beveled end. The light incident side 61 is substantially parallel to the inclination direction of the piercing end surface 242 and is suitable for guiding light to enter. And, the light-emitting side 62 faces the lens 211 and extends along the surface of the lens 211 toward the pinhole 243, and is suitable for guiding the light from the light-incident side 61 to exit the surface of the lens 211, so that the lens 211 Images can be obtained through the optical member 215 . In this embodiment, the angle between the light incident side 61 and the light exit side 62 is less than 90 degrees.

參閱圖4A，在本實施例中，該入光側61與該出光側62共同界定出一空間64。該出光側62適用於導引經由該入光側61與該空間64折射後的光線，使光線以近似於垂直於該鏡頭211表面的方向射出至該鏡頭211的表面。更具體來說，該光學構件215呈中空結構，包括二呈夾角的薄板及一弧形薄板。如此，當光線經由呈中空結構的該光學構件215進入該鏡頭211的表面，能避免該光學構件215過度干擾光線，以減少光學折射產生的問題。Referring to FIG. 4A , in this embodiment, the light incident side 61 and the light exit side 62 jointly define a space 64 . The light output side 62 is suitable for guiding the light refracted by the light input side 61 and the space 64 , so that the light is emitted to the surface of the lens 211 in a direction approximately perpendicular to the surface of the lens 211 . More specifically, the optical component 215 is a hollow structure, including two thin plates forming an angle and an arc-shaped thin plate. In this way, when the light enters the surface of the lens 211 through the hollow optical member 215 , the optical member 215 can avoid excessive interference with the light, so as to reduce problems caused by optical refraction.

參閱圖4B為本實施例的另一實施態樣。該入光側61具有數個平行於該鏡頭211的表面的第一入射面611，及數個垂直於該鏡頭211的表面的第二入射面612。該等第一入射面611沿該穿刺端面242的延伸方向間隔排列。每一第二入射面612的兩相反側分別連接於兩相近的第一入射面611。其中，每一第一入射面611沿該鏡頭211表面的長度以及每一第二入射面612沿該針管的軸向的長度皆不大於微米尺寸。更具體來說，該光學構件215構成一截面呈三角形的實心結構，且該第一入射面611(三角形的斜邊)呈微米級的階梯形狀。如此，當光線經由如圖4B所示的該光學構件215進入該鏡頭211的表面，光線可垂直穿透該等第一入射面611，而以垂直於該鏡頭211的表面的方向照射入該鏡頭211，以減少光學折射產生的影像扭曲的問題。Refer to FIG. 4B for another implementation aspect of this embodiment. The light incident side 61 has several first incident surfaces 611 parallel to the surface of the lens 211 and several second incident surfaces 612 perpendicular to the surface of the lens 211 . The first incident surfaces 611 are arranged at intervals along the extending direction of the piercing end surface 242 . Two opposite sides of each second incident surface 612 are respectively connected to two adjacent first incident surfaces 611 . Wherein, the length of each first incident surface 611 along the surface of the lens 211 and the length of each second incident surface 612 along the axial direction of the needle tube are not greater than a micron size. More specifically, the optical member 215 forms a solid structure with a triangular cross-section, and the first incident surface 611 (the hypotenuse of the triangle) is in the shape of a micron-scale step. In this way, when the light enters the surface of the lens 211 through the optical member 215 as shown in FIG. 211, to reduce the problem of image distortion caused by optical refraction.

參閱圖1、圖3與圖7，該工作器械10包括一操作握柄13、一連接於該操作握柄13且伸入該注射針管24的連接桿12，及一裝設於該連接桿12的末端的鉗具結構11。在本實施例中，該連接桿12可撓曲，使該工作器械10能自該第二工作端口331沿傾斜延伸的該第三分支33，經由該第一分支31伸入至該注射針管24內。1, 3 and 7, the working instrument 10 includes an operating handle 13, a connecting rod 12 connected to the operating handle 13 and extending into the injection needle tube 24, and a connecting rod 12 mounted on the connecting rod 12. The end clamp structure 11. In this embodiment, the connecting rod 12 is flexible, so that the working instrument 10 can extend from the second working port 331 along the obliquely extending third branch 33 to the injection needle tube 24 through the first branch 31 Inside.

參閱圖8、圖9、圖11A至圖11D，該工作器械10可依據操作者的需要而任意變化。例如，該工作器械10可以為活檢鉗、電凝器械、超音波手術刀、電燒刀、雷射光纖器械與其組合的其中一者，但不以此為限。在本實施例中，該工作器械10是以活檢鉗示例。該鉗具結構11的形態為一鉗頭。該鉗具結構11用於放置醫材或藥物使用，並具有二自該連接桿12朝遠離該操作握柄13的方向延伸的夾取件111、一兩端分別連接於該等夾取件111且可朝該連接桿12彎折的連桿組件112，及一自該連桿組件112朝遠離該連接桿12的方向延伸的推桿113。各該夾取件111具有一容置空間114。該等容置空間114的開口彼此相向，並可供該連桿組件112、該推桿113與圖中未示出的醫材或藥物容置其中。該連桿組件112具有一轉軸115，及二分別連接於該等夾取件111的橫桿116。每一橫桿116可樞轉地連接於該轉軸115。該操作握柄13的作動，可帶動該連接桿12伸縮，使該等夾取件111併攏或分開。該等夾取件111用於夾取生物組織或是撐開生物組織。然而，該鉗具結構11的形態也可以是如圖11A所示的用於活體檢驗的鉗頭、如圖11B所示的鋸齒狀的鉗頭、如圖11C所示的用於夾取異物的鉗頭，或是如圖11D所示的剪刀，可依操作者的需求任意更換該等夾取件111的樣式，但不以此為限。舉凡可應用於人體內臟或內部組織進行抓取、剝離、切割或修補的該工作器械10皆可。此外，該推桿113頂端的形狀可為長方形、盾形、尖形或鋸齒型狀，但不以此為限。Referring to FIG. 8 , FIG. 9 , and FIG. 11A to FIG. 11D , the working instrument 10 can be changed arbitrarily according to the needs of the operator. For example, the working instrument 10 may be one of biopsy forceps, electrocoagulation instrument, ultrasonic scalpel, electric cautery knife, laser fiber optic instrument and combinations thereof, but not limited thereto. In this embodiment, the working instrument 10 is exemplified by biopsy forceps. The shape of the clamp structure 11 is a clamp head. The forceps structure 11 is used for placing medical materials or medicines, and has two clamping pieces 111 extending from the connecting rod 12 in a direction away from the operating handle 13, and one two ends are respectively connected to the clamping pieces 111 A connecting rod assembly 112 capable of bending toward the connecting rod 12 , and a push rod 113 extending from the connecting rod assembly 112 away from the connecting rod 12 . Each of the clamping components 111 has an accommodating space 114 . The openings of the accommodating spaces 114 face each other and can accommodate the link assembly 112 , the push rod 113 and medical materials or medicines not shown in the figure. The connecting rod assembly 112 has a rotating shaft 115 and two cross bars 116 respectively connected to the clamping parts 111 . Each cross bar 116 is pivotably connected to the rotating shaft 115 . The action of the operating handle 13 can drive the connecting rod 12 to expand and contract, so that the clamping parts 111 can be moved together or separated. The grippers 111 are used for gripping biological tissue or stretching biological tissue. However, the form of the forceps structure 11 can also be a forceps head for biopsy as shown in FIG. 11A, a serrated forceps head as shown in FIG. The pliers head, or the scissors shown in FIG. 11D , can change the styles of the clamping parts 111 arbitrarily according to the needs of the operator, but it is not limited thereto. Any working instrument 10 that can be applied to human viscera or internal tissues for grasping, stripping, cutting or repairing can be used. In addition, the shape of the top of the push rod 113 can be rectangular, shield-shaped, pointed or zigzag, but not limited thereto.

另一方面，如圖9所示，說明各該夾取件111的該容置空間114的長度F，及該推桿113的長度D的相對關係，當D介於0.5F和F之間時，該推桿113適用於刺入並取出較硬的組織或是推動醫材或藥物；當D小於0.5F時，該推桿113適用於將長度介於0.5F和F之間的藥物放置於該容置空間114；當D不小於0.5F時，該推桿113適用於將長度不大於0.5F的藥物放置於該容置空間114。On the other hand, as shown in FIG. 9 , the relative relationship between the length F of the accommodating space 114 of each clamping member 111 and the length D of the push rod 113 is illustrated. When D is between 0.5F and F , the push rod 113 is suitable for piercing and taking out hard tissues or pushing medical materials or medicines; when D is less than 0.5F, the push rod 113 is suitable for placing medicines between 0.5F and F in length The accommodating space 114; when D is not less than 0.5F, the push rod 113 is suitable for placing the medicine whose length is not greater than 0.5F in the accommodating space 114.

參閱圖8至圖10，該鉗具結構11可在一如圖8所示的中間狀態、一如圖9所示的撐開狀態，及一如圖10所示的夾取狀態之間變化。圖式中的箭頭代表該等夾取件111和該推桿113的移動方向。當該鉗具結構11由該夾取狀態變換成該撐開狀態，該等夾取件111的末端朝彼此遠離的方向移動，使該等夾取件111彼此間隔而能撐開生物組織，並且帶動各該橫桿116以該轉軸115為軸心朝該連接桿12樞轉，進而讓該推桿113朝遠離該連接桿12的方向移動，以推動原先容置於該等容置空間114內的醫材或藥物至特定位置，或是使該推桿113伸入生物組織中。當該鉗具結構11由該撐開狀態變換成該夾取狀態，該等夾取件111的末端相向移動，使各該橫桿116以該轉軸115為軸心相向樞轉，而能讓該等橫桿116併攏使該連桿組件112對折，並帶動該推桿113朝該連接桿12移動，以由該推桿113仍顯露於該等夾取件111的中間狀態，變換成該推桿113容置於該等容置空間114内且受到該等夾取件111包覆遮避的夾取狀態，同時也可以使該推桿113所刺入取得的生物組織容置於該等容置空間114内而取樣成功。另外，如圖8所示，該等橫桿116之間界定一反向於該連接桿12的夾角Θ。在如圖9所示的該撐開狀態，該等橫桿116之間的該夾角Θ不大於180度，較佳為150度，如此，可使該連桿組件112較容易朝該連接桿12彎折。Referring to FIGS. 8 to 10 , the clamp structure 11 can be changed between an intermediate state as shown in FIG. 8 , a stretched state as shown in FIG. 9 , and a clamping state as shown in FIG. 10 . The arrows in the figure represent the moving directions of the clamping parts 111 and the push rod 113 . When the clamp structure 11 changes from the clamping state to the stretching state, the ends of the clamping parts 111 move away from each other, so that the clamping parts 111 are spaced apart from each other to stretch the biological tissue, and Drive each of the crossbars 116 to pivot toward the connecting rod 12 with the rotating shaft 115 as the axis, and then make the push rod 113 move in a direction away from the connecting rod 12, so as to push the The medical material or medicine to a specific position, or the push rod 113 is inserted into the biological tissue. When the clamp structure 11 changes from the stretched state to the clamping state, the ends of the clamping members 111 move toward each other, so that each of the cross bars 116 pivots toward each other with the rotating shaft 115 as the axis, so that the When the crossbars 116 are brought together, the connecting rod assembly 112 is folded in half, and the push rod 113 is driven to move towards the connecting rod 12, so that the push rod 113 is still exposed to the middle state of the clamping parts 111, and transformed into the push rod 113 is accommodated in the accommodating spaces 114 and is covered and shielded by the clamping parts 111. At the same time, the biological tissue obtained by the push rod 113 can be accommodated in the accommodating parts. The sampling is successful within the space 114. In addition, as shown in FIG. 8 , an included angle Θ opposite to the connecting rod 12 is defined between the cross bars 116 . In the stretched state as shown in Figure 9, the included angle Θ between the cross bars 116 is not more than 180 degrees, preferably 150 degrees, so that the connecting rod assembly 112 can move toward the connecting rod 12 more easily. bent.

參閱圖2與圖3，在刺入組織前，操作者可先將該內視鏡裝置20調整成如圖2所示的該穿刺狀態。接著，讓該鉗具結構11處於該夾取狀態，以容置於該注射針管24內，避免該鉗具結構11突出於該注射針管24而影響該注射針管24刺入皮膚。另一方面，手術進行時，操作者可先透過該鏡頭211確認病源處。接著，將該內視鏡裝置20調整成如圖3所示的該注射狀態，以便於藥劑注入。同時，讓該鉗具結構11自該針孔243伸出，並可透過操縱該操作握把，使該鉗具結構11在該中間狀態、該撐開狀態及該夾取狀態之間變化，以利手術進行。Referring to FIG. 2 and FIG. 3 , before puncturing tissue, the operator can first adjust the endoscope device 20 to the puncturing state as shown in FIG. 2 . Next, let the clamp structure 11 be in the clamping state to be accommodated in the injection needle tube 24, so as to prevent the clamp structure 11 protruding from the injection needle tube 24 and affecting the injection needle tube 24 from penetrating the skin. On the other hand, when the operation is in progress, the operator can first confirm the source of the disease through the lens 211 . Next, the endoscope device 20 is adjusted to the injection state as shown in FIG. 3 to facilitate drug injection. At the same time, let the clamp structure 11 protrude from the pinhole 243, and the clamp structure 11 can be changed between the intermediate state, the stretched state and the clamping state by manipulating the operating handle, so as to Lee surgery.

參閱圖1與圖13，該輸出裝置231連接於該輸出端23，並具有一電連接該鏡頭211的通訊裝置2311、一通訊連接該通訊裝置2311的控制裝置2312，及一電連接該控制裝置2312的顯示裝置2313。該通訊裝置2311用於發送該鏡頭211擷取的影像訊號。該控制裝置2312 (例如為CPU)用於接收該通訊裝置2311發送的影像訊號，並進行影像處理。該顯示裝置2313用於顯示該控制裝置2312處理後的影像訊號。其中，醫師可透過該鏡頭211擷取影像訊號，用以對體內進行觀察。並且，藉由該通訊裝置2311將該鏡頭211所擷取的影像訊號回傳至該顯示裝置2313，以利於醫師進行更進一步地影像處理，協助診療。在本實施例中，該輸出裝置231是以無線連接方式(例如：藍芽、ZigBee、Wi-Fi或RF等)連接於該輸出端23，但不以此為限。此外，該輸出裝置231可以為顯示螢幕、攜帶式電子裝置或VR眼鏡。舉例來說：醫師可藉由配戴例如為VR眼鏡的該輸出裝置231來觀看該鏡頭211所取得的影像，但不以此為限。1 and 13, the output device 231 is connected to the output terminal 23, and has a communication device 2311 electrically connected to the lens 211, a control device 2312 connected to the communication device 2311, and a control device electrically connected to the control device. 2312 of the display device 2313. The communication device 2311 is used for sending the image signal captured by the lens 211 . The control device 2312 (such as a CPU) is used to receive the image signal sent by the communication device 2311 and perform image processing. The display device 2313 is used for displaying the image signal processed by the control device 2312 . Wherein, the doctor can capture image signals through the lens 211 to observe inside the body. Moreover, the image signal captured by the lens 211 is sent back to the display device 2313 through the communication device 2311, so as to facilitate further image processing by the doctor and assist diagnosis and treatment. In this embodiment, the output device 231 is connected to the output terminal 23 in a wireless connection (such as Bluetooth, ZigBee, Wi-Fi or RF, etc.), but it is not limited thereto. In addition, the output device 231 can be a display screen, a portable electronic device or VR glasses. For example: the doctor can watch the image obtained by the lens 211 by wearing the output device 231 such as VR glasses, but it is not limited thereto.

綜上所述，藉由該等夾取件111可受控由併攏狀態變換成間隔狀態，使該推桿113能朝遠離該連接桿12的方向移動，進而讓操作者可操控該工作器械10將醫材或藥物微調推移至病源處，達到便於使用的目的。此外，藉由該第一工作端口312與該第二工作端口331分別供該基部40與該工作器械10裝設使用，使得該基部40與該操作握柄13彼此分隔，增加該操作握柄13的操作空間，也能達到便於使用的目的。另外，藉由該通道空間50可導引藥劑自該針孔243流出，使得該具有工作器械的內視鏡套組1能直接將藥劑注射於鄰近該鏡頭211的病源處，而不需要重複固定該結合注射針頭之內視鏡的位置，同樣能達到便於使用的目的。並且，藉由該工作器械10已裝設於該內視鏡裝置20，在手術進行時可直接操作該工作器械10使用，而免去植入導管以***外科器械等步驟，可縮短手術時間，亦可避免擴大傷口，達到術後恢復期短的目的。另一方面，藉由該注射針頭處於該穿刺狀態時，可使穿刺處的皮膚傷口周圍平整；並且，該注射針頭處於該注射狀態時，該通道空間50可供手術器械裝置穿至病源處，而不需要擴大傷口或是二次穿刺皮膚，使傷口易於復原，故能達到術後恢復期短的目的，故確實能達成本發明的目的。In summary, the clamping parts 111 can be controlled to change from the closed state to the spaced state, so that the push rod 113 can move away from the connecting rod 12, so that the operator can control the working tool 10 Fine-tune medical materials or medicines to the source of the disease to achieve the purpose of ease of use. In addition, the first working port 312 and the second working port 331 are used for installation of the base 40 and the working instrument 10 respectively, so that the base 40 and the operating handle 13 are separated from each other, increasing the operating handle 13 The operating space can also achieve the purpose of ease of use. In addition, the channel space 50 can guide the medicament to flow out from the needle hole 243, so that the endoscope set 1 with the working instrument can directly inject the medicament to the disease source adjacent to the lens 211, without repeated fixation The position of the endoscope combined with the injection needle can also achieve the purpose of ease of use. Moreover, since the working instrument 10 has been installed in the endoscope device 20, the working instrument 10 can be directly operated and used during the operation, and steps such as implanting a catheter to insert a surgical instrument can be avoided, and the operation time can be shortened. It can also avoid expanding the wound and achieve the purpose of short postoperative recovery period. On the other hand, when the injection needle is in the puncture state, the surrounding skin wound at the puncture site can be made smooth; and, when the injection needle is in the injection state, the channel space 50 can be used for surgical instruments to penetrate to the source of disease, Without the need to enlarge the wound or to puncture the skin twice, the wound is easy to recover, so the purpose of short postoperative recovery period can be achieved, so the purpose of the present invention can indeed be achieved.

惟以上所述者，僅為本發明的實施例而已，當不能以此限定本發明實施的範圍，凡是依本發明申請專利範圍及專利說明書內容所作的簡單的等效變化與修飾，皆仍屬本發明專利涵蓋的範圍內。But the above-mentioned ones are only embodiments of the present invention, and should not limit the scope of the present invention. All simple equivalent changes and modifications made according to the patent scope of the present invention and the content of the patent specification are still within the scope of the present invention. Within the scope covered by the patent of the present invention.

1:具有工作器械的內視鏡套組 10:工作器械 101:光源 102:實心部 11:鉗具結構 111:夾取件 112:連桿組件 113:推桿 114:容置空間 115:轉軸 116:橫桿 12:連接桿 13:操作握柄 20:內視鏡裝置 21:鏡頭單元 211:鏡頭 213:管部 215:光學構件 22:光源輸入端 23:輸出端 231:輸出裝置 2311:通訊裝置 2312:控制裝置 2313:顯示裝置 24:注射針管 241:尖角部 242:穿刺端面 243:針孔 25:轉接機構 30:接頭 31:第一分支 311:銜接端口 312:第一工作端口 32:第二分支 321:注射接口 33:第三分支 331:第二工作端口 40:基部 50:通道空間 61:入光側 611:第一入射面 612:第二入射面 62:出光側 63:反射側 64:空間 F:容置空間的長度 D:推桿的長度 Θ:夾角 1: Endoscope set with working instrument 10: Work equipment 101: light source 102: Solid part 11: Clamp structure 111:Clamping parts 112: Connecting rod assembly 113: putter 114:Accommodating space 115: rotating shaft 116: cross bar 12: connecting rod 13: Operating handle 20: Endoscope device 21: Lens unit 211: Lens 213: pipe department 215: Optical components 22: Light source input terminal 23: output terminal 231: output device 2311:Communication device 2312: Control device 2313: display device 24: Injection needle 241: sharp corner 242: piercing end face 243: pinhole 25: Transition mechanism 30: Connector 31: The first branch 311: connection port 312: The first working port 32: The second branch 321: injection port 33: The third branch 331: Second working port 40: base 50: channel space 61: light incident side 611: the first incident surface 612: Second incident surface 62: light output side 63: reflective side 64: space F: the length of the accommodation space D: The length of the push rod Θ: included angle

本發明的其他的特徵及功效，將於參照圖式的實施方式中清楚地呈現，其中：圖1是一示意圖，說明本發明內視鏡系統之一實施例之一具有工作器械的內視鏡套組；圖2是該實施例之一內視鏡裝置的末端的一放大示意圖，說明該內視鏡裝置在一穿刺狀態與該實施例之一工作器械的連接關係；圖3是該內視鏡裝置的末端的一放大示意圖，說明該內視鏡裝置在一注射狀態與該工作器械的連接關係；圖4A是該內視鏡裝置的末端的一局部剖視放大示意圖，說明該實施例之一光學構件的形態；圖4B是該內視鏡裝置的末端的一局部剖視放大示意圖，說明該實施例之另一實施態樣的一光學構件的形態；圖5是一側視放大示意圖，說明該實施例之另一實施態樣的一鏡頭單元的形態，並省略該光學構件；圖6是一側視放大示意圖，說明該實施例之一鏡頭單元的形態，並省略該光學構件；圖7是一示意圖，說明該工作器械；圖8是一不完整的放大示意圖，說明該工作器械之一鉗具結構在一中間狀態；圖9是一不完整的放大示意圖，說明該鉗具結構在一撐開狀態；圖10是一不完整的放大示意圖，說明該鉗具結構在一夾取狀態；圖11A至圖11D為不同類型的該鉗具結構之示意圖，說明該鉗具結構之二夾取件的形態變化；圖12是一示意圖，說明該實施例之另一實施態樣中，該內視鏡裝置之一接頭與該工作器械的連接關係；及圖13是一示意圖，說明該具有工作器械的內視鏡套組與該實施例之一輸出裝置的連結關係。 Other features and effects of the present invention will be clearly presented in the implementation manner with reference to the drawings, wherein: Fig. 1 is a schematic diagram illustrating an endoscope set with a working instrument in one embodiment of the endoscope system of the present invention; Fig. 2 is an enlarged schematic view of the end of an endoscope device of this embodiment, illustrating the connection relationship between the endoscope device and one of the working instruments of this embodiment in a puncture state; Fig. 3 is an enlarged schematic diagram of the end of the endoscope device, illustrating the connection relationship between the endoscope device and the working instrument in an injection state; Fig. 4A is a partially sectional enlarged schematic view of the end of the endoscope device, illustrating the form of an optical member of the embodiment; Fig. 4B is a partially sectional enlarged schematic view of the end of the endoscope device, illustrating the form of an optical component of another implementation of the embodiment; Fig. 5 is an enlarged schematic diagram of a side view, illustrating the form of a lens unit in another embodiment of the embodiment, and omitting the optical component; Fig. 6 is an enlarged schematic diagram of a side view, illustrating the form of a lens unit of the embodiment, and omitting the optical component; Figure 7 is a schematic diagram illustrating the working implement; Fig. 8 is an incomplete enlarged schematic diagram, illustrating that a clamp structure of the working instrument is in an intermediate state; Fig. 9 is an incomplete enlarged schematic diagram, illustrating that the clamp structure is in a stretched state; Fig. 10 is an incomplete enlarged schematic diagram, illustrating that the clamp structure is in a clamping state; 11A to 11D are schematic diagrams of different types of the clamp structure, illustrating the shape change of the two clamping parts of the clamp structure; Fig. 12 is a schematic diagram illustrating the connection relationship between a joint of the endoscope device and the working instrument in another implementation mode of the embodiment; and Fig. 13 is a schematic diagram illustrating the connection relationship between the endoscope set with working instruments and an output device of this embodiment.

1:具有工作器械的內視鏡套組 1: Endoscope set with working instrument

10:工作器械 10: Work equipment

11:鉗具結構 11: Clamp structure

12:連接桿 12: connecting rod

13:操作握柄 13: Operating handle

20:內視鏡裝置 20: Endoscope device

22:光源輸入端 22: Light source input terminal

23:輸出端 23: output terminal

24:注射針管 24: Injection needle

242:穿刺端面 242: piercing end face

25:轉接機構 25: Transition mechanism

30:接頭 30: Connector

31:第一分支 31: The first branch

311:銜接端口 311: connection port

312:第一工作端口 312: The first working port

32:第二分支 32: The second branch

321:注射接口 321: injection interface

33:第三分支 33: The third branch

331:第二工作端口 331: Second working port

40:基部 40: base

Claims

一種具有工作器械的內視鏡套組，包含：一內視鏡裝置，包括一基部，具有一光源輸入端，一注射針管，連接於該基部，該注射針管的末端具有一穿刺端面，及一鏡頭單元，具有一自該光源輸入端伸入該注射針管的管部，及一連接於該管部的末端且鄰近該穿刺端面的鏡頭；及一工作器械，包括一操作握柄、一連接於該操作握柄且伸入該注射針管的連接桿，及一裝設於該連接桿的末端的鉗具結構，該鉗具結構具有二夾取件、一連接於該等夾取件之間的連桿組件，及一連接該連桿組件朝遠離該連接桿的方向延伸的推桿，該鉗具結構可受控由一該等夾取件併攏的夾取狀態變換成一該等夾取件彼此間隔的撐開狀態，使該推桿朝遠離該連接桿的方向移動。 An endoscope kit with a working instrument, comprising: An endoscopic device comprising a base with a light source input port, an injection needle connected to the base, the end of the injection needle has a piercing end surface, and a lens unit having a tube extending from the light source input end into the injection needle, and a lens connected to the end of the tube and adjacent to the piercing end; and A working device, including an operating handle, a connecting rod connected to the operating handle and extending into the injection needle tube, and a clamp structure installed at the end of the connecting rod, the clamp structure has two clamping A connecting rod assembly connected between the clamping parts, and a push rod connected to the connecting rod assembly extending away from the connecting rod, the clamp structure can be controlled by one of the clamping parts The close clamping state is transformed into a stretching state in which the clamping parts are spaced apart from each other, so that the push rod moves away from the connecting rod.

如請求項1所述的具有工作器械的內視鏡套組，其中，各該夾取件具有一容置空間，在該鉗具結構處於該夾取狀態，該等容置空間供該連桿組件與該推桿容置其中。The endoscope set with a working instrument as claimed in claim 1, wherein each clamping member has an accommodating space, and when the clamp structure is in the clamping state, the accommodating spaces are used for the connecting rod The assembly and the push rod are accommodated therein.

如請求項1所述的具有工作器械的內視鏡套組，其中，該連桿組件具有一轉軸，及二分別連接於該等夾取件的橫桿，每一橫桿可樞轉地連接於該轉軸，且該等橫桿之間反向於該連接桿的夾角不大於180度，使該連桿組件可朝該連接桿彎折。The endoscope set with a working instrument as claimed in claim 1, wherein, the link assembly has a rotating shaft, and two cross bars respectively connected to the clamping parts, and each cross bar is pivotally connected The included angle between the crossbars and the connecting rod is no more than 180 degrees on the rotation axis, so that the connecting rod assembly can be bent toward the connecting rod.

如請求項1所述的具有工作器械的內視鏡套組，還包含一接頭，該接頭連接於該基部，並具有彼此連通的一銜接端口、一第一工作端口、一注射接口及一第二工作端口，該銜接端口與該注射針管連接，該注射接口適用於導入藥劑經由該銜接端口流入該注射針管，該第一工作端口與該第二工作端口的其中一者與該基部可分離地連接，該第一工作端口與該第二工作端口的另一者供該工作器械伸入至該注射針管內，使得該基部與該操作握柄彼此分隔。The endoscope set with a working instrument according to claim 1, further comprising a joint connected to the base and having a connecting port, a first working port, an injection port and a first working port communicated with each other Two working ports, the connecting port is connected with the injection needle tube, the injection interface is suitable for introducing medicine into the injection needle tube through the connecting port, one of the first working port and the second working port is detachable from the base Connected, the other of the first working port and the second working port allows the working instrument to extend into the injection needle tube, so that the base and the operating handle are separated from each other.

如請求項4所述的具有工作器械的內視鏡套組，其中，該接頭具有一呈直管狀且兩端分別形成該第一工作端口及該銜接端口的第一分支；該工作器械自該第一工作端口經由該第一分支伸入至該注射針管內。The endoscope set with a working instrument as described in claim 4, wherein the joint has a first branch in a straight pipe shape with two ends respectively forming the first working port and the connecting port; the working instrument comes from the The first working port extends into the injection needle through the first branch.

如請求項4所述的具有工作器械的內視鏡套組，其中，該接頭具有一呈直管狀且兩端分別形成該第一工作端口及該銜接端口的第一分支、一連接於該第一分支且具有該注射接口的第二分支，及一具有該第二工作端口且自該第一分支的側面朝該銜接端口的反向傾斜延伸的第三分支，該第三分支與該第一分支的夾角不大於90度；該連接桿可撓曲，使該工作器械自該第二工作端口沿傾斜延伸的該第三分支，經由該第一分支伸入至該注射針管內。The endoscope set with working instruments as described in claim 4, wherein, the joint has a first branch that is straight and has two ends respectively forming the first working port and the connecting port, and a branch connected to the first a second branch with the injection interface, and a third branch with the second working port and obliquely extending from the side of the first branch toward the opposite direction of the connection port, the third branch and the first branch The included angle of the branches is not greater than 90 degrees; the connecting rod can be flexed so that the third branch extending obliquely from the second working port of the working instrument extends into the injection needle through the first branch.

如請求項1所述的具有工作器械的內視鏡套組，其中，該連接桿、該管部與該注射針管的內壁之間形成一通道空間，該內視鏡裝置還包括一可分離地伸入該通道空間的實心部，該內視鏡裝置可在一該實心部遮蔽該通道空間的穿刺狀態，及一該通道空間顯露的注射狀態之間變換。The endoscope set with working instruments according to claim 1, wherein a channel space is formed between the connecting rod, the tube part and the inner wall of the injection needle, and the endoscope device also includes a detachable Extending into the solid part of the passage space, the endoscope device can be switched between a puncturing state in which the solid part covers the passage space and an injection state in which the passage space is exposed.

如請求項1所述的具有工作器械的內視鏡套組，其中，該注射針管可分離地連接於該基部，使該注射針管可拆卸替換。The endoscope set with working instruments as claimed in claim 1, wherein the injection needle tube is detachably connected to the base, so that the injection needle tube can be detachably replaced.

如請求項1所述的具有工作器械的內視鏡套組，其中，該穿刺端面相對於該鏡頭的表面傾斜，該內視鏡裝置還包括一裝設於該注射針管內且設置於該鏡頭前方的光學構件，該光學構件為可透光的材質，並具有一入光側及一出光側，該入光側與該出光側之間的夾角小於90度，該入光側沿該穿刺端面延伸且適用於導引光線進入，該出光側面向該鏡頭且沿該鏡頭的表面延伸，並適用於導引來自該入光側的光線射出至該鏡頭的表面，以使該鏡頭可經由該光學構件取得影像。The endoscope set with working instruments as claimed in claim 1, wherein, the puncture end surface is inclined relative to the surface of the lens, and the endoscope device also includes a device installed in the injection needle tube and arranged on the lens The optical component in the front, the optical component is made of a light-transmitting material, and has a light incident side and a light exit side, the angle between the light incident side and the light exit side is less than 90 degrees, and the light incident side is along the puncture end surface Extended and suitable for guiding light to enter, the light exit side faces the lens and extends along the surface of the lens, and is suitable for guiding light from the light incident side to exit to the surface of the lens, so that the lens can pass through the optical The component gets the image.

如請求項9所述的具有工作器械的內視鏡套組，其中，該光學構件呈中空結構，該入光側與該出光側共同界定出一空間，該出光側適用於導引經由該入光側與該空間折射後的光線以近似於垂直於該鏡頭表面的方向射出至該鏡頭的表面。The endoscope set with working equipment as described in Claim 9, wherein the optical member is a hollow structure, the light incident side and the light exit side jointly define a space, and the light exit side is suitable for guiding The light refracted by the light side and the space exits to the surface of the lens in a direction approximately perpendicular to the surface of the lens.

如請求項9所述的具有工作器械的內視鏡套組，其中，該入光側具有數個平行於該鏡頭的表面的第一入射面，該等第一入射面沿該穿刺端面的延伸方向間隔排列，每一第一入射面沿該鏡頭表面的長度不大於微米尺寸。The endoscope set with working instruments as claimed in claim 9, wherein the light incident side has several first incident surfaces parallel to the surface of the lens, and the first incident surfaces extend along the puncture end surface The directions are arranged at intervals, and the length of each first incident surface along the surface of the lens is not greater than the size of a micron.

如請求項1所述的具有工作器械的內視鏡套組，其中，該基部還包括一轉接機構，該轉接機構為光纖集光結構、影像傳輸轉接機構與LED光源所需電源的其中一者。The endoscope set with working instruments as described in claim 1, wherein the base further includes an adapter mechanism, which is the connection between the optical fiber light collection structure, the image transmission adapter mechanism and the power supply required by the LED light source. one of them.

如請求項1所述的具有工作器械的內視鏡套組，其中，該工作器械為活檢鉗、電凝器械、超音波手術刀、電燒刀、雷射光纖器械與其組合的其中一者。The endoscope set with working instruments as claimed in claim 1, wherein the working instruments are one of biopsy forceps, electrocoagulation instruments, ultrasonic scalpels, electric cautery, laser fiber optic instruments and combinations thereof.

一種內視鏡系統，包含：一如請求項1所述的具有工作器械的內視鏡套組；及一輸出裝置，連接於該基部的一輸出端，並具有一電連接該鏡頭的通訊裝置、一通訊連接該通訊裝置的控制裝置，及一電連接該控制裝置的顯示裝置，該通訊裝置用於發送該鏡頭擷取的影像訊號，該控制裝置用於接收該通訊裝置發送的影像訊號，並進行影像處理，該顯示裝置用於顯示該控制裝置處理後的影像訊號。 An endoscopy system comprising: An endoscope set with a working instrument as described in claim 1; and An output device, connected to an output end of the base, has a communication device electrically connected to the lens, a control device connected to the communication device, and a display device electrically connected to the control device, and the communication device is used for The image signal captured by the lens is sent, the control device is used for receiving the image signal sent by the communication device, and performs image processing, and the display device is used for displaying the image signal processed by the control device.

如請求項14所述的內視鏡系統，其中，該輸出裝置是以無線連接方式連接於該輸出端。The endoscope system as claimed in claim 14, wherein the output device is connected to the output end in a wireless connection.