WO2011113258A1 - 一体化硬质超声内镜*** - Google Patents

一体化硬质超声内镜*** Download PDF

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Publication number
WO2011113258A1
WO2011113258A1 PCT/CN2010/076366 CN2010076366W WO2011113258A1 WO 2011113258 A1 WO2011113258 A1 WO 2011113258A1 CN 2010076366 W CN2010076366 W CN 2010076366W WO 2011113258 A1 WO2011113258 A1 WO 2011113258A1
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WO
WIPO (PCT)
Prior art keywords
rigid
ultrasound
ultrasonic
endoscopic
endoscope
Prior art date
Application number
PCT/CN2010/076366
Other languages
English (en)
French (fr)
Inventor
乔铁
Original Assignee
广州市番禺区胆囊病研究所
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from CN 201010127354 external-priority patent/CN101803904A/zh
Priority claimed from CN 201010127393 external-priority patent/CN101785685A/zh
Priority claimed from CN 201010127396 external-priority patent/CN101803905A/zh
Priority claimed from CN 201010127383 external-priority patent/CN101810494A/zh
Application filed by 广州市番禺区胆囊病研究所 filed Critical 广州市番禺区胆囊病研究所
Publication of WO2011113258A1 publication Critical patent/WO2011113258A1/zh

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00043—Operational features of endoscopes provided with output arrangements
    • A61B1/00045—Display arrangement
    • A61B1/0005—Display arrangement combining images e.g. side-by-side, superimposed or tiled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/307—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
    • A61B8/5238—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image

Definitions

  • the invention relates to an integrated rigid ultrasonic endoscope system, belonging to the field of medical instruments. Background technique
  • endoscopic technology has been widely used in clinical practice and has become an important tool for the diagnosis and treatment of diseases.
  • the endoscope can enter the human body through the natural hole of the human body or through the surgical incision.
  • the doctor can observe the lesion in the body through the endoscope, and take effective treatment.
  • only the lesions that can be recognized by the naked eye can be observed by the conventional endoscope, and the microscopic lesions that are invisible or unrecognizable to the naked eye cannot be diagnosed.
  • Micro-ultrasound technology has been widely used in various fields of digestive medicine. Ultrasound scanning of the lesion area by micro-ultrasound probe can visually and clearly observe the lesion and improve the accuracy of diagnosis.
  • the micro-ultrasound probe is easy to be damaged due to improper use in use, and the operation is inconvenient due to the use of the micro-ultrasound probe in combination with the endoscope, and there is instability, which is liable to cause the ultrasound image and the endoscopic image to be out of sync and unstable. The situation interfered with the doctor's judgment and affected the quality of the diagnosis. Summary of the invention
  • the object of the present invention is to organically combine micro-ultrasound technology with a hard endoscope to provide an integrated rigid endoscopic system having operation.
  • Convenient, stable and other advantages can ensure that endoscopic images and ultrasound images are acquired simultaneously, improve the image quality of the lesion area, and greatly improve the accuracy of diagnosis.
  • the integrated rigid endoscopic system of the present invention comprises a rigid endoscope, a cold light source host, a system processor, an endoscopic image monitor and an ultrasound image monitor;
  • the hard endoscope includes a surgical end and an operating end;
  • the surgical end is integrated with a micro ultrasonic probe, an endoscope lens and a light guiding optical fiber on the end surface thereof to form an integrated rigid ultrasonic endoscope;
  • the operating end is provided with a cold light source An input end and an image data output end, wherein the cold light source input end is connected to the cold light source host, the image data output end and the endoscopic image monitor and the ultrasonic image monitor respectively
  • the system processor is connected to transmit the image data collected by the endoscope lens and the micro-ultrasound probe to the endoscopic image monitor and the ultrasonic image monitor respectively;
  • the hard ultrasonic endoscope is further provided therein And an open instrument channel is provided on the end face of the surgical end.
  • the integrated rigid endoscopic system of the present invention may further comprise a system keyboard, the system keyboard and the The system handlers are coupled to achieve manipulation of the integrated rigid endoscopic system via keyboard operation.
  • the miniature ultrasonic probe is a replaceable ultrasonic probe, which has a convex shape, has a ring scan, a linear scan, and a stereoscopic reconstruction of the scan area, and the probe has a frequency of 5 MHz to 25 MHz.
  • the operation end of the rigid ultrasonic endoscope may further be provided with a control unit, and the control unit is provided with a start switch, an image freeze switch and a mode selection switch, etc., so as to facilitate the doctor to perform ultrasonic scanning. control.
  • the system processor may include a camera host and an ultrasound system host; the image data output end may include an ultrasound image output end and an eyepiece output end; the ultrasound image output end and the ultrasound image A monitor is coupled to the ultrasound system host; the eyepiece output and an endoscopic image monitor are coupled to the camera host.
  • the output end of the eyepiece is located on a longitudinal central axis of the rigid endoscope, and the ultrasonic image output end is at an angle of 45° to the longitudinal central axis of the rigid endoscopic lens, thereby improving surgical operation The stability and grasp of the process.
  • the rigid endoscopic lens may be a rigid ultrasonic arthroscope, a rigid ultrasound gallbladder mirror, a rigid ultrasound cystoscope or a rigid ultrasound hysteroscope.
  • the present invention has the following beneficial effects:
  • the integrated rigid endoscopic system according to the present invention introduces an advanced micro-ultrasound scanning technology based on a rigid endoscope, and directly integrates the micro-ultrasound probe on the end surface of the rigid endoscope to maintain a hard inner
  • the original structure of the mirror improves the operability of the rigid endoscopicoscope, and the operation is simple and convenient.
  • the integrated rigid endoscopic lens according to the present invention adopts an integrated design, so that the micro-ultrasound probe portion is not easily damaged, which is convenient for the doctor to operate, and the endoscopic image and the ultrasonic image are more easily acquired simultaneously, thereby improving the lesion area.
  • the quality of the image greatly improves the accuracy of the diagnosis.
  • the integrated rigid endoscopic lens of the present invention further has a device channel penetrating therein, is a rigid endoscope with a surgical treatment function, and maintains the characteristics of a hard working end, which is beneficial to the doctor.
  • the mirror is operated on.
  • FIG. 1 is a schematic structural view of an integrated rigid ultrasonic arthroscopy system according to a first embodiment of the present invention.
  • FIG. 2 is a schematic view showing the end face structure of a rigid ultrasonic arthroscope according to Embodiment 1 of the present invention.
  • FIG. 3 is a schematic structural view of an integrated rigid ultrasound gallbladder mirror system according to Embodiment 2 of the present invention.
  • FIG. 4 is a schematic view showing the end face structure of a hard ultrasonic gallbladder mirror according to Embodiment 2 of the present invention.
  • FIG. 5 is a schematic structural view of an integrated rigid ultrasonic cystoscope system according to Embodiment 3 of the present invention.
  • FIG. 6 is a schematic view showing the end face structure of a rigid ultrasonic cystoscope according to a third embodiment of the present invention.
  • FIG. 7 is a schematic structural view of an integrated rigid ultrasonic hysteroscope system according to Embodiment 4 of the present invention.
  • Fig. 8 is a schematic view showing the end face structure of a rigid ultrasonic hysteroscope according to a fourth embodiment of the present invention. detailed description
  • Embodiment 1 Integrated hard ultrasonic arthroscopy system
  • the integrated rigid ultrasonic arthroscopy system of the present invention comprises a rigid ultrasonic arthroscope 11, a cold light source host 12, a system processor 13, a system keyboard 14, an endoscopic image monitor 15, and an ultrasound image.
  • Monitor 16 The rigid ultrasonic arthroscope 11 includes a surgical end 11A and an operating end 11B; the operating end 11B is provided with a cold light source input end 111, an image data output end 112 and a control unit 113; the length of the surgical end 11A is about 150 mm to 200 mm, and the diameter 8.0mm.
  • the system keyboard 14 is connected to the system processor 13, and the doctor can operate the system through the keyboard.
  • the cold light source input terminal 111 is connected to the cold light source host 12.
  • the image data output terminal 112, the endoscopic image monitor 15 and the ultrasonic image monitor 16 are respectively connected to the system processor 13 through the data lines, thereby respectively taking the endoscopic image data and the ultrasonic image data collected by the hard ultrasonic arthroscope 11 respectively. It is transmitted to the endoscopic image monitor 15 and the ultrasonic image monitor 16.
  • the control unit 113 is made of a waterproof and high temperature resistant material, and is provided with a start switch, an image freeze switch and a mode selection switch to facilitate the doctor's control of the ultrasonic scan.
  • the rigid ultrasonic arthroscope 11 is further provided with an instrument passage 114 extending therethrough.
  • the mechanical passage 114 is a linear instrument passage having a diameter of 3.0 mm and an opening 115 is provided on the end surface of the surgical end 11A.
  • the image data output 112 is designed to be at an angle of 45 to the longitudinal central axis of the rigid ultrasonic arthroscope 11.
  • the rigid ultrasonic arthroscope 11 is integrated with a micro-ultrasound probe 116, an endoscope lens 117 and a light guiding optical fiber on the end surface of the surgical end 11A, thereby forming an integrated rigid ultrasonic arthroscope.
  • the miniature ultrasonic probe 116 uses a replaceable ultrasonic probe that is convex, has a circular scan, a linear scan, and a stereoscopic reconstruction of the scan area.
  • the probe has a frequency of 5 MHz to 25 MHz.
  • the endoscopic image data collected by the endoscope lens 117 is transmitted to the endoscopic image monitor 15 through the image data output terminal 112 and the system processor 13, and the ultrasonic image data collected by the micro ultrasonic probe 116 passes through the image data output terminal 112.
  • the system processor 13 is transferred to the ultrasound image monitor 16. After processing by the system processor 13, the endoscopic image and the ultrasonic image collected by the rigid ultrasonic arthroscope 11 can be simultaneously displayed on the corresponding monitor.
  • the integrated rigid ultrasound gallbladder mirror system of the present invention comprises a rigid ultrasound gallbladder mirror 21, a cold light source host 22, a camera host 23A, an ultrasound system host 23B, a system keyboard 24, and an endoscopic image monitor. 25 and ultrasound image monitor 26.
  • the rigid ultrasound gallbladder mirror 21 includes a surgical end 21A and an operating end 21B; the operating end 21B is provided with a cold light source input end 211, an eyepiece output end 212A, an ultrasonic image output end 212B and a control unit 213; the length of the surgical end 21A is approximately 250mm ⁇ 300mm, diameter 10.0mm.
  • the system keyboard 24 is connected to the camera host 23A and the ultrasound system host 23B, and the doctor can operate the system by keyboard operation.
  • the cold light source input end 211 is connected to the cold light source host 22.
  • the eyepiece output end 212A is disposed on the longitudinal center axis of the rigid ultrasound gallbladder mirror 21.
  • the eyepiece output end 212A and the endoscopic image monitor 25 are respectively connected to the image pickup main unit 23A via the data line, thereby transmitting the endoscopic image data collected by the hard ultrasonic gallbladder mirror 21 to the endoscopic image monitor 25.
  • the ultrasonic image output terminal 212B and the ultrasonic image monitor 26 are respectively connected to the ultrasound system main body 23B through the data line, thereby transmitting the ultrasonic image data collected by the hard ultrasound gallbladder mirror 21 to the ultrasonic image monitor 26.
  • the ultrasound image output end 212B is designed to be at an angle of 45 to the longitudinal central axis of the rigid ultrasound gallbladder mirror 21.
  • the control unit 213 is prepared by using waterproof and high temperature resistant materials, and is also provided with a start switch, an image freeze switch and a mode selection switch to facilitate the doctor to perform ultrasonic scanning control.
  • the rigid ultrasound gallbladder mirror 21 is also provided with a plurality of instrument channels 214 therethrough and having a diameter ⁇ ⁇ 2.8 mm, the instrument channel 214 being provided with an opening 215 on the end face of the surgical end 21 A.
  • the rigid ultrasound gallbladder mirror 21 is integrated with a micro-ultrasound probe 216, an endoscope lens 217 and a light guiding optical fiber on the end surface of the surgical end 21A, thereby forming an integrated rigid ultrasound gallbladder mirror.
  • the miniature ultrasonic probe 216 is a detachable ultrasonic probe with a convex shape, a circular scan, a linear scan, and a stereoscopic reconstruction of the scanning area.
  • the frequency of the probe is 5 MHz to 25 MHz.
  • the endoscope lens 217 adopts an optical lens with a diameter of 2.8 mm, and the acquired endoscopic image data is transmitted to the endoscopic image monitor 25 through the eyepiece output end 212A and the camera host 23A, and the ultrasonic image data collected by the micro ultrasonic probe 216 is collected. It is then transmitted to the ultrasound image monitor 26 through the ultrasound image output 212B and the ultrasound system host 23B. After processing by the camera host 23 A and the ultrasound system host 23B, the endoscopic image and the ultrasound image acquired by the rigid ultrasound gallbladder 21 can be simultaneously displayed on the corresponding monitor.
  • the doctor When the doctor operates the integrated rigid ultrasound gallbladder mirror system of the present invention, a tiny incision is made in the bottom of the patient's gallbladder, and then the hard ultrasound gallbladder mirror 21 is inserted therein, and the endoscopic image monitor 25 can be clearly A condition within the gallbladder cavity of the patient is observed, and a surgical instrument can be introduced through the instrument channel 214 for surgery.
  • the doctor can activate the micro-ultrasound probe 216 through the activation switch on the control unit 213, perform a circular scan or a linear scan on the gallbladder cavity of the patient, and perform stereo reconstruction on the scan area, and observe the gallbladder cavity or the gallbladder wall in the patient through the ultrasound image monitor 26.
  • the condition of the lesion Example 3: Integrated rigid ultrasound cystoscopy system
  • the integrated rigid ultrasound cystoscope system of the present invention comprises a rigid ultrasonic cystoscope 31, a cold light source.
  • the rigid ultrasonic cystoscope 31 includes a surgical end 31A and an operating end 31B.
  • the operating end 31B is provided with a cold light source input end 311, an eyepiece output end 312A, an ultrasonic image output end 312B and a control unit 313.
  • the length of the surgical end 31A is approximately 220mm ⁇ 270mm, diameter s ⁇ 9.0mm.
  • the outer side of the surgical end 31A is surrounded by a sheath portion 310.
  • the sheath portion 310 is further provided with a water inlet passage 3101 and a water outlet passage 3102 extending therethrough.
  • the sheath portion 310 has a length of about 180 mm to 220 mm and a diameter of 10.0 mm.
  • the part is curved and blunt.
  • the system keyboard 34 is connected to the camera host 33A and the ultrasound system host 33B, and the doctor can operate the system by keyboard operation.
  • the cold light source input end 311 is coupled to the cold light source host 32.
  • the eyepiece output 312A is disposed on the longitudinal center axis of the rigid ultrasonic cystoscope 31.
  • the eyepiece output end 312A and the endoscopic image monitor 35 are respectively connected to the image pickup main unit 33A via the data line, thereby transmitting the endoscopic image data collected by the hard ultrasonic cystoscope 31 to the endoscopic image monitor 35.
  • the ultrasonic image output end 312B and the ultrasonic image monitor 36 are respectively connected to the ultrasonic system main unit 33B through the data line, thereby transmitting the ultrasonic image data collected by the hard ultrasonic cystoscope 31 to the ultrasonic image monitor 36.
  • the ultrasound image output end 312B is designed to be at an angle of 45 to the longitudinal central axis of the rigid ultrasound cystoscope 31.
  • the control unit 313 is prepared by using a waterproof and high temperature resistant material, and is provided with a start switch, an image freeze switch and a mode selection switch to facilitate the doctor to perform ultrasonic scanning control.
  • the rigid ultrasound cystoscope 31 is also provided with a plurality of instrument channels 314 therethrough and having a diameter of 2.0 mm.
  • the instrument channel 314 is provided with an opening 315 on the end face of the surgical end 31A.
  • the rigid ultrasonic cystoscope 31 is integrated with a micro-ultrasound probe 316, an endoscopic lens 317, and a light guiding optical fiber on the end surface of the surgical end 31A, thereby forming an integrated rigid ultrasonic cystoscope.
  • the miniature ultrasonic probe 316 adopts a replaceable ultrasonic probe, which is convex, has a circular scan, a linear scan, and a stereoscopic reconstruction of the scan area.
  • the frequency of the probe is 5 MHz to 25 MHz.
  • the endoscope lens 317 adopts an optical lens with a diameter of 1.9 m , and the collected endoscopic image data is transmitted to the endoscopic image monitor 35 through the eyepiece output end 312A and the camera host 33A, and the ultrasonic image acquired by the micro ultrasonic probe 316. Data is then transmitted to the ultrasound image monitor 36 via the ultrasound image output 312B and the ultrasound system host 33B. Through the processing of the imaging host 33A and the ultrasound system host 33B, the endoscopic image and the ultrasonic image collected by the rigid ultrasonic cystoscope 31 can be simultaneously displayed on the corresponding monitor.
  • the rigid ultrasound cystoscope 31 can be inserted into the bladder cavity from the patient's urethral opening, and the patient's bladder cavity can be clearly observed through the endoscopic image monitor 35.
  • a surgical instrument can be introduced through the instrument channel 314 for surgery.
  • the doctor can activate the micro-ultrasound probe 316 through the activation switch on the control unit 313, perform a circular scan or a linear scan on the bladder cavity of the patient, and perform stereo reconstruction on the scan area, and observe the bladder cavity or the bladder wall of the patient through the ultrasonic image monitor 36.
  • the condition of the lesion Embodiment 4: Integrated rigid ultrasound hysteroscopy system As shown in FIG.
  • the integrated rigid ultrasonic hysteroscopy system of the present invention comprises a rigid ultrasonic hysteroscope 41, a cold light source host 42, a camera host 43A, an ultrasound system host 43B, a system keyboard 44, and an endoscopic image. Monitor 45 and ultrasound image monitor 46.
  • the rigid ultrasonic hysteroscope 41 includes a surgical end 41A and an operating end 41B; the operating end 41B is provided with a cold light source input end 411, an eyepiece output end 412A, an ultrasonic image output end 412B and a control unit 413; the length of the surgical end 41A is approximately It is 250mm ⁇ 300mm and has a diameter of 10.0mm.
  • the outer side of the surgical end 41A is surrounded by a sheath portion 410.
  • the sheath portion 410 is further provided with a water inlet passage 4101 and a water outlet passage 4102 extending therethrough, and has a diameter of 12.0 mm, and the end portion has a blunt design.
  • the system keyboard 44 is connected to the camera host 43A and the ultrasound system host 43B, and the doctor can operate the system by keyboard operation.
  • the cold light source input terminal 411 is connected to the cold light source host 42.
  • the eyepiece output 412A is disposed on the longitudinal central axis of the rigid ultrasound hysteroscope 41.
  • the eyepiece output end 412A and the endoscopic image monitor 45 are respectively connected to the imaging host 43A via the data line, thereby transmitting the endoscopic image data collected by the rigid ultrasonic hysteroscope 41 to the endoscopic image monitor 45.
  • the ultrasonic image output end 412B and the ultrasonic image monitor 46 are respectively connected to the ultrasonic system main unit 43B through the data line, thereby transmitting the ultrasonic image data collected by the hard ultrasonic hysteroscope 41 to the ultrasonic image monitor 46.
  • the ultrasound image output 412B is designed to be at an angle of 45 to the longitudinal central axis of the rigid ultrasound hysteroscope 41.
  • the control unit 413 is prepared by using waterproof and high temperature resistant materials, and is also provided with a start switch, an image freeze switch and a mode selection switch to facilitate the doctor to perform ultrasonic scanning control.
  • the rigid ultrasound hysteroscope 41 is also provided with a plurality of instrument channels 414 extending therethrough and having a diameter ⁇ ⁇ 2.8 mm, the instrument channel 414 being provided with an opening 415 on the end face of the surgical end 41 A.
  • the rigid ultrasonic hysteroscope 41 is integrated with a micro-ultrasound probe 416, an endoscopic lens 417 and a light guiding optical fiber on the end surface of the surgical end 41A to form an integrated rigid ultrasonic hysteroscope.
  • the miniature ultrasonic probe 416 uses a replaceable ultrasonic probe that is convex, with a circular scan, a linear scan, and a stereoscopic reconstruction of the scanned area.
  • the probe has a frequency of 5 MHz to 25 MHz.
  • the endoscope lens 417 adopts an optical lens with a diameter of 2.8 mm, and the acquired endoscopic image data is transmitted to the endoscopic image monitor 45 through the eyepiece output end 412A and the camera host 43A, and the ultrasonic image data collected by the micro ultrasonic probe 416. It is then transmitted to the ultrasound image monitor 46 through the ultrasound image output 412B and the ultrasound system host 43B. After processing by the camera host 43 A and the ultrasound system host 43B, the endoscopic image and the ultrasound image acquired by the rigid ultrasound hysteroscope 41 can be simultaneously displayed on the corresponding monitor.
  • the rigid ultrasonic hysteroscope 41 can be introduced into the uterine cavity of the patient, and the endoscopic image monitor 45 can clearly observe the intrauterine cavity of the patient.
  • a surgical instrument can be introduced for surgery.
  • the doctor can activate the micro-ultrasound probe 416 through the activation switch on the control unit 413, perform a circular scan or a linear scan on the patient's uterine cavity, and perform stereoscopic reconstruction on the scan area, and observe the intrauterine cavity or the uterine cavity through the ultrasound image monitor 46.
  • the condition of the wall is the condition of the wall.

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Description

一体化硬质超声内镜*** 技术领域
本发明涉及一种一体化硬质超声内镜***， 属于医疗器械领域。 背景技术
目前， 内窥镜技术在临床上已经得到广泛的应用， 成为诊治疾病的一项重要工具。 内窥 镜可以经人体的天然孔道或者经手术切口进入人体内， 医生通过内窥镜可观察到体内的病变 情况， 从而采取有效的治疗手段。 然而， 通过传统的内窥镜只能观察到肉眼能够辨认的病变 情况， 对于肉眼不可见或者无法辨认的微小病灶尚无法确诊。
微型超声技术已经广泛应用于消化内科的各个领域， 通过微型超声探头对病变区域进行 超声扫描， 可以直观、 清晰地观察到病变情况， 提高诊断的准确性。 但是微型超声探头在使 用中容易由于使用不当而造成损伤， 而且由于微型超声探头与内镜配合使用时操作不方便， 存在不稳定性， 容易造成超声图像与内镜图像出现不同步和不稳定的情况， 干扰了医生的判 断， 影响了诊断质量。 发明内容
为了克服上述现有技术的不足， 本发明的目的在于将微型超声技术与硬质内镜进行有机 结合， 提供一种一体化硬质超声内镜***， 该一体化硬质超声内镜***具有操作方便、 稳定 性好等优点， 能确保内镜图像与超声图像同歩获取， 提高病变区域的图像质量， 大大提高诊 断的准确性。
本发明的目的是通过以下技术方案实现的：
本发明所述的一体化硬质超声内镜***， 包括有硬质超声内镜、 冷光源主机、 ***处理 机、 内镜图像监视器和超声图像监视器； 所述的硬质超声内镜包括手术端和操作端； 所述的 手术端在其端面上集成有微型超声探头、 内镜镜头和导光光纤， 从而形成一体化的硬质超声 内镜； 所述的操作端上设有冷光源输入端和图像数据输出端， 所述的冷光源输入端与所述的 冷光源主机相连接， 所述的图像数据输出端以及所述的内镜图像监视器和超声图像监视器分 别与所述的***处理机相连接， 从而将内镜镜头和微型超声探头釆集到的图像数据分别传送 到内镜图像监视器和超声图像监视器上； 所述的硬质超声内镜还设有贯穿其中并且在其手术 端的端面上设有开口的器械通道。
本发明所述的一体化硬质超声内镜***， 还可以包括有***键盘， 所述的***键盘与所 述的***处理机相连接， 以通过键盘操作实现对一体化硬质超声内镜***的操控。
在本发明中， 所述的微型超声探头为可置换型超声探头， 呈凸出状， 具有环形扫描、 线 性扫描以及对扫描区域进行立体重建的功能， 探头的频率为 5MHz〜25MHz。
在本发明中， 所述的硬质超声内镜的操作端上还可以设有控制单元， 所述的控制单元上 设有启动开关、 图像冻结开关和模式选择开关等， 以方便医生进行超声扫描的控制。
在本发明中， 所述的***处理机可包括有摄像主机和超声***主机； 所述的图像数据输 出端可包括有超声图像输出端和目镜输出端； 所述的超声图像输出端和超声图像监视器与所 述的超声***主机相连接； 所述的目镜输出端和内镜图像监视器与所述的摄像主机相连接。 其中， 所述的目镜输出端位于所述硬质超声内镜的纵向中轴线上， 所述的超声图像输出端与 所述硬质超声内镜的纵向中轴线成 45°角， 从而提高手术操作过程的稳定性和把握性。
在本发明中， 所述的硬质超声内镜可以是硬质超声关节镜、 硬质超声胆囊镜、 硬质超声 膀胱镜或者硬质超声宫腔镜等。
与现有技术相比， 本发明具有以下有益效果：
本发明所述的一体化硬质超声内镜***是在硬质内镜的基础上引入先进的微型超声扫描 技术， 将微型超声探头直接集成在硬质内镜的端面上， 保持了硬质内镜原有的结构， 提高了 硬质超声内镜的可操作性， 操作简单方便。 本发明所述的一体化硬质超声内镜， 由于采用了 一体化设计， 使得微型超声探头部分不容易受到损伤， 方便医生进行操作， 而且内镜图像与 超声图像更容易同步获得， 提高病变区域的图像质量， 大大地提高了诊断的准确性。 本发明 所述的一体化硬质超声内镜还设有贯穿其中的器械通道， 是带有手术治疗功能的硬质内镜， 而且其保持了硬质工作端部的特点， 有利于医生使用内镜进行手术。 附图说明
图 1是本发明实施例一所述的一体化硬质超声关节镜***的结构示意图。
图 2是本发明实施例一所述的硬质超声关节镜的端面结构示意图。
图 3是本发明实施例二所述的一体化硬质超声胆囊镜***的结构示意图。
图 4是本发明实施例二所述的硬质超声胆囊镜的端面结构示意图。
图 5是本发明实施例三所述的一体化硬质超声膀胱镜***的结构示意图。
图 6是本发明实施例三所述的硬质超声膀胱镜的端面结构示意图。
图 7是本发明实施例四所述的一体化硬质超声宫腔镜***的结构示意图。
图 8是本发明实施例四所述的硬质超声宫腔镜的端面结构示意图。 具体实施方式
下面结合附图对本发明的具体实施方式作进一步的详述。 实施例一： 一体化硬质超声关节镜***
如图 1所示， 本发明所述的一体化硬质超声关节镜***包括硬质超声关节镜 11、 冷光源 主机 12、 ***处理机 13、 ***键盘 14、 内镜图像监视器 15和超声图像监视器 16。硬质超声 关节镜 11包括有手术端 11A和操作端 11B; 操作端 11B上设有冷光源输入端 111、 图像数据 输出端 112和控制单元 113 ; 手术端 11A的长度约为 150mm〜200mm， 直径 8.0mm。 *** 键盘 14与***处理机 13相连接， 医生可通过键盘操作， 实现对本***的操控。 冷光源输入 端 111与冷光源主机 12相连接。图像数据输出端 112、内镜图像监视器 15和超声图像监视器 16分别通过数据线与***处理机 13相连接， 从而将硬质超声关节镜 11采集到的内镜图像数 据和超声图像数据分别传送到内镜图像监视器 15和超声图像监视器 16上。 控制单元 113采 用防水和耐高温的材料制备而成， 其上还设有启动开关、 图像冻结开关和模式选择开关， 以 方便医生进行超声扫描的控制。 硬质超声关节镜 11还设有一条贯穿其中的器械通道 114， 器 械通道 114为直线型器械通道， 其直径 3.0mm， 并在手术端 11A的端面上设有开口 115。 为了提高手术操作过程的稳定性和把握性， 图像数据输出端 112设计为与硬质超声关节镜 11 的纵向中轴线成 45°角。
如图 2所示， 硬质超声关节镜 11在其手术端 11A的端面上集成有微型超声探头 116、 内 镜镜头 117和导光光纤， 从而形成一体化的硬质超声关节镜。 微型超声探头 116采用可置换 型超声探头， 呈凸出状， 具有环形扫描、 线性扫描以及对扫描区域进行立体重建的功能， 探 头的频率为 5MHz〜25MHz。 内镜镜头 117采集到的内镜图像数据通过图像数据输出端 112 和***处理机 13传送到内镜图像监视器 15上， 而微型超声探头 116采集到的超声图像数据 则通过图像数据输出端 112和***处理机 13传送到超声图像监视器 16上。 经过***处理机 13 的处理， 硬质超声关节镜 11采集到的内镜图像和超声图像， 能够同步显示在相应的监视 器上。
医生操作本发明所述的一体化硬质超声关节镜***时， 先在患者的关节患处做一微小切 口， 然后将硬质超声关节镜 11***其内， 通过内镜图像监视器 15可清晰地观察到患者关节 患处的情况， 并且通过器械通道 114可引入手术器械进行手术。 医生可通过控制单元 113上 的启动开关启动微型超声探头 116， 对患者的关节患处进行环形扫描或者线性扫描， 并对扫 描区域进行立体重建， 通过超声图像监视器 16观察患者关节患处的病变情况。 实施例二： 一体化硬质超声胆囊镜*** 如图 3所示， 本发明所述的一体化硬质超声胆囊镜***包括硬质超声胆囊镜 21、 冷光源 主机 22、 摄像主机 23A、 超声***主机 23B、 ***键盘 24、 内镜图像监视器 25和超声图像 监视器 26。 硬质超声胆囊镜 21包括有手术端 21A和操作端 21B; 操作端 21B上设有冷光源 输入端 211、 目镜输出端 212A、 超声图像输出端 212B和控制单元 213 ; 手术端 21A的长度 约为 250mm〜300mm，直径 10.0mm。***键盘 24与摄像主机 23A和超声***主机 23B相 连接， 医生可通过键盘操作， 实现对本***的操控。冷光源输入端 211与冷光源主机 22相连 接。 目镜输出端 212A设置于硬质超声胆囊镜 21的纵向中轴线上。 目镜输出端 212A和内镜 图像监视器 25分别通过数据线与摄像主机 23A相连接， 从而将硬质超声胆囊镜 21采集到的 内镜图像数据传送到内镜图像监视器 25上。 超声图像输出端 212B和超声图像监视器 26分 别通过数据线与超声***主机 23B相连接， 从而将硬质超声胆囊镜 21采集到的超声图像数 据传送到超声图像监视器 26上。为了提高手术操作过程的稳定性和把握性，超声图像输出端 212B设计为与硬质超声胆囊镜 21的纵向中轴线成 45°角。控制单元 213采用防水和耐高温的 材料制备而成， 其上还设有启动开关、 图像冻结开关和模式选择开关， 以方便医生进行超声 扫描的控制。 硬质超声胆囊镜 21还设有若干贯穿其中并且直径≤≡2.8mm的器械通道 214， 器 械通道 214在手术端 21 A的端面上设有开口 215。
如图 4所示，硬质超声胆囊镜 21在其手术端 21A的端面上集成有微型超声探头 216、 内 镜镜头 217和导光光纤， 从而形成一体化的硬质超声胆囊镜。 微型超声探头 216采用可置换 型超声探头， 呈凸出状， 具有环形扫描、 线性扫描以及对扫描区域进行立体重建的功能， 探 头的频率为 5MHz〜25MHz。 内镜镜头 217采用直径 2.8mm的光学镜头， 其采集到的内镜 图像数据通过目镜输出端 212A和摄像主机 23A传送到内镜图像监视器 25上，而微型超声探 头 216采集到的超声图像数据则通过超声图像输出端 212B和超声***主机 23B传送到超声 图像监视器 26上。经过摄像主机 23 A和超声***主机 23B的处理， 硬质超声胆囊镜 21采集 到的内镜图像和超声图像， 能够同步显示在相应的监视器上。
医生操作本发明所述的一体化硬质超声胆囊镜***时， 先在患者的胆囊底部做一微小切 口， 然后将硬质超声胆囊镜 21***其内， 通过内镜图像监视器 25可清晰地观察到患者胆囊 腔内的情况， 并且通过器械通道 214可引入手术器械进行手术。 医生可通过控制单元 213上 的启动开关启动微型超声探头 216， 对患者的胆囊腔进行环形扫描或者线性扫描， 并对扫描 区域进行立体重建， 通过超声图像监视器 26观察患者胆囊腔内或胆囊壁的病变情况。 实施例三： 一体化硬质超声膀胱镜***
如图 5所示， 本发明所述的一体化硬质超声膀胱镜***包括硬质超声膀胱镜 31、 冷光源 主机 32、 摄像主机 33A、 超声***主机 33B、 ***键盘 34、 内镜图像监视器 35和超声图像 监视器 36。 硬质超声膀胱镜 31包括有手术端 31A和操作端 31B; 操作端 31B上设有冷光源 输入端 311、 目镜输出端 312A、 超声图像输出端 312B和控制单元 313 ; 手术端 31A的长度 约为 220mm〜270mm，直径 s≤9.0mm。手术端 31A的外侧包围有鞘管部分 310，鞘管部分 310 上还设有贯穿其中的进水通道 3101 和出水通道 3102， 鞘管部分 310 的长度约为 180mm〜 220mm, 直径 10.0mm， 其端部呈弯曲钝状。 ***键盘 34与摄像主机 33A和超声***主机 33B相连接， 医生可通过键盘操作， 实现对本***的操控。 冷光源输入端 311与冷光源主机 32相连接。 目镜输出端 312A设置于硬质超声膀胱镜 31的纵向中轴线上。 目镜输出端 312A 和内镜图像监视器 35分别通过数据线与摄像主机 33A相连接， 从而将硬质超声膀胱镜 31采 集到的内镜图像数据传送到内镜图像监视器 35上。 超声图像输出端 312B和超声图像监视器 36分别通过数据线与超声***主机 33B相连接， 从而将硬质超声膀胱镜 31采集到的超声图 像数据传送到超声图像监视器 36上。为了提高手术操作过程的稳定性和把握性，超声图像输 出端 312B设计为与硬质超声膀胱镜 31的纵向中轴线成 45°角。 控制单元 313采用防水和耐 高温的材料制备而成， 其上还设有启动开关、 图像冻结开关和模式选择开关， 以方便医生进 行超声扫描的控制。 硬质超声膀胱镜 31 还设有若干贯穿其中并且直径 2.0mm的器械通道 314， 器械通道 314在手术端 31A的端面上设有开口 315。
如图 6所示，硬质超声膀胱镜 31在其手术端 31A的端面上集成有微型超声探头 316、 内 镜镜头 317和导光光纤， 从而形成一体化的硬质超声膀胱镜。 微型超声探头 316采用可置换 型超声探头， 呈凸出状， 具有环形扫描、 线性扫描以及对扫描区域进行立体重建的功能， 探 头的频率为 5MHz〜25MHz。 内镜镜头 317采用直径 1.9mm的光学镜头， 其采集到的内镜 图像数据通过目镜输出端 312A和摄像主机 33A传送到内镜图像监视器 35上，而微型超声探 头 316采集到的超声图像数据则通过超声图像输出端 312B和超声***主机 33B传送到超声 图像监视器 36上。经过摄像主机 33 A和超声***主机 33B的处理， 硬质超声膀胱镜 31采集 到的内镜图像和超声图像， 能够同步显示在相应的监视器上。
医生操作本发明所述的一体化硬质超声膀胱镜***时，可将硬质超声膀胱镜 31从患者的 尿道口***膀胱腔，通过内镜图像监视器 35可清晰地观察到患者膀胱腔内的情况， 并且通过 器械通道 314可引入手术器械进行手术。 医生可通过控制单元 313上的启动开关启动微型超 声探头 316， 对患者的膀胱腔进行环形扫描或者线性扫描， 并对扫描区域进行立体重建， 通 过超声图像监视器 36观察患者膀胱腔内或膀胱壁的病变情况。 实施例四： 一体化硬质超声宫腔镜*** 如图 7所示， 本发明所述的一体化硬质超声宫腔镜***包括硬质超声宫腔镜 41、 冷光源 主机 42、 摄像主机 43A、 超声***主机 43B、 ***键盘 44、 内镜图像监视器 45和超声图像 监视器 46。 硬质超声宫腔镜 41包括有手术端 41A和操作端 41B; 操作端 41B上设有冷光源 输入端 411、 目镜输出端 412A、 超声图像输出端 412B和控制单元 413 ; 手术端 41A的长度 约为 250mm〜300mm， 直径 10.0mm。 手术端 41A的外侧包围有鞘管部分 410， 鞘管部分 410上还设有贯穿其中的进水通道 4101和出水通道 4102， 其直径 12.0mm， 其端部为钝状 设计。 ***键盘 44与摄像主机 43A和超声***主机 43B相连接， 医生可通过键盘操作， 实 现对本***的操控。 冷光源输入端 411与冷光源主机 42相连接。 目镜输出端 412A设置于硬 质超声宫腔镜 41的纵向中轴线上。 目镜输出端 412A和内镜图像监视器 45分别通过数据线 与摄像主机 43A相连接， 从而将硬质超声宫腔镜 41采集到的内镜图像数据传送到内镜图像 监视器 45上。 超声图像输出端 412B和超声图像监视器 46分别通过数据线与超声***主机 43B相连接，从而将硬质超声宫腔镜 41采集到的超声图像数据传送到超声图像监视器 46上。 为了提高手术操作过程的稳定性和把握性， 超声图像输出端 412B 设计为与硬质超声宫腔镜 41的纵向中轴线成 45°角。 控制单元 413采用防水和耐高温的材料制备而成， 其上还设有启 动开关、 图像冻结开关和模式选择开关， 以方便医生进行超声扫描的控制。 硬质超声宫腔镜 41还设有若干贯穿其中并且直径≤≡2.8mm的器械通道 414， 器械通道 414在手术端 41 A的端 面上设有开口 415。
如图 8所示，硬质超声宫腔镜 41在其手术端 41A的端面上集成有微型超声探头 416、 内 镜镜头 417和导光光纤， 从而形成一体化的硬质超声宫腔镜。 微型超声探头 416采用可置换 型超声探头， 呈凸出状， 具有环形扫描、 线性扫描以及对扫描区域进行立体重建的功能， 探 头的频率为 5MHz〜25MHz。 内镜镜头 417采用直径 2.8mm的光学镜头， 其采集到的内镜 图像数据通过目镜输出端 412A和摄像主机 43A传送到内镜图像监视器 45上，而微型超声探 头 416采集到的超声图像数据则通过超声图像输出端 412B和超声***主机 43B传送到超声 图像监视器 46上。经过摄像主机 43 A和超声***主机 43B的处理， 硬质超声宫腔镜 41采集 到的内镜图像和超声图像， 能够同步显示在相应的监视器上。
医生操作本发明所述的一体化硬质超声宫腔镜***时，可将硬质超声宫腔镜 41导入患者 宫腔内， 通过内镜图像监视器 45可清晰地观察到患者宫腔内的情况， 并且通过器械通道 414 可引入手术器械进行手术。 医生可通过控制单元 413上的启动开关启动微型超声探头 416， 对患者的宫腔进行环形扫描或者线性扫描， 并对扫描区域进行立体重建， 通过超声图像监视 器 46观察患者宫腔内或宫腔壁的病变情况。

Claims

权 利 要 求 书
1、 一体化硬质超声内镜***， 其特征在于： 包括硬质超声内镜、 冷光源主机、 ***处理 机、 内镜图像监视器和超声图像监视器； 所述的硬质超声内镜包括手术端和操作端； 所述的 手术端在其端面上集成有微型超声探头、 内镜镜头和导光光纤， 从而形成一体化的硬质超声 内镜； 所述的操作端上设有冷光源输入端和图像数据输出端， 所述的冷光源输入端与所述的 冷光源主机相连接， 所述的图像数据输出端以及所述的内镜图像监视器和超声图像监视器分 别与所述的***处理机相连接， 从而将内镜镜头和微型超声探头采集到的图像数据分别传送 到内镜图像监视器和超声图像监视器上； 所述的硬质超声内镜还设有贯穿其中并且在其手术 端的端面上设有开口的器械通道。
2、 根据权利要求 1所述的一体化硬质超声内镜***， 其特征在于： 还包括有***键盘， 所述的***键盘与所述的***处理机相连接， 以通过键盘操作实现对一体化硬质超声内镜系 统的操控。
3、根据权利要求 1所述的一体化硬质超声内镜***， 其特征在于： 所述的微型超声探头 为可置换型超声探头， 呈凸出状， 具有环形扫描、 线性扫描以及对扫描区域进行立体重建的 功能， 探头的频率为 5MHz〜25MHz。
4、根据权利要求 1所述的一体化硬质超声内镜***， 其特征在于： 所述硬质超声内镜的 操作端还设有控制单元， 所述的控制单元设有启动开关、 图像冻结开关和模式选择开关。
5、根据权利要求 1所述的一体化硬质超声内镜***， 其特征在于： 所述的***处理机包 括摄像主机和超声***主机； 所述的图像数据输出端包括超声图像输出端和目镜输出端； 所 述的超声图像输出端和超声图像监视器与所述的超声***主机相连接； 所述的目镜输出端和 内镜图像监视器与所述的摄像主机相连接。
6、根据权利要求 5所述的一体化硬质超声内镜***， 其特征在于： 所述的目镜输出端位 于所述硬质超声内镜的纵向中轴线上， 所述的超声图像输出端与所述硬质超声内镜的纵向中 轴线成 45°角。
7、根据权利要求 1所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声内镜 为硬质超声关节镜。
8、根据权利要求 7所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声关节 镜的手术端的长度为 150mn！〜 200mm， 直径 8.0mm; 所述的器械通道为直线型器械通道， 且直径 3.0mm。
9、根据权利要求 5所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声内镜 为硬质超声胆囊镜。
10、 根据权利要求 9所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声胆 囊镜的手术端的长度为 250mm〜300mm， 直径 10.0mm; 所述的器械通道的直径 2.8mm; 所述的内镜镜头采用直径 2.8mm的光学镜头。
11、 根据权利要求 5所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声内 镜为硬质超声膀胱镜。
12、根据权利要求 11所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声膀 胱镜还包括有包围在所述手术端外侧的鞘管部分， 所述的鞘管部分设有贯穿其中的进水通道 和出水通道， 鞘管部分的端部呈弯曲钝状。
13、根据权利要求 12所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声膀 胱镜的手术端的长度为 220mm〜270mm，直径 9.0mm; 所述的鞘管部分的长度为 180mn！〜 220mm,直径 10.0mm;所述的器械通道的直径 2.0mm;所述的内镜镜头采用直径 1.9mm 的光学镜头。
14、 根据权利要求 5所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声内 镜为硬质超声宫腔镜。
15、根据权利要求 14所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声宫 腔镜还包括有包围在所述手术端外侧的鞘管部分， 所述的鞘管部分设有贯穿其中的进水通道 和出水通道， 鞘管部分的端部为钝状设计。
16、根据权利要求 15所述的一体化硬质超声内镜***， 其特征在于： 所述的硬质超声宫 腔镜的手术端的长度为 250mm〜300mm，直径 10.0mm; 所述的鞘管部分的直径 12.0mm; 所述的器械通道的直径 2.81^^ 所述的内镜镜头采用直径 2.8mm的光学镜头。
PCT/CN2010/076366 2010-03-16 2010-08-26 一体化硬质超声内镜*** WO2011113258A1 (zh)

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CN 201010127354 CN101803904A (zh) 2010-03-16 2010-03-16 一体化硬质超声膀胱镜***
CN201010127396.8 2010-03-16
CN201010127354.4 2010-03-16
CN 201010127393 CN101785685A (zh) 2010-03-16 2010-03-16 一体化硬质超声宫腔镜***
CN 201010127396 CN101803905A (zh) 2010-03-16 2010-03-16 一体化硬质超声关节镜***
CN 201010127383 CN101810494A (zh) 2010-03-16 2010-03-16 一体化硬质超声胆囊镜***
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