WO2016107574A1 - Apparatus for multifunctional outer cannula for colonoscope - Google Patents

Apparatus for multifunctional outer cannula for colonoscope Download PDF

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Publication number
WO2016107574A1
WO2016107574A1 PCT/CN2015/099756 CN2015099756W WO2016107574A1 WO 2016107574 A1 WO2016107574 A1 WO 2016107574A1 CN 2015099756 W CN2015099756 W CN 2015099756W WO 2016107574 A1 WO2016107574 A1 WO 2016107574A1
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WIPO (PCT)
Prior art keywords
hose
zipper
outer sleeve
outer cannula
axial
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Application number
PCT/CN2015/099756
Other languages
French (fr)
Chinese (zh)
Inventor
杨幼林
Original Assignee
杨幼林
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Publication date
Application filed by 杨幼林 filed Critical 杨幼林
Publication of WO2016107574A1 publication Critical patent/WO2016107574A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/31Instruments 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 rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00131Accessories for endoscopes
    • A61B1/00135Oversleeves mounted on the endoscope prior to insertion

Definitions

  • the present invention relates to an auxiliary device for colonoscopy, and more particularly to a multifunctional outer cannula device for colonoscopy.
  • the existing colonoscope is a soft endoscope.
  • the endoscope In the curved part of the sigmoid colon, the spleen, the liver sac, etc., the endoscope is easy to form a curve, and the endoscope is a soft and flexible endoscope: the endoscope is used for the endoscopy.
  • the examiner is almost painless and more likely to bend into a mole, which can cause difficulties in the insertion of the endoscope.
  • the cavity searching method is divided into two types: water injection type and gas injection type. When the amount of water in the intestine is too much, the liquid will be discharged from the anus, causing the examination bed and the subject's own clothes to be contaminated. When the intestine is inflated too much, the subject may feel uncomfortable with bloating.
  • the multi-functional outer cannula device for colonoscopy of the present invention comprises an outer sleeve, a four-way tube and a first steel wire, the first steel wire is spirally disposed in the wall thickness of the outer sleeve, and the four-way tube is disposed at the lower end of the outer sleeve
  • the four-way tube is tightly coupled to the outer sleeve, and the upper end of the outer sleeve is provided with a sloped surface, the inclined angle of the inclined surface is 30° to 60°, and the upper end side wall of the outer sleeve is provided with a drainage hole
  • the fourth The through pipe is composed of a first axially plucking hose, a first zipper, a first partial hose and a second partial hose, and the first zipper is disposed at an axially plucking end of the first axial plunging hose, a zipper forms a first axially plunging hose to form a closed tube, the first partial
  • the invention can discharge the liquid and gas in the intestinal tract of the subject through the external drainage tube through the four-way tube, balance the liquid and gas pressure in the intestinal tract; avoid excessive water injection in the intestinal tract, and the liquid will Excretion from the anus causes problems in the examination of the bed and the subject's own clothes and avoids the problem of excessive abdominal gas in the intestines causing abdominal distension and abdominal pain.
  • the appropriate elastic resistance of the outer cannula can follow the endoscope sliding, resisting the elastic resistance of the intestine, so that the outer cannula will form a relatively non-bending stable channel in the straight-B- descending colon area, the endoscope does not Will form a bend
  • the outer cannula creates a relatively stable passageway in the lumen of the intestine, which facilitates the insertion of the endoscope into the ileocecal portion, making operation both smooth and less patiently uncomfortable.
  • the present invention solves the problem that the closed outer sleeve is pre-placed before the endoscope is inserted, which affects the performance of the endoscope.
  • FIG. 1 is a front cross-sectional view showing a first embodiment of the present invention
  • Figure 2 is a partial enlarged view of I of Figure 1;
  • Figure 3 is a partial enlarged view of the ⁇ of Figure 1;
  • Figure 4 is a cross-sectional view taken along line A-A of Figure 1;
  • Figure 5 is a cross-sectional view taken along line B-B of Figure 1;
  • FIG. 6 is a front cross-sectional view showing a eighth embodiment of the present invention.
  • the present embodiment includes an outer sleeve 1, a four-way tube 4 and a first steel wire 7, and the first steel wire 7 is spirally disposed on the wall thickness of the outer sleeve 1.
  • the four-way pipe 4 is disposed at the lower end of the outer casing 1, and the four-way pipe 4 is tightly coupled with the outer casing 1, so as to prevent the outer casing 1 from being separated from the four-way pipe 4, and the upper end of the outer casing 1 is provided with a slope 1 -5, the oblique angle ⁇ of the inclined surface 1-5 is 30° ⁇ 60°,
  • the side wall of the upper end of the sleeve 1 is provided with a drainage hole 1-6
  • the four-way tube 4 is composed of a first axial discharge hose 4-1, a first zipper 4-2, a first branch hose 4-3 and The second sub-bundle 4-4 is composed, the first zipper 4-2 is disposed at the axially-disposed end of the first axially-discharged hose 4-1, and the first zipper 4-2 is softened by the first axial yoke
  • the tube 4-1 constitutes a closed tube
  • the first branch hose 4-3 and the second branch hose 4-4 are disposed on both
  • the angle ⁇ between the axis of the first partial hose 4-3 and the axis of the second partial hose 4-4 and the axis of the first axial discharge hose 4-1 is 45°.
  • the first branch hose 4-3 is connected to the external drainage tube 6, and the external drainage tube 6 has a pressure regulating valve.
  • the gas in the intestinal tract is excessively sputum, the patient has a feeling of bloating, snoring the pressure regulating valve, and passing the intestinal tract. Multi-gas extraction; When the amount of gas in the intestine is small, the intestinal tract is not obvious, and the pressure regulating valve needs to be closed. If a sub-hose 4-3 ⁇ is required, the second sub-bundle 4-4 can be closed with a plug 4-5.
  • the outer sleeve 1 is made of polyvinyl chloride.
  • the present embodiment is described with reference to Fig. 1.
  • the outer sleeve 1 of the present embodiment has a length of 30 mm to 800 mm.
  • Other compositions and connection relationships are the same as in the first embodiment.
  • the present embodiment is described in conjunction with FIG. 1.
  • the present embodiment differs from the fourth embodiment in that it further includes an airbag 2 and a gas injection conduit 5 which is fitted over the upper end of the outer sleeve 1 and
  • the venting hole 1-3 is disposed on the outer wall of the outer casing 1 and the outer casing 1 corresponding to the inner cavity of the air bag 2 is provided with a venting opening 1 communicating with the venting opening 1-3.
  • the output end of the gas injection conduit 5 is in communication with the vent 1-3, and the input end of the gas injection conduit 5 is connected to an external gas distributor.
  • the input end of the gas injection conduit 5 is connected to an external gas supplier, and the gas capsule 2 is integrated with the outer sleeve 1.
  • the diameter of the airbag 2 after inflation is 30 mm to 50 mm.
  • the length of the gas injection conduit 5 is 200 mm to 400 mm.
  • Other components and connection relationships are the same as in the fourth embodiment.
  • Embodiment 6 The present embodiment is described with reference to FIG. 6.
  • the present embodiment differs from the fifth embodiment in that it further has an extension tube 3 and a second steel wire, and the second steel wire is spirally disposed on the wall of the extension tube 3.
  • the extension pipe 3 is disposed between the outer casing 1 and the four-way pipe 4, and one end of the extension pipe 3 is tightly coupled with the outer casing 1, and the other end of the extension pipe 3 is tightly coupled with the four-way pipe 4.
  • the material of the extension tube 3 is polyvinyl chloride.
  • the length of the extension tube 3 is 10 mm to 300 mm.
  • Other compositions and connection relationships are the same as in the fifth embodiment.
  • the present embodiment includes an outer casing 1, an airbag 2, a four-way pipe 4, and a gas injection conduit 5, and the outer casing 1 is composed of a second axial direction.
  • the sleeving hose 1-1 and the second zipper 1-2 are composed, and the second zipper 1-2 is disposed at the axial plunging end of the second axial boring hose 1-1, and the second zipper 1-2 will be
  • the two-axis discharge hose 1-1 constitutes a closed outer sleeve 1
  • the airbag 2 is disposed at the upper end of the outer sleeve 1
  • the airbag 2 is tightly fitted on the outer sleeve 1
  • the outer sleeve 1 is provided with a wall thickness
  • the air vent 1-3, the outer sleeve 1 corresponding to the inner cavity of the air bag 2 is provided with a venting hole 1-4 communicating with the vent hole 1-3, and the four-way pipe 4 is disposed at the lower end of the outer casing 1, the four-way pipe 4 and the outer casing
  • the tube 1 is connected, and the output end of the gas injection conduit 5 is connected to the vent hole 1-3.
  • the upper end of the outer sleeve 1 is provided with a slope 1-5, and the oblique angle ⁇ of the slope 1-5 is 30° ⁇ 60°.
  • the outer sleeve 1 is provided with a drainage hole 1-6, and the drainage hole 1-6 is located above the airbag 2.
  • the four-way tube 4 is provided by a first axially extending hose 4-1 and a first zipper 4-2.
  • the first axial discharge hose 4- 1 constitutes a closed tube
  • the first partial hose 4-3 and the second partial hose 4-4 are disposed on both sides of the closed pipe
  • the first partial hose 4-3 and The second partial hose 4-4 is integrally formed with the first axial discharge hose 4-1.
  • the angle between the axis of the first partial hose 4-3 and the axis of the second partial flexible tube 4-4 and the axis of the first axially distracting hose 4-1 is 45°.
  • the first branch hose 4-3 is connected to the external drainage tube 6, and the external drainage tube 6 has a pressure regulating valve.
  • the gas in the intestinal tract is excessively sputum, the patient has a feeling of bloating, snoring the pressure regulating valve, and passing the intestinal tract.
  • Multi-gas extraction When the amount of gas in the intestine is small, the intestinal tract is not obvious, and the pressure regulating valve needs to be closed. If a sub-hose 4-3 ⁇ is required, the second sub-bracket 4-4 can be closed with plugs 4-5.
  • the present embodiment is described with reference to Fig. 1.
  • the outer sleeve 1 of the present embodiment has a length of 30 mm to 800 mm.
  • Other compositions and connection relationships are the same as in the eighth embodiment.
  • the present embodiment is described with reference to Fig. 1.
  • the outer sleeve 1 of the present embodiment has a length of 40 mm.
  • Other components and connection relationships are the same as those of the specific implementation party 9.
  • the present embodiment is described with reference to FIG. 6.
  • This embodiment differs from the specific embodiment 7 in that it further has an extension tube 3 which is disposed on the outer sleeve 1 and the four-way tube 4. Meanwhile, one end of the extension pipe 3 is tightly coupled with the outer casing 1 , and the other end of the extension pipe 3 is tightly coupled with the four-way pipe 4.
  • the length of the extension tube 3 is 10 mm to 300 mm.
  • Other compositions and connection relationships are the same as in the seventh embodiment.
  • the first branch hose 4-3 is connected to the external draft tube 6, and the input end of the gas injection conduit 5 is connected to an external gas distributor.
  • the endoscope of the colon is inserted into the outer cannula 1 from the lower end of the four-way tube 4, and the endoscope is passed through the rectum, the sigmoid colon, the descending colon, and the spleen of the colon to reach the transverse colon, and the endoscope is straightened to conform the outer cannula 1
  • the mirror is sent into the intestinal lumen, and the position of the outer cannula 1 forms a relatively stable and relatively straight passage in the intestinal lumen, and the endoscope can smoothly pass through the sigmoid colon without bending and bending.
  • the endoscope is smoothly inserted into the ileocecal area.
  • the external drainage tube connected to the four-way tube is operated by the water-filled colonoscopy, and the excessive amount of liquid and gas in the intestine of the subject flows out through the external drainage tube, which does not pollute the inspection table and does not pollute the subject.
  • Pants Similarly, during the inflation observation process, excessive gas in the intestinal lumen will be excreted from the external drainage tube, reducing the pressure in the intestinal tract, so that the subject has no feeling of abdominal distension and abdominal pain, thereby the four-way tube 4 The role of pressure balance in the intestine.

Abstract

An apparatus for a multifunctional outer cannula (1) for a colonoscope, which relates to an auxiliary device for colonoscopy and aims at solving the problems that a bent loop is prone to being formed in the feeding process of a soft endoscope, when water is injected into the enteric cavity, liquid is drained out of the anus and contaminates an examining table and clothes, and abdominal distension discomfort is caused to a patient when too much air is injected. The apparatus comprises a first steel wire (7), spirally arranged in the thick wall of an outer cannula (1), and a four-way pipe (4), arranged at the lower end of the outer cannula (1). The four-way pipe (4) and the outer cannula (1) are in close fit connection, an inclined face (1-5) is provided at the upper end of the outer cannula (1), and the oblique angle of the inclined face (1-5) is 30°-60°. A drainage hole (1-6) is formed on the side wall at the upper end of the outer cannula (1), the four-way pipe (4) is composed of a first axially-open hose (4-1), a first zipper (4-2), a first branch hose (4-3) and a second branch hose (4-4). The first zipper (4-2) is arranged at the axially-open end of the first axially-open hose (4-1), a closed pipe is formed by the first axially-open hose (4-1) by means of the first zipper (4-2), and the first branch hose (4-3) and the second branch hose (4-4) are arranged at the two sides of the closed pipe.

Description

结肠镜用多功能外套管装置 技术领域  Multifunctional outer cannula device for colonoscopy
[0001] 本发明涉及一种用于结肠镜检査的辅助设备, 具体涉及结肠镜用多功能外套管 装置。  [0001] The present invention relates to an auxiliary device for colonoscopy, and more particularly to a multifunctional outer cannula device for colonoscopy.
背景技术  Background technique
[0002] 现有结肠镜为软式内镜, 在通过乙状结肠、 脾曲、 肝曲等弯曲部位吋, 内镜容 易形成弯襻, 性能纤细柔软的内镜鼻胃镜:用鼻胃镜做肠镜受检者几乎无痛苦更 易打弯成襻, 会给内镜的***造成困难。 结肠镜的寻腔方法分为注水式和注气 式两种。 当肠道内注水量过多吋液体会由***排出, 导致检査床及受检者本人 的衣裤被污染。 当肠管充气过多受检者会觉得腹胀不适。  [0002] The existing colonoscope is a soft endoscope. In the curved part of the sigmoid colon, the spleen, the liver sac, etc., the endoscope is easy to form a curve, and the endoscope is a soft and flexible endoscope: the endoscope is used for the endoscopy. The examiner is almost painless and more likely to bend into a mole, which can cause difficulties in the insertion of the endoscope. The cavity searching method is divided into two types: water injection type and gas injection type. When the amount of water in the intestine is too much, the liquid will be discharged from the anus, causing the examination bed and the subject's own clothes to be contaminated. When the intestine is inflated too much, the subject may feel uncomfortable with bloating.
技术问题  technical problem
[0003] 本发明为了解决软式内镜在进镜过程中尤其是通过乙状结肠部位吋容易形成弯 襻和向肠腔内注水导致液体由***排出污染检査床、 衣裤及注气过多给受检者 会带来腹胀不适的问题, 提供结肠镜用多功能外套管装置。  [0003] In order to solve the problem that the soft endoscope is easy to form a curve and inject water into the intestinal cavity during the process of entering the mirror, the liquid is discharged from the anus by the anus to inspect the bed, the underwear and the gas injection. The subject will have problems with bloating discomfort, and a multi-functional outer cannula device for colonoscopy is provided.
问题的解决方案  Problem solution
技术解决方案  Technical solution
[0004] 本发明的结肠镜用多功能外套管装置包括外套管、 四通管和第一钢丝, 所述第 一钢丝螺旋设置在外套管的壁厚中, 四通管设置在外套管的下端, 四通管与外 套管紧配合连接, 所述外套管的上端设有斜面, 所述斜面的斜角为 30°〜60°, 所 述外套管上端侧壁上设有引流孔, 所述四通管由第一轴向幵放软管、 第一拉链 、 第一分软管和第二分软管组成, 第一拉链设置在第一轴向幵放软管的轴向幵 放端, 第一拉链将第一轴向幵放软管组成封闭管, 第一分软管和第二分软管设 置在封闭管的两侧, 且第一分软管和第二分软管与第一轴向幵放软管制成一体 发明的有益效果  [0004] The multi-functional outer cannula device for colonoscopy of the present invention comprises an outer sleeve, a four-way tube and a first steel wire, the first steel wire is spirally disposed in the wall thickness of the outer sleeve, and the four-way tube is disposed at the lower end of the outer sleeve The four-way tube is tightly coupled to the outer sleeve, and the upper end of the outer sleeve is provided with a sloped surface, the inclined angle of the inclined surface is 30° to 60°, and the upper end side wall of the outer sleeve is provided with a drainage hole, and the fourth The through pipe is composed of a first axially plucking hose, a first zipper, a first partial hose and a second partial hose, and the first zipper is disposed at an axially plucking end of the first axial plunging hose, a zipper forms a first axially plunging hose to form a closed tube, the first partial hose and the second partial hose are disposed on both sides of the closed tube, and the first partial hose and the second partial hose and the first shaft The invention has the beneficial effects of making the hose
有益效果 [0005] 一、 本发明可通过四通管将受检者肠道内过的液体和气体经外部引流管排出, 平衡了肠道内的液体和气体压力; 避免了肠道内注水量过多, 液体会由***排 出, 导致检査床及受检者本人的衣裤被污染的问题和避免了肠道内气体过多导 致受检者腹胀腹痛的问题。 Beneficial effect [0005] 1. The invention can discharge the liquid and gas in the intestinal tract of the subject through the external drainage tube through the four-way tube, balance the liquid and gas pressure in the intestinal tract; avoid excessive water injection in the intestinal tract, and the liquid will Excretion from the anus causes problems in the examination of the bed and the subject's own clothes and avoids the problem of excessive abdominal gas in the intestines causing abdominal distension and abdominal pain.
[0006] 二、 外套管合适的弹性阻力可顺应内镜滑行, 可抵抗肠管的弹性阻力使外套管 在直-乙 -降结肠区域内会形成一个相对无弯襻的稳定的通道, 内镜不会形成弯襻[0006] Second, the appropriate elastic resistance of the outer cannula can follow the endoscope sliding, resisting the elastic resistance of the intestine, so that the outer cannula will form a relatively non-bending stable channel in the straight-B- descending colon area, the endoscope does not Will form a bend
, 使内镜容易通过困难部位插向回盲部。 , making the endoscope easy to insert into the ileocecal part through difficult parts.
[0007] 三、 当遇特殊情况横结肠或者乙状结肠相对冗长的受检者则可使用气囊, 通过 注气导管将气囊充起, 使气囊与肠管相对固定, 回拉外套管可缩短、 取直肠管[0007] Third, in the case of special cases of the transverse colon or sigmoid colon relatively long can use the balloon, through the gas injection catheter to fill the balloon, so that the balloon and the intestine can be relatively fixed, pull the outer cannula can shorten, take the rectal tube
。 外套管在肠腔内会形成一个相对稳定的通道, 有助内镜***回盲部, 使得操 作既变得顺利又减轻了患者的不适。 . The outer cannula creates a relatively stable passageway in the lumen of the intestine, which facilitates the insertion of the endoscope into the ileocecal portion, making operation both smooth and less patiently uncomfortable.
[0008] 四、 本发明解决了在内镜***前预先安放偏长的闭合式外套管, 影响内镜性能[0008] Fourth, the present invention solves the problem that the closed outer sleeve is pre-placed before the endoscope is inserted, which affects the performance of the endoscope.
, 给操作者造成操作不便的问题。 解决了偏短的外套管***后不能按需延长的 问题。 , causing problems for the operator to operate inconvenience. The problem that the short outer sleeve cannot be extended as needed after insertion is solved.
对附图的简要说明  Brief description of the drawing
附图说明  DRAWINGS
[0009] 图 1是本发明的具体实施方式一的主剖视图;  1 is a front cross-sectional view showing a first embodiment of the present invention;
[0010] 图 2是图 1的 I局部放大图;  Figure 2 is a partial enlarged view of I of Figure 1;
[0011] 图 3是图 1的 Π局部放大图;  Figure 3 is a partial enlarged view of the Π of Figure 1;
[0012] 图 4是图 1的 A-A截面图;  Figure 4 is a cross-sectional view taken along line A-A of Figure 1;
[0013] 图 5是图 1的 B-B剖视图;  Figure 5 is a cross-sectional view taken along line B-B of Figure 1;
[0014] 图 6是本发明的具体实施方式八的主剖视图。  6 is a front cross-sectional view showing a eighth embodiment of the present invention.
本发明的实施方式 Embodiments of the invention
[0015] 具体实施方式一: 结合图 1和图 2说明本实施方式, 本实施方式包括外套管 1、 四通管 4和第一钢丝 7, 第一钢丝 7螺旋设置在外套管 1的壁厚中, 四通管 4设置在 外套管 1的下端, 四通管 4与外套管 1紧配合连接, 这样设计防止使用吋外套管 1 与四通管 4脱离, 外套管 1的上端设有斜面 1-5, 斜面 1-5的斜角 α为 30°〜60°, 夕卜 套管 1上端侧壁上设有引流孔 1-6, 所述四通管 4由第一轴向幵放软管 4-1、 第一拉 链 4-2、 第一分软管 4-3和第二分软管 4-4组成, 第一拉链 4-2设置在第一轴向幵放 软管 4-1的轴向幵放端, 第一拉链 4-2将第一轴向幵放软管 4-1组成封闭管, 第一 分软管 4-3和第二分软管 4-4设置在封闭管的两侧, 且第一分软管 4-3和第二分软 管 4-4与第一轴向幵放软管 4-1制成一体。 第一分软管 4-3的轴线和第二分软管 4-4 的轴线与第一轴向幵放软管 4-1的轴线之间夹角 β均为 45°。 第一分软管 4-3与外部 引流管 6连接, 外部引流管 6上有压力调节阀, 当肠道内气体过多吋, 患者有腹 胀的感觉吋, 打幵压力调节阀, 将肠道内过多气体引出; 当肠道内气体量少吋 , 肠道张幵不明显, 此吋需要将压力调节阀关闭。 若需要用一个分软管 4-3吋, 可将第二分软管 4-4用堵 4-5封闭。 外套管 1的材质为聚氯乙烯。 DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS First, the present embodiment will be described with reference to FIG. 1 and FIG. 2. The present embodiment includes an outer sleeve 1, a four-way tube 4 and a first steel wire 7, and the first steel wire 7 is spirally disposed on the wall thickness of the outer sleeve 1. The four-way pipe 4 is disposed at the lower end of the outer casing 1, and the four-way pipe 4 is tightly coupled with the outer casing 1, so as to prevent the outer casing 1 from being separated from the four-way pipe 4, and the upper end of the outer casing 1 is provided with a slope 1 -5, the oblique angle α of the inclined surface 1-5 is 30°~60°, The side wall of the upper end of the sleeve 1 is provided with a drainage hole 1-6, and the four-way tube 4 is composed of a first axial discharge hose 4-1, a first zipper 4-2, a first branch hose 4-3 and The second sub-bundle 4-4 is composed, the first zipper 4-2 is disposed at the axially-disposed end of the first axially-discharged hose 4-1, and the first zipper 4-2 is softened by the first axial yoke The tube 4-1 constitutes a closed tube, and the first branch hose 4-3 and the second branch hose 4-4 are disposed on both sides of the closed tube, and the first branch hose 4-3 and the second branch hose 4- 4 is integrally formed with the first axial discharge hose 4-1. The angle β between the axis of the first partial hose 4-3 and the axis of the second partial hose 4-4 and the axis of the first axial discharge hose 4-1 is 45°. The first branch hose 4-3 is connected to the external drainage tube 6, and the external drainage tube 6 has a pressure regulating valve. When the gas in the intestinal tract is excessively sputum, the patient has a feeling of bloating, snoring the pressure regulating valve, and passing the intestinal tract. Multi-gas extraction; When the amount of gas in the intestine is small, the intestinal tract is not obvious, and the pressure regulating valve needs to be closed. If a sub-hose 4-3 需要 is required, the second sub-bundle 4-4 can be closed with a plug 4-5. The outer sleeve 1 is made of polyvinyl chloride.
[0016] 具体实施方式二: 结合图 1说明本实施方式, 本实施方式的外套管 1的长度为 30 0mm〜800mm。 其它组成及连接关系与具体实施方式一相同。  [Embodiment 2] The present embodiment is described with reference to Fig. 1. The outer sleeve 1 of the present embodiment has a length of 30 mm to 800 mm. Other compositions and connection relationships are the same as in the first embodiment.
[0017] 具体实施方式三: 结合图 1说明本实施方式, 本实施方式的外套管 1的长度为 40 0mm。 其它组成及连接关系与具体实施方式二相同。  [Embodiment 3] The present embodiment will be described with reference to Fig. 1. The length of the outer tube 1 of the present embodiment is 40 mm. Other compositions and connection relationships are the same as in the second embodiment.
[0018] 具体实施方式四: 结合图 1说明本实施方式, 本实施方式的所述斜角 α为 45°。  [Embodiment 4]: The present embodiment is described with reference to Fig. 1, and the oblique angle α of the present embodiment is 45°.
这样设计便于外套管进入肠道。 其它组成及连接关系与具体实施方式一或二相 同。  This design facilitates the insertion of the outer cannula into the intestine. Other compositions and connection relationships are the same as those of the specific embodiment one or two.
[0019] 具体实施方式五: 结合图 1说明本实施方式, 本实施方式与具体实施方式四不 同的是它还增加有的气囊 2和注气导管 5, 气囊 2套装在外套管 1的上端且位于弓 I 流孔 1-6的下面, 外套管 1的壁厚上设有通气孔 1-3, 气囊 2内腔对应的外套管 1上 设有与通气孔 1-3相通的排气孔 1-4, 注气导管 5的输出端与通气孔 1-3连通, 注气 导管 5的输入端与外接输气器连接。 注气导管 5的输入端与外接输气器连接, 气 囊 2与外套管 1制成一体。 气囊 2充气后的直径 30mm〜50mm。 注气导管 5的长度 为 200mm〜400mm。 其它组成及连接关系与具体实施方式四相同。  DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS [0019] The present embodiment is described in conjunction with FIG. 1. The present embodiment differs from the fourth embodiment in that it further includes an airbag 2 and a gas injection conduit 5 which is fitted over the upper end of the outer sleeve 1 and The venting hole 1-3 is disposed on the outer wall of the outer casing 1 and the outer casing 1 corresponding to the inner cavity of the air bag 2 is provided with a venting opening 1 communicating with the venting opening 1-3. -4, the output end of the gas injection conduit 5 is in communication with the vent 1-3, and the input end of the gas injection conduit 5 is connected to an external gas distributor. The input end of the gas injection conduit 5 is connected to an external gas supplier, and the gas capsule 2 is integrated with the outer sleeve 1. The diameter of the airbag 2 after inflation is 30 mm to 50 mm. The length of the gas injection conduit 5 is 200 mm to 400 mm. Other components and connection relationships are the same as in the fourth embodiment.
[0020] 具体实施方式六: 结合图 6说明本实施方式, 本实施方式与具体实施方式五不 同的是它还增加有延长管 3和第二钢丝, 第二钢丝螺旋设置在延长管 3的壁厚中 , 延长管 3设置在外套管 1与四通管 4之间, 且延长管 3的一端与外套管 1紧配合连 接, 延长管 3的另一端与四通管 4紧配合连接。 延长管 3的材质为聚氯乙烯。 当遇 到患者的横结肠或者乙状结肠相对冗长吋, 外套管 1的长度受限, 需要增加外套 管 1的长度。 延长管 3的长度为 10mm〜300mm。 其它组成及连接关系与具体实施 方式五相同。 [0020] Embodiment 6: The present embodiment is described with reference to FIG. 6. The present embodiment differs from the fifth embodiment in that it further has an extension tube 3 and a second steel wire, and the second steel wire is spirally disposed on the wall of the extension tube 3. In the thick middle, the extension pipe 3 is disposed between the outer casing 1 and the four-way pipe 4, and one end of the extension pipe 3 is tightly coupled with the outer casing 1, and the other end of the extension pipe 3 is tightly coupled with the four-way pipe 4. The material of the extension tube 3 is polyvinyl chloride. When To the patient's transverse colon or sigmoid colon is relatively long, the length of the outer cannula 1 is limited, and the length of the outer cannula 1 needs to be increased. The length of the extension tube 3 is 10 mm to 300 mm. Other compositions and connection relationships are the same as in the fifth embodiment.
[0021] 具体实施方式七: 结合图 1〜图 4说明本实施方式, 本实施方式包括外套管 1、 气囊 2、 四通管 4和注气导管 5, 所述外套管 1由第二轴向幵放软管 1-1和第二拉链 1 -2组成, 第二拉链 1-2设置在第二轴向幵放软管 1-1的轴向幵放端, 第二拉链 1-2将 第二轴向幵放软管 1-1组成封闭外套管 1, 所述气囊 2设置在外套管 1的上端, 且气 囊 2紧配合安装在外套管 1上, 外套管 1的壁厚上设有通气孔 1-3, 气囊 2内腔对应 的外套管 1上设有与通气孔 1-3相通的排气孔 1-4, 四通管 4设置在外套管 1的下端 , 四通管 4与外套管 1连接, 注气导管 5的输出端与通气孔 1-3连通, 所述外套管 1 的上端设有斜面 1-5, 所述斜面 1-5的斜角 α为 30°〜60°, 所述外套管 1上设有引流 孔 1-6, 引流孔 1-6位于气囊 2的上方, 所述四通管 4由第一轴向幵放软管 4-1、 第 一拉链 4-2、 第一分软管 4-3和第二分软管 4-4组成, 第一拉链 4-2设置在第一轴向 幵放软管 4- 1的轴向幵放端, 第一拉链 4-2将第一轴向幵放软管 4- 1组成封闭管, 第一分软管 4-3和第二分软管 4-4设置在封闭管的两侧, 且第一分软管 4-3和第二 分软管 4-4与第一轴向幵放软管 4-1制成一体。 第一分软管 4-3的轴线和第二分软 管 4-4的轴线与第一轴向幵放软管 4-1的轴线之间夹角 β均为 45°。 第一分软管 4-3与 外部引流管 6连接, 外部引流管 6上有压力调节阀, 当肠道内气体过多吋, 患者 有腹胀的感觉吋, 打幵压力调节阀, 将肠道内过多气体引出; 当肠道内气体量 少吋, 肠道张幵不明显, 此吋需要将压力调节阀关闭。 若需要用一个分软管 4-3 吋, 可将第二分软管 4-4用堵 4-5封闭。  DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Seventh Embodiment: This embodiment is described with reference to FIG. 1 to FIG. 4. The present embodiment includes an outer casing 1, an airbag 2, a four-way pipe 4, and a gas injection conduit 5, and the outer casing 1 is composed of a second axial direction. The sleeving hose 1-1 and the second zipper 1-2 are composed, and the second zipper 1-2 is disposed at the axial plunging end of the second axial boring hose 1-1, and the second zipper 1-2 will be The two-axis discharge hose 1-1 constitutes a closed outer sleeve 1, the airbag 2 is disposed at the upper end of the outer sleeve 1, and the airbag 2 is tightly fitted on the outer sleeve 1, and the outer sleeve 1 is provided with a wall thickness The air vent 1-3, the outer sleeve 1 corresponding to the inner cavity of the air bag 2 is provided with a venting hole 1-4 communicating with the vent hole 1-3, and the four-way pipe 4 is disposed at the lower end of the outer casing 1, the four-way pipe 4 and the outer casing The tube 1 is connected, and the output end of the gas injection conduit 5 is connected to the vent hole 1-3. The upper end of the outer sleeve 1 is provided with a slope 1-5, and the oblique angle α of the slope 1-5 is 30°~60°. The outer sleeve 1 is provided with a drainage hole 1-6, and the drainage hole 1-6 is located above the airbag 2. The four-way tube 4 is provided by a first axially extending hose 4-1 and a first zipper 4-2. , the first The sub-bundle 4-3 and the second sub-hose 4-4 are disposed, and the first zipper 4-2 is disposed at the axially-disposed end of the first axially-discharged hose 4-1, and the first zipper 4-2 will The first axial discharge hose 4- 1 constitutes a closed tube, and the first partial hose 4-3 and the second partial hose 4-4 are disposed on both sides of the closed pipe, and the first partial hose 4-3 and The second partial hose 4-4 is integrally formed with the first axial discharge hose 4-1. The angle between the axis of the first partial hose 4-3 and the axis of the second partial flexible tube 4-4 and the axis of the first axially distracting hose 4-1 is 45°. The first branch hose 4-3 is connected to the external drainage tube 6, and the external drainage tube 6 has a pressure regulating valve. When the gas in the intestinal tract is excessively sputum, the patient has a feeling of bloating, snoring the pressure regulating valve, and passing the intestinal tract. Multi-gas extraction; When the amount of gas in the intestine is small, the intestinal tract is not obvious, and the pressure regulating valve needs to be closed. If a sub-hose 4-3 需要 is required, the second sub-bracket 4-4 can be closed with plugs 4-5.
[0022] 具体实施方式八: 结合图 1〜图 3说明本实施方式, 本实施方式的第一拉链 4-2 与第二拉链 1-2沿同一直线设置。 其它组成及连接关系与具体实施方式七相同。  BEST MODE FOR CARRYING OUT THE INVENTION Eighth: The present embodiment will be described with reference to Figs. 1 to 3, and the first zipper 4-2 and the second zipper 1-2 of the present embodiment are disposed along the same straight line. Other compositions and connection relationships are the same as in the seventh embodiment.
[0023] 具体实施方式九: 结合图 1说明本实施方式, 本实施方式的外套管 1的长度为 30 0mm〜800mm。 其它组成及连接关系与具体实施方式八相同。  BEST MODE FOR CARRYING OUT THE INVENTION Nine: The present embodiment is described with reference to Fig. 1. The outer sleeve 1 of the present embodiment has a length of 30 mm to 800 mm. Other compositions and connection relationships are the same as in the eighth embodiment.
[0024] 具体实施方式十: 结合图 1说明本实施方式, 本实施方式的外套管 1的长度为 40 0mm。 其它组成及连接关系与具体实施方九相同。  DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS [Embodiment 10] The present embodiment is described with reference to Fig. 1. The outer sleeve 1 of the present embodiment has a length of 40 mm. Other components and connection relationships are the same as those of the specific implementation party 9.
[0025] 具体实施方式十一: 结合图 1说明本实施方式, 本实施方式的本实施方式的斜 角 oc为 45°。 这样设计便于外套管进入肠道。 其它组成及连接关系与具体实施方 式九相同。 [Embodiment 11]: This embodiment will be described with reference to FIG. 1, and the embodiment of the present embodiment is oblique. The angle oc is 45°. This design facilitates the insertion of the outer cannula into the intestine. Other compositions and connection relationships are the same as in the ninth embodiment.
[0026] 具体实施方式十二: 结合图 6说明本实施方式, 本实施方式与具体实施方式七 不同的是它还增加有延长管 3, 延长管 3设置在外套管 1与四通管 4之间, 且延长 管 3的一端与外套管1紧配合连接, 延长管 3的另一端与四通管 4紧配合连接。 当 遇到患者的横结肠或者乙状结肠相对冗长吋, 外套管 1的长度受限, 需要增加外 套管 1的长度。 延长管 3的长度为 10mm〜300mm。 其它组成及连接关系与具体实 施方式七相同。 DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT 12: The present embodiment is described with reference to FIG. 6. This embodiment differs from the specific embodiment 7 in that it further has an extension tube 3 which is disposed on the outer sleeve 1 and the four-way tube 4. Meanwhile, one end of the extension pipe 3 is tightly coupled with the outer casing 1 , and the other end of the extension pipe 3 is tightly coupled with the four-way pipe 4. When the patient's transverse colon or sigmoid colon is relatively long, the length of the outer cannula 1 is limited, and the length of the outer cannula 1 needs to be increased. The length of the extension tube 3 is 10 mm to 300 mm. Other compositions and connection relationships are the same as in the seventh embodiment.
[0027] 使用方法: 将第一分软管 4-3与外部引流管 6连接, 注气导管 5的输入端与外接 输气器连接。 使用吋, 结肠内镜由四通管 4的下端装入外套管 1中, 待内镜通过 直肠、 乙状结肠、 降结肠和结肠脾曲达横结肠部位吋, 拉直内镜, 将外套管 1顺 应内镜送入肠腔, 此吋外套管 1所在位置在肠腔内会形成一个相对稳定的、 相对 直的通道, 内镜由此通道则可顺利通过乙状结肠, 且不会打弯成襻, 可使内镜 顺利插至回盲部位。 同吋, 与四通管连接的外部引流管在注水肠镜操作吋, 会 将受检者肠道内过多量的液体和气体经外部引流管流出, 不污染检査台, 不污 染受检者衣裤; 同理, 当充气观察过程中, 肠腔内过多气体会由外部引流管排 出体外, 减少了肠道内压力, 使受检者没有腹胀腹痛的感觉, 由此, 四通管 4起 到了肠道内压力平衡的作用。  [0027] Method of use: The first branch hose 4-3 is connected to the external draft tube 6, and the input end of the gas injection conduit 5 is connected to an external gas distributor. Using 吋, the endoscope of the colon is inserted into the outer cannula 1 from the lower end of the four-way tube 4, and the endoscope is passed through the rectum, the sigmoid colon, the descending colon, and the spleen of the colon to reach the transverse colon, and the endoscope is straightened to conform the outer cannula 1 The mirror is sent into the intestinal lumen, and the position of the outer cannula 1 forms a relatively stable and relatively straight passage in the intestinal lumen, and the endoscope can smoothly pass through the sigmoid colon without bending and bending. The endoscope is smoothly inserted into the ileocecal area. At the same time, the external drainage tube connected to the four-way tube is operated by the water-filled colonoscopy, and the excessive amount of liquid and gas in the intestine of the subject flows out through the external drainage tube, which does not pollute the inspection table and does not pollute the subject. Pants; Similarly, during the inflation observation process, excessive gas in the intestinal lumen will be excreted from the external drainage tube, reducing the pressure in the intestinal tract, so that the subject has no feeling of abdominal distension and abdominal pain, thereby the four-way tube 4 The role of pressure balance in the intestine.

Claims

权利要求书 Claim
[权利要求 1] 结肠镜用多功能外套管装置, 其特征在于: 所述装置包括外套管 (1  [Claim 1] A multifunctional outer cannula device for colonoscopy, characterized in that: the device comprises an outer cannula (1)
) 、 四通管 (4) 和第一钢丝 (7) , 所述第一钢丝 (7) 螺旋设置在 外套管 (1) 的壁厚中, 四通管 (4) 设置在外套管 (1) 的下端, 四 通管 (4) 与外套管 (1) 紧配合连接, 所述外套管 (1) 的上端设有 斜面 (1-5) , 所述斜面 (1-5) 的斜角 (ot) 为 30°〜60°, 所述外套管, the four-way pipe ( 4 ) and the first wire ( 7 ), the first wire ( 7 ) is spirally disposed in the wall thickness of the outer casing (1), and the four-way pipe (4) is disposed on the outer casing (1) The lower end, the four-way pipe (4) is tightly coupled with the outer casing (1), the upper end of the outer casing (1) is provided with a slope (1-5), and the inclined angle of the inclined surface (1-5) (ot ) is 30 ° ~ 60 °, the outer casing
( 1) 上端侧壁上设有引流孔 (1-6) , 所述四通管 (4) 由第一轴向 幵放软管 (4-1) 、 第一拉链 (4-2) 、 第一分软管 (4-3) 和第二分软 管 (4-4) 组成, 第一拉链 (4-2) 设置在第一轴向幵放软管 (4-1) 的 轴向幵放端, 第一拉链 (4-2) 将第一轴向幵放软管 (4-1) 组成封闭 管, 第一分软管 (4-3) 和第二分软管 (4-4) 设置在封闭管的两侧, 且第一分软管 (4-3) 和第二分软管 (4-4) 与第一轴向幵放软管 (4-1 ) 制成一体。 (1) A drain hole (1-6) is provided on the upper end side wall, and the four-way pipe (4) is provided by a first axial discharge hose (4-1), a first zipper (4-2), One-point hose (4-3) and second branch hose (4-4), the first zipper (4-2) is placed in the axial direction of the first axial slinger (4-1) End, the first zipper (4-2) is composed of the first axial discharge hose (4-1), the first branch hose (4-3) and the second branch hose (4-4). On both sides of the closed tube, the first partial hose (4-3) and the second partial hose (4-4) are integrated with the first axial discharge hose (4-1).
[权利要求 2] 根据权利要求 1所述结结肠镜用多功能外套管装置, 其特征在于: 所 述外套管 (1) 的长度为 300mm〜800mm。  [Claim 2] The multi-functional outer cannula device for colonoscopy according to claim 1, wherein the outer sleeve (1) has a length of 300 mm to 800 mm.
[权利要求 3] 根据权利要求 2所述结肠镜用多功能外套管装置, 其特征在于: 所述 外套管 (1) 的长度为 400mm。 [Claim 3] The multifunctional outer cannula device for colonoscopy according to claim 2, wherein the outer sleeve (1) has a length of 400 mm.
[权利要求 4] 根据权利要求 1或 2所述结肠镜用多功能外套管装置, 其特征在于: 所 述斜角 (α) 为 45°。 [Claim 4] The multifunctional outer cannula device for colonoscope according to claim 1 or 2, wherein the oblique angle (α) is 45°.
[权利要求 5] 根据权利要求 4所述结肠镜用多功能外套管装置, 其特征在于: 所述 装置还包括气囊 (2) 和注气导管 (5) , 所述气囊 (2) 套装在外套 管 (1) 的上端且位于引流孔 (1-6) 的下面, 外套管 (1) 的壁厚上 设有通气孔 (1-3) , 气囊 (2) 内腔对应的外套管 (1) 上设有与通 气孔 (1-3) 相通的排气孔 (1-4) , 注气导管 (5) 的输出端与通气 孔 (1-3) 连通。 [Claim 5] The multifunctional outer cannula device for colonoscopy according to claim 4, wherein: the device further comprises an air bag (2) and a gas injection conduit (5), the air bag (2) being set in a jacket The upper end of the tube (1) is located below the drainage hole (1-6), the wall thickness of the outer sleeve (1) is provided with a vent hole (1-3), and the outer sleeve corresponding to the inner cavity of the air bag (2) (1) There are vent holes (1-4) communicating with the vent holes (1-3), and the output end of the gas injection pipe (5) is connected to the vent holes (1-3).
[权利要求 6] 根据权利要求 5所述结肠镜用多功能外套管装置, 其特征在于: 所述 装置还包括延长管 (3) 和第二钢丝, 所述第二钢丝螺旋设置在延长 管 (3) 的壁厚中, 所述延长管 (3) 设置在外套管 (1) 与四通管 (4 ) 之间, 且延长管 (3) 的一端与外套管 (1) 紧配合连接, 延长管 ( 3) 的另一端与四通管 (4) 紧配合连接。 [Claim 6] The multifunctional outer cannula device for colonoscopy according to claim 5, wherein: the device further comprises an extension tube (3) and a second wire, the second wire being spirally disposed on the extension tube ( In the wall thickness of 3), the extension tube (3) is disposed on the outer sleeve (1) and the four-way tube (4) ), and one end of the extension pipe (3) is tightly coupled with the outer casing (1), and the other end of the extension pipe (3) is tightly coupled with the four-way pipe (4).
结肠镜用多功能外套管装置, 其特征在于: 所述装置包括外套管 (1 ) 、 气囊 (2) 、 四通管 (4) 和注气导管 (5) , 所述外套管 (1) 由 第二轴向幵放软管 (1-1) 和第二拉链 (1-2) 组成, 第二拉链 (1-2) 设置在第二轴向幵放软管 (1-1) 的轴向幵放端, 第二拉链 (1-2) 将 第二轴向幵放软管 (1-1) 组成封闭外套管 (1) , 所述气囊 (2) 设 置在外套管 (1) 的上端, 且气囊 (2) 紧配合安装在外套管 (1) 上 , 外套管 (1) 的壁厚上设有通气孔 (1-3) , 气囊 (2) 内腔对应的 外套管 (1) 上设有与通气孔 (1-3) 相通的排气孔 (1-4) , 四通管 (4) 设置在外套管 (1) 的下端, 四通管 (4) 与外套管 (1) 连接, 注气导管 (5) 的输出端与通气孔 (1-3) 连通, 所述外套管 (1) 的 上端设有斜面 (1-5) , 所述斜面 (1-5) 的斜角 (a) 为 30°〜60°, 所 述外套管 ( 1) 上设有引流孔 ( 1-6) , 引流孔 ( 1-6) 位于气囊 (2) 的上方, 所述四通管 (4) 由第一轴向幵放软管 (4-1) 、 第一拉链 ( 4-2) 、 第一分软管 (4-3) 和第二分软管 (4-4) 组成, 第一拉链 (4- 2) 设置在第一轴向幵放软管 (4-1) 的轴向幵放端, 第一拉链 (4-2 ) 将第一轴向幵放软管 (4-1) 组成封闭管, 第一分软管 (4-3) 和第 二分软管 (4-4) 设置在封闭管的两侧, 且第一分软管 (4-3) 和第二 分软管 (4-4) 与第一轴向幵放软管 (4-1) 制成一体。 Multifunctional outer cannula device for colonoscopy, characterized in that the device comprises an outer sleeve (1), an air bag (2), a four-way tube (4) and a gas injection conduit (5), the outer sleeve (1) The second axial slinger (1-1) and the second zipper (1-2) are formed, and the second zipper (1-2) is disposed in the axial direction of the second axial slinger (1-1) The second zipper (1-2) constitutes a closed outer sleeve (1), and the airbag (2) is disposed at the upper end of the outer sleeve (1). The airbag (2) is tightly fitted on the outer sleeve (1), and the outer sleeve (1) is provided with a vent hole (1-3) on the wall thickness, and the outer sleeve (1) corresponding to the inner cavity of the airbag (2) is provided. There are venting holes (1-4) communicating with the vent holes (1-3), the four-way pipe (4) is disposed at the lower end of the outer casing (1), and the four-way pipe (4) is connected to the outer casing (1). The output end of the gas injection conduit (5) is in communication with the vent hole (1-3), and the upper end of the outer sleeve (1) is provided with a slope (1-5), and the oblique angle of the slope (1-5) (a) ) is 30° to 60°, on the outer sleeve (1) There is a drainage hole (1-6), the drainage hole (1-6) is located above the airbag (2), and the four-way pipe (4) is provided by the first axial discharge hose (4-1), first Zipper (4-2), first sub-hose (4-3) and second sub-hose (4-4), the first zipper (4- 2) is placed in the first axial slinger (4 -1) The axial plucking end, the first zipper (4-2) forms the first axial slinger (4-1) into a closed tube, the first sub-hose (4-3) and the second sub-branch The hose (4-4) is placed on both sides of the closed pipe, and the first sub-hose (4-3) and the second sub-hose (4-4) and the first axial discharge hose (4-1) ) Made into one.
根据权利要求 7所述结肠镜用多功能外套管装置, 其特征在于: 所述 第一拉链 (4-2) 与第二拉链 (1-2) 沿同一直线设置。 The multi-functional outer cannula device for colonoscopy according to claim 7, wherein the first zipper (4-2) and the second zipper (1-2) are disposed in the same straight line.
根据权利要求 7或 8所述结肠镜用多功能外套管装置, 其特征在于: 所 述外套管 (1) 的长度为 300mm〜800mm。 The multi-functional outer cannula device for colonoscopy according to claim 7 or 8, wherein the outer sleeve (1) has a length of 300 mm to 800 mm.
根据权利要求 9所述结肠镜用多功能外套管装置, 其特征在于: 所述 斜角 (α) 为 45°。 A multi-functional outer cannula device for colonoscopy according to claim 9, wherein said oblique angle (α) is 45°.
PCT/CN2015/099756 2014-12-31 2015-12-30 Apparatus for multifunctional outer cannula for colonoscope WO2016107574A1 (en)

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