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CN110338745B - An anus speculum and method of using the same - Google Patents

An anus speculum and method of using the same
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Publication number
CN110338745B
CN110338745BCN201910644255.4ACN201910644255ACN110338745BCN 110338745 BCN110338745 BCN 110338745BCN 201910644255 ACN201910644255 ACN 201910644255ACN 110338745 BCN110338745 BCN 110338745B
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lens barrel
liquid outlet
channel
lens
liquid
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CN110338745A (en
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张立泽
朱世新
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Affiliated Hospital of University of Qingdao
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Affiliated Hospital of University of Qingdao
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Abstract

Translated fromChinese

本发明涉及医疗器械技术领域,尤其为肛门窥镜及其使用方法,包括镜筒、镜芯以及橡胶储液囊,所述镜筒的首端有一体连接或者分体连接的圆台状筒体,所述镜芯从镜筒的尾端插入,并在穿过圆台状筒体后露出,该弹性波纹套管的尾端密封固定在镜筒的尾端,弹性波纹套管的首端安装有圆形套,所述圆形套滑动套设在镜筒上,沿着镜筒尾端轴向方向的筒壁上开设有若干组输液通道和出液通道,所述出液通道的尾端密封,输液通道、出液通道的首端通过管Ⅰ连接,所述输液通道的尾端连接有管Ⅱ,所述橡胶储液囊连接于管Ⅱ,所述镜筒上开设有与出液通道连通的出液孔。本发明,结构简单,可重复清洗使用,使用方便,手术效率高,不会造成肛门内损伤。

Figure 201910644255

The invention relates to the technical field of medical devices, in particular to an anoscope and a method for using the same, comprising a lens barrel, a lens core and a rubber liquid storage bag. The lens core is inserted from the rear end of the lens barrel, and is exposed after passing through the truncated cylindrical body. The circular sleeve is slidably sleeved on the lens barrel, and several groups of infusion channels and liquid outlet channels are opened on the barrel wall along the axial direction of the rear end of the lens barrel. The head end of the channel and the liquid outlet channel are connected by the pipe I, the tail end of the infusion channel is connected with the pipe II, the rubber liquid storage bag is connected with the pipe II, and the lens barrel is provided with an outlet that communicates with the liquid outlet channel. liquid hole. The invention has the advantages of simple structure, repeated cleaning and use, convenient use, high operation efficiency, and no damage to the anus.

Figure 201910644255

Description

Anus speculum and using method thereof
Technical Field
The invention relates to the technical field of medical instruments, in particular to an anoscope and a using method thereof.
Background
At present, the known anoscope structure mainly comprises an endoscope tube and an inner core, wherein the cylindrical head of the inner core is provided with a bulge, the outer diameter of the inner core is (slightly) smaller than the inner diameter of the endoscope tube, so that the inner core can be just sleeved into the endoscope tube, and the bulge part at the front end of the inner core just extends out of the endoscope tube. In the operation of anorectal surgery, the operator uses the anoscope that will overlap there is the inner core to insert the anus, and is fixed with the mirror tube on the skin of anus through sewing up the mirror edge afterwards, mirror tube alright with prop open the anal canal sphincter that constitutes the anal canal, pull out the inner core this moment, see through mirror tube alright with seeing the tissue condition of anal canal depths, make things convenient for in the operation. The length of the anal canal of a person is about 4 cm generally, but the length of the anal canal of each person is not completely the same due to individual difference of patients, the length of the anal canal of a patient with short stature is about 3-4 cm generally, and the length of the anal canal of a patient with high stature is 4-6 cm generally.
If the authorization notice number CN106256311B discloses an anoscope, the structure is simple, the use is convenient, and the observation tube matched with the lens cone is used, and the illuminating optical fiber is embedded on the inner wall of the observation tube, so that enough illumination can be conveniently provided for a doctor to observe the focus of a patient. However, this solution also has the following problems: when the endoscope core is inserted into the anus, the anus is not smooth enough, and the endoscope tube is inserted into the anus, so that the anus is possibly damaged due to too dry and too large friction force.
When the anus speculum is inserted, the anus speculum is inserted according to the scales of the scale marks, the defect that the length of the speculum tube is fixed in the prior art can be overcome, and in addition, the speculum edge and the fixed rubber sleeve are arranged, so that the speculum tube can be fixed and the speculum edge can be prevented from falling off. Although the scheme considers that the inside of the anus is not smooth enough and the insertion may cause damage in the anus, the lubricating liquid is discharged from the discharge hole at the top of the inner core, and under the condition that the lubricating liquid is added through the discharge hole, a large part of the lubricating liquid enters the anus and flows into the tail end of the rectum, so that the lubricating effect is small, the observation is influenced, the condition that the outflow of the lubricating liquid causes pollution is not considered, and the lubricating liquid flowing out in the operation is not cleaned in time.
Disclosure of Invention
The present invention is directed to an anoscope and a method of using the anoscope to solve the problems set forth above in the background art. The anal speculum and the using method thereof have the advantages of simple structure, repeated cleaning and use, convenient use, high operation efficiency and no injury in the anus.
In order to achieve the purpose, the invention provides the following technical scheme:
the utility model provides an anal speculum, includes lens cone, mirror core and rubber reservoir, the head end of lens cone has the round platform form barrel of body coupling or split type connection, the mirror core inserts from the tail end of lens cone to expose after passing round platform form barrel, the cover is equipped with the elasticity ripple sleeve pipe on the lens cone, and the tail end of this elasticity ripple sleeve pipe is sealed to be fixed at the tail end of lens cone, and circular cover is installed to the head end of elasticity ripple sleeve pipe, circular cover slip cap is established on the lens cone, along a plurality of groups infusion passageway and liquid outlet channel have been seted up on the section of thick bamboo wall of lens cone tail end axial direction, liquid outlet channel's tail end is sealed, the head end of infusion passageway, liquid outlet channel passes through pipe I and connects, the trailing end connection of infusion passageway has pipe II, the rubber reservoir is connected in pipe II, set up the liquid outlet hole with liquid outlet channel intercommunication on the lens cone.
Preferably, a boss is sleeved at the tail end of the lens cone, the diameter of the circular sleeve is larger than that of the boss, the tail end of the elastic corrugated sleeve is hermetically mounted with the boss, a sealing ring is mounted on the circular sleeve, the sealing ring is movably sleeved on the lens cone, and a check valve is arranged on the tube II.
Preferably, the infusion channels and the liquid outlet channels are provided with six groups, the six groups of infusion channels and the liquid outlet channels are distributed in the wall of the lens barrel at equal intervals, the infusion channels are connected with the liquid outlet holes through liquid outlet channels, and the tail ends of the six groups of liquid outlet channels are connected with the pipe II after being communicated through the pipe III.
Preferably, the inner diameter of the liquid outlet channel is larger than that of the infusion channel.
Preferably, the tail end of the infusion channel is sealed by a sealing plug.
Preferably, at least one optical fiber is embedded in the inner wall of the lens barrel, and the tail end of the optical fiber is connected with a light source which is arranged outside and is driven by a power supply.
Preferably, the boss is provided with a grab handle and is hinged with a baffle.
Preferably, the end of the circular sleeve far away from the elastic corrugated sleeve pipe is provided with an inward concave groove.
A method of using an anoscope, comprising the steps of:
(1) the lens core is sleeved in the lens barrel, the rubber liquid storage bag is filled with lubricating liquid, the handle on the lug boss is held by hand, the blocking piece is rotated to press the lens core, and the head end of the lens core firstly performs expansion preparation on the anus;
(2) the head end of the lens core is inserted until the lens barrel is sent into the anus through the circular truncated cone-shaped barrel, at the moment, the rubber liquid storage bag is pressed by holding the lens barrel, and lubricating liquid enters the infusion channel through the liquid outlet channel and then flows out of the liquid outlet hole;
(3) the lens cone is inserted into the anus smoothly, the circular sleeve compresses the liquid leakage hole of the elastic corrugated sleeve, and the lens cone is inserted into the anus easily until the expansion is finished;
(4) then the lens core is pulled out, the light source is powered on, and the lens is removed for observation.
Compared with the prior art, the invention has the beneficial effects that:
the lubricant in the rubber liquid storage bag is pressed by holding the hand until the lubricant is discharged to the surface of the lens cone through the liquid conveying channel and the liquid outlet channel, so that the inner part of the anus is smooth enough, and when the lens cone is inserted into the inside, the excessive drying is avoided, thereby reducing the friction force and avoiding the damage in the anus;
the lubricating liquid flowing out of the surface of the lens cone in the operation process can be buffered and blocked by the inward sunken grooves of the circular sleeve and falls into the elastic corrugated sleeve, so that leakage is avoided, and pollution is avoided;
lubricating liquid can flow to the surface of the lens cone only when the liquid outlet hole is exposed by the round sleeve compressing the elastic corrugated sleeve, and the lubricating liquid plays a role in the operation process (namely when the lens cone is inserted into an anus to expand), so that the operation is facilitated;
the invention has simple structure, repeated cleaning and use, convenient use and high operation efficiency.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view showing the distribution of the infusion channel and the liquid outlet channel in the wall of the lens barrel according to the present invention;
FIG. 3 is a schematic view of the circular sleeve and the upper sealing ring and the lens barrel of the present invention;
FIG. 4 is a schematic view of an inwardly recessed groove in one end of a circular sleeve according to the present invention;
fig. 5 is a schematic view showing the elastic bellows sleeve compressed when the lens barrel of the present invention is inserted into the anus.
In the figure: the device comprises alens barrel 1, alens core 2, a truncated cone-shaped barrel 3, aboss 4, an elasticcorrugated sleeve 5, acircular sleeve 6, atransfusion channel 7, aliquid outlet channel 8, anoptical fiber 9, alight source 10, a rubberliquid storage bag 11, a tube II 12, aliquid outlet hole 13, a tube I14, aliquid outlet channel 15, asealing plug 16, asealing ring 17, agrab handle 18 and a blockingpiece 19.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1 to 5, the present invention provides a technical solution:
an anal speculum comprises alens cone 1, alens core 2 and a rubberliquid storage bag 11, wherein for convenience of description, the direction A in figures 1, 3 and 5 is a head end, the opposite direction is a tail end, the head end of thelens cone 1 is provided with a circular truncated cone-shaped barrel body 3 which is integrally or separately connected, thelens core 2 is inserted from the tail end of thelens cone 1 and is exposed after penetrating through the circular truncated cone-shaped barrel body 3, the circular truncated cone-shaped barrel body 3 is convenient to insert into an anus during operation, thelens cone 1 is sleeved with an elasticcorrugated sleeve pipe 5, the tail end of the elasticcorrugated sleeve pipe 5 is fixed at the tail end of thelens cone 1 in a sealing manner, the head end of the elasticcorrugated sleeve pipe 5 is provided with acircular sleeve 6, thecircular sleeve 6 is sleeved on thelens cone 1 in a sliding manner, a plurality of groups ofinfusion channels 7 andliquid outlet channels 8 are arranged on the axial direction of the tail end of thelens cone 1, the tail end of theliquid outlet channels 8 is sealed, the head ends of theinfusion channels 7 and theliquid outlet channels 8 are connected through a pipe I14, the tail end of theinfusion channel 7 is connected with a tube II 12, the rubberliquid storage bag 11 is connected with the tube II 12, and thelens barrel 1 is provided with aliquid outlet hole 13 communicated with theliquid outlet channel 8.
The tail end of thelens cone 1 is sleeved with aboss 4, the diameter of thecircular sleeve 6 is larger than that of theboss 4, the tail end of the elasticcorrugated sleeve 5 is hermetically arranged with theboss 4, theround sleeve 6 is provided with asealing ring 17, thesealing ring 17 is movably sleeved on thelens cone 1, the tube II 12 is provided with a one-way valve (not shown), when thelens cone 1 is inserted into an anus, as thecircular sleeve 6 is blocked at the anus, therefore, the elasticcorrugated sleeve 5 can be compressed when thelens cone 1 is inserted, theliquid outlet hole 13 is leaked, so that the lubricant such as paraffin oil, vaseline and the like in the rubberliquid storage bag 1 is discharged to the surface of thelens cone 1 through theliquid outlet hole 13, the internal part of the anus is smooth enough, when thelens cone 1 is inserted into the anus, the excessive drying is avoided, thereby reducing friction force, causing no damage in the anus, and the one-way valve prevents the backflow of the lubricating liquid (used in the elastic corrugated sleeve 5).
The number of theliquid channels 7 and theliquid outlet channels 8 is set according to the actual situation, in this embodiment, six groups of theliquid conveying channels 7 and theliquid outlet channels 8 are arranged and are distributed in the cylinder wall of thelens barrel 1 at equal intervals, theliquid conveying channels 7 are connected with theliquid outlet holes 13 throughliquid outlet channels 15, and the tail ends of the six groups of theliquid outlet channels 8 are connected with the tube II 12 after being communicated through the tube III.
The inner diameter of theliquid outlet channel 8 is larger than that of theliquid conveying channel 7, if the inner diameter of theliquid outlet channel 8 is 1.2 times that of theliquid conveying channel 7, the rubberliquid storage bag 11 is pressed by holding with a hand, the amount of the lubricating agent in theliquid outlet channel 8 is larger than that in the liquid conveyingchannel 7, the lubricating agent in theliquid conveying channel 7 continuously enters, pressure difference exists between theliquid outlet channel 8 and theliquid conveying channel 7, and the lubricating liquid can flow out from theliquid outlet hole 13 quickly.
The tail end of thetransfusion channel 7 is sealed by asealing plug 16, and thesealing plug 16 is opened, so that the lubricant in theliquid channel 7 and theliquid outlet channel 8 can be conveniently cleaned and cleaned after the operation.
At least oneoptical fiber 9 is embedded on the inner wall of thelens barrel 1, and the tail end of theoptical fiber 9 is connected with alight source 10 which is arranged outside and is provided with a power supply drive.
Thelug boss 4 is provided with agrab handle 18 and abaffle 19 which is hinged with the grab handle, so that the fatigue feeling caused by pressing theendoscope core 3 by the thumb of a doctor is replaced.
Thecircular sleeve 6 is far away from the one end of the elasticcorrugated sleeve 5 and is provided with an inward sunken groove which can buffer and block the flowing lubricating liquid to avoid leakage, and when the anal speculum is not used, the compressed elasticcorrugated sleeve 5 can reset.
Thecircular sleeve 6 completely compresses the elasticcorrugated sleeve 5, and the closest distance from thecircular sleeve 6 to the circular truncated cone-shaped barrel 3 is 3-6 cm.
A method of using an anoscope, comprising the steps of:
(1) when in use, thelens core 2 is sleeved in thelens barrel 1, the rubberliquid storage bag 11 is filled with lubricating liquid, thehandle 18 on thelug boss 4 is held by hand, the blockingpiece 19 is rotated to press thelens core 2, and the head end of thelens core 2 firstly performs expansion preparation on the anus;
(2) the head end of thelens core 2 is inserted until thelens barrel 1 is sent to the anus through the circular truncated cone-shaped barrel 3, at the moment, the rubberliquid storage bag 11 is held and pressed by hand, lubricating liquid enters theliquid conveying channel 7 through theliquid outlet channel 8 and then flows out from theliquid outlet hole 13, and due to the fact that pressure difference exists between theliquid outlet channel 8 and theliquid conveying channel 7, theliquid outlet channel 8 applies pressure to the liquid conveyingchannel 7, and the lubricating liquid can flow out from theliquid outlet hole 13 quickly;
(3) thelens cone 1 is inserted into the anus smoothly, thecircular sleeve 6 compresses theliquid leakage hole 13 of the elasticcorrugated sleeve 5, and thelens cone 1 is inserted into the anus easily until the expansion is finished;
(4) then extract themirror core 2,light source 10 circular telegram is opened, moves back the mirror and observes, and switch onlight source 10 back,rotatory lens cone 1 to suitable position can direct observation affected part through the opening part (tail end) oflens cone 1 to diagnose the operation, it can to withdraw fromlens cone 1 after diagnosing and treating.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (7)

Translated fromChinese
1.一种肛门窥镜,包括镜筒(1)、镜芯(2)以及橡胶储液囊(11),其特征在于:所述镜筒(1)的首端有一体连接或者分体连接的圆台状筒体(3),所述镜芯(2)从镜筒(1)的尾端插入,并在穿过圆台状筒体(3)后露出,所述镜筒(1)上套设有弹性波纹套管(5),该弹性波纹套管(5)的尾端密封固定在镜筒(1)的尾端,弹性波纹套管(5)的首端安装有圆形套(6),所述圆形套(6)滑动套设在镜筒(1)上,沿着所述镜筒(1)尾端轴向方向的筒壁上开设有若干组输液通道(7)和出液通道(8),所述出液通道(8)的尾端密封,所述输液通道(7)、出液通道(8)的首端通过管Ⅰ(14)连接,所述输液通道(7)的尾端连接有管Ⅱ(12),所述橡胶储液囊(11)连接于管Ⅱ(12),所述镜筒(1)上开设有与出液通道(8)连通的出液孔(13),在镜筒(1)插入的状态可以压缩弹性波纹套管(5),漏出出液孔(13),所述圆形套(6)远离弹性波纹套管(5)的一端有向内凹陷的槽。1. An anoscope comprising a lens barrel (1), a lens core (2) and a rubber liquid storage bag (11), characterized in that: the head end of the lens barrel (1) has an integral connection or a split connection The circular truncated cylindrical body (3), the lens core (2) is inserted from the rear end of the lens barrel (1), and is exposed after passing through the circular truncated cylindrical body (3), and the lens barrel (1) is sleeved An elastic corrugated sleeve (5) is provided, the rear end of the elastic corrugated sleeve (5) is sealed and fixed at the rear end of the lens barrel (1), and a circular sleeve (6) is installed at the head end of the elastic corrugated sleeve (5). ), the circular sleeve (6) is slidably sleeved on the lens barrel (1), and several groups of infusion channels (7) and an outlet are provided on the barrel wall along the axial direction of the rear end of the lens barrel (1). The liquid channel (8), the tail end of the liquid outlet channel (8) is sealed, the infusion channel (7), the head end of the liquid outlet channel (8) are connected by a pipe I (14), the infusion channel (7) ) is connected with a pipe II (12), the rubber liquid storage bag (11) is connected with the pipe II (12), and the lens barrel (1) is provided with a liquid outlet that communicates with the liquid outlet channel (8). A hole (13), which can compress the elastic corrugated sleeve (5) when the lens barrel (1) is inserted, and leak out the liquid hole (13), the circular sleeve (6) is away from one end of the elastic corrugated sleeve (5) There are inwardly recessed grooves.2.根据权利要求1所述的一种肛门窥镜,其特征在于:所述镜筒(1)的尾端套装有凸台(4),所述圆形套(6)直径大于凸台(4)直径,所述弹性波纹套管(5)的尾端与凸台(4)密封安装,所述圆形套(6)上安装有密封圈(17),所述密封圈(17)活动套设在镜筒(1)上,所述管Ⅱ(12)上设置有单向阀。2. An anoscope according to claim 1, characterized in that: the rear end of the lens barrel (1) is sleeved with a boss (4), and the diameter of the circular sleeve (6) is larger than that of the boss ( 4) Diameter, the rear end of the elastic corrugated sleeve (5) is sealed with the boss (4), the circular sleeve (6) is installed with a sealing ring (17), and the sealing ring (17) is movable The tube is sleeved on the lens barrel (1), and the tube II (12) is provided with a one-way valve.3.根据权利要求1所述的一种肛门窥镜,其特征在于:所述输液通道(7)和出液通道(8)设置有六组,等距分布在镜筒(1)筒壁内,所述输液通道(7)通过出液甬道(15)与出液孔(13)连接,六组出液通道(8)的尾端通过管Ⅲ连通后再与管Ⅱ(12)连接。3. An anoscope according to claim 1, characterized in that: the infusion channel (7) and the liquid outlet channel (8) are provided with six groups, which are equidistantly distributed in the barrel wall of the lens barrel (1). The infusion channel (7) is connected with the liquid outlet hole (13) through the liquid outlet channel (15), and the tail ends of the six groups of liquid outlet channels (8) are connected through the pipe III and then connected with the pipe II (12).4.根据权利要求1~3中任一项所述的一种肛门窥镜,其特征在于:所述出液通道(8)内径大于输液通道(7)内径。4. An anoscope according to any one of claims 1 to 3, characterized in that: the inner diameter of the liquid outlet channel (8) is larger than the inner diameter of the infusion channel (7).5.根据权利要求1所述的一种肛门窥镜,其特征在于:所述输液通道(7)的尾端通过密封塞(16)密封。5. An anoscope according to claim 1, characterized in that: the tail end of the infusion channel (7) is sealed by a sealing plug (16).6.根据权利要求1所述的一种肛门窥镜,其特征在于:所述镜筒(1)的内壁上镶嵌有至少一根光纤(9),所述光纤(9)的尾端与设置在外部具有电源驱动的光源(10)连接。6. An anoscope according to claim 1, characterized in that: at least one optical fiber (9) is inlaid on the inner wall of the lens barrel (1), and the tail end of the optical fiber (9) is arranged with the An externally powered light source (10) is connected.7.根据权利要求2所述的一种肛门窥镜,其特征在于:所述凸台(4)安装有握柄(18)以及铰接有挡片(19)。7. An anoscope according to claim 2, characterized in that: a handle (18) is installed on the boss (4) and a blocking plate (19) is hinged.
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