Direct-vision induced abortion uterine curettage device and systemTechnical Field
The invention relates to an endoscopic surgical instrument, in particular to a direct-vision induced abortion uterine curettage device and a system used in endoscopic surgery.
Background
Induced abortion surgery refers to the surgical approach to terminate pregnancy. The artificial abortion operation usually includes negative pressure suction and forceps-scraping, and the embryo tissue in uterus is sucked out by using a suction tube or taken out by using surgical instruments such as oval forceps, so as to terminate the pregnancy. Thus, the heart of the human flow surgery is two-fold: firstly, embryo tissues need to be cleaned, so that incomplete abortion is prevented; and secondly, accidental injury to the uterus in the operation process, such as accidental perforation of the uterus and the like, is prevented.
Since the induced abortion operation needs to be performed in utero, the conventional induced abortion operation often depends on the experience and feeling of a doctor, and thus various complications are liable to occur. With the development of endoscopic techniques, more and more operations are being performed under endoscopic surgery, wherein the induced abortion surgery is also beginning to be performed gradually under endoscopic direct vision.
The direct-vision induced abortion device in the prior art, the lens module is arranged at the foremost end of the direct-vision induced abortion device, embryo implantation tissues are found through the camera lens, the embryo tissues of the implantation bed are sucked through the negative pressure suction port at the rear end of the camera, and then the implantation embryos are stripped through repeated drawing and inserting of the induced abortion tube. In addition, because the lens module has a certain height, and there is at least 8 mm's distance to between the negative pressure suction opening, consequently, to the implantation embryo near oviduct entry, near the uterus bottom, the direct-view abortion device of prior art is difficult to clear away, and if the depth of inserting of taking out of people's flow tube was too big, easily caused unexpected damage to the uterus bottom, even caused the perforation of uterus's serious consequence.
Therefore, the applicant further improves the existing direct-view abortion device in the patent application "direct-view abortion uterine curettage device and system" (application numbers: 201910612451.3, 201921057784.6), and places the cameras behind the curettage device to ensure that the embryos can be seen from the whole separation process of the implantation position, but in the prior art, the embryos are shot and observed by one camera, and the angle of view of each camera is limited, so that the cameras cannot be observed in the area beyond the field of view, and in order to solve the problem of limitation of the shooting area of a single camera, the applicant further improves the direct-view abortion device.
Disclosure of Invention
The direct-view uterine curettage device and the system thereof can ensure that the whole process of the observation operation can be in the observation visual field, well solve the problem of limited observation visual field of the existing single lens and effectively enlarge the observation visual field of the operation process by the design of a multi-lens observation system, in particular the design of the multi-lens observation system which is arranged at the back or arranged in the curettage device. The direct-vision abortion uterine curettage device and the system are safer and more effective in clinical use.
The invention discloses a direct-vision abortion uterine curettage device and a system, which are characterized in that: the direct-view abortionuterine curettage device 100 comprises auterine curettage mechanism 1, anobservation mechanism 2, acircuit 3, a negativepressure suction mechanism 4 and anoperating rod 5;
A. theuterine curettage mechanism 1 comprises at least 1curettage device 11, thecurettage device 11 is arranged at the front end of theoperating rod 5 and is in the visual field of theobservation mechanism 2;
B. theobservation mechanism 2 comprises anillumination module 21, alens module 22 and asignal processing module 23; thelens module 22 at least comprises 2 cameras 22-1; the images and videos observed by the camera 22-1 in the light field of thelighting module 21 are processed by thesignal processing module 23 and then output by thecircuit 3;
C. the negativepressure suction mechanism 4 includes asuction inlet 41, asuction outlet 42, and asuction passage 43; theinlet 41 is arranged at the front end of theoperating rod 5, thesuction outlet 42 of the negativepressure suction mechanism 4 is arranged at the rear end of theoperating rod 5, and thesuction channel 43 is arranged in theoperating rod 5;
D. ahandle 52 is arranged at the rear end 5-2 of theoperating rod 5, and auterine curettage mechanism 1 and anobservation mechanism 2 are arranged at the front end 5-1 of theoperating rod 5; the tube body 5-3 of theoperating rod 5 contains thecircuit 3 and the negativepressure suction mechanism 4.
Curettage device 11 sets up inobservation mechanism 2's the field of vision, during clinical operation, can be in underobservation mechanism 2's the effect oflens module 22, carry out the whole operation of stream of people operation under the condition of looking directly, can observe very clearly whether the operation in-process embryo tissue clears away totally clean, can observe whether cause unexpected injury to the uterus in addition to the operation, and clinical use process is very safe, reliable. In addition, theuterine curettage mechanism 1 and the negativepressure suction mechanism 4 can be designed to be relatively independent mechanisms, so that the curettage effect of theuterine curettage mechanism 1 on the bed embryo is ensured, and meanwhile, the curetted tissue and the generated tissue fluid such as blood and the like can be very effectively and quickly sucked and discharged out of the body through the negativepressure suction mechanism 4.
In particular, thelens module 22 at least comprises 2 cameras 22-1, so that the problem of limited observation field of view of the existing single lens is well solved, and the observation field of view in the operation process can be effectively enlarged. Particularly, when the cameras 22-1 are respectively disposed in front of and at the side of theoperating rod 5, a stereoscopic observation space can be formed around theoperating rod 5 by superimposing the observation fields, and the clinical observation effect is very good.
Further, at least 1 camera 22-1 is disposed at the front end 5-1 of theoperation rod 5. The camera 22-1 disposed in front of theoperation lever 5 can well observe the area in front of theoperation lever 5.
At least 1 camera 22-1 is arranged on the side 5-5 of theoperating rod 5. The camera 22-1 provided on the side surface 5-5 of theoperation lever 5 can observe the side surface of theoperation lever 5.
The viewing areas of 2 or more than 2 of the cameras 22-1 can be contiguous or partially overlapping. The observation areas of the cameras 22-1 respectively arranged at the front end 5-1 and the side surface 5-5 of theoperating rod 5 are mutually connected to form a space observation field, so that the clinical observation effect is better.
Further, the angle of view β of the camera 22-1 is not less than 90 °. Preferably, the field angle β is between 110 ° and 150 °.
The camera 22-1 of thelens module 22 is arranged at the rear end of thecurettage device 11, and thecurettage device 11 is located in the visual field of the camera 22-1. The technical scheme that the camera 22-1 is arranged at the rear can ensure that thecurettage device 11 is completely positioned in the visual field range of the camera 22-1, and because the observation angle of the camera 22-1 faces the front of an operation area, an observation blind area cannot exist in the process, and accidental injuries to the uterus and accessories caused by untimely observation are avoided. Meanwhile, thecurettage device 11 is positioned in front of the camera 22-1, so that thecurettage device 11 does not have an operation dead angle due to shielding generated by the height of thelens module 22, embryo tissues can be completely removed from the implantation at any position of the uterus, especially for the implantation position near the oviduct orifice, namely the uterine fundus, thecurettage device 11 can also easily remove the embryo tissues, the incomplete human flow condition can not occur in the operation process, and the cleaning is completed under direct vision, so that the accidental injury of the uterine fundus due to overlarge operation action can not be caused, the injury to the uterine fundus can be well avoided, and serious medical accidents such as uterine perforation and the like can not occur. Therefore, the technical scheme of the rear camera ensures that the clinical operation process of the induced abortion is safer and more effective.
Thecurettage device 11 of theuterine curettage mechanism 1 is a curettage net 11-3. The camera 22-1 can directly observe the situation behind the scraping net 11-3 from the net-shaped gap, and the whole process of the operation process and the panoramic observation of the operation area can be realized even if the scraping net 11-3 is not made of transparent materials.
Further, the curettage net 11-3 of thecurettage device 11 of theuterine curettage mechanism 1 can be compressed in the sheath tube 5-0; the scraping net 11-3 can prop open the uterus after releasing expansion from the outer sheath tube 5-0, and the observation visual field is enlarged.
The curettage net 11-3 of thecurettage device 11 of theuterine curettage mechanism 1 can be compressed in the sheath tube 5-0, and when the constraint of the sheath tube 5-0 is removed backwards, the curettage net 11-3 can completely or basically restore the shape before compression. When the uterine curettage device is used clinically, the curettage net 11-3 can be folded into the outer sheath tube 5-0, the curettage net 11-3 is released by retreating the outer sheath tube 5-0 after the uterine curettage device enters a uterus through a cervix, and the curettage net 11-3 is unfolded, so that embryonic tissues can be removed. Meanwhile, as the scraping net 11-3 is unfolded, the uterus at the front end of the camera 22-1 can be unfolded, the observation visual field is expanded, the operation part and the peripheral tissues can be better observed in the clinical use process, and the observation effect in the clinical use process is very good. The scraping wires 11-31 of the scraping net 11-3 can be made of materials with various shapes such as wire materials, thin tube materials, sheet materials and the like. The scraping net 11-3 can be set into various geometric shapes such as an ellipsoid shape, a pear shape and the like according to the shape of the uterus so as to better adapt to the shape of the uterus, and is particularly suitable for corners which are difficult to clean of the uterus.
The camera 22-1 of thelens module 22 is arranged at the front end of thecurettage device 11. The camera 22-1 can directly observe the working state of thesuction inlet 41 of the negativepressure suction mechanism 4, and determine that the stripped implantation tissue is sucked and discharged out of the body by the negativepressure suction mechanism 4.
The camera 22-1 of thelens module 22 is arranged inside thecurettage device 11. Especially, when the camera 22-1 is built in the curettage net 11-3, the whole peripheral structure of thecurettage device 11 can be observed stereoscopically through the plurality of spatially distributed cameras 22-1, and the clinical use is very convenient.
The viewing direction of the camera 22-1 of thelens module 22 can be adjusted. By adjusting the observation direction of the camera 22-1, the working state and the surrounding tissue condition of thecurettage device 11 can be observed in all directions, particularly the implantation position of the embryo can be found quickly, and the observation effect is more comprehensive in clinical use.
The adjusting mechanism 22-11 for adjusting the observing direction of the camera 22-1 is arranged on thehandle 52. The adjusting mechanism 22-11 is arranged on thehandle 52, so that the observing direction of the camera 22-1 can be conveniently adjusted outside the body in clinical use, and the operation is simpler.
The working position direction of thecurettage device 11 can be adjusted. The working position direction of thecurettage device 11 can be adjusted according to the needs, the curettage device can better adapt to the structural shape in the uterus, and the curettage device has better cleaning effect on the parts which are difficult to clean, such as the corners of the uterus and the like.
The oscillating mechanism 11-4 of thecurettage device 11 for adjusting the direction of the working position is arranged on thehandle 52. The swinging mechanism 11-4 is arranged on thehandle 52, so that the working direction of the working part of thecurettage device 11 can be conveniently adjusted outside the body in clinical use, and the operation is simpler.
The viewing direction of the camera 22-1 of thelens module 22 and the working position direction of thecurettage device 11 can be adjusted simultaneously. In practical applications, the clinician can adjust only the viewing direction of the camera 22-1 or the working site direction of thecurettage device 11 as needed, or can adjust both the viewing direction of the camera 22-1 and the working site direction of thecurettage device 11.
When the viewing direction of the camera 22-1 and the working site direction of thecurettage device 11 are adjusted simultaneously, the adjusting mechanism 22-11 and the swinging mechanism 11-4 can be combined into one adjusting mechanism to be arranged on thehandle 52.
The tube body 5-3 of theoperating rod 5 at least comprises 2 cavities; thecircuit 3 is arranged in the 1 st cavity tube, and the 2 nd cavity tube forms or is provided with asuction channel 43 of the negativepressure suction mechanism 4. Due to the design of the double-cavity channel, thecircuit 3 can be isolated from blood, tissue fluid and other liquids possibly generated in an operation, potential safety hazards such as short circuit and electric leakage can be better avoided in the using process, and the clinical using process is safer.
The direct-vision abortionuterine curettage device 100 further comprises a flushing mechanism 6; thewater outlet 61 of the flushing mechanism 6 is arranged at the front end of theoperating rod 5, thewater inlet 62 of the flushing mechanism 6 is arranged at the rear end of theoperating rod 5, and thewater inlet pipe 63 of the flushing mechanism 6 is arranged in the pipe body 5-3 of theoperating rod 5. In the operation process, the flushing mechanism 6 can flush the interior of the uterus, and can timely flush the blood at the front end of the camera 22-1 completely, so that the observation visual field is kept clean. Meanwhile, the flushing mechanism 6 can also flush thecurettage device 11 and the uterine wall in time, and particularly can flush the operation part in time, so that whether the embryonic tissue is completely cleared from the implantation position or not can be observed in time, the completeness of the embryonic tissue in the abortion operation process is ensured, the incomplete abortion condition is effectively avoided, and the clinical operation process is safer.
The tube body 5-3 of theoperating rod 5 is a three-cavity tube; thecircuit 3 is arranged in the 1 st cavity tube, the 2 nd cavity tube forms or is provided with thesuction channel 43 of the negativepressure suction mechanism 4, and the 3 rd cavity tube forms or is provided with thewater inlet pipeline 63 of the flushing mechanism 6. The design of three chamber passageways can separate the irrigation passageway and the suction passageway while guaranteeing thatcircuit 3 is kept apart the protection, can guarantee better like this that there is not the tissue or the liquid of suction to get back to the uterus in the in-process of washing, and the use is more efficient, safety.
At least 1 of thewater outlets 61 of the flushing mechanism 6 of the direct-vision abortionuterine curettage device 100 can flush and clean theprotective cover 20 of theobservation mechanism 2 by water sprayed from thewater outlets 61. The washing mechanism 6 can timely wash theprotective cover 20 of theobservation mechanism 2, so that the observation effect of theobservation mechanism 2 is ensured.
The flushing mechanism 6 of the direct-vision abortionuterine curettage device 100 is provided with a flushingswitch 64 for controlling flushing water flow. Theflush switch 64 can turn the flushing mechanism 6 on and off and can control the amount of flushing water and the flushing pressure. In the clinical use process, a clinician can open or close the flushing mechanism 6 according to the actual needs of the operation process, and simultaneously selects the proper size and pressure of the flushing water flow according to the needs, so that the clinical use process is more convenient.
Theflush switch 64 is provided on thehandle 52 of the operatinglever 5. The flushingswitch 64 is arranged on thehandle 52, so that medical staff can operate the flushing device with one hand during clinical use, and the use process is more convenient.
The negativepressure suction mechanism 4 is provided with a negativepressure control switch 44 capable of controlling a negative pressure state. The negativepressure control switch 44 can turn on or off the negativepressure suction mechanism 4, and can adjust the negative pressure suction force of the negativepressure suction mechanism 4 according to the amount of stripped tissues, blood and tissue fluid in the uterus during the operation. When the negative pressure suction device is used clinically, doctors can conveniently adjust the negative pressure suction force required by the doctors, so that the situation that stripped tissues cannot be sucked out timely due to too small negative pressure suction force is avoided, and accidental injuries of tissues such as endometrium and the like due to too large negative pressure are avoided.
The negativepressure control switch 44 is provided on thehandle 52 of theoperation lever 5. The negativepressure control switch 44 is arranged on thehandle 52, so that medical staff can operate the negative pressure control switch with one hand during clinical use, and the use process is more convenient.
Theprotective cover 20 of theobservation mechanism 2 is provided with a coating. The coating can select hydrophobic coating, and liquid such as bloody water can be fast like this fall after condensing into the water droplet onprotection casing 20, also can select hydrophilic coating, and liquid such as bloody water can be fast like this form transparent water film onprotection casing 20 surface, can not shelter from camera 22-1.
Thecircuit 3 is provided with anelectrical interface 31 for connection to a host computer. The direct-view abortionuterine curettage device 100 is connected with a host and a power supply through theelectrical interface 31.
The direct-vision abortionuterine curettage device 100 comprises anelectronic protection mechanism 30; theelectronic protection mechanism 30 is disposed outside theobservation module 2 and/or thecircuit 3, and performs waterproof, gas-proof, and insulation protection on electronic components of theobservation module 2 and/or thecircuit 3.
Set upobservation module 2 withcircuit 3's outsideelectron protection mechanism 30 can beright observation module 2 withcircuit 3's electronic components carries out waterproof, gas-proof, insulation protection, effectively prevents that the normal work of electronic components is influenced to the bloody water or tissue fluid that produce among the operation process, guarantees the normal clear of operation, and clinical operation process is safer.
Theelectronic protection mechanism 30 is a protection mechanism 30-1 disposed around theillumination module 21 and thelens module 22, or an insulating protection layer 30-2 disposed outside thecircuit 3, or an insulating adhesive layer 30-3 disposed in thehandle 52 for protecting theimage processing system 103.
The protection mechanism 30-1 is formed by arranging aprotection cover 20 at the front ends of theillumination module 21 and thelens module 22, arranging anisolation seat 24 at the rear side of theillumination module 21 and thelens module 22, forming a closed space by adhering theprotection cover 20, theisolation seat 24 and the tube body 5-3 and the like, completely isolating theillumination module 21 and thelens module 22 from human tissues, and ensuring that blood or tissue fluid generated in the operation process cannot influence the normal work of theillumination module 21 and thelens module 22.
The waterproof and insulating protective layer 30-2 is arranged outside thecircuit 3, so that accidents such as short circuit and the like caused by bloody water or tissue fluid generated in the operation process can be effectively avoided.
Theimage processing system 103 is arranged in thehandle 52, glue filling processing is carried out on the periphery of theimage processing system 103 to form the insulating glue layer 30-3, theimage processing system 103 and the periphery of thecircuit 3 are completely sealed and isolated, and the waterproof, gas-proof and insulating protection purposes are achieved.
In practical application, one or more of the protection mechanism 30-1, the insulating protection layer 30-2 and the insulating adhesive layer 30-3 can be used in combination according to requirements to comprehensively protect electronic components of the direct-view abortion uterine curettage device with the electronic protection mechanism from water, gas and insulation.
Further, a glue containing groove 52-1 is formed in thehandle 52, theimage processing system 103 is arranged in the glue containing groove 52-1, and the insulating glue layer 30-3 is poured into the glue containing groove 52-1 to protect theimage processing system 103. The glue containing groove 52-1 can be used for pouring glue conveniently, and the actual use process is very convenient.
The direct-view abortionuterine curettage device 100 further comprises anidentification system 8. Theidentification system 8 may prompt the depth of thejoystick 5 into the body. Themarking system 8 may be a graduatedscale 81 disposed outside the operatingrod 5, or may be other marking methods, which the applicant does not intend to describe in detail herein, but do not depart from the scope of the present application.
The direct-view abortionuterine curettage system 900 comprises the direct-view abortionuterine curettage device 100.
The direct-view abortionuterine curettage system 900 comprises the direct-view abortionuterine curettage device 100, ashell 101, adisplay system 102, animage processing system 103, and apower supply system 104; thedisplay system 102 is placed on thebody 101; theimage processing system 103 and thepower supply system 104 are installed in thehousing 101; thedisplay system 102, theimage processing system 103, and thepower supply system 104 are connected together through thecircuit 3; thesuction outlet 42 of the negativepressure suction mechanism 4 of the direct-vision induced abortionuterine curettage device 100 is connected with a negative pressure suction apparatus of a hospital or a negative pressure tube of a medical special negative pressure source.
During clinical use, will attractexport 42 and the negative pressure suction apparatus of hospital or the negative pressure pipe connection of medical special negative pressure source, open electricalpower generating system 104, direct-view people flowsuterine curettage system 900 and begins work,observation mechanism 2 starts, the video signal thatobservation mechanism 2 gathered passes through can be transmitted to through wired or wireless mode afterimage processing system 103 handlesdisplay system 102 and show ondisplay system 102. Under the observation of the camera 22-1, the direct-vision abortionuterine curettage work 100 enters the uterus along the vagina and through the cervical orifice to find the implanted embryo tissue, then the implanted embryo tissue is stripped from the uterus by thecuretter 11 of theuterine curettage mechanism 1, the negative pressure aspirator or the medical special negative pressure source is opened, and the stripped embryo tissue and the blood water generated therewith are sucked and discharged out of the body through thesuction outlet 42 until the embryo tissue is completely stripped and sucked and discharged out of the body, thus completing the abortion operation.
The direct-view abortionuterine curettage system 900 comprises the direct-view abortionuterine curettage device 100, ashell 101, adisplay system 102, animage processing system 103, apower supply system 104 and anegative pressure aspirator 105; thedisplay system 102 is placed on thebody 101; theimage processing system 103, thepower supply system 104 and thenegative pressure aspirator 105 are installed in thehousing 101; thedisplay system 102, theimage processing system 103, thepower supply system 104, and thenegative pressure aspirator 105 are connected together through thecircuit 3; thesuction outlet 42 of the negativepressure suction mechanism 4 of the direct-vision abortionuterine curettage device 100 is connected with the negativepressure suction apparatus 105.
Thenegative pressure aspirator 105 is directly contained in the direct-view abortionuterine curettage system 900, so that the direct-view abortion operation can be directly performed through the direct-view abortion uterine curettage system without depending on an external negative pressure source, the limitation of the external negative pressure source is avoided, and the application scene is wider.
The direct-view abortionuterine curettage system 900 comprises the direct-view abortionuterine curettage device 100, ashell 101, adisplay system 102, animage processing system 103, apower supply system 104, and aflushing system 106; thedisplay system 102 is placed on thebody 101; theimage processing system 103, thepower system 104, and theflushing system 106 are mounted within thehousing 101; thedisplay system 102, theimage processing system 103, thepower system 104, and theflushing system 106 are connected together by thecircuit 3; thesuction outlet 42 of the negativepressure suction mechanism 4 of the direct-vision induced abortionuterine curettage device 100 is connected with a negative pressure suction apparatus of a hospital or a negative pressure tube of a medical special negative pressure source; the water inlet 106-1 of theflushing system 106 is connected with an infusion bottle or a bag 7 through a water pipe 106-4, and the water outlet 106-2 of theflushing system 106 is connected with thewater inlet 62 of the flushing mechanism 6 of the direct-vision abortionuterine curettage device 100 through a water pipe 106-4.
Direct-view abortionuterine curettage system 900 contains rinse-system 106, rinse-system 106 can in time be right at the operation in-process direct-view abortionuterine curettage device 100 washes with peripheral tissue, guarantees to observe the field of vision and keeps the cleanness in time to wash the operation position to in time observe embryo tissue and whether cleared away from the implantation position completely, guarantee the completeness of abortion operation process embryo tissue, effectively avoid the incomplete condition of abortion to take place, clinical operation process is safer.
The direct-view abortionuterine curettage system 900 comprises the direct-view abortionuterine curettage device 100, ashell 101, adisplay system 102, animage processing system 103, apower supply system 104, anegative pressure aspirator 105, and aflushing system 106; thedisplay system 102 is placed on thebody 101; theimage processing system 103, thepower supply system 104, thenegative pressure aspirator 105, and theirrigation system 106 are mounted within thehousing 101; thedisplay system 102, theimage processing system 103, thepower supply system 104, thenegative pressure aspirator 105 and theirrigation system 106 are connected together through thecircuit 3; thesuction outlet 42 of the negativepressure suction mechanism 4 of the direct-vision abortionuterine curettage device 100 is connected with the negativepressure suction apparatus 105; the water inlet 106-1 of theflushing system 106 is connected with an infusion bottle or a bag 7 through a pipeline 7-1, and the water outlet 106-2 of theflushing system 106 is connected with thewater inlet 62 of the flushing mechanism 6 through a pipeline 7-1.
The direct-view abortionuterine curettage system 900 comprises thenegative pressure aspirator 105 and theflushing system 106, can complete the whole operation process of the direct-view abortion by one device without depending on an external negative pressure source and an external flushing system, and greatly reduces the limitation and influence of the external environment on the operation process.
Theirrigation system 106 is driven using a peristaltic pump 106-3. The peristaltic pump 106-3 may more precisely control the flow and speed of the incoming water. Of course, in practice, a person skilled in the art may also adopt different driving means to drive theflushing system 106 without departing from the scope of protection of the present application.
The direct vision uterine curettage device of the present invention comprises auterine curettage mechanism 1, anobservation mechanism 2, acircuit 3, a negativepressure suction mechanism 4, and anoperation rod 5. Thecurettage device 11 of theuterine curettage mechanism 1 is arranged at the front end of the operatingrod 5 and in the visual field of the camera 22-1. Theobservation mechanism 2 at least comprises 2 cameras 22-1, and a plurality of spatially distributed cameras 22-1 can effectively enlarge the observation field of view by connecting or overlapping the observation field of view, so that the problem that the field of view of a single camera 22-1 is limited is solved, the whole peripheral structure of thecurettage device 11 is better observed, the field of view is larger in the clinical operation, and the use is safer and more convenient. The direct-view abortion uterine curettage system can perform operation under the real-time display of the display system, and the abortion operation process is very accurate, safe and efficient.
Drawings
Fig. 1 is a schematic perspective view of the direct-view uterine curettage device of the present invention.
Fig. 1-1 is a cross-sectional view of fig. 1.
FIG. 1-2 is an enlarged view of FIG. 1-1 at A
Fig. 1-3 is an enlarged view at B of fig. 1-1.
Fig. 1-4 is an enlarged view at C of fig. 1-1.
Fig. 2 is a schematic structural view of the direct-vision abortion uterine curettage device of the present invention with the observation direction of the camera adjustable.
Fig. 2-1 is an enlarged view at D of fig. 2.
Fig. 3 is a structural schematic diagram of the direct-vision abortion uterine curettage device of the invention with the adjustable working direction of the curettage device.
Fig. 3-1 is an enlarged view at E of fig. 3.
Fig. 4 is a schematic structural diagram of the direct-vision abortion uterine curettage device of the present invention, in which the observation direction of the camera and the working part direction of the curettage device are adjusted simultaneously.
Fig. 4-1 is an enlarged view at F of fig. 4.
Fig. 5 is a schematic structural view of the direct-view uterine curettage device of the present invention when the curettage net is compressed in the sheath tube.
Fig. 6 is a schematic structural view of the direct-view uterine curettage system of the present invention.
Fig. 7 is a schematic structural diagram of the direct-vision abortion uterine curettage system of the present invention comprising a flushing system.
Fig. 8 is a schematic structural diagram of the direct-vision abortion uterine curettage system of the present invention comprising a negative pressure suction system.
In the above figures:
100 is the direct-vision abortion uterine curettage device of the present invention, and 900 is the direct-vision abortion uterine curettage system of the present invention.
101 is a shell, 102 is a display system, 103 is an image processing system, 104 is a power supply system, 105 is a negative pressure aspirator, and 106 is a flushing system.
1 is a uterine curettage mechanism, 2 is an observation mechanism, 3 is a circuit, 4 is a negative pressure suction mechanism, 5 is an operating rod, 6 is a flushing mechanism, 7 is an infusion bottle or a bag, and 8 is an identification system; beta is the angle of view.
11 is a curettage device; 11-3 is a scraping net, and 11-4 is a swinging mechanism; 11-31 are curettage wires.
20 is a protective cover, 21 is a lighting module, 22 is a lens module, 23 is a signal processing module, and 24 is an isolation seat; 22-1 is a camera, and 22-11 is an adjusting mechanism.
30-1 is a protection mechanism, 30-2 is an insulating protection layer, and 30-3 is an insulating glue layer.
And 31 is a circuit interface.
Reference numeral 41 denotes a suction inlet, 42 denotes a suction outlet, 43 denotes a suction passage, and 44 denotes a negative pressure control switch.
5-0 is an outer sheath tube, 5-1 is the front end, 5-2 is the rear end, 5-3 is a tube body, and 5-5 is a side surface; 52 is a handle, and 52-1 is a glue containing groove.
61 is a water outlet, 62 is a water inlet, 63 is a water inlet pipeline, and 64 is a flushing switch.
7-1 is a pipeline, and 81 is a graduated scale.
106-1 is a water inlet, 106-2 is a water outlet, 106-3 is a peristaltic pump, and 106-4 is a water pipe.
Detailed Description
Example 1: the invention relates to a direct-vision uterine curettage device
Referring to fig. 1-4, the direct-view uterine curettage device of the present embodiment includes auterine curettage mechanism 1, anobservation mechanism 2, acircuit 3, a negativepressure suction mechanism 4, and anoperation rod 5.
Theuterine curettage mechanism 1 comprises at least 1curettage device 11, and thecurettage device 11 is arranged at the front end of the operatingrod 5 and is in the visual field of theobservation mechanism 2.
Referring to fig. 1-1 and 1-2, theobservation mechanism 2 includes anillumination module 21, alens module 22, and asignal processing module 23. In this embodiment, thelens module 22 includes 2 cameras 22-1, and 1 camera 22-1 is disposed at the front end 5-1 of the operatingrod 5 to observe an area in front of the operatingrod 5; the 1 camera 22-1 is arranged on the side surface 5-5 of the operatingrod 5, and the side surface of the operatingrod 5 is observed.
In this embodiment, the angle of view β of the camera 22-1 is 110 °, and the observation areas of the camera 22-1 respectively disposed at the front end 5-1 and the side surface 5-5 of the operatingrod 5 are partially overlapped with each other, so that a larger observation field can be formed after the connection.
The images and videos observed by the camera 22-1 in the light field of theillumination module 21 are processed by thesignal processing module 23 and then output by thecircuit 3.
The negativepressure suction mechanism 4 includes asuction inlet 41, asuction outlet 42, and asuction passage 43; theinlet 41 is provided at the front end of theoperation lever 5, thesuction outlet 42 of the negativepressure suction mechanism 4 is provided at the rear end of theoperation lever 5, and thesuction passage 43 is provided in theoperation lever 5.
Ahandle 52 is arranged at the rear end 5-2 of the operatingrod 5, and auterine curettage mechanism 1 and anobservation mechanism 2 are arranged at the front end 5-1 of the operatingrod 5; the tube body 5-3 of the operatingrod 5 contains thecircuit 3 and the negativepressure suction mechanism 4.
In this embodiment, the camera 22-1 of thelens module 22 is disposed at the rear end of thecurettage device 11, and thecurettage device 11 is located in the visual field of the camera 22-1. The technical scheme that the camera 22-1 is arranged at the rear can ensure that thecurettage device 11 is completely positioned in the visual field range of the camera 22-1, and because the observation angle of the camera 22-1 faces the front of an operation area, an observation blind area cannot exist in the process, and accidental injuries to the uterus and accessories caused by untimely observation are avoided. Meanwhile, thecurettage device 11 is positioned in front of the camera 22-1, so that thecurettage device 11 does not have an operation dead angle due to shielding generated by the height of thelens module 22, embryo tissues can be completely removed from the implantation at any position of the uterus, especially for the implantation position near the oviduct orifice, namely the uterine fundus, thecurettage device 11 can also easily remove the embryo tissues, the incomplete human flow condition can not occur in the operation process, and the cleaning is completed under direct vision, so that the accidental injury of the uterine fundus due to overlarge operation action can not be caused, the injury to the uterine fundus can be well avoided, and serious medical accidents such as uterine perforation and the like can not occur. Therefore, the technical scheme of the rear camera ensures that the clinical operation process of the induced abortion is safer and more effective.
The camera 22-1 of thelens module 22 may also be disposed at the front end of thecurettage device 11. The camera 22-1 can directly observe the working state of thesuction inlet 41 of the negativepressure suction mechanism 4, and determine that the stripped implantation tissue is sucked and discharged out of the body by the negativepressure suction mechanism 4.
In this embodiment, thecurettage device 11 of theuterine curettage mechanism 1 is a curettage net 11-3. The scraping net 11-3 is formed by winding 2 elastic metal wires. The camera 22-1 can directly observe the situation behind the scraping net 11-3 from the net-shaped gap, and the whole process of the operation process and the panoramic observation of the operation area can be realized even if the scraping net 11-3 is not made of transparent materials.
Referring to fig. 5, the curettage net 11-3 of thecurettage device 11 of thecurettage mechanism 1 can be compressed inside the sheath tube 5-0; the scraping net 11-3 can prop open the uterus after releasing expansion from the outer sheath tube 5-0, and the observation visual field is enlarged.
The curettage net 11-3 of thecurettage device 11 of theuterine curettage mechanism 1 can be compressed in the sheath tube 5-0, and when the constraint of the sheath tube 5-0 is removed backwards, the curettage net 11-3 can completely or basically restore the shape before compression. When the uterine curettage device is used clinically, the curettage net 11-3 can be folded into the outer sheath tube 5-0, the curettage net 11-3 is released by retreating the outer sheath tube 5-0 after the uterine curettage device enters a uterus through a cervix, and the curettage net 11-3 is unfolded, so that embryonic tissues can be removed. Meanwhile, as the scraping net 11-3 is unfolded, the uterus at the front end of the camera 22-1 can be unfolded, the observation visual field is expanded, the operation part and the peripheral tissues can be better observed in the clinical use process, and the observation effect in the clinical use process is very good. The scraping wires 11-31 of the scraping net 11-3 can be made of materials with various shapes such as wire materials, thin tube materials, sheet materials and the like. The scraping net 11-3 can be set into various geometric shapes such as an ellipsoid shape, a pear shape and the like according to the shape of the uterus so as to better adapt to the shape of the uterus, and is particularly suitable for corners which are difficult to clean of the uterus.
Theprotective cover 20 of theobservation mechanism 2 is provided with a coating. The coating can select hydrophobic coating, and liquid such as bloody water can be fast like this fall after condensing into the water droplet onprotection casing 20, also can select hydrophilic coating, and liquid such as bloody water can be fast like this form transparent water film onprotection casing 20 surface, can not shelter from camera 22-1.
Thecircuit 3 is provided with anelectrical interface 31 for connection to a host computer. The direct-view abortionuterine curettage device 100 is connected with a host and a power supply through theelectrical interface 31.
Referring to fig. 1-2 to 1-4, the direct-viewuterine curettage device 100 comprises anelectronic protection mechanism 30; theelectronic protection mechanism 30 is disposed outside theobservation module 2 and/or thecircuit 3, and performs waterproof, gas-proof, and insulation protection on electronic components of theobservation module 2 and/or thecircuit 3.
Set upobservation module 2 withcircuit 3's outsideelectron protection mechanism 30 can beright observation module 2 withcircuit 3's electronic components carries out waterproof, gas-proof, insulation protection, effectively prevents that the normal work of electronic components is influenced to the bloody water or tissue fluid that produce among the operation process, guarantees the normal clear of operation, and clinical operation process is safer.
Theelectronic protection mechanism 30 is a protection mechanism 30-1 disposed around theillumination module 21 and thelens module 22, or an insulating protection layer 30-2 disposed outside thecircuit 3, or an insulating adhesive layer 30-3 disposed in thehandle 52 for protecting theimage processing system 103.
The protection mechanism 30-1 is formed by arranging aprotection cover 20 at the front ends of theillumination module 21 and thelens module 22, arranging anisolation seat 24 at the rear side of theillumination module 21 and thelens module 22, forming a closed space by adhering theprotection cover 20, theisolation seat 24 and the tube body 5-3 and the like, completely isolating theillumination module 21 and thelens module 22 from human tissues, and ensuring that blood or tissue fluid generated in the operation process cannot influence the normal work of theillumination module 21 and thelens module 22.
The waterproof and insulating protective layer 30-2 is arranged outside thecircuit 3, so that accidents such as short circuit and the like caused by bloody water or tissue fluid generated in the operation process can be effectively avoided.
Theimage processing system 103 is arranged in thehandle 52, glue filling processing is carried out on the periphery of theimage processing system 103 to form the insulating glue layer 30-3, theimage processing system 103 and the periphery of thecircuit 3 are completely sealed and isolated, and the waterproof, gas-proof and insulating protection purposes are achieved.
In practical application, one or more of the protection mechanism 30-1, the insulating protection layer 30-2 and the insulating adhesive layer 30-3 can be used in combination according to requirements to comprehensively protect electronic components of the direct-view abortion uterine curettage device with the electronic protection mechanism from water, gas and insulation.
Further, a glue containing groove 52-1 is formed in thehandle 52, theimage processing system 103 is arranged in the glue containing groove 52-1, and the insulating glue layer 30-3 is poured into the glue containing groove 52-1 to protect theimage processing system 103. The glue containing groove 52-1 can be used for pouring glue conveniently, and the actual use process is very convenient.
The negativepressure suction mechanism 4 is provided with a negativepressure control switch 44 capable of controlling a negative pressure state. The negativepressure control switch 44 can turn on or off the negativepressure suction mechanism 4, and can adjust the negative pressure suction force of the negativepressure suction mechanism 4 according to the amount of stripped tissues, blood and tissue fluid in the uterus during the operation. When the negative pressure suction device is used clinically, doctors can conveniently adjust the negative pressure suction force required by the doctors, so that the situation that stripped tissues cannot be sucked out timely due to too small negative pressure suction force is avoided, and accidental injuries of tissues such as endometrium and the like due to too large negative pressure are avoided.
The negativepressure control switch 44 is arranged on thehandle 52 of the operatingrod 5, so that medical staff can operate the negative pressure control switch with one hand during clinical use, and the use process is more convenient.
The direct-vision abortionuterine curettage device 100 further comprises a flushing mechanism 6; thewater outlet 61 of the flushing mechanism 6 is arranged at the front end of the operatingrod 5, thewater inlet 62 of the flushing mechanism 6 is arranged at the rear end of the operatingrod 5, and thewater inlet pipe 63 of the flushing mechanism 6 is arranged in the pipe body 5-3 of the operatingrod 5. In the operation process, the flushing mechanism 6 can flush the interior of the uterus, and can timely flush the blood at the front end of the camera 22-1 completely, so that the observation visual field is kept clean. Meanwhile, the flushing mechanism 6 can also flush thecurettage device 11 and the uterine wall in time, and particularly can flush the operation part in time, so that whether the embryonic tissue is completely cleared from the implantation position or not can be observed in time, the completeness of the embryonic tissue in the abortion operation process is ensured, the incomplete abortion condition is effectively avoided, and the clinical operation process is safer.
The tube body 5-3 of the operatingrod 5 is a three-cavity tube; thecircuit 3 is arranged in the 1 st cavity tube, the 2 nd cavity tube forms or is provided with thesuction channel 43 of the negativepressure suction mechanism 4, and the 3 rd cavity tube forms or is provided with thewater inlet pipeline 63 of the flushing mechanism 6. The design of three chamber passageways can separate the irrigation passageway and the suction passageway while guaranteeing thatcircuit 3 is kept apart the protection, can guarantee better like this that there is not the tissue or the liquid of suction to get back to the uterus in the in-process of washing, and the use is more efficient, safety.
Referring to fig. 1-2, the water sprayed from at least 1water outlet 61 of thewater outlets 61 of the flushing mechanism 6 of the direct-vision abortionuterine curettage device 100 can flush and clean theprotective cover 20 of theobservation mechanism 2. The washing mechanism 6 can timely wash theprotective cover 20 of theobservation mechanism 2, so that the observation effect of theobservation mechanism 2 is ensured.
The flushing mechanism 6 of the direct-vision abortionuterine curettage device 100 is provided with a flushingswitch 64 for controlling flushing water flow. Theflush switch 64 can turn the flushing mechanism 6 on and off and can control the amount of flushing water and the flushing pressure. In the clinical use process, a clinician can open or close the flushing mechanism 6 according to the actual needs of the operation process, and simultaneously selects the proper size and pressure of the flushing water flow according to the needs, so that the clinical use process is more convenient.
Theflush switch 64 is provided on thehandle 52 of the operatinglever 5. The flushingswitch 64 is arranged on thehandle 52, so that medical staff can operate the flushing device with one hand during clinical use, and the use process is more convenient.
The direct-view abortionuterine curettage device 100 further comprises anidentification system 8. Theidentification system 8 may prompt the depth of thejoystick 5 into the body. Themarking system 8 may be a graduatedscale 81 disposed outside the operatingrod 5, or may be other marking methods, which the applicant does not intend to describe in detail herein, but do not depart from the scope of the present application.
In clinical operation, thehandle 52 is held, the direct-vision abortionuterine curettage device 100 enters the uterus from the cervical orifice after passing through the vagina under the condition of direct vision, the camera 22-1 finds the lying position of the embryonic tissue, and then the curettage net 11-3 is used for scraping the embryonic tissue from the uterine wall. The scraped embryo tissue is sucked from thesuction inlet 41 by the negative pressure suction of the negativepressure suction mechanism 4, and is discharged from thesuction outlet 42 through thesuction passage 43, and during the suction, the doctor can adjust the magnitude of the negative pressure suction force by thecontrol switch 44 provided on thehandle 52 according to the size of the scraped embryo tissue and the amount of blood. In the operation process, the accessible wash mechanism 6 and wash, on the one hand can be in time right theprotection casing 20 ofobservation mechanism 2 washes, keeps the good stability ofobservation mechanism 2's real-time observation effect, and on the other hand can be right spatula 11-1 and operation area wash to in time observe whether embryonic tissue has been clear away from the nidation totally, guarantee the completion of stream of people operation process embryonic tissue, effectively avoid the incomplete condition of stream of people to take place, clinical operation process is safer.
In this embodiment, the 2 spatially distributed cameras 22-1 can effectively enlarge the observation field of view by linking or superimposing the observation field of view, thereby solving the problem that the field of view of a single camera 22-1 is limited, better observing the whole peripheral structure of thecurettage device 11, having a larger field of view in clinical operation, and being safer and more convenient to use.
Example 2: the observation direction is adjustable and the invention looks at the curettage device of the induced abortion
Referring to fig. 2 to 4-1, the present embodiment is different from the present embodiment in that the camera 22-1 of thelens module 22 is disposed inside thecurettage device 11.
Referring to fig. 2, 3 and 4, in the present embodiment, the camera 22-1 of thelens module 22 is disposed inside thecurettage device 11.
Referring to fig. 2 and 2-1, the viewing direction of the camera 22-1 of thelens module 22 can be adjusted.
By adjusting the observation direction of the camera 22-1, the working state and the surrounding tissue condition of thecurettage device 11 can be observed in all directions, particularly the implantation position of the embryo can be found quickly, and the observation effect is more comprehensive in clinical use.
The adjusting mechanism 22-11 for adjusting the observing direction of the camera 22-1 is arranged on thehandle 52. The adjusting mechanism 22-11 is arranged on thehandle 52, so that the observing direction of the camera 22-1 can be conveniently adjusted outside the body in clinical use, and the operation is simpler.
Referring to fig. 3 and 3-1, in this embodiment, the working site orientation of thecurettage device 11 is also adjustable. The working position direction of thecurettage device 11 can be adjusted according to the needs, the curettage device can better adapt to the structural shape in the uterus, and the curettage device has better cleaning effect on the parts which are difficult to clean, such as the corners of the uterus and the like.
The oscillating mechanism 11-4 of thecurettage device 11 for adjusting the direction of the working position is arranged on thehandle 52. The swinging mechanism 11-4 is arranged on thehandle 52, so that the working direction of the working part of thecurettage device 11 can be conveniently adjusted outside the body in clinical use, and the operation is simpler.
In practical applications, the clinician can adjust only the viewing direction of the camera 22-1 or the working site direction of thecurettage device 11 as needed, or can adjust both the viewing direction of the camera 22-1 and the working site direction of thecurettage device 11.
Referring to fig. 4 and 4-1, when the viewing direction of the camera 22-1 and the working site direction of thecurettage device 11 are adjusted simultaneously, the adjusting mechanism 22-11 and the swinging mechanism 11-4 may be combined into one mechanism provided on thehandle 52, that is, the viewing direction of the camera 22-1 and the working site direction of thecurettage device 11 are adjusted simultaneously by the same adjusting mechanism.
In this embodiment, since the observing direction of the camera 22-1 and the working position direction of thecurettage device 11 can be adjusted, the clinical effect is better for the corners which are difficult to be cleaned and observed in clinical use.
Example 3: the present invention relates to a direct-vision uterine curettage system
Referring to fig. 6, the direct-view uterine curettage system of the present embodiment includes the direct-view uterine curettage device ofembodiment 1.
In this embodiment, the direct-view abortionuterine curettage system 900 includes the direct-view abortionuterine curettage device 100, ahousing 101, adisplay system 102, animage processing system 103, and apower supply system 104; thedisplay system 102 is placed on thehousing 101; theimage processing system 103 and thepower supply system 104 are installed in thehousing 101; thedisplay system 102, theimage processing system 103, and thepower supply system 104 are connected together through thecircuit 3; thesuction outlet 42 of the negativepressure suction mechanism 4 of the direct-vision induced abortionuterine curettage device 100 is connected with a negative pressure suction apparatus of a hospital or a negative pressure tube of a medical special negative pressure source.
During clinical use, will attractexport 42 and the negative pressure suction apparatus of hospital or the negative pressure pipe connection of medical special negative pressure source, open electricalpower generating system 104, direct-view people flowsuterine curettage system 900 and begins work,observation mechanism 2 starts, the video signal thatobservation mechanism 2 gathered passes through can be transmitted to through wired or wireless mode afterimage processing system 103 handlesdisplay system 102 and show ondisplay system 102. Under the observation of the camera 22-1, the direct-vision abortionuterine curettage work 100 enters the uterus along the vagina and through the cervical orifice to find the implanted embryo tissue, then the implanted embryo tissue is stripped from the uterus by thecuretter 11 of theuterine curettage mechanism 1, the negative pressure aspirator or the medical special negative pressure source is opened, and the stripped embryo tissue and the blood water generated therewith are sucked and discharged out of the body through thesuction outlet 42 until the embryo tissue is completely stripped and sucked and discharged out of the body, thus completing the abortion operation.
The direct-view abortion uterine curettage system of this embodiment can show directly perceivedly ondisplay system 102 the overall process that direct-view abortionuterine curettage device 100 got into uterus and embryonic tissue strikes off, the incomplete condition of abortion can not appear in the operation in-process, owing to accomplish and clear away under direct-viewing, consequently, can not cause the unexpected damage at the bottom of the uterus owing to the operation action is too big, can avoid causing the damage to the bottom of the uterus very well, serious medical negligence such as uterus perforation can not appear. The clinical operation process is very safe and effective.
Example 4: the direct-vision abortion uterine curettage system of the present invention comprises a washing system
Referring to fig. 7, the difference between the direct-view uterine curettage system of this embodiment andembodiment 4 is that the direct-view uterine curettage system further includes aflushing system 106 in this embodiment.
In this embodiment, the direct-view abortionuterine curettage system 900 includes the direct-view abortionuterine curettage device 100, ahousing 101, adisplay system 102, animage processing system 103, apower supply system 104, and aflushing system 106; thedisplay system 102 is placed on thebody 101; theimage processing system 103, thepower system 104, and theflushing system 106 are mounted within thehousing 101; thedisplay system 102, theimage processing system 103, thepower system 104, and theflushing system 106 are connected together by thecircuit 3; thesuction outlet 42 of the negativepressure suction mechanism 4 of the direct-vision induced abortionuterine curettage device 100 is connected with a negative pressure suction apparatus of a hospital or a negative pressure tube of a medical special negative pressure source; the water inlet 106-1 of theflushing system 106 is connected with an infusion bottle or a bag 7 through a water pipe 106-4, and the water outlet 106-2 of theflushing system 106 is connected with thewater inlet 62 of the flushing mechanism 6 of the direct-vision abortionuterine curettage device 100 through a water pipe 106-4.
In this embodiment, theirrigation system 106 is driven by a peristaltic pump 106-3. The peristaltic pump 106-3 may more precisely control the flow and speed of the incoming water. Of course, in practice, a person skilled in the art may also adopt different driving means to drive theflushing system 106 without departing from the scope of protection of the present application.
The direct-view abortion uterine curettage system of this embodiment is owing to contain rinse-system 106, rinse-system 106 can in time be right at the operation in-process direct-view abortionuterine curettage device 100 and peripheral tissue wash, guarantee to observe the field of vision and keep the cleanness in the time can in time wash the operation position to in time observe embryo tissue and whether cleared away from the implantation position completely, guarantee the completion of abortion operation process embryo tissue, effectively avoid the incomplete condition of abortion to take place, clinical operation process is safer.
Example 5: the present invention relates to a direct-vision abortion uterine curettage system containing a negative pressure source
Referring to fig. 8, the direct-view uterine curettage system of the present embodiment is different fromembodiment 5 in that the direct-view uterine curettage system further includes a negativepressure suction device 105 in the present embodiment.
In this embodiment, the direct-view abortionuterine curettage system 900 comprises the direct-view abortionuterine curettage device 100, ahousing 101, adisplay system 102, animage processing system 103, apower supply system 104, anegative pressure aspirator 105, and aflushing system 106; thedisplay system 102 is placed on thebody 101; theimage processing system 103, thepower supply system 104, thenegative pressure aspirator 105, and theirrigation system 106 are mounted within thehousing 101; thedisplay system 102, theimage processing system 103, thepower supply system 104, thenegative pressure aspirator 105 and theirrigation system 106 are connected together through thecircuit 3; thesuction outlet 42 of the negativepressure suction mechanism 4 of the direct-vision abortionuterine curettage device 100 is connected with the negativepressure suction apparatus 105; the water inlet 106-1 of theflushing system 106 is connected with an infusion bottle or a bag 7 through a pipeline 7-1, and the water outlet 106-2 of theflushing system 106 is connected with thewater inlet 62 of the flushing mechanism 6 through a pipeline 7-1.
In this embodiment, the direct-view abortionuterine curettage system 900 itself includes the negativepressure suction device 105 and theflushing system 106, and integrates the negative pressure suction function and the flushing function into one device, so that the whole operation process of the direct-view abortion can be completed by only one device without depending on an external negative pressure source and an external flushing system, thereby greatly reducing the limitation and influence of the external environment on the operation process, and having a very wide application range.
It should be noted that structures disclosed and illustrated herein may be replaced by other structures having the same effect, and the described embodiments of the invention are not the only structures for carrying out the invention. Although preferred embodiments of the present invention have been shown and described herein, it will be apparent to those skilled in the art that these embodiments are by way of example only and that numerous changes, modifications and substitutions may be made without departing from the invention by those skilled in the art, and it is intended that the scope of the invention be defined by the spirit and scope of the appended claims.