CN214912456U - Visual catheter and have incision sword of this visual catheter - Google Patents

Abstract

The utility model relates to a visual pipe, including pipe body and the haulage wire as the incision sword, the distal end of pipe body is in can the bending turn to and rotate with change insertion direction and angle under the effect of haulage wire, the pipe body is equipped with visual chamber way and working chamber way, visual chamber way is in the tip of the distal end of pipe body sets up miniature video image sensor and lighting element, the tip of pipe body distal end still is provided with the transparent cap that is used for guaranteeing the field of vision and increases the module field of vision angle of making a video recording. The utility model discloses a supporting role of miniature video image sensor and transparent cap helps looking for the lumen and judges it and walks capable direction, and the accuracy guides the intubate and relevant diagnosis, can carry out the intubate under the direct-view state, can distinguish pancreatic duct and bile duct through observing the image, reduces or avoids operating doctor and patient to expose the time under the ray, can improve the success rate of selectivity intubate, reduces the production of complication.

Description

Visual catheter and have incision sword of this visual catheter

Technical Field

The utility model relates to the technical field of medical equipment, concretely relates to visual pipe and have transparent cap, the incision sword that can adjust this visual pipe direction of guaranteeing the field of vision.

Background

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a technique in which a duodenoscope is inserted into the descending part of the duodenum to find the papilla of the duodenum, a contrast catheter is inserted into the opening of the papilla from a biopsy channel, and a contrast medium is injected into the opening of the papilla to perform X-ray radiography to display the cholangiopancreatography. On the basis, interventional therapy such as duodenal papillary sphincterotomy, endoscopic nasal bile drainage, endoscopic biliary drainage, choledocholithiasis, cholepancreatic duct tumor stent drainage, biopsy, local radiotherapy, radio frequency treatment and the like can be performed.

With the progress of imaging technology, MRCP has gradually replaced diagnostic ERCP due to its advantages of being noninvasive, free of X-ray irradiation, free of contrast medium, etc., and has become the first choice diagnostic method for pancreatic and biliary diseases, and ERCP gradually shifts to the treatment of pancreatic and biliary diseases. Because ERCP does not need to open the abdomen, the wound is small, the operation time is short, the pain of the patient can be greatly relieved, the complication is less than that of the surgical operation, the hospitalization time is greatly shortened, and the ERCP is popular with the patient. ERCP has achieved great clinical results in a few decades, and has become an important treatment means for pancreatic and biliary diseases today.

The most critical and difficult technique in operation is selective bile or pancreatic duct intubation, since if intubation is unsuccessful, subsequent diagnosis and treatment cannot be performed. Through improvement of the manipulations and improvement of the instruments, the success rate of selective cholepancreatic duct insertion is obviously improved, but the success rate after improvement is still unsatisfactory, the selective cholepancreatic duct insertion needs to be carried out under the guidance of X rays, and the incidence rate of complications is high.

Especially when a bile duct or a pancreatic duct is selectively inserted into the tube, the mucosa of the digestive tract can be blocked at the front end of the lens to influence the observation, and the cavity or the mucosa with pathological changes cannot be accurately found, so that the endoscope entering and the diagnosis are influenced, and even the endoscope entering to an ideal part can not be carried out to influence the diagnosis and the treatment of diseases. At present, a simple and safe method for directly carrying out selective intubation on a chole-pancreatic duct without X-ray or intracavity ultrasound under direct vision does not exist.

SUMMERY OF THE UTILITY MODEL

The utility model aims at providing a block the camera lens in order to solve the alimentary canal mucosa, the influence advances mirror and diagnosis, the problem of treatment and provides a visual pipe, intubate and relevant operation of diagnosing under realizing directly viewing, do not need the guide of X line simultaneously, can carry out the intubate under the state of directly viewing, can distinguish pancreatic duct and bile duct through observing the image, consequently reducible or avoid operating doctor and patient to expose the time under the ray, can improve the success rate of selectivity intubate simultaneously, reduce the production of some complications simultaneously. Meanwhile, other related diagnosis and treatment can be performed under direct vision.

The purpose of the utility model is realized through the following technical scheme:

a visual catheter is used for minimally invasive intervention surgery of pancreaticobiliary duct and comprises a catheter body and a traction wire with the functions of adjusting direction and an incision knife, wherein the insertion end of the catheter body is a far end, the other end of the catheter body is a near end, and the far end of the catheter body can be bent and steered under the action of the traction wire;

the catheter body is at least provided with a visual cavity channel for accommodating an optical imaging system and a working cavity channel for auxiliary instruments to pass through, the visual cavity channel and the working cavity channel are communicated from the near end to the far end of the catheter body, the end part of the far end of the catheter body, at which the visual cavity channel is arranged, is provided with a miniature video image sensor and an illuminating element, and the end part of the far end of the catheter body is also provided with a transparent cap for ensuring the visual field and increasing the visual field angle of the camera module.

The utility model discloses utilize miniature video image sensor plus front end toper transparent cap supporting role, strut camera lens front end pipeline mucosa, guarantee and widen the field of vision, help looking for the lumen and judge it and walk the line direction and guide the intubate. The video image sensor of the front end transparent part can be used for ensuring the visual field, thereby guiding papillary intubation under direct vision, further selectively selecting bile duct or pancreatic duct intubation under direct vision, further selecting common bile duct or common hepatic duct intubation under direct vision, and further selecting left and right hepatic ducts and intrahepatic bile duct intubation under direct vision, and avoiding difficulty and possible complications caused by blind intubation.

Furthermore, the transparent cap is a conical transparent cap or a round tube with a conical front end, and is made of a completely transparent material, the length of the transparent cap is 0.1cm-5cm, preferably 0.2cm-2cm, the transparent cap is tapered, and the outer diameter of the front end is 0.1mm-4 mm.

Furthermore, the distance between the miniature video image sensor and the lighting element and the terminal is 0.1cm-5cm, preferably 0.2cm-2cm, the miniature video image sensor and the lighting element can be arranged on one plane or not arranged on one plane so as to reduce the occupied sectional area, and meanwhile, the miniature video image sensor and the lighting element cannot influence each other to cause visual angle obstruction or imaging blurring (such as shadow areas), so that the visual angle of the camera module can be effectively increased.

Furthermore, a plurality of cavities are arranged in the transparent cap, stones, pus, parasites and the like in the chole-pancreatic duct can be washed out by repeated washing and suction to ensure the visual field, and diagnosis and treatment can be guided under direct vision.

Furthermore, the length of the catheter is 180-260 cm, the surface of the front part of the catheter is 160cm, the surface of the front part of the catheter is coated with an ultra-smooth coating, so that the catheter has good synchronous rotation performance, the intubation direction can be flexibly adjusted by combining with a traction wire, and the common bile duct, the pancreatic duct, the cystic duct, the common hepatic duct, the left hepatic duct, the right hepatic duct and the intrahepatic bile duct can be conveniently inserted and selected.

Furthermore, the miniature video image sensor is a miniature endoscope, and the size of the miniature video image sensor is 0.1-4.0 mm.

Further, the side of the video image sensor is provided with an illuminating element, and the illuminating element can adopt a tiny LED lamp group or other light sources.

Further, the transparent cap is integrally formed with the catheter body or detachably arranged on the catheter body.

Furthermore, the working cavity comprises an injection cavity and/or a liquid suction cavity, and can be externally connected with an electric suction and water injection device.

The catheter may be used to deliver an attachment from an access to a target location at a pancreaticobiliary anatomy and display real-time video while connected to a digital imaging controller.

The catheter is matched with a digital controller for use, the controller can provide a light source and an image processing function for the catheter, and a doctor sends the catheter to a diagnosis and treatment part through a working channel of the duodenoscope.

The miniature video image sensor transmits light from the controller to the far-end terminal of the catheter through the catheter cable, and transmits video signals captured by the video image sensor to the controller so as to realize image processing and display;

the proximal end of the working channel is provided with a port into which an accessory is inserted, optionally a Y-port connector (package) may be connected thereto to provide a sealing mechanism for the accessory inserted into the working channel, and fluid may be injected without removing the accessory.

The utility model discloses with visual pipe device through duodenoscope biopsy hole arrival duodenum descending segment nipple region, observe the nipple from video image sensor, visual pipe device's advantage can carry out the intubate under the direct vision state, can distinguish pancreatic duct and bile duct through observing the image, consequently reducible or avoid operating doctor and patient to expose the time under the ray, can improve the success rate of selectivity intubate simultaneously, avoid the production of some complications simultaneously.

The transparent cap with the conical structure of the transparent part at the front end plays a supporting role, the mucosa of the pipeline at the front end of the lens is spread, the visual field is ensured and widened, and the lumen searching and the judgment of the walking direction of the lumen to guide intubation are facilitated. The video image sensor of the front end transparent part can be used for ensuring the visual field, thereby guiding papillary intubation under direct vision, further selectively inserting bile duct or pancreatic duct under direct vision, further selecting common bile duct or common hepatic duct intubation under direct vision, and further selecting left and right hepatic ducts and intrahepatic bile duct intubation under direct vision, avoiding the difficulty and possible complications caused by blind intubation, repeatedly washing and attracting stones, pus, parasites and the like in the chole-pancreatic duct to wash out to ensure the clear visual field, and guiding diagnosis and treatment under direct vision.

Drawings

Fig. 1 is a schematic view of a particular application of the visualization catheter of the present invention;

fig. 2 is a schematic view of a partial structure of the visualization catheter of the present invention;

FIG. 3 is a schematic cross-sectional view taken at A in FIG. 2;

FIG. 4 is a schematic cross-sectional view taken at B in FIG. 2;

FIG. 5 is a schematic cross-sectional view at C of FIG. 2;

FIG. 6 is a schematic cross-sectional view taken at D or E of FIG. 2;

in the figure: 1-a catheter body; 2-drawing a wire; 3-operating a handle; 4-working channel joint; 5-a suction port; 6-flushing port; 7-cable joint; 8-outer tube; 9-a transparent cap; 101-miniature video image sensor; 102-a lighting element; 103-a suction tube or a flushing tube; 104-a working cavity channel; 105-visual lumen.

Detailed Description

The present invention will be described in detail below with reference to the accompanying drawings and specific embodiments.

Referring to fig. 1, an incision knife with a visualization catheter is used for minimally invasive interventional pancreaticobiliary surgery.

Referring to fig. 2-6, the visual catheter comprises a catheter body 1 and atraction wire 2 as a cutting knife, wherein the insertion end of the catheter body 1 is a far end, the other end of the catheter body is a near end, and the far end of the catheter body 1 can be bent and turned under the action of thetraction wire 2 and is realized by controlling anoperation handle 3. The catheter body 1 is provided with avisual cavity 105 for accommodating an optical imaging system and a workingcavity 104 for auxiliary instruments to pass through, thevisual cavity 105 and the workingcavity 104 are both communicated from the near end of the catheter body 1 to the far end, the end part of thevisual cavity 104 at the far end of the catheter body 1 is provided with a miniaturevideo image sensor 101, and the end part at the far end of the catheter body 1 is further provided with a transparent cap 9 for ensuring the visual field of a camera module.

The miniaturevideo image sensor 101 is a miniature endoscope, the size of the miniature video image sensor is 0.1-4 mm, the side of thevideo image sensor 101 is provided with anilluminating element 102, theilluminating element 102 can adopt a miniature LED lamp bank or other light sources, and the miniaturevideo image sensor 101 and theilluminating element 102 are both connected with acable connector 7 at the near end through a data line passing through avisual cavity channel 105. The device can perform intubation in a direct-view state, can distinguish the pancreatic duct and the bile duct by observing images, can reduce the time of exposing an operating doctor and a patient to X-rays, can improve the success rate of selective intubation, reduces the generation of some complications, and can perform other related diagnosis and treatment under the direct view.

The distance between the miniature video image sensor and the lighting element is 0.1cm-5cm, preferably 0.2cm-2cm, the miniaturevideo image sensor 101 and thelighting element 102 can be on a plane or not so as to reduce the occupied sectional area, and meanwhile, the miniature video image sensor and the lighting element cannot influence each other to cause visual angle obstruction or imaging blurring (such as shadow areas), so that the visual angle of the camera module can be effectively increased.

The transparent cap 9 is a tubular transparent cap with a conical front end and is made of a fully transparent material, the outer diameter of the front end is 0.1-4 mm, the transparent cap and the catheter body are integrally formed, or the transparent cap is detachably arranged on the catheter body, the transparent cap with the conical front end transparent part structure plays a supporting role, the mucosa of the front end of the lens is stretched, the visual field is ensured and widened, and the lumen is searched and the walking direction of the lumen is judged to guide the intubation. The video image sensor of the front end transparent part can be used for ensuring the visual field, thereby guiding papillary intubation under direct vision, further selectively selecting bile duct or pancreatic duct intubation under direct vision, further selecting common bile duct or common hepatic duct intubation under direct vision, and further selecting left and right hepatic ducts and intrahepatic bile duct intubation under direct vision, and avoiding difficulty and possible complications caused by blind intubation.

Fig. 1 is a schematic view of a disposable cholepancreatic duct imaging catheter embodying the visualization catheter of the present invention.

The imaging catheter is provided with anoperating handle 3 which can control thetraction wire 2 to realize the bending and steering of the far end of the catheter body 1. The imaging catheter is provided with asuction port 5 or aflushing port 6 communicated with a suction tube or aflushing tube 103 and a working channel joint 4 connected with a workingchannel 104 in sequence, which can be connected with external equipment respectively. The working channel port attachment insertion site may optionally have a Y-port connector (package) attached thereto to provide a sealing mechanism for the attachment inserted in the working channel, while allowing for fluid injection without removing the attachment. The suction tube and theirrigation tube 103 may be provided separately as shown in fig. 3, or may share a single passage.

The catheter is used to deliver an attachment from an access to a target location at the pancreaticobiliary anatomy and may display real-time video when connected to a digital imaging controller. A tiny endoscope and LED light bank or other light source within the visualization lumen transmits light from the controller to the distal end terminal of the catheter through the catheter cable and transmits video signals captured by the video sensor to the controller for image processing and display. The catheter is used in conjunction with a digital controller that provides light source and image processing functions for the catheter. The doctor sends the catheter to the diagnosis and treatment position through the working channel of the duodenoscope.

When the operation is started, the catheter enters the duodenal papilla through a duodenoscope or other endoscopes, the catheter is made to contact with the papilla, at the moment, one part of the transparent cap part at the far end of the catheter enters the papilla, the transparent cap is utilized to open a papilla opening, the pipeline in the papilla is observed, the running direction of a bile duct and a pancreatic duct is judged, the catheter is inserted in the direction of the bile duct or the pancreatic duct, and meanwhile, the catheter can be further selectively inserted deeply. If the insertion is difficult, the catheter can be tightened or loosened or rotated by the incision knife to adjust the insertion direction, and the insertion is easy by combining the adjustment of a duodenoscope or other endoscopes. If the nipple is small and deep insertion is difficult, the nipple incision can be made with an incision knife to facilitate catheter access to the canal. Other instruments such as sampling forceps and the like can be inserted into the working channel of the catheter, the pathological change part can be directly taken out of stones or grabbed by tissues under visual support, the tail end of the conical transparent cap is respectively provided with an injection or suction pipeline, the flushing efficiency is higher, the conical transparent cap can be simultaneously and respectively connected with an injector or a suction apparatus, and the injection water is convenient for flushing the cavity of the human body so as to facilitate observation.

The embodiments described above are intended to facilitate the understanding and use of the invention by those skilled in the art. It will be readily apparent to those skilled in the art that various modifications to these embodiments may be made, and the generic principles described herein may be applied to other embodiments without the use of the inventive faculty. Therefore, the present invention is not limited to the above embodiments, and those skilled in the art should make improvements and modifications within the scope of the present invention according to the disclosure of the present invention.

Claims (10)

Translated fromChinese

1.一种可视化导管，用于胰胆管微创介入性手术，包括导管本体和具有调整方向、切开刀功能的牵引丝，所述导管本体的插入端为远端，另一端为近端，所述导管本体的远端在所述牵引丝的作用下能够弯曲转向；1. a visualized catheter for minimally invasive interventional surgery of the pancreaticobiliary duct, comprising a catheter body and a traction wire with the function of adjusting direction and cutting knife, the insertion end of the catheter body is a distal end, and the other end is a proximal end, The distal end of the catheter body can bend and turn under the action of the pulling wire;其特征在于，所述导管本体至少设有一个容纳光学成像系统的可视腔道和一个可供辅助器械通过的工作腔道，所述可视腔道和工作腔道均自所述导管本体的近端贯通至远端，It is characterized in that, the catheter body is provided with at least one visual lumen for accommodating the optical imaging system and a working lumen for auxiliary instruments to pass through, and the visual lumen and the working lumen are both from the catheter body. from the proximal end to the distal end,所述可视腔道在所述导管本体的远端的端部设置微型视频图像传感器及照明元件，所述导管本体远端的端部还设置有用于保证视野和增大摄像模组视野角度的透明帽。The visible cavity is provided with a miniature video image sensor and an illuminating element at the end of the distal end of the catheter body, and the end of the distal end of the catheter body is also provided with a device for ensuring the field of view and increasing the field of view of the camera module. Transparent cap.2.根据权利要求1所述的一种可视化导管，其特征在于，所述透明帽为圆锥形透明帽，或前端呈锥形的圆管，采用全透明材质制得，长度0.1cm-5cm，逐渐变细，末端外径为0.1mm-4mm。2. A visualization catheter according to claim 1, wherein the transparent cap is a conical transparent cap, or a circular tube with a conical front end, made of a fully transparent material, and has a length of 0.1cm-5cm, Tapered gradually, the outer diameter of the end is 0.1mm-4mm.3.根据权利要求2所述的一种可视化导管，其特征在于，所述透明帽与所述导管本体一体成型，或者可拆卸的设置在所述导管本体上。3 . The visualization catheter according to claim 2 , wherein the transparent cap is integrally formed with the catheter body, or is detachably provided on the catheter body. 4 .4.根据权利要求1所述的一种可视化导管，其特征在于，所述微型视频图像传感器为微小内窥镜，尺寸大小在0.2～4.0mm。4 . The visualization catheter according to claim 1 , wherein the miniature video image sensor is a miniature endoscope with a size of 0.2-4.0 mm. 5 .5.根据权利要求4所述的一种可视化导管，其特征在于，所述微型视频图像传感器及照明元件距离终端距离为0.1cm-5cm。5 . The visualization catheter according to claim 4 , wherein the distance from the miniature video image sensor and the lighting element to the terminal is 0.1 cm-5 cm. 6 .6.根据权利要求1所述的一种可视化导管，其特征在于，所述工作腔道包括注射腔和/或吸液腔，能够外接电动吸引或注水装置。6 . The visualization catheter according to claim 1 , wherein the working cavity comprises an injection cavity and/or a liquid suction cavity, which can be connected to an electric suction or water injection device. 7 .7.根据权利要求1所述的一种可视化导管，其特征在于，所述导管本体表面涂有超滑涂层。7 . The visualization catheter according to claim 1 , wherein the surface of the catheter body is coated with an ultra-slippery coating. 8 .8.根据权利要求1所述的一种可视化导管，其特征在于，该导管工作长度为150cm-350cm，在末端直径由1.7mm-3.6mm逐渐缩为0.5mm-3mm。8 . The visualization catheter according to claim 1 , wherein the working length of the catheter is 150cm-350cm, and the diameter at the end is gradually reduced from 1.7mm-3.6mm to 0.5mm-3mm. 9 .9.根据权利要求8所述的一种可视化导管，其特征在于，该导管带有独立的2-5个腔道，腔道内径在1-2.5mm。9 . The visualization catheter according to claim 8 , wherein the catheter has 2-5 independent lumens, and the inner diameter of the lumens is 1-2.5 mm. 10 .10.一种切开刀，其特征在于，该切开刀带有如权利要求1-9任意一项所述的可视化导管。10. An incision knife, characterized in that, the incision knife is provided with the visualization catheter according to any one of claims 1-9.

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