CN219048418U

Movatterモバイル変換

Info

Publication number: CN219048418U
Application number: CN202320018997.8U
Authority: CN
Inventors: 高蜀君
Original assignee: Obstetrics and Gynecology Hospital of Fudan University
Current assignee: Obstetrics and Gynecology Hospital of Fudan University
Priority date: 2023-01-05
Filing date: 2023-01-05
Publication date: 2023-05-23
Anticipated expiration: 2033-01-05

Abstract

本实用新型公开了一种宫腔镜能量器械引导装置，属于医疗器械技术领域，包括一端开口、一端封闭的操作套筒，操作套筒内设有沿其轴线延伸的镜头导管，镜头导管的两端分别设有供宫腔镜伸入和伸出的伸入口和伸出口，伸出口伸出操作套筒的封闭端，镜头导管与操作套筒之间形成操作通道，操作套筒上设有均与操作通道连通的进水接头、回水接头和器械入嘴，进水接头和回水接头上分别设有进水阀门和回水阀门。操作者通过手持操作套筒，既可保障手术操控性，又利于镜头与套管分离，分别消毒保管，提高器械使用率和可及性。

The utility model discloses a hysteroscopic energy device guiding device, which belongs to the technical field of medical devices, and comprises an operation sleeve with one end open and one end closed. A lens conduit extending along its axis is arranged inside the operation sleeve. The two ends of the lens conduit are The end is respectively provided with a protruding inlet and an extending port for the hysteroscope to extend in and out, and the protruding port protrudes from the closed end of the operating sleeve, and an operating channel is formed between the lens guide tube and the operating sleeve, and the operating sleeve is provided with an equal and operating sleeve. The water inlet joint, the water return joint and the instrument inlet mouth connected by the channel are respectively provided with a water inlet valve and a water return valve. By holding the operation sleeve, the operator can not only ensure the operability of the operation, but also facilitate the separation of the lens and the sleeve, which can be sterilized and kept separately, so as to improve the utilization rate and accessibility of the equipment.

Description

Translated fromChinese

一种宫腔镜能量器械引导装置A hysteroscopic energy instrument guiding device

技术领域technical field

本实用新型涉及医疗器械技术领域，特别是涉及一种宫腔镜能量器械引导装置。The utility model relates to the technical field of medical devices, in particular to a hysteroscopic energy device guiding device.

背景技术Background technique

宫腔镜是一项新的、微创性妇科诊疗技术，用于子宫腔内检查和治疗的一种纤维光源内窥镜，它是利用镜体的前部进入宫腔，对所观察的部位具有放大效应，以直观、准确成为妇科出血性疾病和宫内病变的首选检查方法。在现有技术中，在进行对患者子宫进行检查时，通常需要先将宫腔镜伸入子宫内，对宫颈管和宫腔进行观察，当发现病灶后，将宫腔镜取出对患者进行治疗，或是将宫腔镜保留在患者体内，向患者体内同时再伸入治疗器械，对患者进行治疗。为了更好地观察宫腔，还需要向宫腔内注入加压的生理盐水将宫腔膨胀撑开，以便宫腔镜检查和手术的视野更清晰，观察和手术操作更准确和精细。但目前存在诸多问题：1、一体镜直径通常为6mm，存在消毒死角，价格昂贵，若有损坏则需全套更换；2、四件组合镜直径为9mm，口径粗大，手术必须麻醉，增加手术风险的同时还导致视野局限，且无法同时行输卵管通液检查，微创效果式微。Hysteroscopy is a new, minimally invasive gynecological diagnosis and treatment technology. It is a kind of fiber light source endoscope used for inspection and treatment of uterine cavity. With a magnifying effect, it has become the preferred inspection method for gynecological hemorrhagic diseases and intrauterine lesions with intuitiveness and accuracy. In the prior art, when examining the uterus of a patient, it is usually necessary to first insert the hysteroscope into the uterus to observe the cervical canal and uterine cavity, and when the lesion is found, the hysteroscope is taken out to treat the patient , or keep the hysteroscope in the patient's body, insert the treatment instrument into the patient's body at the same time, and treat the patient. In order to better observe the uterine cavity, it is also necessary to inject pressurized saline into the uterine cavity to expand the uterine cavity, so that the field of view of hysteroscopy and surgery is clearer, and the observation and operation are more accurate and precise. But there are many problems at present: 1. The diameter of the one-piece mirror is usually 6 mm, and there is a dead angle for disinfection, which is expensive. If it is damaged, it needs to be replaced in a complete set; 2. The diameter of the four-piece mirror is 9 mm, and the caliber is large. Anesthesia is required for surgery, which increases the risk of surgery. At the same time, it also leads to the limitation of the field of vision, and it is impossible to perform tubal fluid examination at the same time, and the minimally invasive effect is diminished.

实用新型内容Utility model content

本实用新型的目的是解决上述技术问题，提供一种宫腔镜能量器械引导装置，操作套筒内设有镜头导管，镜头导管与操作套筒之间形成用于注入膨宫的生理盐水和插入医疗器械的操作通道，通过操作者手持操作套筒，通过镜头导管可插入宫腔镜镜头采集图像，通过进、回水接头和进、回水阀门可以进行膨宫——生理盐水冲洗和调节压力大小，通过器械入嘴可插入医疗器械进行治疗操作，也极大提高了操作者的操作便利性，手术后可以卸下，分别消毒和保养，既消除了消毒死角，也有利于镜头的单独保护。The purpose of this utility model is to solve the above-mentioned technical problems and provide a hysteroscopic energy instrument guiding device. A lens catheter is arranged in the operating sleeve, and a physiological saline for injecting dilated uterus and an insertion tube are formed between the lens catheter and the operating sleeve. The operation channel of the medical device, through the operator holding the operation sleeve, the lens catheter can be inserted into the hysteroscope lens to collect images, and the uterus can be expanded through the inlet and return water connectors and the inlet and return water valves - normal saline flushing and pressure adjustment The size of the instrument can be inserted into the mouth of the instrument for treatment, which also greatly improves the convenience of the operator. After the operation, it can be removed for disinfection and maintenance separately, which not only eliminates the dead angle of disinfection, but also facilitates the separate protection of the lens. .

为实现上述目的，本实用新型提供了如下方案：本实用新型公开了一种宫腔镜能量器械引导装置，包括一端开口、一端封闭的操作套筒，所述操作套筒内设有沿其轴线延伸的镜头导管，所述镜头导管的两端分别设有供宫腔镜伸入和伸出的伸入口和伸出口，所述伸出口伸出所述操作套筒的封闭端，所述镜头导管与所述操作套筒之间形成操作通道，所述操作套筒上设有均与所述操作通道连通的进水接头、回水接头和器械入嘴，所述进水接头和所述回水接头上分别设有进水阀门和回水阀门。In order to achieve the above object, the utility model provides the following scheme: the utility model discloses a hysteroscope energy instrument guiding device, which includes an operation sleeve with one end open and one end closed, and the operation sleeve is provided with An extended lens conduit, the two ends of the lens conduit are respectively provided with an insertion port and an extension port for the hysteroscope to extend in and out, and the extension port stretches out from the closed end of the operation sleeve, and the lens conduit and the An operation channel is formed between the operation sleeves, and the operation sleeve is provided with a water inlet joint, a return water joint, and an instrument inlet mouth that are all connected to the operation channel. There are water inlet valves and return water valves respectively.

优选地，所述镜头导管位于所述操作套筒内壁的底部。Preferably, the lens guide is located at the bottom of the inner wall of the operation sleeve.

优选地，所述操作套筒的直径为4.5mm，所述镜头导管的直径为3mm。Preferably, the operating sleeve has a diameter of 4.5mm, and the lens guide has a diameter of 3mm.

优选地，所述镜头导管为硬性材料管或柔性材料管。Preferably, the lens guide is a hard material tube or a flexible material tube.

优选地，所述器械入嘴设置在所述操作套筒外壁的顶部。Preferably, the instrument inlet mouth is arranged on the top of the outer wall of the operation sleeve.

优选地，所述器械入嘴端部设有防水塞。Preferably, a waterproof plug is provided at the mouth end of the instrument.

优选地，所述操作套筒的底部设有固定杆，所述固定杆的端头设有锁扣，所述锁扣可将所述镜头的光源固定在所述操作套筒的连接端上。Preferably, the bottom of the operating sleeve is provided with a fixing rod, and the end of the fixing rod is provided with a lock, and the lock can fix the light source of the lens on the connecting end of the operating sleeve.

优选地，所述锁扣为魔术贴或者子母扣。Preferably, the lock is Velcro or a snap button.

本实用新型相对于现有技术取得了以下技术效果：Compared with the prior art, the utility model has achieved the following technical effects:

1.本实用新型的宫腔镜能量器械引导装置中，操作套筒内设有镜头导管，镜头导管与操作套筒之间形成操作通道，通过操作者手持操作套筒，通过镜头导管可操作宫腔镜，通过器械入嘴可操作医疗器械，通过进、回水接头可以进行生理盐水膨宫，通过进、回水阀门可调节水量大小，极大提高了操作者的操作便利性，消除了消毒死角，更易于操作和引导，操作者通过手持操作套筒，既可保障手术操控性，又利于镜头与套管分离，分别消毒保管，提高器械使用率和可及性。1. In the guiding device for hysteroscopic energy instruments of the present utility model, a lens conduit is provided in the operating sleeve, and an operating channel is formed between the lens conduit and the operating sleeve. The operator can hold the operating sleeve and operate the uterine cavity through the lens conduit. Laparoscopy, medical equipment can be operated through the instrument into the mouth, physiological saline can be used to distend the uterus through the inlet and return water connectors, and the water volume can be adjusted through the inlet and return water valves, which greatly improves the operator's operation convenience and eliminates the need for disinfection. The dead angle is easier to operate and guide. The operator can not only ensure the operability of the operation, but also facilitate the separation of the lens and the sleeve, which are sterilized and kept separately, and the utilization rate and accessibility of the instrument are improved by holding the operation sleeve.

2.本实用新型的宫腔镜能量器械引导装置中，操作套筒的直径缩小至4.5mm直径，可以做到免扩张宫颈管，不影响操作效果的同时，减少了患者在检查和手术中的痛苦。2. In the hysteroscopic energy instrument guiding device of the present utility model, the diameter of the operating sleeve is reduced to 4.5 mm in diameter, which can avoid dilation of the cervical canal, does not affect the operation effect, and reduces the patient's pain during examination and operation. pain.

附图说明Description of drawings

为了更清楚地说明本实用新型实施例或现有技术中的技术方案，下面将对实施例中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本实用新型的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动性的前提下，还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the accompanying drawings required in the embodiments will be briefly introduced below. Obviously, the accompanying drawings in the following description are only the present invention. For some embodiments of the invention, those skilled in the art can also obtain other drawings according to these drawings without paying creative efforts.

图1为宫腔镜能量器械引导装置的后视立体结构图；Fig. 1 is the rear view three-dimensional structural diagram of hysteroscopic energy instrument guiding device;

图2为宫腔镜能量器械引导装置的前视立体结构图；Fig. 2 is the front-view three-dimensional structural diagram of the hysteroscopic energy instrument guiding device;

图3为宫腔镜能量器械引导装置的右侧图；Fig. 3 is the right side view of the hysteroscopic energy instrument guiding device;

图4为宫腔镜能量器械引导装置的前视图。Fig. 4 is a front view of the hysteroscopic energy instrument guiding device.

附图标记说明：1、操作套筒；2、镜头导管；3、操作通道；4、器械入嘴；5、进水接头；6、回水接头；7、进水阀门；8、回水阀门；9、防水塞；10、固定杆；11、锁扣。Explanation of reference signs: 1. Operation sleeve; 2. Lens conduit; 3. Operation channel; 4. Device inlet; 5. Water inlet connector; 6. Return water connector; 7. Water inlet valve; 8. Return water valve ; 9, waterproof plug; 10, fixed rod; 11, lock.

具体实施方式Detailed ways

下面将结合本实用新型实施例中的附图，对本实用新型实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本实用新型一部分实施例，而不是全部的实施例。基于本实用新型中的实施例，本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例，都属于本实用新型保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. example. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.

本实施例提供了一种宫腔镜能量器械引导装置，如图1至图4所示包括操作套筒1，操作套筒1一端开口、一端封闭。操作套筒1内设有沿其轴线延伸的镜头导管2，镜头导管2的一端伸出操作套筒1的封闭端，并设有供宫腔镜伸入的伸入口，镜头导管2的另一端伸至操作套筒1的开口端，并设有供宫腔镜伸出的伸出口。镜头导管2与操作套筒1之间形成操作通道3。操作套筒1上设有器械入嘴4、进水接头5和回水接头6，器械入嘴4、进水接头5和回水接头6均与操作通道3连通，进水接头5和回水接头6上分别设有进水阀门7和回水阀门8。通过器械入嘴4方便方便常用器械的插入操作通道3内，以伸入宫腔内进行手术或检查操作，常用器械有激光切刀、微型电极、微型剪刀、微型取环钳、微型活检钳等。通过进水接头5可向操作通道3内注入加压生理盐水对宫腔进行膨宫、清洗、注入抗生素液对宫腔进行消毒以及特殊治疗需要的药械，通过回水接头6可外排上述液体。进水阀门7和回水阀门8则可调节进水大小和回水大小。同时通过循环进水、排水也能使整个宫腔充满生理盐水，持续保证一定的宫腔镜压力，使视野更加清楚，操作能够继续进行。This embodiment provides a hysteroscopic energy instrument guiding device, which includes anoperating sleeve 1 as shown in Fig. 1 to Fig. 4 , and one end of theoperating sleeve 1 is open and the other end is closed. Theoperating sleeve 1 is provided with alens conduit 2 extending along its axis. One end of thelens conduit 2 protrudes from the closed end of theoperating sleeve 1 and is provided with an inlet for the hysteroscope to extend into. The other end of thelens conduit 2 Extend to the open end of theoperation sleeve 1, and be provided with the protruding opening for the hysteroscope to protrude. Anoperation channel 3 is formed between thelens guide 2 and theoperation sleeve 1 . Theoperating sleeve 1 is provided with aninstrument inlet nozzle 4, awater inlet connector 5 and areturn water connector 6. Theinstrument inlet nozzle 4,water inlet connector 5 and returnwater connector 6 are all connected to theoperation channel 3. Awater inlet valve 7 and awater return valve 8 are respectively provided on thejoint 6 . Inserting the instrument into themouth 4 facilitates the insertion of commonly used instruments into theoperation channel 3 to extend into the uterine cavity for surgery or inspection operations. Commonly used instruments include laser cutters, micro electrodes, micro scissors, micro ring-taking forceps, micro biopsy forceps, etc. . Through thewater inlet joint 5, the pressurized saline can be injected into theoperation channel 3 to distend the uterine cavity, clean it, inject antibiotic solution to disinfect the uterine cavity, and the medical equipment required for special treatment, and the above liquid can be discharged through thereturn water joint 6 . Thewater inlet valve 7 and thewater return valve 8 can adjust the size of the water inlet and the size of the backwater. At the same time, the entire uterine cavity can be filled with physiological saline through circulating water intake and drainage, which can continuously ensure a certain hysteroscope pressure, make the vision clearer, and the operation can continue.

本实施例中，如图1至图4所示，镜头导管2位于操作套筒1内壁的底部，进水接头5和回水接头6分设在操作套筒1外壁的两侧。In this embodiment, as shown in FIG. 1 to FIG. 4 , thelens duct 2 is located at the bottom of the inner wall of theoperating sleeve 1 , and thewater inlet joint 5 and thereturn water joint 6 are respectively arranged on both sides of the outer wall of theoperating sleeve 1 .

本实施例中，如图1至图4所示，操作套筒1直径为4.5mm，镜头导管2的直径为3mm。操作套筒1直径缩小至4.5mm，可以做到免扩张宫颈管，不影响操作效果的同时，减少了患者在检查和手术中的痛苦。In this embodiment, as shown in FIGS. 1 to 4 , the diameter of theoperating sleeve 1 is 4.5 mm, and the diameter of thelens guide 2 is 3 mm. The diameter of theoperation sleeve 1 is reduced to 4.5 mm, which can avoid dilation of the cervical canal, does not affect the operation effect, and reduces the pain of the patient during examination and operation.

进一步，本实施例中，如图1至图4所示，镜头导管2为硬性材料管或柔性材料管。硬性材料管如金属管或塑料管，金属管如不锈钢等。柔性材料管则采用硅胶管等。Further, in this embodiment, as shown in FIG. 1 to FIG. 4 , thelens guide 2 is a hard material tube or a flexible material tube. Rigid material pipes such as metal pipes or plastic pipes, metal pipes such as stainless steel, etc. The flexible material tube is a silicone tube or the like.

本实施例中，如图1至图4所示，器械入嘴4设置在操作套筒1外壁的顶部，从上方伸入医疗器械，更有利于操作。In this embodiment, as shown in Fig. 1 to Fig. 4, theinstrument inlet mouth 4 is arranged on the top of the outer wall of theoperation sleeve 1, and extends into the medical instrument from above, which is more convenient for operation.

本实施例中，如图1至图4所示，器械入嘴4端部设有防水塞9，使用时将防水塞9拔下，即可伸入各种医疗器械，不使用时用防水塞9堵住，即可避免进水接头5和回水接头6注入液体时，有液体从器械入嘴4处泄漏。In this embodiment, as shown in Figures 1 to 4, the end of themouthpiece 4 of the instrument is provided with awaterproof plug 9. When in use, thewaterproof plug 9 can be pulled out, and various medical instruments can be inserted into it. 9 is blocked, and can avoid that when thewater inlet joint 5 and thereturn water joint 6 inject liquid, there is liquid leaking from theinstrument inlet mouth 4.

本实施例中，如图1至图4所示，操作套筒1的底部设有固定杆10，固定杆10的底部端头设有锁扣11，锁扣11可固定镜头的光源，将所述镜头的光源固定在操作套筒1的一端上。In this embodiment, as shown in Figures 1 to 4, the bottom of theoperating sleeve 1 is provided with a fixedrod 10, and the bottom end of the fixedrod 10 is provided with alock 11, which can fix the light source of the lens, and the The light source of the lens is fixed on one end of theoperation sleeve 1.

进一步，本实施例中，如图1至图4所示，锁扣11为魔术贴或者子母扣。Further, in this embodiment, as shown in FIGS. 1 to 4 , thelock buckle 11 is a Velcro or snap button.

本实用新型中应用了具体个例对本实用新型的原理及实施方式进行了阐述，以上实施例的说明只是用于帮助理解本实用新型的方法及其核心思想；同时，对于本领域的一般技术人员，依据本实用新型的思想，在具体实施方式及应用范围上均会有改变之处。综上所述，本说明书内容不应理解为对本实用新型的限制。In the utility model, specific examples have been used to illustrate the principle and implementation of the utility model, and the descriptions of the above examples are only used to help understand the method of the utility model and its core idea; meanwhile, for those of ordinary skill in the art , according to the idea of the utility model, there will be changes in the specific implementation and application range. To sum up, the contents of this specification should not be understood as limiting the utility model.

Claims

1. The utility model provides a hysteroscope energy machinery guiding device, its characterized in that includes one end opening, one end confined operating sleeve, be equipped with the camera lens pipe that extends along its axis in the operating sleeve, the both ends of camera lens pipe are equipped with respectively and supply the hysteroscope to stretch into and stretch out the mouth with stretching out, stretch out the mouth stretch out operating sleeve's blind end, the camera lens pipe with form the operating channel between the operating sleeve, be equipped with on the operating sleeve all with operating channel intercommunication's water inlet joint, return water joint and apparatus mouth of going into, water inlet joint with be equipped with inlet valve and return water valve on the return water joint respectively.

2. A hysteroscope energy mechanical guide according to claim 1, wherein the lens conduit is located at the bottom of the inner wall of the operating sleeve.

3. A hysteroscope energy mechanical guide according to claim 2, wherein the diameter of the operating sleeve is 4.5mm and the diameter of the lens conduit is 3mm.

4. A hysteroscope energy mechanical guide according to claim 2, wherein the lens conduit is a tube of rigid material or a tube of flexible material.

5. A hysteroscope energy mechanical guide according to claim 2, wherein the instrument inlet is provided on top of the outer wall of the operating sleeve.

6. A hysteroscope energy mechanical guide according to claim 4 wherein the instrument mouth-in end is provided with a waterproof plug.

7. The hysteroscope energy mechanical guide device according to claim 1, wherein a fixing rod is arranged at the bottom of the operating sleeve, a lock catch is arranged at the end of the fixing rod, and the lock catch can fix the light source of the lens on the connecting end of the operating sleeve.

8. The hysteroscope energy mechanical guide device according to claim 7, wherein the latch is a velcro or a snap.