本創作係有關一種內視鏡專用組件，尤其是一種用以將人體組織撐開方便內視鏡的攝影鏡頭及各種內視鏡相關手術的器具到達所要手術操作地點拍攝觀察之爪型撐開式內視鏡可操作套組。The present invention relates to a special component for an endoscope, in particular to a photographic lens for extending a human body tissue to facilitate an endoscope and various endoscope-related surgical instruments to reach a position of a surgical operation to observe a claw-type open type The endoscope can operate the set.
內視鏡泛指經由各種路徑進入人體，以拍攝並觀察人體內部狀况的醫療儀器。內視鏡依照應用部位的不同而有所區分，例如胃鏡、腸道鏡、大腸鏡、乙狀結腸鏡、鼻道鏡、支氣管鏡、膀胱鏡、輸尿管鏡、腎臟鏡、陰道鏡、子宮鏡、腹腔鏡、關節鏡、胸腔鏡、縱膈腔鏡、羊膜腔鏡、胎兒鏡等。Endoscopes refer to medical instruments that enter the human body through various paths to capture and observe the internal conditions of the human body. Endoscopes are differentiated according to the application site, such as gastroscope, enteroscopy, colonoscopy, sigmoidoscopy, nasal bronchoscopy, bronchoscopy, cystoscopy, ureteroscopy, renaloscopy, colposcopy, hysteroscopy, laparoscopy, and joints. Mirror, thoracoscope, mediastinal endoscopy, amniocentesis, fetal mirror, etc.
習知的內視鏡套組包括一導管以及一氣球，導管用以塞入人體組織，氣球包覆導管的底端並用以將組織撐開，以便內視鏡的攝影鏡頭穿過導管之後拍攝觀察人體組織。但是，被氣球所撐開的人體組織會受到擠壓而變形，而且內視鏡的攝影鏡頭是被氣球所包覆的，故內視鏡的攝影鏡頭只能夠拍攝到變形後的組織的畫面。須知，變形後的組織以與其原使型態大相逕庭，使得醫師難以掌握該處的狀況，導致醫師誤判。The conventional endoscope set includes a catheter and a balloon for inserting into the body tissue, and the balloon covers the bottom end of the catheter and is used to open the tissue so that the endoscope's photographic lens passes through the catheter and is observed. Human tissue. However, the human tissue that is held up by the balloon is deformed by being squeezed, and the photographic lens of the endoscope is covered by the balloon, so that the photographic lens of the endoscope can only capture the image of the deformed tissue. It should be noted that the deformed tissue is quite different from its original type, making it difficult for the physician to grasp the condition of the place and causing the doctor to misjudge.
再者，習知的內視鏡套組在人體組織內前進的過程中，氣球往往會被人體組織壓迫阻擋住而難以再繼續深入。醫師雖可以蠻力讓內視鏡套組突破阻礙繼續往前深入，唯因氣球受壓面積大而不易往前，且看不清楚氣球擠壓後的組織，也只能猜測方向並且用蠻力向前，常因此造成組織流血而影響手術視野，且不易察覺。即使覺察，也不易處理，只能等待出血在組織內形成血腫自行吸收，徒增病患術後疼痛及感染風險。Moreover, in the process of the conventional endoscope set moving forward in the human tissue, the balloon is often blocked by the human tissue and it is difficult to continue deep. Although the physician can brute force the endoscope set to break through the obstacles and continue to go deeper, but because the balloon is too large to be pressed forward, and can not see the tissue after the balloon is squeezed, can only guess the direction and use brute force Forward, often cause tissue bleeding and affect the surgical field of vision, and is not easy to detect. Even if it is noticeable, it is not easy to handle. It can only wait for the hemorrhage to form a hematoma in the tissue to absorb itself, and increase the risk of postoperative pain and infection.
本創作之主要目的在於提供一種爪型撐開式內視鏡可操作套組，在撐開人體組織時，組織更深處未被撐開之處的組織不會變形，俾利醫師透過內視鏡的攝影鏡頭拍攝觀察該處，使醫師能夠掌握並且正確判斷該處的組織的狀況，並作止血、燒切、剝離等手術處理，使本創作順暢地往所要手術操作處前進，以便建立操作管道作手術。The main purpose of this creation is to provide a claw-type open-end endoscope operable sleeve. When the human tissue is opened, the tissue where the tissue is not deepened will not be deformed, and the physician can pass through the endoscope. The photographic lens is taken to observe the location, so that the doctor can grasp and correctly judge the condition of the tissue at the site, and perform surgical treatment such as hemostasis, burning, peeling, etc., so that the creation smoothly advances to the desired surgical operation to establish an operation pipeline. Surgery.
本創作之另一目的在於提供一種爪型撐開式內視鏡可操作套組，可將周邊組織突起處推平復原，並對復原處作止血、燒切、剝離、置入人工物等手術處理，作為組織重建結構的準備。Another object of the present invention is to provide an operable set of claw-type open-end endoscopes, which can flatten and restore the surrounding tissue protrusions, and perform operations such as hemostasis, burning, peeling, and placing artifacts on the restorative site. Processing, as a preparation for organizational reconstruction.
本創作之又一目的在於提供一種爪型撐開式內視鏡可操作套組，可更換包覆結構，俾利本創作重複使用。Another object of the present invention is to provide an operable set of claw-type open-end endoscopes, which can be replaced with a covering structure, and can be reused for the purpose of the creation.
為了達成前述之目的，本創作將提供一種爪型撐開式內視鏡可操作套組，用以供一內視鏡的攝影鏡頭以及至少一內視鏡手術所需的器具穿過，該爪型撐開式內視鏡可操作套組包括一導管、一包覆結構、一固定件以及複數爪狀結構。In order to achieve the foregoing objects, the present invention provides a jaw-type expandable endoscope operable sleeve for traversing an endoscope mirror and at least one instrument required for endoscopic surgery. The expandable endoscope operable sleeve includes a catheter, a covering structure, a fixing member, and a plurality of claw structures.
該導管圍構一通道，頂端開設一頂開口，底端開設一底開口，該通道連通於該頂開口與該底開口之間，該導管的頂開口、通道以及底開口用以供該內視鏡的攝影鏡頭以及該至少一內視鏡手術所需的器具穿過。The duct enclosure has a passageway, a top opening is defined in the top end, and a bottom opening is defined in the bottom end, the passage is communicated between the top opening and the bottom opening, and the top opening, the passage and the bottom opening of the duct are used for the inner view The photographic lens of the mirror and the instrument required for the at least one endoscopic procedure pass through.
該包覆結構包覆該導管的一部份，其二端環設於該導管的外側面，並且切換於一膨脹狀態與一收縮狀態之間。The covering structure covers a portion of the conduit, the two ends of which are disposed on the outer side of the conduit and are switched between an expanded state and a contracted state.
該固定件設於該導管的外側面並且位於該導管的頂端與該包覆結構之間。The fixture is disposed on an outer side of the conduit and between the top end of the conduit and the cladding structure.
該等爪狀結構包圍該包覆結構並且各具有一第一端及一第二端，各爪狀結構的第一端樞設於該固定件。The claw structures surround the covering structure and each has a first end and a second end, and the first end of each claw structure is pivotally disposed on the fixing member.
其中，當該包覆結構處於膨脹狀態時，該等爪狀結構被該包覆結構頂開並往遠離該導管的方向擺動，各爪狀結構的第一、第二端之間的距離大於該固定件至該導管的底端的距離。Wherein, when the covering structure is in an expanded state, the claw-like structures are opened by the covering structure and oscillate away from the conduit, and a distance between the first and second ends of each claw-shaped structure is greater than the The distance from the fixture to the bottom end of the conduit.
其中，當該包覆結構處於收縮狀態時，該等爪狀結構因應該包覆結構的收縮而往靠近該導管的方向擺動，各爪狀結構的第一、第二端之間的距離大於該固定件至該導管的底端的距離。Wherein, when the covering structure is in a contracted state, the claw-like structures are swung in a direction close to the conduit due to shrinkage of the covering structure, and a distance between the first and second ends of each of the claw-shaped structures is greater than the The distance from the fixture to the bottom end of the conduit.
較佳地，該爪型撐開式內視鏡可操作套組更包括一充氣裝置，包括一氣泵及一氣管，該氣管連接於該氣泵與該包覆結構之間，該氣泵藉由該氣管將外部氣體送入該包覆結構內部以及藉由該氣管將該包覆結構內部的氣體往外排出，以使該包覆結構切換於該膨脹狀態與該收縮狀態之間。Preferably, the claw-type open-end endoscope operable sleeve further includes an inflator comprising an air pump and an air pipe connected between the air pump and the covering structure, wherein the air pump is used by the air pipe An external gas is sent into the interior of the cladding structure and the gas inside the cladding structure is discharged outward by the gas pipe to switch the cladding structure between the expanded state and the contracted state.
較佳地，該固定件開設一貫孔，該氣管穿設於該貫孔。Preferably, the fixing member defines a continuous hole, and the air pipe is disposed through the through hole.
較佳地，該固定件呈環狀且具有一軸孔，該導管穿設於該軸孔，該貫孔橫向貫穿該軸孔的孔璧，以與該軸孔相通。Preferably, the fixing member has an annular shape and has a shaft hole. The guiding tube is disposed through the shaft hole, and the through hole extends transversely through the hole of the shaft hole to communicate with the shaft hole.
較佳地，該氣泵的二端分別為一進氣閥以及一出氣閥，當需要將外部氣體送入該包覆結構內部時，該出氣閥插設於氣管，當需要將該包覆結構內部的氣體往外排出時，該進氣閥插設於氣管。Preferably, the two ends of the air pump are respectively an intake valve and an air outlet valve. When an external air is required to be sent into the interior of the covering structure, the air outlet valve is inserted into the air pipe when the inner structure of the covering structure is needed. When the gas is discharged to the outside, the intake valve is inserted into the air pipe.
較佳地，該包覆結構具有一頂端及一底端，該包覆結構的頂端環繞並固定於該導管的頂、底端之間的外側面，該包覆結構的底端環繞並固定於該導管的底端的外側面。Preferably, the covering structure has a top end and a bottom end, the top end of the covering structure is surrounded and fixed on the outer side between the top and bottom ends of the duct, and the bottom end of the covering structure is surrounded and fixed The outer side of the bottom end of the catheter.
較佳地，該包覆結構的頂、底端分別藉由一黏著劑黏合於導管的外側面。Preferably, the top and bottom ends of the covering structure are respectively adhered to the outer side surface of the catheter by an adhesive.
較佳地，各爪狀結構包括一第一段、一第二段及一第三段，該第二段設於該第一、第三段之間，該第一段遠離該第二段的一端界定為該爪狀結構的第一端，該第三段遠離該第二段的一端界定為該爪狀結構的第二端，其中，該第一段朝下且朝遠離該導管的方向延伸，該第三段朝下且朝靠近該導管的方向延伸，該第二段的延伸方向與該第一、第三段不同。Preferably, each of the claw-shaped structures includes a first segment, a second segment and a third segment, the second segment being disposed between the first and third segments, the first segment being away from the second segment One end is defined as a first end of the claw-like structure, and an end of the third section away from the second section is defined as a second end of the claw-like structure, wherein the first section extends downward and extends away from the conduit The third segment extends downward and extends toward the conduit, the second segment extending in a different direction than the first and third segments.
較佳地，各爪狀結構的第一、第二、第三段的截面皆為圓形或是矩形。Preferably, the first, second, and third sections of each of the claw-like structures are circular or rectangular in cross section.
較佳地，該爪型撐開式內視鏡可操作套組更包括一外膜，包覆該等爪狀結構且底端開設一膜口。Preferably, the claw-type open-end endoscope operable sleeve further comprises an outer film covering the claw-like structures and opening a film opening at the bottom end.
較佳地，該外膜的頂端套設於該導管的外側面且位於該導管的頂端與該固定件之間，該外膜的底端套設於該等爪狀結構的第二端的外側面。Preferably, the top end of the outer film is sleeved on the outer side of the duct and is located between the top end of the duct and the fixing member, and the bottom end of the outer film is sleeved on the outer side of the second end of the claw-shaped structure. .
較佳地，該外膜是透明的。Preferably, the outer film is transparent.
較佳地，該包覆結構的材質為橡膠、乳膠、塑膠、布塊、聚氯乙烯、聚醯胺或者聚乙烯。Preferably, the covering structure is made of rubber, latex, plastic, cloth, polyvinyl chloride, polyamide or polyethylene.
較佳地，該固定件呈環狀且具有一軸孔，該導管穿設於該軸孔，該固定件的外側面凹設複數凹槽且具有複數橫桿設於該等凹槽中，該等爪狀結構的第一端分別開設一樞孔，該等橫桿分別穿設於該等樞孔。Preferably, the fixing member has an annular shape and has a shaft hole. The conduit is disposed in the shaft hole. The outer surface of the fixing member is recessed with a plurality of grooves and has a plurality of cross rods disposed in the grooves. The first ends of the claw-shaped structures respectively define a pivot hole, and the cross bars are respectively disposed in the pivot holes.
較佳地，該爪型撐開式內視鏡可操作套組更包括一套蓋及一防塵蓋，該套蓋設於該導管的頂端並且開設複數穿孔，該等穿孔與該頂開口相通，該防塵蓋可拆卸地設於該套蓋的頂端並且選擇性地封閉該等穿孔，該等穿孔分別選擇性地用以供該內視鏡的攝影鏡頭以及該至少一內視鏡手術所需的器具穿過。Preferably, the claw-type open-end endoscope operable sleeve further comprises a cover and a dust cover, the cover is disposed at a top end of the conduit and defines a plurality of through holes, and the through holes are communicated with the top opening, The dust cover is detachably disposed at a top end of the cover and selectively closes the through holes, the through holes being selectively used for the photographic lens of the endoscope and the at least one endoscope The appliance passes through.
本創作之功效在於，該等爪狀結構在撐開人體組織時，組織更深處並未被該等爪狀結構撐開之處的組織不會變形，俾利醫師能夠透過內視鏡的攝影鏡頭拍攝觀察該處，使醫師能夠掌握並且正確判斷該處的組織的狀況，並作止血、燒切、剝離等手術處理，使本創作順暢地往所要手術操作處前進，以便建立操作管道(亦即，套蓋上的穿孔)作手術。再者，本創作的該等爪狀結構將周邊組織突起處推平復原，並對復原處作止血、燒切、剝離、置人工物等處理，作為組織重建結構的準備。此外，該等爪狀結構在使用的過程中不會被黏液污染，只要將受到黏液污染的外膜移除並丟棄，再將全新的外膜包覆該等爪狀結構即可重複使用。The effect of the present invention is that the claw-like structures are not deformed when the tissue is deepened, and the tissue where the tissue is not deepened by the claw-like structures is not deformed, and the doctor can pass through the endoscopic lens. The observation and observation of the place enables the physician to grasp and correctly judge the condition of the tissue at the site, and perform surgical treatment such as hemostasis, burnt, and peeling, so that the creation smoothly advances to the desired surgical operation to establish an operation pipeline (ie, , the perforation on the cover) for surgery. Furthermore, the claw-like structures of the present invention flatten and restore the peripheral tissue protrusions, and perform treatment such as hemostasis, burning, peeling, and placing artifacts on the restoring portion, as preparation for the tissue reconstruction structure. In addition, the claw structures are not contaminated by mucus during use, as long as the outer membrane contaminated by the mucus is removed and discarded, and the new outer membrane is coated with the claw structures to be reused.
以下配合圖式及元件符號對本創作之實施方式做更詳細的說明，俾使熟習該項技藝者在研讀本說明書後能據以實施。The implementation of the present invention will be described in more detail below with reference to the drawings and component symbols, so that those skilled in the art can implement the present specification after studying the present specification.
請參閱圖1至圖3，圖1為本創作之爪型撐開式內視鏡可操作套組之立體圖，圖2為本創作之爪型撐開式內視鏡可操作套組之分解圖，圖3為本創作之爪型撐開式內視鏡可操作套組之剖視圖，本創作係提供一種爪型撐開式內視鏡可操作套組，用以供一內視鏡的攝影鏡頭1(如圖5所示)以及至少一內視鏡手術所需的器具(如圖6B所示的止血鉗3)穿過，該爪型撐開式內視鏡可操作套組包括一導管10、一套蓋20、一防塵蓋30、一包覆結構40、一固定件50以及複數爪狀結構60。Please refer to FIG. 1 to FIG. 3 . FIG. 1 is a perspective view of the operable set of the claw-type open-end endoscope of the present invention, and FIG. 2 is an exploded view of the operable set of the claw-type open-type endoscope of the present invention. Figure 3 is a cross-sectional view of the claw-type open-end endoscope operable sleeve of the present invention. The present invention provides a claw-type open-end endoscope operable sleeve for an endoscopic photographic lens. 1 (as shown in Figure 5) and at least one instrument required for endoscopic surgery (such as the hemostat 3 shown in Figure 6B) is passed through, the jaw-type expandable endoscope operable sleeve comprising a catheter 10 A cover 20, a dust cover 30, a covering structure 40, a fixing member 50, and a plurality of claw structures 60.
導管10圍構一通道11，頂端開設一頂開口12，底端開設一底開口13，通道11連通於頂開口12與底開口13之間，該導管10的頂開口12、通道11以及底開口13用以供該內視鏡的攝影鏡頭1(如圖5所示)以及該至少一內視鏡手術所需的器具(如圖6B所示的止血鉗3)穿過。換言之，導管10為一中空管體。其中，導管10依其材質可分為軟式導管以及硬式導管；軟式導管的優點在於，可以在曲折的路徑中前進，例如胃腸道、呼吸道、雄性泌尿道；硬式導管則較適合提供內視鏡的攝影鏡頭1(如圖5所示)有更優質的影像呈現而且較為便宜，通常用於胸腔、腹腔、關節腔等。The conduit 10 defines a passage 11 with a top opening 12 at the top end and a bottom opening 13 at the bottom end. The passage 11 communicates between the top opening 12 and the bottom opening 13. The top opening 12, the passage 11 and the bottom opening of the duct 10 13 passes through the photographic lens 1 (shown in FIG. 5) for the endoscope and the instrument (such as the hemostat 3 shown in FIG. 6B) required for the at least one endoscopic procedure. In other words, the conduit 10 is a hollow tubular body. Among them, the catheter 10 can be divided into a soft catheter and a rigid catheter according to its material; the flexible catheter has the advantages that it can advance in a tortuous path, such as the gastrointestinal tract, the respiratory tract, the male urinary tract; the rigid catheter is more suitable for providing an endoscope. Photographic lens 1 (shown in Figure 5) has better image presentation and is cheaper, and is commonly used in the chest, abdominal cavity, joint cavity, and the like.
套蓋20設於導管10的頂端並且開設複數穿孔21，該等穿孔21與頂開口12相通，該等穿孔21分別選擇性地用以供該內視鏡的攝影鏡頭1(如圖5所示)以及該至少一內視鏡手術所需的器具(如圖6B所示的止血鉗3)穿過。更詳言之，內視鏡的攝影鏡頭1穿過其中一穿孔21、導管10的頂開口12以及通道11之後，從導管10的底開口13探出頭來。各類鉗具(如圖6B所示的止血鉗3)、剪刀、非內視鏡的一般鏡頭、超音波探頭等內視鏡手術所需的各種器具則穿過其餘的穿孔21。The cover 20 is disposed at the top end of the catheter 10 and defines a plurality of through holes 21 communicating with the top opening 12, and the through holes 21 are selectively used for the photographic lens 1 of the endoscope, respectively (as shown in FIG. 5). And the device required for the at least one endoscopic procedure (such as the hemostat 3 shown in Figure 6B) passes through. More specifically, after the photographic lens 1 of the endoscope passes through one of the perforations 21, the top opening 12 of the catheter 10, and the channel 11, the head is ejected from the bottom opening 13 of the catheter 10. Various instruments required for endoscopic surgery such as various types of forceps (hemostatic forceps 3 as shown in Fig. 6B), scissors, general lenses for non-endoscopic instruments, ultrasonic probes, etc. pass through the remaining perforations 21.
防塵蓋30設於套蓋20的頂端並且選擇性地封閉該等穿孔21。具體而言，在尚未需要用到內視鏡的攝影鏡頭1以及內視鏡手術的各種器具(如圖6B所示的止血鉗3)之前，防塵蓋30是設在套蓋20，避免灰塵等微粒通過該等穿孔21、導管10的頂開口12、通道11與底開口13然後進入病患的組織內，如圖1及圖4所示。在醫師開始進行內視鏡手術的時候，將防塵蓋30取出，使套蓋20的該等穿孔21與外部空間相通，以利內視鏡的攝影鏡頭1以及內視鏡手術的各種器具(如圖6B所示的止血鉗3)能夠穿過套蓋20的該等穿孔21、導管10的頂開口12、通道11以及底開口13，進入病患的組織。A dust cover 30 is provided at the top end of the cover 20 and selectively closes the perforations 21. Specifically, before the photographic lens 1 using the endoscope and the various instruments of the endoscopic surgery (such as the hemostat 3 shown in FIG. 6B) are required, the dust cover 30 is provided on the cover 20 to prevent dust, etc. The microparticles pass through the perforations 21, the top opening 12 of the catheter 10, the channel 11 and the bottom opening 13 and then into the tissue of the patient, as shown in Figures 1 and 4. When the physician starts the endoscopic surgery, the dust cover 30 is taken out, so that the perforations 21 of the cover 20 are in communication with the external space, so as to facilitate the endoscope of the endoscope and various instruments for endoscopic surgery (such as The hemostat 3) shown in Fig. 6B is able to pass through the perforations 21 of the cover 20, the top opening 12 of the catheter 10, the channel 11 and the bottom opening 13 into the tissue of the patient.
包覆結構40包覆導管10的一部份，其二端環設於導管10的外側面，並且切換於一膨脹狀態與一收縮狀態之間。更明確地說，包覆結構40具有一頂端41及一底端42，包覆結構40的頂端41環繞並固定於導管10的頂、底端之間的外側面，包覆結構40的底端42環繞並固定於導管10的底端的外側面。換言之，包覆結構40呈中空狀且其二端各具有一開孔，導管10穿過該二開孔，使包覆結構40包覆導管10靠近其底端的部份，但並未封閉導管10的底開口13。包覆結構40的頂、底端41、42固定於導管10的外側面的手段，可以是但不限於，藉由一黏著劑黏合。其中，包覆結構40的材質為橡膠、乳膠、塑膠、布塊、聚氯乙烯(英文為polyvinyl chloride，縮寫為PVC)、聚醯胺(英文為polyamide，縮寫為PA)或者聚乙烯(英文為polyethylene，縮寫為PE)，因此具有彈性伸縮的特性，俾利其被氣體、液體或其他可將其撐開之物體撐開，以便使其切換於膨脹狀態與收縮狀態之間。舉例來說，本實施例係利用氣體使包覆結構40膨脹與收縮，該爪型撐開式內視鏡可操作套組更包括一充氣裝置70，充氣裝置70包括一氣泵71及一氣管72，氣管72連接於氣泵71與包覆結構40之間。氣泵71藉由氣管72將外部氣體送入包覆結構40內部(如圖5所示)以及藉由氣管72將包覆結構40內部的氣體往外排出(如圖6A所示)，以使包覆結構40切換於膨脹狀態與收縮狀態之間。更明確地說，氣泵71的二端分別為一進氣閥711以及一出氣閥712。當需要將外部氣體送入包覆結構40時，出氣閥712插設於氣管72，外部氣體經過進氣閥711進入氣泵71內部，然後從出氣閥712進入氣管72，如圖5所示。當需要將包覆結構40內部的氣體往外排出時，進氣閥711插設於氣管72，包覆結構40內部的氣體經過氣管72及進氣閥711進入氣泵71內部，然後從出氣閥712進入外部空間，如圖6A所示。The covering structure 40 covers a portion of the catheter 10, the two ends of which are disposed on the outer side of the catheter 10 and are switched between an expanded state and a contracted state. More specifically, the covering structure 40 has a top end 41 and a bottom end 42. The top end 41 of the covering structure 40 surrounds and is fixed to the outer side between the top and bottom ends of the duct 10, and the bottom end of the covering structure 40. 42 is wrapped around and secured to the outer side of the bottom end of the catheter 10. In other words, the covering structure 40 is hollow and has an opening at each end thereof, and the conduit 10 passes through the two openings, so that the covering structure 40 covers the portion of the conduit 10 near the bottom end thereof, but the conduit 10 is not closed. Bottom opening 13. The means for fixing the top and bottom ends 41, 42 of the covering structure 40 to the outer side of the catheter 10 may be, but not limited to, bonded by an adhesive. The material of the covering structure 40 is rubber, latex, plastic, cloth, polyvinyl chloride (polyvinyl chloride in English, abbreviated as PVC), polyamine (polyamide in English, abbreviated as PA) or polyethylene (in English) Polyethylene, abbreviated as PE), has the property of elastic stretching, which is spread by gas, liquid or other objects that can be opened to switch between the expanded state and the contracted state. For example, in the present embodiment, the covering structure 40 is expanded and contracted by using a gas. The claw-type expandable endoscope operable sleeve further includes an inflator 70 including an air pump 71 and an air tube 72. The air pipe 72 is connected between the air pump 71 and the cladding structure 40. The air pump 71 sends external air into the interior of the cladding structure 40 through the air pipe 72 (as shown in FIG. 5) and exhausts the gas inside the cladding structure 40 through the air pipe 72 (as shown in FIG. 6A) to cover the air. Structure 40 is switched between an expanded state and a contracted state. More specifically, the two ends of the air pump 71 are an intake valve 711 and an air outlet valve 712, respectively. When external air is required to be sent to the cladding structure 40, the outlet valve 712 is inserted into the air tube 72, and the external air enters the air pump 71 through the intake valve 711, and then enters the air tube 72 from the air outlet valve 712, as shown in FIG. When it is necessary to discharge the gas inside the covering structure 40, the intake valve 711 is inserted into the air pipe 72, and the gas inside the covering structure 40 enters the inside of the air pump 71 through the air pipe 72 and the intake valve 711, and then enters from the air outlet valve 712. The external space is shown in Figure 6A.
固定件50設於導管10的外側面並且位於導管10的頂端與包覆結構40之間。較佳地，固定件50開設一貫孔51，氣管72穿設於貫孔51。更清楚地說，固定件50呈環狀且具有一軸孔52，導管10穿設於軸孔52；貫孔51橫向貫穿軸孔52的孔璧，以與軸孔52相通，令氣管72一路沿著導管10的外側面直通包覆40結構，毫無彎折阻礙，讓氣體能夠順暢地進出包覆結構40內部。The fixture 50 is disposed on the outer side of the catheter 10 and between the top end of the catheter 10 and the cladding structure 40. Preferably, the fixing member 50 defines a constant hole 51, and the air tube 72 is disposed through the through hole 51. More specifically, the fixing member 50 is annular and has a shaft hole 52. The duct 10 is disposed through the shaft hole 52. The through hole 51 extends transversely through the hole of the shaft hole 52 to communicate with the shaft hole 52, so that the air tube 72 is along the way. The outer side of the catheter 10 is passed through the cladding 40 structure without any bending obstruction, allowing gas to smoothly enter and exit the interior of the cladding structure 40.
該等爪狀結構60包圍包覆結構40並且各具有一第一端601及一第二端602，各爪狀結構60的第一端601樞設於固定件50。更明確地說，固定件50的外側面凹設複數凹槽53且具有複數橫桿54設於該等凹槽53中；該等爪狀結構60的第一端601分別開設一樞孔6011，該等橫桿54分別穿設該等樞孔6011。其中，各爪狀結構60包括一第一段61、一第二段62及一第三段63，第二段62設於第一、第三段61、63之間，第一段61遠離第二段62的一端界定為爪狀結構60的第一端601，第三段63遠離第二段62的一端界定為爪狀結構60的第二端602。其中，第一段61朝下且朝遠離導管10的方向延伸，第三段63朝下且朝靠近導管10的方向延伸，第二段62的延伸方向與第一、第三段61、63不同。換句話說，各爪狀結構60呈現三段式的鉤爪型態。其中，各爪狀結構60的第一、第二、第三段61、62、63的截面可以是圓形、矩形或是其他幾何圖形。The claw-like structures 60 surround the covering structure 40 and each has a first end 601 and a second end 602 . The first end 601 of each of the claw-shaped structures 60 is pivoted to the fixing member 50 . More specifically, the outer surface of the fixing member 50 is recessed with a plurality of grooves 53 and has a plurality of cross bars 54 disposed in the grooves 53. The first ends 601 of the claw structures 60 respectively define a pivot hole 6011. The cross bars 54 respectively pass through the pivot holes 6011. The claw-shaped structure 60 includes a first segment 61, a second segment 62, and a third segment 63. The second segment 62 is disposed between the first and third segments 61 and 63. The first segment 61 is away from the first segment. One end of the second section 62 is defined as a first end 601 of the claw-like structure 60, and an end of the third section 63 remote from the second section 62 is defined as a second end 602 of the claw-like structure 60. Wherein, the first segment 61 extends downward and away from the conduit 10, the third segment 63 extends downward and extends toward the conduit 10, and the second segment 62 extends in a different direction than the first and third segments 61, 63. . In other words, each of the claw-like structures 60 exhibits a three-stage hook type. The cross section of the first, second, and third segments 61, 62, 63 of each of the claw structures 60 may be circular, rectangular or other geometric figures.
請參閱圖4，圖4為本創作之爪型撐開式內視鏡可操作套組進入人體組織之示意圖。醫師在利用本創作進行內視鏡手術的時候，首先將本創作塞入病患的組織。此時，充氣裝置70並未將外部氣體送入包覆結構40，故包覆結構40處於收縮狀態，各爪狀結構60的第一、第二端601、602之間的距離大於固定件50至導管10的底端的距離。Please refer to FIG. 4, which is a schematic view of the operably arranged set of the claw-type open-type endoscopes entering the human body. When using this creation for endoscopic surgery, the physician first inserts the creation into the patient's tissue. At this time, the inflator 70 does not send the external air into the covering structure 40, so the covering structure 40 is in a contracted state, and the distance between the first and second ends 601, 602 of each of the claw-like structures 60 is greater than the fixing member 50. The distance to the bottom end of the catheter 10.
請參閱圖5，圖5為本創作之爪型撐開式內視鏡套組撐開人體組織且內視鏡的攝影鏡頭穿過導管之示意圖。當需要將外部氣體送入包覆結構40內部時，出氣閥712插設於氣管72；醫師手動壓擠氣泵71，以透過氣管72將外部氣體送入包覆結構40內部，使包覆結構40膨脹。當包覆結構40處於膨脹狀態時，該等爪狀結構60被包覆結構40頂開並往遠離導管10的方向擺動，各爪狀結構60的第一、第二端601、602之間的距離大於固定件50至導管10的底端的距離。內視鏡的攝影鏡頭1穿過套蓋20上的其中一穿孔21、導管10的頂開口12、通道11、底開口13之後外露於導管10之外並且被該等爪狀結構60所包圍，但並未被包覆結構40所包覆。藉此，該等爪狀結構60在撐開組織時，組織更深處並未被該等爪狀結構60撐開之處的組織不會變形，醫師能夠透過內視鏡的攝影鏡頭1拍攝觀察該處，使醫師能夠掌握並且正確判斷該處的組織的狀況，並作止血、燒切、剝離等手術處理，使本創作順暢地往所要手術操作處前進，以便建立操作管道(亦即，套蓋20上的穿孔21)作手術。例如圖4及圖5中，組織更深處並未被該等爪狀結構60撐開之處的組職有一周邊組織突起處2，由於並未被擠壓，所以仍保持其原始狀態，得以被內視鏡的攝影鏡頭1清楚拍攝。Please refer to FIG. 5. FIG. 5 is a schematic view of the claw-type open-end endoscope mirror set of the present invention, which supports the human body tissue and the photographic lens of the endoscope passes through the catheter. When it is necessary to send the outside air into the inside of the covering structure 40, the outlet valve 712 is inserted into the air tube 72; the physician manually presses the air pump 71 to send the outside air into the inside of the covering structure 40 through the air tube 72, so that the covering structure 40 Swell. When the covering structure 40 is in the expanded state, the claw structures 60 are opened by the covering structure 40 and oscillate away from the duct 10, between the first and second ends 601, 602 of the claw structures 60. The distance is greater than the distance from the fixture 50 to the bottom end of the conduit 10. The photographic lens 1 of the endoscope passes through one of the perforations 21 on the cover 20, the top opening 12 of the catheter 10, the channel 11, and the bottom opening 13 and is then exposed outside the catheter 10 and surrounded by the claw structures 60. However, it is not covered by the covering structure 40. Thereby, the claw-like structures 60 are not deformed when the tissue is stretched, and the tissue where the tissue is not deepened by the claw-like structures 60 is not deformed, and the doctor can take a view through the photographic lens 1 of the endoscope. In order to enable the physician to grasp and correctly determine the condition of the tissue at the site, and perform surgical treatment such as hemostasis, burnt, and peeling, so that the creation smoothly proceeds to the desired surgical operation to establish an operation pipeline (ie, a cover) Perforation 21 on 20 is performed as an operation. For example, in FIG. 4 and FIG. 5, the group where the deeper portion of the tissue is not stretched by the claw-like structures 60 has a peripheral tissue protrusion 2, and since it is not squeezed, it remains in its original state and can be The photographic lens 1 of the endoscope is clearly photographed.
接著，如圖6A所示，將氣泵70反過來，使進氣閥711插設於氣管72，並且手動按壓氣泵71，以透過氣管72將包覆結構40內部的氣體往外排出，令包覆結構40洩氣而切換回收縮狀態。當包覆結構40處於收縮狀態時，該等爪狀結構60因應包覆結構40的收縮而往靠近導管10的方向擺動，各爪狀結構60的第一、第二端601、602之間的距離大於固定件50至導管10的底端的距離。在此狀態之下，本創作可往組織深處移動並且該等爪狀結構60將所述周邊組織突起處2推平復原，並且再次利用充氣裝置70對包覆結構40充氣，使該等爪狀結構60撐開組織，並且對復原處作止血(如圖6B所示，利用止血鉗3以電燒的方式止血)、燒切、剝離、置入人工物等手術處理，作為組織重建結構的準備。Next, as shown in FIG. 6A, the air pump 70 is reversed, the intake valve 711 is inserted into the air tube 72, and the air pump 71 is manually pressed to exhaust the gas inside the cladding structure 40 through the air tube 72, so that the covering structure 40 deflated and switched back to the contracted state. When the covering structure 40 is in the contracted state, the claw-like structures 60 swing toward the conduit 10 in response to the contraction of the covering structure 40, between the first and second ends 601, 602 of the respective claw-like structures 60. The distance is greater than the distance from the fixture 50 to the bottom end of the conduit 10. In this state, the creation can be moved deep into the tissue and the claw structures 60 flatten and restore the peripheral tissue protrusions 2, and the inflating device 70 is again inflated with the inflator 70 to make the claws The structure 60 expands the tissue, and performs hemostasis on the restoring position (as shown in FIG. 6B, using the hemostat 3 to stop the blood by electrocautery), burning, peeling, and placing the artificial object, etc., as a tissue reconstruction structure. ready.
圖7為本創作之爪型撐開式內視鏡可操作套組的爪狀結構被一層外膜包覆之示意圖。該爪型撐開式內視鏡可操作套組可更包括一外膜80，包覆該等爪狀結構60且底端開設一膜口81。更詳言之，外膜80的頂端套設於導管10的外側面且位於導管10的頂端與固定件50之間，外膜80的底端套設於該等爪狀結構60的第二端602的外側面，從而固定件50、該等爪狀結構60、包覆結構40及導管10的一部份皆被外膜80所包覆。藉此，本創作被塞入人體過程中，人體黏膜上的黏液會沾附在外膜80的外側面，不會沾附在該等爪狀結構60，使得該等爪狀結構60受到良好的保護，確保該等爪狀結構60在使用的過程中不會被黏液污染。Fig. 7 is a schematic view showing the claw-like structure of the claw-type open-end endoscope operable sleeve of the present invention being covered by an outer film. The claw-type open-end endoscope operable sleeve may further include an outer film 80 covering the claw-like structures 60 and opening a film opening 81 at the bottom end. More specifically, the top end of the outer membrane 80 is sleeved on the outer side of the catheter 10 and between the top end of the catheter 10 and the fixing member 50. The bottom end of the outer membrane 80 is sleeved on the second end of the claw-like structure 60. The outer side of the 602, such that the fastener 50, the claw structures 60, the cladding structure 40, and a portion of the catheter 10 are covered by the outer film 80. Thereby, the present invention is inserted into the human body, and the mucus on the human mucous membrane adheres to the outer side surface of the outer film 80, and does not adhere to the claw-like structures 60, so that the claw-shaped structures 60 are well protected. Ensure that the claw structures 60 are not contaminated by mucus during use.
雖然沒有外膜80包覆的爪狀結構60可以透過清洗液將黏液去除，但難以保證百分之百將黏液洗淨。反觀，利用可拋棄式的外膜80包覆該等爪狀結構60的較佳實施例，等到本創作自組織拔出之後，可將受到黏液污染的外膜80移除並丟棄，再將全新的外膜80包覆該等爪狀結構60即可重複使用。Although the claw-like structure 60 without the outer film 80 can remove the mucus through the cleaning liquid, it is difficult to ensure that the mucus is washed 100%. In contrast, a preferred embodiment of the claw-like structures 60 is coated with a disposable outer film 80, and after the self-tissue extraction of the creation, the outer film 80 contaminated with mucus can be removed and discarded, and then brand new. The outer film 80 covers the claw structures 60 for reuse.
此外，外膜80的膜口81可供內視鏡的攝影鏡頭1在拍攝的時候，清楚看見組織更深處並未被該等爪狀結構60撐開之處的組織，不會受到外膜80的影響。In addition, the film opening 81 of the outer film 80 can be used for the photographic lens 1 of the endoscope to clearly see the tissue deeper in the tissue where it is not stretched by the claw structures 60, and is not subjected to the outer film 80. Impact.
較佳地，外膜80是透明的。易言之，外膜80的材質具有透明的特性，從而使得醫師能夠藉由內視鏡的攝影鏡頭1看見周圍環境的狀況。Preferably, the outer film 80 is transparent. In other words, the material of the outer film 80 has a transparent property, so that the physician can see the condition of the surrounding environment by the photographic lens 1 of the endoscope.
以上所述者僅為用以解釋本創作之較佳實施例，並非企圖據以對本創作做任何形式上之限制，是以，凡有在相同之創作精神下所作有關本創作之任何修飾或變更，皆仍應包括在本創作意圖保護之範疇。The above description is only for the purpose of explaining the preferred embodiment of the present invention, and is not intended to impose any form of limitation on the creation, so that any modification or alteration of the creation made in the same creative spirit is provided. , should still be included in the scope of protection of this creative intent.
1‧‧‧內視鏡的攝影鏡頭
2‧‧‧周邊組織突起處
3‧‧‧止血鉗
10‧‧‧導管
11‧‧‧通道
12‧‧‧頂開口
13‧‧‧底開口
20‧‧‧套蓋
21‧‧‧穿孔
30‧‧‧防塵蓋
40‧‧‧包覆結構
41‧‧‧頂端
42‧‧‧底端
50‧‧‧固定件
51‧‧‧貫孔
52‧‧‧軸孔
53‧‧‧凹槽
54‧‧‧橫桿
60‧‧‧爪狀結構
601‧‧‧第一端
6011‧‧‧樞孔
602‧‧‧第二端
61‧‧‧第一段
62‧‧‧第二段
63‧‧‧第三段
70‧‧‧充氣裝置
71‧‧‧氣泵
711‧‧‧進氣閥
712‧‧‧出氣閥
72‧‧‧氣管
80‧‧‧外膜
81‧‧‧膜口1‧‧‧ photographic lens of endoscope
2‧‧‧Protrusion of surrounding tissue
3‧‧‧hemostatic forceps
10‧‧‧ catheter
11‧‧‧ channel
12‧‧‧ top opening
13‧‧‧ bottom opening
20 ‧ ‧ cover
21‧‧‧Perforation
30‧‧‧Dust cover
40‧‧‧Covered structure
41‧‧‧Top
42‧‧‧ bottom
50‧‧‧Fixed parts
51‧‧‧through holes
52‧‧‧Axis hole
53‧‧‧ Groove
54‧‧‧crossbar
60‧‧‧ claw structure
601‧‧‧ first end
6011‧‧‧ pivot hole
602‧‧‧ second end
61‧‧‧ first paragraph
62‧‧‧second paragraph
63‧‧‧ third paragraph
70‧‧‧Inflator
71‧‧‧Air pump
711‧‧‧Intake valve
712‧‧‧Exhaust valve
72‧‧‧ trachea
80‧‧‧ outer membrane
81‧‧‧ film mouth
圖1為本創作之爪型撐開式內視鏡可操作套組之立體圖。 圖2為本創作之爪型撐開式內視鏡可操作套組之分解圖。 圖3為本創作之爪型撐開式內視鏡可操作套組之剖視圖。 圖4為本創作之爪型撐開式內視鏡可操作套組進入人體組織之示意圖。 圖5為本創作之爪型撐開式內視鏡可操作套組撐開人體組織且內視鏡的攝影鏡頭穿過導管之示意圖。 圖6A為本創作之爪型撐開式內視鏡可操作套組推平周邊組織突起處之示意圖。 圖6B為止血鉗穿過本創作之爪型撐開式內視鏡可操作套組的導管進入人體組織之示意圖。 圖7為本創作之爪型撐開式內視鏡可操作套組的爪狀結構被一層外膜包覆之示意圖。Fig. 1 is a perspective view of the jaw-type open endoscope operable sleeve of the present invention. Figure 2 is an exploded view of the jaw-type expandable endoscope operable sleeve of the present invention. Figure 3 is a cross-sectional view of the jaw-type expandable endoscope operable sleeve of the present invention. Fig. 4 is a schematic view showing the operable set of the claw-type open-type endoscope of the present invention into human body tissue. FIG. 5 is a schematic view of the claw-type open-end endoscope operable sleeve of the present invention, which expands the human tissue and the photographic lens of the endoscope passes through the catheter. FIG. 6A is a schematic view of the claw-type open-end endoscope operable sleeve of the present invention for flattening the peripheral tissue protrusion. 6B is a schematic view of the blood forceps passing through the catheter of the present claw-opening endoscope operable socket into the human body. Fig. 7 is a schematic view showing the claw-like structure of the claw-type open-end endoscope operable sleeve of the present invention being covered by an outer film.
10‧‧‧導管10‧‧‧ catheter
13‧‧‧底開口13‧‧‧ bottom opening
20‧‧‧套蓋20 ‧ ‧ cover
30‧‧‧防塵蓋30‧‧‧Dust cover
40‧‧‧包覆結構40‧‧‧Covered structure
50‧‧‧固定件50‧‧‧Fixed parts
51‧‧‧貫孔51‧‧‧through holes
53‧‧‧凹槽53‧‧‧ Groove
54‧‧‧橫桿54‧‧‧crossbar
60‧‧‧爪狀結構60‧‧‧ claw structure
601‧‧‧第一端601‧‧‧ first end
602‧‧‧第二端602‧‧‧ second end
61‧‧‧第一段61‧‧‧ first paragraph
62‧‧‧第二段62‧‧‧second paragraph
63‧‧‧第三段63‧‧‧ third paragraph
70‧‧‧充氣裝置70‧‧‧Inflator
71‧‧‧氣泵71‧‧‧Air pump
72‧‧‧氣管72‧‧‧ trachea
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW105217799UTWM541829U (en) | 2016-11-22 | 2016-11-22 | Claw-type expandable endoscope operation kit |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW105217799UTWM541829U (en) | 2016-11-22 | 2016-11-22 | Claw-type expandable endoscope operation kit |
| Publication Number | Publication Date |
|---|---|
| TWM541829Utrue TWM541829U (en) | 2017-05-21 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TW105217799UTWM541829U (en) | 2016-11-22 | 2016-11-22 | Claw-type expandable endoscope operation kit |
| Country | Link |
|---|---|
| TW (1) | TWM541829U (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111387924A (en)* | 2020-03-23 | 2020-07-10 | 成都市龙泉驿区第一人民医院 | Auxiliary device based on endoscopic surgery is used |
| CN112294415A (en)* | 2019-07-31 | 2021-02-02 | 中央医疗器材股份有限公司 | Vertebral fixing device |
| CN112426187A (en)* | 2020-12-30 | 2021-03-02 | 上海市东方医院（同济大学附属东方医院） | Lower hook device of shoulder arthroscope |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112294415A (en)* | 2019-07-31 | 2021-02-02 | 中央医疗器材股份有限公司 | Vertebral fixing device |
| CN111387924A (en)* | 2020-03-23 | 2020-07-10 | 成都市龙泉驿区第一人民医院 | Auxiliary device based on endoscopic surgery is used |
| CN112426187A (en)* | 2020-12-30 | 2021-03-02 | 上海市东方医院（同济大学附属东方医院） | Lower hook device of shoulder arthroscope |
| Publication | Publication Date | Title |
|---|---|---|
| JP4574617B2 (en) | Gastrointestinal irrigation device | |
| JP4885640B2 (en) | Endoscope insertion aid | |
| JP6478977B2 (en) | Endoscope accessories | |
| JP7269223B2 (en) | Apparatus for improved visualization of endoscopic procedures | |
| WO2006003836A1 (en) | Endoscope insert part, endoscope, and endoscope system | |
| JP2002045369A (en) | Hood for endoscope | |
| JPWO2019087550A1 (en) | Endoscopic devices, medical devices and strips | |
| JP2008511341A (en) | Overtube assembly | |
| EP3547894A1 (en) | Endoscopic cuffs | |
| JP7154317B2 (en) | overtube | |
| TWM541829U (en) | Claw-type expandable endoscope operation kit | |
| JP2007536980A (en) | Connector for use with multi-lumen piping | |
| JP5469115B2 (en) | Double overtube | |
| JP2007105395A (en) | Endoscope | |
| JP2010523176A (en) | Endoscopic suction device for mucosal resection | |
| WO2011024900A1 (en) | Endoscope aid | |
| WO2021139575A1 (en) | Visual diagnosis and treatment system with cavity dilatation device | |
| JP5331870B2 (en) | Endoscope with single path endoscope tube and disposable set to connect path with pressure source | |
| KR102296936B1 (en) | Endoscope cap and Endoscope apparatus comprising the same | |
| JP7590978B2 (en) | Organ retraction device | |
| JP5914774B1 (en) | Endoscope system | |
| JP6829321B2 (en) | Overtube | |
| CN115279288A (en) | Trocars for cleaning medical devices therein | |
| TWM571723U (en) | Surgical dilator | |
| CN209826813U (en) | A channel expander for endoscopic surgery |
| Date | Code | Title | Description |
|---|---|---|---|
| MM4K | Annulment or lapse of a utility model due to non-payment of fees |