CN103211569A - Endoscope self-help biopsy all-in-one device and operating method thereof - Google Patents

Endoscope self-help biopsy all-in-one device and operating method thereof Download PDF

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Publication number
CN103211569A
CN103211569A CN2013101473239A CN201310147323A CN103211569A CN 103211569 A CN103211569 A CN 103211569A CN 2013101473239 A CN2013101473239 A CN 2013101473239A CN 201310147323 A CN201310147323 A CN 201310147323A CN 103211569 A CN103211569 A CN 103211569A
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biopsy
binding clip
bottle
channel
main body
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CN2013101473239A
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CN103211569B (en
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徐辉
蒋明德
巢阳
陈虹彬
刘炼炼
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Chengdu Military General Hospital of PLA
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Chengdu Military General Hospital of PLA
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Priority to CN201310147323.9A priority Critical patent/CN103211569B/en
Publication of CN103211569A publication Critical patent/CN103211569A/en
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Abstract

The invention discloses an endoscope self-help biopsy all-in-one device and an operating method of the endoscope self-help biopsy all-in-one device. The endoscope self-help biopsy all-in-one device solves the problems that in the prior art only one medical worker cannot finish a biopsy operation through a gastroscope, or conduct HP detection and storage on human tissue through the gastroscope at the same time. The endoscope self-help biopsy all-in-one device comprises an electronic gastroscope main body and a light guide flexible pipe, wherein one end of the electronic gastroscope main body is provided with a snake tube, and the front end of the snake tube is provided with a rotatable endoscope. A biopsy opening, a liquid delivering switch, an attraction button and an angle adjusting valve are further arranged on the electronic gastroscope main body, the electronic gastroscope main body is connected with one end of the light guide flexible pipe, and the other end of the light guide flexible pipe is provided with a plug. A controlling line, a signal line, an attraction pipe and a liquid delivering pipe are arranged in the snake tube. A detachable biopsy device is further arranged on the electronic gastroscope main body, wherein the detachable biopsy device is arranged between the angle adjusting valve and the snake tube. The endoscope self-help biopsy all-in-one device integrates the gastroscope, the biopsy, and the detection. Therefore, the whole clinic practice is short in needed time and high in efficiency.

Description

Scope self-service biopsy one device and operational approach thereof
Technical field
The invention belongs to technical field of medical instruments, be specifically related to a kind of scope self-service biopsy one device and operational approach thereof.
Background technology
From 1932, German scholar Xin Dele and Wal phenanthrene have been succeeded in developing a kind of half flexible gastroscope that is made of flexible pipe, to nineteen fifty-seven, U.S. scientist Hess Ke Weizi according to glass fibre can leaded light, boundling can lead the principle of picture, succeeded in developing FGDS.Be used for the gastroscope that glass optical waveguide fibre is made, big with its quality softness, flexibility; Flexible operation inserts painful few; External strong cold light source, the clear picture height; Plurality of advantages such as the water-tight performance is good become the powerful mean of modern medicine diagnose and treat diseases.But still there is following defective in existing gastroscope: existing gastroscope needs two medical personnel's cooperation just can finish the work when carrying out biopsy; When human body is organized HP, biopsy need be taken off from gastroscope, holding tissue then goes to detect, separately tissue is moved on to again after having detected and carry out subsequent treatment in the holding bottle, cause waste of manpower resource and whole clinical activity duration long, doctor's labor intensity is big, is pipetting when organizing in addition, tend to occur cause and to carry out biopsy tissue again because medical personnel's the tissue that causes carelessly drops.
Summary of the invention
The object of the present invention is to provide a kind of scope self-service biopsy one device and operational approach thereof, gastroscope can't be finished biopsy work in the solution prior art when having only medical personnel, and can't carry out the problem that HP detects and stores to tissue simultaneously.
To achieve these goals, the technical solution used in the present invention is as follows:
The self-service biopsy one of scope device, comprise electronic gastroscope main body, photoconduction flexible pipe, one end of electronic gastroscope main body is provided with the snake bone pipe, the front end of this snake bone pipe is rotatable scope, also be provided with biopsy mouth, liquor charging switch on the electronic gastroscope main body, attract button and angular adjustment valve, and this electronic gastroscope main body also is connected with an end of photoconduction flexible pipe, and the other end of photoconduction flexible pipe also is provided with plug; Be provided with control line, holding wire, suction catheter and liquid pushing tube in the described snake bone pipe, also be provided with dismountable biopsy device on the electronic gastroscope main body, this biopsy device is between angular adjustment valve and snake bone pipe.
Further, described biopsy device comprises the pedestal that is removably connected on the electronic gastroscope main body, is arranged on the pedestal and has the Flexible rule case of opening, and this Flexible rule case opening part also is provided with and is used for the third channel that links to each other with the biopsy mouth; Be provided with the biopsy forceps that an end is fixed on the pedestal, the other end is positioned at third channel in the described Flexible rule case.
Again further, described biopsy device also comprises being arranged at and is used for the detection bottle that human body is organized HP on the pedestal, and is arranged at the holding bottle that is used to store tissue on the pedestal, and described holding bottle detachably is arranged on the pedestal; This Flexible rule case opening part is provided with and is used for and detects the first passage that bottle is connected, and is used for the second channel that is connected with holding bottle; Described holding bottle detachably is arranged on the pedestal.
Further, described biopsy forceps comprises the action bars that is fixed on the pedestal, be connected with action bars one end and be enclosed within slip ring on the action bars, and the binding clip that links to each other with action bars by outer tube; Be provided with the steel wire that an end links to each other with binding clip, the other end passes action bars and link to each other with slip ring in the described outer tube, the end that this outer tube links to each other with action bars is positioned at the Flexible rule case center, and rotate outer tube and make it hover above rotation disc in the Flexible rule case outside also fixedly connected being useful on of this end, the other end of outer tube then is positioned at third channel, and binding clip is positioned at the third channel outside.
In addition, the interior side inwall away from the first passage mouth of described third channel is provided with and is used for first shell fragment of binding clip bullet to the first passage mouth, also be provided with on the side inwall away from the second channel mouth in the described third channel and be used for second shell fragment of binding clip bullet to the second channel mouth, described second shell fragment is between first shell fragment and Flexible rule case.
As a kind of preferred, the described bottle mouth position that detects bottle and holding bottle all also is provided with sealing film.
The operational approach of the self-service biopsy one of above-mentioned scope device may further comprise the steps:
(1) plug is inserted the plate energized;
(2) snake bone pipe front end is stretched in the human body body from human oral cavity stomach or digestive tract are observed;
(3) binding clip being stretched into and extend into the pathological tissues place from the biopsy mouth clamps and gets pathological tissues;
(4) clockwise rotate rotation disc outer tube is involved in the Flexible rule case, the elastic force by first shell fragment in first passage, rotates counterclockwise the binding clip bullet again rotation disc and binding clip is stretched into detects bottle and carry out HP and measure;
(5) continue to clockwise rotate rotation disc, the elastic force by second shell fragment in second channel, rotates counterclockwise the binding clip bullet again rotation disc and stretches into binding clip in the holding bottle and pathological tissues is put into bottle store;
(6) continue to clockwise rotate rotation disc binding clip is taken in the Flexible rule case, take out holding bottle subsequently and carry out subsequent treatment and get final product.
The present invention compared with prior art has the following advantages and beneficial effect:
(1) on the electronic gastroscope main body of the present invention biopsy device is installed, gastroscope and biopsy integral structure have been realized, when carrying out Clinical detection, in the time of need carrying out biopsy, need not to control gastroscope as medical personnel of prior art, another medical personnel control biopsy, the present invention only needs medical personnel just can control gastroscope and biopsy simultaneously, patient's tissue clamped get, get when pincers and can carry out HP immediately after finishing and detect, and can store very easily after detecting, easy to operate, can the waste of manpower resource, the efficient height is suitable for promoting the use of.
(2) outer tube of biopsy forceps of the present invention is to spiral by Flexible rule case, not only the space hold area is little, and can realize the folding and unfolding outer tube by rotating rotation disc, because outer tube is longer, usually all be in vacant state, inconvenient operation unlike biopsy forceps in the prior art, the present invention has fixed Flexible rule case to deposit outer tube, and realize folding and unfolding by rotation disc, it is quite convenient to operate, and has alleviated medical personnel's labor intensity.
(3) pedestal of the present invention is provided with and detects bottle and holding bottle, behind the biopsy forceps biopsy tissue, can tissue be moved to detect by the rotation rotation disc and carry out the HP detection in the bottle, after detection is finished, by rotating rotation disc tissue is moved in the holding bottle equally, carry out follow-up processing, easy to operate.
(4) the present invention combines gastroscope, biopsy and detection and memory function, and only needs medical personnel just can finish All Jobs, also can not occur simultaneously in the prior art because the phenomenon that medical personnel drop tissue carelessly; The whole used time of clinical operation is shorter, and the efficient height possesses outstanding substantive distinguishing features and obvious improvement, is suitable for promoting the use of.
Description of drawings
Fig. 1 is a structural representation of the present invention.
Wherein, the parts name of labelling correspondence is called in the accompanying drawing:
1-electronic gastroscope main body, 2-snake bone pipe, 3-scope, 4-biopsy mouth, 5-liquor charging switch, 6-attracts button, 7-angular adjustment valve, 8-photoconduction flexible pipe, 9-plug, 10-pedestal, 11-Flexible rule case, 12-detect bottle, the 13-holding bottle, 14-first passage, 15-second channel, 16-third channel, the 17-action bars, 18-slip ring, 19-outer tube, 20-binding clip, the 21-rotation disc, 22-first shell fragment, 23-second shell fragment.
The specific embodiment
The invention will be further described below in conjunction with drawings and Examples, and embodiments of the present invention include but not limited to the following example.
Embodiment
As shown in Figure 1, the self-service biopsy one of scope device, comprise electronic gastroscope main body 1, photoconduction flexible pipe 8, one end of electronic gastroscope main body 1 is provided with snake bone pipe 2, the front end of this snake bone pipe 2 is rotatable scope 3, also be provided with biopsy mouth 4, liquor charging switch 5 on the electronic gastroscope main body 1, attract button 6 and angular adjustment valve 7, and this electronic gastroscope main body 1 also is connected with an end of photoconduction flexible pipe 8, the other end of photoconduction flexible pipe 8 also is provided with plug 9; Be provided with control line, holding wire, suction catheter and liquid pushing tube in the described snake bone pipe 2, also be provided with dismountable biopsy device on the electronic gastroscope main body 1, this biopsy device is between angular adjustment valve 7 and snake bone pipe 2, by being provided with biopsy device, the present invention is used to change into and can carry out biopsy and HP measuring ability from making gastroscope, realized that gastroscope, biopsy are integrated.
Further, described biopsy device comprises the pedestal 10 that is removably connected on the electronic gastroscope main body 1, is arranged on the pedestal 10 and has the Flexible rule case 11 of opening, and these Flexible rule case 11 opening parts also are provided with and are used for the third channel 16 that links to each other with biopsy mouth 4; Be provided with the biopsy forceps that an end is fixed on the pedestal 10, the other end is positioned at third channel 16 in the described Flexible rule case 11.In order better to realize the present invention, described biopsy device also comprises being arranged at and is used for the detection bottle 12 that human body is organized HP on the pedestal 10, and being arranged at the holding bottle 13 that is used to store tissue on the pedestal 10, described holding bottle 13 detachably is arranged on the pedestal 10; These Flexible rule case 11 opening parts are provided with and are used for and detect bottle 12 first passages that are connected 14, and are used for the second channel 15 that is connected with holding bottle 13; Described holding bottle 13 detachably is arranged on the pedestal 10.The present invention deposits biopsy forceps by the tape measure principle and places in the Flexible rule case, reduces the biopsy forceps space and takes up an area of, and avoided because the long situation that causes troublesome poeration of biopsy forceps; The present invention simultaneously can carry out HP to tissue immediately and detect and store after carrying out biopsy tissue, do not need as prior art with biopsy forceps with just can carry out that HP detects and storage after gastroscope separates, shorten the clinical activity duration widely, alleviated medical personnel's labor intensity.
In addition, biopsy forceps of the present invention comprises the action bars 17 that is fixed on the pedestal 10, be connected with action bars 17 1 ends and be enclosed within slip ring 18 on the action bars 17 movably, and the binding clip 20 that links to each other with action bars 17 by outer tube 19; Be provided with in the described outer tube 19 that an end links to each other with binding clip 20, the other end passes the steel wire that action bars 17 links to each other with slip ring 18, the end that this outer tube 19 links to each other with action bars 17 is arranged at center in the Flexible rule case 11, and rotate outer tube 19 and make it hover above rotation disc 21 in the Flexible rule case 11 outside also fixedly connected being useful on of this end, the other end of outer tube 19 then is positioned at third channel 16, and binding clip 20 is positioned at third channel 16 outsides.The present invention is that the outer tube with biopsy forceps hovers above in the Flexible rule case, and the folding and unfolding by rotation disc control outer tube, certain outer tube of the present invention also can adopt manual folding and unfolding, simultaneously owing to be provided with the passage that leads to detection bottle and holding bottle specially, binding clip can be exposed to the outside, avoid being organized in situation about dropping accidentally and taken place.
Third channel 16 interior side inwalls away from the first passage mouth of the present invention are provided with and are used for first shell fragment 22 of binding clip 20 bullets to the first passage mouth, also be provided with on the side inwalls away from the second channel mouth in the described third channel 16 and be used for second shell fragment 23 of binding clip 20 bullets to the second channel mouth, described second shell fragment 23 is between first shell fragment 22 and Flexible rule case 11.Above-mentioned setting can rotated rotation disc when taking in outer tube in the Flexible rule case, by corresponding shell fragment with the binding clip bullet in the passage of correspondence corresponding HP detects and storage so that carry out.
Further, all fill corresponding liquid in described detection bottle and the holding bottle, and be prior art, so not in this narration, in order to guarantee that the liquid that can not that detects in bottle and the holding bottle spills, so be equipped with sealing film at the bottle mouth position that detects bottle and holding bottle, this thin film can be inserted broken by binding clip, can not influence normal detection and storage.
The present invention is when carrying out Clinical detection, in the time of need carrying out biopsy, need not to control gastroscope as medical personnel of prior art, another medical personnel control biopsy, the present invention only needs medical personnel just can control gastroscope and biopsy simultaneously, patient's tissue clamped get, get when pincers and can carry out HP immediately after finishing and detect, and can store very easily after detecting, easy to operate, can the waste of manpower resource, the efficient height is suitable for promoting the use of.
Biopsy device of the present invention in addition is removable being installed on the electronic gastroscope main body, after entire job is finished, only need biopsy device is taken off from the electronic gastroscope main body, just can continue to use to the electronic gastroscope disinfection, biopsy device then is disposable, also can carry out continuing to use after the comprehensive repeatedly sterilization to biopsy device certainly again.
When the present invention uses, earlier biopsy device is installed on the electronic gastroscope main body, carries out following operation then: at first plug is inserted the plate energized, open display screen; Medical personnel stretch into the snake bone pipe front end of gastroscope in the human body body by scope the image of observing to be transferred in the outside receptor from human oral cavity thereupon and show at display screen, stomach or digestive tract are observed, when the invention pathological tissues, the angle of adjustment scope and the position of snake bone pipe are so that can observe the position of pathological tissues clearly, subsequently with the binding clip of biopsy forceps from the biopsy mouth and extend into the pathological tissues place and clamp and get pathological tissues, then clockwise rotating rotation disc is involved in outer tube and binding clip in the Flexible rule case, when binding clip is drawn out from the biopsy mouth when slowing down velocity of rotation after entering third channel and treating binding clip near first shell fragment, since the elastic force of this shell fragment with its bullet to the first passage mouth, rotating counterclockwise rotation disc again stretches into binding clip to detect and carries out HP in the bottle and measure, after to be determined the finishing, continue to clockwise rotate rotation disc, when binding clip during near second shell fragment, because the elastic force of this shell fragment again can be with its bullet to the second channel mouth, then rotating counterclockwise rotation disc stretches into binding clip in the holding bottle pathological tissues is deposited in the holding bottle, to clockwise rotate rotating disk then binding clip will be shifted out in the holding bottle income Flexible rule case, and at last holding bottle be taken off from pedestal and carry out follow-up stores processor and get final product.
According to the foregoing description, just can realize the present invention well.What deserves to be explained is; under the prerequisite based on the said structure design, for solving same technical problem, even some that make in the present invention do not have substantial change or polishing; the essence of the technical scheme that is adopted is still the same with the present invention, so it also should be in protection scope of the present invention.

Claims (7)

1. the self-service biopsy one of scope device, comprise electronic gastroscope main body (1), photoconduction flexible pipe (8), one end of electronic gastroscope main body (1) is provided with snake bone pipe (2), the front end of this snake bone pipe (2) is rotatable scope (3), also be provided with biopsy mouth (4), liquor charging switch (5) on the electronic gastroscope main body (1), attract button (6) and angular adjustment valve (7), and this electronic gastroscope main body (1) also is connected with an end of photoconduction flexible pipe (8), and the other end of photoconduction flexible pipe (8) also is provided with plug (9); Be provided with control line, holding wire, suction catheter and liquid pushing tube in the described snake bone pipe (2), it is characterized in that: the electronic gastroscope main body also is provided with dismountable biopsy device on (1), and this biopsy device is positioned between angular adjustment valve (7) and the snake bone pipe (2).
2. the self-service biopsy one of scope according to claim 1 device, it is characterized in that: described biopsy device comprises the pedestal (10) that is removably connected on the electronic gastroscope main body (1), be arranged at pedestal (10) and go up and have the Flexible rule case (11) of opening, this Flexible rule case (11) opening part also is provided with and is used for the third channel (16) that links to each other with biopsy mouth (4); Be provided with an end in the described Flexible rule case (11) and be fixed in the biopsy forceps that pedestal (10) is gone up, the other end is positioned at third channel (16).
3. the self-service biopsy one of scope according to claim 2 device, it is characterized in that: described biopsy device also comprises being arranged at and is used for the detection bottle (12) that human body is organized HP on the pedestal (10), and being arranged at the holding bottle (13) that is used to store tissue on the pedestal (10), described holding bottle (13) detachably is arranged on the pedestal (10); Flexible rule case (11) opening part is provided with and is used for and detects the first passage (14) that bottle (12) is connected, and is used for the second channel (15) that is connected with holding bottle (13); Described holding bottle (13) detachably is arranged on the pedestal (10).
4. the self-service biopsy one of scope according to claim 3 device, it is characterized in that: described biopsy forceps comprises the action bars (17) that is fixed on the pedestal (10), be connected with action bars (17) one ends and be enclosed within slip ring (18) on the action bars (17), and the binding clip (20) that links to each other with action bars (17) by outer tube (19); Be provided with the steel wire that an end links to each other with binding clip (20), the other end passes action bars (17) and link to each other with slip ring (18) in the described outer tube (19), the end that this outer tube (19) links to each other with action bars (17) is positioned at Flexible rule case (11) center, and rotate outer tube (19) and make it hover above rotation disc (21) in the Flexible rule case (11) outside also fixedly connected being useful on of this end, the other end of outer tube (19) then is positioned at third channel (16), and binding clip (20) is positioned at third channel (16) outside.
5. the self-service biopsy one of scope according to claim 4 device, it is characterized in that: the interior side inwall away from the first passage mouth of described third channel (16) is provided with and is used for first shell fragment (22) of binding clip (20) bullet to the first passage mouth, also be provided with on the side inwall away from the second channel mouth in the described third channel (16) and be used for second shell fragment (23) of binding clip (20) bullet to the second channel mouth, described second shell fragment (23) is positioned between first shell fragment (22) and the Flexible rule case (11).
6. the self-service biopsy one of scope according to claim 5 device is characterized in that: the described bottle mouth position that detects bottle (12) and holding bottle (13) all also is provided with sealing film.
7. the operational approach of the self-service biopsy one of the described scope of claim 1~6 device is characterized in that, may further comprise the steps:
(1) plug is inserted the plate energized;
(2) snake bone pipe front end is stretched in the human body body from human oral cavity stomach or digestive tract are observed;
(3) binding clip being stretched into and extend into the pathological tissues place from the biopsy mouth clamps and gets pathological tissues;
(4) clockwise rotate rotation disc outer tube is involved in the Flexible rule case, the elastic force by first shell fragment in first passage, rotates counterclockwise the binding clip bullet again rotation disc and binding clip is stretched into detects bottle and carry out HP and measure;
(5) continue to clockwise rotate rotation disc, the elastic force by second shell fragment in second channel, rotates counterclockwise the binding clip bullet again rotation disc and stretches into binding clip in the holding bottle and pathological tissues is put into bottle store;
(6) continue to clockwise rotate rotation disc binding clip is taken in the Flexible rule case, take out holding bottle subsequently and carry out subsequent treatment and get final product.
CN201310147323.9A 2013-04-25 2013-04-25 Endoscope self-help biopsy all-in-one device and operating method thereof Expired - Fee Related CN103211569B (en)

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Publication number Priority date Publication date Assignee Title
CN106901801A (en) * 2017-01-19 2017-06-30 中国人民解放军第三军医大学第附属医院 Calculi in urinary system cavity inner sleeve takes device
CN110882015A (en) * 2019-10-15 2020-03-17 张茹 Biopsy forceps capable of being operated by one person

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CN106901801A (en) * 2017-01-19 2017-06-30 中国人民解放军第三军医大学第附属医院 Calculi in urinary system cavity inner sleeve takes device
CN110882015A (en) * 2019-10-15 2020-03-17 张茹 Biopsy forceps capable of being operated by one person

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