A thoracoscopic laparoscope capable of ultrasonic imaging

Abstract

The present invention belongs to the field of thoraco-laparoscopy, and in particular, relates to a thoraco-laparoscopy capable of ultrasonic imaging, including an eyepiece, the lower end of the eyepiece is fixedly connected to a connecting tube, the lower end of the connecting tube is fixedly connected to a light conversion mechanism, the lower end of the light conversion mechanism is fixedly connected to a speculum tube, the right side wall of the light conversion mechanism is connected to a light intake mechanism, an eyepiece tube is provided inside the eyepiece, the lower end of the eyepiece tube is connected to the upper end of the connecting tube, the lower end of the connecting tube is connected to the inside of the light conversion mechanism, and the left side of the light intake mechanism is connected to the inside of the light conversion mechanism. Under the action of a take-up wheel and a spring, the take-up wheel can retract and release a guide rope, so that the guide rope drives the second steering guide wheel to move up and down, thereby facilitating the Doppler ultrasound function of the ultrasound probe when detecting the patient's abdominal cavity.

Description

Technical Field

[0001] The invention belongs to the field of thoraco-laparoscopy, and in particular relates to a thoraco-laparoscopy capable of ultrasonic imaging. Background Art

[0002] Laparoscopic surgery is a newly developed minimally invasive method and an inevitable trend in the development of surgical methods in the future. With the rapid development of industrial manufacturing technology, the integration of related disciplines has laid a solid foundation for the development of new technologies and methods. Coupled with the increasingly skilled operation of doctors, many open surgeries in the past have now been replaced by endoscopic surgeries, greatly increasing the opportunities for surgical options.

[0003] Existing common thoraco-laparoscopy is unable to measure the blood flow velocity, blood flow direction and two-dimensional structure of the near-region inside the patient's abdominal cavity during minimally invasive surgery due to its limited observable capabilities, making the operation more difficult for the surgeon and resulting in low surgical precision. In addition, when performing minimally invasive surgery on the patient's abdominal cavity, it is impossible to preserve objective imaging evidence during the operation, which may affect subsequent medical treatment.

[0004] Therefore, we propose a thoraco-laparoscopic ultrasound imaging system to solve the above problems. Summary of the invention

[0005] The purpose of the present invention is to provide a thoracoabdominal scope capable of ultrasonic imaging in view of the above problems.

[0006] To achieve the above-mentioned purpose, the present invention adopts the following technical solutions: a thoracoabdominal laparoscope capable of ultrasonic imaging, comprising an eyepiece, the lower end of the eyepiece is fixedly connected to a connecting tube, the lower end of the connecting tube is fixedly connected to a light direction conversion mechanism, the lower end of the light direction conversion mechanism is fixedly connected to a endoscope tube, the right side wall of the light direction conversion mechanism is connected to a light input mechanism, an eyepiece tube is provided inside the eyepiece, the lower end of the eyepiece tube is connected to the upper end of the connecting tube, the lower end of the connecting tube is connected to the interior of the light direction conversion mechanism, and the left side of the light input mechanism is connected to the interior of the light direction conversion mechanism.

[0007] In the above-mentioned ultrasonic imaging thoracoabdominal laparoscope, a fixing tube is provided inside the connecting tube, the lower end of the fixing tube is connected to the inside of the light conversion mechanism through a perforation, and the upper end of the fixing tube is connected to the lower end of the visual mirror.

[0008] In the above-mentioned ultrasonic imaging thoracoabdominal laparoscope, the upper end of the inner wall of the light direction conversion mechanism is fixedly connected to a fixing mechanism, the lower end of the fixing tube is through a hole connected to the middle upper end of the fixing mechanism, and a reflector is fixedly connected to the left inner wall of the light direction conversion mechanism, and the other end of the reflector is fixedly connected to the left lower end wall of the fixing tube.

[0009] In the above-mentioned ultrasonic imaging thoracoabdominal laparoscope, the left side of the light intake mechanism is connected to the interior of the light direction conversion mechanism, a light intake tube is provided inside the light intake mechanism, and the other end of the light intake tube is connected to the right wall of the light direction conversion mechanism.

[0010] In the above-mentioned thoracoabdominal laparoscope capable of ultrasonic imaging, a convex lens is fixedly connected to the inside of the endoscope tube, and fixing hoops are provided on both sides of the convex lens to be fixed to the inside of the convex lens. A concave lens is provided at the lower end of the convex lens, and both sides of the concave lens are fixedly connected to the inner wall of the lower end of the endoscope tube.

[0011] In the above-mentioned ultrasonic imaging thoracoabdominal laparoscope, a protective mirror is fixedly connected to the bottom of the lower end of the endoscope tube, an ultrasonic probe fixing shell is fixedly connected to the right end of the protective mirror, and the other end of the ultrasonic probe fixing shell is fixedly connected to the right inner wall of the endoscope tube.

[0012] In the above-mentioned thoracoabdominal laparoscope capable of ultrasonic imaging, an ultrasonic probe is slidably connected to the interior of the ultrasonic probe fixing shell, the upper end of the ultrasonic probe is fixedly connected to the upper end of the inner wall of the ultrasonic probe fixing shell, a connecting plate is fixedly connected to the upper end surface of the ultrasonic probe, a fixed guide wheel is fixedly connected to the front side wall of the connecting plate, an ultrasonic probe cable is fixedly connected to the middle part of the upper end of the connecting plate, the upper end of the ultrasonic probe cable is connected to the upper end of the ultrasonic probe fixing shell through a hole, a first steering guide wheel is fixedly connected to the right inner wall of the upper end of the endoscope tube, the upper end of the ultrasonic probe cable is slidably connected to the upper end of the first steering guide wheel, the right side of the ultrasonic probe cable is connected to the right side of the endoscope tube through a hole, and an outer fixing mechanism is fixedly connected to the outer wall of the right end of the endoscope tube.

[0013] In the above-mentioned thoracoabdominal laparoscope capable of ultrasonic imaging, the lower end of the right inner wall of the endoscope tube is fixedly connected to a second steering guide wheel, the outer wall surface of the lower end of the endoscope tube is fixedly connected to a wire take-up wheel, the upper end of the fixed guide wheel is slidably connected to a guide rope, one end of the guide rope is fixedly connected to the upper end of the left inner wall of the ultrasonic probe fixed shell, the other end of the guide rope is respectively slidably connected to the fixed guide wheel, the second steering guide wheel and the wire take-up wheel, the other end of the guide rope is through a hole connected to the right side wall surface of the endoscope tube after passing through the second steering guide wheel, the middle part of the wire take-up wheel is rotatably connected to fixed rods on both sides, the other end of the fixed rod is fixedly connected to the right side wall surface of the endoscope tube, and the other end of the wire take-up wheel is fixedly connected to a micro motor.

[0014] Compared with the existing technology, the advantages of this ultrasonic imaging thoracoabdominal endoscope are:

[0015] 1. The present invention provides a fixed guide wheel, a second steering guide wheel and a take-up wheel. Since the guide rope slides on the fixed guide wheel, the second steering guide wheel and the take-up wheel, and since the left end of the guide rope is fixed on the connecting plate, when the guide rope contracts, the guide rope can be pulled up under the drive of the take-up wheel so that the second steering guide wheel can pull the ultrasonic probe upward under the drive of the guide rope.

[0016] 2. The outstanding feature of the present invention is that under the action of the take-up wheel and the spring, the take-up wheel can retract and release the guide rope, so that the guide rope drives the second steering guide wheel to move up and down, thereby facilitating the Doppler ultrasound function of the ultrasound probe when detecting the patient's abdominal cavity. BRIEF DESCRIPTION OF THE DRAWINGS

[0017] Figure 1 It is a schematic structural diagram of a thoracoabdominal scope capable of ultrasonic imaging provided by the present invention;

[0018] Figure 2 It is a structural schematic diagram of a light steering mechanism of a thoracoabdominal scope capable of ultrasonic imaging provided by the present invention;

[0019] Figure 3 It is a schematic diagram of the structure of an ultrasonic probe capable of ultrasonic imaging of a thoracoscopic laparoscope provided by the present invention;

[0020] Figure 4 It is a structural schematic diagram of a take-up wheel of a thoracoscopic laparoscope capable of ultrasonic imaging provided by the present invention;

[0021] Figure 5 It is a schematic structural diagram of a second steering guide wheel of a thoracoabdominal laparoscope capable of ultrasonic imaging provided by the present invention.

[0022] In the figure, 1 is an eyepiece, 2 is a connecting tube, 21 is a fixing tube, 3 is a light input mechanism, 4 is a light direction conversion mechanism, 41 is a fixing mechanism, 42 is a reflector, 5 is a endoscope tube, 51 is an ultrasonic probe fixing shell, 511 is a guide rope, 512 is a connecting plate, 513 is an ultrasonic probe, 514 is a fixing guide wheel, 515 is a second steering guide wheel, 516 is a take-up wheel, 517 is a fixing rod, 518 is a micro motor, 52 is a convex lens, 53 is a concave lens, 54 is a protective mirror, 55 is an ultrasonic probe cable, 56 is a first steering guide wheel, and 57 is an outer fixing mechanism. DETAILED DESCRIPTION

[0023] The following examples are for illustrative purposes only and are not intended to limit the scope of the present invention.

[0024] Example

[0025] like Figure 1-5As shown, a thoracoabdominal laparoscope capable of ultrasonic imaging comprises an eyepiece 1, which is a funnel structure, an observation port is provided in the middle of the eyepiece 1, the lower end of the observation port is connected to the upper end of the eyepiece tube, the lower end of the eyepiece 1 is fixedly connected to a connecting tube 2, the lower end of the connecting tube 2 is fixedly connected to a light direction conversion mechanism 4, the lower end of the light direction conversion mechanism 4 is fixedly connected to a endoscope tube 5, the right side wall of the light direction conversion mechanism 4 is connected to a light input mechanism 3, an eyepiece tube is provided inside the eyepiece 1, the lower end of the eyepiece tube is connected to the upper end of the connecting tube 2, the lower end of the connecting tube 2 is connected to the inside of the light direction conversion mechanism 4, and the left side of the light input mechanism 3 is connected to the inside of the light direction conversion mechanism 4.

[0026] In the above-mentioned ultrasonic imaging thoracoabdominal laparoscope, a fixing tube 21 is provided inside the connecting tube 2, the lower end of the fixing tube 21 is connected to the inside of the light conversion mechanism 4 through a hole, and the upper end of the fixing tube 21 is connected to the lower end of the visual scope 1.

[0027] In the above-mentioned ultrasonic imaging thoracoabdominal laparoscope, the upper end of the inner wall of the light direction conversion mechanism 4 is fixedly connected with a fixing mechanism 41, and the fixing mechanism 41 is composed of a fixing plate and a fixing hoop. The structure of the fixing plate is a circular plate structure, and the number of fixing hoops is two, which are respectively fixedly connected to the outside of the fixing tube 21, and the lower end of the fixing tube 21 is connected to the middle upper end of the fixing mechanism 41 through a perforation. A reflector 42 is fixedly connected to the left inner wall of the light direction conversion mechanism 4, and the other end of the reflector 42 is fixedly connected to the left lower end wall of the fixing tube 21. The light inside the light inlet mechanism 3 is directly irradiated on the upper end of the reflector 42 through the light inlet tube. The light is deflected to the lower end after being reflected by the reflector 42 and enters the endoscope tube 5.

[0028] In the above-mentioned ultrasonic imaging thoracoabdominal laparoscope, the left side of the light input mechanism 3 is connected to the interior of the light direction conversion mechanism 4, and a light input tube is provided inside the light input mechanism 3. Light enters the interior of the light direction conversion mechanism 4 through the light input tube. The other end of the light input tube is connected to the right wall of the light direction conversion mechanism 4. A light inlet is provided at the connection between the light direction conversion mechanism 4 and the light input mechanism 3, and the light inlet is used for light transmission.

[0029] In the above-mentioned thoracoabdominal laparoscope capable of ultrasonic imaging, a convex lens 52 is fixedly connected to the inside of the endoscope tube 5, and fixing hoops are provided on both sides of the convex lens 52 to be fixed to the inside of the convex lens 52. A concave lens 53 is provided at the lower end of the convex lens 52, and both sides of the concave lens 53 are fixedly connected to the inner wall of the lower end of the endoscope tube 5, and light passes through the outer sides of the convex lens 52 and the concave lens 53 to irradiate out of the endoscope tube 5.

[0030] In the above-mentioned ultrasonic imaging thoracoabdominal laparoscope, a protective mirror 54 is fixedly connected to the bottom of the lower end of the endoscope tube 5, and the protective mirror 54 is used to protect the endoscope tube 5. The right end of the protective mirror 54 is fixedly connected to an ultrasonic probe fixing shell 51, and the other end of the ultrasonic probe fixing shell 51 is fixedly connected to the right inner wall of the endoscope tube 5.

[0031] In the above-mentioned thoracoabdominal scope capable of ultrasonic imaging, an ultrasonic probe 513 is slidably connected inside the ultrasonic probe fixing shell 51, and the model of the ultrasonic probe 513 is US-116. The upper end of the ultrasonic probe 513 is fixedly connected to the upper end of the inner wall of the ultrasonic probe fixing shell 51, and a connecting plate 512 is fixedly connected to the upper end surface of the ultrasonic probe 513. The surrounding of the connecting plate 512 is slidably connected to the inner wall of the ultrasonic probe fixing shell 51, and a fixed guide wheel 514 is fixedly connected to the front side wall surface of the connecting plate 512. The middle part of the fixed guide wheel 514 is fixedly connected to the inner wall of the ultrasonic probe fixing shell 51. A short rod is fixed on the side wall of the connecting plate 512, an ultrasonic probe cable 55 is fixedly connected to the middle of the upper end of the connecting plate 512, the upper end of the ultrasonic probe cable 55 is connected to the upper end of the ultrasonic probe fixing shell 51 through a hole, a first steering guide wheel 56 is fixedly connected to the right inner wall of the upper end of the endoscope tube 5, the upper end of the ultrasonic probe cable 55 is slidably connected to the upper end of the first steering guide wheel 56, the right side of the ultrasonic probe cable 55 is connected to the right side of the endoscope tube 5 through a hole, and an outer fixing mechanism 57 is fixedly connected to the outer wall surface of the right end of the endoscope tube 5.

[0032] In the above-mentioned thoracoabdominal laparoscope capable of ultrasonic imaging, the lower end of the right inner wall of the endoscope tube 5 is fixedly connected to the second steering guide wheel 515, the outer wall surface of the lower end of the endoscope tube 5 is fixedly connected to the take-up wheel 516, the upper end of the fixed guide wheel 514 is slidably connected to the guide rope 511, one end of the guide rope 511 is fixedly connected to the upper end of the left inner wall of the ultrasonic probe fixed shell 51, and the other end of the guide rope 511 is slidably connected to the fixed guide wheel 514, the second steering guide wheel 515 and the take-up wheel 516, the guide rope 511 is S-shaped around the fixed guide wheel 514 and the second guide wheel 515, the second steering wheel 515 and the take-up wheel 516 The guide rope 511 on 16 is in a parallel state, which is convenient for collecting the guide rope 511. The other end of the guide rope 511 is fixedly connected to the take-up wheel 516. The other end of the guide rope 511 passes through the second steering guide wheel 515 and is connected to the right side wall of the endoscope tube 5 through a hole. The middle of the take-up wheel 516 is rotatably connected with fixed rods 517 on both sides, and the other end of the fixed rod 517 is fixedly connected to the right side wall of the endoscope tube 5. The other end of the take-up wheel 516 is fixedly connected with a micro motor 518. The model of the micro motor 518 is 2IK6GN-C. The function of the micro motor 518 is to drive the take-up wheel 516 to rotate.

[0033] When the ultrasonic imaging thoracoabdominal laparoscope is used, firstly, an external fixing tube is punctured in the abdomen of the patient, and then the medical staff inserts the endoscope tube 5 into the interior of the external fixing tube, wherein the endoscope tube 5 slides inside the external fixing tube, so that the endoscope tube 5 enters the abdominal cavity of the patient. After the endoscope tube 5 enters the abdominal cavity, the medical staff connects the illumination device to the light inlet mechanism 3, and the light enters the interior of the light conversion mechanism 4 through the light inlet tube. When the light enters the interior of the light conversion mechanism 4, due to the direct light, after the light contacts the reflector 42, it is reflected and deflected to the downward direction and directly irradiates the interior of the endoscope tube 5, and the light After passing through the endoscope tube 5, the wire passes through the convex lens 52, the concave lens 53 and the protective mirror 54 at the lower end of the endoscope tube 5 in sequence, and irradiates the inside of the patient's abdominal cavity. When it is necessary to perform ultrasonic detection on the inside of the patient's abdominal cavity, it is necessary to turn on the micro motor 518, and the micro motor 518 drives the wire take-up wheel 516 to rotate, and the wire take-up wheel 516 performs the wire take-up and release function on the guide rope 511. The specific operation is that in the initial state, the ultrasonic probe 513 is located inside the ultrasonic probe fixed shell 51, and the micro motor 518 drives the wire take-up wheel 516 to rotate, and the wire take-up wheel 516 releases the guide rope 511 wound on its upper end. Due to the release of the line, the guide rope 511 slides to the left on the second steering guide wheel 515, and the fixed guide wheel 514 connected to the lower end of the guide rope 511 changes the length of the guide rope 511, and the ultrasonic probe 513 is pulled downward by the guide rope 11, wherein the spring between the inner wall of the ultrasonic probe fixing shell 51 and the connecting plate 512 is in a compressed state in the initial state, and as the guide rope 511 is extended, it pushes the connecting plate 512 to the lower end, further driving the ultrasonic probe 513 to move downward, and the ultrasonic probe cable 55 at the upper end of the ultrasonic probe 513 is longer in length, which can meet the needs of the ultrasonic probe. The up and down movement of 513 realizes the telescopic function of the ultrasound probe, and touches the detection area under the visual condition of the thoracoscopic laparoscope, and performs the Doppler ultrasound function, which can detect the blood flow velocity, blood flow direction, and two-dimensional structure of the near area, distinguish the fascia, blood vessels and deep tissue structures, and retain images to retain objective imaging evidence for the surgeon during the operation. When the ultrasound probe 513 moves up and down, the upper end of the ultrasound probe cable 55 slides on the first steering guide wheel 56, wherein the medical staff can observe the situation inside the patient's abdominal cavity through the eyepiece 1, or receive the information of the ultrasound probe 513 through an external display device.

[0034] The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims

1. A thoracoabdominal laparoscope capable of ultrasonic imaging, comprising a visual mirror (1), characterized in that: The lower end of the eyepiece (1) is fixedly connected to a connecting tube (2), the lower end of the connecting tube (2) is fixedly connected to a light direction conversion mechanism (4), the lower end of the light direction conversion mechanism (4) is fixedly connected to a sight glass tube (5), the right side wall of the light direction conversion mechanism (4) is connected to a light intake mechanism (3), the interior of the eyepiece (1) is provided with an eyepiece tube, the lower end of the eyepiece tube is connected to the upper end of the connecting tube (2), the lower end of the connecting tube (2) is connected to the interior of the light direction conversion mechanism (4), and the left interior of the light intake mechanism (3) is connected to the interior of the light direction conversion mechanism (4); A fixing tube (21) is provided inside the connecting tube (2), the lower end of the fixing tube (21) is connected to the inside of the light conversion mechanism (4) through a perforation, and the upper end of the fixing tube (21) is connected to the lower end of the eyepiece (1); The upper end of the inner wall of the light direction conversion mechanism (4) is fixedly connected to a fixing mechanism (41); the lower end of the fixing tube (21) is connected to the middle upper end of the fixing mechanism (41) through a perforation; a reflector (42) is fixedly connected to the left inner wall of the light direction conversion mechanism (4); the other end of the reflector (42) is fixedly connected to the left lower end wall of the fixing tube (21); The left side of the light intake mechanism (3) is connected to the interior of the light direction conversion mechanism (4); a light intake pipe is provided inside the light intake mechanism (3); the other end of the light intake pipe is connected to the right wall of the light direction conversion mechanism (4); A convex lens (52) is fixedly connected to the interior of the speculum tube (5), fixing hoops are provided on both sides of the convex lens (52) and are fixed to the interior of the convex lens (52), a concave lens (53) is provided at the lower end of the convex lens (52), and both sides of the concave lens (53) are fixedly connected to the inner wall of the lower end of the speculum tube (5); A protective mirror (54) is fixedly connected to the bottom of the lower end of the endoscope tube (5); an ultrasonic probe fixing shell (51) is fixedly connected to the right end of the protective mirror (54); the other end of the ultrasonic probe fixing shell (51) is fixedly connected to the right inner wall of the endoscope tube (5); a second steering guide wheel (515) is fixedly connected to the lower end of the right inner wall of the endoscope tube (5); and a wire take-up wheel (516) is fixedly connected to the outer wall surface of the lower end of the endoscope tube (5).

2. The thoracoabdominal laparoscopic device capable of ultrasonic imaging according to claim 1, characterized in that: An ultrasonic probe (513) is slidably connected to the interior of the ultrasonic probe fixing shell (51), the upper end of the ultrasonic probe (513) is connected to the upper end of the inner wall of the ultrasonic probe fixing shell (51), a connecting plate (512) is fixedly connected to the upper end surface of the ultrasonic probe (513), a fixed guide wheel (514) is fixedly connected to the front side wall of the connecting plate (512), an ultrasonic probe cable (55) is fixedly connected to the middle part of the upper end of the connecting plate (512), the upper end of the ultrasonic probe cable (55) is connected to the upper end of the ultrasonic probe fixing shell (51) through a hole, a first steering guide wheel (56) is fixedly connected to the right inner wall of the upper end of the endoscope tube (5), the upper end of the ultrasonic probe cable (55) is slidably connected to the upper end of the first steering guide wheel (56), the right side of the ultrasonic probe cable (55) is connected to the right side of the endoscope tube (5) through a hole, and an outer fixing mechanism (57) is fixedly connected to the outer wall of the right end of the endoscope tube (5).

Images