Automatic cleaning device for thoracoscope

By designing a thoracoscopy device with a fixed sheath and automatic cleaning components, the problem of the inability to clean the laparoscopic lens in time after contamination is solved, non-invasive automatic cleaning and disinfection is achieved, the operation process is simplified, and the risk of infection is reduced.

CN112274092BActive Publication Date: 2025-09-19LISHUI CENT HOSPITAL
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Patent Information

Application Number
CN202011224841.2
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2020-11-05
Publication Date
2025-09-19
Estimated Expiration
2040-11-05

AI Technical Summary

Technical Problem

Existing laparoscopic lenses are easily contaminated during surgery, existing cleaning methods are cumbersome and prone to infection, and cannot be cleaned in real time inside the body.

Method used

A thoracoscopic device including a fixed sheath and an automatic cleaning component is designed. The cleaning component in the tubular working channel realizes automatic cleaning and disinfection of the lens, and waste liquid is sucked out in time. The fixed sheath can be fixed in the minimally invasive incision and does not move.

Benefits of technology

It realizes non-invasive automatic cleaning and disinfection of the laparoscope lens, avoids the risk of infection caused by repeated plugging and unplugging, simplifies the operation process, and reduces the risk of cross infection.

✦ Generated by Eureka AI based on patent content.

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Abstract

The present invention discloses an automatic cleaning device for a thoracoscope, comprising a thoracoscope and a matching automatic cleaning fixed sheath device, the automatic cleaning fixed sheath device comprising a fixed sheath and an automatic cleaning assembly disposed within the fixed sheath, the fixed sheath having a central portion provided with a tubular working channel, the automatic cleaning assembly disposed within the tubular working channel, the front end of the thoracoscope being a lens, the rear end being a handle connection end of the thoracoscope, and a cold light source connection port being provided on the side of one end near the handle connection end, the cold light source connection port providing light for the lens of the thoracoscope after being connected to a cold light source, the lens extending into the chest cavity through the tubular working channel of the fixed sheath, and the lens of the thoracoscope being directly inserted into or withdrawn from the tubular working channel of the fixed sheath. The present invention effectively solves the problem in existing laparoscopic surgery where the lens surface of instruments such as laparoscopes and thoracoscopes cannot be cleaned and disinfected in a timely and rapid manner when contaminated and blurred.
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Description

Technical Field

[0001] The invention relates to the field of surgical instruments, in particular to an automatic cleaning device for a thoracoscope. Background Art

[0002] Thoracoscopic, laparoscopic, and arthroscopic surgeries are among the most commonly used medical procedures. They address the existing challenges of large incisions, severe postoperative pain, and delayed recovery. By making a minimally invasive incision on the patient's surface and inserting a laparoscopic device into the body through this incision, the surgical site can be monitored and magnified in real time. This reduces the size of the incision and allows for real-time magnification of the surgical image, facilitating the surgical procedure. However, a problem with existing surgical procedures is that the laparoscope lens is easily contaminated during surgery, which can affect the surgical image and require frequent cleaning. Repeated removal from the incision can cause repeated friction and infection. To improve surgical efficiency and minimize tedious procedures, there is an urgent need to develop a device that is non-invasive to the patient's surgical incision and facilitates cleaning of the laparoscope lens. Existing medical devices are highly sophisticated, making it difficult to perform real-time lens cleaning within the body. Therefore, a sheath is fixed at the patient's surgical incision, and the thoracoscope is inserted from the sheath into the surgical site to provide real-time image feedback of the surgical position. Once the lens is contaminated, the thoracoscope is removed from the sheath, cleaned, wiped, and disinfected, and then inserted into the chest cavity from the sheath again to resume work. The disadvantage of this operation method is that the laparoscope needs to be repeatedly inserted and removed for cleaning and wiping, which is cumbersome to operate. In addition, the laparoscope is easily contaminated when it comes into contact with the external environment, and contaminants can easily enter the chest or abdominal cavity from the working pipe of the sheath, which can easily cause infection. Therefore, it is urgent to develop a cleaning device that can automatically clean and disinfect the lens without completely removing the thoracoscope or laparoscope from the working cavity. Summary of the Invention

[0003] In order to solve the above problems, the present invention provides an automatic cleaning device for a thoracoscope.

[0004] The technical solution of the present invention is: a thoracoscope automatic cleaning device, comprising a thoracoscope and a matching automatic cleaning fixed sheath device, the automatic cleaning fixed sheath device comprising a fixed sheath and an automatic cleaning component arranged in the fixed sheath, a tubular working channel is provided in the middle of the fixed sheath, the automatic cleaning component is arranged in the tubular working channel, the front end of the thoracoscope is a lens, the rear end is a handle connection end of the thoracoscope, and a cold light source connection port is provided on the side of one end close to the handle connection end, after the cold light source connection port is connected to the cold light source, a light source is provided for the lens of the thoracoscope, the lens extends into the chest cavity through the tubular working channel of the fixed sheath, and the lens of the thoracoscope can be directly extended into or withdrawn from the tubular working channel of the fixed sheath.

[0005] Preferably, the fixed sheath shell includes an incision insertion end, an incision external fixed end and a lens insertion end, the incision external fixed end is arranged above the incision insertion end, the lens insertion end is located above the incision external fixed end, the interior of the fixed sheath shell is a hollow tubular working channel, and the outer surface of the incision insertion end is provided with an outwardly protruding external thread structure.

[0006] As a further preference, the end of the lens of the thoracoscope is in an inclined state, with the slope of the slope facing the side away from the cold light source connection port; an anti-fog heating device is provided on the periphery of the lens end of the thoracoscope.

[0007] Preferably, the automatic cleaning component includes a cleaning component base and a cleaning device arranged on the cleaning component base; the cleaning component base is arranged in the tubular working channel and fits with the inner wall of the tubular working channel; a working channel for the thoracoscope to pass through is provided in the center of the cleaning component base; the cleaning device includes a cleaning liquid injection pipe, a disinfectant injection pipe, and a waste liquid negative pressure recovery pipe, which are arranged in the cleaning component base.

[0008] As a further preferred embodiment, the lower end of the outlet of the cleaning liquid injection pipe is a cleaning nozzle, which is arranged at the lower end of the cleaning component base, and the outlet of the cleaning nozzle is inclined upward; the lower end of the outlet of the disinfectant injection pipe is a disinfectant nozzle, which is located above the cleaning nozzle; and the lower end of the waste liquid negative pressure recovery pipe is provided with an elbow, which extends from the bottom of the cleaning component base, and the waste liquid negative pressure recovery pipe is not fixed to the cleaning component base, and can be extended and retracted up and down relative to the cleaning component base, or the elbow can be rotated around the waste liquid negative pressure recovery pipe.

[0009] Preferably, a fixing cap is provided at the lower end of the fixed sheath shell, and the fixing cap is detachably connected to the lower end of the fixed sheath shell. A silicone leak-proof sheet is provided at the center of the lower end of the fixing cap, and an opening for the lens of the thoracoscope to pass through is provided in the silicone leak-proof sheet. When the thoracoscope is pressed down, the lens end pushes open the opening of the silicone leak-proof sheet, and the opening opens. The edge of the opening fits against the lens surface of the thoracoscope to scrape off excess disinfectant. When the thoracoscope is retracted, the opening is closed. A sealing ring is provided at the connection between the fixing cap and the fixed sheath shell.

[0010] As a further preferred embodiment, a snap-fit ​​device is provided between the upper end of the cleaning component base and the fixed sheath shell. After the snap-fit ​​device is snapped, the cleaning component base and the fixed sheath shell cannot rotate relative to each other.

[0011] As a further preferred embodiment, the outer edge diameter of the incision outer fixed end is larger than the outer diameter of the incision insertion end, the outer edge of the lens insertion end is provided with a snap-fit ​​protrusion, and the upper end of the lens insertion end is provided with an inwardly inclined guide section.

[0012] As a further preferred embodiment, the waste liquid negative pressure recovery pipe is externally connected to a negative pressure suction device, the upper end of the disinfectant injection pipe is externally connected to a disinfectant supply device, and the upper end of the cleaning liquid injection pipe is externally connected to a cleaning liquid supply device.

[0013] As a further preferred embodiment, the automatic cleaning device for thoracoscope comprises the following steps when working:

[0014] A. Make a minimally invasive incision in the patient's chest;

[0015] B. Assemble the fixing sheath and the fixing cap together, and screw the fixing sheath into the minimally invasive incision in a spiral manner until the external fixing end of the fixing sheath abuts against the patient's external skin;

[0016] C. Insert the cleaning assembly base into place from the lens insertion end of the fixed sheath, and fasten the fastening device with the fastening protrusion on the lens insertion end of the fixed sheath to ensure that the two do not move relative to each other; connect the waste liquid negative pressure recovery pipe to the negative pressure suction device, connect the upper end of the disinfectant injection pipe to the disinfectant supply device, and connect the upper end of the cleaning liquid injection pipe to the cleaning liquid supply device; connect the cold light source to the cold light source interface of the thoracoscope, and connect the thoracoscope handle to the handle connection end of the thoracoscope;

[0017] D. Hold the handle of the thoracoscope and insert the thoracoscope lens into the working channel in the base of the cleaning assembly until the lens passes through the silicone leak-proof sheet and reaches the chest cavity. During insertion, keep the cold light source interface of the thoracoscope facing away from the surgeon, and the thoracoscope lens in the patient's chest cavity facing the organ to be operated on.

[0018] E. When the lens (7) is contaminated and blurred during the operation, the thoracoscope is retracted until the lens of the thoracoscope is retracted to the top of the silicone leak-proof sheet and the opening of the silicone leak-proof sheet is closed;

[0019] F. Turn on the cleaning liquid supply device, and the cleaning liquid will be sprayed from the cleaning nozzle onto the slope of the lens to clean the lens;

[0020] G. After cleaning is completed, turn off the cleaning liquid supply device and turn on the negative pressure suction device to suck the flushing liquid out from the elbow to the waste liquid negative pressure recovery tube. At the same time, the depth of the waste liquid negative pressure recovery tube is adjusted up and down, and the position of the elbow is rotated to adjust the position adaptively. The liquid flowing down after the thoracoscope cleaning is sucked out cleanly;

[0021] H. After the suction is complete, turn off the negative pressure suction device, turn on the disinfectant supply device, drain the disinfectant to the lower end of the thoracoscope, and flush and disinfect the entire lower end of the thoracoscope;

[0022] I. After disinfection is completed, turn off the disinfectant supply device and turn on the negative pressure suction device to suck the flushed liquid out from the elbow into the waste liquid negative pressure recovery tube. At the same time, the depth of the waste liquid negative pressure recovery tube is adjusted up and down, and the position of the elbow is rotated to adjust the position adaptively. The liquid flowing down after the thoracoscope disinfection is sucked out. After the liquid is sucked out, turn off the negative pressure suction device;

[0023] J. When the lens is fogged, turn on the anti-fog heating device to perform defogger work; if the lens is not fogged, skip this step;

[0024] K. Press down the thoracoscope. When the thoracoscope is pressed down, the end of the lens pushes open the opening of the silicone leak-proof sheet. The opening opens, and the edge of the opening fits against the surface of the thoracoscope lens to scrape off excess disinfectant stains.

[0025] L. Repeat steps DK.

[0026] The beneficial effects of the present invention are as follows: the present invention effectively solves the problem that the lens surface of instruments such as laparoscopes and thoracoscopes cannot be cleaned and disinfected in time after being contaminated during the original laparoscopic surgery. The fixed sheath can be fixed to the minimally invasive incision and cannot be moved. The existing structure causes little damage to the minimally invasive incision of the surgical patient, and facilitates the cleaning and disinfection of the laparoscopic instruments before they are put back into the surgical work from the tubular working channel of the fixed sheath. During the operation, there is no need to repeatedly remove the thoracoscope or laparoscope from the chest or abdominal cavity for cleaning and disinfection. The present invention can realize automatic cleaning and disinfection in the automatic cleaning sheath device, and timely aspirate the waste liquid, and promptly scrape off the residual liquid on the lens surface before putting it back into the chest or abdominal cavity for work. The situation of bacteria being introduced by repeated insertion and removal is avoided. In addition, the fixed cap is a replaceable consumable and is promptly discarded and replaced after use, thus avoiding the situation of cross infection caused by repeated use. BRIEF DESCRIPTION OF THE DRAWINGS

[0027] Figure 1 It is a structural schematic diagram of the present invention.

[0028] Figure 2 It is a full cross-sectional schematic diagram of the fixed sheath of the present invention.

[0029] Figure 3 It is a schematic structural diagram of the thoracoscope of the present invention when it is extended into the fixed sheath.

[0030] Figure 4 It is a schematic structural diagram of the thoracoscope of the present invention when it is extended into the base of the cleaning component.

[0031] Description of labels:

[0032] 1: Cold light source connection port; 2: Handle connection end; 3: Thoracoscope; 4: Cleaning component base; 5: Fixed sheath; 6: Incision; 7: Lens; 8: Pipe-shaped working channel; 9: Lens insertion end; 10: Guide section; 11: Snap-fit ​​protrusion; 12: Incision external fixed end; 13: Incision insertion end; 14: External thread; 15: Fixed cap; 16: Silicone leak-proof sheet; 17: Sealing ring; 18: Snap-fit ​​device; 19: Disinfectant injection tube; 20: Cleaning liquid injection tube; 21: Disinfection nozzle; 22: Cleaning nozzle; 23: Elbow; 24: Anti-fog heating device; 25: Slope; 26: Waste liquid negative pressure recovery tube. DETAILED DESCRIPTION

[0033] The present invention will be further described below with reference to the accompanying drawings and embodiments.

[0034] like Figure 1-4As shown, the present invention includes a thoracoscope 3 and a matching automatic cleaning fixed sheath device. The automatic cleaning fixed sheath device includes a fixed sheath 5 and an automatic cleaning assembly disposed within the fixed sheath 5. The fixed sheath 5 has a tubular working channel 8 in the middle, and the automatic cleaning assembly is disposed within the tubular working channel 8. The front end of the thoracoscope 3 is a lens 7, and the rear end is a handle connection end 2 for the thoracoscope 3. A cold light source connection port 1 is also provided on the side of one end near the handle connection end 2. After the cold light source connection port 1 is connected to a cold light source, it provides light for the lens 7 of the thoracoscope 3. The lens 7 extends into the chest cavity through the tubular working channel 8 of the fixed sheath 5, and the lens 7 of the thoracoscope 3 can be directly inserted into or withdrawn from the tubular working channel 8 of the fixed sheath 5. The handle and cold light source are conventional handles and conventional cold light sources used for thoracoscopes 3, laparoscopes, and endoscopes. During surgery, the cold light source is connected to the cold light source interface to provide light for the lens 7 and power for the anti-fog heating device 24. The specific connection method is the same as that of existing laparoscopes, thoracoscopes 3, and endoscopes.

[0035] In this embodiment, the fixed sheath 5 includes an incision insertion end 13, an incision external fixing end 12, and a lens insertion end 9. The incision external fixing end 12 is located above the incision insertion end 13, and the lens insertion end 9 is located above the incision external fixing end 12. The interior of the fixed sheath 5 is a hollow, tubular working channel 8. The outer surface of the incision insertion end 13 is provided with an outwardly protruding external thread 14. The protruding external thread 14 on the outer surface of the incision insertion end 13 is a right-handed thread. When securing the fixed sheath 5, the right-handed thread is screwed into the incision 6 in a clockwise manner, consistent with the normal rotation operation. After screwing in, the incision external fixing end 12 abuts against the outside of the incision 6, preventing the entire fixed sheath 5 from being accidentally screwed into the incision 6. The fixed sheath 5 can be fixed in the incision 6 without slipping.

[0036] In this embodiment, the end of the lens 7 of the thoracoscope 3 is tilted, with the slope 25 of the tilted portion facing away from the cold light source connection port 1. An anti-fog heating device 24 is provided around the end of the lens 7 of the thoracoscope 3. During actual operation, this structural design ensures that the cold light source connection port 1 faces upward, and wiring will not affect the surgical site. The lens 7 has an inclined slope 25. After insertion into the chest cavity, the slope 25 of the lens 7 is tilted from top to bottom and aligned with the organ undergoing surgery, providing a relatively wide and unobstructed field of view. During surgery, the lens surface is prone to fogging due to the temperature difference between body temperature and the surgical instruments. When fogging occurs, simply powering on the anti-fog heating device 24 can achieve defogging of the lens surface. The power for the anti-fog heating device can be supplied through the connected cold light source connection port.

[0037] In this embodiment, the automatic cleaning assembly includes a cleaning assembly base 4 and a cleaning device mounted on the cleaning assembly base 4. The cleaning assembly base 4 is mounted within the tubular working channel 8 and is in contact with the inner wall of the tubular working channel 8. A working channel is provided in the center of the cleaning assembly base 4 for the passage of the thoracoscope 3. The cleaning device includes a cleaning liquid injection tube 20, a disinfectant injection tube 19, and a waste liquid negative pressure recovery tube 26, all mounted within the cleaning assembly base 4. The present invention separates the automatic cleaning device from the thoracoscope for ease of manufacture. Thoracoscopes are typically standard medical devices. If the cleaning device were mounted directly on the thoracoscope, it would be inconvenient to manufacture and would not meet the standards of standard medical devices. Furthermore, if any component were damaged, the entire thoracoscope would cease to function properly, resulting in high replacement costs. This independent automatic cleaning assembly not only facilitates manufacture, reducing production costs, but also facilitates disassembly, facilitating subsequent cleaning and disinfection of the medical device.

[0038] In this embodiment, the lower end of the outlet of the cleaning liquid injection pipe 20 is a cleaning nozzle 22, which is arranged at the lower end of the cleaning component base 4. The outlet of the cleaning nozzle 22 is inclined upward. When the cleaning nozzle 22 is working, the cleaning liquid sprayed can be directly sprayed onto the slope 25 of the lens 7 of the thoracoscope 3, so as to facilitate the flushing of dirt on the surface of the lens 7; the lower end of the outlet of the disinfectant injection pipe 19 is a disinfectant nozzle 21, which is located above the cleaning nozzle 22. The outlet end of the disinfectant nozzle 21 can drain the disinfectant to the bottom of the thoracoscope 3. end, flush and disinfect the lower end of the entire thoracoscope 3; and the lower end of the waste liquid negative pressure recovery pipe 26 is provided with an elbow 23, which extends below the cleaning component base 4, and the waste liquid negative pressure recovery pipe 26 is not fixed to the cleaning component base 4, and can be extended and retracted up and down relative to the cleaning component base 4, or the elbow 23 can be rotated around the waste liquid negative pressure recovery pipe 26, so that after cleaning and disinfection, the cleaning waste water and disinfectant can be extracted through the elbow 23 and the waste liquid negative pressure recovery pipe 26, and the residual liquid remaining at the bottom of the fixed cap 15 can be cleaned.

[0039] In this embodiment, the lower end of the fixed sheath 5 is provided with a fixed cap 15, which is detachably connected to the lower end of the fixed sheath 5. A silicone leak-proof sheet 16 is provided at the center of the lower end of the fixed cap 15. The silicone leak-proof sheet 16 has an opening for the lens 7 of the thoracoscope 3 to pass through. When the thoracoscope 3 is pressed down, the end of the lens 7 pushes open the opening of the silicone leak-proof sheet 16, and the opening opens. The edge of the opening fits against the surface of the lens 7 of the thoracoscope 3, scraping off excess disinfectant or water stains. When the thoracoscope 3 is retracted, the opening closes. A sealing ring 17 is provided at the connection between the fixed cap 15 and the fixed sheath 5. The shape of the opening of the silicone leak-proof sheet 16 can be designed to fit the shape of the lens 7, ensuring that the edge fits against the outer edge of the lens 7 to prevent leakage. The fixed cap 15 and the fixed sheath 5 can be threaded or snap-fitted. Since the silicone leak-proof sheet 16 is made of elastic silicone, it has a limited lifespan and is difficult to sterilize. Repeated use can easily lead to cross infection. Conventional thoracoscopes and automatic cleaning sheaths are typically made of stainless steel, which is more convenient to clean and sterilize. Therefore, a removable fixing cap 15 is used, making it a disposable item that is discarded and replaced after each surgery, thus avoiding cross infection and leakage caused by aging of the silicone leak-proof sheet 16.

[0040] In this embodiment, a snap-fit ​​device 18 is provided between the upper end of the cleaning component base 4 and the fixed sheath 5 . After the snap-fit ​​device 18 is snapped, the cleaning component base 4 and the fixed sheath 5 cannot rotate relative to each other.

[0041] In this embodiment, the outer edge diameter of the incision outer fixed end 12 is larger than the outer diameter of the incision insertion end 13, the outer edge of the lens insertion end 9 is provided with a snap-fit ​​protrusion 11, and the upper end of the lens insertion end 9 is provided with an inwardly inclined guide section 10.

[0042] In this embodiment, the waste liquid negative pressure recovery pipe 26 is externally connected to a negative pressure suction device to negatively suction out the wastewater or disinfectant generated during the cleaning and disinfection process; the upper end of the disinfectant injection pipe 19 is externally connected to a disinfectant supply device. Generally speaking, the disinfectant supply device will supply diluted iodine tincture for disinfection, or other liquids used to clean and disinfect the thoracoscope during surgery, in order to allow the lens surface to be disinfected again after cleaning, so that its surface is drier and the lens is clearer; the upper end of the cleaning liquid injection pipe 20 is externally connected to a cleaning liquid supply device. The cleaning liquid can be water, physiological saline, or other common medical cleaning liquids used to clean blood stains on the lens surface, in order to promptly rinse away blood stains attached to the lens surface during surgery to avoid affecting the progress of the surgery. The negative pressure suction device, disinfectant supply device, and cleaning liquid supply device are all external existing equipment and will not be described in detail here.

[0043] In this embodiment, the automatic cleaning device for thoracoscope includes the following steps when working:

[0044] A. Open a minimally invasive incision 6 in the patient's chest;

[0045] B. Assemble the fixed sheath 5 and the fixed cap 15 together, and screw the fixed sheath 5 into the minimally invasive incision 6 in a spiral manner until the fixed end 12 outside the incision of the fixed sheath 5 abuts against the patient's external skin;

[0046] C. Insert the cleaning assembly base 4 into place from the lens insertion end 9 of the fixed sheath 5, and fasten the fastening device 18 with the fastening protrusion 11 on the lens insertion end 9 of the fixed sheath 5 to ensure that the two do not move relative to each other; the waste liquid negative pressure recovery pipe 26 is externally connected to a negative pressure suction device, the upper end of the disinfectant injection pipe 19 is externally connected to a disinfectant supply device, and the upper end of the cleaning liquid injection pipe 20 is externally connected to a cleaning liquid supply device; connect the cold light source to the cold light source interface of the thoracoscope 3, and connect the thoracoscope 3 handle to the handle connection end 2 of the thoracoscope 3;

[0047] D. Hold the handle of the thoracoscope 3 and insert the lens 7 of the thoracoscope 3 into the working channel of the cleaning assembly base 4 until the lens 7 passes through the silicone leak-proof sheet 16 and reaches the chest cavity. During insertion, keep the cold light source interface of the thoracoscope 3 facing away from the operating surgeon, and keep the lens 7 of the thoracoscope 3 facing the organ to be operated on in the patient's chest cavity.

[0048] E. When the lens (7) is contaminated and blurred during the operation, the thoracoscope 3 is retracted until the lens 7 of the thoracoscope 3 is retracted to the top of the silicone leak-proof sheet 16 and the opening of the silicone leak-proof sheet 16 is closed;

[0049] F. Turn on the cleaning liquid supply device, and the cleaning liquid is sprayed from the cleaning nozzle 22 onto the slope 25 of the lens 7 to clean the lens 7;

[0050] G. After cleaning is completed, the cleaning liquid supply device is turned off and the negative pressure suction device is turned on to suck the flushed liquid out from the elbow 23 into the waste liquid negative pressure recovery pipe 26. At the same time, the depth of the waste liquid negative pressure recovery pipe 26 is adjusted up and down and the position of the elbow 23 is rotated to perform adaptive position adjustment. The liquid flowing down after the thoracoscope cleaning is sucked out completely;

[0051] H. After the suction is complete, turn off the negative pressure suction device, turn on the disinfectant supply device, and drain the disinfectant to the lower end of the thoracoscope 3 to flush and disinfect the entire lower end of the thoracoscope 3;

[0052] I. After disinfection is completed, the disinfectant supply device is turned off, and the negative pressure suction device is turned on to suck the flushed liquid out from the elbow 23 into the waste liquid negative pressure recovery pipe 26. At the same time, the depth of the waste liquid negative pressure recovery pipe 26 is adjusted up and down, and the position of the elbow 23 is rotated to perform adaptive position adjustment. The liquid flowing down from the thoracoscope after disinfection is sucked out. After the liquid is sucked out, the negative pressure suction device is turned off;

[0053] J. When the lens 7 is fogged, the anti-fog heating device 24 is turned on to perform the defogging operation; when the lens 7 is not fogged, this step is omitted;

[0054] K. Press down the thoracoscope 3. When the thoracoscope 3 is pressed down, the end of the lens 7 pushes open the opening of the silicone leak-proof sheet 16. The opening is opened, and the edge of the opening fits against the surface of the lens 7 of the thoracoscope 3 to scrape off excess disinfectant water stains.

[0055] L. Repeat steps DK.

[0056] In this embodiment, the device is not limited to the thoracoscope 3, and the corresponding thoracoscope 3 can also be replaced with corresponding laparoscopic equipment such as a laparoscope, an arthroscope, etc. The principle is the same and the adaptability is wide.

[0057] In the description of the present invention specification, it should be understood that the terms "front", "rear", "up", "down", "inside", "outside", etc., indicating the orientation or position relationship, are based on the orientation or position relationship shown in the accompanying drawings, and are only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a limitation on the present invention.

[0058] Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention, rather than to limit it. Although the present invention has been described in detail with reference to the above embodiments, those skilled in the art should understand that they can still modify the technical solutions described in the above embodiments, or replace some or all of the technical features therein with equivalents. However, these modifications or replacements do not cause the essence of the corresponding technical solutions to deviate from the scope of the technical solutions of the embodiments of the present invention.

Claims

1. A thoracoscopic automatic cleaning device, characterized in that The invention comprises a thoracoscope (3) and a matching automatic cleaning fixed sheath device, wherein the automatic cleaning fixed sheath device comprises a fixed sheath (5) and an automatic cleaning component arranged in the fixed sheath (5), a pipe-shaped working channel (8) is provided in the middle of the fixed sheath (5), and the automatic cleaning component is arranged in the pipe-shaped working channel (8), the front end of the thoracoscope (3) is a lens (7), the rear end is a handle connecting end (2) of the thoracoscope (3), and a cold light source connecting port (1) is provided on the side of one end close to the handle connecting end (2), and after the cold light source connecting port (1) is connected to the cold light source, a light source is provided for the lens (7) of the thoracoscope (3), and the lens (7) is connected to the fixed sheath. The tubular working channel (8) of the fixed sheath (5) extends into the chest cavity, and the lens (7) of the thoracoscope (3) can be directly extended into or withdrawn from the tubular working channel (8) of the fixed sheath (5); the fixed sheath (5) includes an incision insertion end (13), an incision external fixed end (12) and a lens insertion end (9), the incision external fixed end (12) is arranged above the incision insertion end (13), the lens insertion end (9) is located above the incision external fixed end (12), the interior of the fixed sheath (5) is a hollow tubular working channel (8), and the outer surface of the incision insertion end (13) is provided with an outwardly protruding external thread (14); The automatic cleaning component comprises a cleaning component base (4) and a cleaning device arranged on the cleaning component base (4); the cleaning component base (4) is arranged in the tubular working channel (8) and is in contact with the inner wall of the tubular working channel (8); a working channel for the thoracoscope (3) to pass through is provided at the center of the cleaning component base (4); the cleaning device comprises a cleaning liquid injection pipe (20), a disinfectant liquid injection pipe (19), and a waste liquid negative pressure recovery pipe (26), which are arranged in the cleaning component base (4); The lower end of the outlet of the cleaning liquid injection pipe (20) is a cleaning nozzle (22), which is arranged at the lower end of the cleaning component base (4), and the outlet of the cleaning nozzle (22) is inclined upward; the lower end of the outlet of the disinfectant injection pipe (19) is a disinfectant nozzle (21), which is located above the cleaning nozzle (22); and the lower end of the waste liquid negative pressure recovery pipe (26) is provided with an elbow (23), which extends below the cleaning component base (4), and the waste liquid negative pressure recovery pipe (26) is not fixed to the cleaning component base (4), and the waste liquid negative pressure recovery pipe (26) can be extended and retracted relative to the cleaning component base (4), or the elbow (23) can be rotated around the waste liquid negative pressure recovery pipe (26); The lower end of the fixed sheath (5) is provided with a fixed cap (15), and the fixed cap (15) is detachably connected to the lower end of the fixed sheath (5). A silicone leak-proof sheet (16) is provided at the center of the lower end of the fixed cap (15). An opening for the lens (7) of the thoracoscope (3) to pass through is provided in the silicone leak-proof sheet (16). When the thoracoscope (3) is pressed down, the end of the lens (7) pushes open the opening of the silicone leak-proof sheet (16). The opening is opened, and the edge of the opening fits the surface of the lens (7) of the thoracoscope (3) to scrape off excess disinfectant. When the thoracoscope (3) is retracted, the opening is closed. A sealing ring (17) is provided in the connection between the fixed cap (15) and the fixed sheath (5).

2. The automatic cleaning device for thoracoscope according to claim 1, characterized in that The end of the lens (7) of the thoracoscope (3) is in an inclined state, and the slope (25) of the inclined position faces the side away from the cold light source connection port (1); the outer periphery of the end of the lens (7) of the thoracoscope (3) is provided with an anti-fog heating device (24).

3. The automatic cleaning device for thoracoscope according to claim 1, characterized in that A snap-fit ​​device (18) is provided between the upper end of the cleaning component base (4) and the fixed sheath (5). After the snap-fit ​​device (18) is snapped, the cleaning component base (4) and the fixed sheath (5) cannot rotate relative to each other; the outer edge diameter of the incision external fixed end (12) is larger than the outer diameter of the incision insertion end (13); the outer edge of the lens insertion end (9) is provided with a snap-fit ​​protrusion (11), and the upper end of the lens insertion end (9) is provided with an inwardly inclined guide section (10); the waste liquid negative pressure recovery pipe (26) is externally connected to a negative pressure suction device, the upper end of the disinfectant injection pipe (19) is externally connected to a disinfectant supply device, and the upper end of the cleaning liquid injection pipe (20) is externally connected to a cleaning liquid supply device.

4. The automatic cleaning device for thoracoscope according to claim 1, characterized in that The automatic cleaning device for thoracoscopes includes the following steps when working: A. Make a minimally invasive incision in the patient's chest (6); B. Assemble the fixed sheath (5) and the fixed cap (15) together, and screw the fixed sheath (5) into the minimally invasive incision (6) in a spiral manner until the fixed end (12) outside the incision of the fixed sheath (5) abuts against the patient's external skin; C. Insert the cleaning component base (4) into place from the lens insertion end (9) of the fixed sheath (5), and fasten the fastening device (18) with the fastening protrusion (11) on the lens insertion end (9) of the fixed sheath (5) to ensure that the two do not move relative to each other; the waste liquid negative pressure recovery pipe (26) is externally connected to the negative pressure suction device, the upper end of the disinfectant injection pipe (19) is externally connected to the disinfectant supply device, and the upper end of the cleaning liquid injection pipe (20) is externally connected to the cleaning liquid supply device; connect the cold light source to the cold light source interface of the thoracoscope (3), and connect the thoracoscope handle to the handle connection end (2) of the thoracoscope (3); D. Insert the lens (7) of the thoracoscope (3) into the working channel in the cleaning component base (4) by holding the handle of the thoracoscope (3) until the lens (7) passes through the silicone leak-proof sheet (16) and reaches the chest cavity; when inserting, keep the cold light source interface of the thoracoscope (3) facing away from the operating doctor, and keep the lens (7) of the thoracoscope (3) in the patient's chest cavity facing the organ to be operated on; E. When the lens (7) is contaminated and blurred during the operation, the thoracoscope (3) is retracted until the lens (7) of the thoracoscope (3) is retracted to above the silicone leak-proof sheet (16), and the opening of the silicone leak-proof sheet (16) is closed; F. Turn on the cleaning liquid supply device, and spray the cleaning liquid from the cleaning nozzle (22) onto the slope (25) of the lens (7) to clean the lens (7); G. After cleaning is completed, the cleaning liquid supply device is turned off, and the negative pressure suction device is turned on to suck the flushed liquid out from the elbow (23) to the waste liquid negative pressure recovery pipe (26). At the same time, the depth of the waste liquid negative pressure recovery pipe (26) is adjusted upward and downward, and the position of the rotating elbow (23) is adjusted adaptively to ensure that the liquid flowing down after the thoracoscope is cleaned is sucked out; H. After the suction is complete, the negative pressure suction device is turned off, and the disinfectant supply device is turned on to drain the disinfectant to the lower end of the thoracoscope (3), and the lower end of the entire thoracoscope (3) is flushed and disinfected; I. After the disinfection is completed, the disinfectant supply device is turned off, and the negative pressure suction device is turned on to suck the flushed liquid out from the elbow (23) to the waste liquid negative pressure recovery pipe (26). At the same time, the depth of the waste liquid negative pressure recovery pipe (26) is adjusted upward and downward, and the position of the rotating elbow (23) is adjusted adaptively to ensure that the liquid flowing down after the thoracoscope disinfection is sucked clean. After the liquid is sucked clean, the negative pressure suction device is turned off; J. When the lens (7) is fogged, the anti-fog heating device (24) is turned on to perform defogging. When the lens (7) is not fogged, this step is omitted. K. Press down the thoracoscope (3). When the thoracoscope (3) is pressed down, the end of the lens (7) pushes open the opening of the silicone leak-proof sheet (16). The opening is opened, and the edge of the opening fits against the surface of the lens (7) of the thoracoscope (3) to scrape off excess disinfectant water stains; L. Repeat steps DK.

Citation Information

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