Visual intubation device

By designing a visual cannulation device, using the combination of auxiliary sheath and insertion tube, combined with image acquisition elements and adjustment mechanism, the problem of bile-pancreatic duct intubation cannot be directly viewed, and the accuracy and safety of the cannulation are achieved.

CN120093198APending Publication Date: 2025-06-06SCIVITA MEDICAL TECHNOLOGY CO LTD
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Patent Information

Application Number
CN202510505406.3
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-04-22
Publication Date
2025-06-06

AI Technical Summary

Technical Problem

The existing bile-pancreatic duct intubation technology cannot perform direct visual intubation, resulting in failure of intubation or damage to organ tissue.

Method used

A visual cannula device is designed, including a main handle, an auxiliary sheath, an insertion tube and an adjustment mechanism. The auxiliary sheath is used to insert the organ cavity. The insertion end of the insertion tube is equipped with an image acquisition element. The adjustment mechanism drives the bend section to bending to achieve accurate guidance of the insertion tube.

Benefits of technology

When encountering tortuos or branched complex organ tissue, the insertion tube is accurately reached to the target affected area, reducing the risk of organ tissue damage caused by repeated attempts to intubate.

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Abstract

The invention discloses a visual intubation device which comprises a main handle, an auxiliary sheathing canal, an insertion tube and an adjusting mechanism. The auxiliary sheathing canal is arranged on the main handle and used for being inserted into an organ cavity, and the auxiliary sheathing canal is provided with an auxiliary end away from the main handle and a first bent section close to the auxiliary end; the insertion tube is provided with a connecting end and an insertion end which are opposite to each other, the connecting end is arranged on the main handle, the insertion end is movably inserted into the insertion tube and can movably stretch out or retract from the auxiliary end, the insertion end is provided with an image acquisition element, and an instrument channel allowing consumable instruments to penetrate is formed in the insertion tube; the insertion tube is provided with a second bent section close to the insertion end; the adjusting mechanism comprises a first adjusting assembly and a second adjusting assembly, the first adjusting assembly drives the first bending section to bend, and the second adjusting assembly drives the second bending section to bend; in this way, accurate intubation can be achieved, and therefore the risk of organ tissue damage caused by repeated intubation attempts is reduced.
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Description

Technical Field

[0001] The present invention relates to the technical field of medical devices, and in particular to a visualized intubation device. Background Art

[0002] Nowadays, more and more endoscopes are used to enter the human body for diagnosis and treatment. Since the digestive tract has the most cavities, the digestive tract endoscopes are the most common. Taking bile and pancreatic duct lesions as an example, in the face of complex conditions, in order to improve the diagnosis and treatment effect, oral choledochoscopy is usually used for further diagnosis and treatment; before using oral choledochoscopy, conventional ERCP (Endoscopic Retrograde Cholangiopancreatography, Chinese abbreviation: Endoscopic Retrograde Pancreatic Cholangiopancreatography) is usually performed first.

[0003] During ERCP, selective bile duct or pancreatic duct cannulation is the key to the success of ERCP. Conventional bile and pancreatic duct cannulation uses a guidewire-assisted pull-type incision knife intubation method. During intubation, the guidewire and incision knife can only be inserted into the papilla with the help of the duodenoscope lifting forceps, and can only be roughly aligned with the direction of the bile duct or pancreatic duct. Intubation cannot be performed under direct vision. When encountering difficult papillae (such as lengthy papillae, juxta-diverticular papillae), repeated attempts to intubate may damage the papilla, bile duct or pancreatic duct, leading to serious complications. Summary of the invention

[0004] The main purpose of the present invention is to provide a visualized cannulation device, which aims to solve the problem that the existing bile and pancreatic duct cannulation cannot be performed under direct vision, resulting in cannulation failure or even damage to organ tissue.

[0005] To achieve the above object, the present invention provides a visualized intubation device, comprising:

[0006] main handle;

[0007] An auxiliary sheath tube is arranged on the main handle and is used for inserting into the organ cavity. The auxiliary sheath tube has an auxiliary end away from the main handle and a first curved section close to the auxiliary end;

[0008] An insertion tube having a connecting end and an insertion end opposite to each other, the connecting end being arranged on the main handle, the insertion end being movably inserted into the auxiliary sheath tube and being able to movably extend or retract from the auxiliary end, the insertion end being provided with an image acquisition element, an instrument channel for inserting consumable instruments being formed in the insertion tube, and the insertion tube having a second curved section close to the insertion end; and,

[0009] The adjustment mechanism includes a first adjustment component and a second adjustment component, wherein the first adjustment component drives the first bending section to bend, and the second adjustment component drives the second bending section to bend.

[0010] Preferably, a main channel is formed in the main handle, and a first inlet communicating with the main channel is provided on the main handle;

[0011] The connecting end is arranged on the main handle and communicated with the main channel, so that consumable instruments can be inserted into the instrument channel from the first inlet through the main channel.

[0012] Preferably, the visualization intubation device further comprises an auxiliary handle, wherein the auxiliary handle is arranged on the main handle, an auxiliary channel is formed in the auxiliary handle, and a second inlet communicating with the auxiliary channel is arranged on the auxiliary handle;

[0013] The auxiliary sheath is disposed on the auxiliary handle and is communicated with the auxiliary channel;

[0014] The insertion end is movably inserted into the auxiliary sheath from the second inlet through the auxiliary channel.

[0015] Preferably, the visualization intubation device further comprises a detachable connection structure, which comprises a connecting portion and a matching portion that cooperate with each other, wherein one of the connecting portion and the matching portion is arranged on the main handle, and the other is correspondingly arranged on the auxiliary handle.

[0016] Preferably, the first adjustment component includes a first driving part and two first traction ropes, the first driving part is arranged on the main handle and can reciprocate relative to the main handle, two ends of the two first traction ropes are wound around the first driving part in different directions, and the other two ends of the two first traction ropes are respectively connected to the first bending segments, so that when the first driving part reciprocates, the corresponding first traction ropes can be respectively driven to pull the first bending segment to drive the first bending segment to bend toward different sides in its radial direction.

[0017] Preferably, the visualization intubation device further comprises an auxiliary handle, wherein the auxiliary handle is arranged on the main handle; the auxiliary sheath is arranged on the auxiliary handle;

[0018] The first driving part is disposed on the auxiliary handle and can perform reciprocating motion relative to the auxiliary handle.

[0019] Preferably, the second adjustment assembly includes a second driving part and two second traction ropes, the second driving part is arranged on the main handle and can reciprocate relative to the main handle, two ends of the two second traction ropes are wound around the second driving part in different directions, and the other two ends of the two second traction ropes are respectively connected to the second bending segments, so that when the second driving part reciprocates, the corresponding second traction ropes can be driven to pull the second bending segments to drive the second bending segments to bend toward different sides in its radial direction.

[0020] Preferably, the adjustment mechanism comprises at least two groups of the second adjustment components, the two second traction ropes of each group of the second adjustment components form a first traction plane, and the two first traction planes formed by the two groups of the second adjustment components are cross-arranged.

[0021] Preferably, the two first traction ropes of the first adjustment assembly form a second traction plane;

[0022] The first traction plane of one group of the second adjustment components is arranged parallel to the second traction plane.

[0023] Preferably, the visualization intubation device further comprises a plurality of scales arranged on the insertion tube, and the plurality of scales are evenly distributed along the axial direction of the insertion tube.

[0024] The technical solution provided by the present invention has at least the following advantages:

[0025] The visualization intubation device provided by the present invention comprises a main handle, an auxiliary sheath, an insertion tube and an adjustment mechanism; the auxiliary sheath is arranged on the main handle for being inserted into an organ cavity; the connection end of the insertion tube is arranged on the main handle, and its insertion end is movably inserted into the auxiliary sheath, and an image acquisition element is arranged on the insertion end; during the diagnosis and treatment process, the auxiliary sheath is first inserted into the patient's organ cavity, and the insertion tube is pushed so that its insertion end extends out from the auxiliary end of the auxiliary sheath, and at the same time, the second bending section of the insertion tube is driven to bend by the second adjustment component to find a target affected part; after determining the target affected part, the insertion tube is withdrawn so that its insertion end is retracted from the auxiliary end of the auxiliary sheath; the auxiliary sheath is pushed again, and the first bending section of the auxiliary sheath is driven to bend by the first adjustment component so that the image acquisition element on the insertion end can face the target affected part; finally, the insertion tube is pushed so that its insertion end reaches the target affected part, thereby completing the visualization intubation operation; in this way, when encountering tortuous or complex branched organ tissues, the insertion tube can also accurately reach the target affected part, and accurate intubation is achieved, thereby reducing the risk of organ tissue damage caused by repeated attempts at intubation. BRIEF DESCRIPTION OF THE DRAWINGS

[0026] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on the structures shown in these drawings without paying creative work.

[0027] Figure 1 A front view of an embodiment of a visualization intubation device provided by the present invention;

[0028] Figure 2 for Figure 1 A side view of the visualization intubation device;

[0029] Figure 3 for Figure 1 A front view of the visualization cannula device (with the insertion end extended);

[0030] Figure 4 for Figure 1 A schematic diagram of the structure of the visualized cannula device (for entering organ tissue);

[0031] Figure 5 for Figure 1 A schematic diagram of the structure of the visual intubation device (for finding the target affected area);

[0032] Figure 6 for Figure 1 A schematic diagram of the structure of the visual intubation device (for completing the intubation action);

[0033] Figure 7 for Figure 1 A schematic diagram of the structure of the visualization intubation device relative to the endoscope body;

[0034] Figure 8 for Figure 7 A schematic diagram of the structure of the endoscope body with respect to the insertion end of the insertion tube;

[0035] Fig. 9 for Figure 1 A schematic structural diagram of the visual intubation device with respect to auxiliary mechanisms.

[0036] Description of Figure Numbers:

[0037] 100 Visual intubation device; 1 endoscope body; 11 main handle; 111 first inlet; 12 insertion tube; 12a second curved section; 121 connection end; 122 insertion end; 123 instrument channel; 2 auxiliary mechanism; 21 auxiliary handle; 211 second inlet; 22 auxiliary sheath; 22a first curved section; 221 auxiliary end; 3 image acquisition element; 4 adjustment mechanism; 41 first adjustment component; 411 first drive unit; 42 second adjustment component; 421 second drive unit; 5 detachable connection structure; 51 slot; 52 limit buckle; 6 nozzle; 7 light-emitting element; 8 scale; F1 first direction; F2 second direction; 201 organ cavity; 202 target affected area.

[0038] The realization of the purpose, functional features and advantages of the present invention will be further explained in conjunction with embodiments and with reference to the accompanying drawings. DETAILED DESCRIPTION

[0039] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0040] It should be noted that if the embodiments of the present invention involve directional indications (such as up, down, left, right, front, back, etc.), the directional indications are only used to explain the relative position relationship, movement status, etc. between the components under a certain specific posture (as shown in the accompanying drawings). If the specific posture changes, the directional indication will also change accordingly.

[0041] In addition, if there are descriptions involving "first", "second", etc. in the embodiments of the present invention, the descriptions of "first", "second", etc. are only used for descriptive purposes and cannot be understood as indicating or implying their relative importance or implicitly indicating the number of technical features indicated. Therefore, the features defined as "first" and "second" may explicitly or implicitly include at least one of the features. In addition, the meaning of "and / or" appearing in the full text includes three parallel schemes. Taking "A and / or B" as an example, it includes scheme A, or scheme B, or a scheme that satisfies both A and B. In addition, the technical solutions between the various embodiments can be combined with each other, but it must be based on the ability of ordinary technicians in the field to implement. When the combination of technical solutions is contradictory or cannot be implemented, it should be deemed that such a combination of technical solutions does not exist and is not within the scope of protection required by the present invention.

[0042] Nowadays, more and more endoscopes are used to enter the human body for diagnosis and treatment. Since the digestive tract has the most cavities, the digestive tract endoscopes are the most common. Taking bile and pancreatic duct lesions as an example, in the face of complex conditions, oral choledochoscopy is usually used for further diagnosis and treatment to determine the treatment plan; before using oral choledochoscopy, a routine ERCP operation is usually performed first. In the ERCP operation, selective bile duct or pancreatic duct cannulation is the key to the success or failure of ERCP.

[0043] Conventional bile and pancreatic duct cannulation uses a guidewire-assisted pull-type incision knife intubation method, that is, through the duodenoscope instrument channel, a hydrophilic super-slippery guidewire is inserted into the duodenal papilla under the action of a lifting forceps. Under X-ray fluoroscopy, the guidewire is used to selectively explore the bile duct or pancreatic duct opening successfully, and then the incision knife is inserted into the papilla along the guidewire. After power is turned on, the papillary sphincter is cut; the guidewire is extended through the small hole at the front end of the incision knife, and the guidewire is inserted into the bile duct or pancreatic duct under X-ray fluoroscopy; when the guidewire is successfully inserted into the bile duct or pancreatic duct to a certain depth, the pull-type incision knife is slowly pushed along the guidewire until its front end reaches the predetermined position. Confirm whether the incision knife is accurately located in the bile duct or pancreatic duct under X-ray fluoroscopy; if the position is inaccurate, the position of the guidewire and incision knife needs to be readjusted.

[0044] The main invention of the present invention is to provide a visual intubation device 100 to solve the problem that the existing bile and pancreatic duct intubation cannot be performed under direct vision, resulting in intubation failure or even damage to organ tissue. The visual intubation device 100 will be mainly described below with reference to the accompanying drawings.

[0045] See also Figures 1 to 3 The visualization intubation device 100 includes an endoscope body 1 and an auxiliary mechanism 2; the endoscope body 1 includes a main handle 11 and an insertion tube 12, and the auxiliary mechanism 2 includes an auxiliary sheath 22. The auxiliary sheath 22 is arranged on the main handle 11, and is used to be inserted into the organ cavity 201. The auxiliary sheath 22 has an auxiliary end 221 away from the main handle 11, and a first curved section 22a close to the auxiliary end 221; the insertion tube 12 has a relative connecting end 121 and an inserting end 122, the connecting end 121 is arranged on the main handle 11, the inserting end 122 is movably inserted in the auxiliary sheath 22, and can be movably extended or retracted from the auxiliary end 221, the inserting end 122 is provided with an image acquisition element 3, and an instrument channel 123 for inserting consumable instruments is formed in the insertion tube 12, and the insertion tube 12 has a second curved section 12a close to the insertion end 122.

[0046] The visualization intubation device 100 further includes an adjustment mechanism 4 , which includes a first adjustment component 41 and a second adjustment component 42 . The first adjustment component 41 drives the first bending segment 22 a to bend, and the second adjustment component 42 drives the second bending segment 12 a to bend.

[0047] In the visualization intubation device 100 provided by the present invention, an auxiliary sheath 22 for inserting into an organ cavity 201 is provided on the main handle 11; the insertion tube 12 is movably inserted in the auxiliary sheath 22, and the insertion end 122 of the insertion tube 12 can be movably extended or retracted from the auxiliary end 221 of the auxiliary sheath 22. An image acquisition element 3 is provided on the insertion end 122; and an instrument channel 123 for inserting consumable instruments is formed in the insertion tube 12. The first adjustment component 41 drives the first curved section 22a connected to the auxiliary sheath 22, and the second adjustment component 42 drives the second curved section 12a connected to the insertion tube 12.

[0048] During the diagnosis and treatment process, please refer to Figure 4 and Figure 5 First, insert the auxiliary sheath 22 into the patient's organ cavity 201, push the insertion tube 12 so that its insertion end 122 extends from the auxiliary end 221, and at the same time, drive the second bending section 12a of the insertion tube 12 to bend through the second adjustment component 42, and use the image acquisition element 3 on the insertion end 122 to find the target affected area 202. In other words, the insertion tube 12 is equivalent to the insertion part of the oral choledochoscope in the prior art, and the auxiliary sheath 22 is set to replace the duodenoscope in the prior art to provide a stable insertion path for the insertion tube 12; at the same time, the first adjustment component 41 is set to drive the first bending section 22a to bend to adjust the bending angle of the head of the auxiliary sheath 22, which is equivalent to the duodenoscope lifting forceps in the prior art; in this way, the auxiliary sheath 22 is used to replace the duodenoscope in the prior art, which can greatly reduce the cost of the visualization intubation device 100.

[0049] As mentioned above, the auxiliary sheath tube 22 can replace the duodenoscope to provide a stable insertion path for the insertion tube 12, but the auxiliary sheath tube 22 does not have an image acquisition function. Therefore, in the embodiments of the present application, please refer to Figure 6, the image acquisition element 3 on the insertion end 122 of the insertion tube 12 is used to find the target affected part 202. Different from the side view observation of the duodenoscope in the prior art, the image acquisition element 3 on the insertion end 122 can be directly observed during the advancement of the insertion tube 12, which is more conducive to finding the target affected part; after the target affected part 202 is determined by the image acquisition element 3 on the insertion end 122, the insertion tube 12 is retracted so that the insertion end 122 is retracted from the auxiliary end 221; the auxiliary sheath 22 is pushed, and the first bending section 202 is driven by the first adjustment component 41 2a is bent so that the image acquisition element 3 of the insertion end 122 can face the target affected part 202; finally, the insertion tube 12 is pushed so that the insertion end 122 reaches the target affected part 202, thereby completing the visualized intubation operation; at the same time, the consumable instrument can be inserted from the instrument channel 123 and reach the target affected part 202 for treatment; in this way, when encountering tortuous or complex branched organ tissues, the insertion tube 12 can also accurately reach the target affected part 202 to achieve precise intubation, thereby reducing the risk of organ tissue damage caused by repeated intubation attempts.

[0050] In one embodiment, see Figure 1 A main channel (not shown in the figure) is formed in the main handle 11, and a first inlet 111 connected to the main channel is provided on the main handle 11; the connecting end 121 is provided on the main handle 11 and is connected to the main channel, so that the consumables device can be inserted into the device channel 123 from the first inlet 111 through the main channel.

[0051] In one embodiment, see Figure 1 The auxiliary mechanism 2 also includes an auxiliary handle 21, which is arranged on the main handle 11. An auxiliary channel (not shown in the figure) is formed in the auxiliary handle 21, and a second inlet 211 connected to the auxiliary channel is provided on the auxiliary handle 21; an auxiliary sheath 22 is arranged on the auxiliary handle 21 and is connected to the auxiliary channel; the insertion end 122 is movably inserted into the auxiliary sheath 22 from the second inlet 211 through the auxiliary channel.

[0052] As mentioned above, the visualization intubation device 100 includes an endoscope body 1 and an auxiliary mechanism 2, wherein an auxiliary handle 21 of the auxiliary mechanism 2 is disposed on the main handle 11 of the endoscope body 1. The present application does not impose any specific restrictions on the arrangement of the auxiliary handle 21 and the main handle 11.

[0053] The insertion tube 12 and the main handle 11 are arranged along the axial direction of the insertion tube 12; the auxiliary sheath 22 and the auxiliary handle 21 are arranged along the axial direction of the auxiliary sheath 22; the axial direction of the insertion tube 12 and the axial direction of the auxiliary sheath 22 are arranged in parallel, temporarily set to the first direction F1.

[0054] The main handle 11 has a first end surface in the second direction F2, and the auxiliary handle 21 is disposed on the first end surface; wherein the second direction F2 is disposed to intersect with the first direction F1.

[0055] The present invention does not impose any specific restrictions on the connection state of the auxiliary handle 21 and the main handle 11. The auxiliary handle 21 and the main handle 11 can be fixedly connected; the auxiliary handle 21 and the main handle 11 can also be detachably connected.

[0056] In one embodiment, the visualization intubation device 100 further includes a detachable connection structure 5, which includes a connecting portion and a matching portion that cooperate with each other, one of which is provided on the main handle 11, and the other is correspondingly provided on the auxiliary handle 21. Through the connecting portion and the matching portion, the auxiliary handle 21 and the main handle 11 are detachably connected, with a simple structure and easy disassembly and assembly.

[0057] The present invention does not impose any specific restrictions on the connection method between the auxiliary handle 21 and the main handle 11. The auxiliary handle 21 and the main handle 11 can be threadedly connected and fixed; the auxiliary handle 21 and the main handle 11 can be buckled and fixed; the auxiliary handle 21 and the main handle 11 can also be plugged and fixed.

[0058] Specifically, a male buckle is provided on the main handle 11; a female buckle is provided on the auxiliary handle 21; it is known that a male buckle is generally a component with a protrusion, a hook or a tenon; a female buckle is generally a component with a groove, a hole or a slot 51 for accommodating the male buckle. In other words, please refer to Figure 7 and Fig. 9 A slot 51 is provided on the auxiliary handle 21; a limit buckle 52 is provided on the main handle 11, and the limit buckle 52 is inserted into the slot 51; wherein, one of the connecting part and the matching part is set as the slot 51, and the other is set as the limit buckle 52.

[0059] In an exemplary embodiment, see Figure 7 and Fig. 9 The auxiliary handle 21 has a second end face facing the main handle 11; a boss is protrudingly provided on the second end face, and a slot 51 is provided on the side wall of the boss in the first direction F1; a limit buckle 52 is provided on the first end face of the main handle 11; during assembly, the first end face and the second end face are arranged opposite to each other, and the main handle 11 and the auxiliary handle 21 are pushed relative to each other along the first direction F1, so that the limit buckle 52 is inserted into the slot 51, thereby realizing the detachable connection between the main handle 11 and the auxiliary handle 21.

[0060] Also, see Figure 1When the auxiliary handle 21 is disposed on the main handle 11 , the second inlet 211 on the auxiliary handle 21 is higher than the insertion end 122 of the insertion tube 12 ; at this time, the insertion tube 12 needs to be rewound so that the insertion end 122 can be inserted from the second inlet 211 .

[0061] As described above, the first bending section 22a is driven to bend by setting the first adjustment component 41. In one embodiment, the first adjustment component 41 includes a first driving part 411 and a first transmission part. The first driving part 411 is arranged on the main handle 11 and can reciprocate relative to the main handle 11. The first transmission part is connected to the first driving part 411 and the first bending section 22a, so as to drive the first bending section 22a to bend toward different sides in its radial direction when the first driving part 411 reciprocates.

[0062] Specifically, see Figure 1 and Figure 2 The first transmission part includes two first traction ropes (not shown in the figure), two ends of the two first traction ropes are wound around the first driving part 411 in different directions, and the other two ends of the two first traction ropes are respectively connected to the first curved segment 22a, so that when the first driving part 411 reciprocates, the corresponding first traction ropes can be driven to pull the first curved segment 22a to drive the first curved segment 22a to bend toward different sides in its radial direction.

[0063] In an exemplary embodiment, the first driving part 411 is configured as a first rotating wheel; in actual use, two ends of the two first traction ropes are wound around the first rotating wheel in different directions, and the first rotating wheel is rotated forward, one of the first traction ropes is wound tight, and at this time, the first traction rope pulls the first curved segment 22a, so that the first curved segment 22a bends toward the corresponding side; the first rotating wheel is rotated reversely, the previously wound tight first traction rope is loosened, and the other first traction rope is wound tight, and at this time, the first traction rope pulls the first curved segment 22a, so that the first curved segment 22a bends toward the other side. Using a rotating wheel and a traction rope to drive the curved segment of the sheath to bend is a prior art and will not be described in detail here.

[0064] Furthermore, in accordance with the above “the auxiliary mechanism 2 further includes an auxiliary handle 21, which is disposed on the main handle 11”, the auxiliary sheath 22 is disposed on the auxiliary handle 21; the first driving part 411 is disposed on the auxiliary handle 21 and can reciprocate relative to the auxiliary handle 21. Specifically, the first rotating wheel is rotatably mounted on the auxiliary handle 21.

[0065] At the same time, the second bending section 12a is driven to bend by setting the second adjustment component 42. The second adjustment component 42 includes a second driving part 421 and a second transmission part. The second driving part 421 is arranged on the main handle 11 and can reciprocate relative to the main handle 11. The second transmission part is connected to the second driving part 421 and the second bending section 12a, so as to drive the second bending section 12a to bend toward different sides in its radial direction when the second driving part 421 reciprocates.

[0066] Specifically, see Figure 1 and Figure 2 The second transmission part includes two second traction ropes (not shown in the figure), two ends of the two second traction ropes are wound around the second driving part 421 in different directions, and the other two ends of the two second traction ropes are respectively connected to the second curved segment 12a, so that when the second driving part 421 reciprocates, the corresponding second traction ropes can be driven to pull the second curved segment 12a to drive the second curved segment 12a to bend toward different sides in its radial direction.

[0067] In an exemplary embodiment, the second driving unit 421 is configured as a second rotating wheel; in actual use, two ends of the two second traction ropes are wound around the second rotating wheel in different directions, and the second rotating wheel is rotated forward, one of the second traction ropes is tightened, and at this time, the second traction rope pulls the second curved segment 12a to make the second curved segment 12a bend toward the corresponding side; the second rotating wheel is rotated reversely, the previously tightened second traction rope is loosened, and the other second traction rope is tightened, and at this time, the second traction rope pulls the second curved segment 12a to make the second curved segment 12a bend toward the other side.

[0068] It can be understood that during the diagnosis and treatment process, the auxiliary sheath 22 is first inserted into the patient's organ cavity 201, and the insertion tube 12 is pushed so that its insertion end 122 extends from the auxiliary end 221. At the same time, the second bending section 12a of the insertion tube 12 is driven to bend through the second adjustment component 42, and the image acquisition element 3 on the insertion end 122 is used to find the target affected area 202; when encountering difficult nipples (such as long nipples, juxta-diverticular nipples), in order to accurately find the target affected area 202, the second bending section 12a needs to be able to bend in multiple directions.

[0069] The adjustment mechanism 4 comprises at least two sets of second adjustment components 42. The two sets of second adjustment components 42 enable the second bending section 12a to bend in four directions.

[0070] The present application does not specifically limit the arrangement of the second driving parts 421. In one embodiment, the movable planes of the two second driving parts 421 of the two sets of second adjustment components 42 can be arranged crosswise or in parallel.

[0071] In one embodiment, the movable planes of the two second driving parts 421 of the two groups of second adjustment components 42 are arranged in parallel, the two second traction ropes of each group of second adjustment components 42 form a first traction plane, and the two first traction planes formed by the two groups of second adjustment components 42 are arranged crosswise; in this way, the second bending section 12a can be bent in four directions by using four second traction ropes.

[0072] For example, two second rotating wheels are arranged on the main handle 11; the two second rotating wheels are stacked in the second direction F2, and the two second rotating wheels have the same rotation axis. Every two second traction ropes are wound around one second rotating wheel; the two second traction ropes on one second rotating wheel form a first traction plane, and the two second traction ropes on the other second rotating wheel form another first traction plane, and the two first traction planes are arranged crosswise, so that the second bending section 12a can be bent in four directions by using four second traction ropes.

[0073] It should be noted that the bending direction of the second bending section 12a may be completely different from the bending direction of the first bending section 22a. Among the multiple bending directions of the second bending section 12a, some bending directions may overlap with the first bending section 22a.

[0074] In one embodiment, two ends of the two first traction ropes of the first adjustment component 41 are wound around the first driving part 411 in different directions, and the other two ends of the two first traction ropes are respectively connected to the first bending section 22a, and the two first traction ropes form a second traction plane; one group of the first traction planes of the second adjustment components 42 are arranged parallel to the second traction plane; in this way, it can be achieved that the second bending section 12a has two bending directions that are the same as the first bending section 22a.

[0075] For example, two second rotating wheels are arranged on the main handle 11; the two second rotating wheels are stacked in the second direction F2, and the two second rotating wheels have the same rotation axis; a first rotating wheel is arranged on the auxiliary handle 21, and the first rotating wheel and the second rotating wheel have the same rotation axis. Two first traction ropes are respectively connected to the first rotating wheel and the first curved section 22a, and form a second traction plane; the two second traction ropes of each set of second adjustment components 42 form a first traction plane; the second traction plane is arranged parallel to one of the first traction planes, so that when the first rotating wheel and the second rotating wheel rotate, the second curved section 12a can have two bending directions that are the same as the first curved section 22a.

[0076] As mentioned above, the auxiliary sheath 22 is provided to replace the duodenoscope of the prior art. Since the auxiliary sheath 22 only provides a stable insertion path for the insertion tube 12, other functional elements need to be provided on the insertion tube 12 to ensure the functional integrity of the visualization intubation device 100. Based on actual diagnosis and treatment operations, the insertion tube 12 also needs to have flushing and lighting functions. In one embodiment, please refer to Figure 8 A liquid inlet channel and a lighting channel are also formed in the insertion tube 12; the visualization intubation device 100 also includes a nozzle 6 and a light-emitting element 7. The nozzle 6 is arranged at the insertion end 122 of the insertion tube 12 and is connected to the liquid inlet channel so that the liquid in the liquid inlet channel can be sprayed out from the nozzle 6. The light-emitting element 7 is arranged at the insertion end 122 of the insertion tube 12, and its optical fiber is passed through the lighting channel.

[0077] It can be known that, during the diagnosis and treatment process, the auxiliary sheath 22 is first inserted into the patient's organ cavity 201, the insertion tube 12 is pushed so that its insertion end 122 extends from the auxiliary end 221, and at the same time, the second bending section 12a of the insertion tube 12 is driven to bend through the second adjustment component 42, and the image acquisition element 3 on the insertion end 122 is used to find the target affected part 202; after the target affected part 202 is determined by using the image acquisition element 3 on the insertion end 122, the insertion tube 12 is retracted so that its insertion end 122 is retracted from the auxiliary end 221; the auxiliary sheath 22 is pushed again, and the first bending section 22a is driven to bend through the first adjustment component 41, so that the image acquisition element 3 at the insertion end 122 can face the target affected part 202.

[0078] In one embodiment, the visualization intubation device 100 also includes a plurality of scales 8 disposed on the insertion tube 12, and the plurality of scales 8 are evenly arranged along the axial direction of the insertion tube 12; by setting the scales 8, it can be known that when the insertion end 122 is flush with the end of the auxiliary end 221, the insertion depth of the insertion tube 12 in the auxiliary sheath 22; and when the insertion end 122 extends from the auxiliary end 221 and finds the target affected area 202, the insertion depth of the insertion tube 12 in the auxiliary sheath 22; in this way, it is convenient to push the auxiliary sheath 22 after the insertion tube 12 is retracted, and the image acquisition element 3 on the insertion end 122 can face the target affected area 202.

[0079] The above description is only a preferred embodiment of the present invention, and does not limit the patent scope of the present invention. All equivalent structural changes made by using the contents of the present invention specification and drawings under the concept of the present invention, or directly / indirectly applied in other related technical fields are included in the patent protection scope of the present invention.

Claims

1. A visual intubation device, characterized in that: include: main handle; An auxiliary sheath tube is arranged on the main handle and is used for inserting into the organ cavity. The auxiliary sheath tube has an auxiliary end away from the main handle and a first curved section close to the auxiliary end; An insertion tube having a connecting end and an insertion end opposite to each other, the connecting end being arranged on the main handle, the insertion end being movably inserted into the auxiliary sheath tube and being able to movably extend or retract from the auxiliary end, the insertion end being provided with an image acquisition element, an instrument channel for inserting consumable instruments being formed in the insertion tube, and the insertion tube having a second curved section close to the insertion end; and, The adjustment mechanism includes a first adjustment component and a second adjustment component, wherein the first adjustment component drives the first bending section to bend, and the second adjustment component drives the second bending section to bend.

2. The visualization intubation device according to claim 1, characterized in that: A main channel is formed in the main handle, and a first inlet communicating with the main channel is provided on the main handle; The connecting end is arranged on the main handle and communicated with the main channel, so that consumable instruments can be inserted into the instrument channel from the first inlet through the main channel.

3. The visualization intubation device according to claim 1, characterized in that: The visualization intubation device further comprises an auxiliary handle, wherein the auxiliary handle is arranged on the main handle, an auxiliary channel is formed in the auxiliary handle, and a second inlet communicating with the auxiliary channel is arranged on the auxiliary handle; The auxiliary sheath is disposed on the auxiliary handle and is communicated with the auxiliary channel; The insertion end is movably inserted into the auxiliary sheath from the second inlet through the auxiliary channel.

4. The visualization intubation device according to claim 3, characterized in that: The visualization intubation device also includes a detachable connection structure, which includes a connecting portion and a matching portion that cooperate with each other, one of the connecting portion and the matching portion is arranged on the main handle, and the other is correspondingly arranged on the auxiliary handle.

5. The visualization intubation device according to claim 1, characterized in that: The first adjustment component includes a first driving part and two first traction ropes. The first driving part is arranged on the main handle and can reciprocate relative to the main handle. Two ends of the two first traction ropes are wound around the first driving part in different directions, and the other two ends of the two first traction ropes are respectively connected to the first bending segments, so that when the first driving part reciprocates, the corresponding first traction ropes can be driven to pull the first bending segment to drive the first bending segment to bend toward different sides in its radial direction.

6. The visualization intubation device according to claim 5, characterized in that: The visualization intubation device further comprises an auxiliary handle, wherein the auxiliary handle is arranged on the main handle; the auxiliary sheath is arranged on the auxiliary handle; The first driving part is disposed on the auxiliary handle and can perform reciprocating motion relative to the auxiliary handle.

7. The visualization intubation device according to claim 1, characterized in that: The second adjustment assembly includes a second driving part and two second traction ropes. The second driving part is arranged on the main handle and can reciprocate relative to the main handle. Two ends of the two second traction ropes are wound around the second driving part in different directions, and the other two ends of the two second traction ropes are respectively connected to the second bending segments, so that when the second driving part reciprocates, the corresponding second traction ropes can be driven to pull the second bending segments to drive the second bending segments to bend toward different sides in its radial direction.

8. The visualization intubation device according to claim 7, characterized in that: The adjustment mechanism comprises at least two groups of the second adjustment components, the two second traction ropes of each group of the second adjustment components form a first traction plane, and the two first traction planes formed by the two groups of the second adjustment components are cross-arranged.

9. The visualization intubation device according to claim 8, characterized in that: The two first traction ropes of the first adjustment assembly form a second traction plane; The first traction plane of one group of the second adjustment components is arranged parallel to the second traction plane.

10. The visualization intubation device according to claim 1, characterized in that: The visualization intubation device further comprises a plurality of scales arranged on the insertion tube, and the plurality of scales are evenly distributed along the axial direction of the insertion tube.

Citation Information

Patent Citations

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