Medical device handle and endoscope combination device
Patent Information
- Authority / Receiving Office
- CN · China
- Patent Type
- Utility models(China)
- Current Assignee / Owner
- Filing Date
- 2025-08-26
- Publication Date
- 2026-08-11
AI Technical Summary
[0003]本实用新型的目的在于提供一种医疗器械手柄及内窥镜组合器械,以缓解现有技术中医疗器械手柄与内窥镜组合连接难以适配且稳定性差的技术问题
所述端帽密封安装于所述内窥镜的远端,且所述端帽设有自外向内延伸的护套管,所述护套管与所述手柄架之间密封连接有塑封弹簧管;
Smart Images

Figure CN224612607U_ABST
Abstract
Description
Technical Field
[0001] This utility model relates to the field of medical device technology, and in particular to a combination device of a medical device handle and an endoscope. Background Technology
[0002] Endoscopes are often used in conjunction with other medical devices in clinical applications. To optimize ease of operation, the handles of the accompanying instruments are usually integrated with the endoscope handle. The current standard approach is to fix the instrument handle to the forceps port of the endoscope handle. However, this design has the following technical limitations: First, due to significant model differences in endoscope forceps ports, different sizes of endoscopes require matching with dedicated instrument handles, resulting in insufficient instrument compatibility. Second, the non-standardized characteristics of the forceps port in terms of shape and size parameters further cause problems with the stability of the instrument handle installation, affecting the safety and reliability of clinical operations. Utility Model Content
[0003] The purpose of this invention is to provide a medical device handle and endoscope combination device to alleviate the technical problems of poor compatibility and instability in the connection between the medical device handle and endoscope combination in the prior art.
[0004] In a first aspect, the medical device handle provided by this utility model includes: a handle frame and a control component mounted on the handle frame; The handle holder includes: an opening frame and fasteners movably mounted on the opening frame; The opening frame has a clamp and a side opening communicating with the clamp; The fastener is used to drive the side opening to close and reduce the radial dimension of the clamp.
[0005] In conjunction with the first aspect, the present invention provides a first possible implementation of the first aspect, wherein the fastener comprises: a rod and a knob threadedly engaged with the rod; The rod is hinged to one side wall of the side opening, and the other side wall of the side opening has a notch corresponding to the rod.
[0006] In conjunction with the first possible implementation of the first aspect, the present invention provides a second possible implementation of the first aspect, wherein the other side wall of the side opening is provided with a limiting part adapted to the knob; The knob engages with the limiting part and keeps the rod within the notch.
[0007] In conjunction with the second possible implementation of the first aspect, this utility model provides a third possible implementation of the first aspect, wherein the limiting part includes a boss part disposed on the other side wall of the side opening and protruding outward; The knob is provided with a circular groove that matches the protrusion.
[0008] In conjunction with the third possible implementation of the first aspect, the present invention provides a fourth possible implementation of the first aspect, wherein the diameter of the boss portion decreases from the root to the head end, and / or the diameter of the circular groove decreases inward from the opening end.
[0009] In conjunction with the first possible implementation of the first aspect, the present invention provides a fifth possible implementation of the first aspect, wherein the end of the rod is provided with a flange or a limiting cap for preventing the knob from falling off the rod.
[0010] In conjunction with the first aspect, this utility model provides a sixth possible implementation of the first aspect, wherein a first limiting protrusion is provided on one side wall of the side opening, and a second limiting protrusion is provided on the other side wall of the side opening, wherein the first limiting protrusion and the second limiting protrusion are disposed opposite to each other and extend toward each other.
[0011] In conjunction with the first aspect, this utility model provides a seventh possible implementation of the first aspect, wherein the handle frame further includes: a first arm and a second arm connecting the opening frame; The first boom and the second boom are spaced apart; The control element includes a rotatable reel connected between the first boom and the second boom.
[0012] In conjunction with the seventh possible implementation of the first aspect, this utility model provides an eighth possible implementation of the first aspect, wherein the opening frame, the first boom and the second boom are integrally formed.
[0013] In conjunction with the seventh possible implementation of the first aspect, this utility model provides a ninth possible implementation of the first aspect, wherein the opening frame is connected to a limiting member, the spool is provided with a plurality of positioning parts, and the plurality of positioning parts are spaced apart along the circumference of the spool; The limiting member and the positioning part are adapted to each other, and at least one of them is elastic, so that during the rotation of the spool, the plurality of positioning parts can be separably engaged with the limiting member one by one.
[0014] In conjunction with the ninth possible implementation of the first aspect, this utility model provides a tenth possible implementation of the first aspect, wherein the medical device handle further includes a support platform; At least one of the first boom and the second boom, as well as the open frame, are connected to the support platform; The limiting member is connected to the support platform.
[0015] In conjunction with the seventh possible implementation of the first aspect, the present invention provides an eleventh possible implementation of the first aspect, wherein at least one of the first boom and the second boom is connected to an anti-slip portion extending toward the opening frame.
[0016] In conjunction with the seventh possible implementation of the first aspect, this utility model provides a twelfth possible implementation of the first aspect, wherein the opening frame is connected to a sheath joint, the sheath joint is provided with a tube hole, and the axis of the tube hole coincides with or is parallel to the tangent of the spool.
[0017] In conjunction with the twelfth possible implementation of the first aspect, this utility model provides a thirteenth possible implementation of the first aspect, wherein the sheath joint is provided with a sealing ring, and the pull wire of the drive connecting the spool passes through the tube hole and is press-fitted with the sealing ring.
[0018] Secondly, the endoscopic combination device provided by this utility model includes: an endoscope, an actuator, and a medical device handle as described in the first aspect; The endoscope handle has a tapered section that can be detachably installed in the clamp. The actuator is mounted on the head end of the endoscope and is connected to the control element via a transmission mechanism.
[0019] In conjunction with the second aspect, the actuator includes: an end cap and a plurality of loops; The end cap is sealed and installed at the distal end of the endoscope, and the end cap is provided with a sheath tube extending from the outside to the inside. A plastic-sealed spring tube is sealed between the sheath tube and the handle frame. A plurality of the aforementioned ligatures are sequentially fitted onto the end cap along the axial direction. A pull wire is threaded through the plastic-sealed spring tube. One end of the pull wire is connected to the control element, and the other end of the pull wire extends from inside the end cap to the distal end and is connected to the plurality of ligatures in a driving connection.
[0020] The present invention provides the following advantages: by employing a handle frame and a control component mounted on the handle frame, the handle frame includes an opening frame and a fastener movably mounted on the opening frame. The opening frame has a clamp and a side opening communicating with the clamp. The fastener is used to drive the side opening to retract and reduce the radial dimension of the clamp. The opening frame can be mounted on the conical part of the endoscope handle, thereby no longer being limited by the differences in the size and shape of different endoscope forceps openings, resulting in better adaptability and a more stable assembly connection.
[0021] To make the above-mentioned objectives, features and advantages of this utility model more apparent and understandable, preferred embodiments are described below in detail with reference to the accompanying drawings. Attached Figure Description
[0022] To more clearly illustrate the technical solutions in the specific embodiments or related technologies of this utility model, the drawings used in the description of the specific embodiments or related technologies will be briefly introduced below. Obviously, the drawings described below are some embodiments of this utility model. For those skilled in the art, other drawings can be obtained from these drawings without creative effort.
[0023] Figure 1 A schematic diagram of a thread removal reel for a medical device handle provided in an embodiment of this utility model; Figure 2 A schematic diagram of the medical device handle removal wheel and fastener provided for an embodiment of this utility model; Figure 3 A schematic diagram of the fastener for the handle of the medical device provided in this embodiment of the utility model; Figure 4 A schematic diagram of a medical device handle with a support platform provided for an embodiment of this utility model; Figure 5 A schematic diagram of a medical device handle provided for an embodiment of this utility model; Figure 6 A schematic diagram of another medical device handle provided in an embodiment of this utility model; Figure 7 A cross-sectional view of the fastener for the handle of a medical device provided in an embodiment of this utility model; Figure 8 A cross-sectional view of a fastener with a flanged portion for a medical device handle provided in an embodiment of this utility model; Figure 9 A cross-sectional view of a fastener with a limiting cap on a medical device handle provided in an embodiment of this utility model; Figure 10 A cross-sectional view of the endoscope assembly provided in an embodiment of this utility model; Figure 11 An enlarged schematic diagram showing the layout of the sheath, plastic-sealed spring tube, and pull wire in the endoscopic combination instrument provided in this embodiment of the utility model; Figure 12 A partially enlarged schematic diagram of the endoscope combination instrument, including the end cap, sheath, ligature ring, plastic-sealed spring tube, pull wire, and clamp channel, provided for an embodiment of this utility model. Figure 13 This is a schematic diagram of the handle of the endoscope in the endoscope assembly provided in this embodiment of the utility model.
[0024] Icons: 100-Opening frame; 101-Clamping jaw; 102-Side opening; 103-Notch; 104-Protrusion; 105-First limiting protrusion; 106-Second limiting protrusion; 200-Fastener; 201-Circular groove; 210-Rod; 211-Flanged edge; 212-Limit cap; 220-Knob; 300-First boom; 400-Second boom; 500-Spindle; 501-Positioning part; 600-Limiting component; 700-Support platform; 800-Anti-slip part; 900-Sheath joint; 901-Sealing ring; 010-Conical rod; 011-End cap; 111-Sheath tube; 012-Lock ring; 013-Plastic-sealed spring tube; 014-Pull wire; 015-Pulley track. Detailed Implementation
[0025] The technical solution of this utility model will now be clearly and completely described with reference to the accompanying drawings. Obviously, the described embodiments are only some, not all, of the embodiments of this utility model. Based on the embodiments of this utility model, all other embodiments obtained by those skilled in the art without creative effort are within the scope of protection of this utility model.
[0026] In the description of this utility model, it should be noted that the terms "center," "upper," "lower," "left," "right," "vertical," "horizontal," "inner," and "outer," etc., indicating the orientation or positional relationship, are based on the orientation or positional relationship shown in the accompanying drawings and are only for the convenience of describing this utility model and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, or be constructed and operated in a specific orientation, and therefore should not be construed as a limitation on this utility model. Furthermore, the terms "first," "second," and "third" are only used to describe differences in name and should not be construed as indicating or implying relative importance. Physical quantities in formulas, unless otherwise specified, should be understood as basic quantities of the International System of Units (SI) base units, or derived quantities derived from basic quantities through mathematical operations such as multiplication, division, differentiation, or integration.
[0027] In the description of this utility model, it should be noted that, unless otherwise explicitly specified and limited, the terms "installation," "connection," and "joining" should be interpreted broadly. For example, they can refer to a fixed connection, a detachable connection, or an integral connection; they can refer to a mechanical connection or an electrical connection; they can refer to a direct connection or an indirect connection through an intermediate medium; and they can refer to the internal connection of two components. The terms "proximal end" and "distal end" are used with reference to the product operator. The proximal end is the end located outside the body and can be held by hand, while the distal end is the end that can be implanted in the patient's body and is away from the operator. Those skilled in the art can understand the specific meaning of the above terms in this utility model based on the specific circumstances.
[0028] like Figure 1 , Figure 2 and Figure 3 As shown, the medical device handle provided in this embodiment of the present invention includes: a handle frame and a control component mounted on the handle frame; the handle frame includes: an opening frame 100 and a fastener 200 movably mounted on the opening frame 100; the opening frame 100 has a clamping opening 101 and a side opening 102 communicating with the clamping opening 101; the fastener 200 is used to drive the side opening 102 to retract and reduce the radial dimension of the clamping opening 101.
[0029] In an optional embodiment, the medical device handle is used to operate the operating end of a medical device, such as an endoscope, surgical instrument, or other minimally invasive treatment device. The side opening 102 provides the clamp 101 with a certain elastic deformation space, facilitating changes in the radial dimension of the clamp 101. A fastener 200 is movably mounted on the opening frame 100 and correspondingly positioned to the side opening 102. Adjusting the fastener 200 applies force to the width of the side opening 102, causing it to contract. When the side opening 102 contracts, the radial dimension of the clamp 101 decreases, thereby achieving the clamping function of the clamp 101 on the held component.
[0030] Specifically, the fastener 200 can be a threaded connection structure, such as a bolt and nut assembly, or a quick-release structure such as an elastic snap-fit structure or a sliding locking structure. For example, in one embodiment, the fastener 200 includes an adjusting bolt and a threaded hole provided on the opening bracket. Rotating the adjusting bolt moves it towards the side opening, thereby pushing the elastic arms on both sides of the side opening inward, which in turn causes the inner diameter of the clamp 101 to decrease, achieving clamping.
[0031] In this embodiment of the invention, the fastener 200 includes a rod 210 and a knob 220 threadedly engaged with the rod 210. The rod 210 is hinged to one side wall of the side opening 102, and the other side wall of the side opening 102 has a notch 103 corresponding to the rod 210. This increases the pitch of the thread on the rod 210. The knob 220, threadedly engaged with the rod 210, allows for increased axial movement of the knob 220 with fewer rotations (smaller rotation angles), thereby improving the efficiency of assembling and disassembling the medical device handle.
[0032] See Figure 1 , Figure 2 and Figure 13 When the rod 210 disengages from the notch 103 and the side opening 102 is fully open, the conical rod 010 of the endoscope can be inserted into the clamp 101 through the side opening 102. Subsequently, the rod 210 is rotated and placed into the notch 103, and the knob 220 is tightened. The knob 220 compresses the side wall of the side opening 102, thereby reducing the width of the side opening 102 and clamping the conical rod 010 into the clamp 101.
[0033] In an optional embodiment, the other sidewall of the side opening 102 is provided with a limiting portion adapted to the knob 220; the knob 220 engages with the limiting portion, keeping the rod 210 within the notch 103. The limiting portion can be configured as a groove to accommodate the knob 220, or it can be configured as a wedge or similar element to prevent the knob 220 from sliding along the extension direction of the notch 103. When the rod 210 is rotated and positioned within the notch 103, the limiting portion prevents the knob 220 from sliding along the extension direction of the notch 103, thereby keeping the rod 210 within the notch 103.
[0034] See Figure 2 , Figure 3 , Figure 7 , Figure 8 and Figure 9 The limiting part includes a boss 104 located on the other side wall of the side opening 102 and protruding outward; the knob 220 is provided with a circular groove 201 that matches the boss 104. When the knob 220 is locked, the boss 104 fits into the circular groove 201, which ensures that the knob 220 can still rotate smoothly, and prevents the knob 220 from sliding and loosening relative to the opening frame 100, and keeps the rod 210 in the notch 103.
[0035] Furthermore, the diameter of the boss 104 decreases from the root to the tip, or the diameter of the circular groove 201 decreases inward from the opening. Alternatively, the diameter of the boss 104 can decrease from the root to the tip, and the diameter of the circular groove 201 can decrease inward from the opening. As the knob 220 is tightened, the boss 104 engages with the circular groove 201, and coaxial alignment is achieved through pressing.
[0036] In an optional embodiment, the end of the rod 210 is provided with a flange 211 or a limiting cap 212 to prevent the knob 220 from falling off the rod 210. The knob 220 may have a non-metallic shell and a core embedded within the non-metallic shell, with the core threadedly engaging the rod 210. The end of the rod 210 where the knob 220 is mounted has a flange 211 that increases its radial dimension; alternatively, the limiting cap 212 is mounted on the end of the rod 210 where the knob 220 is mounted via a threaded engagement or snap-fit connection. The flange 211 or the limiting cap 212, with a diameter larger than the inner diameter of the threaded hole in the core, prevents the knob 220 from falling off the rod 210.
[0037] See Figure 1 and Figure 13A first limiting protrusion 105 is provided on one side wall of the side opening 102, and a second limiting protrusion 106 is provided on the other side wall of the side opening 102. The first limiting protrusion 105 and the second limiting protrusion 106 are arranged opposite to each other and extend towards each other. When the tapered rod portion 010 is placed inside the side opening 102, the first limiting protrusion 105 and the second limiting protrusion 106 can abut against the tapered rod portion 010, thereby preventing the tapered rod portion 010 from coming out of the side opening 102.
[0038] like Figure 1 , Figure 2 , Figure 4 , Figure 5 and Figure 6 As shown, the handle frame also includes: a first arm 300 and a second arm 400 connected to the opening frame 100; the first arm 300 and the second arm 400 are spaced apart; the control element includes a reel 500 rotatably connected between the first arm 300 and the second arm 400. The reel 500 can be used with an external control cable, for example, for adjusting the equipment angle, controlling the movement of accessories, etc. The rotation of the reel 500 can be manually operated by the user, or it can be automatically controlled in conjunction with an electric drive mechanism; the specific control method can be designed according to the actual application scenario.
[0039] In an alternative implementation, the opening frame 100, the first boom 300, and the second boom 400 can be integrally formed, thereby reducing production and assembly costs.
[0040] like Figure 4 and Figure 5 As shown, the open frame 100 is connected to a limiting member 600. The spool 500 is provided with multiple positioning parts 501, which are spaced apart circumferentially along the spool 500. The limiting member 600 and the positioning parts 501 are adapted to each other, and at least one of them is elastic, so that the multiple positioning parts 501 can be separably engaged with the limiting member 600 one by one during the rotation of the spool 500. When the limiting member 600 is engaged with one of the positioning parts 501, the rotation of the spool 500 can be locked. When an external force drives the spool 500 to rotate and overcomes the elastic force to disengage the limiting member 600 from one of the positioning parts 501, the limiting member 600 will engage with another positioning part 501 as the spool 500 rotates.
[0041] Furthermore, the medical device handle also includes a support platform 700; at least one of the first arm 300 and the second arm 400, as well as the opening frame 100, are connected to the support platform 700; a limiting member 600 is connected to the support platform 700, and the support platform 700 allows the limiting member 600 to be closer to the reel 500, and the support platform 700 can reinforce the connection of the opening frame 100 to the first arm 300 or the second arm 400.
[0042] At least one of the first boom 300 and the second boom 400 is connected to an anti-slip portion 800 extending toward the opening frame 100. The anti-slip portion 800 may be configured with raised or recessed textures to prevent slippage when touched.
[0043] like Figure 1 , Figure 2 , Figure 4 , Figure 5 , Figure 6 and Figure 10 As shown, the open frame 100 is connected to a sheath joint 900. The sheath joint 900 has a pipe hole, the axis of which coincides with or is parallel to the other tangent of the spool 500. The pull line 014 is connected to and wound around the spool 500, and the pull line 014 can extend to the far end through the sheath joint 900. The pull line 014 can be tightened by rotating the spool 500. The pull line 014 extending from the sheath joint 900 to the spool 500 coincides with or is parallel to the other tangent of the spool 500, thereby ensuring that the pull line 014 slides smoothly along the sheath joint 900.
[0044] See Figure 10 and Figure 11 As shown, a sealing ring 901 is provided inside the sheath connector 900. The pull wire 014 of the transmission connecting pulley 500 passes through the pipe hole and is press-fitted with the sealing ring 901. While the pull wire 014 is pulled towards the proximal end to control the actuator, the sealing ring 901 can seal the gaps around the pull wire 014, thereby preventing air leakage from the sheath connector 900 and the plastic-sealed spring tube 013 connected to the sheath connector 900.
[0045] like Figure 1 , Figure 10 and Figure 13 As shown, the endoscope combination device provided in this embodiment of the present invention includes: an endoscope, an actuator, and a medical device handle as described in the above embodiments; the handle of the endoscope has a conical rod portion 010 that can be detachably installed in the clamp 101; the actuator is installed at the head end of the endoscope, and the actuator is connected to the control component in a transmission manner.
[0046] In an optional implementation, the actuator can be configured as a minimally invasive treatment device such as a suture device or a clamp, and the control element can be a flexible shaft, a connecting rod, or a pull wire to control and drive the actuator.
[0047] See Figure 11 and Figure 12In this embodiment of the invention, the actuator includes: an end cap 011 and several loops 012; the end cap 011 is sealed and installed at the distal end of the endoscope, and the end cap 011 has a sheath tube 111 extending from the outside to the inside, and a plastic-sealed spring tube 013 is sealed between the sheath tube 111 and the handle frame; several loops 012 are sequentially sleeved on the end cap 011 along the axial direction, and a pull wire 014 is threaded through the plastic-sealed spring tube 013, one end of the pull wire 014 is connected to the control component, and the other end of the pull wire 014 extends from the inside of the end cap 011 to the distal end and is drively connected to the several loops 012. On the one hand, the plastic-sealed spring tube 013 is self-sealing, which can prevent gas or other fluids from leaking through the plastic-sealed spring tube 013; on the other hand, the gap between the proximal end of the plastic-sealed spring tube 013 and the pull wire 014 can be sealed by a sealing ring 901, thereby preventing the interior of the plastic-sealed spring tube 013 from becoming a channel for gas or tissue fluid leakage. The endoscope's clamp channel 015 can serve as a negative pressure suction channel, allowing lesions such as polyps or varicose veins to be drawn into the end cap 011. Subsequently, the released ligature ring 012 can be used to ligate the lesion site.
[0048] Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of this utility model, and are not intended to limit it. Although the utility model has been described in detail with reference to the foregoing embodiments, those skilled in the art should understand that modifications can still be made to the technical solutions described in the foregoing embodiments, or equivalent substitutions can be made to some or all of the technical features therein. Such modifications or substitutions do not cause the essence of the corresponding technical solutions to deviate from the scope of the technical solutions of the embodiments of this utility model.
Claims
1. A medical device handle, characterized in that, include: A handle holder and a control element mounted on the handle holder; The handle holder includes: an opening frame (100) and a fastener (200) movably mounted on the opening frame (100). The opening frame (100) has a clamp (101) and a side opening (102) communicating with the clamp (101). The fastener (200) is used to drive the side opening (102) to retract and reduce the radial dimension of the clamp (101).
2. The medical device handle according to claim 1, characterized in that, The fastener (200) includes: a rod (210) and a knob (220) threadedly engaged with the rod (210). The rod (210) is hinged to one side wall of the side opening (102), and the other side wall of the side opening (102) is provided with a notch (103) corresponding to the rod (210).
3. The medical device handle according to claim 2, characterized in that, The other side wall of the side opening (102) is provided with a limiting part that is adapted to the knob (220); The knob (220) engages with the limiting part and keeps the rod (210) within the notch (103).
4. The medical device handle according to claim 3, characterized in that, The limiting part includes a boss (104) located on the other side wall of the side opening (102) and protruding outward. The knob (220) is provided with a circular groove (201) that is adapted to the boss (104).
5. The medical device handle according to claim 4, characterized in that, The diameter of the boss (104) decreases from the root to the head, and / or the diameter of the circular groove (201) decreases from the opening to the inside.
6. The medical device handle according to claim 2, characterized in that, The end of the rod (210) is provided with a flange (211) or a limiting cap (212) to prevent the knob (220) from falling off the rod (210).
7. The medical device handle according to claim 1, characterized in that, The side wall of the side opening (102) is provided with a first limiting protrusion (105), and the other side wall of the side opening (102) is provided with a second limiting protrusion (106). The first limiting protrusion (105) and the second limiting protrusion (106) are arranged opposite to each other and extend towards each other.
8. The medical device handle according to claim 1, characterized in that, The handle frame also includes: a first arm (300) and a second arm (400) connected to the opening frame (100). The first boom (300) and the second boom (400) are spaced apart; The control element includes a reel (500) rotatably connected between the first boom (300) and the second boom (400).
9. The medical device handle according to claim 8, characterized in that, The opening frame (100), the first boom (300) and the second boom (400) are integrally formed.
10. The medical device handle according to claim 8, characterized in that, The opening frame (100) is connected to a limiting member (600), and the spool (500) is provided with a plurality of positioning parts (501), which are spaced apart along the circumference of the spool (500). The limiting member (600) and the positioning part (501) are adapted to each other, and at least one of them is elastic, so that during the rotation of the spool (500), the plurality of positioning parts (501) can be separably engaged with the limiting member (600) one by one.
11. The medical device handle according to claim 10, characterized in that, It also includes a support platform (700); At least one of the first boom (300) and the second boom (400), as well as the open frame (100), are connected to the support platform (700). The limiting member (600) is connected to the support platform (700).
12. The medical device handle according to claim 8, characterized in that, At least one of the first boom (300) and the second boom (400) is connected to an anti-slip portion (800) extending toward the opening frame (100).
13. The medical device handle according to claim 8, characterized in that, The opening frame (100) is connected to a sheath connector (900), the sheath connector (900) is provided with a tube hole, the axis of the tube hole coincides with or is parallel to the tangent of the spool (500).
14. The medical device handle according to claim 13, characterized in that, The sheath connector (900) is provided with a sealing ring (901), and the pull wire (014) of the drive connecting the spool (500) passes through the pipe hole and is press-fitted with the sealing ring (901).
15. An endoscopic combination instrument, characterized in that, include: Endoscope, actuator, and medical device handle as described in any one of claims 1-14; The endoscope handle has a tapered rod (010) that can be detachably installed in the clamp (101). The actuator is mounted on the head end of the endoscope and is connected to the control element via a transmission mechanism.
16. The endoscopic combination device according to claim 15, characterized in that, The actuator includes: an end cap (011) and a plurality of loops (012); The end cap (011) is sealed and installed at the distal end of the endoscope, and the end cap (011) is provided with a sheath tube (111) extending from the outside to the inside, and a plastic-sealed spring tube (013) is sealed between the sheath tube (111) and the handle frame. A plurality of the described loops (012) are sequentially fitted onto the end cap (011) along the axial direction. A pull wire (014) is threaded through the plastic-sealed spring tube (013). One end of the pull wire (014) is connected to the control component, and the other end of the pull wire (014) extends from the inside of the end cap (011) to the far end and is connected to the plurality of the described loops (012) in a transmission connection.