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TWI900325B - Disposable cystoscopy - Google Patents

Disposable cystoscopy

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Publication number
TWI900325B
TWI900325B TW113143062A TW113143062A TWI900325B TW I900325 B TWI900325 B TW I900325B TW 113143062 A TW113143062 A TW 113143062A TW 113143062 A TW113143062 A TW 113143062A TW I900325 B TWI900325 B TW I900325B
Authority
TW
Taiwan
Prior art keywords
channel
valve
irrigation
rod
suction
Prior art date
Application number
TW113143062A
Other languages
Chinese (zh)
Inventor
曾于維
潘俊安
Original Assignee
晉弘科技股份有限公司
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Publication date
Application filed by 晉弘科技股份有限公司 filed Critical 晉弘科技股份有限公司
Priority to TW113143062A priority Critical patent/TWI900325B/en
Application granted granted Critical
Publication of TWI900325B publication Critical patent/TWI900325B/en

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  • Endoscopes (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)

Abstract

A disposable cystoscopy comprises a housing, a push-pull rod assembly, and a switching valve. The housing contains a push rod track and an abutment part. The abutment part positioned on one side of the push rod track. The push-pull rod assembly includes a rod body and a valve shaft. One end of the rod body connected to the valve shaft. The switching valve includes a first valve passage, an elastic seal element, a valve body opening, a first irrigation channel, and a suction channel. The elastic seal element is positioned within the first valve passage, dividing it into an irrigation area and a suction area. One end of the first irrigation channel connects to the irrigation area, and one end of the suction channel connects to the suction area. The push-pull rod assembly moves the elastic seal element within the first valve passage. When the elastic seal element is in the irrigation area, the valve body opening connects with the suction area, and when the elastic seal element is in the suction area, the valve body opening connects with the irrigation area.

Description

拋棄式輸尿管內視鏡Disposable ureteroscope

本發明涉及內視鏡領域,尤指一種拋棄式輸尿管內視鏡。 The present invention relates to the field of endoscopy, and in particular to a disposable ureteroscopic endoscope.

輸尿管內視鏡的抽吸系統主要用於手術過程中清除尿路中的碎石、血液和其他液體,以保持手術區域的清晰視野以利操作。在設計時必須考量到能夠產生足夠的吸力來清除手術區域的碎石和液體,精確調節壓力和流速以免損傷脆弱的尿管組織。一般輸尿管內視鏡的抽吸系統會有兩個單獨的開關來分別控制抽吸功能和灌洗功能,以利操作人員可以通過腳踏開關或手柄上的按壓件來精確控制抽吸的開關和強度,或在手術過程中,醫生可以隨時打開灌洗系統,讓清潔液沖洗掉血液或碎石,避免遮擋視野,因此能夠依據手術的不同階段,自行選擇使用抽吸或灌洗功能。由於操作人員在手術中若需要在抽吸和灌洗之間來回切換不同的開關位置,分開的控制開關也代表著每次需要抽吸或灌洗時,都必須手動啟動相應功能,這不僅可能使手術進程延長,也增加了操作人員使用上的複雜度,同時也增加了結構上的複雜性與零組件成本提高。 The suction system of a ureteroscopic endoscope is primarily used to remove debris, blood, and other fluids from the urinary tract during surgery, maintaining a clear view of the surgical area and facilitating the procedure. The design must ensure sufficient suction to remove debris and fluid from the surgical area, while precisely regulating pressure and flow rate to avoid damaging the delicate ureteral tissue. Typically, the suction system of a ureteroscope has two separate switches to control the suction and irrigation functions, respectively. This allows the operator to precisely control the suction on/off and intensity using a foot switch or a push-button on the handle. Alternatively, during surgery, the physician can activate the irrigation system at any time to allow cleaning fluid to flush out blood or debris, preventing obstruction of vision. This allows the physician to choose between suction and irrigation at different stages of the procedure. However, since the operator needs to switch between suction and irrigation during surgery, separate control switches mean that each time suction or irrigation is required, the corresponding function must be manually activated. This can not only prolong the surgical procedure but also increase the complexity of the operation for the operator, while also increasing the structural complexity and component cost.

因此,本發明針對上述先前技術之問題,進一步提出一種拋棄式輸尿管內視鏡,以解決習知所產生的問題。 Therefore, the present invention addresses the above-mentioned problems of the prior art and further proposes a disposable ureteroscope to solve the problems arising from the prior art.

有鑑於上述問題,本發明的主要目的之一是提供一種如何透過單一構件即可同時控制抽吸與灌洗功能,並簡化結構設計、節省製造成本、增加操作靈活性與簡便性,同時有利於內部結構緊湊進而縮小整體體積。 In view of the above problems, one of the main objectives of the present invention is to provide a method for simultaneously controlling the suction and irrigation functions through a single component, thereby simplifying the structural design, reducing manufacturing costs, increasing operational flexibility and convenience, and at the same time, facilitating the compactness of the internal structure and reducing the overall volume.

為達上述目的,本發明提供一種拋棄式輸尿管內視鏡,包括殼體、推拉桿組件、切換閥以及工作通道。殼體內設有推桿軌道與抵靠部,抵靠部位於推桿軌道的一側。推拉桿組件包括桿體與閥件軸,桿體的一部分設在推桿軌道,桿體的另一部分延伸至推桿軌道外,且桿體的一端設在殼體,桿體的另一端連接閥件軸。切換閥包括第一閥體通道、彈性密封件、閥體開口、第一灌洗通道與抽吸通道,彈性密封件設在第一閥體通道內,閥件軸通過第一閥體通道的閥口並連接彈性密封件,使得閥件軸位於桿體與彈性密封件之間,彈性密封件將第一閥體通道區分成灌洗區及抽吸區,第一灌洗通道的一端開口連通灌洗區,抽吸通道的一端開口連通抽吸區,且第一灌洗通道、抽吸通道與閥體開口的另一端開口突伸設在第一閥體通道外。工作通道連接該閥體開口。推拉桿組件帶動彈性密封件在第一閥體通道內移動的狀態下,使彈性密封件位移至灌洗區或抽吸區,在彈性密封件位於灌洗區,工作通道、閥體開口與抽吸區導通,在彈性密封件位於抽吸區,工作通道、閥體開口與灌洗區導通。 To achieve the above objectives, the present invention provides a disposable ureteroscope comprising a housing, a push-pull rod assembly, a switching valve, and a working channel. The housing contains a push-rod track and a stopper located on one side of the push-rod track. The push-pull rod assembly comprises a rod and a valve shaft. A portion of the rod is positioned within the push-rod track, while another portion extends beyond the track. One end of the rod is positioned within the housing, while the other end is connected to the valve shaft. The switching valve includes a first valve channel, an elastic seal, a valve opening, a first irrigation channel, and a suction channel. The elastic seal is disposed within the first valve channel. A valve shaft passes through the valve opening of the first valve channel and connects to the elastic seal, such that the valve shaft is positioned between the stem and the elastic seal. The elastic seal divides the first valve channel into an irrigation zone and a suction zone. One end opening of the first irrigation channel connects to the irrigation zone, while one end opening of the suction channel connects to the suction zone. The other end openings of the first irrigation channel, the suction channel, and the valve opening protrude outside the first valve channel. A working channel connects to the valve opening. When the push-pull rod assembly drives the elastic seal to move within the first valve body channel, it moves to the irrigation area or the suction area. When the elastic seal is in the irrigation area, the working channel, the valve body opening, and the suction area are connected. When the elastic seal is in the suction area, the working channel, the valve body opening, and the irrigation area are connected.

在本發明的一些實施例中,推拉桿組件還包括按壓件、凸塊、導軸以及彈性件。按壓件的頂部露出在殼體的表面,按壓件的底部連接桿體的該端。凸塊設在桿體的一側且面對抵靠部的位置上。導軸設在凸塊朝抵靠部的位置,且導軸穿過抵靠部。彈性件套設在導軸上,且彈性件的一端抵靠在抵靠部上,彈性件的另一端抵靠在導軸的底部。 In some embodiments of the present invention, the push-pull rod assembly further includes a pressing member, a protrusion, a guide shaft, and an elastic member. The top of the pressing member is exposed on the surface of the housing, and the bottom of the pressing member is connected to the end of the rod. The protrusion is located on one side of the rod, facing the abutment. The guide shaft is located with the protrusion facing the abutment and passes through the abutment. The elastic member is sleeved on the guide shaft, with one end of the elastic member abutting the abutment and the other end abutting the bottom of the guide shaft.

在本發明的一些實施例中,拋棄式輸尿管內視鏡還包括整合單元。整合單元包括第二閥體通道、第二灌洗通道與插入管,第二閥體通道的閥口經由工作通道連通閥體開口、第二閥體通道的另一端連接插入管,插入管的一部份裸露出在殼體外,第二灌洗通道的一端開口連通第二閥體通道。 In some embodiments of the present invention, the disposable ureteroendoscope further includes an integrated unit. The integrated unit includes a second valve channel, a second irrigation channel, and an insertion tube. The valve port of the second valve channel is connected to the valve opening via a working channel. The other end of the second valve channel is connected to the insertion tube. A portion of the insertion tube is exposed outside the housing. One end of the second irrigation channel is connected to the second valve channel.

在本發明的一些實施例中,拋棄式輸尿管內視鏡還包括光纖通道以及光纖分支通道。光纖通道設在殼體,供光纖纜線通過。光纖分支通道貫穿設在閥體開口的側壁上,使光纖纜線依序穿過光纖分支通道、第二閥體通道至前述的插入管內。 In some embodiments of the present invention, the disposable ureteroscope further includes an optical fiber channel and an optical fiber branch channel. The optical fiber channel is disposed within the housing for passage of an optical fiber cable. The optical fiber branch channel is disposed through the sidewall of the valve body opening, allowing the optical fiber cable to sequentially pass through the optical fiber branch channel and the second valve body channel into the aforementioned insertion tube.

在本發明的一些實施例中,閥件軸設有連接孔,連接孔的貫孔方向與桿體的移動方向交錯,桿體的另一端設有對應連接孔的一凸軸,凸軸穿設在連接孔內,使桿體連接閥件軸。 In some embodiments of the present invention, the valve shaft is provided with a connecting hole, the through-hole direction of which intersects with the movement direction of the rod. The other end of the rod is provided with a protrusion corresponding to the connecting hole. The protrusion is inserted into the connecting hole to connect the rod to the valve shaft.

在本發明的一些實施例中,推桿軌道設有相對的二牆面與複數個導引結構,複數個導引結構分別設置在二牆面相對的一側,用於限制及導引桿體的移動方向。二牆面之間設有一承靠結構,承靠結構提供桿體承靠。 In some embodiments of the present invention, the push rod track is provided with two opposing walls and a plurality of guide structures. The plurality of guide structures are disposed on opposing sides of the two walls to limit and guide the movement direction of the rod. A support structure is disposed between the two walls to provide support for the rod.

在本發明的一些實施例中,桿體的表面在對應推桿軌道的彎曲位置設有複數個缺口。 In some embodiments of the present invention, a plurality of notches are provided on the surface of the rod body at locations corresponding to the bends of the push rod track.

在本發明的一些實施例中,從第一閥體通道的閥口朝第一閥體通道的底部窺視,並以第一閥體通道中心到延伸到其固定於殼體的位置為第一方向,而第一閥體通道的閥口中心延伸到閥體開口中心的為第二方向,第一方向與第二方向的夾角為65~75度。 In some embodiments of the present invention, when viewed from the valve opening of the first valve channel toward the bottom of the first valve channel, the first direction extends from the center of the first valve channel to the position where it is fixed to the housing, while the second direction extends from the center of the valve opening of the first valve channel to the center of the valve opening. The angle between the first and second directions is 65-75 degrees.

在本發明的一些實施例中,第一閥體通道的軸向與閥體開口的軸向之間的夾角為30~60度。 In some embodiments of the present invention, the angle between the axis of the first valve body passage and the axis of the valve body opening is 30 to 60 degrees.

在本發明的一些實施例中,第二閥體通道的軸向與第二灌洗通道的軸向之間的夾角為30~60度。 In some embodiments of the present invention, the angle between the axis of the second valve channel and the axis of the second irrigation channel is 30 to 60 degrees.

在本發明的一些實施例中,彈性密封件還包括連接軸、第一密封墊圈與第二密封墊圈,連接軸的兩端分別為第一密封墊圈與第二密封墊圈,且第一密封墊圈的周緣與第二密封墊圈的周緣分別緊密接觸第一閥體通道的內壁,且連接軸的截面積小於第一閥體通道的截面積。 In some embodiments of the present invention, the elastic seal further includes a connecting shaft, a first sealing gasket, and a second sealing gasket. The first sealing gasket and the second sealing gasket are located at the two ends of the connecting shaft, respectively. The periphery of the first sealing gasket and the periphery of the second sealing gasket are in close contact with the inner wall of the first valve passage, respectively. The cross-sectional area of the connecting shaft is smaller than the cross-sectional area of the first valve passage.

在本發明的一些實施例中,整合單元還包括整合型上蓋,蓋合在第二閥體通道中靠近閥體開口的該端,整合型上蓋設有複數個通孔。整合型上蓋的表面凸出設有一膠槽,膠槽的注膠區域涵蓋複數個通孔的位置。 In some embodiments of the present invention, the integrated unit further includes an integrated upper cover that covers the end of the second valve body passage proximate to the valve body opening. The integrated upper cover is provided with a plurality of through-holes. A rubber groove is protruding from the surface of the integrated upper cover, and the rubber injection area of the rubber groove covers the positions of the plurality of through-holes.

在本發明的一些實施例中,拋棄式輸尿管內視鏡還包括抽吸管、第一灌洗管以及第二灌洗管。抽吸管的一端連接抽吸通道、另一端延伸至殼體外部。第一灌洗管的一端連接第一灌洗通道、另一端延伸至殼體外部。第二灌洗管的一端連接第二灌洗通道、另一端延伸至殼體外部。 In some embodiments of the present invention, the disposable ureteroscopic device further includes an aspiration tube, a first irrigation tube, and a second irrigation tube. The aspiration tube has one end connected to the aspiration channel and the other end extending to the exterior of the housing. The first irrigation tube has one end connected to the first irrigation channel and the other end extending to the exterior of the housing. The second irrigation tube has one end connected to the second irrigation channel and the other end extending to the exterior of the housing.

據上所述,本發明拋棄式輸尿管內視鏡透過單一的按壓件實現內視鏡的抽吸與灌洗功能,簡化操作流程,使手術過程更加快速準確。同時改善工作通道的插入順暢度,使工作通道更容易插入切換閥,提高操作的順暢性。透過切換閥的結構提高空間利用率,並且縮短切換行程的時間,同時不影響液體的流量,不僅提升操作效率,同時也能夠簡化結構與降低成本。 As described above, the disposable ureteroscope of the present invention utilizes a single push-button mechanism to perform both suction and irrigation functions, streamlining the procedure and making the surgical process faster and more accurate. It also improves the smooth insertion of the working channel, facilitating easier insertion of the switching valve and enhancing operational smoothness. The switching valve structure improves space utilization and shortens the switching stroke time without compromising fluid flow. This not only enhances operational efficiency but also simplifies the structure and reduces costs.

10:殼體 10: Shell

12:推桿軌道 12: Putting Track

122:牆面 122: Wall

124:導引結構 124: Guidance Structure

126:承靠結構 126: Support structure

14:抵靠部 14: Abutment

20:推拉桿組件 20: Push-pull rod assembly

21:桿體 21: Shaft

211:凸軸 211: Camshaft

213:缺口 213: Gap

22:閥件軸 22: Valve shaft

221:連接孔 221: Connection hole

23:按壓件 23: Pressing element

231:頂部 231: Top

233:底部 233: Bottom

24:凸塊 24: Bump

25:導軸 25: Guide shaft

26:彈性件 26: Elastic parts

30:切換閥 30: Switching valve

31:第一閥體通道 31: First valve channel

311:閥口 311: Valve

32:彈性密封件 32: Elastic seal

322:連接軸 322: Connecting shaft

324:第一密封墊圈 324: First sealing gasket

326:第二密封墊圈 326: Second sealing gasket

33:閥體開口 33: Valve body opening

331:閥蓋 331: Valve cover

34:第一灌洗通道 34: First irrigation channel

35:抽吸通道 35: Suction channel

36:固定部 36: Fixed part

37:前蓋 37: Front cover

371:貫穿孔 371: Perforation

W:工作通道 W: Working channel

40:整合單元 40: Integration Unit

42:第二閥體通道 42: Second valve channel

422:閥口 422: Valve

44:第二灌洗通道 44: Second irrigation channel

46:插入管 46: Insertion tube

48:整合型上蓋 48: Integrated cover

482:通孔 482:Through hole

484:膠槽 484: Adhesive Tank

486:膠體 486:Colloid

A1:灌洗區 A1: Irrigation Area

A2:抽吸區 A2: Suction area

D1:第一方向 D1: First Direction

D2:第二方向 D2: Second Direction

θ1、θ2、θ3:夾角 θ1, θ2, θ3: Inclusion angles

51:抽吸管 51: Suction tube

52:第一灌洗管 52: First irrigation tube

53:第二灌洗管 53: Second irrigation tube

70:光纖通道 70: Fiber Channel

72:光纖分支通道 72: Fiber optic branch channel

80:光纖纜線 80: Fiber optic cable

91:訊號線 91: Signal cable

92:操控纜繩 92: Control Cables

R:局部區域 R: Local area

圖1為本發明的拋棄式輸尿管內視鏡的一實施例的示意圖; 圖2為本發明的拋棄式輸尿管內視鏡的一實施例的剖面圖;圖3為本發明的拋棄式輸尿管內視鏡的推拉桿組件的示意圖;圖4為本發明的拋棄式輸尿管內視鏡的推拉桿組件的分解示意圖;圖5A為本發明的拋棄式輸尿管內視鏡的殼體的示意圖;圖5B為圖5A中局部區域R的放大圖;圖6至圖9為本發明的拋棄式輸尿管內視鏡的切換閥在不同角度的示意圖;圖10與圖11為圖9的切換閥在不同狀態下的剖面圖;圖12至14為本發明的拋棄式輸尿管內視鏡的整合單元在不同角度的示意圖;圖15為本發明的拋棄式輸尿管內視鏡的另一實施例的示意圖。 Figure 1 is a schematic diagram of one embodiment of the disposable ureteroscope of the present invention; Figure 2 is a cross-sectional view of one embodiment of the disposable ureteroscope of the present invention; Figure 3 is a schematic diagram of the push-pull rod assembly of the disposable ureteroscope of the present invention; Figure 4 is an exploded schematic diagram of the push-pull rod assembly of the disposable ureteroscope of the present invention; Figure 5A is a schematic diagram of the housing of the disposable ureteroscope of the present invention; Figure 5 Figure B is an enlarged view of the local area R in Figure 5A; Figures 6 to 9 are schematic diagrams of the switching valve of the disposable ureteroscope of the present invention at different angles; Figures 10 and 11 are cross-sectional views of the switching valve of Figure 9 in different states; Figures 12 to 14 are schematic diagrams of the integrated unit of the disposable ureteroscope of the present invention at different angles; Figure 15 is a schematic diagram of another embodiment of the disposable ureteroscope of the present invention.

本發明之實施例將藉由下文配合相關圖式進一步加以解說。盡可能的,於圖式與說明書中,相同標號係代表相同或相似構件。於圖式中,基於簡化與方便標示,形狀與厚度可能經過誇大表示。可以理解的是,未特別顯示於圖式中或描述於說明書中之元件,為所屬技術領域中具有通常知識者所知之形態。本領域具有通常知識者可依據本發明之內容而進行多種之改變與修改。 The embodiments of the present invention are further explained below with reference to the relevant figures. Whenever possible, identical reference numerals in the drawings and the specification represent identical or similar components. In the drawings, shapes and thicknesses may be exaggerated for simplicity and convenience. It should be understood that components not specifically shown in the drawings or described in the specification are well known to those skilled in the art. Those skilled in the art may make various changes and modifications based on the teachings of the present invention.

在說明書及申請專利範圍中,若描述第一元件位於第二元件上、在第二元件上方、連接、接合、耦接於第二元件或與第二元件相接,則表示第一元件可直接位在第二元件上、直接連接、直接接合、直接耦接於第二元件,亦可表示第一元件與第二元件間存在其他元件。相對之下,若描述第一元件直 接位在第二元件上、直接連接、直接接合、直接耦接、或直接相接於第二元件,則代表第一元件與第二元件間不存在其他元件。 In the specification and patent application, if a first element is described as being on, above, connected to, bonded to, coupled to, or in contact with a second element, this means that the first element may be directly on, directly connected to, directly bonded to, or directly coupled to the second element, or it may mean that there are other elements between the first and second elements. In contrast, if a first element is described as being directly on, directly connected to, directly bonded to, directly coupled to, or directly in contact with the second element, this means that there are no other elements between the first and second elements.

以下介紹一種拋棄式輸尿管內視鏡,下圖中的殼體結構僅繪出單一側,以便本發明具有通常知識者能夠清楚地對應下文來理解內部構件的結構與功能,而無歧異地理解殼體的另一側結構。 The following describes a disposable ureteroscope. The following figure shows only one side of the housing, allowing those with ordinary skill in the art to clearly understand the structure and function of the internal components by referring to the following text without ambiguity in understanding the other side of the housing.

請參閱圖1與圖2,拋棄式輸尿管內視鏡包括殼體10、推拉桿組件20、切換閥30以及工作通道W。殼體10內設有推桿軌道12與抵靠部14,抵靠部14位於推桿軌道12的一側。推拉桿組件20包括桿體21與閥件軸22,桿體21的一部分設在推桿軌道12,桿體21的另一部分延伸至推桿軌道12外,且桿體21的一端設在殼體10,桿體21的另一端連接閥件軸22。切換閥30包括第一閥體通道31、彈性密封件32、閥體開口33、第一灌洗通道34與抽吸通道35。工作通道W連接閥體開口33。如圖2所示,彈性密封件32設在第一閥體通道31內,閥件軸22通過第一閥體通道31的閥口311並連接彈性密封件32,使得閥件軸22位於桿體21與彈性密封件32之間,彈性密封件32將第一閥體通道31區分成灌洗區A1及抽吸區A2,第一灌洗通道34的一端開口連通灌洗區A1,抽吸通道35的一端開口連通抽吸區A2,且第一灌洗通道34、抽吸通道35與閥體開口33的另一端開口突伸設在第一閥體通道31外。推拉桿組件20帶動彈性密封件32在第一閥體通道31內移動的狀態下,使彈性密封件32位移至灌洗區A1或抽吸區A2。在彈性密封件32位於灌洗區A1時,工作通道W、閥體開口33與抽吸區A2導通;在彈性密封件32位於抽吸區A2時,工作通道W、閥體開口33與灌洗區A1導通。 Referring to Figures 1 and 2 , the disposable ureteroscope includes a housing 10, a push-pull rod assembly 20, a switching valve 30, and a working channel W. Housing 10 houses a push-rod track 12 and an abutment 14, located on one side of the push-rod track 12. Push-pull rod assembly 20 includes a rod 21 and a valve shaft 22. A portion of rod 21 is positioned within push-rod track 12, while another portion extends outside of the track. One end of rod 21 is positioned within housing 10, while the other end is connected to valve shaft 22. The switching valve 30 includes a first valve body channel 31, an elastic seal 32, a valve body opening 33, a first irrigation channel 34, and a suction channel 35. The working channel W is connected to the valve body opening 33. As shown in Figure 2, the elastic seal 32 is arranged in the first valve channel 31, and the valve shaft 22 passes through the valve port 311 of the first valve channel 31 and is connected to the elastic seal 32, so that the valve shaft 22 is located between the rod 21 and the elastic seal 32. The elastic seal 32 divides the first valve channel 31 into an irrigation area A1 and a suction area A2. One end opening of the first irrigation channel 34 is connected to the irrigation area A1, and one end opening of the suction channel 35 is connected to the suction area A2. The other end openings of the first irrigation channel 34, the suction channel 35 and the valve opening 33 protrude outside the first valve channel 31. The push-pull rod assembly 20 drives the elastic seal 32 within the first valve passage 31, causing it to move to either the irrigation area A1 or the suction area A2. When the elastic seal 32 is in the irrigation area A1, the working channel W, the valve opening 33, and the suction area A2 are connected. When the elastic seal 32 is in the suction area A2, the working channel W, the valve opening 33, and the irrigation area A1 are connected.

因此,當本發明應用於膀胱內視鏡時,在桿體21未移動的狀態下,彈性密封件32則位於抽吸區A2,則狀態為開啟灌洗的通道、關閉抽吸的通 道,因此可以達到注液至膀胱內部的效果。在桿體21位移的狀態下,桿體21的位移帶動彈性密封件32位移至灌洗區A1,則狀態為關閉灌洗的通道、開啟抽吸的通道,以達到抽吸膀胱內部碎石片的效果。 Therefore, when the present invention is applied to a cystoscopic device, when the rod 21 is not moving, the elastic seal 32 is located in the suction area A2, opening the irrigation channel and closing the suction channel, thereby effectively injecting fluid into the bladder. When the rod 21 is displaced, the displacement of the rod 21 drives the elastic seal 32 to the irrigation area A1, closing the irrigation channel and opening the suction channel, thereby effectively aspirating lithotripsy.

請接續參閱圖1與圖2,拋棄式輸尿管內視鏡還可包括整合單元40。整合單元40包括第二閥體通道42、第二灌洗通道44與插入管46,第二閥體通道42的閥口422經由工作通道W連通閥體開口33、第二閥體通道42的另一端連接插入管46,插入管46的一部份裸露出在殼體10外,第二灌洗通道44的一端開口連通第二閥體通道42。整合單元40可結合用於沖洗的通道與整合所有功能性管路,將在第一灌洗通道34及第二灌洗通道44經由第二閥體通道42結合在一起,使得上述構件可經由不同通道入口輸入並從同一出口輸出。 Continuing with Figures 1 and 2, the disposable ureteroscope also includes an integrated unit 40. This integrated unit 40 comprises a second valve channel 42, a second irrigation channel 44, and an insertion tube 46. The valve port 422 of the second valve channel 42 connects to the valve opening 33 via the working channel W. The other end of the second valve channel 42 is connected to the insertion tube 46, a portion of which is exposed outside the housing 10. One end of the second irrigation channel 44 connects to the second valve channel 42. The integrated unit 40 combines the irrigation channels and integrates all functional plumbing. It connects the first and second irrigation channels 34, 44 via the second valve channel 42, allowing these components to be fed through different channel inlets and discharged through the same outlet.

如圖1所示,拋棄式輸尿管內視鏡還包括抽吸管51、第一灌洗管52以及第二灌洗管53。抽吸管51的一端連接抽吸通道35、另一端延伸至殼體10外部。第一灌洗管52的一端連接第一灌洗通道34、另一端延伸至殼體10外部。第二灌洗管53的一端連接第二灌洗通道44、另一端延伸至殼體10外部。 As shown in Figure 1, the disposable ureteroscopic endoscope also includes a suction tube 51, a first irrigation tube 52, and a second irrigation tube 53. One end of the suction tube 51 is connected to the suction channel 35, and the other end extends to the exterior of the housing 10. One end of the first irrigation tube 52 is connected to the first irrigation channel 34, and the other end extends to the exterior of the housing 10. One end of the second irrigation tube 53 is connected to the second irrigation channel 44, and the other end extends to the exterior of the housing 10.

以下將請配合圖1進一步介紹每一個構件,請特別注意,由於配合圖1的整體結構將會更加清楚明瞭,因此與前述相同的構件以下將直接標示元件符號而不再贅述。 Each component will be further described below in conjunction with Figure 1. Please note that since the overall structure will be more clearly understood with Figure 1, components that are identical to those previously described will be directly labeled with component symbols without further explanation.

請參閱圖3,推拉桿組件20還包括按壓件23、凸塊24、導軸25以及彈性件26。按壓件23的頂部231露出在殼體10的表面,按壓件23的底部233連接桿體21的該端。凸塊24設在桿體21的一側且面對抵靠部14的位置上。導軸25設在凸塊24朝抵靠部14的位置,且導軸25穿過抵靠部14。彈性件26套設在導軸 25上,且彈性件26的一端抵靠在抵靠部14上,彈性件26的另一端抵靠在導軸25的底部。 Referring to Figure 3, the push-pull rod assembly 20 further includes a pressing member 23, a bump 24, a guide shaft 25, and an elastic member 26. The top portion 231 of the pressing member 23 is exposed on the surface of the housing 10, while the bottom portion 233 of the pressing member 23 is connected to the corresponding end of the rod 21. The bump 24 is located on one side of the rod 21, facing the abutment 14. The guide shaft 25 is located with the bump 24 facing the abutment 14 and passes through the abutment 14. The elastic member 26 is sleeved on the guide shaft 25, with one end of the elastic member 26 abutting the abutment 14 and the other end abutting the bottom of the guide shaft 25.

按壓件23可以是一種按鈕、也可是凸出結構而連接桿體21,皆不以前述為限。彈性件26可以是一種彈簧、也可以是一種能夠經由推抵回復行程的結構,以帶動推拉桿組件20復位。在實施本發明時,殼體10為操作人員的握把端,因此將按壓件23設在殼體10上,可有利於操作人員由外按壓按壓件23而快速推動內部的桿體21。桿體21可由具有彈性且具可彎曲的材料製成(例如:尼龍Nylon),因此桿體21可因按壓件23推動而有些微彎曲。較佳地,桿體21的一部份為硬質段,以利於支撐而不易斷裂。一般推拉桿組件20的行程距離可依據整體結構尺寸進行設計,在本實施例中較佳為5~6mm,由於配合切換閥30的結構設計,本發明的拋棄式輸尿管內視鏡可縮短整體行程距離,便可有效率且快速準確地在灌洗和抽吸兩種模式之間進行切換。 The pressing member 23 can be a button or a protruding structure connected to the rod 21, without limitation. The elastic member 26 can be a spring or a structure capable of returning the push-pull rod assembly 20 to its original position through a push-pull stroke. In the implementation of the present invention, the housing 10 serves as the operator's grip. Therefore, positioning the pressing member 23 on the housing 10 facilitates the operator's external pressure on the pressing member 23 to quickly advance the rod 21 within. The rod 21 can be made of a flexible and resilient material (e.g., nylon), allowing the pressing member 23 to slightly bend the rod 21. Preferably, a portion of the rod 21 is a hard section to facilitate support and prevent breakage. The travel distance of the push-pull rod assembly 20 is typically designed based on the overall structural dimensions. In this embodiment, it is preferably 5-6 mm. Combined with the structural design of the switching valve 30, the disposable ureteroscope of the present invention can shorten the overall travel distance, allowing for efficient, quick, and accurate switching between irrigation and aspiration modes.

在本發明的一些實施例中,桿體21的表面在對應推桿軌道12的彎曲位置設有複數個缺口213,以減少推拉桿組件20操作時所產生的應力。 In some embodiments of the present invention, a plurality of notches 213 are provided on the surface of the rod 21 at the bends corresponding to the push rod track 12 to reduce the stress generated during operation of the push-pull rod assembly 20.

請參閱圖4,推拉桿組件20的閥件軸22設有連接孔221,連接孔221的貫孔方向與桿體21的移動方向交錯,桿體21的另一端設有對應連接孔221的凸軸211,凸軸211穿設在連接孔221內,使桿體21連接閥件軸22。 Refer to Figure 4. The valve shaft 22 of the push-pull rod assembly 20 is provided with a connecting hole 221. The direction of the through hole 221 intersects the direction of movement of the rod 21. The other end of the rod 21 is provided with a protrusion 211 corresponding to the connecting hole 221. The protrusion 211 is inserted into the connecting hole 221, connecting the rod 21 to the valve shaft 22.

請參閱圖5A與圖5B,推桿軌道12設有相對的二牆面122與複數個導引結構124,複數個導引結構124分別設置在二牆面122相對的一側,用於限制及導引桿體21的移動方向。二牆面122之間設有承靠結構126,承靠結構126提供桿體21承靠。由二牆面122往殼體內表面延伸所設置的承靠結構126,在一 些實施例中承靠結構126較佳為半圓形突起,可減少與殼體10的接觸面積,降低移動時所產生的摩擦力。 Referring to Figures 5A and 5B , the push rod track 12 comprises two opposing walls 122 and a plurality of guide structures 124 . The guide structures 124 are positioned on opposing sides of the walls 122 to limit and guide the movement of the rod 21 . A support structure 126 is positioned between the walls 122 to provide support for the rod 21 . The support structure 126 extends from the walls 122 toward the inner surface of the housing. In some embodiments, the support structure 126 is preferably a semicircular protrusion to minimize contact with the housing 10 and reduce friction during movement.

因此,牆面122與導引結構124可使桿體21沿著切線方向的位移,使按壓件23受力方向能經由推桿軌道12的角度變化,轉換為推動切換閥30的軸向力量。 Therefore, the wall surface 122 and the guide structure 124 allow the rod 21 to displace tangentially, allowing the force acting on the pressing member 23 to be converted into an axial force to push the switching valve 30 through the angle change of the push rod track 12.

請參閱圖6至圖8,以下介紹關於切換閥30的內部特徵。如圖6所示,從第一閥體通道31的閥口311朝第一閥體通道31的底部窺視,並以第一閥體通道31中心到延伸到其固定於殼體10的位置(固定部36)為第一方向D1,而第一閥體通道31的閥口311中心延伸到閥體開口33中心的為第二方向D2,第一方向D1與第二方向D2的夾角θ1較佳為65~75度。在圖6中,固定部36即切換閥30連接殼體10的位置,固定部36可以透過卡合或黏合等方式與殼體10相連接,並不以此為限。如圖7所示,第一閥體通道31的軸向與閥體開口33的軸向之間的夾角θ2為30~60度。前述第一閥體通道31的閥口311的設計角度可配合閥體開口33的輸入/輸出方向、抽吸流體導向特徵進行調整,在本實施例中以上述的較佳的角度設計,使得操作時灌洗與抽吸功能更加順暢。由此,切換閥30可減少切換行程但不會減少液體流量。 Please refer to Figures 6 to 8 for an introduction to the internal features of the switching valve 30. As shown in Figure 6, viewing from the valve opening 311 of the first valve channel 31 toward the bottom of the first valve channel 31, the first direction D1 extends from the center of the first valve channel 31 to the point where it is fixed to the housing 10 (fixing portion 36). The second direction D2 extends from the center of the valve opening 311 of the first valve channel 31 to the center of the valve opening 33. The angle θ1 between the first and second directions D1 and D2 is preferably 65-75 degrees. In Figure 6, the fixing portion 36 indicates the connection between the switching valve 30 and the housing 10. The fixing portion 36 can be connected to the housing 10 by means of snap-fitting or adhesive bonding, but is not limited thereto. As shown in Figure 7, the angle θ2 between the axial direction of the first valve channel 31 and the axial direction of the valve opening 33 is between 30 and 60 degrees. The design angle of the valve opening 311 of the first valve channel 31 can be adjusted to match the input/output direction and the suction fluid guidance characteristics of the valve opening 33. In this embodiment, the preferred angle design ensures smoother irrigation and suction functions during operation. This reduces the switching stroke of the switching valve 30 without reducing the fluid flow rate.

如圖8所示,閥體開口33是一種非圓形的開口,閥體開口33可設有閥蓋331,在閥蓋331偏移中心的位置設有一小孔,使工作通道W可減少切換行程而能以最小行程分支而出。此外,在小孔與工作通道W周圍可點膠,以達到完全密封的效果。 As shown in Figure 8, the valve body opening 33 is non-circular and can be fitted with a valve cap 331. A small hole is provided in the valve cap 331, offset from the center. This allows the working channel W to branch out with minimal travel, reducing the switching stroke. Furthermore, glue can be applied around the small hole and the working channel W to achieve a complete seal.

請參閱圖9至圖11,圖9為切換閥30的外觀示意圖,圖10與圖11為圖9在不同狀態下的剖面圖。如圖9所示,切換閥30還包括前蓋37,前蓋37蓋合 第一閥體通道31的閥口311,且前蓋37的中心具有貫穿孔371,使貫穿孔371與閥口311連通,閥件軸22(請參見圖4的符號22)可依序通過前蓋37的貫穿孔371、第一閥體通道31的閥口311並連接彈性密封件32。如圖10與圖11所示,彈性密封件32包括連接軸322、第一密封墊圈324與第二密封墊圈326,連接軸322的兩端分別為第一密封墊圈324與第二密封墊圈326。第一密封墊圈324的周緣與第二密封墊圈326的周緣分別緊密接觸第一閥體通道31的內壁,且連接軸322的截面積小於第一閥體通道31的截面積。彈性密封件32不僅可以有效控制流體通過的區域,連接軸322的設計縮短了第一密封墊圈324與第二密封墊圈326的移動行程,使得整體結構可更加小型、內部結構更加緊湊。 Please refer to Figures 9 to 11. Figure 9 is a schematic external view of the switching valve 30, while Figures 10 and 11 are cross-sectional views of Figure 9 in different states. As shown in Figure 9, the switching valve 30 also includes a front cover 37, which covers the valve port 311 of the first valve body channel 31. The front cover 37 has a through-hole 371 in its center, connecting the through-hole 371 to the valve port 311. The valve shaft 22 (see symbol 22 in Figure 4) can sequentially pass through the through-hole 371 of the front cover 37 and the valve port 311 of the first valve body channel 31, and then connect to the elastic seal 32. As shown in Figures 10 and 11, the elastic seal 32 includes a connecting shaft 322, a first sealing washer 324, and a second sealing washer 326. The first and second sealing washers 324 and 326 are located at either end of the connecting shaft 322. The peripheries of the first and second sealing washers 324 and 326 respectively closely contact the inner wall of the first valve passage 31. The cross-sectional area of the connecting shaft 322 is smaller than that of the first valve passage 31. The elastic seal 32 not only effectively controls the area through which fluid flows, but the design of the connecting shaft 322 also shortens the travel of the first sealing gasket 324 and the second sealing gasket 326, making the overall structure smaller and the internal structure more compact.

如圖10所示,當彈性密封件32位於抽吸區A2時,則閥體開口33與灌洗區A1導通。圖中的箭頭表示流體的移動方向,僅為示意、並非用於限定。因此,當閥體開口33與第一灌洗通道34連通時,可沿著第一灌洗管52注入液體,並沿著第一灌洗通道34流動至閥體開口33,以便後續流入膀胱內部。 As shown in Figure 10, when the elastic seal 32 is located in the suction area A2, the valve opening 33 is in communication with the irrigation area A1. The arrows in the figure indicate the direction of fluid movement and are for illustrative purposes only and are not intended to be limiting. Therefore, when the valve opening 33 is connected to the first irrigation channel 34, fluid can be injected through the first irrigation tube 52 and flow along the first irrigation channel 34 to the valve opening 33, where it can then flow into the bladder.

如圖11所示,當彈性密封件32從抽吸區A2移動至灌洗區A1時,使得閥體開口33與抽吸區A2導通,但閥體開口33與灌洗區A1之間隔絕。因此,當閥體開口33與抽吸通道35連通時,可藉由外部的抽氣機將膀胱內部的碎石片沿著閥體開口33、抽吸通道35至抽吸管51而排出。圖中的箭頭表示氣體和碎石的移動方向,僅為示意、並非用於限定。 As shown in Figure 11, when the elastic seal 32 moves from the suction area A2 to the lavage area A1, the valve opening 33 is connected to the suction area A2, but the valve opening 33 is isolated from the lavage area A1. Therefore, when the valve opening 33 is connected to the suction channel 35, the stone fragments inside the bladder can be expelled through the valve opening 33, the suction channel 35, and the suction tube 51 using an external vacuum. The arrows in the figure indicate the direction of gas and stone fragment movement and are for illustration only and are not intended to be limiting.

請參閱圖12至圖14,整合單元40還包括整合型上蓋48,蓋合在第二閥體通道42中靠近閥體開口33的該端,整合型上蓋48設有複數個通孔482。複數個通孔482可包括訊號線配合孔、工作通道配合孔、光纖纜線配合孔、操控纜繩配合孔等,使工作通道W、操控纜繩92、訊號線91與光纖纜線80等線材 得以插設在該些通孔482中。因此,整合型上蓋48具有將插入管46內部的工作通道W、操控纜繩92、訊號線91與光纖纜線80等線材做整束的功能,以減少線材混亂、避免操作時纏繞或相互磨損,並且在需要調整或維護時得以使線材之間有適當的隔離與調整。 Referring to Figures 12-14 , the integrated unit 40 further includes an integrated cover 48 , which covers the end of the second valve body passage 42 near the valve body opening 33 . The integrated cover 48 is provided with a plurality of through-holes 482 . These through-holes 482 may include holes for signal lines, working channels, optical fibers, and control cables, allowing cables such as the working channel W, control cable 92 , signal line 91 , and optical fiber cable 80 to be inserted into these through-holes 482 . Therefore, the integrated cover 48 bundles the working channel W, control cable 92, signal cable 91, and optical cable 80 within the insertion tube 46. This reduces cable clutter and prevents entanglement and wear during operation. It also allows for proper isolation and alignment when adjustments or maintenance are required.

如圖13所示,第二閥體通道42的軸向與第二灌洗通道44的軸向之間的夾角θ3較佳介於為30~60度,因此當第二灌洗通道44內的流體流動時可減少湍流衝突,以提升灌洗的效果。 As shown in Figure 13, the angle θ3 between the axial direction of the second valve channel 42 and the axial direction of the second irrigation channel 44 is preferably between 30 and 60 degrees. This reduces turbulent flow conflicts when the fluid flows within the second irrigation channel 44, thereby improving the irrigation effect.

如圖14所示,整合型上蓋48的表面凸出設有膠槽484,膠槽484的注膠區域涵蓋複數個通孔482的位置。在各種線材插入通孔482後,膠槽484內再注入生物相容性的膠體486黏合,膠槽484填滿膠體486後即可避免液體滲漏出第二閥體通道42外,同時也能穩固的固定將工作通道W、訊號線91、操控纜繩92與光纖纜線80,因此無需使用額外的O型環(O-ring)或防水料件來密封,可使防水效能提升並能降低成本。 As shown in Figure 14 , the surface of the integrated upper cover 48 is provided with a protruding adhesive groove 484. The adhesive injection area of the adhesive groove 484 covers the locations of the plurality of through-holes 482. After the various wires are inserted into the through-holes 482, a biocompatible adhesive 486 is injected into the adhesive groove 484 to bond them. Once the adhesive groove 484 is filled with adhesive 486, liquid leakage out of the second valve channel 42 is prevented. It also securely secures the working channel W, signal cable 91, control cable 92, and optical cable 80. This eliminates the need for additional O-rings or waterproof materials for sealing, improving waterproofing performance and reducing costs.

請參閱圖15,拋棄式輸尿管內視鏡還包括光纖通道70以及光纖分支通道72。光纖通道70的一部分可設在殼體10,供光纖纜線80通過。光纖分支通道72貫穿設在閥體開口33的側壁上,使光纖纜線80依序穿過光纖分支通道72、第二閥體通道42至前述的插入管46內。 Referring to Figure 15 , the disposable ureteroscope also includes an optical fiber channel 70 and an optical fiber branch channel 72. A portion of the optical fiber channel 70 may be disposed within the housing 10 to allow the passage of an optical fiber cable 80. The optical fiber branch channel 72 is formed through the sidewall of the valve body opening 33, allowing the optical fiber cable 80 to sequentially pass through the optical fiber branch channel 72, the second valve body channel 42, and into the aforementioned insertion tube 46.

綜上所述,本發明的拋棄式輸尿管內視鏡具有以下功效: In summary, the disposable ureteroscopic endoscope of the present invention has the following functions:

(1)簡化操作:透過單一按鈕實現內視鏡的抽吸與灌洗功能,簡化操作流程,使手術過程更加快速準確。 (1) Simplified operation: The suction and irrigation functions of the endoscope are realized through a single button, simplifying the operation process and making the surgical process faster and more accurate.

(2)改善工作通道的插入順暢度:閥件開孔採用特定角度設計,使工作通道更容易插入切換閥,提高操作的順暢性。 (2) Improve the smoothness of the insertion of the working channel: The valve opening is designed at a specific angle, making it easier to insert the switching valve into the working channel and improving the smoothness of the operation.

(3)提高空間利用率:透過特定角度設計的閥件開口位置,可在最短行程中分支出小工作通道,提升空間利用效率。 (3) Improve space utilization: By designing the valve opening at a specific angle, a small working channel can be branched out in the shortest stroke, thereby improving space utilization efficiency.

(4)縮短切換時間:切換閥的開口設計有助於縮短切換行程的時間,同時不影響液體的流量,提升設備的操作效率。 (4) Shorten switching time: The opening design of the switching valve helps shorten the switching stroke time without affecting the flow rate of the liquid, thereby improving the operating efficiency of the equipment.

(5)具有兩個灌洗通道,提供更靈活的使用選項,方便清潔與操作。 (5) It has two irrigation channels, providing more flexible usage options and facilitating cleaning and operation.

(6)簡化結構與降低成本:無需O-ring等防水零件,減少成本支出且結構簡單。 (6) Simplified structure and reduced costs: No need for waterproof parts such as O-rings, reducing costs and simplifying the structure.

以上所述,僅為舉例說明本發明的較佳實施方式,並非以此限定實施的範圍,凡是依本發明申請專利範圍及專利說明書內容所作的簡單置換及等效變化,皆屬本發明的專利申請範疇。 The above descriptions are merely examples of preferred embodiments of the present invention and are not intended to limit the scope of implementation. Any simple substitutions and equivalent variations made within the scope of the patent application and the contents of the patent specification are also within the scope of the present invention's patent application.

10:殼體 10: Shell

21:桿體 21: Shaft

22:閥件軸 22: Valve shaft

31:第一閥體通道 31: First valve channel

311:閥口 311: Valve

32:彈性密封件 32: Elastic seal

33:閥體開口 33: Valve body opening

34:第一灌洗通道 34: First irrigation channel

35:抽吸通道 35: Suction channel

42:第二閥體通道 42: Second valve channel

422:閥口 422: Valve

44:第二灌洗通道 44: Second irrigation channel

46:插入管 46: Insertion tube

W:工作通道 W: Working channel

A1:灌洗區 A1: Irrigation Area

A2:抽吸區 A2: Suction area

Claims (16)

一種拋棄式輸尿管內視鏡,包括: 一殼體,該殼體內設有一推桿軌道與一抵靠部,該抵靠部位於該推桿軌道的一側; 一推拉桿組件,包括一桿體與一閥件軸,該桿體的一部分設在該推桿軌道,該桿體的另一部分延伸至該推桿軌道外,且該桿體的一端設在該殼體,該桿體的另一端連接該閥件軸; 一切換閥,包括一第一閥體通道、一彈性密封件、一閥體開口、一第一灌洗通道與一抽吸通道,該彈性密封件設在該第一閥體通道內,且該閥件軸通過該第一閥體通道的閥口並連接該彈性密封件,使該閥件軸位於該桿體與該彈性密封件之間,該彈性密封件將該第一閥體通道區分成一灌洗區及一抽吸區,該第一灌洗通道的一端開口連通該灌洗區,該抽吸通道的一端開口連通該抽吸區,且該第一灌洗通道、該抽吸通道與該閥體開口的另一端開口突伸設在該第一閥體通道外;以及 一工作通道,連接該閥體開口; 其中,在該推拉桿組件帶動該彈性密封件在該第一閥體通道內移動的狀態下,使該彈性密封件位移至該灌洗區或該抽吸區,在該彈性密封件位於該灌洗區,該工作通道、該閥體開口與該抽吸區導通,在該彈性密封件位於該抽吸區,該工作通道、該閥體開口與該灌洗區導通。 A disposable ureteroscope comprises: A housing, wherein a push rod track and an abutment portion are disposed within the housing, the abutment portion being located on one side of the push rod track; A push-pull rod assembly, comprising a rod and a valve shaft, wherein a portion of the rod is disposed within the push rod track and another portion of the rod extends outside the push rod track. One end of the rod is disposed within the housing, and the other end of the rod is connected to the valve shaft. A single-change valve comprises a first valve channel, an elastic seal, a valve opening, a first irrigation channel, and a suction channel. The elastic seal is disposed within the first valve channel, and the valve shaft passes through the valve opening of the first valve channel and is connected to the elastic seal, such that the valve shaft is positioned between the stem and the elastic seal. The elastic seal divides the first valve channel into an irrigation zone and a suction zone. One end opening of the first irrigation channel is connected to the irrigation zone, and one end opening of the suction channel is connected to the suction zone. The other end openings of the first irrigation channel, the suction channel, and the valve opening protrude outside the first valve channel; and a working channel is connected to the valve opening. When the push-pull rod assembly drives the elastic seal to move within the first valve body channel, the elastic seal is displaced to the irrigation area or the suction area. When the elastic seal is located in the irrigation area, the working channel, the valve body opening, and the suction area are in communication. When the elastic seal is located in the suction area, the working channel, the valve body opening, and the irrigation area are in communication. 如請求項1所述的拋棄式輸尿管內視鏡,該推拉桿組件還包括: 一按壓件,該按壓件的頂部露出在該殼體的表面,該按壓件的底部連接該桿體的該端; 一凸塊,設在該桿體的一側且面對該抵靠部的位置上; 一導軸,設在該凸塊朝該抵靠部的位置,且該導軸穿過抵靠部;以及 一彈性件,套設在該導軸上,且該彈性件的一端抵靠在該抵靠部上,該彈性件的另一端抵靠在該導軸的底部。 In the disposable ureteroscope of claim 1, the push-pull rod assembly further comprises: a pressing member, the top portion of which is exposed on the surface of the housing and the bottom portion of which is connected to the end of the rod; a protrusion disposed on a side of the rod facing the abutment portion; a guide shaft disposed with the protrusion facing the abutment portion and extending through the abutment portion; and an elastic member sleeved on the guide shaft, with one end of the elastic member abutting the abutment portion and the other end abutting the bottom portion of the guide shaft. 如請求項1所述的拋棄式輸尿管內視鏡,還包括: 一整合單元,包括一第二閥體通道、一第二灌洗通道與一插入管,該第二閥體通道的閥口經由該工作通道連通該閥體開口、該第二閥體通道的另一端連接該插入管,該插入管的一部份裸露出在該殼體外,該第二灌洗通道的一端開口連通該第二閥體通道。 The disposable ureteroscopic device of claim 1 further comprises: An integrated unit comprising a second valve channel, a second irrigation channel, and an insertion tube. The valve port of the second valve channel is connected to the valve opening via the working channel. The other end of the second valve channel is connected to the insertion tube. A portion of the insertion tube is exposed outside the housing. One end opening of the second irrigation channel is connected to the second valve channel. 如請求項3所述的拋棄式輸尿管內視鏡,還包括: 一光纖通道,設在該殼體,供光纖纜線通過;及 一光纖分支通道,貫穿設在該閥體開口的側壁上,使該光纖纜線依序穿過該光纖分支通道、該第二閥體通道至該插入管。 The disposable ureteroscope of claim 3 further comprises: an optical fiber channel disposed in the housing for passage of an optical fiber cable; and an optical fiber branch channel extending through the side wall of the valve body opening, allowing the optical fiber cable to sequentially pass through the optical fiber branch channel, the second valve body channel, and the insertion tube. 如請求項3所述的拋棄式輸尿管內視鏡,其中,該第二閥體通道的軸向與該第二灌洗通道的軸向之間的夾角為30~60度。The disposable ureteroscope as described in claim 3, wherein the angle between the axis of the second valve channel and the axis of the second irrigation channel is 30-60 degrees. 如請求項3所述的拋棄式輸尿管內視鏡,該整合單元還包括: 一整合型上蓋,蓋合在該第二閥體通道中靠近該閥體開口的該端,該整合型上蓋設有複數個通孔。 The disposable ureteroscope of claim 3, wherein the integrated unit further comprises: An integrated upper cover, which covers the end of the second valve body passage proximal to the valve body opening, the integrated upper cover having a plurality of through-holes. 如請求項6所述的拋棄式輸尿管內視鏡,其中,該整合型上蓋的表面凸出設有一膠槽,該膠槽的注膠區域涵蓋該複數個通孔的位置。The disposable ureteroscope as described in claim 6, wherein a glue groove is protruding from the surface of the integrated upper cover, and the glue injection area of the glue groove covers the positions of the multiple through holes. 如請求項1所述的拋棄式輸尿管內視鏡,其中,該閥件軸設有一連接孔,該連接孔的貫孔方向與該桿體的移動方向交錯,該桿體的該另一端設有對應該連接孔的一凸軸,該凸軸穿設在該連接孔內,使該桿體連接該閥件軸。As described in claim 1, the disposable ureteroendoscope is provided with a connecting hole on the valve shaft, the through-hole direction of the connecting hole is staggered with the moving direction of the rod, and the other end of the rod is provided with a protrusion corresponding to the connecting hole, which is passed through the connecting hole to connect the rod to the valve shaft. 如請求項1所述的拋棄式輸尿管內視鏡,其中,該推桿軌道設有相對的二牆面與複數個導引結構,該複數個導引結構分別設置在該二牆面相對的一側,用於限制及導引該桿體的移動方向。As described in claim 1, the disposable ureteroscope, wherein the push rod track is provided with two opposite walls and a plurality of guide structures, wherein the plurality of guide structures are respectively provided on opposite sides of the two walls for limiting and guiding the movement direction of the rod body. 如請求項9所述的拋棄式輸尿管內視鏡,其中,該二牆面之間設有一承靠結構,該承靠結構提供該桿體承靠。The disposable ureteroscope as described in claim 9, wherein a supporting structure is provided between the two walls, and the supporting structure provides support for the rod. 如請求項1所述的拋棄式輸尿管內視鏡,其中,該桿體的表面在對應該推桿軌道的彎曲位置設有複數個缺口。The disposable ureteroscope according to claim 1, wherein a plurality of notches are provided on the surface of the rod at positions corresponding to the bends of the push rod track. 如請求項1所述的拋棄式輸尿管內視鏡,其中,從該第一閥體通道的該閥口朝該第一閥體通道的底部窺視,並以該第一閥體通道中心到延伸到其固定於該殼體的位置為第一方向,而該第一閥體通道的該閥口中心延伸到該閥體開口中心的為第二方向,該第一方向與該第二方向的夾角為65~75度。A disposable ureteroscope as described in claim 1, wherein, when viewing from the valve opening of the first valve channel toward the bottom of the first valve channel, the first direction is from the center of the first valve channel to the position where it is fixed to the housing, and the second direction is from the center of the valve opening of the first valve channel to the center of the valve opening, and the angle between the first direction and the second direction is 65-75 degrees. 如請求項1所述的拋棄式輸尿管內視鏡,其中,該第一閥體通道的軸向與該閥體開口的軸向之間的夾角為30~60度。The disposable ureteroscope as described in claim 1, wherein the angle between the axis of the first valve body channel and the axis of the valve body opening is 30-60 degrees. 如請求項1所述的拋棄式輸尿管內視鏡,其中,該彈性密封件還包括一連接軸、一第一密封墊圈與一第二密封墊圈,該連接軸的兩端分別為該第一密封墊圈與該第二密封墊圈,且該第一密封墊圈的周緣與該第二密封墊圈的周緣分別緊密接觸該第一閥體通道的內壁,且該連接軸的截面積小於該第一閥體通道的截面積。The disposable ureteroscope as described in claim 1, wherein the elastic seal further includes a connecting shaft, a first sealing gasket and a second sealing gasket, the two ends of the connecting shaft are the first sealing gasket and the second sealing gasket respectively, and the periphery of the first sealing gasket and the periphery of the second sealing gasket are respectively in close contact with the inner wall of the first valve channel, and the cross-sectional area of the connecting shaft is smaller than the cross-sectional area of the first valve channel. 如請求項1所述的拋棄式輸尿管內視鏡,還包括: 一抽吸管,該抽吸管的一端連接該抽吸通道、另一端延伸至該殼體外部;及 一第一灌洗管,該第一灌洗管的一端連接該第一灌洗通道、另一端延伸至該殼體外部。 The disposable ureteroscope of claim 1 further comprises: a suction tube, one end of which is connected to the suction channel and the other end of which extends to the exterior of the housing; and a first irrigation tube, one end of which is connected to the first irrigation channel and the other end of which extends to the exterior of the housing. 如請求項3所述的拋棄式輸尿管內視鏡,還包括: 一第二灌洗管,該第二灌洗管的一端連接該第二灌洗通道、另一端延伸至該殼體外部。 The disposable ureteroscope of claim 3 further comprises: A second irrigation tube, one end of the second irrigation tube being connected to the second irrigation channel and the other end extending to the exterior of the housing.
TW113143062A 2024-11-08 2024-11-08 Disposable cystoscopy TWI900325B (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20220054114A1 (en) * 2018-12-14 2022-02-24 Multi4 Ab An endosurgical device
CN115605121A (en) * 2020-03-24 2023-01-13 波士顿科学国际有限公司(Us) Apparatus, system and method for controlling endoscopic fluid
CN117398053A (en) * 2023-12-15 2024-01-16 湖南通普康业医疗科技有限公司 Renal pelvis endoscope catheter assembly and disposable catheter

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20220054114A1 (en) * 2018-12-14 2022-02-24 Multi4 Ab An endosurgical device
CN115605121A (en) * 2020-03-24 2023-01-13 波士顿科学国际有限公司(Us) Apparatus, system and method for controlling endoscopic fluid
CN117398053A (en) * 2023-12-15 2024-01-16 湖南通普康业医疗科技有限公司 Renal pelvis endoscope catheter assembly and disposable catheter

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