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TWM660519U - Internal viewing tube - Google Patents

Internal viewing tube Download PDF

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Publication number
TWM660519U
TWM660519U TW113205951U TW113205951U TWM660519U TW M660519 U TWM660519 U TW M660519U TW 113205951 U TW113205951 U TW 113205951U TW 113205951 U TW113205951 U TW 113205951U TW M660519 U TWM660519 U TW M660519U
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Taiwan
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catheter
opening
adjacent
distal opening
distal
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TW113205951U
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Chinese (zh)
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羅士哲
朱怡銘
詹明錕
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互貴興業股份有限公司
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Publication of TWM660519U publication Critical patent/TWM660519U/en

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Abstract

一種內視套管,包括:一本體;一導管,其係與該本體連接,其中,該導管內部係具有單一工作通道,且具有鄰近該本體的一近端開口以及遠離該本體的一遠端開口;以及一充氣裝置,其係包覆該導管,其中該充氣裝置之鄰近該導管之遠端開口之一膨脹末端係由彈性材料所構成,且該充氣裝置之鄰近該導管之遠端開口之一端係封閉,而鄰近該導管之近端開口之一端係藉由一注氣件之注氣開口與外界流體連通,藉此,當氣體被自該注氣開口灌入該充氣裝置與該導管之間的空間時,該膨脹末端將脹大。本創作之內視套管係適用於針對肺部之病灶之觀察、取樣及/或治療。 An endoscopic sleeve comprises: a body; a catheter connected to the body, wherein the catheter has a single working channel inside and has a proximal opening adjacent to the body and a distal opening far from the body; and an inflation device covering the catheter, wherein an expansion end of the inflation device adjacent to the distal opening of the catheter is made of elastic material, and one end of the inflation device adjacent to the distal opening of the catheter is closed, while one end adjacent to the proximal opening of the catheter is connected to an external fluid through an injection opening of an injection piece, whereby when gas is injected from the injection opening into the space between the inflation device and the catheter, the expansion end will expand. The endoscopic cannula of this invention is suitable for observation, sampling and/or treatment of lung lesions.

Description

內視套管 Internal viewing tube

本創作係關於一種內視套管,特別關於一種包含具有單一工作通道的導管的內視套管。 This invention relates to an endoscopic cannula, and more particularly to an endoscopic cannula comprising a catheter having a single working channel.

內視套管可應用於針對肺部之病灶之觀察、取樣及/或治療。傳統上,為了能夠在取樣及/或治療的同時觀察病灶,內視套管的導管必須具有至少二個以上的通道,其中,一通道用於設置攝影裝置,而另一通道用於設置工作件(例如:取樣裝置或沖洗裝置)。 Endoscopic cannulas can be used for observation, sampling and/or treatment of lung lesions. Traditionally, in order to observe lesions while sampling and/or treating, the catheter of the endoscopic cannula must have at least two channels, one of which is used to set up a photographic device and the other is used to set up a working piece (e.g., a sampling device or a flushing device).

由於傳統的內視套管的導管必須至少二個以上的通道,使得直徑受到限制,一般而言,不能小於3mm,使其可能無法到達位於肺部深處的病灶。 Since the catheter of the traditional endoscopic cannula must have at least two channels, the diameter is limited. Generally speaking, it cannot be less than 3mm, which may make it impossible to reach lesions deep in the lungs.

傳統的內視套管,仍有進步之空間。因此,本創作之一目的在於,提供一種內視套管,其導管具有較小的直徑,以到達位於肺部深處的病灶。 There is still room for improvement in traditional endoscopic cannulas. Therefore, one purpose of this invention is to provide an endoscopic cannula with a smaller diameter to reach lesions deep in the lungs.

為達上述目的及其他目的,本創作係提供一種內視套管,包括:一本體; 一導管,其係與該本體連接,其中,該導管內部係具有單一工作通道,且具有鄰近該本體的一近端開口以及遠離該本體的一遠端開口;以及一充氣裝置,其係包覆該導管,其中該充氣裝置之鄰近該導管之遠端開口之一膨脹末端係由彈性材料所構成,且該充氣裝置之鄰近該導管之遠端開口之一端係封閉,而鄰近該導管之近端開口之一端係藉由一注氣件之注氣開口與外界流體連通,藉此,當氣體被自該注氣開口灌入該充氣裝置與該導管之間的空間時,該膨脹末端將脹大。 To achieve the above and other purposes, the invention provides an endoscopic cannula, comprising: a body; a catheter connected to the body, wherein the catheter has a single working channel inside, and has a proximal opening adjacent to the body and a distal opening away from the body; and an inflation device covering the catheter, wherein an expansion end of the inflation device adjacent to the distal opening of the catheter is made of elastic material, and one end of the inflation device adjacent to the distal opening of the catheter is closed, and one end adjacent to the proximal opening of the catheter is connected to an external fluid through an injection opening of an injection member, whereby when gas is injected from the injection opening into the space between the inflation device and the catheter, the expansion end will expand.

於本創作之一實施例中,該導管之鄰近該遠端開口處可至少部分由X射線無法穿透之材料所構成。 In one embodiment of the invention, the catheter adjacent to the distal opening may be at least partially formed of a material that is impermeable to X-rays.

於本創作之一實施例中,該內視套管可進一步包括:一遠端彎折機構,其係與該本體以及該導管連接,包含:一操作手柄,其係設置於該本體的外部,且可轉動地連接至該本體;一轉盤,其係設置於該本體的內部,且與該操作手柄連接;以及一纜線,其部分係圍繞於該轉盤,且其二端係分別連接至鄰近該導管之遠端開口處之二側,藉此,當轉動該操作手柄時,將帶動該纜線,以使該導管之鄰近該遠端開口處彎折。 In one embodiment of the present invention, the endoscopic sleeve may further include: a distal bending mechanism, which is connected to the body and the catheter, including: an operating handle, which is disposed outside the body and rotatably connected to the body; a turntable, which is disposed inside the body and connected to the operating handle; and a cable, part of which surrounds the turntable, and the two ends of which are respectively connected to the two sides of the distal opening of the catheter, so that when the operating handle is rotated, the cable will be driven to bend the catheter near the distal opening.

於本創作之一實施例中,該內視套管可進一步包括:一導管旋轉機構,其係與該本體以及該導管連接,包含:一轉輪,其係與該導管連接,且可轉動地連接至該本體,藉此,當轉動該轉輪時,將帶動該導管,以使該導管旋轉。 In one embodiment of the present invention, the endoscopic cannula may further include: a catheter rotation mechanism, which is connected to the body and the catheter, including: a rotating wheel, which is connected to the catheter and rotatably connected to the body, whereby when the rotating wheel is rotated, the catheter will be driven to rotate.

於本創作之一實施例中,該內視套管可進一步包括:一感知機構,其係與該遠端彎折機構及該導管旋轉機構連結,以感知該導管之鄰近該遠端開口處的彎折狀態及該導管之旋轉狀態。 In one embodiment of the present invention, the endoscopic sleeve may further include: a sensing mechanism, which is connected to the distal bending mechanism and the catheter rotation mechanism to sense the bending state of the catheter near the distal opening and the rotation state of the catheter.

於本創作之一實施例中,該內視套管中該導管可進一步具有鄰近該近端開口的一沖洗口。 In one embodiment of the present invention, the catheter in the endoscopic cannula may further have a flushing port adjacent to the proximal opening.

於本創作之一實施例中,該內視套管中該導管之鄰近遠端開口處可具有蛇骨結構。 In one embodiment of the present invention, the distal opening adjacent to the catheter in the endoscopic sleeve may have a snake bone structure.

本創作之內視套管,藉由包含具有單一工作通道的導管,可有效地縮小導管的直徑,以到達位於肺部深處的病灶。 The endoscopic cannula of this invention can effectively reduce the diameter of the catheter by including a catheter with a single working channel to reach lesions deep in the lungs.

10:內視套管 10: Internal viewing tube

11:本體 11: Body

12:導管 12: Catheter

121:工作通道 121: Working channel

122:近端開口 122: Proximal opening

123:遠端開口 123: Remote opening

124:沖洗口 124: Rinse mouth

125:蛇骨結構 125: Snake bone structure

13:充氣裝置 13: Inflatable device

131:膨脹末端 131: Expansion end

132:注氣件 132: Gas injection parts

133:注氣開口 133: Gas injection opening

14:遠端彎折機構 14: Remote bending mechanism

141:操作手柄 141: Operating handle

142:轉盤 142: Turntable

143:纜線 143: Cable

15:導管旋轉機構 15: Guide tube rotation mechanism

151:轉輪 151: Wheel

20:工作件 20: Workpiece

為了便於描述清晰,圖式中各層之厚度或尺寸被加以放大、省略或概要的描繪。同時,各元件之尺寸並不完全反映其真實尺寸。 For the sake of clarity, the thickness or size of each layer in the figure is enlarged, omitted or outlined. At the same time, the size of each component does not fully reflect its actual size.

〔圖1〕係為本創作實施例之內視套管的示意圖;〔圖2〕係為本創作實施例之內視套管的另一角度的示意圖;〔圖3〕係為本創作實施例之內視套管之充氣裝置之膨脹末端的剖面示意圖;〔圖4〕係為本創作實施例之內視套管的分解示意圖;以及〔圖5〕係為本創作實施例之內視套管的使用狀態示意圖。 [Figure 1] is a schematic diagram of the endoscope sleeve of the present invention; [Figure 2] is a schematic diagram of the endoscope sleeve of the present invention from another angle; [Figure 3] is a cross-sectional schematic diagram of the inflation end of the inflation device of the endoscope sleeve of the present invention; [Figure 4] is a schematic diagram of the decomposition of the endoscope sleeve of the present invention; and [Figure 5] is a schematic diagram of the use state of the endoscope sleeve of the present invention.

為充分瞭解本創作之目的、特徵及功效,茲藉由下述具體之實施例,對本創作做一詳細說明,說明如後: 實施例:本創作實施例之內視套管係如圖1、圖2、圖3、圖4及圖5所示。 In order to fully understand the purpose, features and effects of this invention, this invention is described in detail through the following specific embodiments, as follows: Embodiment: The endoscopic sleeve of the embodiment of this invention is shown in Figures 1, 2, 3, 4 and 5.

本實施例之內視套管10包括:一本體11。舉例來說,該本體11可由塑膠或金屬所構成,但本創作並不限於此。 The endoscopic sleeve 10 of this embodiment includes: a body 11. For example, the body 11 can be made of plastic or metal, but the invention is not limited thereto.

本實施例之內視套管10亦包括:一導管12,其係與該本體11連接,其中,該導管12內部係具有單一工作通道121,且具有鄰近該本體11的一近端開口122以及遠離該本體11的一遠端開口123。 The endoscopic cannula 10 of this embodiment also includes: a catheter 12, which is connected to the body 11, wherein the catheter 12 has a single working channel 121 inside, and has a proximal opening 122 adjacent to the body 11 and a distal opening 123 away from the body 11.

本實施例之內視套管10亦包括:一充氣裝置13,其係包覆該導管12,其中該充氣裝置13之鄰近該導管12之遠端開口123之一膨脹末端131係由彈性材料所構成,且該充氣裝置13之鄰近該導管12之遠端開口123之一端係封閉,而鄰近該導管12之近端開口122之一端係藉由一注氣件132之注氣開口133與外界流體連通。 The endoscopic sleeve 10 of this embodiment also includes: an inflation device 13, which covers the catheter 12, wherein an expansion end 131 of the inflation device 13 adjacent to the distal opening 123 of the catheter 12 is made of elastic material, and one end of the inflation device 13 adjacent to the distal opening 123 of the catheter 12 is closed, and one end adjacent to the proximal opening 122 of the catheter 12 is connected to the external fluid through the gas injection opening 133 of a gas injection member 132.

該充氣裝置13之鄰近該導管12之遠端開口123之一膨脹末端131係由彈性材料所構成,當氣體被自該注氣開口133灌入該充氣裝置13與該導管12之間的空間時,該膨脹末端131將脹大成如圖1所示之狀態。而當氣體未被灌入該充氣裝置13與該導管12之間的空間時,該充氣裝置13之膨脹末端131係貼合該導管12,以便於深入肺部深處。 An expansion end 131 of the inflatable device 13 adjacent to the distal opening 123 of the catheter 12 is made of elastic material. When gas is injected into the space between the inflatable device 13 and the catheter 12 from the injection opening 133, the expansion end 131 will expand to the state shown in Figure 1. When gas is not injected into the space between the inflatable device 13 and the catheter 12, the expansion end 131 of the inflatable device 13 fits the catheter 12 so as to penetrate deep into the lungs.

本實施例之內視套管10,藉由包含具有單一工作通道121的導管12,可有效地縮小導管12的直徑至3mm以下,以到達位於肺部深處的病灶。 The endoscopic cannula 10 of this embodiment, by including a catheter 12 having a single working channel 121, can effectively reduce the diameter of the catheter 12 to less than 3 mm to reach lesions located deep in the lungs.

此外,本實施例之內視套管10,藉由包含充氣裝置13,當該導管12之遠端開口123到達鄰近病灶處時,可藉由使該膨脹末端131脹大來固定遠端 開口123的位置,或者藉由使該膨脹末端131脹大來擴張支氣管,以達到治療的目的。 In addition, the endoscopic cannula 10 of this embodiment includes an inflation device 13. When the distal opening 123 of the catheter 12 reaches the vicinity of the lesion, the position of the distal opening 123 can be fixed by inflating the inflation end 131, or the bronchus can be dilated by inflating the inflation end 131 to achieve the purpose of treatment.

綜合上述,參照圖5,本實施例之內視套管10可藉由該導管12單一工作通道121容納一工作件20,該工作件包含但不限於攝影裝置、取樣裝置或沖洗裝置。 In summary, referring to FIG5 , the endoscopic cannula 10 of this embodiment can accommodate a workpiece 20 through the single working channel 121 of the catheter 12, and the workpiece includes but is not limited to a photographic device, a sampling device or a flushing device.

舉例來說,本實施例之內視套管10可先以攝影裝置作為工作件20,將攝影裝置設置於該工作通道121中,藉由該攝影裝置確認該導管12之遠端開口123已到達鄰近病灶的位置,並進一步藉由使該膨脹末端131脹大來固定遠端開口123的位置。此時,由於遠端開口123與病灶之間的相對位置已藉由脹大的膨脹末端131固定,已無需藉由攝影裝置觀察病灶,故可將攝影裝置自工作通道121中抽出,並改將取樣裝置或沖洗裝置等工作件設置於該工作通道121中,進而對病灶進行取樣及/或治療。 For example, the endoscope cannula 10 of this embodiment can first use a photographic device as the working piece 20, and set the photographic device in the working channel 121. The photographic device is used to confirm that the distal opening 123 of the catheter 12 has reached the position adjacent to the lesion, and the position of the distal opening 123 is further fixed by expanding the expansion end 131. At this time, since the relative position between the distal opening 123 and the lesion has been fixed by the expanded expansion end 131, it is no longer necessary to observe the lesion by the photographic device, so the photographic device can be pulled out of the working channel 121, and a working piece such as a sampling device or a flushing device can be set in the working channel 121 instead, and the lesion can be sampled and/or treated.

本實施例之內視套管10,藉由使該膨脹末端131脹大來固定遠端開口123的位置,可藉此固定遠端開口123與病灶之間的位置,以避免在抽換不同的工作件20的過程中遠端開口123與病灶之間產生位移。 The endoscopic sleeve 10 of this embodiment fixes the position of the distal opening 123 by expanding the expansion end 131, thereby fixing the position between the distal opening 123 and the lesion, so as to avoid displacement between the distal opening 123 and the lesion during the process of replacing different working parts 20.

本實施例之內視套管10亦包括:一遠端彎折機構14,其係與該本體11以及該導管12連接,但本創作並不限於此。 The endoscopic cannula 10 of this embodiment also includes: a distal bending mechanism 14, which is connected to the main body 11 and the catheter 12, but the invention is not limited thereto.

該遠端彎折機構14包含:一操作手柄141,其係設置於該本體11的外部,且可轉動地連接至該本體11;一轉盤142,其係設置於該本體11的內部,且與該操作手柄141連接;以及一纜線143,其部分係圍繞於該轉盤142,且其二端係分別連接至鄰近該導管12之遠端開口123處之二側,藉此,當轉動 該操作手柄141時,將帶動該纜線143,以使該導管12之鄰近該遠端開口123處彎折。 The distal bending mechanism 14 includes: an operating handle 141, which is disposed outside the body 11 and rotatably connected to the body 11; a turntable 142, which is disposed inside the body 11 and connected to the operating handle 141; and a cable 143, a portion of which surrounds the turntable 142, and the two ends of which are respectively connected to the two sides of the distal opening 123 adjacent to the conduit 12, whereby when the operating handle 141 is rotated, the cable 143 will be driven to bend the conduit 12 adjacent to the distal opening 123.

本實施例之內視套管組1之內視套管10亦包括:一導管旋轉機構15,其係與該本體11以及該導管12連接,但本創作並不限於此。 The endoscopic cannula 10 of the endoscopic cannula set 1 of this embodiment also includes: a cannula rotating mechanism 15, which is connected to the body 11 and the cannula 12, but the invention is not limited thereto.

該導管旋轉機構15包含:一轉輪151,其係與該導管12連接,且可轉動地連接至該本體11,藉此,當轉動該轉輪151時,將帶動該導管12,以使該導管12旋轉。 The catheter rotating mechanism 15 includes: a rotating wheel 151, which is connected to the catheter 12 and rotatably connected to the body 11, so that when the rotating wheel 151 is rotated, the catheter 12 will be driven to rotate.

藉由該遠端彎折機構14及/或該導管旋轉機構15的設置,可讓使用者更為精密地控制該導管12之遠端開口123的方位,以便深入病灶。 By providing the distal bending mechanism 14 and/or the catheter rotating mechanism 15, the user can more precisely control the position of the distal opening 123 of the catheter 12 so as to penetrate deeper into the lesion.

本實施例之內視套管10亦包括:一感知機構(圖未示),其係與該遠端彎折機構14及該導管旋轉機構15連結,以感知該導管12之鄰近該遠端開口123處的彎折狀態及該導管12之旋轉狀態,但本創作並不限於此。 The endoscopic sleeve 10 of this embodiment also includes: a sensing mechanism (not shown), which is connected to the distal bending mechanism 14 and the catheter rotation mechanism 15 to sense the bending state of the catheter 12 near the distal opening 123 and the rotation state of the catheter 12, but the invention is not limited thereto.

藉由該感知機構可使使用者能夠隨時掌握該導管12之鄰近該遠端開口123處的彎折狀態及該導管12之旋轉狀態,以便於深入肺部深處。 The sensing mechanism enables the user to grasp the bending state of the catheter 12 near the distal opening 123 and the rotation state of the catheter 12 at any time, so as to facilitate penetration deep into the lungs.

本實施例中,該內視套管10中,該導管12進一步具有鄰近該近端開口122的一沖洗口124,但本創作並不限於此。藉由該沖洗口124的設置,使該內視套管10可在工作件20保持在工作通道121的情況下,對於病灶進行沖洗,以進一步提升該內視套管10的應用彈性。 In this embodiment, in the endoscopic cannula 10, the catheter 12 further has a flushing port 124 adjacent to the proximal opening 122, but the invention is not limited thereto. By providing the flushing port 124, the endoscopic cannula 10 can flush the lesion while the working piece 20 remains in the working channel 121, thereby further improving the application flexibility of the endoscopic cannula 10.

本實施例中,該內視套管10中,該導管12之鄰近遠端開口123處具有蛇骨結構125,但本創作並不限於此。藉由該蛇骨結構125的設置,確保該導管12之鄰近遠端開口123處同時具有足夠的剛性以及彎折能力,以便於深入肺部深處。 In this embodiment, the endoscopic cannula 10 has a snake-bone structure 125 near the distal opening 123 of the catheter 12, but the invention is not limited thereto. The arrangement of the snake-bone structure 125 ensures that the distal opening 123 near the catheter 12 has sufficient rigidity and bending ability to penetrate deep into the lungs.

本創作在上文中已以較佳實施例揭露,然熟習本項技術者應理解的是,該等實施例僅用於描繪本創作,而不應解讀為限制本創作之範圍。應注意的是,舉凡與該等實施例等效之變化與置換,均應設為涵蓋於本創作之範疇內。因此,本創作之保護範圍當以申請專利範圍所界定者為準。 This creation has been disclosed in the above with preferred embodiments, but those familiar with this technology should understand that these embodiments are only used to describe this creation and should not be interpreted as limiting the scope of this creation. It should be noted that all changes and substitutions equivalent to these embodiments should be included in the scope of this creation. Therefore, the scope of protection of this creation should be based on the scope defined by the patent application.

10:內視套管 10: Internal viewing tube

11:本體 11: Body

12:導管 12: Catheter

121:工作通道 121: Working channel

122:近端開口 122: Proximal opening

123:遠端開口 123: Remote opening

124:沖洗口 124: Rinse mouth

13:充氣裝置 13: Inflatable device

131:膨脹末端 131: Expansion end

14:遠端彎折機構 14: Remote bending mechanism

141:操作手柄 141: Operating handle

15:導管旋轉機構 15: Guide tube rotation mechanism

151:轉輪 151: Wheel

Claims (7)

一種內視套管,包括:一本體;一導管,其係與該本體連接,其中,該導管內部係具有單一工作通道,且具有鄰近該本體的一近端開口以及遠離該本體的一遠端開口;以及一充氣裝置,其係包覆該導管,其中該充氣裝置之鄰近該導管之遠端開口之一膨脹末端係由彈性材料所構成,且該充氣裝置之鄰近該導管之遠端開口之一端係封閉,而鄰近該導管之近端開口之一端係藉由一注氣件之注氣開口與外界流體連通,藉此,當氣體被自該注氣開口灌入該充氣裝置與該導管之間的空間時,該膨脹末端將脹大。 An endoscopic cannula comprises: a body; a catheter connected to the body, wherein the catheter has a single working channel inside, and has a proximal opening adjacent to the body and a distal opening away from the body; and an inflation device covering the catheter, wherein an expansion end of the inflation device adjacent to the distal opening of the catheter is made of elastic material, and one end of the inflation device adjacent to the distal opening of the catheter is closed, and one end adjacent to the proximal opening of the catheter is connected to an external fluid through an injection opening of an injection member, whereby when gas is injected from the injection opening into the space between the inflation device and the catheter, the expansion end will expand. 如請求項1所述之內視套管,其中,該導管之鄰近該遠端開口處係至少部分由X射線無法穿透之材料所構成。 An endoscopic cannula as described in claim 1, wherein the portion of the catheter adjacent to the distal opening is at least partially made of a material that is opaque to X-rays. 如請求項1所述之內視套管,其中,進一步包括:一遠端彎折機構,其係與該本體以及該導管連接,包含:一操作手柄,其係設置於該本體的外部,且可轉動地連接至該本體;一轉盤,其係設置於該本體的內部,且與該操作手柄連接;以及一纜線,其部分係圍繞於該轉盤,且其二端係分別連接至鄰近該導管之遠端開口處之二側,藉此,當轉動該操作手柄時,將帶動該纜線,以使該導管之鄰近該遠端開口處彎折。 The endoscopic cannula as described in claim 1, further comprising: a distal bending mechanism, which is connected to the body and the catheter, including: an operating handle, which is disposed outside the body and rotatably connected to the body; a turntable, which is disposed inside the body and connected to the operating handle; and a cable, part of which surrounds the turntable, and the two ends of which are respectively connected to the two sides of the distal opening of the catheter, so that when the operating handle is rotated, the cable will be driven to bend the catheter near the distal opening. 如請求項3所述之內視套管,其中,進一步包括:一導管旋轉機構,其係與該本體以及該導管連接,包含:一轉輪,其係與該導管連接,且可轉動地連接至該本體,藉此,當轉動該轉輪時,將帶動該導管,以使該導管旋轉。 The endoscopic cannula as described in claim 3, further comprising: a catheter rotation mechanism, which is connected to the body and the catheter, and includes: a rotating wheel, which is connected to the catheter and rotatably connected to the body, whereby when the rotating wheel is rotated, the catheter will be driven to rotate. 如請求項4所述之內視套管,其中,進一步包括:一感知機構,其係與該遠端彎折機構及該導管旋轉機構連結,以感知該導管之鄰近該遠端開口處的彎折狀態及該導管之旋轉狀態。 The endoscopic cannula as described in claim 4 further comprises: a sensing mechanism connected to the distal bending mechanism and the catheter rotation mechanism to sense the bending state of the catheter near the distal opening and the rotation state of the catheter. 如請求項1所述之內視套管,其中,該導管進一步具有鄰近該近端開口的一沖洗口。 An endoscopic cannula as described in claim 1, wherein the catheter further has a flushing port adjacent to the proximal opening. 如請求項1所述之內視套管,其中,該導管之鄰近遠端開口處係具有蛇骨結構。 An endoscopic cannula as described in claim 1, wherein the catheter has a serpentine structure adjacent to the distal opening.
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