WO2012006811A1

WO2012006811A1 - Rigid laser endoscope system

Info

Publication number: WO2012006811A1
Application number: PCT/CN2010/077021
Authority: WO
Inventors: 乔铁
Original assignee: 广州宝胆医疗器械科技有限公司
Priority date: 2010-07-15
Filing date: 2010-09-17
Publication date: 2012-01-19

Abstract

A rigid laser endoscope system includes a rigid endoscope (11, 21, 31, 41, 51, 61), a laser knife device (22, 42, 62), an endoscope system host (12, 23, 43, 52, 63), a laser system host (13, 24, 44, 53, 64), a cold light source host (14, 25, 45, 54, 65), an endoscopic image display (16, 27, 47, 56, 67) and a laser data monitor (17, 28, 48, 57, 68). The laser knife device (22, 42, 62) can be either integrated in the rigid endoscope (11, 21, 31, 41, 51, 61) to form an incorporate rigid laser endoscope or mounted detachably in the rigid endoscope (11, 21, 31, 41, 51, 61).

Description

Hard laser endoscope system

The invention relates to a hard laser endoscope system, belonging to the field of medical instruments. Background technique

At present, endoscopic technology and laser knife technology have been widely used in clinical practice and become an important tool for the diagnosis and treatment of diseases. The endoscope can enter the human body through the natural hole of the human body or through a surgical incision, and the doctor can observe the lesion in the patient through the endoscope, thereby adopting effective treatment means. Because of its good single directionality and high energy density, lasers can use their thermal, optical and electromagnetic effects to cut body lesions instead of traditional scalpels. Surgery with a laser knife has the advantages of smooth surgical incision, less bleeding, less infection, and better postoperative recovery. Therefore, it is of great significance to combine the existing endoscopic technology with the laser knife technology to achieve each other's advantages, thereby improving the effectiveness and safety of the operation. Summary of the invention

The object of the present invention is to provide a hard laser endoscope system which combines advanced laser knife technology and hard endoscope technology to effectively improve the accuracy and cure rate of surgery and reduce Recurrence rate, thereby improving medical quality and medical safety.

The object of the invention is achieved by the following technical solutions:

The hard laser endoscope system of the present invention comprises a rigid endoscope, a laser knife device, an endoscope system host, a laser system host, a cold light source host, an endoscopic image display, and a laser data monitor; The endoscope is provided with a surgical end and an operating end, and the rigid endoscopic surgical end is provided with an endoscope lens and a light guiding optical fiber on the end surface thereof, and the hard endoscope operating end is provided with an endoscope image output end and a cold light source input end; the cold light source input end is connected to the cold light source host; the endoscope image output end and the endoscope image display are respectively connected to the endoscope system host; The laser knife device is provided with a laser knife probe, a laser data output end and a laser control button; the laser data output end and the laser data monitor are respectively connected to the laser system host.

The hard laser endoscope system of the present invention may further include a system keyboard, and the system keyboard is connected to the host system of the endoscope system and the host of the laser system to realize the hard laser endoscope by keyboard operation. System control.

In the present invention, the rigid endoscope is further provided with an instrument passage penetrating therein, the inlet of the instrument channel is disposed on the rigid endoscope operating end, and the outlet of the instrument channel is disposed in the rigid endoscopic surgery On the end face of the end.

In the present invention, the laser system main body is provided with a cooling system and a laser knife for cutting, illuminating, and solidifying hemostasis. Operating mode.

In the present invention, the laser knife probe is provided with a groove in which a laser fiber is placed.

In the present invention, the laser knife probe is further provided with a heat sink and a temperature sensor, the heat sink is wrapped around the outer layer of the laser fiber, and the temperature sensor passes through the metal wire and the laser system host The cooling system is connected.

In the present invention, the endoscopic image output end is preferably disposed at an angle of 45 to the longitudinal central axis of the rigid endoscope to improve stability and grasp of the surgical procedure.

In the present invention, the endoscopic lens preferably employs an optical lens having an angle of view of 100 or more.

As a preferred embodiment, the laser knife apparatus of the present invention is integrated in the rigid endoscope to form an integrated hard laser endoscope. Wherein, the laser knife probe is integrated on the end surface of the rigid endoscopic surgical end, and the laser data output end and the laser control button are integrated on the hard endoscope operation end. Preferably, the laser knife device may further be provided with a pushing device for controlling the expansion and contraction of the laser knife probe and a micro motor for driving the pushing device.

As another preferred embodiment, the laser knife device of the present invention is removably mounted in the rigid endoscope. The instrument channel of the rigid endoscope is a linear instrument channel, and the inlet is disposed on the longitudinal central axis of the rigid endoscope operating end. The laser knife device is also provided with a surgical end and an operating end. The laser knife probe is disposed on an end surface of the surgical end of the laser knife device, and the laser data output end and the laser control button are disposed on the operating end of the laser knife device. The surgical end of the laser knife device extends through the linear instrument channel and extends over the end surface of the rigid endoscopic surgical end.

In the present invention, the rigid endoscope may be a hard arthroscope, a rigid gallbladder mirror, a rigid anorectal mirror, a rigid cystoscope, a hard hysteroscope or a rigid colposcope.

Compared with the prior art, the present invention has the following beneficial effects:

When using the hard laser endoscope system of the present invention for surgical treatment, the doctor can clearly observe the tissue lesions in the patient through the images fed back by the endoscopic lens and the endoscopic image display, and then start the laser system host, select appropriate The working mode, and under the monitoring of the laser data monitor, the diseased tissue in the patient is removed by a laser knife probe, or the inflammation tissue in the patient is irradiated, or the bleeding site in the patient is hemostasis. The hard laser endoscope system of the invention organically combines advanced laser knife technology and hard endoscope technology to form a new surgical treatment device, which can effectively improve the accuracy and cure rate of the operation, and reduce The recurrence rate, which improves medical quality and medical safety, can better compensate for the deficiencies of existing surgical equipment. The rigid endoscope and the laser knife device of the present invention can be integrated to form an integrated hard laser endoscope, or a separate design, which has the advantages of diverse structure and wide application range. DRAWINGS 1 is a schematic structural view of a hard laser arthroscopy system according to a first embodiment of the present invention.

2 is a schematic view showing the end face structure of a hard laser arthroscope according to Embodiment 1 of the present invention.

3 is a cross-sectional structural view of a laser knife probe according to Embodiment 1 of the present invention.

4 is a schematic structural view of a hard laser gallbladder mirror system according to a second embodiment of the present invention.

Fig. 5 is a schematic view showing the end face structure of a rigid gallbladder mirror according to a second embodiment of the present invention.

Fig. 6 is a schematic structural view of a laser knife device according to a second embodiment of the present invention.

Figure 7 is a schematic view showing the structure of a hard laser anorectal lens according to a third embodiment of the present invention.

Fig. 8 is a schematic view showing the end face structure of a hard laser anorectal lens according to a third embodiment of the present invention.

FIG. 9 is a schematic structural view of a hard laser cystoscope system according to Embodiment 4 of the present invention.

Figure 10 is a schematic view showing the end face structure of a rigid cystoscope according to a fourth embodiment of the present invention.

Figure 11 is a schematic view showing the structure of a hard laser hysteroscope system according to a fifth embodiment of the present invention.

Figure 12 is a schematic view showing the end face structure of a hard laser hysteroscope according to a fifth embodiment of the present invention.

Figure 13 is a schematic view showing the structure of a hard laser colposcope system according to a sixth embodiment of the present invention.

Figure 14 is a schematic view showing the end face structure of a rigid colposcope according to a sixth embodiment of the present invention. detailed description

The specific embodiments of the present invention are further described in detail below with reference to the accompanying drawings. Embodiment 1: Hard laser arthroscopy system

As shown in FIG. 1 , the rigid laser arthroscopy system of the present invention comprises a hard laser arthroscope 11 , an endoscope system host 12 , a laser system host 13 , a cold light source host 14 , a system keyboard 15 , an endoscopic image display 16 and laser data monitor 17. The system keyboard 15 is connected to the endoscope system main unit 12 and the laser system main unit 13, and the doctor can realize the manipulation of the system by keyboard operation. The laser system main unit 13 is provided with a cooling system and a plurality of laser knife working modes, including cutting, irradiation and solidification hemostasis. The hard laser arthroscope 11 is provided with a surgical end 11A and an operating end 11B. The length of the surgical end 11A is about 250 mm to 300 mm and the diameter is 10.0 mm. The operating end 11B is provided with an endoscopic image output end 111 and a laser data output end 112. Laser control button 113 and cold light source input 114. The cold light source input end 114 is connected to the cold light source host 14; the endoscope image output end 111 and the endoscopic image display unit 16 are respectively connected to the endoscope system main body 12 through the data line to collect the hard laser arthroscope 11 The endoscopic image data is transmitted to the endoscopic image display unit 16; the laser data output end 112 and the laser data monitor 17 are respectively connected to the laser system main unit 13 through the data line to transmit information such as the working state and parameters of the laser knife to the laser. The data monitor 17 is on; and the laser control button 113 is for controlling the opening of the laser. In order to improve the stability and graspability of the surgical operation process, the laser data output end 112 is disposed on the longitudinal central axis of the hard laser arthroscope 11, and the endoscopic image output end 111 is disposed to be aligned with the longitudinal central axis of the hard laser arthroscope 11. The line is at an angle of 45°.

Fig. 2 is a schematic view showing the end face structure of the hard laser arthroscopic surgical end 11 A. The hard laser arthroscope 11 is integrated with a laser knife probe 115, an endoscope lens 116, and a light guiding fiber on the end surface of the surgical end 11A to form an integrated hard laser arthroscope. The laser knife probe 115 is made of a material that is resistant to high temperatures, light, light, and non-fragile, such as quartz, gemstones, and the like. The endoscope lens 116 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°. A pusher for controlling the telescoping of the laser knife probe 115 and a micromotor for driving the pusher can also be provided in the hard laser arthroscope 11. When the surgical treatment is performed, the laser knife probe 115 is pushed out of the end surface of the surgical end 11A by the pushing device by about 5 mm; after the end of the operation, the laser knife probe 115 is retracted into the end surface of the surgical end 11A by the pushing device. A sealing process is required between the laser knife probe 115 and the end surface of the surgical end 11A to isolate the gas-water contact inside and outside the hard laser arthroscope.

3 is a schematic cross-sectional view of the laser knife probe 115. The laser knife probe 115 is provided with a groove in which a laser fiber 1151 is placed, and the groove is arranged to facilitate uniform dispersion of the laser. The outer layer of the laser fiber 1151 is wrapped with a heat sink 1152 for efficient heat dissipation. A temperature sensor 1153 is further disposed in the laser knife probe 115, and the temperature sensor 1153 is connected to the cooling system in the laser system main body 13 through a metal wire to accurately feed back the temperature of the laser knife probe 115 to the laser system main body 13, when the laser knife probe 115 When the temperature is too high, the cooling system protects the laser knife probe by enhancing heat dissipation, reducing laser intensity, or cutting off the power. Example 2: Hard laser gallbladder system

As shown in FIG. 4, the rigid laser gallbladder mirror system of the present invention comprises a rigid gallbladder mirror 21, a laser knife device 22, an endoscope system main unit 23, a laser system main unit 24, a cold light source host 25, a system keyboard 26, and an inner Mirror image display 27 and laser data monitor 28. The system keyboard 26 is connected to the endoscope system main unit 23 and the laser system main unit 24, and the doctor can control the system by keyboard operation. The laser system main unit 24 is provided with a cooling system and a plurality of laser knife operating modes, including cutting, irradiation, and coagulation hemostasis. The rigid gallbladder mirror 21 is provided with a surgical end 21 A and an operating end 21B. The length of the surgical end 21A is about 250 mm to 300 mm and the diameter is 10.0 mm. The operating end 21B is provided with an endoscopic image output end 211 and a cold light source input end 212. The cold light source input end 212 is connected to the cold light source host 25; the endoscope image output end 211 and the endoscope image display 27 are respectively connected to the endoscope system main body 23 through the data line to collect the hard gallbladder mirror 21 The endoscopic image data is transmitted to the endoscopic image display 27. In order to improve the stability and graspability of the surgical procedure, the endoscopic image output end 211 is disposed at an angle of 45 to the longitudinal central axis of the hard gallbladder mirror 21. The rigid gallbladder mirror 21 is further provided with a linear instrument channel 213 and a non-linear instrument channel 214 therethrough, wherein the linear instrument channel 213 has a diameter of about 2.0 mm to 3.0 mm, and the inlet is disposed at the longitudinal end of the operating end 21B. On the central axis, its outlet 213' is placed on the end face of the surgical end 21A. The non-linear instrument channel 214 has a diameter of about 0.9 mm to 1.5 mm, the inlet is disposed on the operating end 21B, and the outlet 214' is disposed on the end surface of the surgical end 21A. FIG. 5 is a schematic view showing the end face structure of the rigid gallbladder mirror 21. The rigid gallbladder mirror 21 is provided with an endoscopic lens 215 and a light guiding optical fiber on the end surface of the surgical end 21A. The endoscope lens 215 is an optical lens having a diameter of about 1.5 mm to 3.0 mm and an angle of view of 100°.

FIG. 6 is a schematic view showing the structure of the laser knife device 22. The laser knife device 22 is also provided with a surgical end 22A and a working end 22B, wherein the surgical end 22A is round tubular, made of hard metal, the length is greater than 300 mm, and the diameter is less than 3.0 mm _; and the operating end 22B is cylindrical, suitable for the hand The department holds. The laser knife probe 221 is provided on the end surface of the surgical end 22A. The internal structure and manufacturing material of the laser knife probe 221 are the same as those of the laser knife probe 115 described in the first embodiment. The operation end 22B is provided with a laser data output end 222 and a laser control button 223. The laser data output end 222 and the laser data monitor 28 are respectively connected to the laser system main unit 24 through the data line to provide information such as the working state and parameters of the laser knife. It is transmitted to the laser data monitor 28; and the laser control button 223 is used to control the opening of the laser. The surgical end 22A of the laser knife device 22 passes through the linear instrument channel 213 and extends from its outlet 213' on the end face of the rigid gallbladder surgical end 21A to be removably mounted in the rigid gallbladder mirror 21. Example 3: Hard laser anorectal system

The hard laser arthroscopic system according to the first embodiment, the hard laser anorectal system of the present invention also includes a hard laser anorectal, an endoscope system host, a laser system host, a cold light source host, a system keyboard, Endoscopic image display and laser data monitor. The system keyboard is connected to the host system of the endoscope system and the host of the laser system. The doctor can control the system through keyboard operation. The mainframe of the laser system is equipped with a cooling system and a variety of laser knife modes of operation, including cutting, illuminating and coagulation hemostasis.

Figure 7 is a schematic view showing the structure of a hard laser anorectal. The hard laser anorectal 31 is provided with a surgical end 31A and an operating end 31B. The length of the surgical end 31A is about 300 mm to 450 mm and the diameter is 15.0 mm. The end 31 of the operation end 31B is provided with an endoscopic image output end 311 and laser data output. End 312, laser control button 313 and cold light source input 314. The cold light source input end 314 is connected to the cold light source host; the endoscope image output end 311 and the endoscopic image display are respectively connected to the endoscope system host through the data line to collect the endoscope of the hard laser anorectal 31 The image data is transmitted to the endoscopic image display; the laser data output terminal 312 and the laser data monitor are respectively connected to the laser system host through the data line to transmit information such as the working state and parameters of the laser knife to the laser data monitor; The laser control button 313 is for controlling the opening of the laser. In order to improve the stability and graspability of the surgical operation process, the laser data output end 312 is disposed on the longitudinal central axis of the hard laser anorectal, and the endoscopic image output end 311 is disposed to be perpendicular to the longitudinal central axis of the hard laser anorectal. 45° angle. The hard laser anorectoscope 31 is further provided with an instrument passage 315 penetrating therein and having a diameter of 2.0 mm. The inlet of the instrument passage 315 is disposed on the operation end 31B, and the outlet 315' is disposed on the end surface of the surgical end 31A.

Fig. 8 is a schematic view showing the end face structure of the hard laser anorectal surgery end 31A. Hard laser anorectal 31 at its surgical end A laser knife probe 316, an endoscope lens 317, and a light guiding fiber are integrated on the end surface of the 31A to form an integrated hard laser anorectoscope. The endoscope lens 317 is an optical lens having a diameter of about 3.0 mm to 4.0 mm and an angle of view of 100°. The internal structure and manufacturing material of the laser knife probe 316 are the same as those of the laser knife probe 115 described in the first embodiment. A pusher for controlling the expansion and contraction of the laser knife probe 316 and a micromotor for driving the pusher may also be disposed in the hard laser anorectoscope 31. When the surgical treatment is performed, the laser knife probe 316 is pushed out of the end surface of the surgical end 31A by the pushing device by about 5 mm; and after the end of the operation, the laser knife probe 316 is retracted into the end surface of the surgical end 31A by the pushing device. A sealing process is required between the laser knife probe 316 and the end surface of the surgical end 31A to isolate the gas-water contact inside and outside the hard laser anorectoscope. Embodiment 4: Hard laser cystoscope system

As shown in FIG. 9, the hard laser cystoscope system of the present invention comprises a rigid cystoscope 41, a laser knife device 42, an endoscope system host 43, a laser system host 44, a cold light source host 45, a system keyboard 46, and an inner Mirror image display 47 and laser data monitor 48. The system keyboard 46 is connected to the endoscope system main unit 43 and the laser system main unit 44, and the doctor can operate the system by keyboard operation. The laser system main unit 44 has a cooling system and a variety of laser knife operating modes, including cutting, illuminating and coagulation hemostasis. The rigid cystoscope 41 has a surgical end 41 A and an operating end 41B. The surgical end 41A has a length of about 220 mm to 270 mm and a diameter of 9.0 mm. The operating end 41B is provided with an endoscopic image output end 411 and a cold light source input end 412. The cold light source input end 412 is connected to the cold light source host 45; the endoscope image output end 411 and the endoscopic image display unit 47 are respectively connected to the endoscope system main unit 43 through the data line to collect the hard cystoscope 41. The endoscopic image data is transmitted to the endoscopic image display 47. In order to improve the stability and graspability of the surgical procedure, the endoscopic image output end 411 is disposed at an angle of 45 to the longitudinal central axis of the rigid cystoscope 41. The rigid cystoscope 41 is further provided with a linear instrument passage 413 penetrating therein and having a diameter of 3.0 mm. The inlet of the linear instrument passage 413 is disposed on the longitudinal central axis of the operating end 41B, and the outlet 413' is disposed at the end surface of the surgical end 41A. on. The outer side of the surgical end 41 A is also covered with a sheath portion 410 which is snapped together by a bayonet 4101. The sheath portion 410 has a length of about 180 mm to 220 mm and a diameter of 10.0 mm, and a water inlet passage 4102 and a water outlet passage 4103 penetrating therethrough are provided thereon, and the ends thereof are curved and blunt.

Fig. 10 is a schematic view showing the end face structure of the rigid cystoscope 41. The rigid cystoscope 41 is provided with an endoscope lens 414 and a light guiding optical fiber on the end surface of the surgical end 41A. The endoscope lens 414 is an optical lens with a diameter of approximately 1.5 mm to 3.0 mm and an angle of view of 100°. In the present embodiment, the structure of the laser blade device 42, the material of manufacture, and the manner of connection with the laser system main unit 44 and the laser data monitor 48 are the same as those of the laser blade device 22 described in the second embodiment. The surgical end of the laser knife device 42 passes through the instrument channel 413 and projects from its outlet on the end face of the rigid cystoscope end 41A to be removably mounted in the rigid cystoscope 41. Embodiment 5: Hard laser hysteroscopy system

As shown in FIG. 11, the hard laser hysteroscopic system of the present invention comprises a hard laser hysteroscope 51 and an endoscope system. The host 52, the laser system host 53, the cold light source host 54, the system keyboard 55, the endoscopic image display 56, and the laser data monitor 57. The system keyboard 55 is connected to the endoscope system main unit 52 and the laser system main unit 53, and the doctor can control the system by keyboard operation. The laser system main unit 53 is provided with a cooling system and a plurality of laser knife operating modes, including cutting, irradiation, and coagulation hemostasis. The hard laser hysteroscope 51 is provided with a surgical end 51 A and an operating end 51B. The length of the surgical end 51 A is about 250 mm to 300 mm and the diameter is 10.0 mm. The end 51 is provided with an endoscopic image output end 511 and laser data output. End 512, laser control button 513 and cold light source input 514. The cold light source input end 514 is connected to the cold light source host 54; the endoscope image output end 511 and the endoscopic image display unit 56 are respectively connected to the endoscope system main unit 52 through the data line, thereby collecting the hard laser hysteroscope 51. The obtained endoscopic image data is transmitted to the endoscopic image display 56; the laser data output terminal 512 and the laser data monitor 57 are respectively connected to the laser system main unit 53 through the data line, thereby transmitting information such as the working state and parameters of the laser knife to The laser data monitor 57 is on; and the laser control button 513 is for controlling the opening of the laser. In order to improve the stability and graspability of the surgical operation process, the laser data output end 512 is disposed on the longitudinal central axis of the hard laser hysteroscope 51, and the endoscopic image output end 511 is disposed to be adjacent to the hard laser hysteroscope 51. The longitudinal center axis is at an angle of 45°. The hard laser hysteroscope 51 is further provided with an instrument channel 515 extending therethrough and having a diameter of about 0.9 mm to 1.5 mm. The inlet of the instrument channel 515 is disposed on the operating end 51B, and the outlet 515' is disposed at the surgical end 51 A. On the end face. The outer side of the surgical end 51 A is also covered with a sheath portion 510 which is snapped together by the bayonet 5101. The sheath portion 510 has a length of about 150 mm to 250 mm and a diameter of 12.0 mm, and is provided with a water inlet passage 5102 and a water outlet passage 5103 therethrough.

Fig. 12 is a schematic view showing the end face structure of the hard laser hysteroscopic surgery end 51A. The hard laser hysteroscope 51 integrates a laser knife probe 516, an endoscope lens 517, and a light guiding fiber on the end face of the surgical end 51A to form an integrated hard laser hysteroscope. The endoscopic lens 517 is an optical lens with a diameter of approximately 1.5 mm to 3.0 mm and an angle of view of 100°. The internal structure and manufacturing material of the laser knife probe 516 are the same as those of the laser knife probe 115 described in the first embodiment. A pusher for controlling the telescoping of the laser knife probe 516 and a micromotor for driving the pusher may also be provided in the hard laser hysteroscope 51. When the surgical treatment is performed, the laser knife probe 516 is pushed out by the pushing device to the end surface of the surgical end 51A by about 5 mm; and after the surgery is finished, the laser knife probe 516 is retracted into the end surface of the surgical end 51A by the pushing device. Sealing between the laser knife probe 516 and the end of the surgical end 51A is required to isolate the gas-water contact between the inside and outside of the hard laser hysteroscope. Embodiment 6: Hard laser colposcopy system

As shown in FIG. 13, the hard laser colposcopy system of the present invention comprises a rigid colposcope 61, a laser knife device 62, an endoscope system host 63, a laser system host 64, a cold light source host 65, a system keyboard 66, and an inner A mirror image display 67 and a laser data monitor 68. The system keyboard 66 is connected to the endoscope system main unit 63 and the laser system main unit 64, and the doctor can realize the manipulation of the system by keyboard operation. The laser system host 64 is provided with a cooling system and various laser knife working modes, including It includes working modes such as cutting, irradiation and coagulation. The rigid colposcope 61 is provided with a surgical end 61 A and an operating end 61B. The surgical end 61A has a length of about 200 mm to 250 mm and a diameter of 15.0 mm. The operating end 61B is provided with an endoscopic image output end 611 and a cold light source input end 612. The cold light source input end 612 is connected to the cold light source host 65; the endoscope image output end 611 and the endoscopic image display 67 are respectively connected to the endoscope system main body 63 through the data line to collect the hard colposcope 61. The endoscopic image data is transmitted to the endoscopic image display 67. In order to improve the stability and graspability of the surgical procedure, the endoscopic image output end 611 is disposed at an angle of 45 to the longitudinal central axis of the rigid colposcope 61. The rigid colposcope 61 is further provided with a linear instrument channel 613 and a non-linear instrument channel 614 therethrough, wherein the linear instrument channel 613 has a diameter of 3.5 mm and its inlet is disposed on the longitudinal central axis of the operating end 61B. The outlet 613' is provided on the end surface of the surgical end 61A. The non-linear instrument channel 614 has a diameter of about 0.9 mm to 1.5 mm, the inlet is disposed on the operating end 61B, and the outlet 614' is disposed on the end surface of the surgical end 61A.

Figure 14 is a schematic view showing the end face structure of the rigid colposcope 61. The rigid colposcope 61 is provided with an endoscopic lens 615 and a light guiding optical fiber on the end surface of the surgical end 61A. The endoscope lens 615 uses an optical lens with a diameter of approximately 1.5 mm to 3.0 mm and an angle of view of 100°. In the present embodiment, the structure of the laser blade device 62, the materials of manufacture, and the manner of connection to the laser system host 64 and the laser data monitor 68 are the same as those of the laser blade device 22 described in the second embodiment. The surgical end of the laser knife device 62 passes through the linear instrument channel 613 and protrudes from its outlet on the end face of the rigid colposcope surgical end 61A, thereby being removably mounted in the rigid colposcope 61.

Claims

Claim

1. A hard laser endoscope system, comprising: a rigid endoscope, a laser knife device, an endoscope system host, a laser system host, a cold light source host, an endoscopic image display, and a laser data monitor; The rigid endoscope is provided with a surgical end and an operating end, and the rigid endoscopic surgical end is provided with an endoscope lens and a light guiding optical fiber on the end surface thereof, and the hard endoscope operating end is provided with an endoscopic image output And the cold light source input end; the cold light source input end is connected to the cold light source host; the endoscope image output end and the endoscope image display are respectively connected to the endoscope system host; The laser knife device is provided with a laser knife probe, a laser data output end and a laser control button; the laser data output end and the laser data monitor are respectively connected to the laser system host.

2. The hard laser endoscope system according to claim 1, wherein: said rigid endoscope is further provided with an instrument passage therethrough, and an inlet of said instrument passage is disposed at a rigid endoscope operating end The outlet of the instrument channel is disposed on the end surface of the rigid endoscopic surgical end.

3. The hard laser endoscope system according to claim 2, wherein: said instrument channel is a linear instrument channel, and an inlet thereof is disposed on a longitudinal central axis of the rigid endoscope operating end; said laser knife The device also has a surgical end and an operating end, wherein the laser knife probe is disposed on an end surface of the surgical end of the laser knife device, and the laser data output end and the laser control button are disposed on the operating end of the laser knife device; The surgical end passes through the linear instrument channel and is removably mounted in the rigid endoscope.

4. The hard laser endoscope system according to claim 1, wherein: said laser knife device is integrated in said rigid endoscope to form an integrated hard laser endoscope; wherein The laser knife probe is integrated on the end face of the rigid endoscopic surgical end, and the laser data output end and the laser control button are integrated on the hard endoscope operating end.

The hard laser endoscope system according to claim 4, wherein: the laser knife device is further provided with a pushing device for controlling expansion and contraction of the laser knife probe and a micro motor for driving the pushing device.

The hard laser endoscope system according to any one of claims 1 to 5, characterized in that: the laser knife probe is provided with a groove in which a laser fiber is placed.

The hard laser endoscope system according to claim 6, wherein: the laser knife probe is further provided with a heat sink and a temperature sensor, and the heat sink is wrapped around the outer layer of the laser fiber. The temperature sensor is connected to a cooling system of the laser system host through a metal wire.

The hard laser endoscope system according to any one of claims 1 to 5, wherein: the hard laser endoscope system further comprises a system keyboard, the system keyboard and the The endoscope system main unit and the laser system main unit are connected to realize the manipulation of the hard laser endoscope system by keyboard operation.

9. A hard laser endoscope system according to any one of claims 1 to 5, characterized in that said laser The system main unit is equipped with a cooling system and a laser knife operating mode for cutting, illuminating and solidifying hemostasis.

The hard laser endoscope system according to any one of claims 1 to 5, characterized in that: the endoscopic image output end is arranged at 45° to the longitudinal central axis of the rigid endoscope angle.

The hard laser endoscope system according to any one of claims 1 to 5, wherein the endoscope lens employs an optical lens having an angle of view of 100 or more.

The hard laser endoscope system according to any one of claims 1 to 5, characterized in that: the rigid endoscope is a hard arthroscope, a hard gallbladder mirror, a hard anorectal, a hard Cystoscopy, hard hysteroscopy or hard colposcopy.