JP2004129834A - Pipe line switching device of endoscope - Google Patents

Pipe line switching device of endoscope Download PDF

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Publication number
JP2004129834A
JP2004129834A JP2002297093A JP2002297093A JP2004129834A JP 2004129834 A JP2004129834 A JP 2004129834A JP 2002297093 A JP2002297093 A JP 2002297093A JP 2002297093 A JP2002297093 A JP 2002297093A JP 2004129834 A JP2004129834 A JP 2004129834A
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JP
Japan
Prior art keywords
water supply
suction
connection pipe
piston
channel tube
Prior art date
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Granted
Application number
JP2002297093A
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Japanese (ja)
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JP4246469B2 (en
Inventor
Keiji Itou
伊藤 慶時
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Pentax Corp
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Pentax Corp
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Filing date
Publication date
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Publication of JP2004129834A publication Critical patent/JP2004129834A/en
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a pipe line switching device of an endoscope capable of performing the switching operation of the state of water supply at all times and the state of suction by one channel tube extremely easily with single action in a simple device. <P>SOLUTION: The channel tube 3 inserted and arranged inside an insertion part 2 and opened at the tip of the insertion part 2, a suction connection pipe 15a communicated to an external suction means (50) and a water supply connection pipe 14a communicated to an external water supply means (60) are communicated and connected to a cylinder-like member 12. In a standby state where a piston-like member 20 is not pushed into the cylinder-like member 12, the water supply connection pipe 14a is communicated to the channel tube 3 and the suction connection pipe 15a is not communicated. In an operation state where the piston-like member 20 is pushed into the cylinder-like member 12, the suction connection pipe 15a is communicated to the channel tube 3 and the water supply connection pipe 14a is switched to a closed state. <P>COPYRIGHT: (C)2004,JPO

Description

【0001】
【発明の属する技術分野】
この発明は、送水状態と吸引状態とを切り換え操作するための内視鏡の管路切換装置に関する。
【0002】
【従来の技術】
人体各部の内視鏡検査のうち、例えば胆道、泌尿器或いは婦人科等のための検査においては、内視鏡を経由して観察対象の臓器内に生理食塩水を常時循環させながら水中において内視鏡観察が行われる。
【0003】
ただし、胆道や泌尿器等に挿入される内視鏡は胃腸等を検査するための内視鏡のように挿入部を太くするわけにいかないので、一般に、生理食塩水を送水するための独立したチャンネルチューブ等は設けられず、吸引用のチャンネルチューブを利用して生理食塩水を体内に連続的に送り込むようにしている。
【0004】
具体的には、チャンネルチューブの入口である処置具挿入口に三方コックを取り付け、生理食塩水用の給水チューブを三方コックに接続して生理食塩水をチャンネルチューブに流し込んでいる。
【0005】
そして、生理食塩水を送り込みながら内視鏡観察を行っている最中に、血液や尿等によって観察部位周辺の透明度が著しく低下した場合には、チャンネルチューブを経由して吸引を行う必要があり、その操作は操作部に配置されている吸引操作弁により行われる。
【0006】
しかし、チャンネルチューブを経由して吸引を行う際には、チャンネルチューブに対する生理食塩水の給水を停止させる必要があるので、吸引操作弁の操作を行うだけでなく、それと同時に三方コックの開閉操作も行う必要があり、手術中に内視鏡観察を行っている術者にとっては極めて煩雑で面倒な操作になってしまう。
【0007】
そこで、三方コックに代えて例えば特許文献1に記載されているようなフットスイッチによる給水操作を利用することも考えられる。
【0008】
【特許文献1】
特開平9−187417号公報
【0009】
【発明が解決しようとする課題】
しかし、チャンネルチューブを経由する給水の操作をフットスイッチで行うようにすると、構成が非常に複雑になってしまうだけでなく、三方コックの場合の手による操作が足による操作に代わっただけで、吸引操作とは別に給水停止操作を行うことが必要であり、術中観察を行っている術者にとって煩雑で面倒なことに変わりない。
【0010】
そこで本発明は、一本のチャンネルチューブによる常時給水の状態と吸引の状態との切り換え操作を、簡単な装置で極めて容易にワンタッチで行うことができる内視鏡の管路切換装置を提供することを目的とする。
【0011】
【課題を解決するための手段】
上記の目的を達成するため、本発明の内視鏡の管路切換装置は、操作部に配置されたシリンダ状部材内に外方に付勢された状態のピストン状部材が軸線方向に進退自在に嵌挿された内視鏡の管路切換装置であって、挿入部内に挿通配置されて挿入部の先端に開口するチャンネルチューブと、外部吸引手段に連通する吸引接続管と、外部給水手段に連通する給水接続管とがシリンダ状部材に連通接続されて、ピストン状部材がシリンダ状部材内に押し込まれない待機状態においては、チャンネルチューブに対して給水接続管が連通して吸引接続管が連通せず、ピストン状部材がシリンダ状部材内に押し込まれた操作状態においては、チャンネルチューブに対して吸引接続管が連通して給水接続管が閉塞された状態に切り換わるようにしたものである。
【0012】
【発明の実施の形態】
図面を参照して本発明の実施例を説明する。
図1において、1は内視鏡の操作部、2は挿入部であり、挿入部2内に挿通配置されたチャンネルチューブ3の先端3aは挿入部2の先端に開口し、操作部1と挿入部2との連結部付近に配置されたチャンネルチューブ3の基端3bには鉗子栓4が取り付けられている。
【0013】
管路切換操作弁10は、操作部1内に配置されたシリンダ状部材12と、戻しバネ25によって外方に付勢された状態で軸線方向に進退自在にシリンダ状部材12に嵌挿されたピストン状部材20とを有しており、操作部1外に突出するピストン状部材20の先端に取り付けられた操作ボタン11を任意に押し込み操作することができる。
【0014】
そして、シリンダ状部材12の底部に接続された連通管17aがチャンネルチューブ3の基端近傍に連通し、シリンダ状部材12の側面部に接続された吸引接続管15aと給水接続管14aとが、外部吸引チューブ50と外部給水チューブ60を介して図示されていない外部吸引装置と外部給水装置に連通している。
【0015】
図2は、ピストン状部材20がシリンダ状部材12内に押し込まれていない管路切換操作弁10の待機状態を示し、図3は、ピストン状部材20がシリンダ状部材12内に押し込まれた管路切換操作弁10の押し込み操作状態を示している。図4、図5及び図6は、図2におけるIV−IV断面、V−V断面及びVI−VI断面を示している。
【0016】
操作部1内に配置されたシリンダ状部材12は、内径に対して窄まっていない形状の口元部分が操作部1の外面に開口する状態で、固定ナット13によって操作部1に固定されている。
【0017】
シリンダ状部材12の側壁面に軸線方向に間隔をあけて形成された吸引口15と給水口14には、外部吸引チューブ50に連通する吸引接続管15aと外部給水チューブ60に連通する給水接続管14aが接続されている。チャンネルチューブ3に連通する連通管17aは、シリンダ状部材12の底部の軸線位置に形成された共通口17に接続されている。
【0018】
シリンダ状部材12内に軸線方向に進退自在に嵌挿されたピストン状部材20の側面には、図4にも示されるように位置決めピン20aが側方に突出する状態に取り付けられて、シリンダ状部材12の口元部分に形成された直線溝12aに係合しており、それによって、ピストン状部材20がシリンダ状部材12内において回転しないよう位置決めされている。
【0019】
ピストン状部材20の突端側半部を囲むように配置されたピストン受け筒22の外周面には、固定ナット13に対して係脱自在な爪を有する弾力性のあるプラスチックカバー22aが、ピストン受け筒22を一体にインサートして形成されている。
【0020】
ピストン状部材20の突端部には、操作ボタン11の取り付け座であるボタン座24が螺合連結されており、そのボタン座24とピストン受け筒22の底面との間に圧縮コイルスプリングからなる戻しバネ25が挟み込まれた状態に配置されている。26は、操作ボタン11の軸線位置に嵌め込まれた指標用筒体である。
【0021】
このようにして、ピストン状部材20と操作ボタン11とが一体的に結合されて、戻しバネ25により常に外方(シリンダ状部材12の口元から突出する方向)に付勢された状態になっている。
【0022】
ピストン状部材20の底部側の部分にL字状に形成された連通孔21は、ピストン状部材20の底面と側面とに開口していて、図2に示される待機状態においては共通口17と給水口14とを連通させ、図3に示される押し込み操作状態においては共通口17と吸引口15とを連通させる。
【0023】
ピストン状部材20の外周部には、底部に隣接する位置に端部シール部材30が取り付けられ、図3に示される押し込み操作状態において給水口14と吸引口15の両方にまたがる位置に中間部シール部材31が取り付けられている。
【0024】
端部シール部材30は、ピストン状部材20の外周部と共通口17との間を常にシールするように全周にわたってシリンダ状部材12の内周面に密接しており、シリンダ状部材12に対する摺動抵抗を小さくするために略八の字状の断面形状に形成されている。
【0025】
中間部シール部材31は、待機状態においては給水口14と連通孔21との連通部からその外側への漏れを防止し、押し込み操作状態においては給水口14をシリンダ状部材12の内部から完全に閉塞するように形成されている。
【0026】
そのように機能するよう、図5にも示されるように、中間部シール部材31はピストン状部材20に対して向きが狂わないようにピストン状部材20に対する嵌め込み部31bが設けられて位置決めされ、押し込み操作時に給水口14に対向する部分には開口シール部31aが形成されている。
【0027】
また、連通孔21の側面開口は、図6にも示されるように中間部シール部材31を突き抜けて形成されている。なお、中間部シール部材31をピストン状部材20にゴムライニングしてピストン状部材20と一体的に形成してもよい。
【0028】
ピストン状部材20の突出部寄りの位置には、図2及び図4に示されるように、待機時に大気と吸引口15とを連通させるための通気孔20bがピストン状部材20を横方向に貫通する状態に穿設されており、その他にも、シリンダ状部材12内において、通気孔20bと吸引口15との間を連通させる隙間が、ピストン状部材20及び中間部シール部材31の周囲に形成されている。
【0029】
その結果、図2に示される待機時には、各矢印で示されるように、通気孔20b等を経由して外気が吸引接続管15a側に吸引され、一方、給水接続管14aから送り込まれた水(生理食塩水)が連通管17aを通ってチャンネルチューブ3に送り出されて、常時送水状態を維持する。
【0030】
そして、その状態から操作ボタン11を押し込み操作するだけで、図3に示されるように、給水接続管14aがシリンダ状部材12の内側で閉塞されると同時に、連通管17aを経由してチャンネルチューブ3から吸引接続管15aに吸引が行われて、体内汚液等が吸引される。そして、操作ボタン11の押し込み操作を解除すれば、直ぐに、元の常時送水状態に戻る。
【0031】
【発明の効果】
本発明によれば、ピストン状部材がシリンダ状部材内に押し込まれない待機状態においては、チャンネルチューブに対して給水接続管が連通して吸引接続管が連通せず、ピストン状部材がシリンダ状部材内に押し込まれた操作状態においては、チャンネルチューブに対して吸引接続管が連通して給水接続管が閉塞された状態に切り換わるようにしたことにより、一本のチャンネルチューブによる常時給水の状態と吸引の状態の切り換え操作を、簡単な装置で極めて容易にワンタッチで行うことができ、手術中の内視鏡観察操作を術者が負担なく行うことができる。
【図面の簡単な説明】
【図1】本発明の実施例の内視鏡の全体配管を示す略示図である。
【図2】本発明の実施例の内視鏡の管路切換装置の待機状態(送水状態)の側面断面図である。
【図3】本発明の実施例の内視鏡の管路切換装置の押し込み操作状態(吸引状態)の側面断面図である。
【図4】本発明の実施例の図2におけるIV−IV断面図である。
【図5】本発明の実施例の図2におけるV−V断面図である。
【図6】本発明の実施例の図2におけるVI−VI断面図である。
【符号の説明】
1 操作部
2 挿入部
3 チャンネルチューブ
10 管路切換操作弁
11 操作ボタン
12 シリンダ状部材
14 給水口
14a 給水接続管
15 吸引口
15a 吸引接続管
17 共通口
17a 連通管
20 ピストン状部材
21 連通孔
25 戻しバネ
30 端部シール部材
31 中間部シール部材
50 外部吸引チューブ
60 外部給水チューブ
[0001]
TECHNICAL FIELD OF THE INVENTION
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an endoscope conduit switching device for switching between a water supply state and a suction state.
[0002]
[Prior art]
In the endoscopy of each part of the human body, for example, in the examination for biliary tract, urology, gynecology, etc., the endoscopy in water while constantly circulating physiological saline through the endoscope into the organ to be observed. Mirror observation is performed.
[0003]
However, since an endoscope inserted into the biliary tract or urinary tract cannot be made thicker as an endoscope for examining the gastrointestinal tract, etc., an independent endoscope for supplying physiological saline is generally used. No channel tube or the like is provided, and the physiological saline is continuously fed into the body using a suction channel tube.
[0004]
Specifically, a three-way cock is attached to the treatment tool insertion port, which is an inlet of the channel tube, and a saline water supply tube is connected to the three-way cock so that the saline solution flows into the channel tube.
[0005]
If the transparency around the observation site is significantly reduced by blood or urine during endoscopic observation while sending physiological saline, it is necessary to perform suction through a channel tube. The operation is performed by a suction operation valve arranged in the operation unit.
[0006]
However, when performing suction through the channel tube, it is necessary to stop the supply of physiological saline to the channel tube, so not only the operation of the suction operation valve, but also the opening and closing operation of the three-way cock This operation must be performed, which is extremely complicated and troublesome for an operator performing endoscopic observation during the operation.
[0007]
Therefore, it is conceivable to use a water supply operation using a foot switch as described in Patent Document 1, for example, instead of the three-way cock.
[0008]
[Patent Document 1]
Japanese Patent Application Laid-Open No. 9-187417
[Problems to be solved by the invention]
However, if the operation of water supply via the channel tube is performed by a foot switch, not only will the configuration become very complicated, but also the operation by hand in the case of a three-way cock is replaced by the operation by foot, It is necessary to perform a water supply stop operation separately from the suction operation, which is still cumbersome and troublesome for an operator performing intraoperative observation.
[0010]
Therefore, the present invention provides a conduit switching device for an endoscope in which a simple device can very easily perform one-touch switching between a state of constant water supply and a state of suction using a single channel tube. With the goal.
[0011]
[Means for Solving the Problems]
In order to achieve the above object, a pipe line switching device for an endoscope according to the present invention is provided such that a piston-like member urged outwardly into a cylinder-like member disposed in an operation unit is capable of moving forward and backward in an axial direction. A channel switching device for an endoscope inserted into the insertion portion, the channel tube being inserted through the insertion portion and opening at the tip of the insertion portion, a suction connection pipe communicating with the external suction means, and an external water supply means. In a standby state in which the communicating water supply connection pipe is connected to the cylindrical member and the piston-like member is not pushed into the cylindrical member, the water supply connection pipe communicates with the channel tube and the suction connection pipe communicates. In the operation state in which the piston-like member is pushed into the cylinder-like member without being passed through, the suction connection pipe communicates with the channel tube and the water supply connection pipe is switched to a closed state. That.
[0012]
BEST MODE FOR CARRYING OUT THE INVENTION
An embodiment of the present invention will be described with reference to the drawings.
In FIG. 1, reference numeral 1 denotes an operation section of the endoscope, 2 denotes an insertion section, and a distal end 3a of a channel tube 3 inserted through the insertion section 2 is opened at a distal end of the insertion section 2, and the operation section 1 and the insertion section are inserted. A forceps stopper 4 is attached to the base end 3b of the channel tube 3 arranged near the connection with the part 2.
[0013]
The pipeline switching operation valve 10 is inserted into the cylindrical member 12 disposed inside the operation unit 1 and the cylindrical member 12 movably in the axial direction while being urged outward by the return spring 25. It has a piston-like member 20, and the operation button 11 attached to the distal end of the piston-like member 20 protruding out of the operation unit 1 can be pressed and operated arbitrarily.
[0014]
Then, a communication pipe 17a connected to the bottom of the cylindrical member 12 communicates near the base end of the channel tube 3, and a suction connection pipe 15a and a water supply connection pipe 14a connected to the side surface of the cylinder member 12, The external suction tube 50 and the external water supply tube 60 communicate with an external suction device and an external water supply device (not shown).
[0015]
FIG. 2 shows a standby state of the pipeline switching operation valve 10 in which the piston-like member 20 is not pushed into the cylinder-like member 12, and FIG. 3 shows a pipe in which the piston-like member 20 is pushed into the cylinder-like member 12. The pushing operation state of the road switching operation valve 10 is shown. 4, 5, and 6 show the IV-IV section, the VV section, and the VI-VI section in FIG.
[0016]
The cylindrical member 12 arranged in the operation section 1 is fixed to the operation section 1 by a fixing nut 13 in a state in which a mouth portion having a shape not narrowed with respect to the inner diameter is opened on the outer surface of the operation section 1. .
[0017]
The suction port 15 and the water supply port 14 formed on the side wall surface of the cylindrical member 12 at intervals in the axial direction have a suction connection pipe 15 a communicating with the external suction tube 50 and a water supply connection pipe communicating with the external water supply tube 60. 14a is connected. The communication pipe 17 a communicating with the channel tube 3 is connected to a common port 17 formed at an axial position on the bottom of the cylindrical member 12.
[0018]
A positioning pin 20a is attached to the side surface of the piston-like member 20 which is inserted into the cylinder-like member 12 so as to be able to advance and retreat in the axial direction, as shown in FIG. It engages with a straight groove 12a formed in the mouth portion of the member 12, whereby the piston-like member 20 is positioned so as not to rotate in the cylinder-like member 12.
[0019]
An elastic plastic cover 22a having a hook that is detachable from the fixed nut 13 is provided on the outer peripheral surface of the piston receiving cylinder 22 arranged so as to surround the protruding end half of the piston-like member 20. It is formed by inserting the cylinder 22 integrally.
[0020]
A button seat 24 as a mounting seat for the operation button 11 is threadably connected to the protruding end of the piston-like member 20, and a return coil made of a compression coil spring is provided between the button seat 24 and the bottom surface of the piston receiving cylinder 22. The spring 25 is disposed so as to be sandwiched. Reference numeral 26 denotes an indicator cylinder fitted at the axial position of the operation button 11.
[0021]
In this manner, the piston-like member 20 and the operation button 11 are integrally connected, and are always urged outward (in a direction protruding from the mouth of the cylindrical member 12) by the return spring 25. I have.
[0022]
An L-shaped communication hole 21 formed on the bottom side of the piston-like member 20 is open to the bottom surface and the side surface of the piston-like member 20. In the standby state shown in FIG. The water supply port 14 is communicated with the common port 17 and the suction port 15 in the pushing operation state shown in FIG.
[0023]
An end seal member 30 is attached to the outer peripheral portion of the piston-like member 20 at a position adjacent to the bottom portion, and the intermediate seal is located at a position straddling both the water supply port 14 and the suction port 15 in the pushing operation state shown in FIG. A member 31 is attached.
[0024]
The end seal member 30 is in close contact with the inner peripheral surface of the cylindrical member 12 over the entire circumference so as to always seal between the outer peripheral portion of the piston-like member 20 and the common port 17. In order to reduce the dynamic resistance, it is formed in a substantially eight-shaped cross section.
[0025]
The intermediate portion seal member 31 prevents leakage from the communication portion between the water supply port 14 and the communication hole 21 to the outside in the standby state, and completely prevents the water supply port 14 from being inside the cylindrical member 12 in the pushing operation state. It is formed so as to close.
[0026]
In order to function as such, as shown in FIG. 5, the intermediate portion sealing member 31 is provided with a fitting portion 31 b with respect to the piston-like member 20 so as not to be misaligned with respect to the piston-like member 20, and is positioned. An opening seal portion 31a is formed in a portion facing the water supply port 14 during the pushing operation.
[0027]
The side opening of the communication hole 21 penetrates through the intermediate sealing member 31, as shown in FIG. The intermediate seal member 31 may be integrally formed with the piston 20 by rubber-lining the piston 20.
[0028]
At the position near the protruding portion of the piston-like member 20, as shown in FIGS. 2 and 4, a vent hole 20 b for communicating the atmosphere with the suction port 15 during standby passes through the piston-like member 20 in the lateral direction. In addition, in the cylindrical member 12, a gap for communicating between the vent hole 20b and the suction port 15 is formed around the piston-like member 20 and the intermediate portion sealing member 31. Have been.
[0029]
As a result, at the time of standby shown in FIG. 2, as indicated by arrows, outside air is sucked into the suction connection pipe 15a through the ventilation holes 20b and the like, while the water ( Physiological saline) is sent out to the channel tube 3 through the communication pipe 17a, and always maintains a water supply state.
[0030]
Then, only by pushing the operation button 11 from that state, as shown in FIG. 3, the water supply connection pipe 14a is closed inside the cylindrical member 12, and at the same time, the channel tube is connected via the communication pipe 17a. Suction is performed from 3 to the suction connection pipe 15a, and the body waste fluid and the like are sucked. Then, when the pressing operation of the operation button 11 is released, the original water supply state is immediately restored.
[0031]
【The invention's effect】
According to the present invention, in a standby state in which the piston-like member is not pushed into the cylindrical member, the water supply connection tube communicates with the channel tube, the suction connection tube does not communicate, and the piston-like member is In the operation state pushed into the inside, the suction connection pipe communicates with the channel tube so that the water supply connection pipe is switched to the closed state, so that the one channel tube always supplies water. The switching operation of the suction state can be performed very easily with a simple device with a single touch, and the operator can perform the endoscopic observation operation during the operation without burden.
[Brief description of the drawings]
FIG. 1 is a schematic diagram showing the entire piping of an endoscope according to an embodiment of the present invention.
FIG. 2 is a side cross-sectional view of the pipe line switching device of the endoscope according to the embodiment of the present invention in a standby state (water supply state).
FIG. 3 is a side cross-sectional view of a push-in operation state (a suction state) of the conduit switching device of the endoscope according to the embodiment of the present invention.
FIG. 4 is a sectional view taken along line IV-IV in FIG. 2 of the embodiment of the present invention.
FIG. 5 is a sectional view taken along line VV in FIG. 2 of the embodiment of the present invention.
FIG. 6 is a sectional view taken along the line VI-VI in FIG. 2 of the embodiment of the present invention.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Operation part 2 Insertion part 3 Channel tube 10 Pipe line switching operation valve 11 Operation button 12 Cylindrical member 14 Water supply port 14a Water supply connection pipe 15 Suction port 15a Suction connection pipe 17 Common port 17a Communication pipe 20 Piston member 21 Communication hole 25 Return spring 30 End seal member 31 Intermediate seal member 50 External suction tube 60 External water supply tube

Claims (1)

操作部に配置されたシリンダ状部材内に外方に付勢された状態のピストン状部材が軸線方向に進退自在に嵌挿された内視鏡の管路切換装置であって、
挿入部内に挿通配置されて上記挿入部の先端に開口するチャンネルチューブと、外部吸引手段に連通する吸引接続管と、外部給水手段に連通する給水接続管とが上記シリンダ状部材に連通接続されて、
上記ピストン状部材が上記シリンダ状部材内に押し込まれない待機状態においては、上記チャンネルチューブに対して上記給水接続管が連通して上記吸引接続管が連通せず、上記ピストン状部材が上記シリンダ状部材内に押し込まれた操作状態においては、上記チャンネルチューブに対して上記吸引接続管が連通して上記給水接続管が閉塞された状態に切り換わるようにしたことを特徴とする内視鏡の管路切換装置。
A pipe switching device for an endoscope in which a piston-like member in a state of being urged outward in a cylinder-like member arranged in an operation unit is inserted so as to be able to advance and retreat in an axial direction,
A channel tube inserted through the insertion portion and opened at the tip of the insertion portion, a suction connection tube communicating with the external suction means, and a water supply connection tube communicating with the external water supply means are connected to the cylindrical member. ,
In a standby state in which the piston-like member is not pushed into the cylindrical member, the water supply connection pipe communicates with the channel tube, the suction connection pipe does not communicate with the channel tube, and the piston-like member has the cylindrical shape. In the operation state in which the endoscope tube is pushed into the member, the suction connection pipe communicates with the channel tube, and the water supply connection pipe is switched to a closed state. Road switching device.
JP2002297093A 2002-10-10 2002-10-10 Endoscope pipe switching device Expired - Fee Related JP4246469B2 (en)

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