CN100490730C - Endoscope balloon control device - Google Patents
Endoscope balloon control device Download PDFInfo
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- CN100490730C CN100490730C CNB2005800088596A CN200580008859A CN100490730C CN 100490730 C CN100490730 C CN 100490730C CN B2005800088596 A CNB2005800088596 A CN B2005800088596A CN 200580008859 A CN200580008859 A CN 200580008859A CN 100490730 C CN100490730 C CN 100490730C
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- 238000003780 insertion Methods 0.000 claims abstract description 34
- 230000037431 insertion Effects 0.000 claims abstract description 34
- 238000001514 detection method Methods 0.000 claims abstract 3
- 230000003434 inspiratory effect Effects 0.000 claims description 46
- 238000012360 testing method Methods 0.000 claims description 32
- 230000002093 peripheral effect Effects 0.000 claims description 15
- 239000007788 liquid Substances 0.000 claims description 14
- 238000000034 method Methods 0.000 claims description 8
- 238000005259 measurement Methods 0.000 claims description 7
- 238000012545 processing Methods 0.000 description 108
- 238000012546 transfer Methods 0.000 description 34
- 230000001105 regulatory effect Effects 0.000 description 27
- 230000000968 intestinal effect Effects 0.000 description 21
- 238000010586 diagram Methods 0.000 description 11
- 230000001079 digestive effect Effects 0.000 description 10
- 238000012790 confirmation Methods 0.000 description 9
- 238000003825 pressing Methods 0.000 description 8
- 230000003287 optical effect Effects 0.000 description 7
- 238000001727 in vivo Methods 0.000 description 6
- 239000000463 material Substances 0.000 description 6
- 230000000694 effects Effects 0.000 description 5
- 238000005452 bending Methods 0.000 description 4
- RUZYUOTYCVRMRZ-UHFFFAOYSA-N doxazosin Chemical compound C1OC2=CC=CC=C2OC1C(=O)N(CC1)CCN1C1=NC(N)=C(C=C(C(OC)=C2)OC)C2=N1 RUZYUOTYCVRMRZ-UHFFFAOYSA-N 0.000 description 4
- 238000005286 illumination Methods 0.000 description 3
- 238000012423 maintenance Methods 0.000 description 2
- 238000007664 blowing Methods 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 210000001198 duodenum Anatomy 0.000 description 1
- 239000013536 elastomeric material Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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Abstract
An endoscope balloon control system has first and second pumps, a timer counter, and a control section. The first and second pumps supply air to or discharge air from a balloon for fixation attached to the outer periphery of the head of an insertion section of an endoscope and also a balloon for fixation attached to the outer periphery of the head of an over tube through which the endoscope is inserted. The timer counter detects time for sending air to or sucking air from each balloon. The control section causes the first and second pumps to operate based on the result of the detection by the timer counter, controlling the pressure in each balloon.
Description
Technical field
The present invention relates to endoscope balloon control device, and relate to may command be arranged on endoscope insertion section front end peripheral part sacculus and be arranged on the endoscope balloon control device of the pressure in the sacculus of insertion section front end peripheral part of trocar sheath.
Background technology
Generally speaking, in digestive tube is checked, use splanchnoscopy mostly.In this splanchnoscopy, the insertion section of endoscope is being inserted into the deep digestive tube, under for example enteral situation, only when being pressed into above-mentioned insertion section, exert all one's strength and be difficult to be delivered to above-mentioned insertion section front end owing to the bending of complicated intestinal tube, it is difficult being inserted into the deep.For example, above-mentioned endoscope inserts the unnecessary bending of the above-mentioned endoscope produces or deflection by the deep and stretches out when retracting will making, because above-mentioned insertion section front end also breaks away from, thereby can not eliminate bending or deflection, the deep is inserted and become difficult.
Therefore, proposed a kind of endoscope apparatus, this device is temporarily fixed on the above-mentioned intestinal tube this inflation because of at the above-mentioned insertion section of above-mentioned endoscope front end peripheral part sacculus being installed, thereby when the unnecessary bending that makes above-mentioned endoscope or deflection are stretched out, prevent that the front end of above-mentioned insertion section breaks away from.
And, in the prior art, a kind of endoscope apparatus has also been proposed, this device is provided with the trocar sheath of inserting the above-mentioned insertion section that is connected with above-mentioned endoscope, and sacculus is installed at the front end peripheral part of this trocar sheath, make the flat raising that comes to realize the operation performance of suitably expanding or contract of the sacculus of the sacculus of this trocar sheath and above-mentioned endoscope at above-mentioned endoscope apparatus.For example, in 2002-No. 301019 communiques of Japan's patent disclosure, a kind of endoscope apparatus is disclosed, this device is at the sacculus of above-mentioned endoscope and the sacculus of above-mentioned trocar sheath, when using control unit to measure air pressure in each sacculus to control pressure in above-mentioned each sacculus, from pump installation to these sacculus air supplies.
The disclosed endoscope apparatus of above-mentioned communique is under the different situation of the material of the sacculus of the sacculus of above-mentioned endoscope and above-mentioned trocar sheath, and perhaps under the situation that material is different when sacculus is changed at every turn, even flow is identical, the expansion appearance of sacculus is also different.Therefore, even the material of sacculus/kind difference in order to keep constant expansion appearance, also is necessary to control gas supply flow to above-mentioned each sacculus according to the material of sacculus.And, in order to control the gas supply flow or the air feed of above-mentioned each sacculus are pressed, be necessary to measure service life to above-mentioned each sacculus.
Yet, in the prior art that 2002-No. 301019 communiques of above-mentioned Japan's patent disclosure are put down in writing,, yet can not control the gas supply flow of above-mentioned each sacculus although control in the sacculus of above-mentioned endoscope and the air pressure in the sacculus of above-mentioned trocar sheath.And, in said apparatus, have following problem: can not to measure in order controlling the gas supply flow or the air feed of above-mentioned each sacculus to be pressed needed service life or inspiratory duration to above-mentioned each sacculus.
Summary of the invention
The present invention In view of the foregoing makes, and the purpose of this invention is to provide measurable sacculus and the air feed of the sacculus of trocar sheath or the endoscope balloon control device of inspiratory duration to endoscope.
In order to achieve the above object, endoscope balloon control device of the present invention has: pump, and its fixing of peripheral part to the insertion section leading section that is installed in endoscope is discharged gas with the sacculus supply gas and from described sacculus; Time detecting portion, it detects air feed and inspiratory duration to above-mentioned sacculus; Control part, it measures the gas pressure in the above-mentioned sacculus, said pump is moved control pressure in the above-mentioned sacculus according to this measurement result, make when air feed, if the pressure in the above-mentioned sacculus is greater than predefined upper limit force value, then stop said pump, when air-breathing, if the pressure in the above-mentioned sacculus is less than predefined threshold pression value, then stop said pump, and, pressure in the above-mentioned sacculus controlled according to the testing result of above-mentioned time detecting portion, make when above-mentioned air feed, if above-mentioned service life has surpassed predefined maximum service life, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory duration has surpassed the predefined maximum inhale time, then stop said pump; And flow backwards and to prevent from use case, it has the case that above-mentioned sacculus is used, and by the control of above-mentioned control part, provides liquid via described pump to above-mentioned sacculus, and above-mentioned case constitutes that possessing flows backwards prevents locking mechanism, to prevent the refluence of aforesaid liquid.
In addition, endoscope balloon control device of the present invention has: pump, and its fixing of peripheral part to the insertion section leading section that is installed in endoscope is discharged above-mentioned gas with the sacculus supply gas and from above-mentioned sacculus; Control part, it measures the gas pressure in the above-mentioned sacculus, said pump is moved control pressure in the above-mentioned sacculus according to this measurement result; And flow backwards and to prevent from use case, it has the case that above-mentioned sacculus is used, and by the control of above-mentioned control part, provides liquid via described pump to above-mentioned sacculus, and above-mentioned case constitutes that possessing flows backwards prevents locking mechanism, to prevent the refluence of aforesaid liquid; Above-mentioned control part has: detect to the gas supply flow of above-mentioned sacculus with from the flow testing division of the inspiratory flow of above-mentioned sacculus, and detect to the service life of above-mentioned sacculus with from the time detecting portion of the inspiratory duration of above-mentioned sacculus, and said pump is moved control air feed or inspiratory flow to above-mentioned sacculus according to the testing result of above-mentioned flow testing division, make when air feed, if above-mentioned gas supply flow is more than the predefined air demand, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory flow is more than the predefined inspiration capacity, then stop said pump, in addition, also said pump is moved control air feed or inspiratory flow to above-mentioned sacculus according to the testing result of above-mentioned time detecting portion, make when above-mentioned air feed, if above-mentioned service life has surpassed predefined maximum service life, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory duration has surpassed the predefined maximum inhale time, then stop said pump.
In addition, endoscope balloon control device of the present invention has: pump, its to the peripheral part of the insertion section leading section that is installed in endoscope fixing with sacculus and be installed in and above-mentioned endoscope inserted lead to the fixing of front end peripheral part of the trocar sheath that carries out the guiding of above-mentioned endoscope when inserting to discharge above-mentioned gas with the sacculus supply gas and from above-mentioned sacculus; Control part, it measures the gas pressure in above-mentioned each sacculus, said pump is moved control pressure in above-mentioned each sacculus according to this measurement result; And flow backwards and to prevent from use case, it has the case that above-mentioned sacculus is used, and by the control of above-mentioned control part, provides liquid via described pump to above-mentioned sacculus, and above-mentioned case constitutes that possessing flows backwards prevents locking mechanism, to prevent the refluence of aforesaid liquid; Above-mentioned control part has: detect to the gas supply flow of above-mentioned sacculus with from the flow testing division of above-mentioned capsular inspiratory flow, and detect to the service life of above-mentioned sacculus with from the time detecting portion of the inspiratory duration of above-mentioned sacculus, and said pump is moved control air feed or inspiratory flow to above-mentioned sacculus according to the testing result of above-mentioned flow testing division, make when air feed, if above-mentioned gas supply flow is more than the predefined air demand, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory flow is more than the predefined inspiration capacity, then stop said pump, in addition, also said pump is moved control air feed or inspiratory flow to above-mentioned each sacculus according to the testing result of above-mentioned time detecting portion, make when above-mentioned air feed, if above-mentioned service life has surpassed predefined maximum service life, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory duration has surpassed the predefined maximum inhale time, then stop said pump.
Description of drawings
Fig. 1 is the integrally-built structure chart that the endoscopic system of the endoscope balloon control device of using embodiments of the invention 1 is shown.
Fig. 2 is the structure chart of schematic configuration that the endoscope balloon control device of Fig. 1 is shown.
Fig. 3 is the figure of structure example that the remote controller of Fig. 2 is shown.
Fig. 4 is the block diagram of internal structure that the endoscope balloon control device of Fig. 2 is shown.
Fig. 5 to Figure 11 is used to use each sacculus to the figure that the mode of operation of endoscope and trocar sheath describes, be illustrate make each sacculus contract flat come endoscope inserted lead in the trocar sheath, thereby be inserted into the key diagram of the state in the intestinal tube.
Fig. 6 illustrates the key diagram that the inflation that makes trocar sheath is secured in the state on the intestinal tube.
Fig. 7 is the key diagram that the state in the trocar sheath that further endoscope is inserted into from the state of Fig. 6 is shown.
Fig. 8 is illustrated in the key diagram that the inflation that makes endoscope under the state of Fig. 7 is secured in the state on the intestinal wall.
Fig. 9 is illustrated in the sacculus that makes trocar sheath under the state of Fig. 8 flat key diagram that further inserts the state of trocar sheath that contracts.
Figure 10 is front end that trocar sheath is shown moves to the state of endoscope distal end portion from the state of Fig. 9 a key diagram.
Figure 11 is illustrated in the key diagram that the inflation that makes trocar sheath under the state of Figure 10 is secured in the state on the intestinal wall.
Figure 12 to Figure 15 is used for the figure that the effect to endoscope balloon control device describes, and is the flow chart that the mastery routine of control part is shown.
Figure 13 illustrates the flow chart of confirming the processing routine of module based on the on off state of Figure 12.
Figure 14 is the flow chart that illustrates based on the processing routine of the air feed module of Figure 13.
Figure 15 is the flow chart that illustrates based on the processing routine of the air-breathing module of Figure 13.
Figure 16 is the block diagram of internal structure that the endoscope balloon control device of embodiment 2 is shown.
The specific embodiment
Below, with reference to accompanying drawing embodiments of the invention are described.
Fig. 1 is the integrally-built structure chart that the endoscopic system of the endoscope balloon control device of using embodiments of the invention 1 is shown.
As shown in Figure 1, the endoscopic system 1 with endoscope balloon control device of present embodiment has: endoscope 2, trocar sheath 3, light supply apparatus 4, video processor 5, monitor 6, endoscope balloon control device 7, and remote controller 8.
Above-mentioned endoscope 2 is used for for example interior splanchnoscopy of digestive tube, and has: be used to be inserted into endoceliac insertion section 2B, and the operating portion 2A that is arranged on the base end side of this insertion section 2B.And, in the leading section of above-mentioned insertion section 2B, be provided with and do not make illustrated illumination optical system and unify and comprise viewing optical system as the CCD of imaging apparatus, can the look-out station in the digestive tube of subject be thrown light on, obtain the interior observation picture of digestive tube of subject.
This endoscope 2 inserts to lead in the above-mentioned trocar sheath 3 when operation and uses.The back is described the structure of above-mentioned trocar sheath 3.
Above-mentioned light supply apparatus 4 is to be used for illumination light is offered the light supply apparatus that is arranged on the lamp optical system in the above-mentioned endoscope 2 by the photoconduction in the above-mentioned optical cable (not illustrating).
5 pairs of image pickup signals from the above-mentioned CCD of above-mentioned endoscope 2 of above-mentioned video processor are implemented signal processing, and the view data (for example endoscope real time view data) based on image pickup signal is offered monitor 6.
Above-mentioned monitor 6 is connected with above-mentioned video processor 5 by connection cord 5A.Above-mentioned monitor 6 shows based on the endoscopic images from the view data of above-mentioned video processor 5.
In the endoscopic system 1 of present embodiment, the fixedly sacculus 9 of usefulness is installed at the front end peripheral part of the above-mentioned insertion section 2B of above-mentioned endoscope 2.The air supply pipe 10 that is provided with to the leading section side along above-mentioned insertion section 2B from the base end part side of above-mentioned insertion section 2B is connected with this sacculus 9.
The 2A of the aforesaid operations portion side group end of above-mentioned air supply pipe 10 is connected with the adapter 2a of the bottom that is arranged on the 2A of aforesaid operations portion.One end is connected with endoscope balloon control device 7 described later and is arranged on the endoscope balloon air feed uses the adapter 13A of the other end of managing (hereinafter referred to as the 1st air feed pipe) 13 to be connected with this adapter 2a.Like this, make to expand in the above-mentioned sacculus 9 by air feed and be temporarily fixed on the digestive tube of intestinal tube etc. from above-mentioned endoscope balloon control device 7.
Above-mentioned trocar sheath 3 is inserted above-mentioned endoscope 2 to lead to the guiding when carrying out that above-mentioned insertion section 2B is inserted into that for example digestive tube is interior, and has the big a little internal diameter of external diameter than the above-mentioned insertion section 2B of above-mentioned endoscope.And this trocar sheath 3 adopts that the above-mentioned insertion section 2B with above-mentioned endoscope 2 is the same to have a flexual structure.And, at the front end peripheral part of this trocar sheath 3 the fixedly sacculus 11 of usefulness of pipe is installed.
Be connected with above-mentioned sacculus 11 to the set air supply pipe 12 of leading section side from the base end part side of above-mentioned trocar sheath 3.
Near above-mentioned air supply pipe 12 and base end parts above-mentioned sacculus 11 opposition sides (the insertion oral-lateral of the insertion endoscope 2 of above-mentioned trocar sheath 3) and the above-mentioned insertion mouth that is arranged on above-mentioned trocar sheath 3 adapter 3a is connected.One end is connected with above-mentioned endoscope balloon control device 7 and is arranged on trocar sheath sacculus air feed uses the adapter 14A of the other end of managing (hereinafter referred to as the 2nd air feed pipe) 14 to be connected with this adapter 3a.Like this, make to expand in the above-mentioned sacculus 11 by air feed and be temporarily fixed on the digestive tube of intestinal tube etc. from above-mentioned endoscope balloon control device 7.
The exercises of the gas supply flow of the sacculus 9 of the above-mentioned endoscope 2 of above-mentioned endoscope balloon control device 7 controls and the sacculus 11 of above-mentioned trocar sheath 3 etc.
Fig. 2 is the structure chart that the schematic configuration of above-mentioned endoscope balloon control device is shown.
As shown in Figure 2, above-mentioned endoscope balloon control device 7 is provided with to flow backwards and prevents with case 15, and is provided with pressure display unit 16 and on and off switch 17 in front.
Above-mentioned refluence prevents to constitute with case 15 and can prevent that liquid from flowing backwards, and has the case 15B of sacculus 11 usefulness of the case 15A of sacculus 9 usefulness of above-mentioned endoscope 2 and above-mentioned trocar sheath 3.These casees 15A, 15B use pipe 13,14 to connect with corresponding above-mentioned the 1st, the 2nd air feed respectively.
Above-mentioned case 15A, 15B by the control of above-mentioned endoscope balloon control device 7, increase internal pressure via the 1st, the 2nd pump 32a described later, 32b (with reference to Fig. 4) respectively, thereby by above-mentioned the 1st, the 2nd air feed 13,14 pairs of each sacculus 9,11 air feed of pipe.In this case, above-mentioned case 15A, 15B use and do not make the anti-locking mechanism of illustrated refluence, prevent to flow backwards from the liquid of above-mentioned the 1st, the 2nd air feed with pipe 13,14.
Like this, in the above-mentioned endoscope balloon control device 7 of present embodiment, be provided with: via the supply air line of air supply pipe the 10, the 1st air feed that is connected with the sacculus 9 of above-mentioned endoscope 2 with pipe 13, above-mentioned case 15A, and via the supply air line of air supply pipe the 12, the 2nd air feed that is connected with the sacculus 11 of above-mentioned trocar sheath 3 with pipe 14, above-mentioned case 15B.
And above-mentioned pressure display unit 16 uses detector (not illustrating) to show the force value of the pipeline that is connected with sacculus 9,11.This pressure display unit 16 has the display 16B of sacculus 11 usefulness of the display 16A of sacculus 9 usefulness of above-mentioned endoscope 2 and above-mentioned trocar sheath 3.
Aforementioned display device 16A shows the interior force value of pipeline of sacculus 9 usefulness of above-mentioned endoscope 2, and aforementioned display device 16B shows the interior force value of pipeline of sacculus 11 usefulness of above-mentioned trocar sheath 3.
Above-mentioned on and off switch 17 is the switches that the power supply of above-mentioned endoscope balloon control device 7 switched to on-state or off-state.
And as depicted in figs. 1 and 2, remote controller 8 is connected with the one side of above-mentioned endoscope balloon control device 7 by connection cord 8A.This remote controller 8 is electrically connected with the control part 35 that is arranged on the inside of above-mentioned endoscope balloon control device 7 described later by above-mentioned connection cord 8A.
In the present embodiment, above-mentioned endoscope balloon control device 7 by the operation of doctor to above-mentioned remote controller 8, is provided for the operation signal of the pressure control and the air demand control of above-mentioned each sacculus 9,11 in operation.
Fig. 3 is the figure that the structure example of above-mentioned remote controller 8 is shown.
As shown in Figure 3, above-mentioned remote controller 8 for example the various buttons of the various buttons of endoscope side sacculus control usefulness and trocar sheath side sacculus control usefulness separately are provided in the remote controller main body about so that the doctor operates easily.
In the left side of above-mentioned remote controller 8, the action button as above-mentioned endoscope side sacculus control usefulness is provided with open button 18a, air feed start button 19a, air-breathing start button 20a and stop button 21a.
And on the right side of above-mentioned remote controller 8, the action button as above-mentioned trocar sheath side sacculus control usefulness is provided with open button 18b, air feed start button 19b, air-breathing start button 20b and stop button 21b.
And, be provided with power knob 22 and emergency stop push button 23 in the bottom of above-mentioned remote controller 8.
Above-mentioned open button 18a is the open button of air that is used to indicate in the pipeline of sacculus 9 of above-mentioned endoscope 2.Above-mentioned air feed start button 19a is that indication begins the button to air feed in the sacculus 9 of above-mentioned endoscope 2.Above-mentioned air-breathing start button 20a is that indication begins from the air-breathing button of the sacculus 9 of above-mentioned endoscope 2.And above-mentioned stop button 21a is the button that makes the indication that the aspiratory action of the air feed action of above-mentioned air feed start button 19a or above-mentioned air-breathing start button 20a stops, and by pressing this stop button 21a, keeps the air in the above-mentioned sacculus 9 to press.
On the other hand, above-mentioned open button 18b is the open button of air that is used to indicate in the pipeline of sacculus 11 of above-mentioned trocar sheath 3.Above-mentioned air feed start button 19b is that indication begins the button to air feed in the sacculus 11 of above-mentioned trocar sheath 3.Above-mentioned air-breathing start button 20b is that indication begins from the air-breathing button of the sacculus 11 of above-mentioned trocar sheath 3.And, above-mentioned stop button 21b is the button that makes the indication that the aspiratory action of the air feed action of above-mentioned air feed start button 19b or above-mentioned air-breathing start button 20b stops, by pressing this stop button 21b, keep in the above-mentioned sacculus 11 or the pressure of the air in the pipeline.
And above-mentioned power knob 22 is the buttons that the power supply of above-mentioned endoscope balloon control device 7 switched to on-state or off-state.
Above-mentioned emergency stop push button 23 is the buttons that the air feed control of each sacculus 9,11 etc. is promptly stopped that being used to make the 1st～the 3rd chopper 31a～31c described later of above-mentioned endoscope balloon control device 7 directly to disconnect to make above-mentioned endoscope balloon control device 7.
Below, with reference to Fig. 4 the internal structure of above-mentioned endoscope balloon control device 7 is described.Fig. 4 is the block diagram that the internal structure of above-mentioned endoscope balloon control device is shown.
As shown in Figure 4, above-mentioned endoscope balloon control device 7 has: Switching Power Supply portion 30, the the 1st～the 3rd chopper 31a～31c, 1st, the 2nd pump 32a, 32b, 1st, the 2nd flow rate regulating valve 32c, 32d, pipeline switching part the 33, the 1, the 2nd pressure transducer 34a, 34b, and as the control part (control unit) 35 of above-mentioned control unit.
Alternating current power supply is not provided for above-mentioned Switching Power Supply portion 30 from the source power supply portion of outside by making illustrated connection cord.Above-mentioned Switching Power Supply portion 30 converts the alternating current power supply that is provided to above-mentioned emergency stop push button 23 that dc source offers above-mentioned the 1st～the 3rd chopper 31a～31c, the 1st, the 2nd pressure transducer 34a, 34b, control part 35 and above-mentioned remote controller 8.
Above-mentioned the 1st chopper 31a is electrically connected with the emergency stop push button 23 of above-mentioned the 1st, the 2nd pump 32a, 32b and above-mentioned remote controller 8.Above-mentioned the 1st chopper 31a offers above-mentioned the 1st, the 2nd pump 32a, 32b to dc source, is providing under the situation of operation signal from above-mentioned emergency stop push button 23, stops to provide dc source to above-mentioned the 1st, the 2nd pump 32a, 32b.
Above-mentioned the 2nd chopper 31b is electrically connected with the emergency stop push button 23 of above-mentioned pipeline switching part 33 and above-mentioned remote controller 8.Above-mentioned the 2nd chopper 31b offers above-mentioned pipeline switching part 33 to dc source, is providing under the situation of operation signal from above-mentioned emergency stop push button 23, stops to provide dc source to above-mentioned pipeline switching part 33.
Above-mentioned the 3rd chopper 31c is electrically connected with the emergency stop push button 23 of above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d and above-mentioned remote controller 8.Above-mentioned the 3rd chopper 31c offers above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d to dc source, is providing under the situation of operation signal from above-mentioned emergency stop push button 23, stops to provide dc source to above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d.
Above-mentioned the 1st, the 2nd pump 32a, 32b are connected by the input side of airline with above-mentioned pipeline switching part 33 respectively.And, above-mentioned the 1st, the 2nd pump 32a, 32b are driven control according to the control signal from above-mentioned control part 35, for example can be by above-mentioned airline to above-mentioned pipeline switching part 33 air feed, on the contrary perhaps can be air-breathing to above-mentioned pipeline switching part 33 by above-mentioned airline.
Above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d are connected by the outlet side of airline with above-mentioned pipeline switching part 33 respectively.Above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d are the valves that can be adjusted switching by above-mentioned control part 35, can be according to the air mass flow that will export from the control signal adjustment of above-mentioned control part 35.And above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d offer the 1st, the 2nd pressure transducer 34a, 34b to the air of the flow of being adjusted by the air feed circuit respectively in prescribed limit.
Above-mentioned the 1st, the 2nd pressure transducer 34a, 34b measure the pressure of the air that provides from above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d.In addition, in the present embodiment, can constitute: the metering result of the 1st, the 2nd pressure transducer 34a, 35b is offered above-mentioned control part 35, and above-mentioned control part 35 is according to the metering result who is provided respectively, control above-mentioned the 1st, the 2nd pump 32a, 32b, press with the air that reaches expectation.
The output of above-mentioned the 1st, the 2nd pressure transducer 34a, 34b offers above-mentioned the 1st, the 2nd air feed with managing 13,14 by air feed circuit, adapter 7A, 7B, 13B, 14B respectively.
Like this, above-mentioned endoscope balloon control device 7 has: via above-mentioned the 1st pump 32a and above-mentioned pipeline switching part 33 and the supply air line that constitutes by the 1st flow rate regulating valve 32c and the 1st pressure transducer 34a, and via above-mentioned the 2nd pump 32b and above-mentioned pipeline switching part 33 and the supply air line that constitutes by the 2nd flow rate regulating valve 32d and the 2nd pressure transducer 34b.
And, the above-mentioned pipeline switching part 33 changeable illustrated pipelines of not doing that are arranged on inside, so that be in above-mentioned endoscope balloon control device 7 in the corresponding pipeline state of execution pattern, for example, as above-mentioned execution pattern, 4 kinds of execution patterns of blowing model, air-breathing mode, maintenance pattern and open mode are arranged.Therefore, above-mentioned pipeline switching part 33 is changeable does not make illustrated internal duct, so that be in and above-mentioned 4 kinds of states that pattern is corresponding, promptly, air feed state, suction condition, hold mode and open state, this switches according to controlled from the control signal of above-mentioned control part 35.Its result can make the pipeline of sacculus 11 sides of the pipeline of sacculus 9 sides of the above-mentioned endoscope 2 that is connected with rear-stage side and above-mentioned trocar sheath 3 sides be in pipeline state based on the execution pattern of expectation respectively.
Although above-mentioned control part 35 does not illustrate, yet have: the meter stream device that the gas supply flow of the sacculus 9 of the above-mentioned endoscope 2 of subtend and the sacculus 11 of above-mentioned trocar sheath 3 is counted, the timer of the above-mentioned service life detecting unit of conduct that each service life of above-mentioned each sacculus 9,11 or inspiratory duration etc. are counted or measure the intervalometer of stipulated time, and store mastery routine described later or based on the storage part of the program of various modules.
Above-mentioned control part 35 is by carrying out said procedure according to the operation signal from above-mentioned remote controller 8, when stating meter stream device and timer in the use, control above-mentioned the 1st, the 2nd pump 32a, 32b, above-mentioned pipeline switching part 33 and the 1st, the 2nd flow rate regulating valve 32c, 32d.
Like this, above-mentioned endoscope balloon control device 7 measurable to above-mentioned endoscope 2 sacculus 9 and service life or inspiratory duration, the gas supply flow time etc. of the sacculus 11 of above-mentioned trocar sheath 3, by using these meterings result, may command is to the gas supply flow of the sacculus 11 of the sacculus 9 of above-mentioned endoscope 2 and above-mentioned trocar sheath 3.
Below, with reference to Fig. 5 to Figure 11 the basic operation state of above-mentioned endoscopic system 1 is described.
Fig. 5 to Figure 11 is the key diagram that is used to use the sacculus of the sacculus of above-mentioned endoscope 2 and above-mentioned trocar sheath to come the mode of operation to endoscope and trocar sheath to describe.Fig. 5 illustrate make each sacculus contract flat come endoscope inserted lead in the trocar sheath, thereby be inserted into the state in the intestinal tube, Fig. 6 illustrates the inflation that makes trocar sheath and is secured in state on the intestinal tube, Fig. 7 illustrates from the state of Fig. 6 and further endoscope is inserted into state in the trocar sheath, Fig. 8 is illustrated in the inflation that makes endoscope under the state of Fig. 7 and is secured in state on the intestinal wall, Fig. 9 is illustrated in the sacculus that makes trocar sheath under the state of Fig. 8 flat state that further inserts trocar sheath that contracts, the front end that Figure 10 illustrates trocar sheath moves to the state of endoscope distal end portion from the state of Fig. 9, and Figure 11 is illustrated in the inflation that makes trocar sheath under the state of Figure 10 and is secured in state on the intestinal wall.
As shown in Figure 5, the doctor makes 2 slotting leading in trocar sheath 3 of endoscope.In this case, the sacculus 9 of above-mentioned endoscope 2 and the sacculus 11 of above-mentioned trocar sheath 3 are in respectively extracts inner air out and the flat state that contracts, and under this state, the doctor begins endoscope 2 is inserted in examinee's body.
Then, the doctor is inserted into for example duodenum descending branch to the front end of endoscope 2 and trocar sheath 3, afterwards as shown in Figure 6, press the air feed start button 19b (with reference to Fig. 3) of the trocar sheath side of remote controller 8, the main body that air is offered the front end that is installed in above-mentioned trocar sheath 3 from above-mentioned the 2nd pump 32b is the above-mentioned sacculus 11 of usefulness fixedly, makes this sacculus 11 expand above-mentioned trocar sheath 3 is fixed on the intestinal tube 40.Then, the doctor remains on the intestinal tube 40 above-mentioned trocar sheath 3 as shown in Figure 7, and only the above-mentioned insertion section 2B of above-mentioned endoscope 2 is inserted into the deep.
Then, the doctor has inserted under the state of predetermined distance at the above-mentioned insertion section 2B above-mentioned endoscope 2, as shown in Figure 8, press the air feed start button 19a (with reference to Fig. 3) of endoscope's side of remote controller 8, fixedly provide air in the sacculus 9 of usefulness from above-mentioned the 1st pump 32a to the main body of the front end that is installed in endoscope 2, this sacculus 9 is expanded be secured on the intestinal tube 41.
In addition, considered the situation that above-mentioned intestinal tube 40,41 is narrow according to patient's difference, as long as yet the doctor presses above-mentioned stop button 21a, 21b, just can be by stopping to provide air to each sacculus 9,11, according to the size of above-mentioned intestinal tube 40,41 each sacculus 9,11 is expanded and be secured on the intestinal tube 40,41.
Then, the doctor presses the open button 18b or the air-breathing start button 20b (with reference to Fig. 3) of the trocar sheath side of above-mentioned remote controller 8, use the air in the above-mentioned pipeline switching part 33 open above-mentioned sacculus 11, perhaps draw air in the above-mentioned sacculus 11 of above-mentioned trocar sheath 3, make above-mentioned sacculus 11 contract flat (with reference to Fig. 9) from above-mentioned the 2nd pump 32b.
Then, the doctor is inserted into the deep to above-mentioned trocar sheath 3 along above-mentioned endoscope 2 as shown in Figure 9, the front end of above-mentioned trocar sheath 3 is inserted near the front end of above-mentioned insertion section 2B of above-mentioned endoscope 2.
Then, the doctor is under near the state the front end that the front end of above-mentioned trocar sheath 3 is inserted into above-mentioned insertion section 2B, as shown in figure 11, press the air feed start button 19b (with reference to Fig. 3) of the trocar sheath side of above-mentioned remote controller 8, provide air from above-mentioned the 2nd pump 32b to the above-mentioned sacculus 11 of above-mentioned trocar sheath 3, make this sacculus 11 expand above-mentioned trocar sheath 3 is fixed on the intestinal wall 41.
And, the doctor presses the open button 18a or the air-breathing start button 20a (with reference to Fig. 3) of endoscope's side of above-mentioned remote controller 8, use the air in the above-mentioned sacculus 9 of above-mentioned pipeline switching part 33 releases, perhaps draw air in the above-mentioned sacculus 9 of above-mentioned endoscope 2 from above-mentioned the 1st pump 32a, it is flat that above-mentioned sacculus 9 is contracted, and further above-mentioned insertion section 2B is inserted in the deep.
By repeating the operation of above Fig. 5 to Figure 11, carry out the deep of above-mentioned endoscope 2 and above-mentioned trocar sheath 3 and insert, thereby can make the above-mentioned insertion section 2B of above-mentioned endoscope 2 be inserted into desired locations.
Below, with reference to Figure 12 to Figure 15 the effect of the above-mentioned endoscope balloon control device of present embodiment is described.
Figure 12 to Figure 15 is used for the figure that the effect to endoscope balloon control device describes, Figure 12 is the flow chart that the mastery routine of control part is shown, Figure 13 illustrates the flow chart of confirming the processing routine of module based on the on off state of Figure 12, Figure 14 is the flow chart that illustrates based on the processing routine of the air feed module of Figure 13, and Figure 15 is the flow chart that illustrates based on the processing routine of the air-breathing module of Figure 13.
Now, suppose that the doctor uses the endoscopic system 1 of Fig. 1 to carry out splanchnoscopy in the digestive tube.Then, when the doctor pressed the power knob 22 (on and off switch 17 perhaps shown in Figure 2) of remote controller shown in Figure 38, the control part 35 illustrated storage part of not doing internally read in mastery routine shown in Figure 12 and makes its starting.
When above-mentioned control part 35 has been confirmed the power connection state in the processing of step S1, in the processing of step S2, carry out the initialization of the various device etc. in the above-mentioned endoscope balloon control device 7.As this initialization, for example, above-mentioned control part 35 makes above-mentioned the 1st, the 2nd pump 32a, 32b starting, and uses above-mentioned pipeline switching part 33 to carry out initialization, so that be in the pipeline open state.And the illustrated meter of not doing that above-mentioned control part 35 carries out in the above-mentioned control part 35 flows resetting of device or timer etc., carries out initialization.
Then, above-mentioned control part 35 judges that in the judgment processing of following step S3 the 20msec intervalometer interrupts, and under situation about being judged as, makes to handle and transfers to step S4, is being judged as under the situation of nothing, proceeds this judgment processing.
In addition, above-mentioned intervalometer uses the intervalometer of metering 20msec, is used to make the every 20msec action of processing routine shown in Figure 12 once.
Then, above-mentioned control part 35 is in the judgment processing of step S4, whether the count value of timer of judging the every 20msec counting 1 of above-mentioned intervalometer equals 10, equal under 10 the situation being judged as, above-mentioned timer and above-mentioned meter stream device is resetted, make to handle and transfer to step S6.On the other hand, be not equal under 10 the situation being judged as above-mentioned count value, above-mentioned control part 35 makes to handle transfers to step S6.
In addition, in the present embodiment, mean and carry out processing routine shown in Figure 12 10 times, that is, carry out the corresponding sacculus control of various push-botton operations of using controller 8 to carry out with above-mentioned doctor with the unit of time of 200msec.
Then, above-mentioned control part 35 is carried out the processing routine based on the 1st pump described later, the 2nd switch pump state confirmation module in the processing of step S6, step S7.Then, after confirming that based on above-mentioned on off state the processing routine of module is finished, above-mentioned control part 35 makes the count value of above-mentioned timer add 1 in the processing of step S8, makes afterwards and handles the judgment processing of getting back to above-mentioned steps S3.
Below, with reference to Figure 13 the processing routine of above-mentioned the 1st switch pump state confirmation module of above-mentioned steps S6 is described.
Above-mentioned control part 35 starts the processing routine that on off state shown in Figure 13 is confirmed module when having carried out the processing of above-mentioned steps S6.
Like this, above-mentioned control part 35 according to the emergency stop push button 23 of whether supressing remote controller 8, is judged to have or not warning in the judgment processing of step S11.In this case, above-mentioned control part 35 carries out above-mentioned judgment processing by the on/off that detects caution sign.In addition, above-mentioned caution sign is not limited to press above-mentioned emergency stop push button 23, as long as rough sledding takes place above-mentioned endoscope balloon control device 7, just is in alarm condition, thereby is connected by above-mentioned control part 35.
Here, detecting under the anastomosing situation of caution sign, to be judged as above-mentioned endoscope balloon control device 7 are alarm conditions to above-mentioned control part 35 according to supressing above-mentioned emergency stop push button 23 grades, handle in order to keep current warning, in the processing of step S20, finish to confirm the processing routine of module, transfer to the processing of the step S7 of Figure 12 based on above-mentioned on off state.
On the other hand, in the judgment processing of above-mentioned steps S11, detect under the situation of caution sign disconnection, above-mentioned control part 35 judges to above-mentioned endoscope balloon control device 7 is not an alarm condition in the situation of not pressing above-mentioned emergency stop push button 23, transfers to the judgment processing of step S12.
In the judgment processing of step S12, above-mentioned control part 35 judges whether to supress the open button 18a of remote controller shown in Figure 38, is being judged as under the situation about not pressing, and transfers to step S14.On the other hand, be judged as under the situation about having pressed, above-mentioned control part 35 stops the action of the 1st pump 32a corresponding with above-mentioned open button 18a in the processing of step S13, and control above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c, so that open pipeline, transfer to above-mentioned steps S20 afterwards, finish processing routine based on above-mentioned the 1st switch pump state confirmation module.
In the judgment processing of step S14, above-mentioned control part 35 judges whether to supress the stop button 21a of remote controller shown in Figure 38, is being judged as under the situation about not pressing, and transfers to step S16.On the other hand, be judged as under the situation about having pressed, above-mentioned control part 35 is controlled above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c in the processing of step S15, so that locking pipeline (pipeline hold mode), and stop the action of the 1st pump 32a corresponding with above-mentioned stop button 21a, transfer to above-mentioned steps S20 afterwards, finish processing routine based on above-mentioned the 1st switch pump state confirmation module.
In the judgment processing of step S16, above-mentioned control part 35 judges whether to supress the air-breathing start button 20a of remote controller shown in Figure 38, is being judged as under the situation about not pressing, and transfers to step S18.On the other hand, be judged as under the situation about having pressed, above-mentioned control part 35 makes the processing routine starting based on air-breathing module shown in Figure 15 described later in the processing of step S17, carry out corresponding air-breathing control with above-mentioned air-breathing start button 20a, transfer to step S20 afterwards, finish processing routine based on above-mentioned the 1st switch pump state confirmation module.
In the judgment processing of step S18, above-mentioned control part 35 judges whether to supress the air feed start button 19a of remote controller shown in Figure 38, is being judged as under the situation about not pressing, and transfers to above-mentioned steps S20.On the other hand, be judged as under the situation about having pressed, above-mentioned control part 35 makes the processing routine starting based on air feed module shown in Figure 14 described later in the processing of step S19, carry out the air feed control corresponding with above-mentioned air feed start button 19a, transfer to above-mentioned steps S20 afterwards, finish processing routine based on above-mentioned the 1st switch pump state confirmation module.
Below, with reference to Figure 14 the processing routine of the above-mentioned air feed module of above-mentioned steps S19 is described.
In addition, in the present embodiment, in above-mentioned control part 35, preestablish and be useful on and the pressure maximum and the upper pressure limit value that compare from the piezometry result of above-mentioned the 1st, the 2nd pick off 34a, 34b.And above-mentioned upper pressure limit value and above-mentioned pressure maximum satisfy above-mentioned upper pressure limit value＜peaked relation of above-mentioned pressure.In this case, above-mentioned pressure maximum is to expand and suitable force value in the hole with above-mentioned each sacculus 9,11, and above-mentioned upper pressure limit value means with above-mentioned each sacculus 9,11 expansion and is fixed on force value suitable on the intestinal tube.
Above-mentioned control part 35 starts the processing routine of air feed module shown in Figure 14 when having carried out the processing of above-mentioned steps S19.
Like this, above-mentioned control part 35 is in the judgment processing of step S21, carry out measurement result (for example pressure simulation value) and the peaked comparison of predefined pressure from above-mentioned the 1st pressure transducer 34a, be judged as the said determination result less than the peaked situation of above-mentioned pressure under, transfer to step S22, otherwise under being judged as, transfer to the processing of step S29 greater than the peaked situation of above-mentioned pressure.In the processing of step S29, above-mentioned control part 35 stops the action of the 1st pump 32a, and controls above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c, so that open pipeline.Afterwards, above-mentioned control part 35 connects above-mentioned caution sign in the processing of step S30, transfers to step S37 afterwards, finishes the processing routine based on above-mentioned air feed module.
In the processing of step S22, above-mentioned control part 35 carries out having measured the metering result (service life) of service life and the comparison of predefined maximum service life by the intervalometer of inside, be judged as under the situation of above-mentioned service life less than above-mentioned maximum service life, transfer to step S23, otherwise under situation about being judged as, transfer to the processing of step S31 greater than above-mentioned maximum service life.
In the processing of step S31, above-mentioned control part 35 is the same with the processing of above-mentioned steps S29, stops the action of the 1st pump 32a, and controls above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c, so that open pipeline.Afterwards, above-mentioned control part 35 is the same with the processing of above-mentioned steps S30, in the processing of step S32, above-mentioned caution sign is connected, and transfers to step S37 afterwards, finishes the processing routine based on above-mentioned air feed module.
Then, above-mentioned control part 35 is in the judgment processing of step S23, whether the count value of timer of judging the every 20msec counting 1 of above-mentioned intervalometer equals 1, equal under 1 the situation being judged as, in the processing of step S33, stop the action of the 1st pump 32a, and control above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c, so that the holding tube line state.Afterwards, above-mentioned control part 35 carries out above-mentioned the 1st, the 2nd pressure transducer 34a, 34b in the processing of step S34 piezometry obtains the mensuration force value, transfers to step S24 afterwards.
And in the judgment processing of above-mentioned steps S23, the count value that is judged as above-mentioned timer is not equal under 1 the situation, and above-mentioned control part 35 is transferred to above-mentioned steps S24.
Then, above-mentioned control part 35 is in the judgment processing of step S24, carry out piezometry by above-mentioned the 1st pressure transducer 34a and obtain the mensuration force value, carrying out this obtained mensuration force value (is passing through under above-mentioned steps S33,34 the circulation situation, obtained mensuration force value in above-mentioned steps S34) and the comparison of predefined upper pressure limit value, be judged as under the situation of said determination result less than above-mentioned upper pressure limit value, transfer to step S25, otherwise under situation about being judged as, transfer to the processing of step S35 greater than above-mentioned upper pressure limit value.
In the processing of step S35, above-mentioned control part 35 stops the action of the 1st pump 32a, and controls above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c, so that the holding tube line state, transfer to above-mentioned steps S37 afterwards, finish processing routine based on above-mentioned air feed module.
Then, above-mentioned control part 35 is in the judgment processing of step S25, carry out the comparison of above-mentioned meter flow valuve and predefined regulation air demand (gas supply flow), be judged as under the situation of above-mentioned meter flow valuve greater than the afore mentioned rules air demand, in the processing of step S36, stop the action of the 1st pump 32a, and control above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c, so that the holding tube line state, transfer to step S37 afterwards, finish processing routine based on above-mentioned air feed module.
In addition, so-called above-mentioned meter flow valuve is to be used to determine that 200msec (20msec * 10) can provide the variable of how many air demands, for example can carry out corresponding with above-mentioned clocking value 0～9 0～9 setting.In fact, use the every 20msec of above-mentioned meter stream device (not illustrating) to count above-mentioned meter flow valuve.And, but the afore mentioned rules air demand is represented the roughly air demand (gas supply flow) of every 20msec air feed of above-mentioned endoscope balloon control device 7.
In the judgment processing of above-mentioned steps S25, be judged as under the situation of above-mentioned meter flow valuve less than the afore mentioned rules air demand, above-mentioned control part 35 is controlled above-mentioned pipeline switching part 33 in the processing of step S27, so that set the supply air line based on air feed start button 19a, 19b.Afterwards, above-mentioned control part 35 makes above-mentioned meter flow valuve add 1 in the processing of step S27, and in the processing of following step S28, makes above-mentioned service life add 1, transfers to above-mentioned steps S37, finishes the processing routine based on above-mentioned air feed module.
When the processing routine based on above-mentioned air feed module finishes, suppose that above-mentioned control part 35 finishes the processing routine of confirming module based on off state shown in Figure 13, execution is based on the processing of the 2nd switch pump state confirmation module of step S7 shown in Figure 12, after, repeat processing according to processing routine shown in Figure 12.In addition, owing to only change the action of the 2nd switch pump state confirmation module and pump, switch, control object, thereby omit.
Below, with reference to Figure 15 the processing routine of the above-mentioned air-breathing module of above-mentioned steps S17 shown in Figure 13 is described.
Above-mentioned control part 35 starts the processing routine of air-breathing module shown in Figure 15 when having carried out the processing of above-mentioned steps S17.
Like this, above-mentioned control part 35 is in the judgment processing of step S40, carry out having measured the metering result (inspiratory duration) of inspiratory duration and the comparison of predefined maximum inhale time by the intervalometer of inside, be judged as under the situation of above-mentioned inspiratory duration less than the above-mentioned maximum inhale time, transfer to step S41, otherwise under situation about being judged as, transfer to the processing of step S47 greater than the above-mentioned maximum inhale time.
In the processing of step S47, above-mentioned control part 35 stops the action of above-mentioned the 1st pump 32a, and controls above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c, so that open pipeline.Afterwards, above-mentioned control part 35 connects above-mentioned caution sign in the processing of step S48, transfers to step S53 afterwards, finishes the processing routine based on above-mentioned air-breathing module.
Then, above-mentioned control part 35 is in the judgment processing of step S41, whether the count value of timer of judging the every 20msec counting 1 of above-mentioned intervalometer equals 1, equal under 1 the situation being judged as, in the processing of step S49, stop the action of the 1st pump 32a, and control above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c, so that the holding tube line state.Afterwards, above-mentioned control part 35 carries out piezometry by above-mentioned the 1st pressure transducer 34a and obtains the mensuration force value in the processing of step S50, transfer to step S42 afterwards.
And in the judgment processing of above-mentioned steps S41, the count value that is judged as above-mentioned timer is not equal under 1 the situation, and above-mentioned control part 35 is transferred to above-mentioned steps S42.
Then, above-mentioned control part 35 is in the judgment processing of step S42, carry out piezometry by above-mentioned the 1st pressure transducer 34a and obtain the mensuration force value, carrying out this obtained mensuration force value (is passing through under above-mentioned steps S49,50 the circulation situation, obtained mensuration force value in above-mentioned steps S50) and the comparison of predefined low pressure limit value, be judged as under the situation of said determination result less than above-mentioned low pressure limit value, transfer to step S51, otherwise under situation about being judged as, transfer to the processing of step S43 greater than above-mentioned low pressure limit value.
In the processing of step S51, above-mentioned control part 35 stops aspiratory action by the 1st, the 2nd pump 32a, 32b, and control above-mentioned pipeline switching part 33 and the 1st, the 2nd flow rate regulating valve 32c, 32d, so that maintenance pipeline, transfer to above-mentioned steps S53 afterwards, finish processing routine based on above-mentioned air-breathing module.
Then, above-mentioned control part 35 is in the judgment processing of step S43, carry out the comparison of above-mentioned meter flow valuve and predefined prescribed inhale amount (inspiratory flow), be judged as under the situation of above-mentioned meter flow valuve greater than the afore mentioned rules inspiration capacity, in the processing of step S52, stop the aspiratory action of the 1st pump 32a, and control above-mentioned pipeline switching part 33 and the 1st flow rate regulating valve 32c, so that the holding tube line state, transfer to above-mentioned steps S54 afterwards, finish processing routine based on above-mentioned air-breathing module.In addition, so-called afore mentioned rules inspiration capacity is represented the roughly inspiration capacity (inspiratory flow) that every 20msec of above-mentioned endoscope balloon control device 7 can be air-breathing.
And, in the judgment processing of above-mentioned steps S43, be judged as under the situation of above-mentioned meter flow valuve less than the afore mentioned rules inspiration capacity, above-mentioned control part 35 is controlled above-mentioned pipeline switching part 33 in the processing of step S44, so that set the suction line based on air-breathing start button 20a.Afterwards, above-mentioned control part 35 makes above-mentioned meter flow valuve add 1 in the processing of step S45, and makes above-mentioned inspiratory duration add 1 in the processing of following step S46, transfers to above-mentioned steps S53, finishes the processing routine based on above-mentioned air-breathing module.
When the processing routine based on above-mentioned air-breathing module finishes, suppose that above-mentioned control part 35 confirms that according on off state shown in Figure 13 module finishes the processing routine, execution is based on the processing of the 1st switch pump state confirmation module of step S7 shown in Figure 12, after, repeat processing according to processing routine shown in Figure 12.
The above, according to present embodiment, above-mentioned endoscope balloon control device 7 since measurable to endoscope 2 sacculus 9 and the service life of the sacculus 11 of trocar sheath 3, thereby can detect and surpassed that maximum service life, maximum inhale time, maximum air feed are pressed and peak inspiratory pressure is controlled pressure in the sacculus, so that open pipeline, therefore, can intestinal wall not undergone surgery with applying very big power.
And above-mentioned endoscope balloon control device 7 be owing to can adjust gas supply flow and inspiratory flow to each sacculus 9,11, thereby can be adapted to the sacculus and the various position of various materials.And above-mentioned endoscope balloon control device 7 can prevent the continuous air feed action or the aspiratory action that have produced under the situation of above-mentioned the 1st, the 2nd air feed with the pipeline of pipe 13,14 etc. for example having taken off.
In addition, in the present embodiment, to above-mentioned remote controller 8 is described with the structure that above-mentioned endoscope balloon control device 7 is connected, yet be not limited thereto, the operating portion 2A that also can be arranged on doctor above-mentioned endoscope 2 nearby for example goes up or the foot switch of the above-mentioned endoscope balloon control device 7 of control of the underfooting by the doctor is set constitutes.
And above-mentioned controller 8 can constitute: use infrared ray to send various remote manipulation signals, use the light accepting part that is arranged in the above-mentioned endoscope balloon control device 7 to accept above-mentioned infrared ray and be taken into above-mentioned remote signal.Like this, doctor's operation becomes and is more prone to.
Figure 16 is the structure chart of schematic configuration that the endoscope balloon control device of embodiments of the invention 2 is shown.In addition, Figure 16 pair of element identical with the endoscope balloon control device of the foregoing description 1 enclosed same-sign and omitted explanation, only different piece described.
The supply air line (air feed circuit) that the endoscope balloon control device 7 of present embodiment has 2 systems is provided with the 1st, the 2nd relief valve 36a, the 36b as above-mentioned sacculus internal pressure control unit.
As shown in figure 16, above-mentioned the 1st relief valve 36a is connected with the pipeline of the output end of the 1st pressure transducer 34a.And above-mentioned the 2nd relief valve 36b is connected with the pipeline of the output end of the 2nd pressure transducer 34b.
Above-mentioned the 1st, the 2nd relief valve 36a, 36b monitor loine pressure, when loine pressure when authorized pressure (discharge press) is above, pipeline is opened to the outside, prevent that loine pressure is more than authorized pressure.
In addition, in the present embodiment, above-mentioned the 1st, the 2nd relief valve 36a, 36b use for example mechanical type relief valve, and this mechanical type relief valve makes by the fixed valve of elastomeric material along with the pipeline inner pressure rising and opens to the outside.
Other structures are identical with the foregoing description 1.
Below, with reference to Figure 16 the effect of present embodiment is described.
In endoscope balloon control device shown in Figure 16 7, above-mentioned each discharges to press and is set to: upper pressure limit value＜pressure maximum=＜discharge and press.
Usually, above-mentioned upper pressure limit value adopts and the different compress control method of above-mentioned sacculus internal pressure control unit (the 1st, the 2nd relief valve 36a, 36b) with above-mentioned pressure maximum, by above-mentioned the 1st, the 2nd pressure transducer 34a, the 34b control of electric.And the electromagnetic valve (not illustrating) of the adjusting flow that is comprised in above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d also is the electric valve, by control part 35 controls.
Therefore, because above-mentioned the 1st, the 2nd pressure transducer 34a, 34b and above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d all are the electric valves, thereby under the situation that for example electrical system in said apparatus breaks down, above-mentioned the 1st, the 2nd pressure transducer 34a, 34b and above-mentioned the 1st, the 2nd flow rate regulating valve 32c, 32d might all stop action.
In this case, the output of the 1st, the 2nd pump 32a, 32b is directly imposed in vivo, might apply very big pressure.And under the situation that the action of pressure transducer corresponding with any one supply air line and flow rate regulating valve stops, the output of corresponding pump also might directly be imposed in vivo.
Yet, the endoscope balloon control device 7 of present embodiment has surpassed under the situation of release pressure above-mentioned in vivo applied pressure when above-mentioned fault, can move with mechanical above-mentioned the 1st, the 2nd relief valve 36a, the 36b that the fault of electrical system is irrespectively moved, thereby reduce applied pressure in vivo.
And, above-mentioned endoscope balloon control device 7 is under the situation that the action of pressure transducer corresponding with any one supply air line in the supply air line (air feed circuit) of 2 systems and flow rate regulating valve stops, in that having been surpassed, applied pressure in vivo discharges under the situation of pressing, corresponding relief valve moves, thereby can reduce applied pressure in vivo, can make another supply air line regular event simultaneously.
Other actions are identical with the foregoing description 1.
Therefore, according to present embodiment, except can obtaining the effect identical, has the endoscope balloon control device that also can guarantee the sacculus internal pressure control unit of safety at the fault of electrical system etc. even also can realize with the foregoing description 1.
In the present invention, can understand, under the situation that does not deviate from the invention spirit and scope, can be formed in interior different embodiment on a large scale according to the present invention.The present invention is limited by the scope of appended Patent right requirement, not restricted by its specific embodiment.
Utilizability on the industry
Endoscope balloon control device of the present invention is by sacculus and the outer tube of measurable endoscope Air feed or the inspiratory duration of sacculus, can control to the gas supply flow of above-mentioned each sacculus or for air pressure, Thereby to changing the case that the sacculus material carries out or the observation of carrying out various positions, disposal etc. Situation is especially effective.
Claims (24)
1. an endoscope balloon control device is characterized in that, this device has:
Pump, its fixing of peripheral part to the insertion section leading section that is installed in endoscope is discharged gas with the sacculus supply gas and from described sacculus;
Time detecting portion, it detects air feed and inspiratory duration to above-mentioned sacculus;
Control part, it measures the gas pressure in the above-mentioned sacculus, said pump is moved control pressure in the above-mentioned sacculus according to this measurement result, make when air feed, if the pressure in the above-mentioned sacculus is greater than predefined upper limit force value, then stop said pump, when air-breathing, if the pressure in the above-mentioned sacculus is less than predefined threshold pression value, then stop said pump, and, pressure in the above-mentioned sacculus controlled according to the testing result of above-mentioned time detecting portion, make when above-mentioned air feed, if above-mentioned service life has surpassed predefined maximum service life, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory duration has surpassed the predefined maximum inhale time, then stop said pump; And
Refluence prevents to use case, and it has the case that above-mentioned sacculus is used, and by the control of above-mentioned control part, provides liquid via described pump to above-mentioned sacculus, and above-mentioned case constitutes possesses the anti-locking mechanism that flows backwards, to prevent the refluence of aforesaid liquid.
2. endoscope balloon control device according to claim 1, it is characterized in that, this device has at what be installed in the leading section peripheral part that makes above-mentioned endoscope insert logical trocar sheath fixingly supplies with or discharges the pump of gas with sacculus, and air feed or the inspiratory duration to the sacculus of the sacculus of above-mentioned endoscope and trocar sheath detects in above-mentioned time detecting portion.
3. endoscope balloon control device according to claim 1, it is characterized in that, this device has detection to the air feed of above-mentioned sacculus or the flow testing division of inspiratory flow, said pump is moved control air feed or inspiratory flow to above-mentioned sacculus according to the testing result of this flow testing division.
4. endoscope balloon control device according to claim 2, it is characterized in that, this device has detection to the air feed of the sacculus of the sacculus of above-mentioned endoscope and trocar sheath or the flow testing division of inspiratory flow, said pump is moved control air feed or inspiratory flow to above-mentioned sacculus according to the testing result of this flow testing division.
5. endoscope balloon control device according to claim 1 is characterized in that, when having surpassed the threshold value that sets from the unitary testing result of above-mentioned time detecting, above-mentioned control part stops the action of said pump.
6. endoscope balloon control device according to claim 2 is characterized in that, when having surpassed the threshold value that sets from the unitary testing result of above-mentioned time detecting, above-mentioned control part stops the action of said pump.
7. endoscope balloon control device according to claim 1, it is characterized in that, above-mentioned control part is controlled at the pressure in the above-mentioned sacculus between the 1st force value and the 2nd force value, when the pressure in the above-mentioned sacculus has surpassed than big above-mentioned the 2nd force value of above-mentioned the 1st force value, reduce the pressure in the above-mentioned sacculus.
8. endoscope balloon control device according to claim 2, it is characterized in that, above-mentioned control part is controlled at the pressure in the sacculus of the sacculus of above-mentioned endoscope and trocar sheath between the 1st force value and the 2nd force value, when the pressure in the above-mentioned sacculus has surpassed than big above-mentioned the 2nd force value of above-mentioned the 1st force value, reduce the pressure in the above-mentioned sacculus.
9. endoscope balloon control device according to claim 3 is characterized in that, even the control method that occurs breaking down in the different control methods of the pressure of above-mentioned control part in the above-mentioned sacculus of control also can adopt remaining control method to control.
10. endoscope balloon control device according to claim 4, it is characterized in that, even the control method that occurs breaking down in the different control methods of the pressure of above-mentioned control part in the sacculus of the sacculus of controlling above-mentioned endoscope and trocar sheath also can adopt remaining control method to control.
11. endoscope balloon control device according to claim 1 is characterized in that, in above-mentioned control part, is provided with the pressure that makes in this pipeline and is reaching the relief valve that setting value discharges to the outside when above in the pipeline from said pump to above-mentioned sacculus.
12. endoscope balloon control device according to claim 2, it is characterized in that, in above-mentioned control part, in each pipeline, be provided with the pressure that makes in this pipeline and reaching the relief valve that setting value discharges to the outside when above from above-mentioned each pump to above-mentioned each sacculus.
13. an endoscope balloon control device is characterized in that, this device has: pump, and its fixing of peripheral part to the insertion section leading section that is installed in endoscope is discharged above-mentioned gas with the sacculus supply gas and from above-mentioned sacculus; Control part, it measures the gas pressure in the above-mentioned sacculus, said pump is moved control pressure in the above-mentioned sacculus according to this measurement result; And flow backwards and to prevent from use case, it has the case that above-mentioned sacculus is used, and by the control of above-mentioned control part, provides liquid via described pump to above-mentioned sacculus, and above-mentioned case constitutes that possessing flows backwards prevents locking mechanism, to prevent the refluence of aforesaid liquid;
Above-mentioned control part has: detect to the gas supply flow of above-mentioned sacculus with from the flow testing division of the inspiratory flow of above-mentioned sacculus, and detect to the service life of above-mentioned sacculus with from the time detecting portion of the inspiratory duration of above-mentioned sacculus, and said pump is moved control air feed or inspiratory flow to above-mentioned sacculus according to the testing result of above-mentioned flow testing division, make when air feed, if above-mentioned gas supply flow is more than the predefined air demand, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory flow is more than the predefined inspiration capacity, then stop said pump, in addition, also said pump is moved control air feed or inspiratory flow to above-mentioned sacculus according to the testing result of above-mentioned time detecting portion, make when above-mentioned air feed, if above-mentioned service life has surpassed predefined maximum service life, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory duration has surpassed the predefined maximum inhale time, then stop said pump.
14. endoscope balloon control device, it is characterized in that, this device has: pump, its to the peripheral part of the insertion section leading section that is installed in endoscope fixing with sacculus and be installed in and above-mentioned endoscope inserted lead to the fixing of front end peripheral part of the trocar sheath that carries out the guiding of above-mentioned endoscope when inserting to discharge above-mentioned gas with the sacculus supply gas and from above-mentioned sacculus; Control part, it measures the gas pressure in above-mentioned each sacculus, said pump is moved control pressure in above-mentioned each sacculus according to this measurement result; And flow backwards and to prevent from use case, it has the case that above-mentioned sacculus is used, and by the control of above-mentioned control part, provides liquid via described pump to above-mentioned sacculus, and above-mentioned case constitutes that possessing flows backwards prevents locking mechanism, to prevent the refluence of aforesaid liquid;
Above-mentioned control part has: detect to the gas supply flow of above-mentioned sacculus with from the flow testing division of above-mentioned capsular inspiratory flow, and detect to the service life of above-mentioned sacculus with from the time detecting portion of the inspiratory duration of above-mentioned sacculus, and said pump is moved control air feed or inspiratory flow to above-mentioned sacculus according to the testing result of above-mentioned flow testing division, make when air feed, if above-mentioned gas supply flow is more than the predefined air demand, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory flow is more than the predefined inspiration capacity, then stop said pump, in addition, also said pump is moved control air feed or inspiratory flow to above-mentioned each sacculus according to the testing result of above-mentioned time detecting portion, make when above-mentioned air feed, if above-mentioned service life has surpassed predefined maximum service life, then stop said pump, above-mentioned when air-breathing, if above-mentioned inspiratory duration has surpassed the predefined maximum inhale time, then stop said pump.
15. endoscope balloon control device according to claim 13, it is characterized in that, when having surpassed the threshold value that sets from the testing result of above-mentioned flow testing division with from the testing result of above-mentioned time detecting portion, above-mentioned control part stops the action of said pump.
16. endoscope balloon control device according to claim 14, it is characterized in that, when having surpassed the threshold value that sets from the testing result of above-mentioned flow testing division with from the testing result of above-mentioned time detecting portion, above-mentioned control part stops the action of said pump.
17. endoscope balloon control device according to claim 13 is characterized in that, above-mentioned time detecting portion is arranged on the timer in the above-mentioned control part.
18. endoscope balloon control device according to claim 14 is characterized in that, above-mentioned time detecting portion is arranged on the timer in the above-mentioned control part.
19. endoscope balloon control device according to claim 13 is characterized in that, this device is provided with the remote controller of the above-mentioned control part of control.
20. endoscope balloon control device according to claim 14 is characterized in that, this device is provided with the remote controller of the above-mentioned control part of control.
21. endoscope balloon control device according to claim 19, it is characterized in that, above-mentioned remote controller has a plurality of action buttons and the emergency stop push button that is used for providing to above-mentioned control part indication, under the situation of having operated above-mentioned emergency stop push button, above-mentioned control part stops the action of said pump.
22. endoscope balloon control device according to claim 20, it is characterized in that, above-mentioned remote controller has a plurality of action buttons and the emergency stop push button that is used for providing to above-mentioned control part indication, under the situation of having operated above-mentioned emergency stop push button, above-mentioned control part stops the action of said pump.
23. endoscope balloon control device according to claim 13 is characterized in that, in above-mentioned control part, is provided with the pressure that makes in this pipeline and is reaching the relief valve that setting value discharges to the outside when above in the pipeline from said pump to above-mentioned sacculus.
24. endoscope balloon control device according to claim 14, it is characterized in that, in above-mentioned control part, in each pipeline, be provided with the pressure that makes in this pipeline and reaching the relief valve that setting value discharges to the outside when above from above-mentioned each pump to above-mentioned each sacculus.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2004081655 | 2004-03-19 | ||
| JP081655/2004 | 2004-03-19 | ||
| JP329522/2004 | 2004-11-12 |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2008101358973A Division CN101380220B (en) | 2004-03-19 | 2005-03-15 | Endoscope balloon control device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN1933767A CN1933767A (en) | 2007-03-21 |
| CN100490730C true CN100490730C (en) | 2009-05-27 |
Family
ID=37879276
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2008101358973A Active CN101380220B (en) | 2004-03-19 | 2005-03-15 | Endoscope balloon control device |
| CNB2005800088596A Expired - Fee Related CN100490730C (en) | 2004-03-19 | 2005-03-15 | Endoscope balloon control device |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2008101358973A Active CN101380220B (en) | 2004-03-19 | 2005-03-15 | Endoscope balloon control device |
Country Status (2)
| Country | Link |
|---|---|
| JP (1) | JP5242733B2 (en) |
| CN (2) | CN101380220B (en) |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10052014B2 (en) | 2010-03-09 | 2018-08-21 | Smart Medical Systems Ltd. | Balloon endoscope and methods of manufacture and use thereof |
| CN103501682A (en) | 2011-03-07 | 2014-01-08 | 智能医疗系统有限公司 | Balloon-equipped endoscopic devices and methods thereof |
| ES2906463T3 (en) | 2013-05-21 | 2022-04-18 | Smart Medical Systems Ltd | Endoscope reconditioning system and method |
| WO2016103247A1 (en) | 2014-12-22 | 2016-06-30 | Smart Medical Systems Ltd. | Balloon endoscope reprocessing system and method |
| AU2016242297B2 (en) | 2015-04-03 | 2021-01-14 | Smart Medical Systems Ltd. | Endoscope electro-pneumatic adaptor |
| JP7066850B2 (en) * | 2018-07-10 | 2022-05-13 | オリンパス株式会社 | Phototherapy support device, phototherapy system and phototherapy support method |
| CN112842412B (en) * | 2020-12-28 | 2022-04-05 | 张慧英 | Multi-mode hysteroscope system |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5191878A (en) * | 1990-04-12 | 1993-03-09 | Olympus Optical Co., Ltd. | Endoscope device |
| JPH07171093A (en) * | 1993-12-21 | 1995-07-11 | Toshiba Medical Eng Co Ltd | Endoscope |
| JP4517321B2 (en) * | 2000-06-05 | 2010-08-04 | 有限会社エスアールジェイ | Overtube |
-
2005
- 2005-03-15 CN CN2008101358973A patent/CN101380220B/en active Active
- 2005-03-15 CN CNB2005800088596A patent/CN100490730C/en not_active Expired - Fee Related
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2011
- 2011-05-09 JP JP2011104332A patent/JP5242733B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| JP5242733B2 (en) | 2013-07-24 |
| CN101380220A (en) | 2009-03-11 |
| JP2011172974A (en) | 2011-09-08 |
| CN1933767A (en) | 2007-03-21 |
| CN101380220B (en) | 2012-04-18 |
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