JP2000171730A - Battery type portable endoscopic device - Google Patents
Battery type portable endoscopic deviceInfo
- Publication number
- JP2000171730A JP2000171730A JP10348889A JP34888998A JP2000171730A JP 2000171730 A JP2000171730 A JP 2000171730A JP 10348889 A JP10348889 A JP 10348889A JP 34888998 A JP34888998 A JP 34888998A JP 2000171730 A JP2000171730 A JP 2000171730A
- Authority
- JP
- Japan
- Prior art keywords
- endoscope
- cover
- conduit
- suction
- battery
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
Abstract
Description
【0001】[0001]
【発明の属する技術分野】本発明は携帯使用に適するバ
ッテリ式光源で内視鏡検査が可能なバッテリ式携帯内視
鏡装置に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a battery type portable endoscope apparatus capable of performing an endoscopic inspection with a battery type light source suitable for portable use.
【0002】[0002]
【従来の技術】一般に、バッテリ光源式の内視鏡は携帯
性に優れており、緊急時の処置や、ベットサイドでの処
置のように、大きな光源装置を運び込むことが困難な場
所での用途に特に優れた機能を発揮する。例えば特開平
10−43133号公報には、電源に乾電池を使用し、
水密構造にしたバッテリ型光源(バッテリ光源とも言
う)が、操作部に着脱自在に取り付いているバッテリ式
携帯内視鏡装置が開示されている。2. Description of the Related Art In general, a battery light source type endoscope is excellent in portability, and is used in a place where it is difficult to carry a large light source device, such as an emergency treatment or a treatment at a bedside. Demonstrates particularly excellent functions. For example, JP-A-10-43133 discloses that a dry battery is used as a power supply,
A battery-type portable endoscope apparatus is disclosed in which a battery-type light source having a watertight structure (also referred to as a battery light source) is detachably attached to an operation unit.
【0003】従来、特に医療用のバッテリ式携帯内視鏡
装置においても内視鏡検査を行った後には体腔内に挿入
された挿入部を洗滌・消毒(または滅菌)を行うことが
次の内視鏡検査を行う際に起こりえる感染症等を防ぐた
めに必要となる。Conventionally, even in a battery-powered portable endoscope apparatus for medical use, it is necessary to wash and disinfect (or sterilize) an insertion portion inserted into a body cavity after performing an endoscopic examination. It is necessary to prevent infectious diseases and the like that can occur when performing an endoscopy.
【0004】[0004]
【発明が解決しようとする課題】特開平10−4313
3号公報のような内視鏡装置は簡便性を利点として在宅
医療で使用する場合が多い。しかしながら、在宅医療で
は洗滌、消毒(または滅菌)を行う環境が十分でない場
合が多く、その場合には、複数のバッテリ式携帯内視鏡
装置を用意しなければならない欠点があった。Problems to be Solved by the Invention
An endoscope apparatus as disclosed in Japanese Patent Publication No. 3 is often used in home medical treatment because of its simplicity. However, in home medical care, the environment for washing and disinfection (or sterilization) is often insufficient, and in that case, there is a disadvantage that a plurality of battery-type portable endoscope devices must be prepared.
【0005】(発明の目的)本発明は、上述した点に鑑
みてなされたもので、携帯使用に適し、挿入部を洗滌、
消毒(または滅菌)を行うことが十分でない環境でも感
染症等の発生を防止でき、繰り返し内視鏡検査を行うこ
とができるバッテリ式携帯内視鏡装置を提供することを
目的とする。(Object of the Invention) The present invention has been made in view of the above points, and is suitable for portable use.
An object of the present invention is to provide a battery-type portable endoscope apparatus that can prevent the occurrence of an infectious disease or the like even in an environment where disinfection (or sterilization) is not sufficient, and that can repeatedly perform an endoscope inspection.
【0006】[0006]
【課題を解決するための手段】操作部と、前記操作部に
連結された挿入部と、前記挿入部内に配設された照明系
とを有する内視鏡と、前記内視鏡の操作部に連結され前
記照明系に照明光を供給するための発光素子が内蔵され
たバッテリ式光源と、前記内視鏡の挿入部を着脱に外装
する内視鏡カバーと、を設けることにより、内視鏡検査
毎に内視鏡カバーを新しいものに交換することにより、
挿入部を洗滌、消毒(または滅菌)を行うことなく、挿
入部を清潔な状態に設定して、繰り返しの内視鏡検査を
行うことができるようにする。An endoscope having an operation section, an insertion section connected to the operation section, an illumination system provided in the insertion section, and an operation section of the endoscope. An endoscope provided with a battery-type light source having a built-in light-emitting element for supplying illumination light to the illumination system and an endoscope cover for detachably mounting an insertion portion of the endoscope; By replacing the endoscope cover with a new one for each examination,
The insertion section is set in a clean state without washing and disinfecting (or sterilizing) the insertion section so that repeated endoscopy can be performed.
【0007】[0007]
【発明の実施の形態】以下、図面を参照して本発明の実
施の形態を説明する。 (第1の実施の形態)図1ないし図3は本発明の第1の
実施の形態に係り、図1は第1の実施の形態のバッテリ
式携帯内視鏡装置の外観図、図2はバッテリ式光源の分
解図、図3は内視鏡カバー部の構成及び作用を示す説明
図である。Embodiments of the present invention will be described below with reference to the drawings. (First Embodiment) FIGS. 1 to 3 relate to a first embodiment of the present invention, FIG. 1 is an external view of a battery-type portable endoscope apparatus of the first embodiment, and FIG. FIG. 3 is an exploded view of the battery-type light source, and FIG. 3 is an explanatory view showing the configuration and operation of the endoscope cover.
【0008】図1に示すように本発明の第1の実施の形
態のバッテリ式携帯内視鏡装置1は、水密構造の内視鏡
2と、該内視鏡2に着脱自在で選択して装着されるバッ
テリ式光源3及びライトガイドケーブル4と、内視鏡2
の挿入部6を覆うようにディスポーザブルで装着される
内視鏡カバー5とから構成される。As shown in FIG. 1, a battery-powered portable endoscope apparatus 1 according to a first embodiment of the present invention includes an endoscope 2 having a watertight structure and a detachably selected endoscope 2. Battery type light source 3 and light guide cable 4 to be mounted, and endoscope 2
And an endoscope cover 5 which is disposably mounted so as to cover the insertion portion 6.
【0009】内視鏡2は可撓性を有する細長の挿入部6
と、この挿入部6の後端に連設された把持部を兼ねる操
作部7と、この操作部7の後端に設けられた接眼部8と
を有する。また、挿入部6は硬質の先端部9と、この先
端部9の後端に隣接して設けられた湾曲自在の湾曲部1
1と、この湾曲部11の後端から操作部7の前端まで延
びる長尺の可撓部12とから構成され、操作部7に設け
た湾曲操作レバー13を操作することにより、湾曲部1
1を湾曲することができる。The endoscope 2 has an elongated insertion portion 6 having flexibility.
And an operation unit 7, which also serves as a grip unit, provided continuously to the rear end of the insertion unit 6, and an eyepiece unit 8 provided at the rear end of the operation unit 7. The insertion portion 6 includes a hard tip portion 9 and a bendable bending portion 1 provided adjacent to a rear end of the tip portion 9.
1 and a long flexible portion 12 extending from the rear end of the bending portion 11 to the front end of the operating portion 7. By operating a bending operation lever 13 provided on the operating portion 7, the bending portion 1
1 can be curved.
【0010】上記挿入部6内には照明光を伝送する照明
系として図示しないライトガイドが挿通され、このライ
トガイドの後端(基端)側は操作部7内で屈曲されて操
作部7のライトガイド口金14に固定されている。A light guide (not shown) is inserted into the insertion section 6 as an illumination system for transmitting illumination light, and the rear end (base end) side of the light guide is bent in the operation section 7 and It is fixed to the light guide base 14.
【0011】このライトガイド口金14は操作部7の側
部表面から突出し、熱伝導性の良好な部材で形成されて
いる。このライトガイド口金14の外周面には雄ねじ部
15が設けてあり、バッテリ式光源3或いはライトガイ
ドケーブル4を装着することができるようにしている。The light guide base 14 protrudes from the side surface of the operation unit 7 and is formed of a member having good heat conductivity. A male screw portion 15 is provided on the outer peripheral surface of the light guide base 14 so that the battery type light source 3 or the light guide cable 4 can be attached.
【0012】例えば、ライトガイドケーブル4の基端に
はライトガイド口金14に接続する接続部16が設けて
あり、この接続部16の接続口金16aはライトガイド
口金14と嵌合して、光学的に結合し、光の伝送が可能
な状態に設定され、この接続口金16aの外周側には接
続リング16bが設けてあり、この接続リング16bに
はライトガイド口金14の雄ねじ部15に螺合により着
脱自在に接続するねじ孔が設けてある。また、このライ
トガイドケーブル4の他端には図示しない光源装置のラ
イトガイドコネクタ受けに着脱自在で接続されるライト
ガイドコネクタ17が設けてある。For example, a connecting portion 16 for connecting to the light guide base 14 is provided at a base end of the light guide cable 4, and a connection base 16a of the connecting portion 16 is fitted to the light guide base 14 to provide an optical connection. The connection ring 16a is provided with a connection ring 16b on the outer peripheral side of the connection base 16a. The connection ring 16b is screwed into the male screw portion 15 of the light guide base 14. A screw hole for detachably connecting is provided. The other end of the light guide cable 4 is provided with a light guide connector 17 which is detachably connected to a light guide connector receiver of a light source device (not shown).
【0013】ライトガイドケーブル4を接続した状態の
場合は通常の内視鏡の構成と同様となり、ライトガイド
ケーブル4の他端のライトガイドコネクタ17を、図示
しない既存の光源装置に接続することにより、このライ
トガイドコネクタ17には、光源装置内部に設けられて
いるランプから照明光が供給され、ライトガイドケーブ
ル4内の図示しないライトガイドファイバ、接続部16
を介して内視鏡2内のライトガイドファイバに照明光が
供給される。When the light guide cable 4 is connected, the configuration is the same as that of a normal endoscope. By connecting the light guide connector 17 at the other end of the light guide cable 4 to an existing light source device (not shown). The light guide connector 17 is supplied with illumination light from a lamp provided inside the light source device.
The illumination light is supplied to the light guide fiber in the endoscope 2 via the light guide fiber.
【0014】また、バッテリ式光源3は水密構造に形成
された略T字形状の外形であり、その一端に接続部18
が設けてあり、この接続部18を構成する接続口金18
aはライトガイド口金14と嵌合して、光学的に結合
し、光の伝送が可能な状態に設定され、この接続口金1
8aの外周側には接続リング18bが設けてあり、この
接続リング18bにはライトガイド口金14の雄ねじ部
15に螺合により着脱自在に接続するねじ孔が設けてあ
る。The battery-type light source 3 has a substantially T-shaped outer shape formed in a watertight structure.
Are provided, and a connection base 18 constituting the connection portion 18 is provided.
a is fitted to the light guide base 14 and optically coupled to the light guide base 14 so that light can be transmitted.
A connection ring 18b is provided on the outer peripheral side of 8a, and the connection ring 18b is provided with a screw hole which is detachably connected to the male screw portion 15 of the light guide base 14 by screwing.
【0015】そして、ライトガイド口金14の外周側の
雄ねじ部15に前記接続部16または前記接続部18の
接続リング16bまたは18bを螺合させることによる
内視鏡2にライトガイドケーブル4又はバッテリ式光源
3とを一体的に接続することができるようにしている。The light guide cable 4 or the battery type is connected to the endoscope 2 by screwing the connection ring 16b or 18b of the connection portion 16 or the connection portion 18 to the external thread portion 15 on the outer peripheral side of the light guide base 14. The light source 3 can be integrally connected.
【0016】また、上記操作部7には吸引操作を行うた
めの吸引ボタン20と、この吸引ボタン20の基端付近
から側部方向に突出する図示しない吸引チャンネルに連
通する吸引口金21とが設けられている。この吸引口金
21は図示しないチューブを介して図示しない吸引装置
に接続され、吸引ボタン20を適宜操作することによっ
て吸引チャンネル、吸引口金21を介して体腔内の体液
などを吸引することができるようになっている。The operation section 7 is provided with a suction button 20 for performing a suction operation, and a suction base 21 communicating with a suction channel (not shown) protruding in the lateral direction from near the base end of the suction button 20. Have been. The suction base 21 is connected to a suction device (not shown) through a tube (not shown), and a body fluid in a body cavity can be sucked through the suction channel and the suction base 21 by appropriately operating the suction button 20. Has become.
【0017】さらに、操作部7の先端側には鉗子などの
処置具を挿入するための鉗子挿入口22が設けられてい
る。この鉗子挿入口22は内視鏡2内に設けられている
吸引チャンネルに連通している。この鉗子挿入口22に
は鉗子栓23が取り付けられている。Further, a forceps insertion port 22 for inserting a treatment tool such as a forceps is provided at the distal end side of the operation section 7. The forceps insertion port 22 communicates with a suction channel provided in the endoscope 2. A forceps stopper 23 is attached to the forceps insertion port 22.
【0018】なお、本実施の形態では挿入部6を覆う内
視鏡カバー5を構成する(後述する)シース部42はそ
の先端側も閉じており、内視鏡カバー5を装着した状態
では吸引を行えないようにしている。また、処置具も挿
通使用しないできない状態となる。内視鏡カバー5を装
着しない場合には使用できる(内視鏡カバーを装着して
使用する構成は第2或いは第3の実施の形態で説明す
る)。In this embodiment, a sheath portion 42 (which will be described later) constituting the endoscope cover 5 that covers the insertion portion 6 also has its distal end side closed, and suction is performed when the endoscope cover 5 is attached. Not to be able to do. In addition, the treatment tool cannot be inserted and cannot be used. It can be used when the endoscope cover 5 is not mounted (the configuration for mounting and using the endoscope cover will be described in the second or third embodiment).
【0019】また上記操作部7の吸引ボタン20の近傍
にはバッテリ式光源3のランプ27をON/OFFする
スイッチ24が設けられている。このスイッチ24は一
度押すと頭部が凹みON状態になり、次に押すと頭部が
元の位置に戻りOFFになる方式である。A switch 24 for turning on / off the lamp 27 of the battery type light source 3 is provided near the suction button 20 of the operation unit 7. When the switch 24 is pressed once, the head is depressed and turned on, and when pressed next time, the head returns to the original position and is turned off.
【0020】なお、内視鏡2の操作部7の例えば鉗子挿
入口22と反対側の位置には通気口金25が突設してお
り、この通気口金25から内視鏡2の内部に空気を送り
込むことによって内視鏡2の水漏れ検査を行えるように
している。A vent fitting 25 is projected from the operation section 7 of the endoscope 2, for example, at a position opposite to the forceps insertion opening 22, so that air can be introduced into the endoscope 2 from the vent fitting 25. By sending the water, the endoscope 2 can be inspected for water leakage.
【0021】また、上記バッテリ式光源3は図2に示す
ような構造になっている。つまり、バッテリ式光源3は
中空の光源本体部26と、この光源本体部26に接続部
18と反対側の開口端部26aから先端のランプ27側
が挿入されるようにして装着されるランプ部28と、こ
のランプ部28が装着される方向と直交する方向に突出
した中空部のバッテリ収納部29内に収納されるバッテ
リとしての乾電池30と、このバッテリ収納部29の開
口端部29aを覆う蓋体31とから構成される。The battery type light source 3 has a structure as shown in FIG. In other words, the battery-type light source 3 has a hollow light source main body 26 and a lamp part 28 which is mounted on the light source main body 26 so that the lamp 27 at the front end is inserted from the opening end 26 a opposite to the connecting part 18. And a dry battery 30 as a battery housed in a hollow battery housing portion 29 protruding in a direction perpendicular to the direction in which the lamp portion 28 is mounted, and a cover for covering an open end 29 a of the battery housing portion 29. And a body 31.
【0022】そして、着脱自在なランプ部28或いは蓋
体31を取り外すことによって、発光素子としてランプ
27の交換或いは乾電池30の交換を行えるようになっ
ている。光源本体部26は絶縁性の樹脂部材等の外装部
材32で形成されている。By removing the detachable lamp portion 28 or the lid 31, the lamp 27 or the dry battery 30 can be replaced as a light emitting element. The light source body 26 is formed of an exterior member 32 such as an insulating resin member.
【0023】ランプ部28は、絶縁性の樹脂部材などで
形成されている略パイプ形状のホルダ本体33と、この
ホルダ本体33に刻設した接点ばね受け部34とを有す
る。また、ホルダ本体33内にはホルダ本体33に対し
て摺動可能な電気接点部35が設けられている。The lamp section 28 has a substantially pipe-shaped holder body 33 formed of an insulating resin member or the like, and a contact spring receiving section 34 engraved on the holder body 33. Further, an electric contact portion 35 slidable with respect to the holder main body 33 is provided in the holder main body 33.
【0024】前記光源本体部26の開口端部26a内部
のランプ収容部内には導電性部材で形成した図示しない
ランプ収納ホルダが設けてあり、ランプ部28を装着し
た場合にはランプ収納ホルダに接点バネ受け部34が当
接し、この接点バネ受け部34に対して回動自在で外周
面に雄ねじ部を設けたランプホルダ装着ねじ部37と、
このランプホルダ装着ねじ部37に取り付けられる熱伝
導性の低い樹脂等で形成したホルダ外装部材38とで螺
合されている。また、接点バネ受け部34とホルダ外装
部材38の間は水密リング(図示しない)を介して水密
螺合されている。A lamp housing holder (not shown) made of a conductive material is provided in the lamp housing inside the open end 26a of the light source body 26. When the lamp 28 is mounted, the lamp housing holder contacts the lamp housing holder. A lamp holder mounting screw portion 37 in which a spring receiving portion 34 abuts and is rotatable with respect to the contact spring receiving portion 34 and provided with a male screw portion on an outer peripheral surface;
The lamp holder mounting screw portion 37 is screwed together with a holder exterior member 38 formed of a resin or the like having low thermal conductivity attached thereto. Further, the contact spring receiving portion 34 and the holder outer member 38 are watertightly screwed via a watertight ring (not shown).
【0025】また、前記ランプホルダ装着ねじ部37の
外周面部には水密リング39が設けられている。また、
図2に示す蓋体31は光源本体部26のバッテリ収納部
29の開口端部29aの外周面に配置したパッキン部材
40で水密螺合される。なお、ランプ27の先端ガラス
面はレンズ形状を成し、発光した光を収束させる役目を
持つ。A watertight ring 39 is provided on the outer peripheral surface of the lamp holder mounting screw portion 37. Also,
The lid 31 shown in FIG. 2 is watertightly screwed by a packing member 40 arranged on the outer peripheral surface of the opening end 29a of the battery housing 29 of the light source main body 26. The glass surface at the tip of the lamp 27 has a lens shape and has a function of converging emitted light.
【0026】そして、内視鏡検査中等にランプ27が切
れて交換したい場合は光源本体部26よりランプ部28
を取り出す。次にランプ部28のホルダ外装部材38を
一方の手指で保持し、もう一方の手指で電気接点部35
をホルダ外装部材38と反対側に動かす。When the lamp 27 is cut off during an endoscopic examination or the like and it is desired to replace the lamp 27, the lamp unit 28 is
Take out. Next, the holder exterior member 38 of the lamp section 28 is held with one finger, and the electrical contact section 35 is held with the other finger.
Is moved to the side opposite to the holder exterior member 38.
【0027】すると電気接点部35内面の図示しない溝
部よりランプ27のCリングが外れると共に、ランプ2
7のランプ後端部電極を押圧するため、ランプ27を直
接触れずにランプ部28からランプ27を取り外すこと
ができる。新しいランプ27の装着に関しては上記取り
外しの逆である。Then, the C-ring of the lamp 27 comes off from a not-shown groove on the inner surface of the electric contact portion 35, and the lamp 2
Since the rear end electrode of the lamp 7 is pressed, the lamp 27 can be removed from the lamp unit 28 without directly touching the lamp 27. The installation of a new lamp 27 is the reverse of the removal.
【0028】一方、図1に示すように挿入部6には全長
に亘って、ディスポーザブル(使い捨て)の内視鏡カバ
ー5が外装されている。内視鏡カバー5は挿入部6を覆
うシース部42と一対のひも部43からなり、ひも部4
3の基端はシース部42の先端の内周面に固定されてお
り、手元端には術者が把持する把持部44が設けられて
いる。On the other hand, as shown in FIG. 1, the insertion section 6 is provided with a disposable (disposable) endoscope cover 5 over its entire length. The endoscope cover 5 includes a sheath portion 42 that covers the insertion portion 6 and a pair of string portions 43.
The base end of 3 is fixed to the inner peripheral surface of the distal end of the sheath section 42, and a grip section 44 for the operator to grip is provided at the proximal end.
【0029】シース部42は、生体適合性を有する薄い
弾性チューブ部材からなり、シース部42の先端面は透
明部材で形成されており、先端部9に設けた照明窓から
の照明光を透明部材を透過して出射し、また透明部材を
介して観察窓に観察光が入射するようにしている。ま
た、シース部42はその基端の開口以外は気密に近い水
密構造となっており、シース部42で覆われた状態で挿
入部6が不潔域となる体腔内に挿入されても、シース部
42はシース部42の内側を清潔域、つまりシース部4
2の内側の挿入部6を清潔な状態に維持できるようにし
ている。The sheath portion 42 is formed of a thin elastic tube member having biocompatibility. The distal end surface of the sheath portion 42 is formed of a transparent member, and illuminates light from an illumination window provided at the distal end portion 9 with a transparent member. The observation light is made to enter the observation window through the transparent member. The sheath portion 42 has a watertight structure that is almost airtight except for the opening at the base end thereof. Even if the insertion portion 6 is inserted into a body cavity that is an unclean area in a state covered with the sheath portion 42, Reference numeral 42 denotes a clean area inside the sheath 42, that is, the sheath 4
The inner insertion portion 6 can be maintained in a clean state.
【0030】なお、シース部42全体を透明部材で形成
しても良い。シース部42の材質としてはシリコンチュ
ーブ、ラテックスチューブ等が代表的である。ひも部4
3はナイロンテグス等の細いひも状体からなる。The entire sheath 42 may be formed of a transparent member. A typical example of the material of the sheath portion 42 is a silicon tube, a latex tube, or the like. String part 4
Reference numeral 3 is a thin string-like body such as nylon tex.
【0031】把持部44は手指の腹でつまめる程度の大
きさ形状に構成されている。ひも部43は本実施の形態
では2本あるが、何本でも良い。シース部42の長さは
挿入部6の長さと同じかより長くなるように設けられて
いる。また、ひも部43の長さはシース部42の長さよ
り長くなるように設けられている。The grip portion 44 is formed in a shape such that it can be gripped by the belly of a finger. Although there are two string portions 43 in the present embodiment, any number may be used. The length of the sheath portion 42 is provided so as to be equal to or longer than the length of the insertion portion 6. Also, the length of the string portion 43 is provided to be longer than the length of the sheath portion 42.
【0032】本実施の形態では、内視鏡2はディスポー
ザブルな(使い捨ての)内視鏡カバー5で挿入部6を覆
うように着脱自在で装着できるようにして、内視鏡検査
毎に古い内視鏡カバー5を外し、新しい内視鏡カバー5
を装着して1つの内視鏡2で繰り返し内視鏡検査を行え
るようにしていることが特徴となっている。In the present embodiment, the endoscope 2 is detachably attached so as to cover the insertion portion 6 with a disposable (disposable) endoscope cover 5, so that an old endoscope is used every time an endoscope is inspected. Remove the endoscope cover 5 and set a new endoscope cover 5
Is mounted so that the endoscope inspection can be repeatedly performed with one endoscope 2.
【0033】また、この内視鏡カバー5にはシース部4
2の前端内側にその先端を固定したひも部43、43を
延出し、その基端の把持部44を把持して、挿入部6を
覆うようにシース部42を装着したり、装着したシース
部42を外す作業を簡単かつシース部42の外面に手を
触れることなく行えるようにしている。The endoscope cover 5 has a sheath 4
The cord portions 43, 43 having their distal ends fixed to the inside of the front end of the cover 2 extend, and the sheath portion 42 is attached so as to cover the insertion portion 6 by grasping the grasping portion 44 at the base end thereof. The operation of removing the sheath 42 can be performed easily and without touching the outer surface of the sheath portion 42.
【0034】次に本実施の形態における内視鏡2の挿入
部6に対し内視鏡カバー5で覆う装着及び取り外しの作
用を図3を参照して説明する。図3(A)は挿入部6に
予めシース部42が巻き取られた内視鏡カバー5を装着
する寸前を示している。ちなみに内視鏡カバー5は基本
的にディスポーザブルで図示しない滅菌パック包装及び
滅菌処理された状態で供給される。Next, the operation of attaching and detaching the insertion section 6 of the endoscope 2 with the endoscope cover 5 in this embodiment will be described with reference to FIG. FIG. 3A shows a state immediately before the endoscope cover 5 in which the sheath portion 42 has been wound on the insertion portion 6 in advance. Incidentally, the endoscope cover 5 is basically supplied in a disposable, sterile pack package (not shown) and a sterilized state.
【0035】図3(B)は挿入部6に内視鏡カバー5を
装着している状態を示している。ひも部43を挿入部6
とシース部42の間に挟み込む様にして装着される。図
3(C)は挿入部6からシース部42を取り外している
状態を示している。装着された状態(図1)から把持部
44を術者の手指の腹で持って挿入部6の長手方向と垂
直方向に引っ張るようにすることによってシース部42
が初期の形状の様に巻き取られるようにして取り外され
る。FIG. 3B shows a state in which the endoscope cover 5 is attached to the insertion section 6. Insert the string portion 43 into the insertion portion 6
It is mounted so as to be sandwiched between the and the sheath portion 42. FIG. 3C shows a state in which the sheath portion 42 has been removed from the insertion portion 6. By holding the grip 44 with the belly of the operator's finger from the mounted state (FIG. 1) and pulling the grip 44 in the direction perpendicular to the longitudinal direction of the insertion section 6, the sheath section 42
Is removed so that it is wound up like its initial shape.
【0036】最終的に、術者の手指が内視鏡検査後の汚
染されたシース部42に触れることなく内視鏡カバー5
を挿入部6から取り外すことができる。しかも次の内視
鏡検査に際して、新しい内視鏡カバー5の滅菌パックを
開封して装着することで洗滌・消毒(または滅菌)を必
要としないで直ぐに次の内視鏡検査に移れる利点があ
る。Finally, the operator's finger does not touch the contaminated sheath portion 42 after the endoscopic examination, and the endoscope cover 5
Can be removed from the insertion section 6. Moreover, at the time of the next endoscope inspection, there is an advantage that the sterilization pack of the new endoscope cover 5 is opened and mounted, so that the next endoscope inspection can be immediately performed without the necessity of washing and disinfection (or sterilization). .
【0037】従って、本実施の形態によれば、操作部7
にバッテリ式光源3を接続することにより、内視鏡検査
ができる内視鏡装置を構成できると共に、体腔内に挿入
される挿入部6をディスポーザブルの内視鏡カバー5で
着脱自在に覆うようにしているので、挿入部6を洗浄及
び消毒(或いは滅菌)しなくても、この内視鏡カバー5
を交換することにより感染症等の発生を防止して同じ内
視鏡2で内視鏡検査を繰り返し行うことができる。Therefore, according to the present embodiment, the operation unit 7
By connecting the battery-type light source 3 to the endoscope, an endoscope apparatus capable of performing an endoscopic examination can be configured, and the insertion portion 6 inserted into the body cavity can be detachably covered with the disposable endoscope cover 5. Therefore, the endoscope cover 5 does not need to be cleaned and disinfected (or sterilized).
, The occurrence of infectious diseases and the like can be prevented, and the endoscope inspection can be repeatedly performed with the same endoscope 2.
【0038】また、この内視鏡カバー5にはそのシース
部42の先端内側にその先端を固定したひも部43、4
3を設けているので、このひも部43、43を操作する
ことにより、手をシース部42の外面に触れることなく
挿入部6への着脱を行うことができる。The endoscope cover 5 has a string portion 43, 4 with its distal end fixed inside the distal end of the sheath portion 42.
Since the cord 3 is provided, by operating the cords 43, 43, the attachment / detachment to / from the insertion portion 6 can be performed without touching the outer surface of the sheath 42.
【0039】なお、本実施の形態では発光素子としてラ
ンプ27を採用しているが、ランプ27の代わりに発光
ダイオードを採用しても良い。この場合には高輝度タイ
プのものを採用すると良い。また、高輝度タイプで複数
の発光ダイオードを採用して、照明光量を増大するよう
にしても良い。In the present embodiment, the lamp 27 is used as the light emitting element, but a light emitting diode may be used instead of the lamp 27. In this case, it is preferable to use a high-brightness type. Further, a plurality of light emitting diodes of a high brightness type may be employed to increase the amount of illumination light.
【0040】(第2の実施の形態)次に図4を参照して
本発明の第2の実施の形態を説明する。本実施の形態で
は内視鏡カバー5はチャンネルチューブを有する構造に
し、かつ内視鏡側にはこのチャンネルチューブを収納す
る収納溝部を有する構造にしたものである。(Second Embodiment) Next, a second embodiment of the present invention will be described with reference to FIG. In the present embodiment, the endoscope cover 5 has a structure having a channel tube, and the endoscope has a structure having a storage groove for storing the channel tube.
【0041】図4に示す第2の実施の形態では第1の実
施の形態において、内視鏡カバー5の一対のひも部43
の一方を中空のチューブで形成して管路46を構成し
た。管路46はシース部42の先端に固着されており、
シース部42の先端面に管路46の開口部47を形成し
ている。In the second embodiment shown in FIG. 4, a pair of string portions 43 of the endoscope cover 5 are different from the first embodiment.
Is formed of a hollow tube to form a conduit 46. The conduit 46 is fixed to the distal end of the sheath portion 42,
An opening 47 of a conduit 46 is formed on the distal end surface of the sheath portion 42.
【0042】管路46は送気、送水、吸引または処置具
挿通のいづれのチャンネルに使用できるものでもよく、
材質もテフロン、イラックス、ゴアテックス、ポリウレ
タン等、任意のチューブ材を用いて形成できる。The conduit 46 may be used for any channel of air supply, water supply, suction or insertion of a treatment tool.
The material can also be formed using any tube material such as Teflon, Irax, Gore-Tex, polyurethane and the like.
【0043】また、本実施の形態では内視鏡2の挿入部
6の外周面には管路46が納まる溝48が設けられてい
る。本実施の形態の場合、管路46の後端側は以下のよ
うな構成にした。図1ではチャンネルの後端には鉗子挿
入口22と鉗子栓23とを設けているが、本実施の形態
では管路46の手元端に2つに分岐する分岐部49を設
け、この分岐部49の一方に鉗子挿入口51と鉗子栓5
2、分岐部49の他方に中間チューブ53が連通するよ
うに接続されている。In the present embodiment, a groove 48 for accommodating the conduit 46 is provided on the outer peripheral surface of the insertion section 6 of the endoscope 2. In the case of the present embodiment, the rear end side of the conduit 46 has the following configuration. In FIG. 1, the forceps insertion port 22 and the forceps stopper 23 are provided at the rear end of the channel. In the present embodiment, a branch portion 49 is provided at the proximal end of the pipe line 46. 49, a forceps insertion port 51 and a forceps stopper 5
2. The intermediate tube 53 is connected to the other end of the branch portion 49 so as to communicate therewith.
【0044】中間チューブ53の材質も前記管路46と
同じ材質で構成されている。中間チューブ53の手元側
端部には三方活栓54が接続され、その三方活栓54の
ルアー口金55には図示しない吸引器に接続された吸引
チューブの一端が接続される。The material of the intermediate tube 53 is made of the same material as that of the conduit 46. A three-way cock 54 is connected to the proximal end of the intermediate tube 53, and one end of a suction tube connected to a suction device (not shown) is connected to a luer base 55 of the three-way cock 54.
【0045】三方活栓54の他端には接続チューブ56
が連通するように接続されている。接続チューブ56の
材質も前記管路46と同じである。接続チューブ56の
手元端には図1で示される吸引口金21に連通接続され
る。尚、三方活栓54にはコック57が設けられてお
り、通常は図4に示す位置で吸引チューブ及び接続チュ
ーブ56、中間チューブ53が連通しており、吸引ボタ
ン20のON/OFFで管路46に吸引圧が加わるよう
になっている。A connecting tube 56 is connected to the other end of the three-way cock 54.
Are connected to communicate with each other. The material of the connection tube 56 is the same as that of the pipe 46. The proximal end of the connection tube 56 is connected to the suction base 21 shown in FIG. A cock 57 is provided on the three-way cock 54. Usually, the suction tube, the connection tube 56, and the intermediate tube 53 communicate with each other at the position shown in FIG. Is applied with suction pressure.
【0046】吸引ボタン20がOFFの時は(吸引ボタ
ン20を押さない時)は吸引圧が吸引ボタン20の所で
リークするような構造になっている。従って、開口部4
7からの自然吸引はない。なお、この場合には内視鏡2
には吸引チャンネルは設けてなく、操作部7には吸引ボ
タン20及び吸引口金21が設けてある。When the suction button 20 is OFF (when the suction button 20 is not pressed), the suction pressure leaks at the suction button 20. Therefore, the opening 4
There is no spontaneous suction from 7. In this case, the endoscope 2
Does not have a suction channel, and the operation unit 7 is provided with a suction button 20 and a suction base 21.
【0047】以上、本実施の形態では、ひも部43の代
りに管路46を設けており、ひも部43と管路46を第
1の実施の形態と同じように引くことにより、内視鏡カ
バー5のシース部42を巻き取り外すことが可能であ
る。As described above, in the present embodiment, the conduit 46 is provided instead of the string 43, and the endoscope is pulled by pulling the string 43 and the conduit 46 in the same manner as in the first embodiment. The sheath portion 42 of the cover 5 can be wound and removed.
【0048】さらにひも部43の把持部44を手元側に
露出させる必要がないので邪魔にならないと共に、処置
等で汚れた管路46も一緒に交換できるので良い。本実
施の形態でひも部43の代りに複数のチャンネルで構成
しても良い。Further, since it is not necessary to expose the grip portion 44 of the string portion 43 to the hand side, it does not become a hindrance, and the conduit 46 that has become dirty due to treatment or the like can be replaced together. In the present embodiment, a plurality of channels may be used instead of the string portion 43.
【0049】本実施の形態によれば、第1の実施の効果
の他に、内視鏡カバー5で挿入部6を覆った状態におい
ても、吸引操作とか処理具を使用でき、使用しても挿入
部6が汚染されることがなく、内視鏡検査を行うことが
できる。According to the present embodiment, in addition to the effects of the first embodiment, even when the insertion section 6 is covered with the endoscope cover 5, a suction operation or a processing tool can be used. The endoscope inspection can be performed without the insertion portion 6 being contaminated.
【0050】(第3の実施の形態)次に本発明の第3の
実施の形態を図5ないし図8を参照して説明する。図5
はバッテリ式携帯内視鏡装置の外観図、図6は挿入部の
装着脱を示す説明図、図7は挿入部の構成を示す説明
図、図8は挿入部カバー部の管路に管路カバーチューブ
を装着した状態の説明図である。図5に示す本発明の第
3の実施の形態の内視鏡装置59は、チャンネル付き内
視鏡カバー方式の内視鏡(以下、カバー式内視鏡と略
す)60と、このカバー式内視鏡60に着脱自在に装着
されるバッテリ式光源3とから構成される。(Third Embodiment) Next, a third embodiment of the present invention will be described with reference to FIGS. FIG.
FIG. 6 is an external view of the battery-type portable endoscope apparatus, FIG. 6 is an explanatory view showing attachment / detachment of the insertion section, FIG. 7 is an explanatory view showing the configuration of the insertion section, and FIG. It is explanatory drawing in the state which attached the cover tube. An endoscope device 59 according to a third embodiment of the present invention shown in FIG. 5 includes an endoscope with a channel-type endoscope cover method (hereinafter, abbreviated as a cover-type endoscope) 60 and a cover-type endoscope. And a battery-type light source 3 detachably attached to the endoscope 60.
【0051】前記カバー式内視鏡60は、チャンネル付
き内視鏡カバー(以下、カバーと略す)61と、チャン
ネル付き内視鏡カバー用内視鏡(以下、カバー用内視鏡
と略す)62と、図6或いは図7(B)に示すチャンネ
ルカバーチューブとしての管路カバーチューブ63との
組み合わせからなっている。前記カバー61は、カバー
用内視鏡62の挿入部64等を覆い、検査後におけるカ
バー用内視鏡62の洗滌・消毒を不要とするものであ
る。The cover type endoscope 60 includes an endoscope cover with a channel (hereinafter abbreviated as a cover) 61 and an endoscope with an endoscope with a channel (hereinafter abbreviated as a cover endoscope) 62. And a channel cover tube 63 as a channel cover tube shown in FIG. 6 or 7 (B). The cover 61 covers the insertion portion 64 and the like of the cover endoscope 62, and makes it unnecessary to wash and disinfect the cover endoscope 62 after the inspection.
【0052】図6及び図7(C)に示すようにカバー用
内視鏡62は細長の挿入部64と、その後端に設けられ
た操作部65と、図5に示すように操作部65の後端に
設けられた接眼部66とを有し、操作部65の側部の図
示しないライトガイド口金にはバッテリ式光源3を着脱
自在に接続することができる。なお、バッテリ式光源3
は第1の実施の形態で説明したものと同様の構成であ
る。As shown in FIGS. 6 and 7C, the cover endoscope 62 includes an elongated insertion portion 64, an operation portion 65 provided at the rear end thereof, and an operation portion 65 as shown in FIG. An eyepiece 66 is provided at the rear end, and the battery type light source 3 can be detachably connected to a light guide base (not shown) on the side of the operation unit 65. In addition, the battery type light source 3
Has the same configuration as that described in the first embodiment.
【0053】カバー用内視鏡62の挿入部64は、細長
で円筒状に形成されている。従って、前記カバー用内視
鏡62には、従来のカバーのない内視鏡と同様の湾曲部
構造を流用できる。The insertion portion 64 of the cover endoscope 62 is formed in an elongated and cylindrical shape. Therefore, the same structure as the endoscope without a cover can be used for the cover endoscope 62.
【0054】前記カバー用内視鏡62の挿入部64は、
図6或いは図7(C)に示すように操作部65の基端側
から先端に向かって、順に可撓管部67と、湾曲可能な
湾曲部68と、硬質の先端部69とから構成されてお
る。図5に示すように操作部65に設けた湾曲操作レバ
ー70を操作することにより、湾曲部68を湾曲するこ
とができる。The insertion portion 64 of the cover endoscope 62 is
As shown in FIG. 6 or 7 (C), the operation section 65 is composed of a flexible tube section 67, a bendable bending section 68, and a hard distal section 69 in order from the base end to the tip. I have. By operating a bending operation lever 70 provided on the operation section 65 as shown in FIG. 5, the bending section 68 can be bent.
【0055】前記カバー用内視鏡62の先端部69に
は、照明光学系71,71と、対物光学系72とが設け
てある。前記照明光学系71,71の後端には、バッテ
リ式光源3が接続されるようにしている。The distal end 69 of the cover endoscope 62 is provided with illumination optical systems 71, 71 and an objective optical system 72. The rear end of the illumination optical system 71 is connected to the battery-type light source 3.
【0056】また前記カバー用内視鏡62の先端部69
には、断面形状が、半円またはD状の管路挿通チャンネ
ル74の開口が形成されている。この管路挿通チャンネ
ル74は、カバー61の後述する複数の管路を挿通する
ものである。前記管路挿通チャンネル74は挿入部64
及び操作部65内を経て、操作部65に設けられた吸引
ボタン75の基端を経て吸引ボタン75の側部に設けら
れた吸引口金76に連通している。The distal end 69 of the cover endoscope 62
Is formed with an opening of a conduit insertion channel 74 having a semicircular or D-shaped cross section. The conduit insertion channel 74 is for inserting a plurality of conduits of the cover 61, which will be described later. The channel insertion channel 74 includes an insertion portion 64.
And, through the inside of the operation unit 65, it communicates with the suction base 76 provided on the side of the suction button 75 via the base end of the suction button 75 provided on the operation unit 65.
【0057】図5に示すように、前記カバー用内視鏡6
2を被覆するカバー61は、挿入部カバー部77を有
し、本実施の形態では図6に示すように挿入部カバー部
77の内側にはカバー用内視鏡62の管路挿通チャンネ
ル74に挿入される管路カバーチューブ63が配置され
る(さらにこの内側に図7(A)に示す吸引管路83が
挿通される)。As shown in FIG. 5, the cover endoscope 6
The cover 61 that covers the cover 2 has an insertion portion cover 77, and in this embodiment, as shown in FIG. A conduit cover tube 63 to be inserted is disposed (further, a suction conduit 83 shown in FIG. 7A is inserted inside the conduit cover tube 63).
【0058】前記カバー61の挿入部カバー部77は、
前記カバー用内視鏡62の挿入部64を覆うものであ
る。そして、前記カバー式内視鏡60は、カバー61に
より水密に覆われた状態で内視鏡検査に用いられる。図
7(A)に示すように、挿入部カバー部63は細長に形
成されており、手元側の内視鏡操作部固定用口体部(以
下、口体部と略す)79及び先端部80は、硬質の材料
で形成されている。The insertion portion cover 77 of the cover 61 is
It covers the insertion section 64 of the cover endoscope 62. The cover type endoscope 60 is used for endoscope inspection while being covered with a cover 61 in a watertight manner. As shown in FIG. 7 (A), the insertion portion cover 63 is formed to be elongated, and an endoscope operating portion fixing mouth portion (hereinafter abbreviated as a mouth portion) 79 and a distal end portion 80 at the hand side. Is formed of a hard material.
【0059】また、挿入部カバー部77の口体部79
と、先端部80との間は、内部空間を外部環境と隔離す
る挿入部カバー外皮81により覆われている。さらに、
前記挿入部カバー部77は、その内部に、挿入部64が
挿通可能な内視鏡挿入チャンネル82を形成している。
この内視鏡挿入チャンネル82の手元側基端部は、口体
部79において、挿入部64挿入用の開口が形成されて
いる。この内視鏡挿入チャンネル82の開口は、内視鏡
挿入部64と密着する径に形成されている。The mouth part 79 of the insertion part cover part 77
And the distal end portion 80 are covered with an insertion portion cover outer skin 81 that isolates the internal space from the external environment. further,
The insertion portion cover portion 77 has formed therein an endoscope insertion channel 82 through which the insertion portion 64 can be inserted.
The proximal end of the endoscope insertion channel 82 has an opening at the mouth 79 for the insertion of the insertion portion 64. The opening of the endoscope insertion channel 82 is formed to have a diameter that makes close contact with the endoscope insertion section 64.
【0060】また、前記内視鏡挿入チャンネル82は、
挿入部カバー部77の先端部80において閉塞してい
る。この様に、内視鏡挿入チャンネル82は、カバー用
内視鏡62の挿入部64を外部環境から隔離するように
なっている。前記内視鏡挿入チャンネル82内には、チ
ャンネルとしての吸引管路83が挿通されている。The endoscope insertion channel 82 is
The distal end portion 80 of the insertion portion cover 77 is closed. In this manner, the endoscope insertion channel 82 is configured to isolate the insertion section 64 of the cover endoscope 62 from the external environment. A suction pipe 83 as a channel is inserted into the endoscope insertion channel 82.
【0061】前記吸引管路83は、先端部が挿入部カバ
ー部77の先端部80にて開口している一方、その後端
側は前記口体部79から手元側に向かって延出されてお
り、手元側端部は開口している。The suction conduit 83 has a distal end opening at a distal end 80 of the insertion portion cover 77, and a rear end extending from the mouth 79 toward the hand. The proximal end is open.
【0062】また、前記挿入部カバー部77の先端部8
0には、図7(A)に示すように、内視鏡挿入チャンネ
ル82の先端において、透明な窓84、85a、85b
が設けられている。これらの窓84、85a、85b
は、前記カバー用内視鏡62の観察光学系72と、前記
照明光学系71,71とに、それぞれ対向する位置に配
置されている。The distal end 8 of the insertion portion cover 77
0, transparent windows 84, 85a, 85b at the distal end of the endoscope insertion channel 82 as shown in FIG.
Is provided. These windows 84, 85a, 85b
Is disposed at a position facing the observation optical system 72 of the endoscope 62 for the cover and the illumination optical systems 71, 71, respectively.
【0063】さらに、前記挿入部カバー部77の先端部
80には、開口87が設けられている。また、前記吸引
管路83は、その先端では、先端部80に固定されてい
ると共に、前記開口(処置具の出口)87に連通・接続
している。Further, an opening 87 is provided at the distal end portion 80 of the insertion portion cover portion 77. The suction conduit 83 is fixed at its distal end to the distal end portion 80 and communicates with and connects to the opening (the outlet of the treatment instrument) 87.
【0064】一方、図7(B)に示すチャンネルカバー
チューブとしての管路カバーチューブ63は、断面形状
が半円またはD状で薄肉の管体からなっていると共に、
前記管路挿通チャンネル74内を挿通可能な大きさに形
成されている。前記管路カバーチューブ63は、吸引管
路83より若干短く、かつ前記管路挿通チャンネル74
より長く形成されている。On the other hand, the channel cover tube 63 as a channel cover tube shown in FIG. 7B is formed of a thin tube having a semicircular or D-shaped cross section.
It is formed in a size that can be inserted through the conduit insertion channel 74. The conduit cover tube 63 is slightly shorter than the suction conduit 83 and has the conduit insertion channel 74.
It is formed longer.
【0065】そして、前記管路カバーチューブ63の管
空63aには、吸引管路83を挿通できるようになって
いる。さらに、管路カバーチューブ63は、前記吸引管
路83の長手方向に摺動可能になっている。The suction pipe 83 can be inserted into the space 63a of the pipe cover tube 63. Further, the conduit cover tube 63 is slidable in the longitudinal direction of the suction conduit 83.
【0066】前記吸引管路83は、図7(B)に示す管
路カバーチューブ63が装着された状態で、前記カバー
用内視鏡62に設けた管路挿通チャンネル74内を挿通
されるようになっている。前記管路カバーチューブ63
に挿通された前記吸引管路83は吸引ボタン75の吸引
口金76から、さらに延出するようになっている。The suction conduit 83 is inserted through a conduit insertion channel 74 provided in the cover endoscope 62 with the conduit cover tube 63 shown in FIG. 7B attached. It has become. The conduit cover tube 63
The suction pipe 83 inserted through the suction button 75 further extends from the suction base 76 of the suction button 75.
【0067】尚、前記管路カバーチューブ63の全長
は、前記吸引管路83の長さと略同じ長さでも良い。ま
た、同チューブ63は、挿通完了後、巻き戻して使用す
るならば、若干長くてもよい。The length of the conduit cover tube 63 may be substantially the same as the length of the suction conduit 83. The tube 63 may be slightly longer if it is used after being rewound after insertion is completed.
【0068】あるいは、前記管路カバーチューブ63
は、挿入部カバー部77の口体部79から突出している
前記管路部分の長さと、略同じ長さとしても良いし、各
管路の手元側開口端部の近傍を覆うだけのものでも良
い。これらの構成の場合、抜去時にずれないように、前
記管路カバーチューブ63と前記管路とは、密着するよ
うに形成した方が良い。図5に示すように、前記吸引口
金76の手元側開口端は、図示しないチューブを介して
吸引ビン及び図示しない吸引源に連通・接続するように
なっている。Alternatively, the conduit cover tube 63
May be substantially the same length as the length of the conduit portion protruding from the mouth portion 79 of the insertion portion cover portion 77, or may simply cover the vicinity of the proximal open end of each conduit. good. In the case of these configurations, it is preferable that the conduit cover tube 63 and the conduit are formed so as to be in close contact with each other so as not to shift during removal. As shown in FIG. 5, the proximal opening end of the suction base 76 is connected to and connected to a suction bin and a suction source (not shown) via a tube (not shown).
【0069】前記挿入部カバー部77の口体部79に
は、その側部に、処置具挿入口91、及び拡張チューブ
口体92とが突出して設けられている。前記拡張チュー
ブ口体92は、その内部管路が、前記内視鏡挿入チャン
ネル82に連通している。前記拡張チューブ口体92に
は、図示しない拡張器に接続され拡張チューブ(図示し
ない)が、着脱自在に接続されるようになっている。The mouth part 79 of the insertion part cover part 77 is provided with a treatment tool insertion opening 91 and an expansion tube mouth part 92 at the side thereof so as to protrude. The dilatation tube opening 92 has an internal conduit communicating with the endoscope insertion channel 82. An expansion tube (not shown) connected to a dilator (not shown) is detachably connected to the expansion tube mouth 92.
【0070】前記処置具挿入口91は、挿入部カバー部
77の軸方向斜め後方に突出している。処置具挿入口9
1の内部管路は、突端に開口していると共に、他端で例
えば前記吸引管路83に連通している。すなわち、前記
吸引管路83は、先端側においては、処置具チャンネル
の管路も兼用している。前記処置具挿入口91の突出す
る端部には、ほぼ筒状の処置具栓93が、処置具挿入口
91と一体的に設けられている。The treatment tool insertion opening 91 projects obliquely rearward in the axial direction of the insertion portion cover 77. Treatment instrument insertion port 9
One internal conduit is open at the protruding end and communicates with the suction conduit 83 at the other end, for example. That is, on the distal end side, the suction conduit 83 also serves as a conduit for the treatment instrument channel. At the protruding end of the treatment instrument insertion port 91, a substantially cylindrical treatment instrument stopper 93 is provided integrally with the treatment instrument insertion port 91.
【0071】また、前記挿入部カバー部77の口体部7
9には、塩化コバルトを含浸したシール95が貼ってあ
る。前記カバー61を収納している図示しない滅菌パッ
クから取り出すと、塩化コバルトが水分を吸収して徐々
に色が赤色に変化する。つまり、前記シール95が変色
していることで、滅菌パックから取り出した時間が長い
ことが確認できる。放置時間が長いと、細菌が付着して
いる可能性が高いので、使用せずに廃棄することがで
き、安全性を高めることができる。The mouth part 7 of the insertion part cover part 77
9 is provided with a seal 95 impregnated with cobalt chloride. When it is taken out from a sterile pack (not shown) containing the cover 61, cobalt chloride absorbs moisture and the color gradually changes to red. That is, since the seal 95 has changed color, it can be confirmed that the time taken out of the sterilization pack is long. If the standing time is long, there is a high possibility that bacteria have adhered, so that it can be discarded without use, and safety can be improved.
【0072】尚、前記シール95の取付位置は、前記挿
入部カバー外皮81にしてもよい。また、前記シール9
5に含浸させる薬剤は、例えば、ニンヒドリン試薬のよ
うに、タンパク質検査試薬としてもよい。前記挿入部カ
バー外皮81を体腔内に挿入すると、体内のタンパク質
と、試薬が反応して変色する。The attachment position of the seal 95 may be the outer cover 81 of the insertion portion cover. In addition, the seal 9
The agent impregnated in 5 may be a protein test reagent, such as a ninhydrin reagent. When the insertion portion cover outer skin 81 is inserted into a body cavity, the protein in the body and the reagent react with each other and change color.
【0073】従って、前記カバー61は、一度検査に使
用したものか否かが、すぐに判別でき、汚染されたもの
の再使用を防止できるので、衛生的かつ安全に使用でき
る。このように構成された本実施の形態の作用を説明す
る。まず、図5のように内視鏡検査を行う装着状態に設
定する場合の手順を説明する。Accordingly, the cover 61 can be immediately used to determine whether or not it has been used for the inspection, and the contaminated one can be prevented from being reused, so that the cover 61 can be used sanitarily and safely. The operation of the present embodiment thus configured will be described. First, a procedure for setting a mounted state for performing an endoscopy as shown in FIG. 5 will be described.
【0074】上述した構成において、図8に示すよう
に、挿入部カバー部77の吸引管路83に管路カバーチ
ューブ63を装着する。この装着により、管路カバーチ
ューブ63は、カバー61の先端部80の内壁に当接す
る。次に、図6に示すように、前記吸引管路83を挿通
した管路カバーチューブ63を、カバー用内視鏡62の
管路挿通チャンネル74に挿通する。In the above-described configuration, as shown in FIG. 8, the conduit cover tube 63 is attached to the suction conduit 83 of the insertion portion cover 77. By this mounting, the conduit cover tube 63 comes into contact with the inner wall of the distal end portion 80 of the cover 61. Next, as shown in FIG. 6, the conduit cover tube 63 into which the suction conduit 83 is inserted is inserted into the conduit insertion channel 74 of the endoscope 62 for cover.
【0075】このとき、前記吸引管路83の開口端部
は、管路カバーチューブ63により、前記管路挿通チャ
ンネル74と隔離された状態で、前記管路挿通チャンネ
ル74内を挿通される。そして、前記挿通と共に、挿入
部カバー外皮81が内視鏡挿入部64を覆うことによっ
て、同カバー用内視鏡62は、挿入部カバー77部へ装
着される。At this time, the open end of the suction conduit 83 is inserted through the conduit insertion channel 74 while being separated from the conduit insertion channel 74 by the conduit cover tube 63. When the insertion portion cover outer skin 81 covers the endoscope insertion portion 64 together with the insertion, the cover endoscope 62 is attached to the insertion portion cover 77.
【0076】そして、内視鏡挿入部64の先端が、前記
カバー61の先端部80の内壁に当接するまで、同挿入
部64を挿入する。この挿入・装着が完全になされた状
態では、操作部65に設けた吸引ボタン75の開口75
aから管路カバーチューブ63が延出する。Then, the insertion section 64 is inserted until the distal end of the endoscope insertion section 64 contacts the inner wall of the distal end section 80 of the cover 61. In a state where the insertion and the attachment are completely performed, the opening 75 of the suction button 75 provided in the operation unit 65 is provided.
The conduit cover tube 63 extends from a.
【0077】さらに、管路カバーチューブ63の手元側
開口からは前記吸引管路83が突出している。そして、
前記吸引管路83は、前記吸引ボタン75に連通・接続
される。Further, the suction conduit 83 protrudes from the proximal opening of the conduit cover tube 63. And
The suction line 83 is connected to and connected to the suction button 75.
【0078】尚、装着あるいは抜去時には、拡張器に接
続された拡張チューブを介して、前記挿入部カバー部7
7にチャンネル拡張用の空気を送る操作を行うことによ
り、装着及び取り外しが容易にできる。At the time of attachment or removal, the insertion portion cover 7 is connected via an expansion tube connected to a dilator.
By performing an operation of sending air for channel expansion to 7, attachment and detachment can be easily performed.
【0079】内視鏡検査後、挿入部カバー部77からカ
バー用内視鏡62を取り外すときには、まず図示しない
吸引制御装置から吸引管路83を外す。次に、前記管路
カバーチューブ63は、吸引管路83の各開口端部方向
にスライドされる。これにより、前記吸引管路83の開
口端部は管路カバーチューブ63により覆われる。When the cover endoscope 62 is to be removed from the insertion portion cover 77 after the endoscope inspection, the suction line 83 is first removed from the suction control device (not shown). Next, the conduit cover tube 63 is slid toward each opening end of the suction conduit 83. Thus, the open end of the suction pipe 83 is covered with the pipe cover tube 63.
【0080】その後に、前記挿入部カバー部77からカ
バー用内視鏡62が取り外される。この場合、前記吸引
管路83を内視鏡62の管路挿通チャンネル74から抜
去する際、内視鏡62の管路挿通チャンネル74と前記
管路の開口端部とは、管路カバーチューブ63により隔
離されている。従って、前記各管路の開口端部から漏れ
出す汚水が仮にあっても、カバー用内視鏡62の管路挿
通チャンネル74が汚染される心配はない。Thereafter, the cover endoscope 62 is removed from the insertion portion cover 77. In this case, when the suction conduit 83 is withdrawn from the conduit insertion channel 74 of the endoscope 62, the conduit insertion channel 74 of the endoscope 62 and the open end of the conduit are connected to the conduit cover tube 63. Is isolated by Therefore, even if sewage leaks from the open end of each pipe, there is no concern that the pipe insertion channel 74 of the cover endoscope 62 is contaminated.
【0081】そして、汚れたカバー61のみが破棄さ
れ、カバー用内視鏡62は清潔なまま残る。従って、前
記カバー用内視鏡62は、滅菌された新しいカバー61
を装着し、洗滌・消毒(または滅菌)なしに再び次の内
視鏡検査を行うことができる。本実施の形態では、検査
終了後にカバー用内視鏡62を取り外す際、前記吸引管
路83の開口端部から体液等が漏れ出す虞がなく、感染
症の心配も無く安全かつ衛生的である。そして、本実施
の形態では、カバー用内視鏡62の洗滌・消毒を不要と
することができると共に、カバー用内視鏡62の連続使
用が可能である。Then, only the dirty cover 61 is discarded, and the cover endoscope 62 remains clean. Therefore, the endoscope 62 for a cover is provided with a new sterilized cover 61.
And the next endoscopy can be performed again without washing and disinfection (or sterilization). In the present embodiment, when the cover endoscope 62 is removed after the examination is completed, there is no fear that body fluids or the like leak out from the open end of the suction conduit 83, and there is no fear of infectious diseases, so that it is safe and sanitary. . In the present embodiment, it is not necessary to wash and disinfect the cover endoscope 62, and the cover endoscope 62 can be used continuously.
【0082】また、予め管路カバーチューブ63で、前
記各管路端部を覆ってから、カバー用内視鏡62に挿入
することにより、仮にカバー用内視鏡62に汚物等が付
着していても管路端部を汚染することがない。Further, by covering the end of each pipe with a pipe cover tube 63 in advance and inserting the pipe end into the cover endoscope 62, dirt and the like are temporarily attached to the cover endoscope 62. However, the end of the pipeline is not contaminated.
【0083】尚、本実施の形態は、カバー用内視鏡62
として光学式内視鏡に限定されるものでなく、撮像素子
を備えたビデオ内視鏡(電子内視鏡)にも適用できる。
この場合には、撮像素子に対する信号処理手段と表示手
段とが必要になるので、携帯性を確保するために、信号
処理手段を操作部に着脱自在にしても良いし、また表示
手段として操作部に着脱自在の液晶モニタを採用しても
良い。また、表示手段として既存のテレビを利用するよ
うにしても良い。In this embodiment, the cover endoscope 62 is used.
The present invention is not limited to an optical endoscope, but can be applied to a video endoscope (electronic endoscope) provided with an image sensor.
In this case, a signal processing unit and a display unit for the image sensor are required, so that the signal processing unit may be detachable from the operation unit in order to ensure portability, or the operation unit may be used as the display unit. A detachable liquid crystal monitor may be used. Further, an existing television may be used as the display means.
【0084】また、吸引管路(チャンネル)83は異な
る内径を有するものでその後端側の接続部は同じ内径等
にして操作部に着脱自在に接続できるようにしたもので
も良い。つまり、内径が異なるチャンネル付き内視鏡カ
バーを複数用意しておき、使用目的に適したチャンネル
付き内視鏡カバーを選択使用するようにしても良い。こ
れによって1つのカバー用内視鏡に処置具の挿通機能等
が異なる吸引管路(チャンネル)のカバーを選択するで
きるので、複数の患者の病変に対して、複数の内視鏡装
置を用意する必要が無く、持ち運びが楽になる等、携帯
使用に適した内視鏡装置を提供できる。また、カバーに
複数の吸引管路(チャンネル)83を設けたものにして
も良い。The suction pipes (channels) 83 may have different inner diameters, and the connecting portion on the rear end side may have the same inner diameter or the like so as to be detachably connected to the operation unit. That is, a plurality of endoscope covers with channels having different inner diameters may be prepared, and an endoscope cover with channels suitable for the purpose of use may be selectively used. With this, it is possible to select a cover of a suction conduit (channel) having a different function of inserting the treatment tool into one cover endoscope, so that a plurality of endoscope devices are prepared for lesions of a plurality of patients. There is no need to provide an endoscope device suitable for portable use, such as easy carrying. Further, a plurality of suction pipes (channels) 83 may be provided on the cover.
【0085】[付記] 1.操作部と、前記操作部に連結された挿入部と、前記
挿入部内に配設された照明系とを有する内視鏡と、前記
内視鏡の操作部に連結され前記照明系に照明光を供給す
るための発光素子が内蔵されたバッテリ式光源と、前記
内視鏡の挿入部を着脱に外装する内視鏡カバーと、を備
えたことを特徴とするバッテリ式携帯内視鏡装置。[Supplementary Notes] An operation unit, an insertion unit connected to the operation unit, an endoscope having an illumination system arranged in the insertion unit, and an illumination light connected to the operation unit of the endoscope, the illumination system providing illumination light. A battery-type portable endoscope device comprising: a battery-type light source having a light-emitting element for supplying the same; and an endoscope cover for detachably mounting an insertion portion of the endoscope.
【0086】2.付記1において、前記内視鏡カバーは
前記カバーの基端側から延出するひも状体を設けたこと
を特徴とするバッテリ式携帯内視鏡装置。 3.付記1において、前記内視鏡カバーは前記内視鏡の
操作部に着脱自在に装着される複数の異なるチャンネル
付きカバーを備えたことを特徴とするバッテリ式携帯内
視鏡装置。2. 2. The portable endoscope apparatus according to claim 1, wherein the endoscope cover includes a string extending from a base end side of the cover. 3. 2. The battery-powered portable endoscope apparatus according to claim 1, wherein the endoscope cover includes a plurality of different channel-equipped covers detachably attached to an operation unit of the endoscope.
【0087】4.付記1において、前記内視鏡カバーは
ディスポーザブルのカバーであることを特徴とするバッ
テリ式携帯内視鏡装置。 5.挿入部と、前記挿入部内に配設された照明系と、前
記挿入部の基端側に連結され、前記照明系に照明光を供
給するランプとを内蔵したバッテリ式光源を接続する接
続部を有するバッテリ式内視鏡の前記挿入部に対して、
前記挿入部を被覆する挿入部カバー部を有することを特
徴とするバッテリ式内視鏡用カバー。4. 2. The portable endoscope apparatus according to claim 1, wherein the endoscope cover is a disposable cover. 5. A connection unit for connecting a battery-type light source including an insertion unit, an illumination system provided in the insertion unit, and a lamp connected to a base end side of the insertion unit and supplying illumination light to the illumination system. With respect to the insertion portion of the battery type endoscope having
A cover for a battery-powered endoscope, comprising a cover for covering the insertion portion.
【0088】[0088]
【発明の効果】以上説明したように本発明によれば、操
作部と、前記操作部に連結された挿入部と、前記挿入部
内に配設された照明系とを有する内視鏡と、前記内視鏡
の操作部に連結され前記照明系に照明光を供給するため
の発光素子が内蔵されたバッテリ式光源と、前記内視鏡
の挿入部を着脱に外装する内視鏡カバーと、を設けてい
るので、内視鏡検査毎に内視鏡カバーを新しいものに交
換することにより、挿入部を洗滌、消毒(または滅菌)
を行うことなく、挿入部を清潔な状態に設定して、繰り
返しの内視鏡検査を行うことができる。As described above, according to the present invention, there is provided an endoscope having an operation section, an insertion section connected to the operation section, and an illumination system provided in the insertion section. A battery-type light source, which is connected to an operation unit of an endoscope and has a built-in light emitting element for supplying illumination light to the illumination system, and an endoscope cover for detachably mounting an insertion portion of the endoscope, The insertion section is cleaned and disinfected (or sterilized) by replacing the endoscope cover with a new one for each endoscopic examination.
, The insertion section can be set in a clean state and repeated endoscopy can be performed.
【図1】本発明の第1の実施の形態のバッテリ式携帯内
視鏡装置の全体図。FIG. 1 is an overall view of a battery-powered portable endoscope device according to a first embodiment of the present invention.
【図2】バッテリ式光源の構成を示す分解斜視図。FIG. 2 is an exploded perspective view showing the configuration of a battery-type light source.
【図3】内視鏡カバーの装着脱を示す説明図。FIG. 3 is an explanatory view showing attachment and detachment of an endoscope cover.
【図4】本発明の第2の実施の形態のバッテリ式携帯内
視鏡装置における主要部を示す斜視図。FIG. 4 is a perspective view showing a main part of a battery-powered portable endoscope device according to a second embodiment of the present invention.
【図5】本発明の第3の実施の形態のバッテリ式携帯内
視鏡装置の外観図。FIG. 5 is an external view of a battery-powered portable endoscope device according to a third embodiment of the present invention.
【図6】挿入部の装着脱を示す説明図。FIG. 6 is an explanatory view showing attachment and detachment of an insertion portion.
【図7】挿入部の構成を示す説明図。FIG. 7 is an explanatory diagram illustrating a configuration of an insertion unit.
【図8】挿入部カバー部の管路に管路カバーチューブを
装着した状態の説明図。FIG. 8 is an explanatory view of a state in which a conduit cover tube is attached to the conduit of the insertion portion cover.
1…バッテリ式携帯内視鏡装置 2…内視鏡 3…バッテリ式光源 4…ライトガイドケーブル 5…内視鏡カバー 6…挿入部 7…操作部 8…接眼部 9…先端部 11…湾曲部 12…可撓部 13…湾曲操作レバー 14…ライトガイド口金 15…雄ねじ部 16…接続部 16a…接続口金 16b…固定リング 17…ライトガイドコネクタ 18…接続部 18a…接続口金 18b…固定リング 20…吸引ボタン 21…吸引口金 22…鉗子挿入口 26…光源本体部 29…バッテリ収納部 31…蓋体 42…シース部 43…ひも部 44…把持部 DESCRIPTION OF SYMBOLS 1 ... Battery type portable endoscope apparatus 2 ... Endoscope 3 ... Battery type light source 4 ... Light guide cable 5 ... Endoscope cover 6 ... Insertion part 7 ... Operation part 8 ... Eyepiece part 9 ... Tip part 11 ... Curved Part 12 ... Flexible part 13 ... Bending operation lever 14 ... Light guide base 15 ... Male thread part 16 ... Connection part 16a ... Connection base 16b ... Fixing ring 17 ... Light guide connector 18 ... Connection part 18a ... Connection base 18b ... Fixation ring 20 … Suction button 21… suction base 22… forceps insertion port 26… light source main body part 29… battery storage part 31… lid body 42… sheath part 43… cord part 44… grip part
───────────────────────────────────────────────────── フロントページの続き (72)発明者 中村 一郎 東京都渋谷区幡ヶ谷2丁目43番2号 オリ ンパス光学工業株式会社内 (72)発明者 真貝 成人 東京都渋谷区幡ヶ谷2丁目43番2号 オリ ンパス光学工業株式会社内 (72)発明者 鈴木 高志 東京都渋谷区幡ヶ谷2丁目43番2号 オリ ンパス光学工業株式会社内 (72)発明者 細田 誠一 東京都渋谷区幡ヶ谷2丁目43番2号 オリ ンパス光学工業株式会社内 (72)発明者 中村 剛明 東京都渋谷区幡ヶ谷2丁目43番2号 オリ ンパス光学工業株式会社内 Fターム(参考) 2H040 BA24 CA04 DA03 DA11 DA21 DA51 DA57 4C061 AA00 BB02 CC04 DD03 FF06 FF12 FF24 FF46 GG14 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Ichiro Nakamura 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Industrial Co., Ltd. Inside Olympus Optical Co., Ltd. (72) Takashi Suzuki, Inventor 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Co., Ltd. (72) Seiichi Hosoda 2-43-2, Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Takeaki Nakamura 2-43-2, Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. F-term (reference) 2H040 BA24 CA04 DA03 DA11 DA21 DA51 DA57 4C061 AA00 BB02 CC04 DD03 FF06 FF12 FF24 FF46 GG14
Claims (1)
部と、前記挿入部内に配設された照明系とを有する内視
鏡と、 前記内視鏡の操作部に連結され前記照明系に照明光を供
給するための発光素子が内蔵されたバッテリ式光源と、 前記内視鏡の挿入部を着脱に外装する内視鏡カバーと、 を備えたことを特徴とするバッテリ式携帯内視鏡装置。1. An endoscope having an operation section, an insertion section connected to the operation section, and an illumination system provided in the insertion section, and the illumination connected to an operation section of the endoscope. A battery-type light source having a light-emitting element for supplying illumination light to the system, and an endoscope cover for detachably mounting an insertion portion of the endoscope. Endoscope device.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP10348889A JP2000171730A (en) | 1998-12-08 | 1998-12-08 | Battery type portable endoscopic device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP10348889A JP2000171730A (en) | 1998-12-08 | 1998-12-08 | Battery type portable endoscopic device |
Publications (1)
Publication Number | Publication Date |
---|---|
JP2000171730A true JP2000171730A (en) | 2000-06-23 |
Family
ID=18400078
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP10348889A Withdrawn JP2000171730A (en) | 1998-12-08 | 1998-12-08 | Battery type portable endoscopic device |
Country Status (1)
Country | Link |
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JP (1) | JP2000171730A (en) |
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1998
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