JP2002051974A - Endoscope manipulator - Google Patents
Endoscope manipulatorInfo
- Publication number
- JP2002051974A JP2002051974A JP2000245722A JP2000245722A JP2002051974A JP 2002051974 A JP2002051974 A JP 2002051974A JP 2000245722 A JP2000245722 A JP 2000245722A JP 2000245722 A JP2000245722 A JP 2000245722A JP 2002051974 A JP2002051974 A JP 2002051974A
- Authority
- JP
- Japan
- Prior art keywords
- sheath
- wire
- operation wire
- section
- snare
- 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.)
- Pending
Links
- 238000011282 treatment Methods 0.000 claims description 31
- 238000005452 bending Methods 0.000 claims description 11
- 238000012277 endoscopic treatment Methods 0.000 claims description 3
- 230000001105 regulatory effect Effects 0.000 abstract description 3
- 238000003780 insertion Methods 0.000 description 16
- 230000037431 insertion Effects 0.000 description 16
- 230000003902 lesion Effects 0.000 description 16
- 210000000078 claw Anatomy 0.000 description 4
- 238000003825 pressing Methods 0.000 description 3
- 238000000034 method Methods 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 235000010724 Wisteria floribunda Nutrition 0.000 description 1
- 238000005219 brazing Methods 0.000 description 1
- 230000009194 climbing Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 238000005476 soldering Methods 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
PROBLEM TO BE SOLVED: To provide an endoscope manipulator with a top end manipulation part enabled to turn in an intended direction by forming the cross section of a operation wire in the shape of non-circle, and installing a regulation part regulating a rotation movement of the operation wire to a flexible tube. SOLUTION: For a high frequency snare 10, a flat part 18A is formed to an operation wire 18, and the cross section of the operation wire 18 is formed in the shape of non-circle. A sheath 16 has a thick wall part 16D, and formed in the shape of similar figure with the cross section of the operation wire 18. By the above, the operation wire 18 is prevented from the rotation against the sheath 16, and a snare wire 20 is always drawn out with a specific direction against the sheath 16.
Description
【０００１】[0001]
【発明の属する技術分野】本発明は内視鏡処置具に係
り、特に内視鏡の鉗子チャンネルを介して体腔内に挿入
して病変部を処置する高周波スネア等の内視鏡処置具に
関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an endoscope treatment device, and more particularly to an endoscope treatment device such as a high-frequency snare which is inserted into a body cavity through a forceps channel of an endoscope to treat a lesion.
【０００２】[0002]
【従来の技術】鉗子チャンネルに内視鏡処置具を挿通し
て好適に操作できる内視鏡が実公昭５８−４６８０３号
公報に開示されている。2. Description of the Related Art An endoscope which can be suitably operated by inserting an endoscope treatment tool through a forceps channel is disclosed in Japanese Utility Model Publication No. 58-46803.
【０００３】この内視鏡は、内視鏡処置具のシースに非
円形状の方向指定材が装着されており、鉗子チャンネル
は、この方向指定材に対応した形状に形成されている。
したがって、シースを鉗子チャンネルに挿通すると、方
向指定材が鉗子チャンネルに係合するので、シースが鉗
子チャンネル内で回動することが防止される。これによ
り、シースは、鉗子チャンネルから常に一定の向きで繰
り出されるので、シースの向きを調節する必要がない。In this endoscope, a non-circular direction specifying member is mounted on a sheath of an endoscope treatment tool, and a forceps channel is formed in a shape corresponding to the direction specifying member.
Therefore, when the sheath is inserted through the forceps channel, the direction designating member engages with the forceps channel, so that the sheath is prevented from rotating in the forceps channel. Thereby, since the sheath is always fed out from the forceps channel in a fixed direction, there is no need to adjust the direction of the sheath.
【０００４】しかし、実公昭５８−４６８０３号公報に
開示された内視鏡は、内視鏡処置具の先端処置部がシー
スに対して回動するため、先端処置部を意図する方向に
向けることができない欠点があった。However, in the endoscope disclosed in Japanese Utility Model Publication No. Sho 58-46803, the distal treatment section of the endoscope treatment tool is rotated with respect to the sheath, so that the distal treatment section is directed in an intended direction. There was a drawback that can not be.
【０００５】これに対し、回転式と呼ばれる内視鏡処置
具は、手元操作部を操作すると、シースが動かずに、先
端処置部が自在に回動するので、先端処置部を意図する
方向に向けることができる。[0005] On the other hand, in the case of an endoscope treatment tool called a rotary type, when the hand operation section is operated, the sheath is not moved and the distal treatment section is freely rotated. Can turn.
【０００６】[0006]
【発明が解決しようとする課題】しかしながら、回転式
の内視鏡処置具は、手元操作部と先端処置部とが離れて
いるため、手元操作部の操作が先端処置部に伝わりにく
く、先端処置部の向きを微調整できない欠点があった。However, in the case of a rotary endoscope treatment instrument, since the hand operation section and the distal treatment section are separated from each other, the operation of the hand operation section is difficult to be transmitted to the distal treatment section, and the distal treatment section is not used. There was a disadvantage that the direction of the part could not be finely adjusted.
【０００７】本発明はこのような事情に鑑みて成された
もので、先端処置部を意図する方向に向けることのでき
る内視鏡処置具を提供することを目的とする。The present invention has been made in view of such circumstances, and an object of the present invention is to provide an endoscope treatment tool capable of directing a distal treatment section in an intended direction.
【０００８】[0008]
【課題を解決するための手段】本発明は前記目的を達成
するために、可撓管と、該可撓管に挿通された操作ワイ
ヤと、該操作ワイヤの先端部に設けられ、前記可撓管か
ら出没する処置部と、を備えた内視鏡処置具において、
前記操作ワイヤは、該操作ワイヤの軸に直交する断面が
非円形状に形成され、前記可撓管には、前記操作ワイヤ
の非円形状断面に対応する形状の回動規制部が設けられ
たことを特徴としている。In order to achieve the above object, the present invention provides a flexible tube, an operation wire inserted through the flexible tube, and a flexible tube provided at a distal end of the operation wire. An endoscopic treatment instrument comprising a treatment section that emerges from the tube,
The operation wire has a non-circular cross section perpendicular to the axis of the operation wire, and the flexible tube has a rotation restricting portion having a shape corresponding to the non-circular cross section of the operation wire. It is characterized by:
【０００９】本発明によれば、操作ワイヤが回動するこ
とを規制したので、操作ワイヤに連結された処置部は、
可撓管に対して常に一定の向きで可撓管から導出され
る。したがって、可撓管を病変部に向ければ、処置部
は、病変部に向けて導出されるので、処置部の向きを調
整する必要がない。According to the present invention, since the rotation of the operation wire is restricted, the treatment section connected to the operation wire is
The flexible tube is always drawn out of the flexible tube in a fixed orientation. Therefore, if the flexible tube is directed toward the lesion, the treatment section is led out toward the lesion, and there is no need to adjust the direction of the treatment section.
【００１０】[0010]
【発明の実施の形態】以下添付図面に従って本発明に係
る内視鏡処置具の好ましい実施の形態について、高周波
スネアの例を挙げて説明する。DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A preferred embodiment of an endoscope treatment tool according to the present invention will be described below with reference to the accompanying drawings, taking an example of a high-frequency snare.
【００１１】図１は、本発明が適用された高周波スネア
の全体構成を示す斜視図である。同図に示すように、高
周波スネア１０は、主として手元操作部１２と挿入部１
４とから構成されている。FIG. 1 is a perspective view showing the entire structure of a high-frequency snare to which the present invention is applied. As shown in FIG. 1, the high-frequency snare 10 mainly includes a hand operation unit 12 and an insertion unit 1.
And 4.
【００１２】挿入部１４は、シース（可撓管に相当）１
６と、そのシース１６内に挿通された操作ワイヤ１８と
から構成されている。操作ワイヤ１８の先端部には、ス
ネアワイヤ（処置部に相当）２０が設けられ、該スネア
ワイヤ２０の先端位置には、自由状態でＶ字状に拡開す
る屈曲部２０Ａが形成されている。また、図２に示すよ
うに、シース１６の先端部１６Ａには、自由状態で湾曲
する曲げ癖が付けられている。The insertion section 14 includes a sheath (corresponding to a flexible tube) 1
6 and an operation wire 18 inserted into the sheath 16. A snare wire (corresponding to a treatment section) 20 is provided at the distal end of the operation wire 18, and a bent portion 20 </ b> A that expands in a V-shape in a free state is formed at the distal end position of the snare wire 20. Further, as shown in FIG. 2, the distal end portion 16A of the sheath 16 has a bending habit of bending in a free state.
【００１３】一方、図１の手元操作部１２は、操作部本
体２２と、その操作部本体２２にスライド自在に設けら
れたスライダ２４とから構成されている。操作部本体２
２にはシース１６が接続されており、また、スライダ２
４には操作ワイヤ１８が接続されている。On the other hand, the hand operation unit 12 shown in FIG. 1 includes an operation unit main body 22 and a slider 24 slidably provided on the operation unit main body 22. Operation unit body 2
2 is connected to a sheath 16 and the slider 2
An operation wire 18 is connected to 4.
【００１４】また、操作部本体２２の基端部分には指掛
け部２６が形成されている。この指掛け部２６に指を掛
け、スライダ２４をスライド操作することにより、操作
ワイヤ１８がシース１６内を進退移動する。そして、操
作ワイヤ１８がシース１６内を進退移動することによっ
て、スネアワイヤ２０がシース１６の先端から出没す
る。スネアワイヤ２０は、シース１６の先端から押し出
されると、図２に示すように、自身の弾性復元力によっ
てループ状に拡開する。逆に、シース１６内に引き込ま
れると、スネアワイヤ２０は、図３に示すように、折り
畳まれた状態でシース１６内に収容される。A finger hook 26 is formed at the base end of the operation section main body 22. The operation wire 18 advances and retreats in the sheath 16 by putting a finger on the finger hook 26 and sliding the slider 24. Then, when the operation wire 18 advances and retreats in the sheath 16, the snare wire 20 protrudes and retracts from the distal end of the sheath 16. When the snare wire 20 is pushed out from the distal end of the sheath 16, as shown in FIG. 2, the snare wire 20 expands in a loop by its own elastic restoring force. Conversely, when pulled into the sheath 16, the snare wire 20 is housed in the sheath 16 in a folded state, as shown in FIG.
【００１５】スネアワイヤ２０には、病変部に対して滑
り止めの役割を果たす滑止部材３０、３０、…が所定の
間隔をもって複数カ所に取り付けられている。滑止部材
３０は、筒状に丸めた板金やコイルスプリング等によっ
て形成され、ロウ付け或いは半田付け等によってスネア
ワイヤ２０に固定される。また、滑止部材３０は、スネ
アワイヤ２０のループ部の内側に突出した爪部３２を備
え、この爪部３２は、スネアワイヤ２０の接線方向に沿
って形成されている。このように構成された滑止部材３
０は、スネアワイヤ２０をシース１６内に収容すると、
図３に示すように、折り畳まれたスネアワイヤ２０の上
に爪部３２が乗り上がった状態で収容される。The snare wire 20 is provided with a plurality of non-slip members 30, 30,. The non-slip member 30 is formed of a sheet metal or a coil spring or the like that is rolled into a cylindrical shape, and is fixed to the snare wire 20 by brazing or soldering. Further, the non-slip member 30 includes a claw portion 32 protruding inside the loop portion of the snare wire 20, and the claw portion 32 is formed along a tangential direction of the snare wire 20. Slip member 3 configured as above
0, when the snare wire 20 is housed in the sheath 16,
As shown in FIG. 3, the claw portion 32 is housed on the folded snare wire 20 in a state of climbing up.
【００１６】図４は、図３の４−４線に沿う挿入部１４
の断面図である。同図に示すように、操作ワイヤ１８に
は、平面部１８Ａが形成されており、その断面形状は、
非円形状に形成されている。この操作ワイヤ１８は、例
えば、円柱状の単線ワイヤを切削加工或いはプレス加工
を施すことによって形成される。FIG. 4 shows the insertion portion 14 along the line 4-4 in FIG.
FIG. As shown in the figure, a flat portion 18A is formed on the operation wire 18, and its cross-sectional shape is
It is formed in a non-circular shape. The operation wire 18 is formed, for example, by cutting or pressing a columnar single wire.
【００１７】一方、シース１６は、スネアワイア２０を
収容する部分を除き、内部形状が、操作ワイヤ１８に相
似した形状に形成される。即ち、シース１６には肉厚部
１６Ｄが設けられ、シース１６の内部に平面部１６Ｃが
形成されている。On the other hand, the inner shape of the sheath 16 is formed in a shape similar to the operation wire 18 except for a portion for accommodating the snare wire 20. That is, the sheath 16 is provided with a thick portion 16D, and a flat portion 16C is formed inside the sheath 16.
【００１８】このように操作ワイヤ１８及びシース１６
に平面部１８Ａ、１６Ｃを形成すると、操作ワイヤ１８
は、シース１６内で回転できなくなる。したがって、操
作ワイヤ１８の先端のスネアワイヤ２０は、シース１６
に対して常に一定の向きでシース１６から導出される。
なお、シース１６に対するスネアワイヤ２０の向きは、
シース１６の曲げ癖に応じて決定される。例えば、図２
に示すように、曲げ癖の付いた先端部１６Ａ全体を含む
フラットな面（即ち、先端部１６Ａと直線的な基端部１
６Ｂが作りだす平面）と約直交する平面内に、スネアワ
イヤ２０のループ部が大きく拡開されるように設定す
る。As described above, the operation wire 18 and the sheath 16
When the flat portions 18A and 16C are formed on the
Cannot rotate in the sheath 16. Therefore, the snare wire 20 at the distal end of the operation wire 18 is connected to the sheath 16
Is always drawn out of the sheath 16 in a fixed direction.
The orientation of the snare wire 20 with respect to the sheath 16 is
It is determined according to the bending habit of the sheath 16. For example, FIG.
As shown in FIG. 5, a flat surface including the entire distal end portion 16A having a bending habit (that is, the distal end portion 16A and the linear proximal end portion 1A).
The loop portion of the snare wire 20 is set so as to be greatly expanded in a plane approximately orthogonal to the plane created by 6B.
【００１９】以上のように構成された高周波スネア１０
を用いた病変部の処置方法は次の通りである。The high-frequency snare 10 constructed as described above
The method of treating a lesion using is as follows.
【００２０】まず、内視鏡挿入部３４を体腔内へ挿入
し、内視鏡操作部に配されたアングルノブ（図示せず）
を操作して湾曲部３５を湾曲させ、挿入部３４の先端に
配された対物レンズ（図示せず）により、体腔内を観察
する。そして、病変部を発見したら内視鏡操作部に配さ
れた処置具挿通口（図示せず）から高周波スネア１０の
挿入部１４を挿入していき、図６に示すように、処置具
挿通チャンネル３３を介して内視鏡挿入部３４の先端か
らシース１６を突出させる。このとき、シース１６はそ
の先端部１６Ａに曲げ癖を付けていることから、湾曲さ
せた湾曲部３５内の処置具挿通チャンネルを通過すると
きに先端部１６Ａが湾曲方向に倣い、一定方向の位置に
ガイドされた状態で内視鏡挿入部３４の先端から突出す
ることになる。その際、曲げ癖の付いた先端部１６Ａの
一部を処置具挿通チャンネル３３内に残しておくと、シ
ース１６を、一定方向の位置にガイドされた状態に維持
できる。First, the endoscope insertion section 34 is inserted into a body cavity, and an angle knob (not shown) provided on the endoscope operation section
Is operated to bend the bending portion 35, and the inside of the body cavity is observed by an objective lens (not shown) arranged at the distal end of the insertion portion 34. Then, when the lesion is found, the insertion section 14 of the high-frequency snare 10 is inserted from a treatment tool insertion port (not shown) arranged in the endoscope operation section, and as shown in FIG. The sheath 16 is made to protrude from the distal end of the endoscope insertion portion 34 via 33. At this time, since the distal end 16A of the sheath 16 has a bending habit, the distal end 16A follows the bending direction when passing through the treatment instrument insertion channel in the curved portion 35, and the position of the sheath 16 in the fixed direction is changed. Projecting from the distal end of the endoscope insertion section 34 in a state guided by the endoscope. At this time, if a part of the distal end portion 16A having a bending habit is left in the treatment instrument insertion channel 33, the sheath 16 can be maintained in a state guided at a position in a certain direction.
【００２１】次に、図１の操作部１２のスライダ２４を
前進させて、スネアワイヤ２０をシース１６の先端から
突出させ、スネアワイヤ２０をループ状に拡開させる。
このとき、操作ワイヤ１８がシース１６に対して回動し
ないので、スネアワイヤ２０は、シース１６に対して常
に一定の向きで導出される。さらに、図２に示すよう
に、スネアワイヤ２０のループ部は、曲げ癖の付いた先
端部１６Ａ全体を含むフラットな面と約直交する面内で
大きく拡開されるように設定してあることから、シース
１６の先端部１６Ａを病変部に向けると、シース１６か
ら導出されたスネアワイヤ２０は、病変部に向けて大き
く拡開される。したがって、スネアワイヤ２０の向きを
調整することなく、スネアワイヤ２０のループ部を病変
部に掛けることができる。Next, the slider 24 of the operation section 12 shown in FIG. 1 is advanced to make the snare wire 20 protrude from the distal end of the sheath 16, and the snare wire 20 is expanded in a loop.
At this time, since the operation wire 18 does not rotate with respect to the sheath 16, the snare wire 20 is always led out in a fixed direction with respect to the sheath 16. Further, as shown in FIG. 2, the loop portion of the snare wire 20 is set so as to be greatly expanded in a plane substantially perpendicular to a flat surface including the entire tip portion 16A with a bending habit. When the distal end 16A of the sheath 16 is directed toward the lesion, the snare wire 20 led out of the sheath 16 is greatly expanded toward the lesion. Therefore, the loop portion of the snare wire 20 can be hooked on the lesion without adjusting the direction of the snare wire 20.
【００２２】スネアワイヤ２０のループ部を病変部に掛
けた後、スライダ２４を後退させて、スネアワイヤ２０
をシース１６内に引き込む。これにより、病変部がスネ
アワイヤ２０によって絞扼される。このとき、スネアワ
イヤ２０に滑止部材３０、３０、…が取り付けられてい
るので、滑止部材３０の爪部３２が病変部に引っ掛か
り、隆起の小さい病変部であっても、確実に絞扼でき
る。この状態で高周波コード（不図示）を接続したコネ
クタ２８を通じてスネアワイヤ２０に高周波電流を流す
ことによって、スネアワイヤ２０に絞扼された病変部が
切除される。After the loop portion of the snare wire 20 is hooked over the lesion, the slider 24 is retracted, and the snare wire 20
Is drawn into the sheath 16. As a result, the lesion is strangled by the snare wire 20. At this time, since the non-slip members 30, 30,... Are attached to the snare wire 20, the claws 32 of the non-slip member 30 are caught on the lesion, and even if the lesion has a small protuberance, it can be securely strapped. . In this state, a high-frequency current is applied to the snare wire 20 through the connector 28 to which the high-frequency cord (not shown) is connected, so that the lesioned portion strangled by the snare wire 20 is cut.
【００２３】このように、本実施の形態の高周波スネア
１０によれば、操作ワイヤ１８がシース１６に対して回
動することを規制し、スネアワイヤ２０を常に同じ向き
でシース１６から導出するようにしたので、曲げ癖の付
いたシース１６を病変部に向けることによって、シース
１６から導出されたスネアワイヤ２０を病変部に向ける
ことができる。As described above, according to the high-frequency snare 10 of the present embodiment, the operation wire 18 is restricted from rotating with respect to the sheath 16, and the snare wire 20 is always drawn out of the sheath 16 in the same direction. Therefore, by directing the sheath 16 having the bending habit to the lesion, the snare wire 20 derived from the sheath 16 can be directed to the lesion.
【００２４】なお、上述した実施の形態は、操作ワイヤ
１８を全長にわたって非円形状の断面にしたが、先端側
の一部分のみを非円形状に形成してもよい。この場合、
シース１６も、先端部の一部分のみを操作ワイヤ１８に
対応した形状にすればよい。In the above-described embodiment, the operation wire 18 has a non-circular cross section over the entire length, but only a part of the distal end side may be formed in a non-circular shape. in this case,
The sheath 16 may have a shape corresponding to the operation wire 18 only at a part of the distal end.
【００２５】また、上述した実施の形態は、単線ワイヤ
を加工して操作ワイヤ１８を形成したが、これに限定す
るものではない。例えば、図７に示すように、複数の素
線３６Ｂ、３６Ｂ…を撚り合わせた編組線ワイヤによっ
て操作ワイヤ３６を構成してもよい。この場合も、プレ
ス加工や切削加工等によって操作ワイヤ３６に平面３６
Ａを形成するとともに、シース１６に肉厚部１６Ｄを設
けて平面部１６Ｃが形成することにより、操作ワイヤ３
６がシース１６に対して回動することを防止できる。ま
た、別構造の操作ワイヤ（不図示）として、密着コイル
ばねを用いてもよく、この場合にも、一部を平面加工す
ることによって、操作ワイヤがシース１６内で回動する
ことを防止できる。In the above-described embodiment, the operation wire 18 is formed by processing a single wire, but the present invention is not limited to this. For example, as shown in FIG. 7, the operation wire 36 may be configured by a braided wire in which a plurality of strands 36B are twisted. Also in this case, the operating wire 36 is pressed onto the flat surface 36 by pressing or cutting.
A is formed, and a thick portion 16D is provided in the sheath 16 to form a flat portion 16C, so that the operation wire 3 is formed.
6 can be prevented from rotating with respect to the sheath 16. Further, as an operation wire (not shown) having a different structure, a close contact coil spring may be used. In this case, the operation wire can be prevented from rotating in the sheath 16 by partially processing the surface. .
【００２６】また、操作ワイヤ１８は、断面形状が非円
形状であればよく、例えば、図８や図９に示すように形
成してもよい。図８に示す操作ワイヤ４０は、切削加工
やプレス加工等によってＶ形状の溝４０Ａが形成されて
いる。また、シース４２は、溝４０Ａに対応するΔ形状
の突条部４２Ａが設けられている。これにより、操作ワ
イヤ４０がシース４２に対して回動することを防止でき
る。The operating wire 18 may have a non-circular cross section, and may be formed as shown in FIGS. 8 and 9, for example. The operation wire 40 shown in FIG. 8 has a V-shaped groove 40A formed by cutting or pressing. Further, the sheath 42 is provided with a Δ-shaped ridge 42A corresponding to the groove 40A. This can prevent the operation wire 40 from rotating with respect to the sheath 42.
【００２７】図９に示す操作ワイヤ４４は、断面が楕円
形に形成され、シース４６は、操作ワイヤ４４の形状に
対応して楕円形に形成される。これにより、操作ワイヤ
４４がシース４６に対して回動することを防止できる。The operation wire 44 shown in FIG. 9 has an elliptical cross section, and the sheath 46 has an elliptical shape corresponding to the shape of the operation wire 44. This prevents the operation wire 44 from rotating with respect to the sheath 46.
【００２８】また、上述した実施の形態は、シース１６
を、操作ワイヤ１８に相似した形状に形成したが、これ
に限定するものではなく、シース１６の内部が、操作ワ
イヤ１８の回動を規制する形状であればよい。例えば、
図１０に示すシース５０は、規制ピン５２が外側から貫
通して取り付けられており、この規制ピン５２がシース
５０の内側に突出して、操作ワイヤ１８の回動を規制し
ている。In the above-described embodiment, the sheath 16
Is formed in a shape similar to the operation wire 18, but the present invention is not limited to this, and any shape may be used as long as the inside of the sheath 16 regulates the rotation of the operation wire 18. For example,
The sheath 50 shown in FIG. 10 has a regulating pin 52 penetrating from the outside, and is attached to the sheath 50. The regulating pin 52 projects inside the sheath 50 to regulate the rotation of the operation wire 18.
【００２９】さらに、操作ワイヤ１８の外周面に軸方向
に沿った突条部（不図示）を設けるとともに、該突条部
が係合する溝（不図示）をシース１６の内周面に形成し
てもよい。Further, a ridge (not shown) is provided on the outer peripheral surface of the operation wire 18 along the axial direction, and a groove (not shown) with which the ridge engages is formed on the inner peripheral surface of the sheath 16. May be.
【００３０】なお、上述した実施の形態は、本発明を高
周波スネアに適用した例で説明したが、これに限定する
ものではなく、他の内視鏡処置具、例えば、高周波ナイ
フや把持鉗子等にも適用できる。Although the above-described embodiment has been described with reference to an example in which the present invention is applied to a high-frequency snare, the present invention is not limited to this, and other endoscopic treatment tools, such as a high-frequency knife and grasping forceps, may be used. Also applicable to
【００３１】[0031]
【発明の効果】以上説明したように本発明に係る内視鏡
処置具によれば、操作ワイヤが可撓管に対して回動する
ことを規制したので、可撓管を病変部に向けることによ
って、処置部を簡単に病変部に向けることができる。As described above, according to the endoscope treatment tool according to the present invention, since the operation wire is restricted from rotating with respect to the flexible tube, the flexible tube is directed toward the lesion. Thus, the treatment section can be easily directed to the lesion.
【図１】本発明が適用された高周波スネアの全体構成を
示す斜視図FIG. 1 is a perspective view showing the entire configuration of a high-frequency snare to which the present invention is applied.
【図２】図１に示した挿入部の先端を示す側面図FIG. 2 is a side view showing the distal end of the insertion section shown in FIG. 1;
【図３】スネアワイヤをシース内に収納した挿入部先端
の断面図FIG. 3 is a cross-sectional view of a distal end of an insertion portion in which a snare wire is housed in a sheath.
【図４】図３に示した挿入部先端の４−４線に沿う断面
図FIG. 4 is a sectional view taken along line 4-4 of the distal end of the insertion portion shown in FIG. 3;
【図５】図２の矢印５方向から見た挿入部の平面図FIG. 5 is a plan view of the insertion portion viewed from the direction of arrow 5 in FIG. 2;
【図６】図１の高周波スネアの使用方法を説明する説明
図FIG. 6 is an explanatory diagram illustrating a method of using the high-frequency snare of FIG. 1;
【図７】図４と異なる構造の操作ワイヤを示す断面図FIG. 7 is a sectional view showing an operation wire having a structure different from that of FIG. 4;
【図８】図４と異なる形状の操作ワイヤを示す断面図FIG. 8 is a sectional view showing an operation wire having a shape different from that of FIG. 4;
【図９】図４と異なる形状の操作ワイヤを示す断面図FIG. 9 is a sectional view showing an operation wire having a shape different from that of FIG. 4;
【図１０】図４と異なる形状のシースを示す断面図FIG. 10 is a sectional view showing a sheath having a shape different from that of FIG. 4;
１０…高周波スネア、１２…手元操作部、１４…挿入
部、１６…シース、１６Ｃ…平面部、１８…操作ワイ
ヤ、１８Ａ…平面部、２０…スネアワイヤ、２２…操作
部本体、２４…スライダ、２６…指掛け部、３０…滑止
部材DESCRIPTION OF SYMBOLS 10 ... High frequency snare, 12 ... Hand operation part, 14 ... Insertion part, 16 ... Sheath, 16C ... Flat part, 18 ... Operation wire, 18A ... Flat part, 20 ... Snare wire, 22 ... Operation part main body, 24 ... Slider, 26 … Finger hook part, 30… non-slip member
───────────────────────────────────────────────────── フロントページの続き (72)発明者 松田 信一 埼玉県大宮市植竹町１丁目324番地 富士 写真光機株式会社内 Ｆターム(参考） 4C060 EE28 FF23 GG23 KK03 KK09 KK16 KK18 MM26 4C061 AA00 BB00 CC00 DD03 FF43 HH26 JJ11 ────────────────────────────────────────────────── ─── Continuing on the front page (72) Shinichi Matsuda 1-324 Uetake-cho, Omiya-shi, Saitama Fuji Photo Optical Co., Ltd. F-term (reference) 4C060 EE28 FF23 GG23 KK03 KK09 KK16 KK18 MM26 4C061 AA00 BB00 CC00 DD03 FF43 HH26 JJ11
Claims (3)
イヤと、該操作ワイヤの先端部に設けられ、前記可撓管
から出没する処置部と、を備えた内視鏡処置具におい
て、 前記操作ワイヤは、該操作ワイヤの軸に直交する断面が
非円形状に形成され、前記可撓管には、前記操作ワイヤ
の非円形状断面に対応する形状の回動規制部が設けられ
たことを特徴とする内視鏡処置具。1. An endoscopic treatment comprising: a flexible tube; an operation wire inserted through the flexible tube; and a treatment section provided at a distal end of the operation wire and protruding and retracting from the flexible tube. The operation wire has a non-circular cross section perpendicular to the axis of the operation wire, and the flexible tube has a rotation restricting portion having a shape corresponding to the non-circular cross section of the operation wire. An endoscope treatment tool provided.
げ癖が付けられていることを特徴とする請求項１記載の
内視鏡処置具。2. The endoscope treatment tool according to claim 1, wherein the distal end of the flexible tube is bent in a predetermined direction.
スネアワイヤであり、該スネアワイヤは、前記可撓管の
先端から突出された際に、前記曲げ癖全体を含むフラッ
トな面と約直交する面内でループ状に拡開されることを
特徴とする請求項２記載の内視鏡処置具。3. The treatment section is a snare wire through which a high-frequency current is supplied, and the snare wire is approximately perpendicular to a flat surface including the entire bending habit when protruding from a distal end of the flexible tube. The endoscope treatment tool according to claim 2, wherein the endoscope is expanded in a loop shape within the plane.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2000245722A JP2002051974A (en) | 2000-08-14 | 2000-08-14 | Endoscope manipulator |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2000245722A JP2002051974A (en) | 2000-08-14 | 2000-08-14 | Endoscope manipulator |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JP2002051974A true JP2002051974A (en) | 2002-02-19 |
Family
ID=18736187
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2000245722A Pending JP2002051974A (en) | 2000-08-14 | 2000-08-14 | Endoscope manipulator |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP2002051974A (en) |
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