JP2002253484A - Distal end of duodenoscope - Google Patents

Distal end of duodenoscope

Info

Publication number
JP2002253484A
JP2002253484A JP2001051988A JP2001051988A JP2002253484A JP 2002253484 A JP2002253484 A JP 2002253484A JP 2001051988 A JP2001051988 A JP 2001051988A JP 2001051988 A JP2001051988 A JP 2001051988A JP 2002253484 A JP2002253484 A JP 2002253484A
Authority
JP
Japan
Prior art keywords
distal end
treatment tool
observation
observation window
end portion
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Withdrawn
Application number
JP2001051988A
Other languages
Japanese (ja)
Inventor
Teruo Ouchi
輝雄 大内
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Pentax Corp
Original Assignee
Asahi Kogaku Kogyo Co Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Asahi Kogaku Kogyo Co Ltd filed Critical Asahi Kogaku Kogyo Co Ltd
Priority to JP2001051988A priority Critical patent/JP2002253484A/en
Publication of JP2002253484A publication Critical patent/JP2002253484A/en
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00098Deflecting means for inserted tools

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

PROBLEM TO BE SOLVED: To provide a distal end of a duodenoscope with which the distal end of a flexible imaging tube projected diagonally backward can be easily inserted into a bile duct, etc., while a bending habit is given thereto by observing the distal end in a position nearer the center of an observation visual field range. SOLUTION: When the distal end segment 10 of an insertion portion 1 is viewed from a lateral side, a supporting bent wall 20 formed at the rear end wall within a projecting port 12 of a medical treatment instrument exists in the position nearer the front side than the observation light optical axis position Fx, on the front surface of an observation window 5 and on the side nearer the rear than the front end position Ff of an observation window pupil F.

Description

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION

【0001】[0001]

【発明の属する技術分野】この発明は、十二指腸から胆
管内に可撓性造影チューブ等を挿入するために用いられ
る十二指腸内視鏡の先端部に関する。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a distal end portion of a duodenal endoscope used for inserting a flexible contrast tube or the like from a duodenum into a bile duct.

【0002】[0002]

【従来の技術】図4は従来の十二指腸内視鏡の先端部の
一例を示しており、挿入部の先端に設けられた先端部本
体10の側面に観察窓5と照明窓6とが前後に並んで配
置され、それと並列に並んで形成された処置具突出口1
2内に処置具起上片13が配置されている。
2. Description of the Related Art FIG. 4 shows an example of a distal end portion of a conventional duodenal endoscope, in which an observation window 5 and an illumination window 6 are provided on the side of a distal end body 10 provided at the distal end of an insertion portion. The treatment tool outlet 1 which is arranged side by side and formed in parallel with the
The treatment instrument raising piece 13 is arranged in the inside 2.

【0003】V−V断面を図示する図5に示されるよう
に、処置具起上片13は支軸14によって先端部本体1
0に支持されていて、手元側から操作ワイヤ15を進退
操作することによって支軸14を中心に回動する。
As shown in FIG. 5 showing a VV cross section, a treatment instrument raising piece 13 is supported by
When the operation wire 15 is moved forward and backward from the hand side, it is turned around the support shaft 14.

【0004】処置具突出口12の奥の部分には処置具挿
通チャンネル11の出口開口が接続されており、処置具
挿通チャンネル11に挿通された可撓性造影チューブ5
0の先端部分50aが、処置具突出口12から突出され
て処置具起上片13により起上され、胆管100に挿入
される。
An outlet opening of the treatment instrument insertion channel 11 is connected to a portion behind the treatment instrument protrusion port 12, and the flexible contrast tube 5 inserted through the treatment instrument insertion channel 11 is connected.
The distal end portion 50 a of the zero is protruded from the treatment tool outlet 12, is raised by the treatment tool raising piece 13, and is inserted into the bile duct 100.

【0005】先端部本体10には、処置具起上片13に
よって起上される状態の可撓性造影チューブ50を支え
る支点となる支持曲壁20が形成されており、可撓性造
影チューブ50が支持曲壁20と処置具起上片13との
間で曲げられて先端部分50aが胆管100に差し込ま
れる。
[0005] The distal end body 10 is formed with a curved support wall 20 serving as a fulcrum for supporting the flexible contrast tube 50 raised by the treatment instrument raising piece 13. Is bent between the support curved wall 20 and the treatment instrument raising piece 13, and the distal end portion 50 a is inserted into the bile duct 100.

【0006】この時、解剖学的な方向性に合わせて可撓
性造影チューブ50の先端部分50aを先端部本体10
から斜め後方に突き出す必要があるので、観察光軸Xも
後方へ15°程度の斜視(後方斜視)になっている。
At this time, the distal end portion 50a of the flexible contrast tube 50 is adjusted according to the anatomical direction.
, The observation optical axis X also has a perspective of about 15 ° rearward (rear perspective).

【0007】[0007]

【発明が解決しようとする課題】図5に示されるよう
に、上述のような従来の十二指腸内視鏡の先端部本体1
0を側方から見たとき、支持曲壁20は、観察窓5の表
面における観察光軸位置Fxより相当に後方に位置して
いる。
As shown in FIG. 5, a distal end body 1 of a conventional duodenal endoscope as described above.
When 0 is viewed from the side, the curved support wall 20 is located considerably behind the observation optical axis position Fx on the surface of the observation window 5.

【0008】これは、生検鉗子等のようなコイルパイプ
製のシースを有する処置具を使用する際には、小さな範
囲で急激に屈曲させられた起上部分の通過抵抗が、僅か
な起上角度の増加でも急激に増大するため、支持曲壁2
0を観察光軸位置Fxよりできるだけ後方に形成して、
起上角度が緩くても処置具が観察視野範囲Vの中央付近
に突出されるようにしているからである。
[0008] This is because when using a treatment instrument having a sheath made of a coil pipe such as a biopsy forceps or the like, the passage resistance of the rising portion which is sharply bent in a small area is slightly increased. The support curved wall 2
0 is formed as much as possible behind the observation optical axis position Fx,
This is because the treatment tool is made to protrude near the center of the observation visual field range V even when the raising angle is small.

【0009】しかし、十二指腸内視鏡にとって極めて重
要な用途である胆管100に対する可撓性造影チューブ
50の挿入の場合には、図5に示されるように、処置具
突出口12内で曲がり癖が付きながら突出される可撓性
造影チューブ50の先端部分50aが、胆管100に挿
入すべく斜め後方に向けて突出されると、観察視野範囲
Vの後端付近でしか観察されないので、挿入確認等が難
しく、観察視野範囲Vから外れてしまう場合も珍しくな
い。
However, in the case of inserting the flexible contrast tube 50 into the bile duct 100, which is an extremely important use for a duodenal endoscope, as shown in FIG. When the distal end portion 50a of the flexible contrast tube 50 protruding while being attached is projected obliquely rearward to be inserted into the bile duct 100, the distal end portion 50a is observed only near the rear end of the observation visual field range V. Is difficult, and it is not unusual for the case to be out of the observation visual field range V.

【0010】そこで本発明は、曲がり癖が付きながら斜
め後方に向けて突出される可撓性造影チューブの先端
を、観察視野範囲の中央寄りの位置で観察して、胆管等
に容易に挿入させることができる十二指腸内視鏡の先端
部を提供することを目的とする。
Accordingly, the present invention observes the distal end of a flexible contrast tube projected obliquely rearward while having a bending habit at a position near the center of the observation visual field range, and allows it to be easily inserted into a bile duct or the like. It is an object of the present invention to provide a distal end portion of a duodenal endoscope which can be used.

【0011】[0011]

【課題を解決するための手段】上記の目的を達成するた
め、本発明の十二指腸内視鏡の先端部は、挿入部の先端
の側面に観察窓と処置具突出口とが並列に並んで配置さ
れて、処置具突出口から突出される可撓性造影チューブ
の突出方向を遠隔操作によって変換するための処置具起
上片が処置具突出口内に配置され、処置具起上片によっ
て起上される可撓性造影チューブを支える支点となる支
持曲壁が処置具突出口内の後端壁部分に形成された十二
指腸内視鏡の先端部において、挿入部の先端部分を側方
から見たとき、支持曲壁が、観察窓表面における観察光
軸位置より先側であって観察窓瞳の前端位置より後方の
位置に形成されているものである。
In order to achieve the above object, the distal end of the duodenal endoscope of the present invention has an observation window and a treatment tool outlet arranged side by side on the side surface of the distal end of the insertion portion. Then, a treatment tool raising piece for changing the protruding direction of the flexible contrast tube protruding from the treatment tool protrusion port by remote control is disposed in the treatment tool protrusion port, and is raised by the treatment tool raising piece. When the distal end portion of the insertion portion is viewed from the side at the distal end portion of the duodenal endoscope in which the support curved wall serving as a fulcrum for supporting the flexible contrast tube is formed at the rear end wall portion inside the treatment tool outlet, The curved support wall is formed on the observation window surface at a position ahead of the observation optical axis position and at a position behind the front end position of the observation window pupil.

【0012】[0012]

【発明の実施の形態】図面を参照して本発明の実施例を
説明する。図3は十二指腸内視鏡の全体構成を示してお
り、可撓性の挿入部1の基端に操作部2が連結されてい
る。
Embodiments of the present invention will be described with reference to the drawings. FIG. 3 shows the entire configuration of the duodenal endoscope. An operation unit 2 is connected to a proximal end of a flexible insertion unit 1.

【0013】挿入部1内には処置具挿通チャンネル11
が全長にわたって挿通配置され、その入口11aは操作
部2の下端部に斜め上方に向けて突設され、出口は、挿
入部1の先端に連結された先端部本体10に配置されて
いる。
In the insertion section 1, a treatment instrument insertion channel 11 is provided.
Is inserted through the entire length, the entrance 11 a is provided to project obliquely upward at the lower end of the operation section 2, and the exit is disposed in the distal end body 10 connected to the distal end of the insertion section 1.

【0014】その結果、処置具挿通チャンネル11に挿
通された処置具(可撓性造影チューブ50)の先端部分
50aが、先端部本体10の側面に形成された処置具突
出口12から突出し、その突出方向を変える操作を、操
作部2に配置された起上片操作ノブ3によって行うこと
ができる。
As a result, the distal end portion 50a of the treatment instrument (flexible contrast tube 50) inserted through the treatment instrument insertion channel 11 projects from the treatment instrument outlet 12 formed on the side surface of the distal end body 10, and The operation of changing the protruding direction can be performed by the raising piece operation knob 3 arranged on the operation unit 2.

【0015】図2は、挿入部1の先端に連結された先端
部本体10の側面の正面図であり、観察窓5と照明窓6
とが前後に並んで配置されている。観察窓5の奥に配置
されている観察光学系は、観察光軸が例えば15°斜め
後方を向いた後方斜視光学系である。
FIG. 2 is a front view of a side surface of the distal end body 10 connected to the distal end of the insertion section 1, showing an observation window 5 and an illumination window 6.
And are arranged side by side. The observation optical system disposed behind the observation window 5 is a rear oblique optical system in which the observation optical axis is directed obliquely rearward by, for example, 15 °.

【0016】破線で示されるFは、観察窓5の表面にお
ける観察範囲の外縁である観察窓瞳であり、Ffは観察
窓瞳Fの前端位置、Fxは、観察窓5の表面における観
察光軸位置である。
F shown by a broken line is an observation window pupil which is the outer edge of the observation range on the surface of the observation window 5, Ff is a front end position of the observation window pupil F, and Fx is an observation optical axis on the surface of the observation window 5. Position.

【0017】観察窓5及び照明窓6と並列に並んで形成
された処置具突出口12内には、I−I断面を図示する
図1にも示されるように、処置具起上片13が支軸14
によって回動自在に先端部本体10に支持されている。
As shown in FIG. 1 showing a cross section taken along the line II, a treatment instrument raising piece 13 is provided in the treatment instrument protrusion 12 formed in parallel with the observation window 5 and the illumination window 6. Support shaft 14
It is rotatably supported by the tip body 10.

【0018】処置具突出口12の奥の部分には処置具挿
通チャンネル11の出口開口が配置されており、処置具
挿通チャンネル11に挿通された可撓性造影チューブ5
0の先端部分50aが、処置具突出口12から突出さ
れ、処置具起上片13により起上されて胆管100に挿
入される。
An exit opening of the treatment instrument insertion channel 11 is disposed at a part behind the treatment instrument protrusion port 12, and the flexible contrast tube 5 inserted through the treatment instrument insertion channel 11 is provided.
The distal end portion 50a of the zero is protruded from the treatment tool outlet port 12, is raised by the treatment tool raising piece 13, and is inserted into the bile duct 100.

【0019】そして、操作部2に配置された起上片操作
ノブ3で操作ワイヤ15を進退操作することにより、処
置具起上片13が支軸14を中心に回動して可撓性造影
チューブ50が起上され、その先端部分50aの突出方
向が変化する。
When the operating wire 15 is advanced or retracted by the raising piece operating knob 3 arranged on the operating section 2, the treatment tool raising piece 13 is rotated about the support shaft 14 to obtain a flexible contrast image. The tube 50 is raised, and the protruding direction of the distal end portion 50a changes.

【0020】先端部本体10には、処置具起上片13に
より前側から押し戻されるようにして起上される可撓性
造影チューブ50の後面側を支える支点となる支持曲壁
20が、滑らかなカーブで処置具突出口12内の後端壁
部分に形成されている。
The distal end main body 10 has a smooth curved support wall 20 serving as a fulcrum for supporting the rear side of the flexible contrast tube 50 which is raised by being pushed back from the front side by the treatment instrument raising piece 13. A curved portion is formed on the rear end wall portion inside the treatment tool outlet 12.

【0021】そしてこの支持曲壁20は、先端部本体1
0を側方から見たとき、観察光軸Xより前方に位置して
いる。その結果、図1に示されるように、胆管100に
向けて曲がり癖が付きながら斜め後方に突出される可撓
性造影チューブ50の先端部分50aが、観察視野範囲
Vの中央近くに観察される。
The curved support wall 20 is attached to the tip main body 1.
When 0 is viewed from the side, it is located forward of the observation optical axis X. As a result, as shown in FIG. 1, the distal end portion 50 a of the flexible contrast tube 50 that projects obliquely backward while bending toward the bile duct 100 is observed near the center of the observation visual field range V. .

【0022】ただし、支持曲壁20が観察窓瞳Fの前端
位置Ffより前方に位置すると、処置具突出口12から
突出された処置具が観察視野範囲Vより前方に外れて観
察できなくなる場合があるので、支持曲壁20は観察窓
瞳Fの前端位置Ffより後方に位置している。
However, if the curved support wall 20 is positioned ahead of the front end position Ff of the observation window pupil F, the treatment tool protruding from the treatment tool outlet 12 may be displaced forward from the observation visual field range V and cannot be observed. Therefore, the support curved wall 20 is located behind the front end position Ff of the observation window pupil F.

【0023】このようにして、図1及び図2に示される
ように、支持曲壁20が観察光軸位置Fxと観察窓瞳F
の前端位置Ffとの間の範囲Aに位置していることによ
り、可撓性造影チューブ50の先端部分50aが、常に
観察視野範囲V内に良好な状態で観察される。
In this way, as shown in FIGS. 1 and 2, the curved support wall 20 is positioned between the observation optical axis position Fx and the observation window pupil F.
Is located in the range A between the front end position Ff and the front end portion 50a of the flexible contrast tube 50 is always observed in a favorable state within the observation visual field range V.

【0024】[0024]

【発明の効果】本発明によれば、挿入部の先端部分を側
方から見たとき、処置具突出口内の後端壁に形成された
支持曲壁が、観察窓表面における観察光軸位置より先側
であって観察窓瞳の前端位置より後方の位置にあるの
で、曲がり癖が付きながら斜め後方に向けて突出される
可撓性造影チューブの先端を、観察視野範囲の中央寄り
の位置で観察して胆管等に容易に挿入させることができ
る。
According to the present invention, when the distal end portion of the insertion portion is viewed from the side, the curved support wall formed on the rear end wall in the treatment tool outlet is positioned more than the observation optical axis position on the observation window surface. Since it is on the front side and at a position behind the front end position of the observation window pupil, the tip of the flexible contrast tube protruding obliquely rearward while having a bending habit is positioned at a position near the center of the observation visual field range. It can be easily observed and inserted into a bile duct or the like.

【図面の簡単な説明】[Brief description of the drawings]

【図1】本発明の実施例の十二指腸内視鏡の先端部の図
2におけるI−I断面図である。
FIG. 1 is a sectional view taken along the line II of FIG. 2 of a distal end portion of a duodenal endoscope according to an embodiment of the present invention.

【図2】本発明の実施例の十二指腸内視鏡の先端部の観
察窓等が配置された側面部分の正面図である。
FIG. 2 is a front view of a side portion where an observation window and the like at a distal end portion of the duodenal endoscope according to the embodiment of the present invention are arranged.

【図3】本発明の実施例の十二指腸内視鏡の全体構成を
示す外観図である。
FIG. 3 is an external view showing the entire configuration of a duodenal endoscope according to an embodiment of the present invention.

【図4】従来の十二指腸内視鏡の先端部の斜視図であ
る。
FIG. 4 is a perspective view of a distal end portion of a conventional duodenal endoscope.

【図5】従来の十二指腸内視鏡の先端部の図4における
V−V断面図である。
FIG. 5 is a sectional view of the distal end of the conventional duodenal endoscope taken along line VV in FIG. 4;

【符号の説明】[Explanation of symbols]

5 観察窓 10 先端部本体 12 処置具突出口 13 処置具起上片 14 支軸 15 操作ワイヤ 20 支持曲壁 50 可撓性造影チューブ 100 胆管 F 観察窓瞳 Ff 観察窓瞳の前端位置 Fx 観察光軸位置 V 観察視野範囲 X 観察光軸 DESCRIPTION OF SYMBOLS 5 Observation window 10 Tip main body 12 Treatment instrument protrusion 13 Treatment instrument elevating piece 14 Support shaft 15 Operation wire 20 Support curved wall 50 Flexible contrast tube 100 Bile duct F Observation window pupil Ff Front end position of observation window pupil Fx Observation light Axis position V Observation field of view X Observation optical axis

Claims (1)

【特許請求の範囲】[Claims] 【請求項1】挿入部の先端の側面に観察窓と処置具突出
口とが並列に並んで配置されて、上記処置具突出口から
突出される可撓性造影チューブの突出方向を遠隔操作に
よって変換するための処置具起上片が上記処置具突出口
内に配置され、上記処置具起上片によって起上される可
撓性造影チューブを支える支点となる支持曲壁が上記処
置具突出口内の後端壁部分に形成された十二指腸内視鏡
の先端部において、 上記挿入部の先端部分を側方から見たとき、上記支持曲
壁が、上記観察窓表面における観察光軸位置より先側で
あって観察窓瞳の前端位置より後方の位置に形成されて
いることを特徴とする十二指腸内視鏡の先端部。
An observation window and a treatment tool outlet are arranged side by side on the side surface of a distal end of an insertion portion, and a projecting direction of a flexible contrast tube projected from the treatment tool outlet is remotely controlled. A treatment tool raising piece for conversion is disposed in the treatment tool protrusion, and a support curved wall serving as a fulcrum for supporting a flexible contrast tube raised by the treatment tool raising piece is provided in the treatment tool protrusion. In the distal end portion of the duodenal endoscope formed in the rear end wall portion, when the distal end portion of the insertion portion is viewed from the side, the support curved wall is located on the front side of the observation optical axis position on the observation window surface. A distal end portion of a duodenal endoscope, wherein the distal end portion is formed at a position behind a front end position of an observation window pupil.
JP2001051988A 2001-02-27 2001-02-27 Distal end of duodenoscope Withdrawn JP2002253484A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2001051988A JP2002253484A (en) 2001-02-27 2001-02-27 Distal end of duodenoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
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WO2006004123A1 (en) * 2004-07-05 2006-01-12 Olympus Medical Systems Corp. Electronic endoscope
JP2006239312A (en) * 2005-03-07 2006-09-14 Olympus Medical Systems Corp Endoscope
WO2006106881A1 (en) * 2005-03-31 2006-10-12 Olympus Medical Systems Corp. Endoscope
WO2012075707A1 (en) * 2010-12-10 2012-06-14 广州宝胆医疗器械科技有限公司 Duodenoscope system integrated with infrared thermal scanner
WO2016035386A1 (en) * 2014-09-04 2016-03-10 オリンパス株式会社 Front end structure for endoscope
WO2019077692A1 (en) * 2017-10-18 2019-04-25 オリンパス株式会社 Insertion assistance system
JP2020121154A (en) * 2016-10-14 2020-08-13 Hoya株式会社 Endoscope and endoscope cap

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Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2006004123A1 (en) * 2004-07-05 2006-01-12 Olympus Medical Systems Corp. Electronic endoscope
US9007449B2 (en) 2004-07-05 2015-04-14 Olympus Medical Systems Corp. Electronic endoscope
JP2006239312A (en) * 2005-03-07 2006-09-14 Olympus Medical Systems Corp Endoscope
WO2006106881A1 (en) * 2005-03-31 2006-10-12 Olympus Medical Systems Corp. Endoscope
US8246534B2 (en) 2005-03-31 2012-08-21 Olympus Medical Systems Corp. Endoscope
WO2012075707A1 (en) * 2010-12-10 2012-06-14 广州宝胆医疗器械科技有限公司 Duodenoscope system integrated with infrared thermal scanner
US10188267B2 (en) 2014-09-04 2019-01-29 Olympus Corporation Distal end structure of endoscope
JP5989277B2 (en) * 2014-09-04 2016-09-07 オリンパス株式会社 Endoscope tip structure
WO2016035386A1 (en) * 2014-09-04 2016-03-10 オリンパス株式会社 Front end structure for endoscope
JP2020121154A (en) * 2016-10-14 2020-08-13 Hoya株式会社 Endoscope and endoscope cap
WO2019077692A1 (en) * 2017-10-18 2019-04-25 オリンパス株式会社 Insertion assistance system
CN111132597A (en) * 2017-10-18 2020-05-08 奥林巴斯株式会社 Insertion aid system
JPWO2019077692A1 (en) * 2017-10-18 2020-11-05 オリンパス株式会社 Insertion assistance system
JP7019712B2 (en) 2017-10-18 2022-02-15 オリンパス株式会社 Insertion assist system
CN111132597B (en) * 2017-10-18 2022-06-14 奥林巴斯株式会社 Insertion aid system
US11490796B2 (en) 2017-10-18 2022-11-08 Olympus Corporation Insertion assist system

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