JP2004194849A - Grasping forceps for endoscope - Google Patents

Grasping forceps for endoscope Download PDF

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Publication number
JP2004194849A
JP2004194849A JP2002365994A JP2002365994A JP2004194849A JP 2004194849 A JP2004194849 A JP 2004194849A JP 2002365994 A JP2002365994 A JP 2002365994A JP 2002365994 A JP2002365994 A JP 2002365994A JP 2004194849 A JP2004194849 A JP 2004194849A
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JP
Japan
Prior art keywords
sheath
distal end
grasping
gripping
pieces
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.)
Granted
Application number
JP2002365994A
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Japanese (ja)
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JP4037254B2 (en
Inventor
Hideto Kurosawa
秀人 黒澤
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
Pentax Corp
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 Pentax Corp filed Critical Pentax Corp
Priority to JP2002365994A priority Critical patent/JP4037254B2/en
Publication of JP2004194849A publication Critical patent/JP2004194849A/en
Application granted granted Critical
Publication of JP4037254B2 publication Critical patent/JP4037254B2/en
Anticipated expiration legal-status Critical
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  • Endoscopes (AREA)

Abstract

<P>PROBLEM TO BE SOLVED: To provide a grasping forceps for an endoscope smoothly opening/closing three or more grasping pieces without moving in the front/rear direction and easily and surely grasping an object to be grasped without being restricted by the shape of the object to be grasped. <P>SOLUTION: At least, three grasping pieces 3 are disposed from the tip part 2 of a sheath 1 faced to the front, the base end parts of the respective grasping pieces are turnably supported at the outside position of the axis in such a manner as circumferentially deviating the respective positions in order in the tip part 2 of the sheath 1 so that the respective grasping pieces 3 are opened/closed around their base parts. The tip portions 4b of an operation wire 4 inserted and disposed in the sheath 1 are made to pass through a space toward the axis of the tip part 2 of the sheath 1 and connected to the respective grasping pieces 3 facing from the inside. <P>COPYRIGHT: (C)2004,JPO&NCIPI

Description

【0001】
【発明の属する技術分野】
この発明は内視鏡用把持鉗子に関する。
【0002】
【従来の技術】
内視鏡用把持鉗子は、内視鏡の処置具挿通チャンネルに挿脱されるシースの先端部分に設けられた複数の把持片を手元側から開閉操作できるようになっているが、従来の内視鏡用把持鉗子の構造は二つの方式に大別される。
【0003】
即ち、図4に示されるものでは、バネ線材等により先側が外方に広がった形状に形成された複数の把持片82をシース81の先端部分内に突没自在に配置して、複数の把持片82が、操作ワイヤ83によってシース81内から押し出されると自己の弾性によって広がり、シース81内に引き込まれると窄まった状態に弾性変形するようになっている(例えば、特許文献1)。
【0004】
また、図5に示されるものでは、一対の把持片92を支軸93でシース91の先端部分に回動自在に支持し、把持片92と一体に形成された駆動アーム94を操作ワイヤ95で駆動することにより、一対の把持片92が支軸93を中心に嘴状に開閉するようになっている(例えば、特許文献2)。
【0005】
【特許文献1】
特開平8−38496号公報
【特許文献2】
特開昭63−151111号公報
【0006】
【発明が解決しようとする課題】
しかし、図4に示されるように把持片82がシース81内に出入りする機構のものでは、把持片82を閉じようとするとそれと同時に把持片82が後方に退避してしまうので、把持対象物をなかなか把持することができない場合が珍しくなくて、把持操作が非常に難しい。
【0007】
また、図5に示されるように把持片92が嘴状に開閉するものでは、把持対象物を二方向から挟み付けるだけなので、把持対象物に丸みがある場合などは把持片92を閉じた時に把持対象物が把持片92の間から逃げてしまって、把持対象物をなかなか把持することができない場合がある。
【0008】
しかし、把持片92を三つ以上設けようとすると、支軸93より後方に延出する状態に配置された複数の駆動アーム94どうしが干渉してしまうので、把持片92が開閉動作をすることができない。
【0009】
そこで本発明は、三つ以上の把持片を前後方向に移動しないように円滑に開閉動作させて、把持対象物の形状等に制約されることなく把持対象物を容易かつ確実に把持することができる内視鏡用把持鉗子を提供することを目的とする。
【0010】
【課題を解決するための手段】
上記の目的を達成するため、本発明の内視鏡用把持鉗子は、シースの先端部分から前方に向けて少なくとも三つの把持片を配置して、各把持片がそれらの基端部分を中心に開閉するように各把持片の基端部分をシースの先端部分に周方向に順に位置をずらして軸線より外側位置に各々回動自在に支持すると共に、シース内に挿通配置された操作ワイヤの先端部分を、シースの先端部分において各把持片の支持部よりシースの先端部分の軸線寄りの空間に通して、各把持片に対し内面側から臨ませて連結したものである。
【0011】
なお、各把持片が、シースの先端部分の軸線周りに軸対称の位置関係で配置されていてもよい。
【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は内視鏡用把持鉗子の全体構成を示しており、図示されていない内視鏡の処置具挿通チャンネルに挿脱される可撓性シース1は、例えばステンレス鋼線を一定の径で密着巻きして形成されている。ただし、四フッ化エチレン樹脂チューブ等により形成されたものであっても差し支えない。
【0013】
可撓性シース1の先端に連結固着された先端口金2には、三つの把持片3が開閉自在に取り付けられており、図3にはそれらが開いた状態が実線で示され、閉じた状態が二点鎖線で示されている。
【0014】
可撓性シース1内には、三つの把持片3を開閉駆動するための操作ワイヤ4が軸線方向に進退自在に全長にわたって挿通配置されており、その操作ワイヤ4を進退操作するための操作部10が可撓性シース1の基端に連結されている。
【0015】
操作部10は、細長い操作部本体11の基端に固定指掛け12が設けられ、操作部本体11の長手方向にスライド自在に取り付けられた可動指掛け13に、操作ワイヤ4の基端部分4aが連結された構成になっている。
【0016】
その結果、矢印Aで示されるように可動指掛け13をスライド操作することにより、可撓性シース1内で操作ワイヤ4が進退して、可撓性シース1の先端側において把持片3が開閉動作をする。
【0017】
図1は、そのような把持片3が設けられた可撓性シース1の先端部分の斜視図であり、図2は、三つの把持片3のうちの一つの把持片3を横から見た状態の側面断面図である。
【0018】
可撓性シース1は、先端部分が先端口金2に被さるように広げられて先端口金2にロー付け等により固着され、操作ワイヤ4は先端の近傍で三本に分岐されている。ただし、そのような分岐部に接続パイプ等を用いてもよく、全長にわたって三本の操作ワイヤ4を並べて配置しても差し支えない。
【0019】
先端口金2は、例えばステンレス鋼の丸棒材を素材として、その軸線位置には三本の操作ワイヤ4が並んだ状態で緩く挿通される孔が貫通形成され、可撓性シース1が連結固着される先端口金2の後端寄りの部分は、連結部の外面に段差ができないように一段細く形成されている。
【0020】
先端口金2の先端部分には、先端面に開口するスリット2aが120°間隔で軸線を中心に放射状に三個形成されていて、そのスリット2aに基端側の細幅部分が挟まれた各把持片3が、スリット2aを横断するように先端口金2に取り付けられた支軸5により、基端部分を中心に開閉するように回動自在に支持されている。
【0021】
そのようにして、三つの把持片3の基端部分が可撓性シース1の先端部分の軸線の延長線の周りに軸対称の位置関係になるように120°ずつ順に位置をずらして、先端口金2の軸線より外側位置に各々回動自在に配置され、先端口金2の軸線位置を通った三本の操作ワイヤ4の各先端部分4bが、各把持片3に対して内面側から臨んだ状態でロー付け等により連結固着されている。
【0022】
このような構成により、操作ワイヤ4が操作部10側から遠隔的に押し込み操作されると、図2に示されるように、各把持片3が二点鎖線で示される閉状態から実線で示される開状態になり、操作ワイヤ4を操作部10側から牽引操作することにより、把持片3が閉状態になる。
【0023】
したがって、三つの把持片3が前後方向に移動することなく支軸5を中心に120°間隔で開閉するので、内視鏡の処置具挿通チャンネルに挿通して、体腔内において把持対象物の形状等に制約されることなく把持対象物を容易かつ確実に把持することができる。
【0024】
なお、本発明は上記実施例に限定されるものではなく、例えば把持片3を四つ又はそれ以上配置しても差し支えない。
【0025】
【発明の効果】
本発明によれば、少なくとも三つの把持片を前後方向に移動させることなく基端部分を中心に円滑に開閉動作させることができるので、把持対象物の形状等に制約されることなく把持対象物を容易かつ確実に把持することができる。
【図面の簡単な説明】
【図1】本発明の実施例の内視鏡用把持鉗子の先端部分の斜視図である。
【図2】本発明の実施例の内視鏡用把持鉗子の先端部分の部分側面断面図である。
【図3】本発明の実施例の内視鏡用把持鉗子の全体構成を示す側面断面図である。
【図4】従来の内視鏡用把持鉗子の先端部分の第1の例の斜視図である。
【図5】従来の内視鏡用把持鉗子の先端部分の第2の例の側面断面図である。
【符号の説明】
1 可撓性シース
2 先端口金
3 把持片
4 操作ワイヤ
4b 先端部分
5 支軸
10 操作部
[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a grasping forceps for an endoscope.
[0002]
[Prior art]
The grasping forceps for an endoscope can open and close a plurality of grasping pieces provided at a distal end portion of a sheath inserted into and removed from a treatment instrument insertion channel of the endoscope from a hand side. The structure of grasping forceps for an endoscope is roughly classified into two types.
[0003]
That is, in the configuration shown in FIG. 4, a plurality of gripping pieces 82 formed in a shape in which the front side is spread outward by a spring wire or the like are arranged in the distal end portion of the sheath 81 so as to be freely protruded and retracted. When the piece 82 is pushed out of the sheath 81 by the operation wire 83, it expands by its own elasticity, and when it is pulled into the sheath 81, it elastically deforms to a narrowed state (for example, Patent Document 1).
[0004]
5, a pair of gripping pieces 92 are rotatably supported on a distal end portion of a sheath 91 by a support shaft 93, and a driving arm 94 formed integrally with the gripping pieces 92 is operated by an operation wire 95. By driving, a pair of gripping pieces 92 open and close like a beak centering on a support shaft 93 (for example, Patent Document 2).
[0005]
[Patent Document 1]
JP-A-8-38496 [Patent Document 2]
JP-A-63-151111
[Problems to be solved by the invention]
However, as shown in FIG. 4, with a mechanism in which the gripping piece 82 moves in and out of the sheath 81, when the gripping piece 82 is closed, the gripping piece 82 retreats at the same time as the gripping piece 82 is retracted. It is not uncommon for the user to be unable to grasp easily, and the grasping operation is very difficult.
[0007]
In addition, as shown in FIG. 5, in the case where the gripping piece 92 opens and closes in a beak shape, since the gripping object is merely sandwiched from two directions, when the gripping object is round, the gripping piece 92 is closed. In some cases, the object to be gripped has escaped from between the gripping pieces 92, making it difficult to grip the object to be gripped.
[0008]
However, if three or more gripping pieces 92 are provided, a plurality of drive arms 94 arranged to extend rearward from the support shaft 93 interfere with each other, so that the gripping pieces 92 open and close. Can not.
[0009]
Therefore, the present invention is to open and close three or more gripping pieces smoothly so as not to move in the front-back direction, and to easily and reliably grip the gripping object without being limited by the shape of the gripping object. An object of the present invention is to provide a grasping forceps for an endoscope that can be used.
[0010]
[Means for Solving the Problems]
In order to achieve the above object, the grasping forceps for an endoscope of the present invention has at least three grasping pieces arranged forward from the distal end portion of the sheath, and each grasping piece is centered on their base end portion. The base end portion of each gripping piece is sequentially shifted in the circumferential direction to the distal end portion of the sheath so as to be opened and closed, and is rotatably supported at a position outside the axis line, respectively, and the distal end of an operation wire inserted and arranged in the sheath. The portion is passed through a space closer to the axis of the distal end portion of the sheath than the support portion of each gripping piece at the distal end portion of the sheath, and is connected to each gripping piece from the inner surface side.
[0011]
Note that the gripping pieces may be arranged in an axially symmetric positional relationship around the axis of the distal end portion of the sheath.
[0012]
BEST MODE FOR CARRYING OUT THE INVENTION
An embodiment of the present invention will be described with reference to the drawings.
FIG. 3 shows the entire configuration of the grasping forceps for an endoscope, and a flexible sheath 1 inserted into and removed from a treatment tool insertion channel of an endoscope (not shown) is, for example, a stainless steel wire having a fixed diameter. It is formed by tightly winding. However, it may be formed of a tetrafluoroethylene resin tube or the like.
[0013]
Three gripping pieces 3 are openably and closably attached to a distal end base 2 fixedly connected to the distal end of the flexible sheath 1. In FIG. 3, the open state is shown by a solid line, and the closed state is shown. Is indicated by a two-dot chain line.
[0014]
An operation wire 4 for opening and closing the three gripping pieces 3 is inserted through the entire length of the flexible sheath 1 so as to be able to advance and retreat in the axial direction, and an operation unit for operating the operation wire 4 forward and backward. 10 is connected to the proximal end of the flexible sheath 1.
[0015]
The operation unit 10 has a fixed finger hook 12 provided at a base end of an elongated operation unit main body 11, and a base 4 a of the operation wire 4 is connected to a movable finger hook 13 slidably mounted in the longitudinal direction of the operation unit main body 11. It has been configured.
[0016]
As a result, the sliding operation of the movable finger rest 13 as shown by the arrow A causes the operation wire 4 to advance and retreat in the flexible sheath 1, and the gripping piece 3 opens and closes at the distal end side of the flexible sheath 1. do.
[0017]
FIG. 1 is a perspective view of a distal end portion of a flexible sheath 1 provided with such a gripping piece 3, and FIG. 2 is a side view of one gripping piece 3 of the three gripping pieces 3. It is a side sectional view of a state.
[0018]
The flexible sheath 1 is spread so that the distal end portion covers the distal end base 2 and is fixed to the distal end base 2 by brazing or the like, and the operation wire 4 is branched into three near the distal end. However, a connection pipe or the like may be used for such a branch portion, and three operation wires 4 may be arranged side by side over the entire length.
[0019]
The distal end cap 2 is made of, for example, a round bar of stainless steel, and a hole through which the three operation wires 4 are loosely inserted in a state where the three operation wires 4 are arranged is formed in the axial position thereof, and the flexible sheath 1 is connected and fixed. The portion near the rear end of the end cap 2 is formed one step thinner so that no step is formed on the outer surface of the connecting portion.
[0020]
In the distal end portion of the distal end cap 2, three slits 2a opening in the distal end surface are formed radially around the axis at intervals of 120 °, and the narrow portion on the base end side is sandwiched by the slits 2a. The gripping piece 3 is rotatably supported by a support shaft 5 attached to the distal end cap 2 so as to cross the slit 2a so as to open and close around a base end portion.
[0021]
In this manner, the positions of the base portions of the three gripping pieces 3 are sequentially shifted by 120 ° so that the base portions of the three gripping pieces 3 are axially symmetrical about the extension of the axis of the distal end portion of the flexible sheath 1. The distal end portions 4b of the three operating wires 4 which are rotatably arranged at positions outside the axis of the base 2 and pass through the axial position of the end base 2 face the gripping pieces 3 from the inner surface side. In this state, it is connected and fixed by brazing or the like.
[0022]
With such a configuration, when the operation wire 4 is pushed in remotely from the operation unit 10 side, as shown in FIG. 2, each gripping piece 3 is shown by a solid line from a closed state shown by a two-dot chain line. When the operation wire 4 is pulled from the operation section 10 side, the gripping piece 3 is closed.
[0023]
Therefore, since the three gripping pieces 3 open and close at 120 ° intervals around the support shaft 5 without moving in the front-rear direction, the three gripping pieces 3 are inserted into the treatment tool insertion channel of the endoscope, and the shape of the gripping object in the body cavity is obtained. The object to be gripped can be easily and reliably gripped without being restricted by the above.
[0024]
Note that the present invention is not limited to the above embodiment, and for example, four or more gripping pieces 3 may be arranged.
[0025]
【The invention's effect】
According to the present invention, since at least three gripping pieces can be smoothly opened and closed around the base end without moving in the front-rear direction, the gripping target object is not limited by the shape of the gripping object and the like. Can be easily and reliably gripped.
[Brief description of the drawings]
FIG. 1 is a perspective view of a distal end portion of an endoscope grasping forceps according to an embodiment of the present invention.
FIG. 2 is a partial side sectional view of a distal end portion of the grasping forceps for an endoscope according to the embodiment of the present invention.
FIG. 3 is a side sectional view showing the entire configuration of the grasping forceps for an endoscope according to the embodiment of the present invention.
FIG. 4 is a perspective view of a first example of a distal end portion of a conventional endoscope grasping forceps.
FIG. 5 is a side cross-sectional view of a second example of a distal end portion of a conventional grasping forceps for an endoscope.
[Explanation of symbols]
REFERENCE SIGNS LIST 1 flexible sheath 2 distal end cap 3 gripping piece 4 operating wire 4b distal end portion 5 support shaft 10 operating section

Claims (2)

シースの先端部分から前方に向けて少なくとも三つの把持片を配置して、上記各把持片がそれらの基端部分を中心に開閉するように上記各把持片の基端部分を上記シースの先端部分に周方向に順に位置をずらして軸線より外側位置に各々回動自在に支持すると共に、上記シース内に挿通配置された操作ワイヤの先端部分を、上記シースの先端部分において上記各把持片の支持部より上記シースの先端部分の軸線寄りの空間に通して、上記各把持片に対し内面側から臨ませて連結したことを特徴とする内視鏡用把持鉗子。At least three gripping pieces are arranged forward from the distal end of the sheath, and the proximal end of each gripping piece is positioned at the distal end of the sheath so that each gripping piece opens and closes around their proximal end. In the same manner as described above, the distal end portion of the operation wire inserted and disposed in the sheath is supported at the distal end portion of the sheath by supporting the gripping pieces at the distal end portion. A grasping forceps for an endoscope, wherein the grasping forceps is passed through a space closer to an axis of a distal end portion of the sheath from a portion to face each of the grasping pieces from the inner surface side. 上記各把持片が、上記シースの先端部分の軸線周りに軸対称の位置関係で配置されている請求項1記載の内視鏡用把持鉗子The grasping forceps for an endoscope according to claim 1, wherein each of the grasping pieces is arranged in an axially symmetric positional relationship around an axis of a distal end portion of the sheath.
JP2002365994A 2002-12-18 2002-12-18 Endoscopic grasping forceps Expired - Fee Related JP4037254B2 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2006080114A1 (en) * 2005-01-31 2006-08-03 Nobuyuki Sakurazawa Mucosal incision and peeling aid

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2006080114A1 (en) * 2005-01-31 2006-08-03 Nobuyuki Sakurazawa Mucosal incision and peeling aid

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