JP2005131164A - External channel for endoscope - Google Patents
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- JP2005131164A JP2005131164A JP2003371741A JP2003371741A JP2005131164A JP 2005131164 A JP2005131164 A JP 2005131164A JP 2003371741 A JP2003371741 A JP 2003371741A JP 2003371741 A JP2003371741 A JP 2003371741A JP 2005131164 A JP2005131164 A JP 2005131164A
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この発明は、内視鏡用の外付けチャンネルに関するものである。 The present invention relates to an external channel for an endoscope.
人体の消化管内に挿入可能な内視鏡には、鉗子等の処置具を挿通したり、送気、送水、吸引等の作業を行うためのチャンネルが複数設けられている。近年では、治療内容も体腔内の腫瘍を切除する内視鏡的粘膜切除術、内視鏡的止血など多様化しているため、効率的な治療を行うこと目的として、既存の内視鏡に外付けチャンネルを設けることが従来から知られている。
この外付けチャンネルは、内視鏡の挿入部の外側に着脱自在に併設されるものであり、例えば、リング状の連結部材により内視鏡の挿入部に連結されるように構成されているものがあった。また、従来の外付けチャンネルとしては、内視鏡の挿入部に対して強固に固定することを目的として、外付けチャンネルを内視鏡の挿入部に粘着剤を介して貼り付けるものがあった(例えば、特許文献1参照。)。
This external channel is detachably provided outside the insertion portion of the endoscope, and is configured to be connected to the insertion portion of the endoscope by a ring-shaped connecting member, for example. was there. In addition, as a conventional external channel, there is one that attaches an external channel to an insertion portion of an endoscope with an adhesive for the purpose of firmly fixing to the insertion portion of the endoscope. (For example, refer to Patent Document 1).
しかしながら、上記従来の外付けチャンネルにおいては、内視鏡を体腔内で進退させた際に、進退時の抵抗力や内視鏡の挿入部を湾曲させる力が内視鏡自体に加わり、連結部材が内視鏡から外れる方向に力を受ける。そして、外付けチャンネルが内視鏡から外れると、処置具等の挿通や操作が困難となり、また、内視鏡の進退を妨げたり、体腔を傷つけるという問題があった。
また、外付けチャンネルを特殊な粘着剤により内視鏡に固定している構成では、内視鏡の挿入部が体腔内において湾曲した際に、外付けチャンネルと内視鏡との固定部分において内視鏡が破損する虞があった。また、この構成では、外付けチャンネルを内視鏡から取り外すことができないという問題があった。
この発明は上述した事情に鑑みてなされたものであって、外付けチャンネルを内視鏡に強固に固定すると共に、その固定力を適宜調整できる外付けチャンネルを提供することを目的としている。
However, in the conventional external channel, when the endoscope is advanced and retracted in the body cavity, a resistance force during advancement and a force that curves the insertion portion of the endoscope is applied to the endoscope itself, and the connecting member Receives force in the direction away from the endoscope. When the external channel is detached from the endoscope, it is difficult to insert and operate the treatment tool and the like, and there is a problem that the endoscope is prevented from advancing and retracting and the body cavity is damaged.
In the configuration in which the external channel is fixed to the endoscope with a special adhesive, when the insertion portion of the endoscope is bent in the body cavity, the internal channel is fixed at the fixed portion between the external channel and the endoscope. There was a risk of damage to the endoscope. In addition, this configuration has a problem that the external channel cannot be removed from the endoscope.
The present invention has been made in view of the above-described circumstances, and an object thereof is to provide an external channel in which the external channel is firmly fixed to the endoscope and the fixing force can be appropriately adjusted.
上記目的を達成するために、この発明は以下の手段を提供する。
請求項1に係る発明は、可撓性を有する内視鏡の挿入部に沿って併設する外付けチャンネルであって、前記挿入部に沿って配し、内視鏡に機能を付加する付加機能部と、該付加機能部に設けた固定部と、該固定部に形成され、前記挿入部の外面に隙間無く当接する固定面と、該固定面から前記外面側に開口する開口部と、該開口部に連通し、前記挿入部に沿って配した可撓性を有する吸引用管路と、該吸引用管路に接続され、前記開口部から空気を吸引する吸引機構とを備えることを特徴とする内視鏡用の外付けチャンネルを提供する。
In order to achieve the above object, the present invention provides the following means.
The invention according to claim 1 is an external channel that is provided along the insertion portion of the flexible endoscope, and is provided along the insertion portion to add a function to the endoscope. A fixing portion provided in the additional function portion, a fixing surface formed on the fixing portion and contacting the outer surface of the insertion portion without a gap, an opening opening from the fixing surface to the outer surface side, A flexible suction conduit that communicates with the opening and is disposed along the insertion portion; and a suction mechanism that is connected to the suction conduit and sucks air from the opening. An external channel for an endoscope is provided.
この発明によれば、外付けチャンネルを内視鏡の挿入部に固定する場合には、固定面を挿入部の外面に当接させ、この状態から吸引機構により吸引管路内の空気を吸引する。この際には、吸引管路内及び開口部内が陰圧となるため、固定部が挿入部の外面に吸着して外付けチャンネルが内視鏡の挿入部に固定されることになる。なお、挿入部と外付けチャンネルとの固定力は、吸引管路内及び開口部内の圧力を調整することにより容易に変化させることができる。また、吸引管路内及び開口部内の陰圧を開放することにより、固定部と挿入部との吸着を容易に解除することができる。 According to this invention, when the external channel is fixed to the insertion portion of the endoscope, the fixing surface is brought into contact with the outer surface of the insertion portion, and air in the suction pipe line is sucked from the state by the suction mechanism. . At this time, since the negative pressure is generated in the suction conduit and the opening, the fixing portion is attracted to the outer surface of the insertion portion, and the external channel is fixed to the insertion portion of the endoscope. Note that the fixing force between the insertion portion and the external channel can be easily changed by adjusting the pressure in the suction pipe and the opening. Further, by releasing the negative pressure in the suction conduit and in the opening, it is possible to easily release the suction between the fixed portion and the insertion portion.
請求項2に係る発明は、請求項1に記載の外付けチャンネルにおいて、前記付加機能部が、可撓性を有し、各種処置具を挿通させる挿通路や送気、送水、吸引の流体通路として利用される可撓性管路を備えることを特徴とする外付けチャンネルを提供する。
この発明によれば、付加機能部を、各種処置具を挿通させる挿通路や、体腔内を膨らます空気や体腔内を洗浄する水を供給したり、体腔内の異物を吸引除去させる流体通路として利用する可撓性管路とすることにより、1つの外付けチャンネルに様々な機能を持たせることができる。したがって、各処置具の挿通路や流体通路をそれぞれ別個の付加機能部として設ける必要がなくなり、結果として、外付けチャンネルと挿入部とを合わせた外径寸法を小さく形成できる。
According to a second aspect of the present invention, in the external channel according to the first aspect, the additional function section has flexibility, and an insertion passage through which various treatment instruments are inserted, and a fluid passage for air supply, water supply, and suction. An external channel is provided, characterized in that it has a flexible conduit used as
According to the present invention, the additional function part is used as an insertion passage for inserting various treatment instruments, a fluid passage for supplying air for inflating the body cavity and water for washing the body cavity, and for sucking and removing foreign substances in the body cavity. By adopting a flexible conduit, one external channel can have various functions. Therefore, it is not necessary to provide the insertion passages and the fluid passages of the respective treatment tools as separate additional function portions, and as a result, the outer diameter dimension of the external channel and the insertion portion can be reduced.
請求項3に係る発明は、請求項1又は請求項2に記載の外付けチャンネルを備えることを特徴とする内視鏡装置を提供する。
この発明によれば、内視鏡の挿入部と外付けチャンネルの固定部とが空気圧によりに相互に吸着するため、挿入部と外付けチャンネルとが相互に強固に固定されることになる。また、吸引管路内及び開口部内の圧力を調整することにより、挿入部と外付けチャンネルとの固定力を容易に調整できる。さらに、吸引機構による吸引管路内及び開口部内の陰圧を開放することにより、固定部と挿入部との吸着を容易に解除できるため、外付けチャンネルの取り扱いが容易となる。
According to a third aspect of the present invention, there is provided an endoscope apparatus comprising the external channel according to the first or second aspect.
According to the present invention, since the insertion portion of the endoscope and the fixing portion of the external channel are adsorbed to each other by air pressure, the insertion portion and the external channel are firmly fixed to each other. Moreover, the fixing force between the insertion portion and the external channel can be easily adjusted by adjusting the pressure in the suction pipe and the opening. Furthermore, since the suction between the fixed portion and the insertion portion can be easily released by releasing the negative pressure in the suction pipe line and the opening by the suction mechanism, handling of the external channel is facilitated.
本発明に係る外付けチャンネル及びこれを備えた内視鏡装置によれば、内視鏡の挿入部は、空気圧を利用して固定部の固定面に吸着されるため、挿入部と外付けチャンネルとを相互に強固に固定することができる。
また、吸引管路内及び開口部内の圧力を調整することにより、挿入部と外付けチャンネルとの固定力を容易に変化できるため、固定部との当接部分における挿入部の破損防止を図ることができる。
According to the external channel and the endoscope apparatus including the same according to the present invention, since the insertion portion of the endoscope is adsorbed to the fixing surface of the fixing portion using air pressure, the insertion portion and the external channel Can be firmly fixed to each other.
In addition, by adjusting the pressure in the suction pipe and the opening, the fixing force between the insertion portion and the external channel can be easily changed, so that the insertion portion is prevented from being damaged at the contact portion with the fixing portion. Can do.
さらに、吸引管路内及び開口部内の陰圧を開放することにより、固定部と挿入部との吸着を容易に解除できるため、外付けチャンネルを容易に取り扱うことができる。
また、外付けチャンネルと内視鏡を合わせた外径寸法を小さくすることができ、外付けチャンネルを内視鏡の挿入部と合わせて容易に体腔内に挿入することが可能となる。
Furthermore, since the suction between the fixed portion and the insertion portion can be easily released by releasing the negative pressure in the suction conduit and the opening, the external channel can be easily handled.
Further, the outer diameter of the external channel and the endoscope can be reduced, and the external channel can be easily inserted into the body cavity together with the insertion portion of the endoscope.
図1から図5は本発明の第1の実施形態を示している。図1に示すように、内視鏡1は、体腔内に挿入する挿入部2と体腔の外側に配される操作部6とを備えている。
挿入部2は、先端側から順次配される先端部3、湾曲部4及び可撓管部5を備えている。先端部3には、CCDに体腔内の観察画像を結像させるための観察窓、体腔内の観察部分を照らす照明窓、各種処置具を挿通して処置を行うためのチャンネルの開口部等が設けられている。可撓管部5は、体腔内の形状に応じて湾曲できるようになっている。操作部6は、湾曲部4を上下に湾曲させて先端部3の向きを変更させる等の各種操作を行うように構成されている。
1 to 5 show a first embodiment of the present invention. As shown in FIG. 1, the endoscope 1 includes an
The
図2に示すように、この内視鏡1に取り付ける外付けチャンネル7は、可撓性チューブ(可撓性管路)8及び吸引耐性可撓性チューブ(吸引用管路)9を備えている。これら可撓性チューブ8及び吸引耐性可撓性チューブ9は、その長手方向の中途部において湾曲できる可撓性を有している。
可撓性チューブ8は、各種処置具を挿通させる挿通路や、体腔内を膨らます空気や体腔内を洗浄する水を供給したり、体腔内の異物を吸引除去させる流体通路として使用するものである。
As shown in FIG. 2, the
The
可撓性チューブ8及び吸引耐性可撓性チューブ9の長手方向の一端には、内視鏡1の先端部3に取り付ける取付部(固定部)10が固定されている。取付部10には、可撓性チューブ8の先端を外方に開口させるチャンネル開口部11が形成されている。
この取付部10は、内視鏡1の先端部3の外周面に当接させる固定面12を有しており、固定面12は、先端部3の外周面の形状に一致する略凹面状に形成されており、内視鏡1の先端部3の外周面に隙間無く当接させることができるようになっている。この固定面12には、図3,4に示すように、吸引耐性可撓性チューブ9の先端部に連通する大きな開口部13が1つ形成されている。
At one end in the longitudinal direction of the
The
また、図2に示すように、吸引耐性可撓性チューブ9の長手方向の他端には、切替弁17が接続されている。切替弁17は、吸引耐性可撓性チューブ9の基端側の連通、非連通を切り換えるもの、例えば、三方活栓や電磁弁からなる。この切替弁17には、吸引耐性可撓性チューブ9の一端側から空気を吸引するシリンジ(吸引機構)19に接続するための接続口金18が設けられている。
したがって、シリンジ19を接続口金18に取り付けた状態において、図4に示すように、取付部10の開口部13側から吸引耐性可撓性チューブ9の他端側(A方向)に空気を吸引した際には、外方から開口部13内(B方向)に空気が吸い込まれることになる。
Further, as shown in FIG. 2, a
Therefore, in a state where the
図5に示すように、取付部10の固定面12を先端部3の外周面に当接させた状態において空気の吸引を行った場合には、取付部10の開口部13内や吸引耐性可撓性チューブ9内が減圧されるため、取付部10が内視鏡1の先端部3の外周面に吸着することになる。したがって、吸引耐性可撓性チューブ9は、その内部の陰圧に耐えうる耐圧性を有していることが好ましい。すなわち、吸引耐性可撓性チューブ9は、例えば、ゴム製のチューブ本体の周囲を金属繊維、樹脂繊維からなる網状体で構成したものを使用することが好ましい。
これら内視鏡1及び外付けチャンネル7により内視鏡装置が構成される。
As shown in FIG. 5, when air is sucked in a state where the
These endoscope 1 and
以上のように構成された外付けチャンネル7を内視鏡1に取り付ける際には、はじめに、先端部3の外周面に固定面12を当接させると共に、吸引耐性可撓性チューブ9とシリンジ19とが相互に連通する位置に切替弁17のノブ17aを配する。次いで、シリンジ19を操作して接続口金18から吸引耐性可撓性チューブ9内部の空気を吸引すると、吸引耐性可撓性チューブ9内及び開口部13内が陰圧となり、取付部10の固定面12に内視鏡1の先端部3が吸着する。これにより取付部10と先端部3とが相互に固定されることになる。
When attaching the
この状態において、吸引耐性可撓性チューブ9とシリンジ19とが非連通状態となる位置に切替弁17のノブ17aを配すると、シリンジ19を接続口金18から取り外してもは、吸引耐性可撓性チューブ9内及び開口部13内が陰圧状態に維持される。したがって、取付部10と先端部3との固定状態が継続的に保持される。
なお、これら取付部10と先端部3との相対的な位置ずれや固定部分に応力が発生した場合には、切替弁17のノブ17aを動かして吸引耐性可撓性チューブ9内部を外気に連通させて開口部13の陰圧を開放する。これにより、取付部10と先端部3との固定状態が解除されることになる。
In this state, if the
When the relative displacement between the mounting
上記のように、この外付けチャンネル7及びこれを備えた内視鏡装置によれば、空気圧を利用して内視鏡1の先端部3を取付部10の固定面12に吸着させるため、挿入部2と外付けチャンネル7とを相互に強固に固定することができる。
また、吸引耐性可撓性チューブ9内及び開口部13内の圧力を調整することにより、挿入部2と外付けチャンネル7との固定力を容易に変化できるため、取付部10との当接部分における挿入部2の破損防止を図ることができる。特に、手動操作により吸引耐性可撓性チューブ9内部及び開口部13の減圧を行うシリンジ19を使用するため、吸引耐性可撓性チューブ9内部及び開口部13の圧力を容易に調整することができると共に、吸引を行う機構を低コストで構成することができる。
As described above, according to the
In addition, since the fixing force between the
さらに、吸引耐性可撓性チューブ9内及び開口部13内の陰圧を開放することにより、取付部10と挿入部2との吸着を容易に解除できるため、外付けチャンネル7を容易に取り扱うことができる。
また、可撓性チューブ8は、各種処置具の挿通路や、空気や液体を流通させる流体通路として使用するため、1つの外付けチャンネル7に様々な機能を持たせることができる。したがって、各処置具の挿通路や流体通路を別個に設ける必要がなくなり、外付けチャンネル7と挿入部2とを合わせた外径寸法を小さく形成でき、外付けチャンネル7を内視鏡1の挿入部2と合わせて容易に体腔内に挿入することが可能となる。
Furthermore, since the suction between the
Further, since the
なお、上述した第1の実施形態においては、シリンジ19により吸引耐性可撓性チューブ9の一端側から空気を吸引するとしたが、例えば、真空ポンプや内部を予め真空引きした真空容器により吸引するとしても構わない。真空ポンプを使用する場合には、吸引耐性可撓性チューブ9内部及び開口部13の減圧が自動で行われるため、取付部10と先端部3との固定を容易に行うことができる。
また、真空容器を使用する場合には、接続口金18に穴開け用のピンを設け、接続口金を真空容器に差し込むとしてもよい。この構成においては、真空容器に穴が空くと同時に吸引耐性可撓性チューブ9内及び開口部13内が陰圧となるため、減圧を短時間で行うことができる。
In the first embodiment described above, air is sucked from the one end side of the suction-resistant
When using a vacuum container, a pin for making a hole may be provided in the
さらに、例えば、図6に示すように、切替弁17と接続口金18との間に、圧力計20を設けるとしても構わない。この構成の場合には、吸引耐性可撓性チューブ9の一端側から空気を吸引する際に、圧力計20を視認しながら吸引を行うことができるため、先端部3に対する取付部10の吸引力を適正値に設定できる。また、圧力計20の値により取付部10における吸引状態や吸引力を確認できるため、内視鏡1の挿入部2と外付けチャンネル7との固定の確実性を向上させることができる。
Furthermore, for example, as shown in FIG. 6, a
さらに、取付部10には1つの大きな開口部13を設けるとしたが、これに限ることはなく、例えば、図7に示すように、複数(図示例では6個)の小さな開口部13を設けるとしても構わない。この構成の場合には、複数の開口部13を固定面12に分散して配置することにより、先端部3との固定を確実に行うことができる。さらに、複数の開口部13を固定面12の中央や端部に分散配置した場合には、固定の確実性をさらに向上させることができる。
Further, although the mounting
また、取付部10は可撓性チューブ8及び吸引耐性可撓性チューブ9の一端のみに固定されるとしたが、これに限ることなく、例えば、図8に示すように、可撓性チューブ8及び吸引耐性可撓性チューブ9の長手方向にわたって複数固定するとしてもよい。この構成の場合には、内視鏡1に対して外付けチャンネル7を複数箇所において固定されるため、外付けチャンネル7をさらに強力に固定することができる。また、この場合には、内視鏡1の挿入部2全体に亘って可撓性チューブ8が固定されるため、挿入部2と可撓性チューブ8とを体腔内において一体的に動かすことができる。
In addition, the mounting
さらに、取付部10は、可撓性チューブ8及び吸引耐性可撓性チューブ9の一部に固定されることに限らず、例えば、取付部10を可撓性チューブ8及び吸引耐性可撓性チューブ9全体に一体的に設けるとしても構わない。すなわち、図9,10に示すように、細長い棒状に形成されたマルチルーメン部材(固定部)23に、その長手方向に貫通するルーメン(可撓性管路)24及び吸引孔(吸引用管路)25を形成して外付けチャンネル21を構成する。この構成においては、マルチルーメン部材23は湾曲可能に形成されている。ここで、マルチルーメン部材23のルーメン24形成部分は可撓性チューブ8に相当し、吸引孔25形成部分は吸引耐性可撓性チューブ9に相当する。
Further, the mounting
また、このマルチルーメン部材23は、取付部10と同様に、内視鏡1の挿入部2の外周面に当接させる固定面26、及び固定面26から吸引孔25に連通する開口穴(開口部)27を有している。なお、吸引孔25の一端部は栓28により閉塞されている。
以上のように構成された外付けチャンネル21では、マルチルーメン部材23がその全長にわたって挿入部2の外周面に吸着できるため、内視鏡1に対する外付けチャンネル21の固定力がより一層向上する。また、マルチルーメン部材23と挿入部2とがより一体的に固定されるため、体腔内における挿入部2及びマルチルーメン部材23の挿通をよりスムーズに行うことができる。
In addition, the
In the
なお、マルチルーメン部材23を利用した外付けチャンネル21においては、固定面26を凹面状に形成することに限らず、例えば、図11に示すように、平面状に形成しても構わない。ただし、この構成においては、マルチルーメン部材23を当接させる内視鏡1の挿入部2の外周面、例えば、可撓性管5の外周面の一部に長手方向に延びる平坦面(外面)29を形成しておく必要がある。
なお、マルチルーメン部材23の長手方向に直交する平坦面29の幅寸法をL、固定面26の幅寸法をlとして、これら2つの幅寸法L,lの間には、
L>l
の関係がある。
In addition, in the
The width dimension of the
L> l
There is a relationship.
上記の構成を有する外付けチャンネル21によれば、容易に固定面26全体を平坦面29に当接させることができるため、外付けチャンネル21のマルチルーメン部材23を安定した状態で内視鏡1の挿入部2に吸着させることができる。
また、平坦面29の幅寸法Lよりも固定面26の幅寸法lを小さくすることにより、マルチルーメン部材23が平坦面29からはみ出さないように取り付けることができるため、マルチルーメン部材23のはみ出し部分を体腔内部で引っ掛けて、マルチルーメン部材23が挿入部2から不意に剥がれることを防止できる。
なお、図11(d)に示すように、長手方向に直交するマルチルーメン部材23の断面形状を略円形に形成した場合には、マルチルーメン部材23の柔軟性が増すため、より容易に湾曲させることもできる。
According to the
Moreover, since the
In addition, as shown in FIG.11 (d), when the cross-sectional shape of the
また、例えば、図12に示すように、外付けチャンネル22は、上述した取付部10及びマルチルーメン部材23の両方を備えるとしても構わない。ここで、取付部10及びマルチルーメン部材23は、内視鏡1の先端部3及び可撓性管5にそれぞれ取り付けられるように並べて配されている。これら取付部10とマルチルーメン部材23とは、可撓性チューブ8及び吸引耐性可撓性チューブ9により連結されている。
この構成の場合には、取付部10及びマルチルーメン部材23よりも容易に湾曲可能な可撓性チューブ8及び吸引耐性可撓性チューブ9が、大きな湾曲動作を行う内視鏡1の湾曲部4に沿って配されるため、外付けチャンネル7が湾曲部4の湾曲角度を制限することを抑制できる。また、内視鏡1の先端部3まで可撓性チューブ8を延出させることができる。
なお、取付部10はマルチルーメン部材23と同様に平坦な固定面26を有するとしても構わない。すなわち、例えば、図13に示すように、先端部3に当接する取付部10の固定面12を平面状に形成すると共に、固定面12に当接する先端部3の外周面を平坦面(外面)30に形成するとしてもよい。
Further, for example, as shown in FIG. 12, the
In the case of this configuration, the bending
The
さらに、可撓性チューブ8、吸引耐性可撓性チューブ9及びマルチルーメン部材23は、内視鏡1の挿入部2の長手方向に沿って配されるとしたが、これに限ることはなく、少なくとも先端部3及び湾曲部4の長手方向に沿って配されていればよい。
すなわち、例えば、図14に示すように、外付けチャンネル36は、可撓性チューブ及び吸引耐性可撓性チューブを1本にまとめたマルチルーメンチューブ31を可撓性管5の周囲に巻き付ける構成としてもよい。この構成においては、挿入部2に固定する取付部10を湾曲部4の両端に位置する先端部3及び可撓性管5の一端部に配するように、マルチルーメンチューブ31の先端及び中途部に設けておく。また、操作部6側に位置する可撓性管5の他端部にも取付部10を固定できるように、マルチルーメンチューブ31に取付部10を設けておく。このマルチルーメンチューブ31は、その巻き付け力により可撓性管5に対して密着固定されている。
Furthermore, although the
That is, for example, as shown in FIG. 14, the
マルチルーメンチューブ31の巻き付けピッチPは、可撓性管5の曲げの大きさを考慮して40mm以上とすることが好ましく、また、巻き付けの緩みやすさを考慮して200mm以下とすることが好ましい。すなわち、巻き付けピッチPを40mm〜200mmの間で設定することが望ましく、体腔の内壁形状やマルチルーメンチューブ31の柔軟性を考慮して使用の際に巻き付けピッチPを上記範囲内で設定すればよい。
なお、図示例においてはマルチルーメンチューブ31の巻き付け方向が右巻きとなっているが、左巻きとなっていてもよい。
また、このマルチルーメンチューブ31は、空気の吸引力により可撓性管5の外周面に当接する位置に吸着するための開口部を備えるとしても構わない。
The winding pitch P of the
In the illustrated example, the winding direction of the
In addition, the
さらに、内視鏡1の挿入部2には、例えば、図15に示すように、取付部10を取り付ける位置に取付指標32を形成しておいてもよい。この取付指標32は、従来の内視鏡1にもある挿入部2の長さを示す長さ指標33と同様の方法で印刷されていればよい。
この構成の場合には、取付部10の取付位置が明確となるため、上述の外付けチャンネル7,21,36の取付を短時間で容易に行うことができる。
Furthermore, for example, as shown in FIG. 15, an
In the case of this configuration, the mounting position of the mounting
また、内視鏡1には1つの外付けチャンネル7,21,36だけを設けるとしたが、これに限ることはなく、複数設けるとしても構わない。すなわち、例えば、図16に示すように、マルチルーメンチューブ31の先端及び中途部に設けた取付部10間のピッチP1,P2が相互に異なる2つの外付けチャンネル7,7を用意する。そして、図17(a)に示すように、これら2つの外付けチャンネル7,7を取り付ける内視鏡1の挿入部2に、ピッチがP1の取付部10を取り付ける位置を示す取付指標34、及びピッチがP2の取付部10を取り付ける位置を示す取付指標35を挿入部2の長手方向に並べて印刷しておく。これら2種類の取付指標34,35は、模様・色・大きさが相互に異なっており、いずれの外付けチャンネル7,7を取り付けるかを容易に認識できるようになっている。
Further, although the endoscope 1 is provided with only one
この構成の場合には、複数の外付けチャンネル7,7を内視鏡1に設ける構成であっても、各外付けチャンネル7,7の取付位置が容易にわかるため、複数の外付けチャンネルを容易に取り付けることができる。
なお、この構成においては、模様・色・大きさが異なる2種類の取付指標34,35を印刷するとしたが、これに限ることはなく、少なくとも複数の外付けチャンネル7,7の取付位置を判別できる取付指標が印刷されていればよい。すなわち、例えば、外付けチャンネル7,7の製品名「A」、「B」等の文字・記号を取付指標34,35として印刷してもよい。
また、2種類の取付指標34,35は挿入部2の長手方向に並べて印刷されるとしたが、これに限ることはなく、例えば、図17(b)に示すように、挿入部2の外周面の周方向に相互にずらして形成してもよい。
さらに、1つの内視鏡1に取り付ける2つの外付けチャンネル7,7のピッチP1,P2は、相互に異なるとしたが、相互に等しいとしても構わない。
In the case of this configuration, even when the plurality of
In this configuration, two types of
In addition, the two types of
Furthermore, although the pitches P1 and P2 of the two
次に、図18は本発明の第2の実施形態を示しており、この実施形態は、前述した図14に示す外付けチャンネル36とほぼ基本的構成が同一であるが、内視鏡1の挿入部2に対する取付方法について異なっている。ここでは、図18において挿入部2に取り付ける外付けチャンネル40の構成の説明を行い、図14の構成要素と同一の部分については同一符号を付し、その説明を省略する。
すなわち、この外付けチャンネル40は、図18(a)に示すように、可撓性チューブ及び吸引耐性可撓性チューブを1本にまとめたマルチルーメンチューブ31と、マルチルーメンチューブ31の長手方向に間隔をおいて配された2つの取付部10と、薄肉弾性管部41とを備えている。
薄肉弾性管部41は、ポリウレタン、ラテックス等の弾性を有する樹脂やゴムから形成されている。また、この薄肉弾性管部41は薄肉の略円筒状に形成されており、径方向だけでなく、曲げに対しても柔軟性を有している。この薄肉弾性管部41の内径寸法は、弾性的に伸ばさない状態において、内視鏡1の先端部3、湾曲部4及び可撓性管5の外径寸法よりも小さく形成されている。
Next, FIG. 18 shows a second embodiment of the present invention. This embodiment is substantially the same as the
That is, as shown in FIG. 18A, the
The thin
この薄肉弾性管部41には、長手方向に延びる2本の切取線42が形成されており、薄肉弾性管部41の長手方向の一端部には、この切取線42につながって長手方向に突出するつまみ43が形成されている。すなわち、このつまみ43を薄肉弾性管部41からめくるように引っ張った際には、切取線42において薄肉弾性管部41が切断されることになる。このように構成された薄肉弾性管部41は、取付部10に一体的に固定されており、空気による挿入部2との吸着を行う取付部10の開口部は、薄肉弾性管部41の内方側に貫通している。
薄肉円筒管部41の貫通孔には、略円筒状に形成された拡大円筒部材42が挿通されている。拡大円筒部材44の貫通孔44aの内径寸法は、内視鏡1の先端部3、湾曲部4及び可撓性管5の外径寸法よりも大きく形成されている。したがって、薄肉円筒管部41は、拡大円筒部材44の挿通により、その内径寸法が内視鏡1の先端部3、湾曲部4及び可撓性管5の外径寸法よりも拡大するように弾性変形している。この拡大円筒部材44の一端部にはフランジ部45が形成されている。
これら薄肉円筒管部41及び拡大円筒部材44により、内視鏡1の挿入部2に外付けチャンネル40を取り付けるための外付けチャンネル組付キット46が構成されている。
The thin
An enlarged
The thin-walled
以上のように構成された外付けチャンネル40を内視鏡1に取り付ける場合には、はじめに、フランジ部45が形成されていない拡大円筒部材44の他端部側から挿入部2を貫通孔44aに挿入する。次いで、フランジ部45を把持して拡大円筒部材44を薄肉弾性管部41から抜き取る。
この状態においては、図18(b)に示すように、拡大円筒部材44による薄肉弾性管部41の弾性変形が解除され、薄肉弾性管部41の内径寸法が小さくなる。このため、薄肉弾性管部41の内周面が挿入部2の先端部3、湾曲部4及び可撓性管5の外周面に密着することになる。そして、前述の実施形態と同様に、マルチルーメンチューブ31内の空気を吸引することにより取付部10が挿入部2の先端部3及び可撓性管5に吸着することになる。この状態においては、薄肉弾性管部41が、その柔軟性により湾曲部4の湾曲動作に追従して曲がることになる。
When the
In this state, as shown in FIG. 18B, the elastic deformation of the thin
また、この薄肉弾性管部41を挿入部2から取り外す際には、図18(c)に示すように、つまみ43を薄肉弾性管部41からめくるように引っ張り、2本の切取線42において薄肉弾性管部41を切断し、これら2本の切取線42に挟まれた剥離部47を薄肉弾性管部41から引き離す。これにより薄肉弾性管部41の挿入部2への密着状態が解除される。また、取付部10を先端部3及び可撓性管5から引き離す際には、空気の吸引を解除する。
Further, when removing the thin
この外付けチャンネル40によれば、薄肉弾性管部41が湾曲部4の全長及び全周にわたって固定されるため、内視鏡1の挿入部2に対する固定力を確実に向上させることができる。
また、外付けチャンネル組付キット46を使用することにより、外付けチャンネル40の内視鏡1への装着を簡単に行うことができる。
さらに、大きな湾曲動作を行う湾曲部4の外周面が、薄肉弾性管部41により被覆保護されているため、湾曲部4が薄肉状に形成されていても、傷ついたり破損することを容易に防止できる。
また、薄肉弾性管部41に、切取線42及びつまみ43を形成しておくことにより、薄肉弾性管部41を容易に取り外すことができると共に、この取り外しの際に挿入部2が傷つくことを防止できる。
According to the
Further, by using the external
Furthermore, since the outer peripheral surface of the bending
Moreover, by forming the
なお、上述した第2の実施形態においては、2本の切取線42を形成するとしたが、これに限ることはなく、少なくとも1本の切取線が形成されていればよい。
また、外付けチャンネル40は、1本のマルチルーメンチューブ31を備えるとしたが、これに限ることはなく、処置具等を挿通させる可撓性チューブ8と、吸引耐性可撓性チューブ9とを独立して形成し、取付部10により連結するとしても構わない。
In the above-described second embodiment, the two
The
なお、上述した全ての実施形態において、可撓性チューブ8、マルチルーメン部材23やマルチルーメンチューブ31が、送気、送水、吸引の流体通路として利用される場合には、取付部10やマルチルーメン部材23、マルチルーメンチューブ31のチャンネル開口部11にノズルを形成するとしてもよい。
また、可撓性チューブ8、マルチルーメン部材23やマルチルーメンチューブ31には、各種処置具を挿通させる挿通路や送気、送水、吸引の流体通路として利用される可撓性管路が設けられるとしたが、これに限ることはなく、例えば、止血焼尺鉗子、内視鏡形状検出装置プローブ、把持鉗子、注射針等、特定の機能を有している付加機能部が一体的に固定されるとしても構わない。この構成の場合には、内視鏡に付加する機能を予め適宜選択することで、各種処置具等を挿通させる共通の管路が不要となるため、取付部10に固定される付加機能部の外径を細く形成することが可能となる。
In all the embodiments described above, when the
In addition, the
以上、本発明の実施形態について図面を参照して詳述したが、具体的な構成はこの実施形態に限られるものではなく、本発明の要旨を逸脱しない範囲の設計変更等も含まれる。 As mentioned above, although embodiment of this invention was explained in full detail with reference to drawings, the concrete structure is not restricted to this embodiment, The design change etc. of the range which does not deviate from the summary of this invention are included.
1 内視鏡
2 挿入部
7,21,22,36,40 外付けチャンネル
8 可撓性チューブ(可撓性管路)
9 吸引耐性可撓性チューブ(吸引管路)
10 取付部(固定部)
12,26 固定面
13 開口部
19 シリンジ(吸引機構)
23 ルーメン部材(固定部)
24 ルーメン(可撓性管路)
25 吸引孔(吸引用管路)
27 開口穴(開口部)
29,30 平坦面(外面)
DESCRIPTION OF SYMBOLS 1
9 Suction resistant flexible tube (suction line)
10 Mounting part (fixed part)
12, 26 fixed
23 Lumen member (fixing part)
24 lumens (flexible ducts)
25 Suction hole (suction conduit)
27 Opening hole (opening)
29, 30 Flat surface (outer surface)
Claims (3)
前記挿入部に沿って配し、内視鏡に機能を付加する付加機能部と、
該付加機能部に設けた固定部と、
該固定部に形成され、前記挿入部の外面に隙間無く当接する固定面と、
該固定面から前記外面側に開口する開口部と、
該開口部に連通し、前記挿入部に沿って配した可撓性を有する吸引用管路と、
該吸引用管路に接続され、前記開口部から空気を吸引する吸引機構とを備えることを特徴とする内視鏡用の外付けチャンネル。 An external channel provided along the insertion portion of the flexible endoscope,
An additional function unit arranged along the insertion unit and adding a function to the endoscope;
A fixing part provided in the additional function part;
A fixing surface formed on the fixing portion and abutting the outer surface of the insertion portion without a gap;
An opening that opens from the fixed surface to the outer surface;
A flexible suction conduit that communicates with the opening and is disposed along the insertion portion;
An external channel for an endoscope, comprising: a suction mechanism connected to the suction conduit and sucking air from the opening.
An endoscope apparatus comprising the external channel according to claim 1 or 2.
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JP2003371741A JP2005131164A (en) | 2003-10-31 | 2003-10-31 | External channel for endoscope |
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JP2003371741A JP2005131164A (en) | 2003-10-31 | 2003-10-31 | External channel for endoscope |
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Cited By (523)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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