JP2005131173A - Externally mounted channel for endoscope - Google Patents

Externally mounted channel for endoscope Download PDF

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JP2005131173A
JP2005131173A JP2003371905A JP2003371905A JP2005131173A JP 2005131173 A JP2005131173 A JP 2005131173A JP 2003371905 A JP2003371905 A JP 2003371905A JP 2003371905 A JP2003371905 A JP 2003371905A JP 2005131173 A JP2005131173 A JP 2005131173A
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endoscope
distal end
channel
passage
tip
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Takahiro Kishi
孝浩 岸
Akira Suzuki
明 鈴木
Yasuto Kura
康人 倉
Toshio Nakamura
俊夫 中村
Tsutomu Ishiguro
努 石黒
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Olympus Corp
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Olympus Corp
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Abstract

<P>PROBLEM TO BE SOLVED: To provide an externally mounted channel for an endoscope capable of arranging the tip of a passage forming body at the most suitable position corresponding to the scene such as the time of insertion or treatment. <P>SOLUTION: The externally mounted channel is mounted on the insertion part 9 of the endoscope, and has a flexible channel tube 4 in which a passage to be used as the passage for inserting a treatment tool such as a forceps or the like, or the passage to be used for a flow passage for air feeding, water feeding and suction is formed. The tip of this channel tube 4 is disposed rotatably around the axis line of the tip of the insertion part 9 relative to the tip of the insertion part 9. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

本発明は、医療用の内視鏡等に装着される内視鏡用外付けチャンネルに関するものである。   The present invention relates to an endoscope external channel attached to a medical endoscope or the like.

医療用の内視鏡は、その挿入部を体腔内に挿入して各種の診断や検査を行ったり、さらには治療などの用途に広く用いられている。この内視鏡には、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通路が設けられている。例えば下記特許文献１には、この通路を内視鏡の挿入部とは別体の通路形成体として設けるとともに、これを挿入部に対して着脱可能に装着する構成が記載されている。
実用新案登録第２５５８３５４号公報 Medical endoscopes are widely used for purposes such as various diagnoses and examinations by inserting the insertion portion into a body cavity, and further for treatment. The endoscope is provided with a passage for inserting a treatment tool such as forceps and performing operations such as air supply, water supply, and suction. For example, Patent Document 1 described below describes a configuration in which this passage is provided as a passage forming body separate from the insertion portion of the endoscope and is detachably attached to the insertion portion.
Utility Model Registration No. 2558354

上記特許文献１に記載の内視鏡用の通路形成体では、通路（チャンネル）の開口部（以下、チャンネル開口部と称する。）を挿入部の先端に貼り付けることで固定しているが、一度貼り付けてしまうと、挿入部の先端が被検者の体腔内にある場合に、チャンネル開口部の位置を変えることができなかった。
しかしながら、実際の用途において例えば大腸に挿入する場合、汚物を吸引する都合上、チャンネル開口部が内視鏡画面の下側にある方が好ましい。一方、EMRなどの処置の場面では、内視鏡に備えたチャンネルに対して、内視鏡画面上１８０°反対側にある方が処置しやすい場合がある。したがって、チャンネル開口部の位置は、必ずしも挿入時と同じ場所にあることが好ましいわけではなかった。 In the endoscope passage forming body described in Patent Document 1, the opening portion of the passage (channel) (hereinafter referred to as the channel opening portion) is fixed by being attached to the distal end of the insertion portion. Once pasted, the position of the channel opening could not be changed when the tip of the insertion portion was in the body cavity of the subject.
However, in the actual application, for example, when inserting into the large intestine, it is preferable that the channel opening is on the lower side of the endoscope screen for the purpose of sucking dirt. On the other hand, in the case of treatment such as EMR, it may be easier to treat the channel provided on the endoscope on the opposite side of 180 ° on the endoscope screen. Therefore, it is not always preferable that the position of the channel opening is in the same place as that at the time of insertion.

本発明は、上記事情に鑑みてなされたもので、挿入時や処置時など、場面に応じて最も適した位置に通路形成体の先端を配置することができる内視鏡用外付けチャンネルの提供を目的とする。   The present invention has been made in view of the above circumstances, and provides an external channel for an endoscope in which the tip of the passage forming body can be arranged at the most suitable position according to the scene, such as during insertion or treatment. With the goal.

本発明は、上記課題を解決するために以下の手段を採用した。
すなわち、請求項１に記載の内視鏡用外付けチャンネルは、内視鏡の挿入部に装着され、鉗子等の処置具を挿通する通路として、または、送気，送水，吸引用の流路として用いられる通路が内部に形成された可撓性の通路形成体を有する内視鏡用外付けチャンネルであり、前記通路形成体の先端が、前記挿入部の先端に対し、該挿入部の先端の軸線回りに回動可能に設けられていることを特徴とする。
また、請求項２に記載の内視鏡用外付けチャンネルは、内視鏡の挿入部に装着され、鉗子等の処置具を挿通する通路として、または、送気，送水，吸引用の流路として用いられる通路が内部に形成された可撓性の通路形成体と、該通路形成体の先端に設けられる固定部本体と、前記挿入部の先端に設けられるキャップ部とを備え、前記キャップ部と前記固定部本体とが、前記挿入部の先端の軸線回りに相対的に回動可能に連結されていることを特徴とする。
また、請求項３に記載の内視鏡用外付けチャンネルは、請求項２に記載の内視鏡用外付けチャンネルにおいて、前記固定部本体に、前記挿入部の先端の軸線を中心線とする螺旋の少なくとも一部をなす形状のカム溝を設けるとともに、前記キャップ部に、前記カム溝に係合するピンを設けることを特徴とする。 The present invention employs the following means in order to solve the above problems.
That is, the endoscope external channel according to claim 1 is attached to the insertion portion of the endoscope and is used as a passage through which a treatment tool such as forceps is inserted, or a flow path for air supply, water supply, and suction An external channel for an endoscope having a flexible passage forming body formed therein, and the distal end of the insertion portion is at the distal end of the insertion portion with respect to the distal end of the insertion portion It is characterized in that it is provided so as to be rotatable around the axis line.
The endoscope external channel according to claim 2 is attached to the insertion portion of the endoscope, and serves as a passage through which a treatment instrument such as forceps is inserted, or a flow path for air supply, water supply, and suction. A flexible passage forming body having a passage formed therein, a fixing portion main body provided at the distal end of the passage forming body, and a cap portion provided at the distal end of the insertion portion, And the fixing portion main body are connected to each other so as to be relatively rotatable around the axis of the distal end of the insertion portion.
The endoscope external channel according to claim 3 is the endoscope external channel according to claim 2, wherein the axis of the distal end of the insertion portion is set as the center line of the fixed portion main body. A cam groove having a shape that forms at least a part of a spiral is provided, and a pin that engages with the cam groove is provided in the cap portion.

［付記事項］
また、請求項３に記載の内視鏡用外付けチャンネルにおいて、前記ピンの、前記軸線の方向に沿った進退動作を、空気圧等の流体圧を用いて行う内視鏡用外付けチャンネルを採用しても良い。
また、請求項３に記載の内視鏡用外付けチャンネルにおいて、前記ピンの、前記軸線の方向に沿った進退動作を、前記キャップ部に接続された第１の牽引具を介して行う内視鏡用外付けチャンネルを採用しても良い。 [Additional Notes]
The endoscope external channel according to claim 3, wherein the endoscope external channel is used for performing a forward and backward movement of the pin along the direction of the axis by using fluid pressure such as air pressure. You may do it.
The endoscope external channel according to claim 3, wherein the forward and backward movement of the pin along the direction of the axis is performed via a first traction tool connected to the cap portion. An external mirror channel may be used.

また、請求項２に記載の内視鏡用外付けチャンネルにおいて、前記キャップ部に、前記軸線回りに沿った溝を設けるとともに、前記固定部本体に、前記溝に係合する係合部を設けた内視鏡用外付けチャンネルを採用しても良い。この場合、前記固定部本体の、前記軸線回りの回動動作を、該固定部本体に接続された第２の牽引具を介して行う内視鏡用外付けチャンネルを採用しても良い。   The endoscope external channel according to claim 2, wherein a groove along the axis is provided in the cap part, and an engaging part that engages with the groove is provided in the fixing part main body. Alternatively, an endoscope external channel may be employed. In this case, an endoscope external channel may be employed in which the rotation operation of the fixed portion body around the axis is performed via a second traction tool connected to the fixed portion body.

また、上記の何れか１項に記載の内視鏡外付用チャンネルにおいて、前記軸線回りにおける前記チューブの先端の回転方向位置を固定する固定手段を備える内視鏡用外付けチャンネルを採用しても良い。   The endoscope external channel according to any one of the above, wherein the endoscope external channel includes a fixing means for fixing a rotational direction position of the distal end of the tube around the axis. Also good.

本発明の内視鏡用外付けチャンネルによれば、通路形成体の先端の位置を、内視鏡の挿入部の軸線回りに回転させて任意の位置に移動させることができるので、通路形成体の先端（チャンネル開口部）の位置を使用中に変更し、効率の良い内視鏡検査や治療を行うことが可能となる。すなわち、挿入時や処置時など、場面に応じて最も適した位置に通路形成体の先端を配置させることが可能となる。   According to the endoscope external channel of the present invention, the position of the distal end of the passage forming body can be rotated around the axis of the insertion portion of the endoscope and moved to an arbitrary position. By changing the position of the tip (channel opening) during use, it becomes possible to perform efficient endoscopy and treatment. That is, the tip of the passage forming body can be arranged at the most suitable position according to the scene, such as during insertion or treatment.

本発明の内視鏡用外付けチャンネルの各実施例を、図面を参照しながら以下に説明するが、本発明がこれらのみに限定解釈されるものでないことは、もちろんである。なお、以下の説明においては、内視鏡の視線方向を先端方向とし、その逆方向を後端方向として説明する。
［第１実施例］
まず、図１及び図２（ａ），（ｂ）を参照しながら、本発明の内視鏡用外付けチャンネルの第１実施例を以下に説明する。
図１は、本実施例の内視鏡用外付けチャンネル３を、内視鏡の挿入部９に取り付けた状態を示す斜視図である。同図１における符号１は、挿入部９の先端側に設けた湾曲部、符号２は、挿入部９の可撓管を示している。また、同図中の符号１２は内視鏡の対物レンズ、符号１３は照明レンズ、符号１４は送気・送水ノズル、符号１５は内視鏡に設けた吸引チャンネルを示している。 Embodiments of the endoscope external channel according to the present invention will be described below with reference to the drawings, but the present invention should not be construed as being limited thereto. In the following description, the direction of the line of sight of the endoscope is referred to as the front end direction, and the opposite direction is described as the rear end direction.
[First embodiment]
First, a first embodiment of the endoscope external channel according to the present invention will be described below with reference to FIGS. 1 and 2 (a) and 2 (b).
FIG. 1 is a perspective view showing a state in which the endoscope external channel 3 of the present embodiment is attached to the insertion portion 9 of the endoscope. In FIG. 1, reference numeral 1 denotes a bending portion provided on the distal end side of the insertion portion 9, and reference numeral 2 denotes a flexible tube of the insertion portion 9. In the figure, reference numeral 12 denotes an endoscope objective lens, reference numeral 13 denotes an illumination lens, reference numeral 14 denotes an air / water supply nozzle, and reference numeral 15 denotes a suction channel provided in the endoscope.

内視鏡用外付けチャンネル３は、先端部５の一部をなす固定部本体５ａに、チャンネルチューブ４の先端が取り付けられた構成となっている。このチャンネルチューブ４は、鉗子等の処置具を挿通する通路として、または、送気，送水，吸引用の流路として用いられる通路が内部に形成された可撓性の通路形成体をなしている。一方、固定部本体５ａには、チャンネルチューブ４の外周よりもやや大きい内径の孔５ａ１が形成されており、その孔５ａ１内に、チャンネルチューブ４の先端が固定部本体５ａの後端側から挿入され、接着あるいは溶着等の固定手段により固着されている。これにより、チャンネルチューブ４の先端は、先端部５の先端面に開口した状態に保持されている。   The endoscope external channel 3 has a configuration in which the distal end of the channel tube 4 is attached to a fixed portion main body 5 a forming a part of the distal end portion 5. This channel tube 4 forms a flexible passage forming body in which a passage used as a passage for inserting a treatment instrument such as forceps or a passage for air supply, water supply, and suction is formed. . On the other hand, a hole 5a1 having an inner diameter slightly larger than the outer periphery of the channel tube 4 is formed in the fixed portion main body 5a, and the tip of the channel tube 4 is inserted into the hole 5a1 from the rear end side of the fixed portion main body 5a. It is fixed by fixing means such as adhesion or welding. Thereby, the distal end of the channel tube 4 is held in an open state on the distal end surface of the distal end portion 5.

チャンネルチューブ４は、例えば、テフロン（登録商標）や多孔質ＰＴＦＥなどの合成樹脂材料からできている。可撓管２の周壁面には、例えば接着などの固定手段により、チャンネル固定片８が固定されている。そして、この固定片８に形成された孔８ａに、チャンネルチューブ４が挿通保持されている。固定片８に形成された孔８ａは、チャンネルチューブ４の外径寸法よりやや大きく形成されており、チャンネルチューブ４が固定片８に対して相対的に軸線方向（可撓管２の軸線方向）に自由に動けるようになっている。先端部５および固定片８は、例えば、ポリサルホンや変性ＰＰＯといった熱可塑性樹脂で形成されている。   The channel tube 4 is made of a synthetic resin material such as Teflon (registered trademark) or porous PTFE, for example. A channel fixing piece 8 is fixed to the peripheral wall surface of the flexible tube 2 by fixing means such as adhesion. The channel tube 4 is inserted and held in the hole 8 a formed in the fixed piece 8. The hole 8 a formed in the fixed piece 8 is formed to be slightly larger than the outer diameter of the channel tube 4, and the channel tube 4 is relatively axial with respect to the fixed piece 8 (the axial direction of the flexible tube 2). Can move freely. The distal end portion 5 and the fixed piece 8 are made of, for example, a thermoplastic resin such as polysulfone or modified PPO.

先端部５は、挿入部９の先端（より具体的には湾曲部１の先端）に対して着脱自在に装着されている。そして、この先端部５は、図１及び図２（ａ），（ｂ）に示すように、挿入部９の先端部に対して直接固定されるキャップ部５ｂと、このキャップ部５ｂの周囲に装着される筒状の固定部本体５ａとから構成されている。
固定部本体５ａの内径寸法は、キャップ部５ｂの外径寸法よりもやや大きくなっており、固定部本体５ａがキャップ部５ｂに対して略同軸状態を保ったまま回転可能となっている。固定部本体５ａの周部には、挿入部９の軸線（より具体的には湾曲部１の軸線）を中心線とする螺旋の一部をなす形状のカム溝５ｃが形成されている。
一方、キャップ部５ｂの先端面には、フランジ部５ｂ１が形成されており、先端部に取り付けたときに、先端部の先端面がフランジ部５ｂ１に当接することで、キャップ部５ｂの先端面から先端部の先端面が突出することのないように規制している。 The distal end portion 5 is detachably attached to the distal end of the insertion portion 9 (more specifically, the distal end of the bending portion 1). As shown in FIG. 1 and FIGS. 2 (a) and 2 (b), the distal end portion 5 includes a cap portion 5b that is directly fixed to the distal end portion of the insertion portion 9, and a periphery of the cap portion 5b. It is comprised from the cylindrical fixing | fixed part main body 5a with which it mounts | wears.
The inner diameter dimension of the fixed part main body 5a is slightly larger than the outer diameter dimension of the cap part 5b, and the fixed part main body 5a can rotate while maintaining a substantially coaxial state with respect to the cap part 5b. A cam groove 5c having a shape that forms a part of a spiral centering on the axis of the insertion portion 9 (more specifically, the axis of the bending portion 1) is formed in the peripheral portion of the fixed portion main body 5a.
On the other hand, a flange portion 5b1 is formed on the distal end surface of the cap portion 5b. When the distal end surface of the distal end portion comes into contact with the flange portion 5b1 when attached to the distal end portion, the distal end surface of the cap portion 5b The front end surface of the front end is restricted so that it does not protrude.

また、図２（ａ），（ｂ）に示すように、キャップ部５ｂの周部には、このキャップ部５ｂの後端側に向かって開口した切り欠き１０が形成されている。そして、この切り欠き１０内には、シリンダ６ａ及びピストン６ｂからなるピストンシリンダ６が接着などの固定手段により固定されている。シリンダ６ａの後端側には、チューブ７の先端が接着や糸巻き固定、あるいは嵌入などにより固定されている。また、チューブ７の後端は、図示しない内視鏡操作部に向かって延出している。
図１に示すように、チューブ７の後端には、口金１１の一端が取り付けられている。そして、口金１１の他端には、シリンジ１１ａが着脱自在に取り付けられている。なお、口金１１の代わりに、三方活栓を採用しても良い。また、口金を送気／吸引ポンプにつなげても良い。 Further, as shown in FIGS. 2A and 2B, a notch 10 opened toward the rear end side of the cap portion 5b is formed in the peripheral portion of the cap portion 5b. And in this notch 10, the piston cylinder 6 which consists of the cylinder 6a and the piston 6b is being fixed by fixing means, such as adhesion | attachment. On the rear end side of the cylinder 6a, the tip of the tube 7 is fixed by adhesion, thread winding, or insertion. Further, the rear end of the tube 7 extends toward an endoscope operation unit (not shown).
As shown in FIG. 1, one end of a base 11 is attached to the rear end of the tube 7. A syringe 11 a is detachably attached to the other end of the base 11. A three-way stopcock may be employed instead of the base 11. Further, the base may be connected to an air / suction pump.

図２（ａ）に示すように、ピストン６ｂの先端側には、ピン６ｂ１が、例えば螺合により固定されている。また、ピン６ｂ１は、前記カム溝５ｃに対して、その延在方向に沿って移動可能に係合している。ピン６ｂ１は、固定部本体５ａの外周面よりも外側に突出しない長さ寸法を採用している。これにより、体腔内に挿入した際に、ピン６ｂ１が体腔内の粘膜を傷つけてしまうことがない。なお、ピストン６ｂとピン６ｂ１は、一体的に構成するものとしても良い。   As shown in FIG. 2A, a pin 6b1 is fixed to the tip end side of the piston 6b by, for example, screwing. The pin 6b1 is engaged with the cam groove 5c so as to be movable along the extending direction thereof. The pin 6b1 employs a length dimension that does not protrude outward from the outer peripheral surface of the fixed portion main body 5a. Thereby, when inserted into the body cavity, the pin 6b1 does not damage the mucous membrane in the body cavity. The piston 6b and the pin 6b1 may be configured integrally.

以上説明の構成を有する本実施例の内視鏡用外付けチャンネル３によれば、口金１１に取り付けたシリンジ１１ａを用いて、チューブ７に空気や水などの流体を注入、または吸引することにより、流体圧を加え、ピストン６ｂが湾曲部１の軸線方向に進退する。これにより、ピストン６ｂに固定されたピン６ｂ１も進退するので、螺旋状のカム溝５ｃを介して固定部本体５ａが先端部５の軸線回りに回動する。より具体的に言うと、螺旋状に形成されたカム溝５ｃの傾斜面に対してピン６ｂ１が当接し、さらにはこれを押し退けるように押圧するので、湾曲部１の軸線回りの回動が規制されたピン６ｂ１に対して、固定部本体５ａが相対的に回動する。これに伴い、チャンネルチューブ４の開口部（チャンネル開口部）４ａも湾曲部１の軸線回りに回動する。   According to the endoscope external channel 3 of the present embodiment having the above-described configuration, a fluid such as air or water is injected or sucked into the tube 7 using the syringe 11a attached to the base 11. The fluid pressure is applied, and the piston 6b moves forward and backward in the axial direction of the bending portion 1. As a result, the pin 6b1 fixed to the piston 6b also advances and retreats, so that the fixing portion main body 5a rotates around the axis of the tip portion 5 via the spiral cam groove 5c. More specifically, since the pin 6b1 abuts against the inclined surface of the cam groove 5c formed in a spiral shape and further presses the pin 6b1 away from the inclined surface, the rotation of the bending portion 1 around the axis is restricted. The fixed body 5a rotates relative to the pin 6b1 that has been made. Along with this, the opening (channel opening) 4 a of the channel tube 4 also rotates around the axis of the bending portion 1.

以上説明の本実施例の内視鏡用外付けチャンネル３によれば、チャンネルチューブ４の開口部（チャンネル開口部）４ａの位置を、湾曲部１の軸線回りに回転させて任意の位置に移動させることができるので、開口部４ａの位置を、内視鏡の使用中に変更し、効率の良い内視鏡検査や治療を行うことが可能となる。すなわち、挿入時や処置時など、場面に応じて最も適した位置に開口部４ａを配置させることが可能となる。   According to the endoscope external channel 3 of the present embodiment described above, the position of the opening (channel opening) 4a of the channel tube 4 is rotated around the axis of the bending portion 1 and moved to an arbitrary position. Therefore, the position of the opening 4a can be changed during use of the endoscope, so that efficient endoscopy and treatment can be performed. That is, the opening 4a can be arranged at the most suitable position according to the scene, such as during insertion or treatment.

［第２実施例］
続いて、図３を参照しながら、本発明の内視鏡用外付けチャンネルの第２実施例の説明を以下に行う。本実施例は、上記第１実施例の変形例に相当するので、上記第１実施例との相違点を中心に説明し、その他については上記第１実施例と同様であるとしてその説明を省略する。 [Second Embodiment]
Next, a second embodiment of the endoscope external channel according to the present invention will be described below with reference to FIG. Since this embodiment corresponds to a modification of the first embodiment, the description will focus on the differences from the first embodiment, and the rest will be omitted as it is the same as the first embodiment. To do.

本実施例は、上記第１実施例で示した単純な直線形状のカム溝５ｃの代わりに、図３に示す形状のカム溝（以下、前記カム溝５ｃと区別するために新たな符号１６を与えて説明する。）の形状に特徴がある。
すなわち、このカム溝１６の内側には、突起１６ａ１が複数箇所（少なくとも２カ所。本実施例では４箇所。）形成されており、これら突起１６ａ１の高さ寸法は、突起１６ａ１を設けた部分の溝の幅寸法Ｘがピン６ｂ１の外径寸法よりもやや小さくなるようになっている。このような構成を採用することにより、ピン６ｂ１が各突起１６ａ１を乗り越える際にクリック感が生じるようになる。
また、２つの突起１６ａ１の間隔寸法Ｙを、ピン６ｂ１の外径寸法と同じかやや小さくすることにより、これら２つの突起１６ａ１の間にピン６ｂ１がゆるく固定され、先端部５の余計な回転を止めておくことができるようになっている。なお、各突起１６ａ１を設ける位置を適宜変えることにより、先端部５の回転停止位置（すなわち、開口部４ａの回転停止位置）を変更することができる。 In this embodiment, instead of the simple linear cam groove 5c shown in the first embodiment, a cam groove having a shape shown in FIG. 3 (hereinafter, a new reference numeral 16 is used to distinguish it from the cam groove 5c). It is characterized by its shape.
That is, a plurality of projections 16a1 (at least two locations, four locations in the present embodiment) are formed inside the cam groove 16, and the height dimension of these projections 16a1 is the portion where the projections 16a1 are provided. The groove width dimension X is slightly smaller than the outer diameter dimension of the pin 6b1. By adopting such a configuration, a click feeling is generated when the pin 6b1 gets over each protrusion 16a1.
Further, by setting the distance Y between the two protrusions 16a1 to be the same as or slightly smaller than the outer diameter of the pin 6b1, the pin 6b1 is loosely fixed between the two protrusions 16a1, and extra rotation of the tip 5 is prevented. It can be stopped. In addition, the rotation stop position of the front-end | tip part 5 (namely, rotation stop position of the opening part 4a) can be changed by changing suitably the position which provides each protrusion 16a1.

以上説明の本実施例の内視鏡用外付けチャンネル３によれば、上記第１実施例と同様の作用効果を得ることが可能となる。さらに、本実施例では、湾曲部１の軸線回りにおけるチャンネルチューブ４の先端（開口部４ａ）の回転方向位置を固定する固定手段として各突起１６ａ１を備える構成を採用しており、開口部４ａの回転位置を所望の位置に正確に停止させることが可能となっている。   According to the endoscope external channel 3 of the present embodiment described above, it is possible to obtain the same effects as those of the first embodiment. Furthermore, in the present embodiment, a configuration is employed in which each protrusion 16a1 is provided as a fixing means for fixing the rotational position of the tip (opening 4a) of the channel tube 4 around the axis of the bending portion 1, and the opening 4a The rotational position can be accurately stopped at a desired position.

［第３実施例］
続いて、図４及び図５（ａ），（ｂ）を参照しながら、本発明の内視鏡用外付けチャンネルの第３実施例の説明を以下に行う。本実施例は、上記第１実施例の変形例に相当するので、上記第１実施例との相違点を中心に説明し、その他については上記第１実施例と同様であるとしてその説明を省略する。 [Third embodiment]
Next, a third embodiment of the endoscope external channel according to the present invention will be described below with reference to FIGS. 4 and 5A and 5B. Since this embodiment corresponds to a modification of the first embodiment, the description will focus on the differences from the first embodiment, and the rest will be omitted as it is the same as the first embodiment. To do.

本実施例は、上記第１実施例で示した流体駆動式の前記先端部５の代わりに、図４及び図５（ａ），（ｂ）に示すように、牽引式の先端部１７を採用した点が特に特徴的となっている。
この先端部１７の一部をなす固定部本体１７ａは、前記固定部本体５ａと同様の構成を備えている。そして、キャップ部１７ｂの外周面には、後端側に向かって開口する切り欠き１８が形成されている。この切り欠き１８には、湾曲部１の軸線方向にスライド移動可能にスライダ１９が収容されている。また、スライダ１９の後端側には、牽引具２０の先端が固定されている。そして、牽引具２０の後端部側は、図示しない内視鏡操作部方向に向かって延出されている。牽引具２０は、例えばステンレスなどの金属ワイヤー、あるいは、テフロン（登録商標）、ナイロン、ポリイミド、ケブラー等の合成樹脂でできている。スライダ１９は、ステンレスなどの金属やポリサルホンや変性ＰＰＯといった熱可塑性樹脂などの合成樹脂でできている。 In this embodiment, instead of the fluid-driven tip 5 shown in the first embodiment, a tow-type tip 17 is employed as shown in FIGS. 4 and 5A, 5B. This point is particularly characteristic.
The fixed portion main body 17a that forms a part of the tip portion 17 has the same configuration as the fixed portion main body 5a. And the notch 18 opened toward the rear-end side is formed in the outer peripheral surface of the cap part 17b. A slider 19 is accommodated in the notch 18 so as to be slidable in the axial direction of the bending portion 1. Further, the tip of the traction tool 20 is fixed to the rear end side of the slider 19. And the rear-end part side of the traction tool 20 is extended toward the endoscope operation part direction which is not shown in figure. The traction tool 20 is made of, for example, a metal wire such as stainless steel, or a synthetic resin such as Teflon (registered trademark), nylon, polyimide, or Kevlar. The slider 19 is made of a metal such as stainless steel or a synthetic resin such as a thermoplastic resin such as polysulfone or modified PPO.

スライダ１９及び牽引具２０間の接続は、これらの材質がともに金属の場合には半田付け、ロー付け、接着などにより行われ、それ以外の組み合わせの場合には、接着あるいは溶着により行われる。また、スライダ１９には、ピン６ｂ１が螺合などにより固定されており、このピン６ｂ１を介して先端部１７のカム溝１７ｃに係合している。なお、スライダ１９およびピン６ｂ１は、一体的に形成するものとしても良い。
そして、本実施例では、キャップ部１７ｂと固定部本体１７ａとが、前記挿入部９の先端（湾曲部１の先端）の軸線回りに相対的に回動可能に連結されている。 The connection between the slider 19 and the traction tool 20 is performed by soldering, brazing, bonding, or the like when both of these materials are metals, and by bonding or welding in other combinations. Further, a pin 6b1 is fixed to the slider 19 by screwing or the like, and is engaged with the cam groove 17c of the distal end portion 17 via the pin 6b1. The slider 19 and the pin 6b1 may be integrally formed.
In this embodiment, the cap portion 17b and the fixed portion main body 17a are coupled so as to be relatively rotatable about the axis of the distal end of the insertion portion 9 (the distal end of the bending portion 1).

以上説明の本実施例の内視鏡用外付けチャンネル３によれば、上記第１実施例と同様の作用効果を得ることが可能となる。すなわち、牽引具２０を進退させることでピン６ｂ１が湾曲部１の軸線方向に進退するので、上記第１実施例と同様に、固定部本体１７ａを軸線回りに回動させることができる。したがって、開口部４ａを任意の回転位置に回転移動させることが可能となる。   According to the endoscope external channel 3 of the present embodiment described above, it is possible to obtain the same effects as those of the first embodiment. That is, since the pin 6b1 advances and retreats in the axial direction of the bending portion 1 by moving the traction tool 20 back and forth, the fixed portion main body 17a can be rotated around the axis as in the first embodiment. Therefore, the opening 4a can be rotated to an arbitrary rotational position.

［第４実施例］
続いて、図６及び図７を参照しながら、本発明の内視鏡用外付けチャンネルの第４実施例の説明を以下に行う。本実施例は、上記第１実施例の変形例に相当するので、上記第１実施例との相違点を中心に説明し、その他については上記第１実施例と同様であるとしてその説明を省略する。 [Fourth embodiment]
Subsequently, the fourth embodiment of the endoscope external channel according to the present invention will be described below with reference to FIGS. Since this embodiment corresponds to a modification of the first embodiment, the description will focus on the differences from the first embodiment, and the rest will be omitted as it is the same as the first embodiment. To do.

本実施例は、上記第１実施例で示した流体駆動式の前記先端部５の代わりに、牽引式の先端部２３を採用した点が特に特徴的となっている。
この先端部２３は、キャップ部２１とチャンネル固定部２２とから構成されている。キャップ部２１の先端面には、このキャップ部２１の軸線と同軸をなすように、半円状の溝２１ａが形成されている。また、キャップ部２１の外周面には、一対のガイド部２４が突出するように形成されている。これらガイド部２４の、キャップ部２１の外周面における周方向位置は、溝２１ａの両端近傍位置に対応する位置にそれぞれ配置されている。 This embodiment is particularly characterized in that it employs a traction-type tip 23 instead of the fluid-driven tip 5 shown in the first embodiment.
The distal end portion 23 includes a cap portion 21 and a channel fixing portion 22. A semicircular groove 21 a is formed on the tip surface of the cap portion 21 so as to be coaxial with the axis of the cap portion 21. A pair of guide portions 24 are formed on the outer peripheral surface of the cap portion 21 so as to protrude. The circumferential positions of the guide portions 24 on the outer peripheral surface of the cap portion 21 are arranged at positions corresponding to positions near both ends of the groove 21a.

一方、チャンネル固定部２２は、概略ブロック状の固定部本体２８を備えている。そして、この固定部本体２８には、チャンネルチューブ４の外径寸法よりもやや大きい内径寸法の孔２８ｂが形成され、その孔２８ｂ内にチャンネルチューブ４の先端が固定部本体２８の後端側から嵌入され、接着あるいは溶着等の固定手段により固定されている。これにより、チャンネルチューブ４の開口部４ａは、固定部本体２８の先端面と同一方向に向かって開口したものとなっている。
固定部本体２８は、例えばポリエチレン、変性ＰＰＯ、ポリサルホンといった熱可塑性樹脂からできている。固定部本体２８には、厚み寸法ｔが溝２１ａの幅寸法よりやや小さい係合部２８ａが形成されている。また、固定部本体２８の両側面からは牽引具２５が延出している（図６参照。）。これら牽引具２５は、上記第３実施例で示した牽引具２０と同様の材質からできており、接着あるいは溶着によりその先端が固定部本体２８に固定されている。 On the other hand, the channel fixing portion 22 includes a fixing portion main body 28 having a substantially block shape. A hole 28b having an inner diameter that is slightly larger than the outer diameter of the channel tube 4 is formed in the fixing portion main body 28, and the tip of the channel tube 4 extends from the rear end side of the fixing portion main body 28 in the hole 28b. It is inserted and fixed by fixing means such as adhesion or welding. As a result, the opening 4 a of the channel tube 4 is opened in the same direction as the distal end surface of the fixed portion main body 28.
The fixed body 28 is made of a thermoplastic resin such as polyethylene, modified PPO, or polysulfone. An engaging portion 28a having a thickness dimension t slightly smaller than the width dimension of the groove 21a is formed in the fixed portion main body 28. Further, the traction tool 25 extends from both side surfaces of the fixed portion main body 28 (see FIG. 6). These traction tools 25 are made of the same material as the traction tool 20 shown in the third embodiment, and their tips are fixed to the fixing portion main body 28 by adhesion or welding.

このように形成したキャップ部２１及びチャンネル固定部２２を、図７に示すように、係合部２８ａを溝２１ａに係合させ、固定部本体２８を、キャップ部２１の外周面に沿って摺接するように、図示しない内視鏡操作部方向に折り返すように取り付ける。さらに、各牽引具２５を、それぞれのガイド部２４に引っかけてから前記内視鏡操作部方向に向かって均等に引っ張って固定する。
このように組み付けた状態で各牽引具２５の何れか一方を、前記内視鏡操作部方向に牽引すると、チャンネル固定部２２が、溝２１ａに沿ってキャップ部２１の周方向に移動するので、これに伴って開口部４ａがキャップ部２１の軸線回りに回転する。このとき、固定部本体２８の先端面とキャップ部２１の先端面との相対位置は、略同一となっているか、あるいは固定部本体２８がやや先端側に突出した状態となっている。 As shown in FIG. 7, the cap portion 21 and the channel fixing portion 22 formed in this way are engaged with the engaging portion 28a in the groove 21a, and the fixing portion main body 28 is slid along the outer peripheral surface of the cap portion 21. It is attached so as to be folded back in the direction of an endoscope operation section (not shown). Further, each traction tool 25 is hooked on the respective guide portion 24 and then pulled evenly in the direction of the endoscope operation portion and fixed.
When either one of the traction tools 25 is pulled in the direction of the endoscope operation unit in the assembled state, the channel fixing unit 22 moves in the circumferential direction of the cap unit 21 along the groove 21a. Along with this, the opening 4 a rotates around the axis of the cap portion 21. At this time, the relative positions of the distal end surface of the fixed portion main body 28 and the distal end surface of the cap portion 21 are substantially the same, or the fixed portion main body 28 protrudes slightly toward the distal end side.

以上説明の本実施例の内視鏡用外付けチャンネル３によれば、上記第１実施例と同様の作用効果を得ることが可能となる。すなわち、各牽引具２５の何れか一方を牽引することで、上記第１実施例と同様に、固定部本体２８を軸線回りに回動させることができる。したがって、開口部４ａを任意の回転位置に回転移動させることが可能となる。   According to the endoscope external channel 3 of the present embodiment described above, it is possible to obtain the same effects as those of the first embodiment. That is, by pulling any one of the traction tools 25, the fixed portion main body 28 can be rotated around the axis line as in the first embodiment. Therefore, the opening 4a can be rotated to an arbitrary rotational position.

［第５実施例］
続いて、図８及び図９を参照しながら、本発明の内視鏡用外付けチャンネルの第５実施例の説明を以下に行う。本実施例は、上記第４実施例の変形例に相当するので、上記第４実施例との相違点を中心に説明し、その他については上記第４実施例と同様であるとしてその説明を省略する。 [Fifth embodiment]
Subsequently, the fifth embodiment of the endoscope external channel according to the present invention will be described below with reference to FIGS. Since the present embodiment corresponds to a modification of the fourth embodiment, the description will focus on the differences from the fourth embodiment, and the rest will be omitted as it is the same as the fourth embodiment. To do.

本実施例は、以下に説明するキャップ部２６の構成に特徴がある。
すなわち、このキャップ部２６の外周には、円弧板状のガイド部２６ａが固定されており、キャップ部２６の外周面とガイド部２６ａの内周面との間に、前記係合部２８ａの厚み寸法ｔよりもやや大きい溝２６ｂが形成されている。そして、この溝２６ｂに対して係合部２８ａを係合させて組み付けることにより、上記第４実施例と同様の作用効果を得ることができる。このときの固定部本体２８の先端面とキャップ部２６の先端面との間の相対的な位置関係は、固定部本体２８の先端面と前記キャップ部２１の先端面との相対的な位置関係と同様に設定されている。
以上説明の本実施例の内視鏡用外付けチャンネル３によれば、上記第４実施例と同様の作用効果を得ることが可能となる。 The present embodiment is characterized by the configuration of the cap portion 26 described below.
That is, an arc plate-shaped guide portion 26a is fixed to the outer periphery of the cap portion 26, and the thickness of the engaging portion 28a is between the outer peripheral surface of the cap portion 26 and the inner peripheral surface of the guide portion 26a. A groove 26b that is slightly larger than the dimension t is formed. Then, by engaging the engaging portion 28a with the groove 26b and assembling the same, it is possible to obtain the same effects as those of the fourth embodiment. At this time, the relative positional relationship between the distal end surface of the fixed portion main body 28 and the distal end surface of the cap portion 26 is the relative positional relationship between the distal end surface of the fixed portion main body 28 and the distal end surface of the cap portion 21. It is set in the same way.
According to the endoscope external channel 3 of the present embodiment described above, it is possible to obtain the same effects as those of the fourth embodiment.

本発明の内視鏡用外付けチャンネルの第１実施例を説明するための斜視図である。It is a perspective view for demonstrating 1st Example of the external channel for endoscopes of this invention. 同内視鏡用外付けチャンネルの先端部を説明するための図であって、（ａ）は、先端部を、その軸線及びカム溝を含む断面で見た断面図であり、（ｂ）は、（ａ）のＡ−Ａ矢視図である。It is a figure for demonstrating the front-end | tip part of the external channel for endoscopes, (a) is sectional drawing which looked at the front-end | tip part in the cross section containing the axis line and cam groove, (b) It is an AA arrow line view of (a). 本発明の内視鏡用外付けチャンネルの第２実施例を説明するための図であって、カム溝の正面図である。It is a figure for demonstrating 2nd Example of the external channel for endoscopes of this invention, Comprising: It is a front view of a cam groove. 本発明の内視鏡用外付けチャンネルの第３実施例を説明するための斜視図である。It is a perspective view for demonstrating the 3rd Example of the external channel for endoscopes of this invention. 同内視鏡用外付けチャンネルの先端部を説明するための図であって、（ａ）は、先端部を、その軸線及び溝を含む断面で見た断面図であり、（ｂ）は、（ａ）のＢ−Ｂ矢視図である。It is a figure for explaining the tip part of the external channel for the endoscope, (a) is a cross-sectional view of the tip part in a cross section including its axis and groove, (b), It is a BB arrow line view of (a). 本発明の内視鏡用外付けチャンネルの第４実施例を説明するための斜視図である。It is a perspective view for demonstrating the 4th Example of the external channel for endoscopes of this invention. 同内視鏡用外付けチャンネルを説明するための斜視図である。It is a perspective view for demonstrating the external channel for the endoscope. 本発明の内視鏡用外付けチャンネルの第５実施例を説明するための斜視図である。It is a perspective view for demonstrating 5th Example of the external channel for endoscopes of this invention. 同内視鏡用外付けチャンネルを説明するための斜視図である。It is a perspective view for demonstrating the external channel for the endoscope.

符号の説明Explanation of symbols

３・・・内視鏡用外付けチャンネル
４・・・チャンネルチューブ（通路形成体）
５ａ，２８・・・固定部本体
５ｂ，２１・・・キャップ部
５ｃ，１６・・・カム溝
６ｂ１・・・ピン
９・・・挿入部
１６ａ１・・・突起（固定手段）
２０・・・牽引具（第１の牽引具）
２１ａ，２６ｂ・・・溝
２５・・・牽引具（第２の牽引具）
２８ａ・・・係合部 3. External endoscope channel 4 ... Channel tube (passage forming body)
5a, 28... Fixed portion body 5b, 21... Cap portion 5c, 16... Cam groove 6b1... Pin 9.
20 ... Towing tool (first towing tool)
21a, 26b ... groove 25 ... traction tool (second traction tool)
28a ... engaging portion

Claims (3)

内視鏡の挿入部に装着され、鉗子等の処置具を挿通する通路として、または、送気，送水，吸引用の流路として用いられる通路が内部に形成された可撓性の通路形成体を有する内視鏡用外付けチャンネルであり、
前記通路形成体の先端が、前記挿入部の先端に対し、該挿入部の先端の軸線回りに回動可能に設けられていることを特徴とする内視鏡用外付けチャンネル。 A flexible passage forming body that is attached to an insertion portion of an endoscope and that is used as a passage through which a treatment instrument such as forceps is inserted, or a passage that is used as a flow path for air supply, water supply, and suction. An external channel for an endoscope having
An external channel for an endoscope, wherein a distal end of the passage forming body is provided to be rotatable about an axis of a distal end of the insertion portion with respect to a distal end of the insertion portion. 内視鏡の挿入部に装着され、鉗子等の処置具を挿通する通路として、または、送気，送水，吸引用の流路として用いられる通路が内部に形成された可撓性の通路形成体と、該通路形成体の先端に設けられる固定部本体と、前記挿入部の先端に設けられるキャップ部とを備え、
前記キャップ部と前記固定部本体とが、前記挿入部の先端の軸線回りに相対的に回動可能に連結されていることを特徴とする内視鏡用外付けチャンネル。 A flexible passage forming body that is attached to an insertion portion of an endoscope and that is used as a passage through which a treatment instrument such as forceps is inserted or used as a flow passage for air supply, water supply, and suction. And a fixing part main body provided at the tip of the passage forming body, and a cap part provided at the tip of the insertion part,
The external channel for an endoscope, wherein the cap portion and the fixing portion main body are coupled so as to be relatively rotatable around an axis of a distal end of the insertion portion. 前記固定部本体に、前記挿入部の先端の軸線を中心線とする螺旋の少なくとも一部をなす形状のカム溝を設けるとともに、前記キャップ部に、前記カム溝に係合するピンを設けることを特徴とする請求項２に記載の内視鏡用外付けチャンネル。
The fixing portion main body is provided with a cam groove having a shape that forms at least a part of a helix centered on the axis of the distal end of the insertion portion, and the cap portion is provided with a pin that engages with the cam groove. The endoscope external channel according to claim 2, wherein the endoscope has an external channel.
JP2003371905A 2003-10-31 2003-10-31 Externally mounted channel for endoscope Withdrawn JP2005131173A (en)

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