JP2005137423A - External channel for endoscope and branch member for external channel - Google Patents
External channel for endoscope and branch member for external channel Download PDFInfo
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- JP2005137423A JP2005137423A JP2003374353A JP2003374353A JP2005137423A JP 2005137423 A JP2005137423 A JP 2005137423A JP 2003374353 A JP2003374353 A JP 2003374353A JP 2003374353 A JP2003374353 A JP 2003374353A JP 2005137423 A JP2005137423 A JP 2005137423A
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本発明は、各種処置具を挿入したり、体腔内の血液や体液を吸引するための、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 endoscope external channel for inserting various treatment instruments and sucking blood and body fluid in a body cavity.
今日、治療内容の高度化、多様化に伴い、人体の消化管内に挿入する内視鏡の用途は診断から治療へと、その適応は拡大してきている。一般に、内視鏡を用いてポリープや粘膜の切除または止血、生検等の処置を行う際には、内視鏡内に設けられたチャンネル内に内視鏡用処置具を挿入し、この処置具を体腔内の目的の部位にまで案内することにより、上記各種処置を行っている。また、このチャンネルは体腔内の血液や体液を吸引回収するための管路としても利用されている。 Today, with the advancement and diversification of treatment content, the use of endoscopes inserted into the digestive tract of the human body is expanding from diagnosis to treatment. In general, when performing treatment such as polyp or mucosal resection or hemostasis or biopsy using an endoscope, an endoscopic treatment tool is inserted into a channel provided in the endoscope, and this treatment is performed. The various treatments described above are performed by guiding the device to a target site in the body cavity. The channel is also used as a conduit for sucking and collecting blood and body fluid in the body cavity.
しかし、内視鏡の挿入部内にはチャンネルだけでなくCCD等の他の部材を設ける必要があるため、チャンネルだけを大きくすることができない。したがって、例えば、大量出血症例等の処置を行う場合、出血した血液を病変部から速やかに除去する必要があるが、通常の内視鏡に設けられたチャンネルだけを利用したのでは、吸引力が不足して速やかな止血処置に支障をきたす場合がある。そのうえ、上記処置具は、内視鏡本体に設けられたチャンネル内に通さなければならないため、そのチャンネルの内径よりも大きな処置具を使用することができないという問題もあった。 However, since it is necessary to provide not only the channel but also other members such as a CCD in the insertion portion of the endoscope, it is not possible to enlarge only the channel. Therefore, for example, when treating a case of massive bleeding, etc., it is necessary to quickly remove the bleeding blood from the lesion, but if only the channel provided in the normal endoscope is used, the suction force is Insufficient short-term hemostasis may be hindered. In addition, since the treatment instrument must be passed through a channel provided in the endoscope body, there is a problem that a treatment instrument larger than the inner diameter of the channel cannot be used.
従来、これらの問題を解決するために、内視鏡内に設けられるチャンネルとは別個に、内視鏡の挿入部の外周に、一つの外付けチャンネルを設けたものが提案されている。(例えば、特許文献1参照)。この外付けチャンネルを、処置具による処置に利用するときは、外付けチャンネル一端側の開口部から、他端側開口部に向けて処置具を挿入し、この一端側の開口部内から延びる処置具用操作部を操作することにより、所定の処置を行うようになっている。一方、吸引操作に利用するときは、外付けチャンネルの上記一端側の開口部を吸引装置等に接続することにより、血液等を吸引するようになっている。
この発明によれば、内視鏡挿入部内のチャンネルによる吸引と合わせて、外付けチャンネルを利用して吸引操作を行うことにより、吸引効率を向上させることができる。また、外付けチャンネルの径を大きく取れば、それだけ大きな処置具を使用することができる。
According to the present invention, the suction efficiency can be improved by performing the suction operation using the external channel together with the suction by the channel in the endoscope insertion portion. In addition, if the diameter of the external channel is increased, a treatment instrument that is larger can be used.
しかしながら、上記のような構成によると、一つの外付けチャンネルでは、吸引操作か処置具による処置かを選択的に行わなければならず、両者を同時に行うことはできない。そのため、大きな処置具を使用しなければならないときには、従来の内視鏡のチャンネルだけしか吸引に使用することができないので、従来と同様、吸引効率の向上を図ることはできなかった。一方、吸引効率を向上させる必要があるときには、外付けチャンネルを吸引専用にしなければならないため、大きな処置具を使用することができないという問題があった。これらに対応するため外付けチャンネルの数を増やすことも考えられるが、体腔内に挿入される関係上、外付けチャンネルの数を増やして、挿入される部分が大型化してしまうのは好ましくない。また、近年の治療内容の高度化により、これら処置用のチャンネルに求められる要求も多様化しており、それら要請に応える必要もある。 However, according to the above configuration, in one external channel, it is necessary to selectively perform a suction operation or a treatment with a treatment tool, and it is not possible to perform both at the same time. Therefore, when a large treatment tool has to be used, only the channel of the conventional endoscope can be used for suction, so that the suction efficiency cannot be improved as in the conventional case. On the other hand, when it is necessary to improve the suction efficiency, there is a problem that a large treatment instrument cannot be used because the external channel must be dedicated to suction. Although it is conceivable to increase the number of external channels in order to cope with these, it is not preferable to increase the number of external channels and increase the size of the inserted portion because of being inserted into the body cavity. In addition, with the advancement of treatment contents in recent years, the demands for these treatment channels are diversifying, and it is necessary to meet these demands.
本発明は、このような事情に鑑みてなされたものであって、一つのチャンネルだけで、吸引操作と処置具操作とを同時に行うことができ、より迅速かつ高度な治療、診断を可能とする外付けチャンネルを提供することを目的とする。 The present invention has been made in view of such circumstances, and can perform a suction operation and a treatment instrument operation simultaneously with only one channel, thereby enabling more rapid and advanced treatment and diagnosis. The purpose is to provide an external channel.
上記課題を解決するために、本発明は以下の手段を提供する。
請求項1に係る発明は、内視鏡の挿入部に沿って配されるチャンネル部と、このチャンネル部の基端部に設けられ、当該チャンネル部に形成された内部通路に連通する第一の内部通路及び第二の内部通路が形成してある分岐部とを具備することを特徴とする。
In order to solve the above problems, the present invention provides the following means.
According to a first aspect of the present invention, there is provided a channel portion arranged along the insertion portion of the endoscope, and a first portion that is provided at a proximal end portion of the channel portion and communicates with an internal passage formed in the channel portion. And a branch portion in which an internal passage and a second internal passage are formed.
この発明に係る外付けチャンネルによれば、例えば、第一の内部通路の端部からチャンネル部の先端側に向けて処置具を挿入するとともに、第二の内部通路側を吸引装置に接続する。そして、治療に際して、前記処置具の処置部分をチャンネル部の先端側からのぞかせ、前記第一の内部通路の端部から延びる処置具の操作部分を操作することにより、所定の処置が行われる。このとき、吸引装置を駆動することにより、チャンネル部先端側から、血液や体液が吸い込まれ、これら液体が分岐部において分岐させられ、第二の内部通路を経て吸引装置に取り込まれる。
これにより、一つのチャンネル部だけで、処置具による処置と吸引操作とを同時に行うことが可能となる。
According to the external channel according to the present invention, for example, the treatment instrument is inserted from the end portion of the first internal passage toward the distal end side of the channel portion, and the second internal passage side is connected to the suction device. During the treatment, a predetermined treatment is performed by looking at the treatment portion of the treatment tool from the distal end side of the channel portion and operating the operation portion of the treatment tool extending from the end portion of the first internal passage. At this time, by driving the suction device, blood and body fluid are sucked from the front end side of the channel portion, and these liquids are branched at the branch portion and taken into the suction device through the second internal passage.
As a result, it is possible to simultaneously perform the treatment with the treatment tool and the suction operation with only one channel 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、前記第二の内部通路が、前記第一の内部通路から分岐するものであることを特徴とする。
この発明に係る外付けチャンネルによれば、チャンネル部に形成された内部通路に、前記第一の内部通路が接続され、前記第二の内部通路によって、前記第一の内部通路が分岐される。
これにより、吸引した血液等を容易に分岐することができるとともに、分岐部の構造を簡易に構成することが可能となる。
The invention according to
According to the external channel of the present invention, the first internal passage is connected to the internal passage formed in the channel portion, and the first internal passage is branched by the second internal passage.
Thereby, the aspirated blood and the like can be easily branched, and the structure of the branch portion can be easily configured.
請求項3に係る発明は、内視鏡の挿入部に沿って配される外付けチャンネルの基端部に取り付けられるものであって、一端側及び他端側にて開口する、第一の内部通路と第二の内部通路とが形成してあることを特徴とする。
この発明に係る外付けチャンネルによれば、請求項1と同様の効果を奏することが可能となる。
The invention according to claim 3 is attached to a proximal end portion of an external channel arranged along the insertion portion of the endoscope, and is open at one end side and the other end side. A passage and a second internal passage are formed.
According to the external channel of the present invention, it is possible to achieve the same effect as that of the first aspect.
本発明によれば、第一、第二の内部通路を有する分岐部を備えていることから、例えば、第一の内部通路の後端から、チャンネル部先端に向けて処置具を挿入すると同時に、第二の内部通路を吸引装置に接続することができ、一つの外付けチャンネルだけで、処置具による処置と吸引操作とを同時に行うことが可能となる。そのため、チャンネル部の内部通路の径に合わせた大きな処置具を使用しつつ、吸引効率を向上させることが可能になるとともに、内視鏡と合わせて使用されるため、より迅速かつ高度な治療、診断が可能となる。 According to the present invention, since the branch portion having the first and second internal passages is provided, for example, the treatment instrument is inserted from the rear end of the first internal passage toward the channel portion front end, The second internal passage can be connected to the suction device, and the treatment by the treatment tool and the suction operation can be performed simultaneously with only one external channel. Therefore, while using a large treatment tool that matches the diameter of the internal passage of the channel portion, it becomes possible to improve the suction efficiency, and because it is used in conjunction with an endoscope, it is possible to perform more rapid and advanced treatment, Diagnosis is possible.
(実施例1)
以下、本発明の第1実施例における外付けチャンネルについて、図面を参照して説明する。
図1は、本発明に係る外付けチャンネルを内視鏡に取り付けた様子を示したものである。図1において、符号2は本実施例における外付けチャンネルを示しており、符号3は内視鏡を示している。これら外付けチャンネル2と内視鏡3とにより、内視鏡システム1を構成している。
最初に、本発明に係る外付けチャンネル2を取り付ける内視鏡3について説明する。
内視鏡3は、内視鏡本体としての本体部4と、体腔内に挿入される内視鏡挿入部(挿入部)5とを備えている。
(Example 1)
The external channel in the first embodiment of the present invention will be described below with reference to the drawings.
FIG. 1 shows a state in which an external channel according to the present invention is attached to an endoscope. In FIG. 1,
First, the endoscope 3 to which the
The endoscope 3 includes a main body portion 4 as an endoscope main body and an endoscope insertion portion (insertion portion) 5 that is inserted into a body cavity.
本体部4は、操作者が手に持って内視鏡3の各種操作を行う操作部8と、操作者が手で把持するための把持部6と、内視鏡挿入部5を接続するためのオレドメ部7を有している。
操作部8には、送気・送水機能を制御するための送気送水バルブ9と、吸引機能を制御するための吸引切替バルブ10と、内視鏡挿入部5を上下左右方向に移動させるアングル操作部18と、内視鏡システム1とともに使用される各種周辺機器の制御を行うリモートスイッチ16とが設けられている。また、操作部8には、吸引チャンネル20aや、図示しない送気送水チャンネル、電気ケーブルなどが内蔵されたユニバーサルコード20が接続されている。そして、内視鏡挿入部5から吸引された血液、体液等が吸引チャンネル20aを経て排出されるようになっている。
The main body unit 4 is connected to the
The
操作部8の前方には、上記の把持部6が連続して形成されており、この把持部6は、操作者が把持しやすいように段差を備えた段部6aと、処置具11を内視鏡挿入部5の先端に向けて挿入するための鉗子口21とを有している。鉗子口21には、この鉗子口21を塞ぎ、内視鏡挿入部5を逆流した液体が内視鏡3の外部に飛沫するのを防止するための内視鏡鉗子栓22が取り付けられている。そして、把持部6の前方には、円錐台状の上記のオレドメ部7が、その円錐の先端部を操作部8と反対方向に向けて取り付けられている。オレドメ部7は、内視鏡挿入部5の座屈を防止するためのものである。このオレドメ部7の先端に、管状に延びる内視鏡挿入部5が取り付けられている。
The
内視鏡挿入部5の内部には、不図示の光源措置から導出される光を観察目的部位に照射するための照明光学系23と、不図示のビデオプロセッサに電気ケーブルにより接続されたCCDを内蔵し、目的部位を観察する際に使用する対物光学系24と、図示しない送気ポンプからの空気圧を利用して内視鏡挿入部5の先端部分において送気・排水を行う際に使用される送気・送水ノズル25と、開口部26aを有し、図示しない吸引装置に接続される吸引チャンネル26とが設けられ、これらが内視鏡挿入部5の先端面に揃えられて配置されている。また、内視鏡挿入部5の先端部近傍には、湾曲部28が設けられ、アングル操作部18を操作することにより、湾曲部28を屈曲させ、対物光学系24を目的部位に向けることができるようになっている。
Inside the endoscope insertion section 5, there are an illumination
次に、本実施例における外付けチャンネル2について説明する。
外付けチャンネル2は、体腔内に挿入される外付けチャンネル挿入部30と、外付けチャンネル挿入部30に接続された分岐部31とを備えている。
外付けチャンネル挿入部30は、内部通路35aを有する管状の可撓性チューブ(チャンネル部)35と、可撓性チューブ35を保持する複数の保持部36とを有している。
Next, the
The
The external
可撓性チューブ35の先端には、開口部34が形成されており、この開口部34から、血液、体液等の液体が吸引され、そして同他端から挿入された処置具11を出現させるようになっている。
保持部36は、図2に示すように、柱状に形成され、その長さ方向に交差する方向の断面は略半円状に形成されている。そして、同長さ方向に貫通する貫通孔36aが形成されており、可撓性チューブ35が通されるようになっている。さらに、保持部36の外表面は、例えば、高分子吸収性材からなる弾性体36bにより形成され、貫通孔36aと弾性体36bとの間は、金属や硬質樹脂により形成される硬質部36cにより形成されている。これにより、硬質部36cにより剛性を確保するとともに、弾性体36bにより血液、体液が速やかに吸収されて、内視鏡3を使用するときの術野が速やかに確保されるようになっている。また、弾性体36bにより、粘膜への損傷を最小限に抑えるようになっている。
An
As shown in FIG. 2, the holding
このような構成のもと、外付けチャンネル挿入部30は、可撓性チューブ35の先端面の開口部34と、内視鏡挿入部5の開口部26aとが揃えられて、保持部36を介して内視鏡挿入部5の外周部に固定されている。そして、保持部36を内視鏡挿入部5の外表面に複数箇所設けることにより、可撓性チューブ35が内視鏡挿入部5に沿って配され、内視鏡挿入部5および外付けチャンネル挿入部30の体腔内へのスムーズな挿入が可能となっている。
With such a configuration, the external
可撓性チューブ35の基端部35bには、上記の分岐部31が接続されており、分岐部31は、固定具37を介して、オレドメ部7の下方に固定されている。
分岐部31は、図3および図4に示すように、水平内部通路(第一の内部通路)40cを有する水平管部40と、垂直内部通路(第二の内部通路)41bを有する垂直管部41とが直交するようにT字状に形成されており、水平内部通路40cの一端の接続口40bには、接続部42を介して、可撓性チューブ35の内部通路35aが接続されている。これにより、内部通路35aが2つの通路に分岐されるようになっている。また、水平内部通路40cの他端には、連通口40aが設けられており、また前記他端の縁部に、水平管部40の軸方向と交差する方向に延びる取付部44が形成されている。そしてこの取付部44を介して、処置具11を挿入するためのスリット46を備える鉗子栓45が取り付けられている。これにより、水平内部通路40cの前記他端は水密状態とされるとともに、スリット46を広げ、そのすき間から開口部34に向けて処置具11を挿入することができるようになっている。
また水平管部40上の取付部44側の他端の近傍には、蛇腹状の可動部43が設けられており、この可動部43を動かすことにより、鉗子栓45の向けられる方向を任意に変えることができるようになっている。
The
As shown in FIGS. 3 and 4, the
Further, a bellows-like
さらに、垂直内部通路41bの先端には、連通口41aが設けられており、接続部48を介して、図1に示す吸引チューブ32の内部通路が接続されている。吸引チューブ32の端部には、不図示の吸引装置が接続されており、この吸引装置を作動させることにより、開口部34から内部通路35a、水平内部通路40c、垂直内部通路41bおよび吸引チューブ32の内部通路を介して、血液等の吸引が行われるようになっている。
また、水平管部40には、分岐部31を保持する管路保持部47が、図3中の矢印Aに示すように水平管部40の軸方向に摺動可能に、さらに図3中の矢印Bに示すように同軸を中心として回動可能に取り付けられている。管路保持部47は、固定具37と一体的に形成されており、固定具37を内視鏡3に取り付けることにより、分岐部31を摺動または回動可能に保持するようになっている。
Further, a
Further, in the
次に、このように構成された本実施例における外付けチャンネル2の作用について説明する。
まず、外付けチャンネル2の保持部36を両面性粘着部材、サージカルテープ、糸などの固定手段を用いて、内視鏡挿入部5の外周面に複数個固定し、保持部36の貫通孔36aに可撓性チューブ35を挿入する。そして、分岐部31の取り付けられた固定具37をオレドメ部7に固定する。これにより、外付けチャンネル2が内視鏡3に取り付けられる。そして、鉗子栓45のスリット46から処置具11を挿入し、必要に応じて可動部43を動かしながら、処置具11を押し込むことにより、開口部34の近傍にまで、処置具11の処置部分を送り込む。
Next, the operation of the
First, a plurality of holding
この状態から、操作者が把持部6に手を当て、内視鏡システム1を把持し、内視鏡挿入部5および外付けチャンネル挿入部30を患者の体腔内に挿入する。そして目的の部位の近傍にまで両挿入部5,30の先端を送り、アングル操作部18を操作することにより、両挿入部5,30の先端を目的の部位に向ける。ここから照明光学系23を駆動し目的の部位に向けて光を照射し、対物光学系24を介して、不図示のモニターに目的の部位を写し出す。操作者は、このモニターを見ながら、送気・送水バルブ9、吸引切替バルブ10、リモートスイッチ16等を操作し、各種診断、治療を行う。
From this state, the operator places his / her hand on the grasping
本実施例における外付けチャンネル2においては、以下のようにして各種処置、吸引が行われる。
モニターを見ながら、鉗子栓45のスリット46内部から延びる処置具11を押し込み、開口部34から処置具11の処置部分を出現させる。そして、処置具11を操作することにより、目的部位の止血等の処置を行う。このとき、吸引チューブ32に接続された吸引装置を駆動することにより、目的の部位から流れ出た血液が開口部34から吸引される。開口部34から吸引された血液は、内部通路35aを通り、水平内部通路40cまで流動させられる。水平内部通路40c内を通る血液は、吸引装置からの吸引力に加えて、その自重により、垂直内部通路41b内を降下し、吸引チューブ32の内部通路を経て吸引装置に吸引される。この場合、血液が垂直内部通路41bを通り過ぎ、水平管部40の連通口40aに向かったとしても、鉗子栓45により連通口40aが塞がれているため、そこから血液が流出することはない。
In the
While looking at the monitor, the
また、これら一連の処置の間、吸引チューブ32が処置の邪魔になったときは、分岐部31を管路保持部47を介して摺動または回転させることにより、吸引チューブ32を避けながら所定の処置を行う。さらに、可動部43を動かすことにより、スリット46内から延びる処置具11の操作部を操作しやすい角度に向けて、所定の処置を行う。
In addition, during the series of treatments, when the
以上より、本実施例における外付けチャンネル2によれば、分岐部31を備えていることから、一つの外付けチャンネル2だけで、処置具11による処置と、吸引作業とを同時に行うことができる。そのため、可撓性チューブの径に合わせた大きな処置具11を使用しつつも、吸引効率を向上させることができ、内視鏡3の吸引チャンネル26と合わせて利用することにより、より高度かつ迅速な治療、診断を行うことができる。
As described above, according to the
また、分岐部31が固定具37により内視鏡3に固定されることから、外付けチャンネル2の端部が邪魔にならず、内視鏡3や処置具11の操作性を向上させることができる。
また、水平管部40に可動部43を設けたことから、水平管部40の端部を任意の方向に向けることができ、操作者の邪魔にならず、処置具11を操作しやすい任意の方向に管路を向けるように調整することができる。そのため、上記と同様、内視鏡3や処置具11の操作性を向上させることができる。また、スリット46に処置具11を挿入して開口部34までその処置具11を送り込むとき、必要に応じて可動部43を動かすことにより、挿入作業が容易になる。さらに、管路保持部47により分岐部31を摺動または回動させることができるため、これによっても内視鏡3や処置具11の操作性を向上させることができる。
Further, since the
In addition, since the
さらに、分岐部31は、T字状に形成されているため、血液の自重を利用して、その血液をスムーズかつ確実に分岐させることができる。
また、保持部36の外表面が弾性体36bにより形成されているため、弾性体36bにより、粘膜への損傷を最小限に抑えることができるとともに、血液、体液が速やかに吸収されて、内視鏡3を使用するときの術野を速やかに確保できる。
Furthermore, since the branching
Further, since the outer surface of the holding
(実施例2)
次に、本発明の第2の実施例について説明する。
図5は、本発明の第2の実施例を示したものである。
図5において、図1から図4に記載の構成要素と同一部分については同一符号を付し、その説明を省略する。
この実施例と上記第1の実施例とは基本的構成は同一であり、以下の点において異なるものとなっている。
すなわち、本実施例においては、L字状のL字内部通路(第二の内部通路)41cを備えている。L字内部通路41cは、その基端部41dと水平内部通路40cの端部40dとが揃えられて配置されている。
このように構成される接続部31において、開口部34から吸引された血液は、内部通路35aを通り、L字内部通路41cおよび吸引チューブ32の内部通路を経て、吸引装置に吸引される。
(Example 2)
Next, a second embodiment of the present invention will be described.
FIG. 5 shows a second embodiment of the present invention.
In FIG. 5, the same components as those shown in FIGS. 1 to 4 are denoted by the same reference numerals, and the description thereof is omitted.
This embodiment and the first embodiment have the same basic configuration, and differ in the following points.
That is, in this embodiment, an L-shaped internal passage (second internal passage) 41c is provided. The L-shaped internal passage 41c is arranged such that the base end portion 41d and the
In the
以上より、本実施例によれば、実施例1と同様の効果を得ることができる。 As described above, according to the present embodiment, the same effects as those of the first embodiment can be obtained.
(実施例3)
次に、本発明の第3の実施例について説明する。
図6は、本発明の第3の実施例を示したものである。
図6において、図1から図4に記載の構成要素と同一部分については同一符号を付し、その説明を省略する。
この実施例と上記第1の実施例とは基本的構成は同一であり、以下の点において異なるものとなっている。
すなわち、本実施例においては、上記実施例における可動部43に代えて弾性チューブ60が設けられている。弾性チューブ60は、その一端が、水平管部40に接続され、同他端には、口金部61を介して取付部44が形成されている。そして、上記実施例と同様、取付部44に鉗子栓45が取り付けられるようになっている。
(Example 3)
Next, a third embodiment of the present invention will be described.
FIG. 6 shows a third embodiment of the present invention.
In FIG. 6, the same components as those shown in FIGS. 1 to 4 are denoted by the same reference numerals, and description thereof is omitted.
This embodiment and the first embodiment have the same basic configuration, and differ in the following points.
That is, in this embodiment, an
以上より、本実施例によれば、弾性チューブ60を任意の方向に曲げることができるので、実施例1と同様の効果を得ることができる。
As described above, according to the present embodiment, since the
(実施例4)
次に、本発明の第4の実施例について説明する。
図7および図8は、本発明の第4の実施例を示したものである。
図7および図8において、図1から図4に記載の構成要素と同一部分については同一符号を付し、その説明を省略する。
本実施例において、水平管部40の端部には、管路保持部47を介して曲げパイプ62が接続されている。曲げパイプ62と水平管部40との接続点には、環状のOリング63が取り付けられており、これにより水密を保持しつつ、曲げパイプ62を水平管部40の長さ方向に沿って延びる軸線を中心に回転させることができるようになっている。
Example 4
Next, a fourth embodiment of the present invention will be described.
7 and 8 show a fourth embodiment of the present invention.
7 and 8, the same components as those shown in FIGS. 1 to 4 are denoted by the same reference numerals, and the description thereof is omitted.
In the present embodiment, a bending
以上より、本実施例によれば、曲げパイプ62を回転させることにより、操作者の邪魔にならない任意の方向に設定することができる。
As described above, according to the present embodiment, the bending
(実施例5)
次に、本発明の第5の実施例について説明する。
図9から図11は、本発明の第5の実施例を示したものである。
本実施例においては、水平管部40の外周の、垂直管部41と接続口40bとの間に、水平管部40の長さ方向に交差する方向に向けられた2つの段差部68,69が、水平管部40の上下にわたって形成されている。両段差部68,69は薄い板状に形成されており、その内部は空洞になっている。段差部68の一端には段差開口部68aが形成されており、段差部68,69の内部には、管内の液体の流れを調整する切替弁64が設けられている。この切替弁64は、板状に形成された略矩形の仕切板66を備えている。
(Example 5)
Next, a fifth embodiment of the present invention will be described.
9 to 11 show a fifth embodiment of the present invention.
In the present embodiment, two stepped
仕切板66には、その長さ方向の一端に突起部66aが設けられ、突起部66aの近傍に仕切板連通路66bが形成されている。この仕切板66が段差部68,69内に嵌め込まれることにより、仕切板66は両段差部68,69内において、その長さ方向に往復移動可能に支持されている。また、段差部69の下端と仕切板66の下端との間には付勢手段67が設置されており、これにより仕切板66は、常に上方に向けて付勢された状態となっている。
The
このような構成のもと、仕切板66を往復移動させると、その移動に合わせて、突起部66aが、段差開口部68aから、その外方に向けて突出し、またはその内方に没するようになっている。そして、突起部66aが段差開口部68a内方に没した状態のときには、図11に示すように、仕切板連通路66bが水平管部40の管路の中央に一致する位置に配され、仕切板連通路66bを通して、液体が通過できるようになっている。一方、突起部66aが外方に突出した状態のときには、図10に示すように、仕切板連通路66bが水平管部40の管路とずらされて配されることにより、水平管部40内における液体の流れを遮断するようになっている。
Under such a configuration, when the
このように構成される分岐部31を固定具37によりオレドメ部7に固定すると、オレドメ部7の外面と突起部66aとが接触し、突起部66aが段差開口部68aの内方に押しやられる。したがって、仕切板連通路66bは水平管部40の管路の中央に一致する位置に配され、吸引された血液等を通過させる。また、分岐部31がオレドメ部7から外れた場合、付勢手段67の付勢力により、仕切板66が上方に移動させられ、そのため仕切板連通路66bが水平管部40の管路とずらされ、これによって血液の流れが遮断される。
When the
以上より、本実施例によれば、吸引中に誤って分岐部31がオレドメ部7から外れてしまったとき、可撓性チューブ35と水平管部40、垂直管部41との連通が直ちに遮断され、血液を流れなくすることができる。これにより、血液や体液が外部に漏れることを防止することができ、操作者の安全を確保することができる。
As described above, according to the present embodiment, when the
次に、本発明の第6の実施例について説明する。
図12は、本発明の第6の実施例を示したものである。
本実施例においては、内視鏡3の鉗子口21に分岐鉗子栓80が取り付けられている。分岐鉗子栓80は、互いに平行に配された外付けチャンネル用管路83と内視鏡用管路84とを備え、両管路83,84は、両者に直交して設けられた連通路85を介して相互に連通した状態になっている。
Next, a sixth embodiment of the present invention will be described.
FIG. 12 shows a sixth embodiment of the present invention.
In this embodiment, a branch forceps plug 80 is attached to the
内視鏡用管路84の一端には、鉗子口21に取り付けるための鉗子口取付部82が設けられており、この鉗子口取付部82を介して分岐鉗子栓80が鉗子口21に取り付けられている。また、外付けチャンネル用管路83の一端には、可撓性チューブ35を接続するためのチューブ取付部81が設けられており、このチューブ取付部81を介して外付けチャンネル2が取り付けられている。これにより、吸引チャンネル26と可撓性チューブ35が互いに連通した状態になっている。
一方、上記両管路83,84の他端には、スリット86を有する鉗子栓キャップ87がそれぞれ取り付けられており、吸引チャンネル26および可撓性チューブ35内にそれぞれ処置具11を挿入することができるようになっている。
One end of the
On the other hand, forceps plug caps 87 having
上記構成によれば、内視鏡3に設けられた吸引切替バルブ10を操作するだけで、吸引チャンネル26および可撓性チューブ35の両方を通じて、血液、体液等の液体が吸引される。
以上より、本実施例によれば、吸引チャンネル26および可撓性チューブ35を連通させているため、吸引効率を向上させるとともに、吸引操作を容易にすることができる。
According to the above configuration, by operating only the
As mentioned above, according to the present Example, since the
図13は、本発明の第7の実施例を示したものである。
図13において、図12に記載の構成要素と同一部分については同一符号を付し、その説明を省略する。
この実施例と上記第6の実施例とは基本的構成は同一であり、以下の点において異なるものとなっている。
すなわち、本実施例における分岐鉗子栓80は、外付けチャンネル用管路83の他端に鉗子栓キャップ87を設けずに、内視鏡用管路84の他端にのみ鉗子栓キャップ87を取り付け、外付けチャンネル2を吸引機能に特化した構成とされたものである。
これにより、分岐鉗子栓80の構成を簡単にしつつも、上記第6の実施例と同様の効果を奏することができる。
FIG. 13 shows a seventh embodiment of the present invention.
In FIG. 13, the same components as those shown in FIG.
This embodiment and the sixth embodiment have the same basic configuration and are different in the following points.
That is, the branch forceps plug 80 according to the present embodiment attaches the
Thereby, while simplifying the configuration of the branch forceps plug 80, the same effects as in the sixth embodiment can be obtained.
なお、上記の実施例では、分岐部31を2方向に分岐させる構成としているが、これに限らず、3方向あるいはそれ以上の数に分岐するようにしてもよい。
また、管路保持部47を、水平管部40の外面のうち、垂直管部41よりも連通口40a側に設けたが、これに限らず、接続口40b側に設けてもよい。
また、固定具37をオレドメ部7の下側に固定しているが、これに限らず、オレドメ部7の上側に取り付けてもよい。
さらに、固定具37をオレドメ部7に固定するとしたが、これに代えて、把持部6または操作部8に取り付けてもよい。
また、固定具37と管路保持部47とが一体的に形成されるとしたが、これに限らず、複数部材により構成してもよい。
なお、本発明の技術範囲は上記の実施例に限定されるものではなく、本発明の趣旨を逸脱しない範囲において、種々の変更を加えることが可能である。
In the above embodiment, the branching
Moreover, although the pipe line holding |
Moreover, although the fixing
Furthermore, although the fixing
Moreover, although the fixing
Note that the technical scope of the present invention is not limited to the above-described embodiments, and various modifications can be made without departing from the spirit of the present invention.
(付記項1)
前記請求項1に記載された外付けチャンネルにおいて、前記内視鏡の挿入部に前記チャンネル部を固定する固定部材の外周部を弾性体で構成したことを特徴とする外付けチャンネル。
(付記項2)
前記付記項1に記載された外付けチャンネルにおいて、前記固定部材の外周部を弾性体で構成するとともに、その材質が吸収体であることを特徴とする外付けチャンネル。
(付記項3)
前記請求項1に記載された外付けチャンネルにおいて、前記挿入部の外周に固定されたチャンネル部の操作部手元側端部を、前記内視鏡の操作部に設けられた鉗子口に固定したことを特徴とする外付けチャンネル。
(付記項4)
請求項1に記載の外付けチャンネルにおいて、前記分岐部を前記内視鏡に固定する固定具を備えていることを特徴とする外付けチャンネル。
(付記項5)
付記項4に記載の外付けチャンネルにおいて、
前記分岐部は、前記固定具によって、前記第1または第二の内部通路の軸の方向に摺動可能または前記軸を中心として回動可能に取り付けられていることを特徴とする外付けチャンネル。
(Additional item 1)
2. The external channel according to claim 1, wherein an outer peripheral portion of a fixing member that fixes the channel portion to the insertion portion of the endoscope is formed of an elastic body.
(Appendix 2)
The external channel described in the supplementary note 1, wherein the outer peripheral portion of the fixing member is formed of an elastic body, and the material thereof is an absorber.
(Additional Item 3)
The external channel according to claim 1, wherein the proximal end portion of the operating portion of the channel portion fixed to the outer periphery of the insertion portion is fixed to a forceps opening provided in the operating portion of the endoscope. An external channel characterized by
(Appendix 4)
The external channel according to claim 1, further comprising a fixture for fixing the branch portion to the endoscope.
(Appendix 5)
In the external channel described in appendix 4,
The external channel according to claim 1, wherein the branching portion is slidable in the direction of the axis of the first or second internal passage or pivotable about the axis by the fixture.
(付記項6)
請求項1に記載の外付けチャンネルにおいて、
前記第一の内部通路と前記第二の内部通路とが、互いに垂直に設けられていることを特徴とする外付けチャンネル。
(付記項7)
請求項1に記載の外付けチャンネルにおいて、
前記第1または第二の内部通路の端部の方向を自在に可変できる方向可変部を備えていることを特徴とする外付けチャンネル。
(付記項8)
請求項1から請求項5のいずれか一つに記載の外付けチャンネルを備えていることを特徴とする内視鏡装置。
(Appendix 6)
The external channel according to claim 1,
The external channel, wherein the first internal passage and the second internal passage are provided perpendicular to each other.
(Appendix 7)
The external channel according to claim 1,
An external channel comprising a direction variable portion that can freely change the direction of the end of the first or second internal passage.
(Appendix 8)
An endoscope apparatus comprising the external channel according to any one of claims 1 to 5.
2 外付けチャンネル
3 内視鏡
5 内視鏡挿入部(挿入部)
31 分岐部
35 可撓性チューブ(チャンネル部)
35a 内部通路
35b 基端部
40c 水平内部通路(第一の内部通路)
41b 垂直内部通路(第二の内部通路)
2 External channel 3 Endoscope 5 Endoscope insertion part (insertion part)
31
35a
41b Vertical internal passage (second internal passage)
Claims (3)
このチャンネル部の基端部に設けられ、当該チャンネル部に形成された内部通路に連通する第一の内部通路及び第二の内部通路が形成してある分岐部と
を具備することを特徴とする外付けチャンネル。 A channel portion arranged along the insertion portion of the endoscope;
A first internal passage that is provided at a base end portion of the channel portion and communicates with an internal passage formed in the channel portion, and a branch portion in which a second internal passage is formed. External channel.
一端側及び他端側にて開口する、第一の内部通路と第二の内部通路とが形成してあることを特徴とする外付けチャンネル用分岐部材。
It is attached to the proximal end portion of the external channel arranged along the insertion portion of the endoscope,
A branch member for an external channel, wherein a first internal passage and a second internal passage that are open at one end side and the other end side are formed.
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JP2003374353A JP2005137423A (en) | 2003-11-04 | 2003-11-04 | External channel for endoscope and branch member for external channel |
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