JP2006020884A - Treating tool raising device for endoscope - Google Patents

Treating tool raising device for endoscope Download PDF

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JP2006020884A
JP2006020884A JP2004202505A JP2004202505A JP2006020884A JP 2006020884 A JP2006020884 A JP 2006020884A JP 2004202505 A JP2004202505 A JP 2004202505A JP 2004202505 A JP2004202505 A JP 2004202505A JP 2006020884 A JP2006020884 A JP 2006020884A
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stopper
proximal end
treatment instrument
guide tube
engaged
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JP2004202505A
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Japanese (ja)
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Shinichi Matsuno
真一 松野
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Pentax Corp
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Pentax Corp
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a treating tool raising device for an endoscope with excellent workability capable of easily adjusting, readjusting and assembling the proximal end position of a guide tube to which a raising piece operation wire for remotely operating a treating tool raising piece is inserted into an operation part. <P>SOLUTION: By forming a plurality of peripheral direction grooves 22a capable of being engaged and disengaged with/from a stopper seat 21 fixedly arranged on the operation part 4 at an interval from each other in an axial direction on the outer peripheral surface of a stopper cylinder body 22 fixed to the proximal end part of the guide tube 8 and selecting the peripheral direction groove 22a to be engaged with the stopper seat 21, the fixing position of the proximal end part of the guide tube 8 to the operation part 4 can be adjusted. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

この発明は内視鏡の処置具起上装置に関する。   The present invention relates to a treatment instrument raising device for an endoscope.

内視鏡の処置具起上装置においては一般に、挿入部の先端に配置された処置具起上片を挿入部の基端に連結された操作部から遠隔操作するための起上片操作ワイヤが、挿入部内に全長にわたって挿通配置されたガイド管内に軸線方向に進退自在に挿通されている。   In a treatment instrument raising apparatus for an endoscope, generally, a raising piece operation wire for remotely operating a treatment instrument raising piece disposed at the distal end of an insertion portion from an operation portion connected to a proximal end of the insertion portion is provided. The guide tube is inserted through the entire length of the insertion portion so as to be movable forward and backward in the axial direction.

そのようなガイド管としては一般に密着巻きコイルパイプが用いられ、挿入部が屈曲した時にガイド管が挿入部内で引き攣れた状態にならないよう、ガイド管は、挿入部が真っ直ぐな状態のときに挿入部内において少し波打った状態になる程度に、操作部側から挿入部内に数ミリメートルだけ押し込まれた状態に組み立てられている。   As such a guide tube, a tightly wound coil pipe is generally used, and when the insertion portion is bent, when the insertion portion is bent, the guide tube is in a state where the insertion portion is straight. It is assembled in a state where it is pushed into the insertion portion by a few millimeters from the operation portion side so that the insertion portion is slightly waved.

したがって、ガイド管の基端は操作部内において厳密に位置決めして固定する必要があり、従来は、ガイド管の基端にロー付けや半田付け等により取り付けられた基端口金を、操作部に固定的に設けられた受け部材に側方から嵌め込んで、基端口金を軸線方向に移動しないように操作部に係止させていた(例えば、特許文献1)。
特公平4−45177
Therefore, the proximal end of the guide tube needs to be positioned and fixed strictly in the operation section. Conventionally, the proximal end cap attached to the proximal end of the guide tube by brazing or soldering is fixed to the operation section. The base end cap is engaged with the operation member so as not to move in the axial direction by being fitted into a receiving member provided from the side (for example, Patent Document 1).
Japanese Patent Publication 4-45177

上述のように、ガイド管の基端は操作部内において厳密に位置決めする必要があるので、一度組み付けた後に再調整する必要が生じることがしばしばある。
すると、上述のような従来の内視鏡の処置具起上装置においては、ガイド管の基端部分に対する基端口金の位置を微動させた状態にロー付けや半田付けをやり直す必要があるため、調整作業が面倒で手間がかかり非常に作業性が悪かった。
As described above, since the proximal end of the guide tube needs to be positioned precisely in the operation portion, it is often necessary to readjust after being assembled once.
Then, in the conventional endoscope treatment tool raising device as described above, it is necessary to perform brazing and soldering again in a state where the position of the base end cap with respect to the base end portion of the guide tube is slightly moved. Adjustment work was cumbersome and time-consuming, and workability was very poor.

そこで本発明は、処置具起上片を遠隔操作するための起上片操作ワイヤが挿通されたガイド管の基端位置を、操作部に対して容易に調整及び再調整して組み付けることができる作業性のよい内視鏡の処置具起上装置を提供することを目的とする。   Therefore, the present invention can easily adjust and readjust the base end position of the guide tube through which the raising piece operation wire for remotely operating the treatment tool raising piece is inserted into the operation portion. An object of the present invention is to provide an endoscope treatment tool raising device with good workability.

上記の目的を達成するため、本発明の内視鏡の処置具起上装置は、挿入部の先端に配置された処置具起上片を挿入部の基端に連結された操作部から遠隔操作するための起上片操作ワイヤが、挿入部内に全長にわたって挿通配置されたガイド管内に軸線方向に進退自在に挿通された内視鏡の処置具起上装置において、ガイド管の基端部分に固着したストッパ筒体の外周面に、操作部に固定的に配置されたストッパ座に対して係脱させることができる複数の周方向溝を軸線方向に互いの間隔をあけて形成し、ストッパ座に対して係合させる周方向溝を選択することにより、操作部に対するガイド管の基端部の固定位置を調整することができるようにしたものである。   In order to achieve the above object, the treatment instrument raising device for an endoscope of the present invention remotely operates a treatment instrument raising piece arranged at the distal end of an insertion portion from an operation portion connected to a proximal end of the insertion portion. In the treatment instrument raising device of the endoscope, the raising piece operating wire is inserted into the insertion portion so as to be able to advance and retreat in the axial direction, and is fixed to the proximal end portion of the guide tube. A plurality of circumferential grooves that can be engaged with and disengaged from the stopper seat fixedly arranged on the operation portion are formed on the outer peripheral surface of the stopper cylinder, spaced apart from each other in the axial direction. By selecting the circumferential grooves to be engaged with each other, the fixing position of the proximal end portion of the guide tube with respect to the operation portion can be adjusted.

なお、ストッパ筒体の周方向溝に係脱するストッパ座側の係合部分が略U字状のフォーク状に形成されていて、その開放部側からストッパ筒体の周方向溝を係脱させることができるようにしてもよく、周方向溝がストッパ筒体の全周にわたって形成されていると取り扱いが容易である。   The engaging portion on the stopper seat side that engages and disengages with the circumferential groove of the stopper cylinder is formed in a substantially U-shaped fork, and the circumferential groove of the stopper cylinder is engaged and disengaged from the open side. If the circumferential groove is formed over the entire circumference of the stopper cylinder, handling is easy.

本発明によれば、処置具起上片を遠隔操作するための起上片操作ワイヤが挿通されたガイド管の基端部分にストッパ筒体を固着して、そのストッパ筒体の外周面に周方向溝を形成し、ストッパ座に対して係合させる周方向溝を選択することにより、操作部に対するガイド管の基端部の固定位置を容易に調整及び再調整して組み付けることができる。   According to the present invention, the stopper cylinder is fixed to the proximal end portion of the guide tube into which the raising piece operating wire for remotely operating the treatment instrument raising piece is inserted, and the peripheral circumference of the stopper cylinder is By forming the directional groove and selecting the circumferential groove to be engaged with the stopper seat, the fixing position of the proximal end portion of the guide tube with respect to the operation portion can be easily adjusted and readjusted and assembled.

ガイド管の基端部分に固着したストッパ筒体の外周面に、操作部に固定的に配置されたストッパ座に対して係脱させることができる複数の周方向溝を軸線方向に互いの間隔をあけて形成し、ストッパ座に対して係合させる周方向溝を選択することにより、操作部に対するガイド管の基端部の固定位置を調整することができるようにする。   A plurality of circumferential grooves that can be engaged and disengaged with respect to the stopper seat fixedly disposed in the operation portion are spaced apart from each other in the axial direction on the outer peripheral surface of the stopper cylinder fixed to the proximal end portion of the guide tube. The fixing position of the proximal end portion of the guide tube with respect to the operation portion can be adjusted by selecting a circumferential groove that is formed open and engaged with the stopper seat.

図面を参照して本発明の実施例を説明する。
図3は内視鏡を示しており、可撓管によって外装された可撓性の挿入部1の先端付近には、多数の節輪をリベットで傾動自在に連結した骨組み構成の湾曲部1aが形成されている。
Embodiments of the present invention will be described with reference to the drawings.
FIG. 3 shows an endoscope. In the vicinity of the distal end of the flexible insertion portion 1 covered with a flexible tube, a curved portion 1a having a skeleton structure in which a large number of node rings are connected to each other by rivets is provided. Is formed.

湾曲部1aの先端部分(即ち、挿入部1の最先端部分)には、観察窓や照明窓が配置された先端部本体2が連結されていて、先端部本体2から外方に突出される処置具100の先端部分100aの突出方向を変えるための処置具起上片3が、先端部本体2に可動に配置されている。なお、処置具100は、挿入部1内に全長にわたって挿通配置されている処置具挿通チャンネル(図示せず)内に挿脱される。   The distal end portion 2 where the observation window and the illumination window are arranged is connected to the distal end portion of the bending portion 1a (that is, the most distal portion of the insertion portion 1), and protrudes outward from the distal end portion main body 2. A treatment instrument raising piece 3 for changing the protruding direction of the distal end portion 100 a of the treatment instrument 100 is movably disposed on the distal end portion body 2. The treatment instrument 100 is inserted into and removed from a treatment instrument insertion channel (not shown) that is inserted and disposed throughout the entire length of the insertion portion 1.

挿入部1の基端に連結された操作部4には、湾曲部1aを遠隔的に屈曲操作するための湾曲操作ノブ5が配置されていて、湾曲操作ノブ5を操作することにより湾曲部1aを任意の方向に任意の角度だけ屈曲させることができる。   A bending operation knob 5 for remotely bending the bending portion 1a is arranged on the operation portion 4 connected to the base end of the insertion portion 1. By operating the bending operation knob 5, the bending portion 1a is operated. Can be bent at any angle in any direction.

また、図3に矢印で示されるように、操作部4に配置された起上片操作レバー6を回動操作すると、それによって起上片操作ワイヤ7が軸線方向に進退操作されて処置具起上片3が駆動され、先端部本体2からの処置具100の先端部分100aの突出方向を任意に変えることができる。   Further, as shown by an arrow in FIG. 3, when the raising piece operating lever 6 disposed in the operation section 4 is rotated, the raising piece operating wire 7 is moved forward and backward in the axial direction, thereby starting the treatment instrument. The upper piece 3 is driven, and the protruding direction of the distal end portion 100a of the treatment instrument 100 from the distal end portion main body 2 can be arbitrarily changed.

起上片操作ワイヤ7は、挿入部1内に全長にわたって挿通配置された密着巻きコイルパイプからなるガイドコイル8(ガイド管)内に軸線方向に進退自在に挿通配置されており、ガイドコイル8は、先端が先端部本体2に固定されて基端が操作部4に固定され、挿入部1が真っ直ぐの状態のとき挿入部1内で少し波打った状態になる程度に、操作部4側から押し込まれた状態に組み込まれている。   The raising piece operating wire 7 is inserted and arranged in a guide coil 8 (guide tube) made of a tightly wound coil pipe that is inserted and arranged over the entire length in the insertion portion 1 so as to be movable forward and backward in the axial direction. From the operation unit 4 side, the distal end is fixed to the distal end body 2 and the proximal end is fixed to the operation unit 4 and the insertion unit 1 is slightly wavy when the insertion unit 1 is straight. It is incorporated in the pushed-in state.

図4は、内視鏡の処置具起上装置の操作部4内における構成を示しており、10は、起上片操作レバー6と起上片操作ワイヤ7とを連結するピストン状部材、11はピストン状部材10が嵌挿されたシリンダ状部材であり、20は、ガイドコイル8の基端部分を操作部4のフレーム4aに対して調整可能に位置決め固定するガイド管固定部である。   FIG. 4 shows a configuration in the operation section 4 of the treatment instrument raising apparatus for the endoscope, and 10 is a piston-like member for connecting the raising piece operating lever 6 and the raising piece operating wire 7, 11. Is a cylinder-like member into which the piston-like member 10 is inserted, and 20 is a guide tube fixing portion for positioning and fixing the proximal end portion of the guide coil 8 with respect to the frame 4a of the operation portion 4 in an adjustable manner.

図1は、そのようなガイド管固定部20を示しており、21は、操作部4のフレーム4aに対してビス止め固定されているストッパ座、22は、ストッパ座21に対して係脱させることができるようにガイドコイル8の基端部に固着された円筒状のストッパ筒体である。   FIG. 1 shows such a guide tube fixing portion 20, 21 is a stopper seat fixed to the frame 4 a of the operation portion 4 with screws, and 22 is engaged with and disengaged from the stopper seat 21. It is a cylindrical stopper cylinder fixed to the base end portion of the guide coil 8 so as to be able to.

ストッパ筒体22は、ガイドコイル8の基端部にガイドコイル8と軸線位置を一致させて固着されていて、その軸線位置に形成されている貫通孔内に起上片操作ワイヤ7が緩く挿通されている。   The stopper cylinder 22 is fixed to the proximal end portion of the guide coil 8 so that the axial position of the guide coil 8 coincides, and the raising piece operating wire 7 is loosely inserted into the through hole formed at the axial position. Has been.

そして、ストッパ筒体22の外周面には複数(この実施例では四つ)の周方向溝22aが、軸線方向に互いの間隔をあけて形成されている。なお、周方向溝22aは各々が全周にわたって形成されているので、ガイドコイル8に対するストッパ筒体22の固着方向を気にする必要がなく、製造時の取り扱いが容易である。   A plurality (four in this embodiment) of circumferential grooves 22a are formed on the outer peripheral surface of the stopper cylinder 22 at intervals in the axial direction. Since each circumferential groove 22a is formed over the entire circumference, there is no need to worry about the fixing direction of the stopper cylinder 22 with respect to the guide coil 8, and the handling during manufacture is easy.

ストッパ座21には、図1におけるV−V断面を図示する図5にも示されるように、ストッパ筒体22の周方向溝22aに係脱する係合部分21aが略U字状のフォーク状に形成されていて、その開放部側からストッパ筒体22の周方向溝22aを係脱させることができ、ストッパ筒体22の周方向溝22aがストッパ座21の係合部分21aに係合した状態では、ストッパ筒体22が軸線方向に移動できない状態になって、ガイドコイル8の基端部分が操作部4のフレーム4aに固定された状態になる。   As shown in FIG. 5 illustrating the VV cross section in FIG. 1, the stopper seat 21 has an engagement portion 21 a that engages with and disengages from the circumferential groove 22 a of the stopper cylinder 22 in a substantially U-shaped fork shape. The circumferential groove 22a of the stopper cylinder 22 can be engaged / disengaged from the opening portion side, and the circumferential groove 22a of the stopper cylinder 22 is engaged with the engaging portion 21a of the stopper seat 21. In this state, the stopper cylinder 22 cannot move in the axial direction, and the proximal end portion of the guide coil 8 is fixed to the frame 4 a of the operation unit 4.

そして、ストッパ座21に対してストッパ筒体22を係合部分21aの開放部側から係脱させて、例えば図2に示されるように、ストッパ座21の係合部分21aに対して係合するストッパ筒体22側の周方向溝22aを選択することにより、操作部4に対するガイドコイル8の基端部分の固定位置(即ち、挿入部1内へのガイドコイル8の押し込み量)を容易に調整及び再調整することができる。   Then, the stopper cylinder 22 is engaged with and disengaged from the opening portion side of the engaging portion 21a with respect to the stopper seat 21, and is engaged with the engaging portion 21a of the stopper seat 21, for example, as shown in FIG. By selecting the circumferential groove 22a on the stopper cylindrical body 22 side, the fixing position of the proximal end portion of the guide coil 8 with respect to the operation portion 4 (that is, the pushing amount of the guide coil 8 into the insertion portion 1) can be easily adjusted. And can be readjusted.

なお、本発明は上記実施例に限定されるものではなく、例えばストッパ座21及びストッパ筒体22の具体的な形状等は実情に合わせて適宜変更すればよい。   In addition, this invention is not limited to the said Example, For example, what is necessary is just to change suitably the specific shape etc. of the stopper seat 21 and the stopper cylinder 22 according to the actual condition.

本発明の実施例の内視鏡の処置具起上装置のガイド管固定部の正面断面図である。It is front sectional drawing of the guide pipe fixing | fixed part of the treatment tool raising apparatus of the endoscope of the Example of this invention. 本発明の実施例の内視鏡の処置具起上装置のガイド管固定部における固定位置を調整する状態の正面断面図である。It is front sectional drawing of the state which adjusts the fixing position in the guide pipe fixing | fixed part of the treatment tool raising apparatus of the endoscope of the Example of this invention. 本発明の実施例の内視鏡の全体構成を示す側面図である。1 is a side view showing an overall configuration of an endoscope according to an embodiment of the present invention. 本発明の実施例の内視鏡の処置具起上装置の操作部内における構成を示す略示断面図である。It is a schematic sectional drawing which shows the structure in the operation part of the treatment tool raising apparatus of the endoscope of the Example of this invention. 本発明の実施例の内視鏡の処置具起上装置の図1におけるV−V断面図である。1. It is VV sectional drawing in FIG. 1 of the treatment tool raising apparatus of the endoscope of the Example of this invention.

符号の説明Explanation of symbols

1 挿入部
3 処置具起上片
4 操作部
6 起上片操作レバー
7 起上片操作ワイヤ
8 ガイドコイル(ガイド管)
20 ガイド管固定部
21 ストッパ座
21a 係合部分
22 ストッパ筒体
22a 周方向溝
DESCRIPTION OF SYMBOLS 1 Insertion part 3 Treatment tool raising piece 4 Operation part 6 Raising piece operation lever 7 Raising piece operation wire 8 Guide coil (guide tube)
20 Guide tube fixing part 21 Stopper seat 21a Engagement part 22 Stopper cylinder 22a Circumferential groove

Claims (3)

挿入部の先端に配置された処置具起上片を上記挿入部の基端に連結された操作部から遠隔操作するための起上片操作ワイヤが、上記挿入部内に全長にわたって挿通配置されたガイド管内に軸線方向に進退自在に挿通された内視鏡の処置具起上装置において、
上記ガイド管の基端部分に固着したストッパ筒体の外周面に、上記操作部に固定的に配置されたストッパ座に対して係脱させることができる複数の周方向溝を軸線方向に互いの間隔をあけて形成し、上記ストッパ座に対して係合させる上記周方向溝を選択することにより、上記操作部に対する上記ガイド管の基端部の固定位置を調整することができるようにしたことを特徴とする内視鏡の処置具起上装置。
A guide in which a raising piece operation wire for remotely operating a treatment instrument raising piece arranged at the distal end of the insertion portion from an operation portion connected to the proximal end of the insertion portion is inserted through the entire length of the insertion portion. In the endoscope treatment instrument raising device inserted in the tube so as to be movable back and forth in the axial direction,
A plurality of circumferential grooves that can be engaged with and disengaged from the stopper seat fixedly disposed on the operation portion are formed on the outer peripheral surface of the stopper cylinder fixed to the proximal end portion of the guide tube in the axial direction. The fixed position of the proximal end portion of the guide tube with respect to the operation portion can be adjusted by selecting the circumferential groove that is formed at an interval and is engaged with the stopper seat. Endoscopic treatment instrument raising device characterized by the above.
上記ストッパ筒体の周方向溝に係脱する上記ストッパ座側の係合部分が略U字状のフォーク状に形成されていて、その開放部側から上記ストッパ筒体の周方向溝を係脱させることができる請求項1記載の内視鏡の処置具起上装置。 The engaging portion on the stopper seat side that engages and disengages with the circumferential groove of the stopper cylinder is formed in a substantially U-shaped fork shape, and the circumferential groove of the stopper cylinder is engaged and disengaged from the open side. The endoscope treatment instrument raising apparatus according to claim 1, which can be made to operate. 上記周方向溝が上記ストッパ筒体の全周にわたって形成されている請求項1又は2記載の内視鏡の処置具起上装置。 The endoscope treatment instrument raising device according to claim 1 or 2, wherein the circumferential groove is formed over the entire circumference of the stopper cylinder.
JP2004202505A 2004-07-09 2004-07-09 Treating tool raising device for endoscope Withdrawn JP2006020884A (en)

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