JP2009028197A - Forcipate plug of endoscope - Google Patents

Forcipate plug of endoscope Download PDF

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Publication number
JP2009028197A
JP2009028197A JP2007194070A JP2007194070A JP2009028197A JP 2009028197 A JP2009028197 A JP 2009028197A JP 2007194070 A JP2007194070 A JP 2007194070A JP 2007194070 A JP2007194070 A JP 2007194070A JP 2009028197 A JP2009028197 A JP 2009028197A
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treatment instrument
forceps plug
insertion channel
instrument insertion
endoscope
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JP2007194070A
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Japanese (ja)
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Yoshinobu Numazawa
吉延 沼澤
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Hoya Corp
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Hoya Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131Accessories for endoscopes
    • A61B1/00137End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs

Abstract

<P>PROBLEM TO BE SOLVED: To provide a forcipate plug of an endoscope certainly preventing the leakage of a contaminated liquid caused by water hammering or the like in both states at the times of use and non-use of a treatment implement. <P>SOLUTION: An inside closing film 17 consisting of a material having elasticity, which directly receives the pressure in the treatment implement inserting channel 3 formed in a forcipate plug main body 11, is formed into a V-shaped cross-sectional form gradually narrowed toward its depth and a slit 18, which is closed in a normal state but widened by the passage of the treatment implement 50 inserted into and pulled out of the treatment implement inserting channel 3, is formed at the tip part of the inside closing film 17. A circular small hole 16 widened by the passage of the treatment implement 50 inserted into and pulled out of the treatment implement inserting channel 3 is formed to an outside closing film 15 consisting of the material having elasticity formed in a lid member 12. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

この発明は、内視鏡の処置具挿通チャンネルを通って逆流する体内汚液等が処置具挿通チャンネルの入口部から吹き出さないようにするための内視鏡の鉗子栓に関する。   The present invention relates to a forceps plug of an endoscope for preventing in-vivo sewage or the like flowing backward through a treatment instrument insertion channel of an endoscope from being blown out from an inlet portion of the treatment instrument insertion channel.

内視鏡の鉗子栓は一般に、処置具挿通チャンネルに連通する状態に処置具挿通チャンネルの入口に取り付けられる鉗子栓本体と、その鉗子栓本体の突端側開口部に着脱自在に取り付けられた蓋体とを備えていて、処置具挿通チャンネルに挿脱される処置具の通過により押し広げられる閉鎖膜が、鉗子栓本体内と蓋体の各々に形成されている。   In general, a forceps plug of an endoscope is a forceps plug main body that is attached to the entrance of the treatment instrument insertion channel so as to communicate with the treatment instrument insertion channel, and a lid body that is detachably attached to the protruding side opening of the forceps plug main body. And a closure membrane that is pushed out by the passage of the treatment tool inserted into and removed from the treatment tool insertion channel is formed in each of the forceps plug body and the lid body.

そして、旧来の鉗子栓においては、鉗子栓本体側の内側閉鎖膜に小孔が形成されて、蓋体側の外側閉鎖膜にスリットが形成されていたのが普通であったが、処置具が使用されていない状態の時に、患者のゲップ等による処置具挿通チャンネル内の圧力の急上昇(いわゆる水撃現象)があった時に、汚液の飛散等を完全に防止するのが難しかった(例えば、特許文献1)。   In the conventional forceps plug, a small hole was formed in the inner closure membrane on the forceps plug main body side, and a slit was formed in the outer closure membrane on the lid side. When there is a sudden increase in pressure in the treatment instrument insertion channel (so-called water hammer phenomenon) due to a patient's getp or the like when it is not in the state, it is difficult to completely prevent scattering of sewage (for example, patents) Reference 1).

そこで、近年の内視鏡の鉗子栓においては、内側閉鎖膜を奥側(即ち、処置具挿通チャンネル側)にむかって漸次窄まったV字状の断面形状に形成して、その突端部分にスリットを形成したものがある(例えば、特許文献2)。
特開2005−52454 特開2006−288780
Therefore, in the forceps plugs of endoscopes in recent years, the inner closing membrane is formed in a V-shaped cross-sectional shape gradually narrowing toward the back side (that is, the treatment instrument insertion channel side), and the tip end portion thereof is formed. There exists what formed the slit (for example, patent document 2).
JP 2005-52454 A JP 2006-288780 A

特許文献2に形成された内視鏡の鉗子栓においては、処置具が使用されていない状態の時には、水撃の圧力が内側閉鎖膜のスリットを強く閉じる方向に作用するので、汚液の飛散等をほぼ完全に防止することができる。   In the endoscopic forceps plug formed in Patent Document 2, when the treatment tool is not used, the water hammer pressure acts in a direction to strongly close the slit of the inner closing membrane, so that the scattering of the sewage Etc. can be almost completely prevented.

しかし、内外二重の閉鎖膜に各々スリットが形成されている構成なので、処置具が通された使用状態においては、処置具の通過により押し広げられたスリットの端部と処置具との間に生じる隙間からの漏れを完全に防止することができず、水撃作用により汚液漏れが発生してしまう場合がある。   However, since each slit is formed in the inner and outer double closure membranes, in the state of use in which the treatment tool is passed, between the end of the slit that has been spread by the passage of the treatment tool and the treatment tool. Leakage from the generated gap cannot be completely prevented, and sewage leakage may occur due to the water hammer effect.

本発明は、処置具の使用時及び不使用時の両方の状態において、水撃作用等による汚液漏れを確実に防止することができる内視鏡の鉗子栓を提供することを目的とする。   An object of the present invention is to provide an endoscopic forceps plug that can reliably prevent leakage of sewage due to a water hammer effect or the like in both states of using and not using a treatment instrument.

上記の目的を達成するため、本発明の内視鏡の鉗子栓は、内視鏡の処置具挿通チャンネルに連通する状態に基端側が処置具挿通チャンネルの入口に取り付けられた鉗子栓本体と、その鉗子栓本体の突端側開口部に着脱自在に取り付けられた蓋体とを備えた内視鏡の鉗子栓であって、鉗子栓本体内に形成されて処置具挿通チャンネル内の圧力を直接受ける弾力性のある材料からなる内側閉鎖膜が、奥側に向かって漸次窄まったV字状の断面形状に形成されて、その突端部分に、常態では閉じていて処置具挿通チャンネルに挿脱される処置具の通過により押し広げられるスリットが形成され、蓋体に形成された弾力性のある材料からなる外側閉鎖膜に、処置具挿通チャンネルに挿脱される処置具の通過により押し広げられる円形の小孔が形成されているものである。   In order to achieve the above object, the forceps plug of the endoscope of the present invention includes a forceps plug main body having a proximal end attached to the entrance of the treatment instrument insertion channel in a state communicating with the treatment instrument insertion channel of the endoscope; An endoscopic forceps plug provided with a lid detachably attached to the projecting end opening of the forceps plug body, and is formed in the forceps plug body and directly receives the pressure in the treatment instrument insertion channel An inner closing membrane made of an elastic material is formed in a V-shaped cross-sectional shape gradually narrowing toward the back side, and is normally closed at the tip end portion and is inserted into and removed from the treatment instrument insertion channel. A slit that is spread by the passage of the treatment instrument is formed, and a circular shape that is spread by the passage of the treatment instrument inserted into and removed from the treatment instrument insertion channel is formed on the outer closing membrane made of a resilient material formed on the lid. A small hole is formed It is those who are.

なお、小孔が外側閉鎖膜の中央位置に形成されていて、外側閉鎖膜の肉厚が周辺側から中央側へ漸次薄く形成されていてもよい。   In addition, the small hole may be formed in the center position of the outer closing membrane, and the thickness of the outer closing membrane may be formed gradually thinner from the peripheral side to the central side.

本発明によれば、鉗子栓本体内の内側閉鎖膜が奥側に向かって漸次窄まったV字状の断面形状に形成されて、その突端部分にスリットが形成され、蓋体に形成された外側閉鎖膜に円形の小孔が形成されていることにより、処置具不使用時にはV字状の断面形状の内側閉鎖膜で汚液漏れが確実に阻止され、処置具使用時には外側閉鎖膜の小孔部で汚液漏れが確実に阻止されるので、処置具の使用時及び不使用時の両方の状態において、水撃作用等による汚液漏れを確実に防止することができる。   According to the present invention, the inner closing membrane in the forceps plug body is formed into a V-shaped cross-sectional shape that gradually narrows toward the back side, and a slit is formed at the protruding end portion, thereby forming the lid. By forming a circular small hole in the outer closing membrane, leakage of dirt is reliably prevented by the inner closing membrane having a V-shaped cross-section when the treatment tool is not used, and the outer closing membrane is small when the treatment tool is used. Since the leakage of the filth is surely prevented at the hole, it is possible to reliably prevent the leakage of the filth due to a water hammer effect or the like in both the use state and the non-use state of the treatment instrument.

内視鏡の処置具挿通チャンネルに連通する状態に基端側が処置具挿通チャンネルの入口に取り付けられた鉗子栓本体と、その鉗子栓本体の突端側開口部に着脱自在に取り付けられた蓋体とを備えた内視鏡の鉗子栓であって、鉗子栓本体内に形成されて処置具挿通チャンネル内の圧力を直接受ける弾力性のある材料からなる内側閉鎖膜が、奥側に向かって漸次窄まったV字状の断面形状に形成されて、その突端部分に、常態では閉じていて処置具挿通チャンネルに挿脱される処置具の通過により押し広げられるスリットが形成され、蓋体に形成された弾力性のある材料からなる外側閉鎖膜に、処置具挿通チャンネルに挿脱される処置具の通過により押し広げられる円形の小孔が形成されている。   A forceps plug main body whose proximal end is attached to the entrance of the treatment instrument insertion channel so as to communicate with the treatment instrument insertion channel of the endoscope, and a lid body detachably attached to the protruding end side opening of the forceps plug main body. An endoscopic forceps plug having an inner closure membrane made of a resilient material that is formed in a forceps plug body and directly receives pressure in a treatment instrument insertion channel, gradually stenosis toward the back side. The slit is formed in the lid by forming a V-shaped cross-sectional shape, and forming a slit at the projecting end portion that is normally closed and expanded by passing the treatment instrument inserted into and removed from the treatment instrument insertion channel. In addition, a circular small hole is formed in the outer closing membrane made of an elastic material that is expanded by the passage of the treatment instrument inserted into and removed from the treatment instrument insertion channel.

以下、図面を参照して本発明の実施例を説明する。
図4は内視鏡の全体構成を示しており、1は挿入部、2は、挿入部1の基端に連結された操作部である。
Embodiments of the present invention will be described below with reference to the drawings.
FIG. 4 shows the overall configuration of the endoscope. Reference numeral 1 denotes an insertion portion, and 2 denotes an operation portion connected to the proximal end of the insertion portion 1.

挿入部1内には、処置具50を挿通するための処置具挿通チャンネル3が全長にわたって挿通配置されていて、操作部2の下端部に配置された処置具挿通チャンネル3の入口開口部には、処置具挿通チャンネル3内を通って逆流する体内汚液等が外方に吹き出さないようにするための鉗子栓10が着脱自在に取り付けられている。   A treatment instrument insertion channel 3 for inserting the treatment instrument 50 is inserted through the entire length of the insertion section 1, and an inlet opening of the treatment instrument insertion channel 3 disposed at the lower end of the operation section 2 is disposed in the insertion section 1. A forceps plug 10 is detachably attached to prevent the body sewage or the like flowing backward through the treatment instrument insertion channel 3 from blowing out.

図1は鉗子栓10を示している。鉗子栓10は、処置具挿通チャンネル3の入口口金4に取り付けられる鉗子栓本体11と、鉗子栓本体11の突端側開口部に着脱自在な蓋体12とを備えていて、全体が弾力性のあるゴム材等によって構成されている。   FIG. 1 shows a forceps plug 10. The forceps plug 10 includes a forceps plug main body 11 attached to the inlet base 4 of the treatment instrument insertion channel 3 and a detachable lid 12 at the projecting end side opening of the forceps plug main body 11, and the whole is elastic. It is made of some rubber material.

鉗子栓本体11の内面の基端寄りの部分には、処置具挿通チャンネル3の入口口金4に対して係脱自在な小径部13が形成されており、小径部13を弾性変形させて、入口口金4を締め付ける状態に取り付け或いは取り外すことができる。   A portion of the inner surface of the forceps plug main body 11 near the proximal end is formed with a small diameter portion 13 that can be engaged with and disengaged from the inlet base 4 of the treatment instrument insertion channel 3. The base 4 can be attached or removed in a tightened state.

蓋体12は、弾力性のあるゴム材で蓋体12と一体に形成された連結紐状部材14により鉗子栓本体11の基部と一体に連結されていて、鉗子栓本体11から取り外されてもその近くにぶら下げられた状態になるようになっている。   The lid body 12 is integrally connected to the base portion of the forceps plug body 11 by a connecting string-like member 14 formed integrally with the lid body 12 by an elastic rubber material, and can be removed from the forceps plug body 11. It is designed to be hung near it.

蓋体12が係合する鉗子栓本体11の突端寄りの半部の外周壁は、突端側へ漸次径が大きくなる逆テーパ筒状に形成されて、そこに係合する蓋体12側は鉗子栓本体11側の形状に対応する逆テーパ孔状に形成されている。   The outer peripheral wall of the half portion near the protruding end of the forceps plug body 11 with which the lid 12 is engaged is formed in a reverse tapered cylindrical shape whose diameter gradually increases toward the protruding end, and the side of the lid 12 that is engaged therewith is a forceps. It is formed in a reverse tapered hole shape corresponding to the shape on the plug body 11 side.

したがって、蓋体12を弾性変形させて、図1に示されるように鉗子栓本体11に被せると、蓋体12が鉗子栓本体11の外面に密着して鉗子栓本体11に対し固定された状態になり、その状態から蓋体12を弾性変形させれば鉗子栓本体11から取り外すことができる。   Therefore, when the lid 12 is elastically deformed and covered with the forceps plug body 11 as shown in FIG. 1, the lid 12 is in close contact with the outer surface of the forceps plug body 11 and fixed to the forceps plug body 11. If the lid 12 is elastically deformed from this state, it can be removed from the forceps plug body 11.

そのように構成された蓋体12内と鉗子栓本体11内には、外側閉鎖膜15と内側閉鎖膜17が形成されている。蓋体12に一体成形された外側閉鎖膜15は、外面が半球状に窪んだ形状に形成されていて、処置具挿通チャンネル3に挿脱される処置具50の通過により押し広げられる円形の小孔16が形成されている。図2はその平面図である。   An outer closing film 15 and an inner closing film 17 are formed in the lid 12 and the forceps plug body 11 thus configured. The outer closing membrane 15 formed integrally with the lid body 12 is formed in a shape in which the outer surface is recessed in a hemispherical shape, and is a circular small piece that is expanded by the passage of the treatment instrument 50 inserted into and removed from the treatment instrument insertion channel 3. A hole 16 is formed. FIG. 2 is a plan view thereof.

小孔16は、処置具50の大半の部分を閉めるシース部の外径より小さな径で外側閉鎖膜15の中央位置に形成されていて、処置具50の通過時に外側閉鎖膜15が滑らかに変形するように、外側閉鎖膜15の肉厚が、図1に示されるように周辺側から小孔16側へ漸次薄く形成されている。   The small hole 16 is formed at the central position of the outer closing membrane 15 with a diameter smaller than the outer diameter of the sheath portion that closes most of the treatment instrument 50, and the outer closing membrane 15 is smoothly deformed when the treatment instrument 50 passes. Thus, as shown in FIG. 1, the thickness of the outer closing membrane 15 is formed so as to gradually become thinner from the peripheral side to the small hole 16 side.

一方、鉗子栓本体11に一体成形されて処置具挿通チャンネル3内の圧力を直接受ける内側閉鎖膜17は、奥側に向かって(即ち、処置具挿通チャンネル3側に向かって)漸次窄まったV字状の断面形状に形成されて、その突端部分に、常態では閉じていて処置具挿通チャンネル3に挿脱される処置具50の通過により押し広げられる「−」状のスリット18が形成されている。図3はその部分の外観斜視図である。   On the other hand, the inner closing membrane 17 that is integrally formed with the forceps plug body 11 and directly receives the pressure in the treatment instrument insertion channel 3 gradually narrows toward the back side (that is, toward the treatment instrument insertion channel 3 side). Formed in a V-shaped cross-sectional shape, a “−”-shaped slit 18 that is normally closed and expanded by the passage of the treatment instrument 50 inserted into and removed from the treatment instrument insertion channel 3 is formed at the protruding end portion. ing. FIG. 3 is an external perspective view of that portion.

このように構成された内視鏡の鉗子栓において、処置具挿通チャンネル3に処置具50が挿通されていない状態では、患者のゲップ等により水撃が発生しても、その圧力が内側閉鎖膜17のスリット18を強く閉じる方向に作用するので、汚液が外部に飛散しない。   In the endoscope forceps plug thus configured, in the state where the treatment instrument 50 is not inserted into the treatment instrument insertion channel 3, even if a water hammer occurs due to a patient's gop or the like, the pressure is maintained on the inner closure membrane. Since it acts in the direction which closes the 17 slits 18 strongly, filth does not scatter outside.

ただし、図5に示されるように、処置具挿通チャンネル3に処置具50が挿通された使用状態においては、図7に示されるように、処置具50の通過により押し広げられたスリット18の端部と処置具50との間に生じる隙間Aからの汚液漏れを完全に防止することができない。   However, as shown in FIG. 5, in the use state where the treatment instrument 50 is inserted through the treatment instrument insertion channel 3, as shown in FIG. It is not possible to completely prevent the leakage of dirty liquid from the gap A that occurs between the treatment part 50 and the treatment tool 50.

しかし、図6に示されるように、蓋体12側において、処置具50の外径より径の小さな円形の小孔16が処置具50により押し広げられ、小孔16が処置具50を隙間なく締め付けた状態になるので、そこで外部への汚液漏れが確実に阻止される。   However, as shown in FIG. 6, on the lid 12 side, a circular small hole 16 having a diameter smaller than the outer diameter of the treatment instrument 50 is pushed and expanded by the treatment instrument 50, and the small hole 16 allows the treatment instrument 50 to be spaced without any gap. Since it is in a tightened state, leakage of sewage to the outside is reliably prevented there.

このようにして、処置具50の使用時及び不使用時の両方の状態において、水撃作用による鉗子栓10からの汚液漏れを確実に防止することができる。また、外側閉鎖膜15の肉厚が、周辺側から小孔16側へ漸次薄く形成されていて、逆にいうと中央側から周辺側へ漸次厚く形成されているので、太い径の処置具50が通されたような場合であっても外側閉鎖膜15が簡単に破れたりせず、優れた耐久性を保持することができる。   In this way, it is possible to reliably prevent the leakage of dirty liquid from the forceps plug 10 due to the water hammer action in both the use state and the non-use state of the treatment instrument 50. In addition, the outer closing membrane 15 is formed so as to be gradually thinner from the peripheral side to the small hole 16 side, and conversely, it is formed to be gradually thicker from the central side to the peripheral side. Even if it is passed, the outer closing membrane 15 is not easily broken, and excellent durability can be maintained.

本発明の実施例の内視鏡の鉗子栓の側面断面図である。It is side surface sectional drawing of the forceps stopper of the endoscope of the Example of this invention. 本発明の実施例の内視鏡の鉗子栓の平面図である。It is a top view of the forceps plug of the endoscope of the Example of this invention. 本発明の実施例の内視鏡の鉗子栓の部分斜視図である。It is a fragmentary perspective view of the forceps plug of the endoscope of the embodiment of the present invention. 本発明の実施例の内視鏡の全体構成を示す外観図である。1 is an external view illustrating an overall configuration of an endoscope according to an embodiment of the present invention. 本発明の実施例の鉗子栓本体に処置具が通された使用状態の側面断面図である。It is side surface sectional drawing of the use condition by which the treatment tool was let through the forceps stopper main body of the Example of this invention. 本発明の実施例の鉗子栓本体に処置具が通された使用状態の小孔部分の斜視図である。It is a perspective view of the small hole part of the use state by which the treatment tool was let through the forceps stopper main body of the Example of this invention. 本発明の実施例の鉗子栓本体に処置具が通された使用状態のスリット部分の斜視図である。It is a perspective view of the slit part of the use condition by which the treatment tool was let through the forceps stopper main body of the Example of this invention.

符号の説明Explanation of symbols

3 処置具挿通チャンネル
10 鉗子栓
11 鉗子栓本体
12 蓋体
15 外側閉鎖膜
16 小孔
17 内側閉鎖膜
18 スリット
50 処置具
3 treatment instrument insertion channel 10 forceps plug 11 forceps plug body 12 lid 15 outer closing membrane 16 small hole 17 inner closing membrane 18 slit 50 treatment tool

Claims (2)

内視鏡の処置具挿通チャンネルに連通する状態に基端側が上記処置具挿通チャンネルの入口に取り付けられた鉗子栓本体と、その鉗子栓本体の突端側開口部に着脱自在に取り付けられた蓋体とを備えた内視鏡の鉗子栓であって、
上記鉗子栓本体内に形成されて上記処置具挿通チャンネル内の圧力を直接受ける弾力性のある材料からなる内側閉鎖膜が、奥側に向かって漸次窄まったV字状の断面形状に形成されて、その突端部分に、常態では閉じていて上記処置具挿通チャンネルに挿脱される処置具の通過により押し広げられるスリットが形成され、
上記蓋体に形成された弾力性のある材料からなる外側閉鎖膜に、上記処置具挿通チャンネルに挿脱される処置具の通過により押し広げられる円形の小孔が形成されていることを特徴とする内視鏡の鉗子栓。
A forceps plug body whose base end side is attached to the entrance of the treatment tool insertion channel so as to communicate with the treatment instrument insertion channel of the endoscope, and a lid body detachably attached to the projecting end side opening of the forceps plug body An endoscopic forceps plug comprising:
An inner closing membrane made of an elastic material that is formed in the forceps plug body and directly receives the pressure in the treatment instrument insertion channel is formed in a V-shaped cross-sectional shape that gradually narrows toward the back side. In addition, a slit is formed in the protruding end portion, which is normally closed and expanded by the passage of the treatment instrument inserted into and removed from the treatment instrument insertion channel.
A circular small hole is formed in the outer closing membrane made of a resilient material formed on the lid body, and the hole is pushed and expanded by the passage of the treatment instrument inserted into and removed from the treatment instrument insertion channel. Endoscope forceps plug.
上記小孔が上記外側閉鎖膜の中央位置に形成されていて、上記外側閉鎖膜の肉厚が周辺側から中央側へ漸次薄く形成されている請求項1記載の内視鏡の鉗子栓。   The endoscopic forceps plug according to claim 1, wherein the small hole is formed at a central position of the outer closing membrane, and the thickness of the outer closing membrane is gradually reduced from the peripheral side to the central side.
JP2007194070A 2007-07-26 2007-07-26 Forcipate plug of endoscope Pending JP2009028197A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2564758A1 (en) 2011-08-29 2013-03-06 Fujifilm Corporation Forceps plug for endoscope
CN103006163A (en) * 2011-09-27 2013-04-03 富士胶片株式会社 Closure device for end opening and endoscope
JP2014523758A (en) * 2011-05-31 2014-09-18 バイエル・エシュア・インコーポレイテッド System for reducing fluid leakage and ejection from an endoscopic medical procedure

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2014523758A (en) * 2011-05-31 2014-09-18 バイエル・エシュア・インコーポレイテッド System for reducing fluid leakage and ejection from an endoscopic medical procedure
EP2564758A1 (en) 2011-08-29 2013-03-06 Fujifilm Corporation Forceps plug for endoscope
CN103006163A (en) * 2011-09-27 2013-04-03 富士胶片株式会社 Closure device for end opening and endoscope
JP2013070763A (en) * 2011-09-27 2013-04-22 Fujifilm Corp Plug body for endoscope and endoscope including the same

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