JP2009268760A - Endoscope - Google Patents

Endoscope Download PDF

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JP2009268760A
JP2009268760A JP2008122806A JP2008122806A JP2009268760A JP 2009268760 A JP2009268760 A JP 2009268760A JP 2008122806 A JP2008122806 A JP 2008122806A JP 2008122806 A JP2008122806 A JP 2008122806A JP 2009268760 A JP2009268760 A JP 2009268760A
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endoscope
ring
diameter
flexible
connection ring
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JP5097614B2 (en
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Genki Kobayashi
元起 小林
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Hoya Corp
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Hoya Corp
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Abstract

<P>PROBLEM TO BE SOLVED: To provide an endoscope, wherein the movements of a flexible endoscope element within a connection ring (provided from a flexible tube to the inner space of an insertion part), whose diameter increases toward its end, are smoothed to prevent the flexible endoscope element from damages or malfunction. <P>SOLUTION: In the endoscope, the connection ring having a taper hole with its diameter increasing toward the inner space of the operation part is fixed at the end of a flexible tube on the side of the operation part located in the insertion part that is smaller in diameter than the operation part, and the continuous flexible endoscope element is inserted into the inner space of the operation part, the connection ring with the taper hole, and the flexible tube. Rolling balls are provided at the small-diameter end of the taper hole of the connection ring in the state of touching the flexible endoscope element. These balls rotate by the relative moves of the flexible endoscope element. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

本発明は、挿入部内に可撓性を有する可撓管を備えた内視鏡に関する。   The present invention relates to an endoscope including a flexible tube having flexibility in an insertion portion.

医療用や工業用の内視鏡は、屈曲した経路の観察対象内への挿入を容易にするべく、操作部の先端に、該操作部より小径で可撓性のある挿入部を備えている。一般的に、挿入部内には可撓管が位置しており、この可撓管の操作部側端部に、操作部の内部空間に向けて拡径するテーパ穴を有する金属製の拡径接続環が固定されて、上記操作部の内部空間、拡径接続環及び可撓管内を、送気・送水チューブやCCD信号ケーブル等の連続した可撓内視鏡要素が挿通している。このような内視鏡は、例えば特許文献1〜3に記載されている。
特開平08−187221号公報 特開平11−178783号公報 特開2002−345741号公報
Medical and industrial endoscopes are provided with an insertion portion that is smaller in diameter and more flexible than the operation portion at the distal end of the operation portion in order to facilitate insertion of a bent path into an observation target. . Generally, a flexible tube is positioned in the insertion portion, and a metal diameter expansion connection having a tapered hole that expands toward the inner space of the operation portion at the operation portion side end portion of the flexible tube. The ring is fixed, and a continuous flexible endoscope element such as an air / water supply tube or a CCD signal cable is inserted through the internal space of the operation section, the enlarged diameter connection ring and the flexible tube. Such endoscopes are described in Patent Documents 1 to 3, for example.
Japanese Patent Laid-Open No. 08-187221 Japanese Patent Application Laid-Open No. 11-178783 Japanese Patent Laid-Open No. 2002-345741

しかしながら、例えば経鼻内視鏡に代表される、挿入部すなわち可撓管を細径化した内視鏡では、細径であるほど操作部内部での可動スペースが増えるため、挿入部が湾曲したときに可撓管から操作部内部に至る拡径接続環で可撓内視鏡要素が擦れ、可撓内視鏡要素の破損や故障が生じるおそれがあった。図16は、従来構造の内視鏡であって、金属製の拡径接続環50’と可撓内視鏡要素E’の接触部分を破線で示している。   However, in an endoscope represented by, for example, a nasal endoscope, that is, an endoscope having a thin flexible tube, the movable space inside the operation unit increases as the diameter decreases, so the insertion portion is curved. Sometimes, the flexible endoscope element is rubbed by the enlarged connection ring extending from the flexible tube to the inside of the operation unit, and the flexible endoscope element may be damaged or broken. FIG. 16 shows an endoscope having a conventional structure, in which a contact portion between a metal expanded connection ring 50 'and a flexible endoscope element E' is indicated by a broken line.

本発明は、可撓管から挿入部の内部空間に至る拡径接続環内で可撓内視鏡要素の動きをスムーズにし、可撓内視鏡要素の破損及び故障を防止可能な内視鏡を提供することを目的とする。   The present invention provides an endoscope capable of smooth movement of a flexible endoscope element in a diameter expanding connection ring extending from a flexible tube to an internal space of an insertion portion, and preventing damage and failure of the flexible endoscope element. The purpose is to provide.

本発明は、大径の操作部の先端に該操作部より小径で可撓性のある挿入部を備え、上記挿入部内には可撓管が位置していて、この可撓管の操作部側端部に、該操作部の内部空間に向けて拡径するテーパ穴を有する拡径接続環が固定され、上記操作部内空間、拡径接続環及び可撓管内に、連続した可撓内視鏡要素を挿入した内視鏡において、上記拡径接続環のテーパ穴の小径側端部に、可撓内視鏡要素と接触し、該可撓内視鏡要素との相対移動により転動する転動体を設けたことを特徴としている。   The present invention has a flexible insertion portion having a smaller diameter than the operation portion at the distal end of the large diameter operation portion, and a flexible tube is located in the insertion portion. A diameter-expanded connection ring having a tapered hole that expands toward the inner space of the operation portion is fixed to the end, and the flexible endoscope is continuous in the operation-unit inner space, the diameter expansion connection ring, and the flexible tube. In the endoscope in which the element is inserted, the flexible endoscope element comes into contact with the small diameter side end portion of the tapered hole of the diameter expansion connecting ring and rolls by relative movement with the flexible endoscope element. It features a moving body.

拡径接続環は、可撓管端部に固定される外環と、この外環の内側に位置して上記テーパ穴を有する内環とから構成される。この場合、転動体は球体とし、上記外環と内環の間に、円周方向に並べた多数の球体が回転自在に支持されていることが好ましい。球体には、鋼球または樹脂球を用いることができる。外環は金属製であって、内環は合成樹脂製とすることが好ましい。上記外環と内環の球体側の端部には、該球体の脱落を防ぐ脱落防止環状縁を設けるのがよい。円周方向に並んだ多数の球体は、各球体の直径部分に穿設した連結穴内に挿通した連結紐で連結することができ、これによって球体の部分的な脱落を防止できる。   The enlarged diameter connection ring is composed of an outer ring fixed to the end of the flexible tube, and an inner ring having the tapered hole located inside the outer ring. In this case, the rolling element is preferably a sphere, and a large number of spheres arranged in the circumferential direction are preferably rotatably supported between the outer ring and the inner ring. A steel ball or a resin ball can be used as the sphere. The outer ring is preferably made of metal and the inner ring is preferably made of synthetic resin. It is preferable to provide a drop-off preventing annular edge that prevents the spheres from dropping off at the ends of the outer ring and the inner ring on the sphere side. A large number of spheres arranged in the circumferential direction can be connected by a connecting string inserted into a connecting hole formed in the diameter portion of each sphere, thereby preventing a part of the sphere from dropping off.

別の態様として、転動体には、軸線方向に長い複数のローラを用いることができる。具体的に、これら複数のローラは、そのローラの軸線を拡径接続環の直径と平行な方向に向けて拡径接続環の円周方向に配置し、その軸部に穿設した軸穴に挿通されて拡径接続環に支持された軸部材を中心に回転自在に支持することが好ましい。上記複数のローラは、拡径接続環本体と、該拡径接続環本体の内側に固定され上記テーパ面を有する別テーパ環との間に支持することができる。この態様によれば、拡径接続環本体と別テーパ環によって複数のローラを抜け止めできる。   As another aspect, a plurality of rollers that are long in the axial direction can be used for the rolling elements. Specifically, these plurality of rollers are arranged in the circumferential direction of the enlarged diameter connection ring with the axis of the roller directed in a direction parallel to the diameter of the enlarged diameter connection ring, and in the shaft hole formed in the shaft portion. It is preferable that the shaft member inserted and supported by the enlarged diameter connection ring is rotatably supported around the shaft member. The plurality of rollers can be supported between the enlarged connection ring main body and another tapered ring which is fixed inside the enlarged connection ring main body and has the tapered surface. According to this aspect, the plurality of rollers can be prevented from coming off by the enlarged diameter connecting ring main body and the separate tapered ring.

本発明によれば、可撓内視鏡要素が拡径接続環内を通過するとき、可撓内視鏡要素に接触する転動体が可撓内視鏡要素との相対移動によって転動するので、可撓内視鏡要素にかかる摩擦による負荷は軽減され、可撓内視鏡要素の動きがスムーズになり、可撓内視鏡要素の破損及び故障を防止可能な内視鏡を提供できる。   According to the present invention, when the flexible endoscope element passes through the enlarged diameter connecting ring, the rolling element in contact with the flexible endoscope element rolls due to relative movement with the flexible endoscope element. Thus, it is possible to provide an endoscope in which a load caused by friction applied to the flexible endoscope element is reduced, the movement of the flexible endoscope element becomes smooth, and damage and failure of the flexible endoscope element can be prevented.

図1ないし図15を参照して、本発明による内視鏡の一実施形態を説明する。図1に示す電子内視鏡10は医療用の内視鏡であり、体腔内に挿入される挿入部11とその基部側に接続された操作部12を有している。   An embodiment of an endoscope according to the present invention will be described with reference to FIGS. An electronic endoscope 10 shown in FIG. 1 is a medical endoscope, and includes an insertion portion 11 to be inserted into a body cavity and an operation portion 12 connected to the base side thereof.

挿入部11は、先端側から順に先端部13、湾曲部14及び可撓管部15を有し、可撓管部15を介して操作部12に接続している。先端部13は、硬性部材からなる先端部本体(不図示)を有し、この先端部本体に、図示しない対物レンズ保持孔、配光レンズ保持孔、送気送水チャンネル出口、処置具挿通チャンネル出口等が形成されている。対物レンズ保持孔と配光レンズ保持孔には結像用の対物レンズと照明用の配光レンズが保持され、さらに対物レンズの後方に、図示しないCCD(撮像素子)が配置されている。湾曲部14は、操作部12に設けた湾曲操作ノブ20A、20Bの回動操作によって任意に曲げられる。湾曲部14の湾曲状態は、操作部12に設けたロックノブ21A及びロックレバー21Bの操作によって固定可能である。ロックノブ21Aは湾曲部14を左右方向に湾曲させる湾曲操作ノブ20Aの回動を規制し、ロックレバー21Bは湾曲部14を上下方向に湾曲させる湾曲操作ノブ20Bの回動を規制する。可撓管部15は、図2に示されるように、可撓性を有する可撓管(外囲管)39によってその外形が構成されている。可撓管39の基端部側(挿入部12側)の一部領域は、円錐状の折れ止めゴム管44によって覆われており、該折れ止めゴム管44によって可撓管39が過度に曲がらないように規制される。この可撓管部15の折れ止めゴム管44で覆われる部分は、観察対象内に挿入されない。   The insertion portion 11 includes a distal end portion 13, a bending portion 14, and a flexible tube portion 15 in order from the distal end side, and is connected to the operation unit 12 via the flexible tube portion 15. The distal end portion 13 has a distal end portion main body (not shown) made of a rigid member. The distal end portion main body has an objective lens holding hole, a light distribution lens holding hole, an air / water supply channel outlet, a treatment instrument insertion channel outlet (not shown). Etc. are formed. An objective lens for image formation and a light distribution lens for illumination are held in the objective lens holding hole and the light distribution lens holding hole, and a CCD (imaging device) (not shown) is arranged behind the objective lens. The bending portion 14 is arbitrarily bent by a turning operation of the bending operation knobs 20A and 20B provided in the operation unit 12. The bending state of the bending portion 14 can be fixed by operating the lock knob 21A and the lock lever 21B provided in the operation portion 12. The lock knob 21A restricts the rotation of the bending operation knob 20A that bends the bending portion 14 in the left-right direction, and the lock lever 21B restricts the rotation of the bending operation knob 20B that causes the bending portion 14 to bend in the vertical direction. As shown in FIG. 2, the outer shape of the flexible tube portion 15 is configured by a flexible tube (outer tube) 39 having flexibility. A partial region on the proximal end side (insertion portion 12 side) of the flexible tube 39 is covered with a conical anti-fold rubber tube 44, and the flexible tube 39 is bent excessively by the anti-fold rubber tube 44. Not regulated. The portion of the flexible tube portion 15 that is covered with the bend preventing rubber tube 44 is not inserted into the observation target.

操作部12からはユニバーサルチューブ22が延出されており、該ユニバーサルチューブ22の端部には、不図示のプロセッサに接続するコネクタ部23が設けられている。コネクタ部23には、図2に示す信号伝送用ケーブル30やライトガイド31の端部、送気チャンネル32や送水チャンネル33の入口等が臨んでおり、コネクタ部23をプロセッサに接続することによって、信号伝送用ケーブル30、ライトガイド31、送気チャンネル32及び送水チャンネル33はそれぞれ、プロセッサ側の画像処理装置、光源、送気源及び送水源に接続される。先端部13の対物レンズからCCDの受光面に入った観察対象の像はCCDで光電変換され、該CCDからユニバーサルチューブ22末端のコネクタ部23まで配設された前述の信号伝送用ケーブル30を介して、電子画像としてプロセッサに送られる。プロセッサでは、電子画像をモニタに表示したり画像記録媒体に記録したりすることができる。操作部12には、画像処理関連の遠隔操作を行うための複数のリモート操作ボタンスイッチ35が設けられている。また、先端部13の配光レンズには、ユニバーサルチューブ22のコネクタ部23から先端部13まで配設された前述のライトガイド31を介して、プロセッサに設けた光源からの照明光が与えられる。   A universal tube 22 extends from the operation unit 12, and a connector unit 23 connected to a processor (not shown) is provided at the end of the universal tube 22. The connector portion 23 faces the signal transmission cable 30 and the end of the light guide 31 shown in FIG. 2, the inlet of the air supply channel 32 and the water supply channel 33, and the like, by connecting the connector portion 23 to the processor, The signal transmission cable 30, the light guide 31, the air supply channel 32, and the water supply channel 33 are connected to an image processing device on the processor side, a light source, an air supply source, and a water supply source, respectively. The image of the observation object that has entered the light receiving surface of the CCD from the objective lens at the distal end portion 13 is photoelectrically converted by the CCD, and passes through the signal transmission cable 30 arranged from the CCD to the connector portion 23 at the end of the universal tube 22. And sent to the processor as an electronic image. The processor can display an electronic image on a monitor or record it on an image recording medium. The operation unit 12 is provided with a plurality of remote operation button switches 35 for performing remote operations related to image processing. Further, illumination light from a light source provided in the processor is given to the light distribution lens of the distal end portion 13 through the above-described light guide 31 disposed from the connector portion 23 of the universal tube 22 to the distal end portion 13.

また操作部12には、送気送水ボタン36、処置具挿入口突起37及び吸引ボタン38が設けられている。送気送水ボタン36を押し込むと、プロセッサ側に設けた送水源と送水チャンネル33が連通し、該送水チャンネル33内に送水される。先端部13に設けた送水チャンネル33の出口には対物レンズに向けてノズルが設けられていて、送水チャンネル33に送られた洗浄水などの液体は、該ノズルから対物レンズへ向けて噴出され、対物レンズを洗浄する。また、送気送水ボタン36の上面には図示しない孔が設けられており、この孔を塞ぐと、プロセッサ側に設けた送気源の正圧が送気チャンネル32に作用して空気が送られる。送水チャンネル33と同様に、先端部13に設けた送気チャンネル32の出口には対物レンズに向けてノズルが設けられていて、送気チャンネル32に空気が送られると、該ノズルから対物レンズへ向けて空気が噴出し、対物レンズに付着した洗浄水の水滴や、体液などその他の液体の水滴を除去することができる。   The operation unit 12 is provided with an air / water button 36, a treatment instrument insertion port protrusion 37, and a suction button 38. When the air / water supply button 36 is pushed in, the water supply source provided on the processor side communicates with the water supply channel 33 and water is supplied into the water supply channel 33. A nozzle is provided toward the objective lens at the outlet of the water supply channel 33 provided at the tip portion 13, and a liquid such as washing water sent to the water supply channel 33 is ejected from the nozzle toward the objective lens. Wash the objective lens. Further, a hole (not shown) is provided on the upper surface of the air / water supply button 36. When this hole is closed, the positive pressure of the air supply source provided on the processor side acts on the air supply channel 32 to send air. . Similarly to the water supply channel 33, a nozzle is provided at the outlet of the air supply channel 32 provided at the distal end portion 13 toward the objective lens, and when air is sent to the air supply channel 32, the nozzle to the objective lens is provided. Air can be ejected toward the objective lens to remove water droplets of cleaning water and other liquids such as body fluids.

処置具挿入口突起37は、鉗子や高周波焼灼処置具といった処置具を挿入するためのもので、該処置具挿入口突起37から内視鏡内方に向けて、処置具挿通チャンネル34(図2)が延設されている。処置具挿通チャンネル34は、先端部13に形成した処置具挿通チャンネル出口に連通しており、処置具挿入口突起37から挿入された処置具は、処置具挿通チャンネル34を通って処置具挿通チャンネル出口から突出させることができる。処置具挿通チャンネル34はまた、電子内視鏡10の外部に設けた図示されない負圧源(吸引源)にも接続されている。よって、処置具挿通チャンネル34に対しては、処置具挿入口突起37を介して鉗子等の処置具を挿入することと、負圧源を介して負圧をかけることが可能である。この処置具挿通チャンネル34を吸引用の管路として使用するときには、吸引ボタン38を押圧する。すると、負圧源側の管路と処置具挿通チャンネル34が連通されて、負圧が処置具挿通チャンネル34に作用し、処置具挿通チャンネル出口から体液等の流体を吸引することができる。   The treatment tool insertion port projection 37 is for inserting a treatment tool such as forceps or a high-frequency cautery treatment tool, and the treatment tool insertion channel 34 (FIG. 2) extends from the treatment tool insertion port projection 37 toward the inside of the endoscope. ) Is extended. The treatment instrument insertion channel 34 communicates with a treatment instrument insertion channel outlet formed at the distal end portion 13, and the treatment instrument inserted from the treatment instrument insertion port projection 37 passes through the treatment instrument insertion channel 34 and is treated as a treatment instrument insertion channel. Can protrude from the outlet. The treatment instrument insertion channel 34 is also connected to a negative pressure source (suction source) (not shown) provided outside the electronic endoscope 10. Therefore, it is possible to insert a treatment tool such as forceps through the treatment tool insertion port projection 37 and apply a negative pressure to the treatment tool insertion channel 34 through a negative pressure source. When the treatment instrument insertion channel 34 is used as a suction conduit, the suction button 38 is pressed. Then, the negative pressure source side pipe line and the treatment instrument insertion channel 34 are communicated with each other, so that negative pressure acts on the treatment instrument insertion channel 34 and fluid such as a body fluid can be sucked from the treatment instrument insertion channel outlet.

前述の湾曲部14、可撓管部15及び操作部12内を挿通する内視鏡要素(内蔵物)、すなわち、信号伝送用ケーブル30、ライトガイド31、送気チャンネル32、送水チャンネル33及び処置具挿通チャンネル34は、湾曲部14の湾曲操作や可撓管部15の変形に対応するように可撓性を有している。   Endoscopic elements (built-in) that pass through the bending portion 14, the flexible tube portion 15, and the operation portion 12, that is, the signal transmission cable 30, the light guide 31, the air supply channel 32, the water supply channel 33, and the treatment. The instrument insertion channel 34 has flexibility so as to correspond to the bending operation of the bending portion 14 and the deformation of the flexible tube portion 15.

図3は、可撓管部15の基端側(操作部側端部)を拡大して示している。可撓管39は、最も外側に位置する可撓管外皮40、その内側に位置する網状管41、螺旋管42、及び樹脂製の内面チューブ43を重ねた形態となっている。可撓管外皮40はポリウレタン等のエラストーマーで形成され、内面チューブ43は樹脂材料で形成されており、それぞれが非通気(及び非通水)性と非導電性を有している。この可撓管外皮40と内面チューブ43の間に配された螺旋管42は、可撓管39に一定の曲げ剛性を付与する。また、網状管41は、ステンレス金属素線を編組して形成されており、主として可撓管39の長手方向への伸びを防いでいる。可撓管39は、その径φが内視鏡の用途に応じて異なる。例えば経鼻用内視鏡に代表される細径内視鏡では、可撓管部15がφ=5mm〜6mm程度と非常に細径化されている。   FIG. 3 shows an enlarged view of the proximal end side (operation portion side end portion) of the flexible tube portion 15. The flexible tube 39 has a form in which an outermost flexible tube outer skin 40, a mesh tube 41, a spiral tube 42, and an inner tube 43 made of resin are stacked. The flexible tube outer skin 40 is made of an elastomer such as polyurethane, and the inner tube 43 is made of a resin material, each of which has non-ventilating (and non-water-permeable) and non-conductive properties. The spiral tube 42 disposed between the flexible tube outer skin 40 and the inner surface tube 43 imparts a certain bending rigidity to the flexible tube 39. Further, the mesh tube 41 is formed by braiding a stainless metal wire, and mainly prevents the flexible tube 39 from extending in the longitudinal direction. The diameter φ of the flexible tube 39 varies depending on the use of the endoscope. For example, in a small-diameter endoscope represented by a nasal endoscope, the flexible tube portion 15 has a very small diameter of about φ = 5 mm to 6 mm.

可撓管39の基端(操作部側端部)には、該可撓管39を操作部12に接続する拡径接続環50が固定されている。拡径接続環50は、操作部12の先端側内周面に接合する凹凸部51aを外周面に形成した金属製の外環51と、該外環51の内側に位置して可撓内視鏡要素と接触する合成樹脂製の内環52とからなり、全体としては可撓性を有さず、可撓管39及び折れ止めゴム管44を支持している。内環52は、可撓管39の軸線Cを中心とするねじ53によって、外環51にねじ結合されている。内環52の内周面には、その内径を可撓管39側から操作部12の内部空間に向けて除々に拡げたテーパ穴54が形成されている。本実施形態のテーパ穴54は、可撓管39側の小径テーパ穴部から操作部12側の大径テーパ穴部まですべて内環52に形成されているが、少なくとも可撓管39側の小径テーパ穴部を内環52に形成し、操作部12側の大径テーパ穴部は外環51の内周面に形成してもよい。内環52を構成する合成樹脂材料には、具体的に四フッ化エチレン樹脂、POM(ポリアセタール)、PA(ポリアミド)、ポリオレフィン系を用いる。   A diameter-expanded connection ring 50 that connects the flexible tube 39 to the operation unit 12 is fixed to the proximal end (operation unit side end) of the flexible tube 39. The enlarged diameter connection ring 50 includes a metal outer ring 51 having an uneven surface 51a formed on the outer peripheral surface, which is joined to the inner peripheral surface on the distal end side of the operation unit 12, and a flexible internal view located inside the outer ring 51. The inner ring 52 is made of a synthetic resin and comes into contact with the mirror element. The inner ring 52 is not flexible as a whole, and supports the flexible tube 39 and the bend preventing rubber tube 44. The inner ring 52 is screwed to the outer ring 51 by a screw 53 centered on the axis C of the flexible tube 39. A tapered hole 54 is formed on the inner peripheral surface of the inner ring 52, the inner diameter of which is gradually expanded from the flexible tube 39 side toward the internal space of the operation unit 12. The tapered holes 54 of the present embodiment are all formed in the inner ring 52 from the small diameter tapered hole portion on the flexible tube 39 side to the large diameter tapered hole portion on the operation portion 12 side, but at least the small diameter on the flexible tube 39 side is formed. The tapered hole portion may be formed in the inner ring 52, and the large diameter tapered hole portion on the operation portion 12 side may be formed on the inner peripheral surface of the outer ring 51. As the synthetic resin material constituting the inner ring 52, specifically, tetrafluoroethylene resin, POM (polyacetal), PA (polyamide), and polyolefin are used.

上記拡径接続環50には、テーパ穴54の小径テーパ穴部側端部に位置させて、テーパ穴54を挿通する可撓内視鏡要素に接触し、該可撓内視鏡要素との相対移動により転動する転動体60が設けられている。電子内視鏡10は、以下に説明するように、この転動体60により、可撓管部15から操作部12に至る拡径接続環50で可撓内視鏡要素に生じる摩擦を軽減することができる。   The enlarged diameter connecting ring 50 is positioned at the end of the tapered hole 54 on the side of the small diameter tapered hole, and comes into contact with the flexible endoscope element that passes through the tapered hole 54. A rolling element 60 that rolls by relative movement is provided. As will be described below, the electronic endoscope 10 reduces friction generated in the flexible endoscope element by the rolling element 60 in the enlarged diameter connection ring 50 extending from the flexible tube portion 15 to the operation portion 12. Can do.

図3ないし図5は、転動体60の第1実施例を示している。図4は図3の転動体部分を拡大して示し、図5は図3のV−V線に沿う断面を示している。   3 to 5 show a first embodiment of the rolling element 60. 4 shows an enlarged view of the rolling element portion of FIG. 3, and FIG. 5 shows a cross section taken along line VV of FIG.

第1実施例による転動体60は、拡径接続環50の外環51と内環52の間に回転自在に支持された多数の球体61で構成されている。多数の球体61は、剛球または樹脂球からなり、各々が独立している。各球体61は、図4及び図5に示されるように、テーパ穴54よりも可撓管39の軸線C側に一部突出した状態で該テーパ穴54の円周方向に沿って隙間なく並べられ、外環51及び内環52の球体側の端部に形成された脱落防止環状縁55a、55bによって各球体61の脱落が防止されている。   The rolling element 60 according to the first embodiment is composed of a large number of spheres 61 that are rotatably supported between an outer ring 51 and an inner ring 52 of the enlarged diameter connection ring 50. The large number of spheres 61 are made of rigid spheres or resin spheres, and each is independent. As shown in FIGS. 4 and 5, the spheres 61 are arranged without gaps along the circumferential direction of the tapered hole 54 in a state of partially protruding from the tapered hole 54 toward the axis C side of the flexible tube 39. Further, the spheres 61 are prevented from falling off by the drop-off preventing annular edges 55a and 55b formed at the sphere side ends of the outer ring 51 and the inner ring 52.

可撓内視鏡要素は、拡径接続環50(テーパ穴54)を挿通する際に、外環51及び内環52には接触せず、拡径接続環50の内径を最小とする多数の球体61に接触する。すると、多数の球体61は、可撓内視鏡要素との相対移動により回転して該可撓内視鏡要素に生じる摩擦を低減させ、可撓内視鏡要素の動きをスムーズにする。図4の矢印方向は、可撓内視鏡要素との相対移動により回転する球体61の回転方向を示している。なお、外環51及び内環52は、球体61と接触する面に摩擦低減のための表面処理を施してもよい。表面処理としては、例えば、フッ素系樹脂やDLC(ダイヤモンドライクカーボン)等の材料を球体61と接触する面に塗布することができる。   When the flexible endoscope element is inserted through the enlarged diameter connection ring 50 (tapered hole 54), the flexible endoscope element does not contact the outer ring 51 and the inner ring 52, and a large number of the inner diameters of the enlarged diameter connection ring 50 are minimized. Contact the sphere 61. Then, the large number of spheres 61 are rotated by relative movement with the flexible endoscope element to reduce friction generated in the flexible endoscope element, and the movement of the flexible endoscope element is made smooth. The arrow direction in FIG. 4 indicates the rotation direction of the sphere 61 that rotates by relative movement with the flexible endoscope element. Note that the outer ring 51 and the inner ring 52 may be subjected to a surface treatment for reducing friction on the surface in contact with the sphere 61. As the surface treatment, for example, a material such as a fluorine-based resin or DLC (diamond-like carbon) can be applied to the surface in contact with the sphere 61.

この第1実施例では、テーパ穴54の円周方向に隙間なく多数の球体61を設けてあるが、テーパ穴54の円周方向に隙間をあけて多数の球体61を設ける構成としてもよく、多数の球体61の間隔は任意に設定できる。   In this first embodiment, a large number of spheres 61 are provided without gaps in the circumferential direction of the tapered hole 54, but a configuration may be adopted in which a large number of spheres 61 are provided with a gap in the circumferential direction of the tapered hole 54. The intervals between the many spheres 61 can be set arbitrarily.

図6ないし図10は、転動体60の第2実施例を示している。図6及び図7は可撓管部15の基端側(操作部側端部)を拡大して示し、図8は図7の転動体部分を拡大して示している。また、図9は図7のIX−IX線に沿う断面を示し、図10は転動体60の一部を抜き出して拡大して示している。   6 to 10 show a second embodiment of the rolling element 60. 6 and 7 show an enlarged view of the proximal end side (operation part side end) of the flexible tube portion 15, and FIG. 8 shows an enlarged view of the rolling element portion of FIG. 9 shows a cross section taken along the line IX-IX in FIG. 7, and FIG. 10 shows a part of the rolling element 60 extracted and enlarged.

第2実施例による転動体60は、連結紐62によって環状に連結された多数の球体63で構成されている。多数の球体63は、拡径接続環50の外環51と内環52の間に、テーパ穴54よりも可撓管39の軸線C側に一部突出した状態でテーパ穴54の円周方向に沿って隙間なく並べられ、各々が連結紐62を軸中心として回転自在に支持されている。各球体63は、剛球または樹脂球からなり、連結紐62を挿通するための連結穴63aが該球体63の直径部分に穿設されている。このように多数の球体63を連結することで、球体63の部分的な脱落を防止でき、第1実施例の脱落防止環状縁55a、55bの省略が可能となる。同時に、多数の球体63を個々に設ける場合(第1実施例)よりも拡径接続環50への取付が容易となる。   The rolling element 60 according to the second embodiment is composed of a large number of spheres 63 connected in an annular shape by connecting strings 62. A large number of the spheres 63 are arranged between the outer ring 51 and the inner ring 52 of the enlarged diameter connection ring 50 in the circumferential direction of the tapered hole 54 in a state of partially protruding from the tapered hole 54 toward the axis C side of the flexible tube 39. Are arranged without gaps, and each is supported rotatably about the connecting string 62 as an axis. Each sphere 63 is made of a rigid sphere or a resin sphere, and a connection hole 63 a for inserting the connection string 62 is formed in a diameter portion of the sphere 63. By connecting a large number of the spheres 63 in this way, it is possible to prevent the spheres 63 from partially falling off, and the omission prevention annular edges 55a and 55b of the first embodiment can be omitted. At the same time, attachment to the enlarged connection ring 50 is easier than when a large number of spheres 63 are provided individually (first embodiment).

可撓内視鏡要素は、拡径接続環50(テーパ穴54)を挿通する際に、外環51及び内環52には接触せず、拡径接続環50の内径を最小とする多数の球体63に接触する。すると、可撓内視鏡要素と接触した球体63が該可撓内視鏡要素との相対移動により回転して該可撓内視鏡要素に生じる摩擦を低減させ、可撓内視鏡要素の動きをスムーズにする。図8及び図10の矢印方向は、可撓内視鏡要素との相対移動により回転する球体63の回転方向を示している。   When the flexible endoscope element is inserted through the enlarged diameter connection ring 50 (tapered hole 54), the flexible endoscope element does not contact the outer ring 51 and the inner ring 52, and a large number of the inner diameters of the enlarged diameter connection ring 50 are minimized. Contact the sphere 63. Then, the sphere 63 in contact with the flexible endoscope element is rotated by relative movement with the flexible endoscope element to reduce friction generated in the flexible endoscope element, and Smooth movement. The arrow directions in FIGS. 8 and 10 indicate the rotation direction of the sphere 63 that rotates by relative movement with the flexible endoscope element.

図11ないし図15は、転動体60の第3実施例を示している。図11及び図12は可撓管部15の基端側(操作部側端部)を拡大して示し、図13は図12の転動体部分を拡大して示している。また、図14は図12のXIV−XIV線に沿う断面を示し、図15は転動体60を抜き出して拡大して示している。   11 to 15 show a third embodiment of the rolling element 60. 11 and 12 show an enlarged view of the proximal end side (operation portion side end) of the flexible tube portion 15, and FIG. 13 shows an enlarged view of the rolling element portion of FIG. 14 shows a cross section taken along line XIV-XIV in FIG. 12, and FIG. 15 shows the rolling element 60 extracted and enlarged.

第3実施例による転動体60は、拡径接続環50の外環(拡径接続環本体)51と内環(別テーパ環)52の間に配置した、軸線方向に長い複数のローラ65で構成されている。複数のローラ65は、図14に示されるように、その軸線を拡径接続環50の直径と平行な方向に向けて、テーパ穴54(拡径接続環50)の円周方向に配置されている。この実施例では、テーパ穴54を挟んで対向するようにローラ65を対で2組備えてある。各ローラ65は、図15に詳細に示されるように、軸線方向に沿う軸穴65aを穿設した回転部65bと軸穴65aに挿通されて両端が外環51に固定されたコ字形状の軸部65cからなり、軸部65cを中心に回転自在に支持されている。軸部65cを外環51に対して固定する方向(外環51に固定された軸部65cの両端部)は、可撓管39の軸線方向Cと平行になっている(図13)。この固定方向により転動体60が拡径接続環50から脱落しにくい。   The rolling element 60 according to the third embodiment is composed of a plurality of rollers 65 which are arranged between the outer ring (expanded connection ring main body) 51 and the inner ring (separately tapered ring) 52 of the expanded connection ring 50 and which are long in the axial direction. It is configured. As shown in FIG. 14, the plurality of rollers 65 are arranged in the circumferential direction of the tapered hole 54 (the enlarged connection ring 50) with its axis line oriented in a direction parallel to the diameter of the enlarged connection ring 50. Yes. In this embodiment, two pairs of rollers 65 are provided so as to face each other with the taper hole 54 interposed therebetween. As shown in detail in FIG. 15, each roller 65 is formed in a U-shape in which both ends are fixed to the outer ring 51 through a rotating portion 65 b having a shaft hole 65 a along the axial direction and the shaft hole 65 a. The shaft portion 65c is supported so as to be rotatable about the shaft portion 65c. The direction in which the shaft portion 65c is fixed to the outer ring 51 (both ends of the shaft portion 65c fixed to the outer ring 51) is parallel to the axial direction C of the flexible tube 39 (FIG. 13). This rolling direction makes it difficult for the rolling element 60 to fall off the enlarged diameter connection ring 50.

可撓内視鏡要素は、拡径接続環50(テーパ穴54)を挿通する際に、外環51及び内環52には接触せず、テーパ穴54よりも可撓管39の軸線C側に一部突出している(拡径接続環50の内径を最小とする)ローラ65に接触する。すると、複数のローラ65のうち、可撓内視鏡要素に接触したローラ65のみが可撓内視鏡要素との相対移動により回転して該可撓内視鏡要素に生じる摩擦を低減させ、可撓内視鏡要素の動きをスムーズにする。この第3実施例によれば、各ローラ65が独立に回転自在であるから、可撓内視鏡要素と接触しないローラ65は回転せず、意図しない摩擦を生じさせるおそれがない。図13及び図15の矢印方向は、可撓内視鏡要素との相対移動により回転するローラ65(回転部65b)の回転方向を示している。   The flexible endoscope element does not contact the outer ring 51 and the inner ring 52 when passing through the enlarged diameter connection ring 50 (tapered hole 54), and is closer to the axis C side of the flexible tube 39 than the tapered hole 54. In contact with a roller 65 that partially protrudes (in which the inner diameter of the enlarged diameter connecting ring 50 is minimized). Then, among the plurality of rollers 65, only the roller 65 that is in contact with the flexible endoscope element is rotated by relative movement with the flexible endoscope element to reduce friction generated in the flexible endoscope element, Smooth movement of the flexible endoscope element. According to the third embodiment, since each roller 65 can rotate independently, the roller 65 that does not contact the flexible endoscope element does not rotate, and there is no possibility of causing unintended friction. The arrow directions in FIGS. 13 and 15 indicate the rotation direction of the roller 65 (rotating portion 65b) that rotates by relative movement with the flexible endoscope element.

この第3実施例の拡径接続環50は、内環52がテーパ穴54を形成した内周面側から外環51にねじ53でねじ固定され、内環52と外環51によってテーパ穴54が形成されているが、第1実施例及び第2実施例の拡径接続環50と実質的に同一の機能を有するものである。   In the diameter expansion connecting ring 50 of the third embodiment, the inner ring 52 is fixed to the outer ring 51 with a screw 53 from the inner peripheral surface side where the tapered hole 54 is formed, and the tapered ring 54 is formed by the inner ring 52 and the outer ring 51. However, it has substantially the same function as the diameter expansion connecting ring 50 of the first and second embodiments.

図16は、従来構造の拡径接続環50’を可撓管39の基端に備えた内視鏡を示している。拡径接続環50’は、金属製であって、可撓管39から操作部12の内部空間に至る途中で拡径接続環50’の内周面と全面的に接触する構造となっている。このため、湾曲部の湾曲操作に伴って可撓内視鏡要素が挿入部及び操作部内を進退移動しようとするときに、拡径接続環50’との摩擦によって生じる負荷が可撓内視鏡要素E’にかかり、可撓内視鏡要素E’の破損や故障を引き起こしてしまう。特に、経鼻用内視鏡のような可撓管部が非常に細径化された細径内視鏡では、挿入部及び操作部内において可撓内視鏡要素の占めるスペースが少なく、可動スペースが増大するため、摩擦による負荷がよりかかりやすい。これに対し、拡径接続環50内に可撓内視鏡要素と接触し、該可撓内視鏡要素との相対移動により回転する転動体60を備えた本実施形態によれば、可撓管から挿入部の内部空間に至る拡径接続環内を挿通するときに可撓内視鏡要素に摩擦によりかかる負荷は軽減され、可撓内視鏡要素の破損や故障を防止できる。   FIG. 16 shows an endoscope in which a diameter-expanding connecting ring 50 ′ having a conventional structure is provided at the proximal end of the flexible tube 39. The enlarged diameter connection ring 50 ′ is made of metal and has a structure in which it is in full contact with the inner peripheral surface of the enlarged diameter connection ring 50 ′ in the middle from the flexible tube 39 to the internal space of the operation unit 12. . For this reason, when the flexible endoscope element tries to move forward and backward in the insertion portion and the operation portion in accordance with the bending operation of the bending portion, a load caused by friction with the enlarged-diameter connecting ring 50 ′ is applied to the flexible endoscope. It will be applied to the element E ′ and cause damage or failure of the flexible endoscope element E ′. In particular, in a small-diameter endoscope in which a flexible tube portion such as a nasal endoscope has a very small diameter, the space occupied by the flexible endoscope element is small in the insertion portion and the operation portion, and the movable space Therefore, a load due to friction is more likely to be applied. On the other hand, according to the present embodiment, which is provided with the rolling element 60 that contacts the flexible endoscope element in the enlarged diameter connection ring 50 and rotates by relative movement with the flexible endoscope element, The load applied to the flexible endoscope element due to friction when passing through the enlarged diameter connection ring extending from the tube to the internal space of the insertion portion is reduced, and damage and failure of the flexible endoscope element can be prevented.

本発明を適用した内視鏡の全体図である。1 is an overall view of an endoscope to which the present invention is applied. 同内視鏡の可撓管部と操作部の連結部分を示す断面図である。It is sectional drawing which shows the connection part of the flexible tube part and operation part of the endoscope. 第1実施例による転動体が設けられた、可撓管部を構成する可撓管の基端側(操作部側端部)を可撓管単体で示す断面図である。It is sectional drawing which shows the base end side (operation part side end part) of the flexible tube which comprises the flexible tube part in which the rolling element by 1st Example was provided with a flexible tube single-piece | unit. 図3の転動体部分を拡大して示す断面図である。It is sectional drawing which expands and shows the rolling-element part of FIG. 図3のV−V線に沿う断面図である。It is sectional drawing which follows the VV line of FIG. 第2実施例の内視鏡の可撓管部と操作部の連結部分を示す断面図である。It is sectional drawing which shows the connection part of the flexible tube part and operation part of the endoscope of 2nd Example. 第2実施例による転動体が設けられた、可撓管部を構成する可撓管の基端側(操作部側端部)を可撓管単体で示す断面図である。It is sectional drawing which shows the base end side (operation part side end part) of the flexible tube which comprises the flexible tube part in which the rolling element by 2nd Example was provided in the flexible tube single-piece | unit. 図7の転動体部分を拡大して示す断面図である。It is sectional drawing which expands and shows the rolling-element part of FIG. 図7のIX−IX線に沿う断面図である。It is sectional drawing which follows the IX-IX line of FIG. 図7の転動体の一部を抜き出して示す部分拡大図である。It is the elements on larger scale which extract and show a part of rolling element of FIG. 第3実施例の内視鏡の可撓管部と操作部の連結部分を示す断面図である。It is sectional drawing which shows the connection part of the flexible tube part and operation part of the endoscope of 3rd Example. 第3実施例による転動体が設けられた、可撓管部を構成する可撓管の基端側(操作部側端部)を可撓管単体で示す断面図である。It is sectional drawing which shows the base end side (operation part side end part) of the flexible tube which comprises the flexible tube part in which the rolling element by 3rd Example was provided with a flexible tube single-piece | unit. 図12の転動体部分を拡大して示す断面図である。It is sectional drawing which expands and shows the rolling-element part of FIG. 図12のXIV−XIV線に沿う断面図である。It is sectional drawing which follows the XIV-XIV line | wire of FIG. 図12の転動体の一部を抜き出して示す部分拡大図である。It is the elements on larger scale which extract and show a part of rolling element of FIG. 従来構造の拡径接続環を備えた内視鏡であって、可撓管部と操作部の連結部分を示す断面図である。It is an endoscope provided with the diameter expansion connection ring of the conventional structure, Comprising: It is sectional drawing which shows the connection part of a flexible tube part and an operation part.

符号の説明Explanation of symbols

10 電子内視鏡
11 挿入部
12 操作部
13 先端部
14 湾曲部
15 可撓管部
20A 20B 湾曲操作ノブ
21A ロックノブ
21B ロックレバー
22 ユニバーサルチューブ
23 コネクタ部
30 信号伝送用ケーブル
31 ライトガイド
32 送気チャンネル
33 送水チャンネル
34 処置具挿通チャンネル
35 リモート操作ボタンスイッチ
36 送気送水ボタン
37 処置具挿入口突起
38 吸引ボタン
39 可撓管
40 可撓管外皮
41 網状管
42 螺旋管
43 内面チューブ
44 折れ止めゴム管
50 拡径接続環
51 外環
52 内環
53 ねじ
54 テーパ穴
55a、55b 脱落防止環状縁
60 転動体
61、63 球体
62 連結紐
65 ローラ
DESCRIPTION OF SYMBOLS 10 Electronic endoscope 11 Insertion part 12 Operation part 13 Tip part 14 Bending part 15 Flexible tube part 20A 20B Bending operation knob 21A Lock knob 21B Lock lever 22 Universal tube 23 Connector part 30 Signal transmission cable 31 Light guide 32 Air supply channel 33 Water supply channel 34 Treatment tool insertion channel 35 Remote operation button switch 36 Air supply / water supply button 37 Treatment tool insertion port projection 38 Suction button 39 Flexible tube 40 Flexible tube outer skin 41 Reticulated tube 42 Spiral tube 43 Inner tube 44 Bending rubber tube 50 Expanded connection ring 51 Outer ring 52 Inner ring 53 Screw 54 Tapered holes 55a, 55b Fallout prevention annular edge 60 Rolling elements 61, 63 Spherical body 62 Connecting string 65 Roller

Claims (8)

大径の操作部の先端に該操作部より小径で可撓性のある挿入部を備え、上記挿入部内には可撓管が位置していて、この可撓管の操作部側端部に、該操作部の内部空間に向けて拡径するテーパ穴を有する拡径接続環が固定され、
上記操作部内空間、拡径接続環及び可撓管内に、連続した可撓内視鏡要素を挿入した内視鏡において、
上記拡径接続環のテーパ穴の小径側端部に、可撓内視鏡要素と接触し、該可撓内視鏡要素との相対移動により転動する転動体を設けたことを特徴とする内視鏡。
A distal end of a large-diameter operation part is provided with an insertion part that is smaller in diameter than the operation part and is flexible, and a flexible tube is located in the insertion part. An expanded connection ring having a tapered hole that expands toward the internal space of the operation portion is fixed,
In an endoscope in which a continuous flexible endoscope element is inserted into the operation portion internal space, the enlarged diameter connection ring and the flexible tube,
A rolling element that comes into contact with the flexible endoscope element and rolls by relative movement with the flexible endoscope element is provided at the small diameter side end portion of the tapered hole of the diameter expansion connecting ring. Endoscope.
請求項1記載の内視鏡において、拡径接続環は、可撓管端部に固定される外環と、この外環の内側に位置して上記テーパ穴を有する内環とからなり、上記転動体は球体であって、上記外環と内環の間に、円周方向に並べた多数の上記球体が回転自在に支持されている内視鏡。 The endoscope according to claim 1, wherein the diameter expansion connecting ring includes an outer ring fixed to the end of the flexible tube, and an inner ring positioned inside the outer ring and having the tapered hole. An endoscope in which a rolling element is a sphere, and a large number of the spheres arranged in a circumferential direction are rotatably supported between the outer ring and the inner ring. 請求項1または2記載の内視鏡において、球体は、鋼球または樹脂球からなる内視鏡。 The endoscope according to claim 1 or 2, wherein the sphere is a steel ball or a resin ball. 請求項2または3記載の内視鏡において、外環は金属製であって、内環は合成樹脂製である内視鏡。 The endoscope according to claim 2 or 3, wherein the outer ring is made of metal and the inner ring is made of synthetic resin. 請求項2ないし4のいずれか1項記載の内視鏡において、上記外環と内環の球体側の端部には、該球体の脱落を防ぐ脱落防止環状縁が形成されている内視鏡。 The endoscope according to any one of claims 2 to 4, wherein an outer edge of the outer ring and the inner ring on a sphere side is provided with a drop-off preventing annular edge that prevents the sphere from dropping off. . 請求項2ないし5のいずれか1項記載の内視鏡において、円周方向に並んだ多数の球体は、各球体の直径部分に穿設した連結穴内に挿通した連結紐で連結されている内視鏡。 The endoscope according to any one of claims 2 to 5, wherein a large number of spheres arranged in the circumferential direction are connected by a connecting string inserted into a connecting hole formed in a diameter portion of each sphere. Endoscope. 請求項1記載の内視鏡において、上記転動体は、軸線方向に長い複数のローラからなり、これらの複数のローラは、そのローラの軸線を拡径接続環の直径と平行な方向に向けて拡径接続環の円周方向に配置されていて、その軸部に穿設した軸穴に挿通され拡径接続環に支持された軸部材を中心に回転自在に支持されている内視鏡。 2. The endoscope according to claim 1, wherein the rolling element includes a plurality of rollers that are long in an axial direction, and the plurality of rollers directs the axis of the rollers in a direction parallel to the diameter of the enlarged connection ring. An endoscope that is arranged in the circumferential direction of the enlarged connection ring and is rotatably supported around a shaft member that is inserted into a shaft hole formed in the shaft portion and supported by the enlarged connection ring. 請求項7記載の内視鏡において、上記複数のローラは、拡径接続環本体と、上記テーパ面を有し該拡径接続環に固定される別テーパ環との間に支持されている内視鏡。 The endoscope according to claim 7, wherein the plurality of rollers are supported between the enlarged diameter connection ring main body and another tapered ring having the tapered surface and fixed to the enlarged diameter connection ring. Endoscope.
JP2008122806A 2008-05-09 2008-05-09 Endoscope Expired - Fee Related JP5097614B2 (en)

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH08187221A (en) * 1995-01-12 1996-07-23 Olympus Optical Co Ltd Endoscope
JPH0975304A (en) * 1995-09-12 1997-03-25 Olympus Optical Co Ltd Endoscope
JPH11178783A (en) * 1997-12-18 1999-07-06 Olympus Optical Co Ltd Endoscope
JPH11247855A (en) * 1998-03-04 1999-09-14 Nippon Thompson Co Ltd Direct acting rolling guide unit
JP2002345741A (en) * 2001-05-24 2002-12-03 Asahi Optical Co Ltd Flexible variable endoscope
JP2004305413A (en) * 2003-04-07 2004-11-04 Pentax Corp Flexible endoscope
JP2006512935A (en) * 2002-06-13 2006-04-20 ユーエスジーアイ メディカル, インコーポレイテッド A method of advancing an instrument through a shape-fixable device and an unsupported anatomical structure.
WO2006126265A1 (en) * 2005-05-26 2006-11-30 Ars Co., Ltd. Endoscope device

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH08187221A (en) * 1995-01-12 1996-07-23 Olympus Optical Co Ltd Endoscope
JPH0975304A (en) * 1995-09-12 1997-03-25 Olympus Optical Co Ltd Endoscope
JPH11178783A (en) * 1997-12-18 1999-07-06 Olympus Optical Co Ltd Endoscope
JPH11247855A (en) * 1998-03-04 1999-09-14 Nippon Thompson Co Ltd Direct acting rolling guide unit
JP2002345741A (en) * 2001-05-24 2002-12-03 Asahi Optical Co Ltd Flexible variable endoscope
JP2006512935A (en) * 2002-06-13 2006-04-20 ユーエスジーアイ メディカル, インコーポレイテッド A method of advancing an instrument through a shape-fixable device and an unsupported anatomical structure.
JP2004305413A (en) * 2003-04-07 2004-11-04 Pentax Corp Flexible endoscope
WO2006126265A1 (en) * 2005-05-26 2006-11-30 Ars Co., Ltd. Endoscope device

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