JP2013039358A - Plug body and endoscope - Google Patents

Plug body and endoscope Download PDF

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JP2013039358A
JP2013039358A JP2012160322A JP2012160322A JP2013039358A JP 2013039358 A JP2013039358 A JP 2013039358A JP 2012160322 A JP2012160322 A JP 2012160322A JP 2012160322 A JP2012160322 A JP 2012160322A JP 2013039358 A JP2013039358 A JP 2013039358A
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endoscope
plug
plug body
base
treatment instrument
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JP5404862B2 (en
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Kenji Yamane
健二 山根
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Fujifilm Corp
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Fujifilm Corp
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Abstract

PROBLEM TO BE SOLVED: To prevent reuse of a treatment device plug without causing destruction.SOLUTION: A substantially cylindrical plug body 29 of the treatment device plug 21 is formed of an elastic material having optical transparency. The plug body 29 is formed with a ferrule insertion hole 29a in which a ferrule 20 is inserted. The inner peripheral surface of the plug body 29 is formed with an engagement claw 35 to be engaged with a flange 25 that is formed around the outer peripheral surface of the ferrule 20. A photo-curing part 31 composed of a photo-curable material is provided between the inner peripheral surface and the outer peripheral surface of the plug body 29. Before curing of the photo-curing part 31, the ferrule insertion hole 29a is expandable and deformable, so that the engagement claw 35 can get through the flange 25 when being inserted/extracted with respect to the ferrule insertion hole 29a. After the curing of the photo-curing part 31, the expansion and the deformation of the ferrule insertion hole 29a is restricted by the photo-curing part 31. The engagement claw 35 cannot get through the flange 25 when the ferrule 20 is inserted/extracted with respect to the ferrule insertion hole 29a so as to prevent the reuse of the treatment device plug 21.

Description

本発明は、内視鏡の取付部に取り付けられる再使用不可能な栓体、及びこの栓体を備える内視鏡に関する。   The present invention relates to a non-reusable plug that is attached to an attachment portion of an endoscope, and an endoscope including the plug.

従来から医療分野において、患者の体内に内視鏡の挿入部を挿入して、患部の観察だけではなく患部に対して各種の処置を行っている(特許文献1参照)。具体的には、鉗子、切開具などの各種処置具を、内視鏡の操作部に設けられた処置具導入部(口部)から挿入部内の処置具挿通チャンネルに挿通させて、挿入部先端から突出させることにより、患部の観察や切除、採取等の各種の処置が行われる。   Conventionally, in the medical field, an insertion portion of an endoscope is inserted into a patient's body, and various treatments are performed on the affected area in addition to observing the affected area (see Patent Document 1). Specifically, various treatment tools such as forceps and an incision tool are inserted into a treatment tool insertion channel in the insertion portion from a treatment tool introduction portion (mouth portion) provided in the operation portion of the endoscope, and the distal end of the insertion portion By projecting from the head, various treatments such as observation, excision, and sampling of the affected area are performed.

処置具導入部には、処置具が挿通可能な処置具栓が装着されている(特許文献2〜4参照)。この処置具栓は、体内の内圧の変化等によって、体内の体液、汚物、空気等が処置具挿通チャンネル内を逆流して、処置具導入部から外部に洩れ出ることを防止している。このため、処置具栓には、使用により体液等が付着する。処置具栓としては、感染防止の観点から使用毎に新たなものと交換するように、再使用が不可能なディスポタイプのものが一般的に用いられる。   A treatment instrument plug through which the treatment instrument can be inserted is attached to the treatment instrument introduction section (see Patent Documents 2 to 4). This treatment instrument stopper prevents body fluid, dirt, air, and the like in the body from flowing back through the treatment instrument insertion channel due to a change in the internal pressure of the body and leaking out from the treatment instrument introduction portion. For this reason, a bodily fluid etc. adhere to a treatment implement stopper by use. As a treatment tool stopper, a disposable type that is not reusable is generally used so that it is replaced with a new one for each use from the viewpoint of preventing infection.

特許文献2〜4には、栓体の一部を破断させることで処置具導入部から取り外し可能になる処置具栓が開示されている。これらの処置具栓では、処置具導入部から取り外される際に破壊が伴うので、再使用が不可能になる。その結果、使用済みの処置具栓が誤って再使用されることが防止される。   Patent Documents 2 to 4 disclose treatment instrument plugs that can be detached from the treatment instrument introduction section by breaking a part of the plug body. These treatment tool stoppers are not reusable because they are broken when removed from the treatment tool introduction portion. As a result, the used treatment instrument stopper is prevented from being reused by mistake.

また、特許文献5には、ディスポタイプの内視鏡カバーの再使用を防止する内視鏡装置が開示されている。この内視鏡装置では、内視鏡カバーに設けられたIDタグからID情報を内視鏡に設けられたタグリーダで読み取り、この読取結果を電子カルテサーバに逐次格納する。そして、新たにタグリーダで読み取られたID情報と、電子カルテサーバに格納済みのID情報とを比較することで、内視鏡カバーが使用済みか否かの判定を行い、カバーが使用済みの場合には警告表示を行う。したがって、この特許文献5の記載のものでは、処置具栓にIDタグを設けることにより、処置具栓の再使用を防止することができる。   Patent Document 5 discloses an endoscope apparatus that prevents reuse of a disposable endoscope cover. In this endoscope apparatus, ID information is read from an ID tag provided on an endoscope cover by a tag reader provided on the endoscope, and the read results are sequentially stored in an electronic medical record server. Then, by comparing the ID information newly read by the tag reader with the ID information stored in the electronic medical record server, it is determined whether or not the endoscope cover has been used. A warning is displayed. Therefore, in the thing of this patent document 5, reuse of a treatment tool stopper can be prevented by providing an ID tag in a treatment tool stopper.

国際公開第98/035607パンフレットInternational Publication No. 98/035607 Pamphlet 特開2008−043774号公報JP 2008-043774 A 特開2006−346197号公報JP 2006-346197 A 特開2006−043131号公報JP 2006-0433131 A 特開2006−288823号公報JP 2006-288823 A

特許文献2〜4の鉗子栓は、処置具導入部から取り外される際に破壊が伴うので、この破壊により生じた破片が処置具挿通チャンネル内に入り込むおそれがある。この場合には、処置具挿通チャンネル内の洗浄・消毒処理に支障をきたすおそれがある。また、特許文献2〜4の処置具栓では、内視鏡からの取り外し時に破壊し易いように、切り込みなどの脆弱部を形成しておく必要がある。このため、処置具栓を処置具導入部に取り付ける際や内視鏡検査時等に、誤って脆弱部を破壊してしまうおそれがある。   Since the forceps plugs of Patent Documents 2 to 4 are broken when they are removed from the treatment instrument introducing portion, there is a possibility that debris generated by the destruction may enter the treatment instrument insertion channel. In this case, there is a possibility that the cleaning / disinfection processing in the treatment instrument insertion channel may be hindered. Further, in the treatment instrument plugs of Patent Documents 2 to 4, it is necessary to form a weak portion such as a cut so that the treatment tool plug is easily broken when detached from the endoscope. For this reason, when attaching a treatment tool stopper to a treatment tool introducing | transducing part, or at the time of endoscopy, there exists a possibility of destroying a weak part accidentally.

また、特許文献5では、処置具栓にIDタグを設け、このIDタグから読み取った固有識別情報に基づいて処置具栓の再使用の有無を判定するので、処置具栓を破壊する必要はなくなる。しかしながら、処置具栓にIDタグを、内視鏡にタグリーダをそれぞれ設ける必要がある。また、タグリーダで読み取ったID情報と、電子カルテサーバに格納済みのID情報とを比較する回路等が必要になる。その結果、製造コストが増加する。   In Patent Document 5, an ID tag is provided on the treatment instrument stopper, and whether or not the treatment instrument stopper is reused is determined based on the unique identification information read from the ID tag, so that it is not necessary to destroy the treatment instrument stopper. . However, it is necessary to provide an ID tag on the treatment instrument stopper and a tag reader on the endoscope. Further, a circuit for comparing the ID information read by the tag reader with the ID information stored in the electronic medical record server is required. As a result, the manufacturing cost increases.

本発明は上記問題を解決するためになされたものであり、破壊を伴わずに再使用が不可能になる内視鏡用の栓体、及びこの栓体を備える内視鏡を低コストに提供することを目的とする。   The present invention has been made to solve the above problems, and provides a plug for an endoscope that cannot be reused without being destroyed, and an endoscope including the plug, at a low cost. The purpose is to do.

上記目的を達成するために、本発明の内視鏡の栓体は、内視鏡の取付部に取り付けられる内視鏡の栓体であって、弾性材料からなる筒状の栓本体と、この栓本体に形成され、取付部に嵌合し、この取付部からの栓本体の挿脱方向移動を阻止する取付受け部と、栓本体に内蔵され、取付受け部の挿脱方向移動を許容する硬化前状態と、取付受け部の挿脱方向移動を規制する硬化後状態に不可逆的に硬化する経時硬化性を有する硬化部とを備えている。   In order to achieve the above object, an endoscope plug body of the present invention is an endoscope plug body attached to an attachment portion of an endoscope, and includes a cylindrical plug body made of an elastic material, Formed on the plug body, fits into the mounting section and prevents the plug body from moving in the insertion / removal direction from the mounting section, and built in the plug body, allowing the mounting / receiving section to move in the insertion / removal direction It includes a pre-curing state and a curing portion having a time-curing property that is irreversibly cured to a post-curing state that restricts movement of the attachment receiving portion in the insertion / removal direction.

取付部は、内視鏡内の処置具挿通チャンネルに通じる略筒状の口金であり、栓体は、処置具が挿通される処置具挿通穴を有し、口金に嵌合する口金受け部を取付受け部として有することが望ましい。   The attachment portion is a substantially cylindrical base that communicates with a treatment instrument insertion channel in the endoscope, and the plug has a treatment instrument insertion hole through which the treatment instrument is inserted, and a base receiving portion that fits into the base. It is desirable to have it as a mounting receiving part.

口金は外側端部に口金嵌合部を有し、口金嵌合部は、外周面から外側に向けて突出する口金側円環状突出部と、外周面に形成される口金側周溝とを有する。口金受け部は、栓本体の内周面に形成され、口金側円環状突出部に嵌合する栓本体側周溝と、栓本体の内周面に形成され、口金側周溝に嵌合する栓本体側円環状突出部とを有することが望ましい。   The base has a base fitting part at the outer end, and the base fitting part has a base-side annular projecting part projecting outward from the outer peripheral surface and a base-side circumferential groove formed on the outer peripheral surface. . The base receiving part is formed on the inner peripheral surface of the stopper main body, and is formed on the stopper main body side circumferential groove that fits into the base side annular projecting part, and the inner peripheral surface of the stopper main body, and is fitted in the base side circumferential groove. It is desirable to have a plug body-side annular protrusion.

硬化部は、栓本体に配される筒状の硬化部本体と、硬化部本体から栓本体側円環状突出部に向けて突出する挿脱規制円環状突出部とを有し、口金側円環状突出部の外径よりも、挿脱規制円環状突出部の内径が小さいことが望ましい。   The curing portion has a cylindrical curing portion main body disposed on the stopper main body, and an insertion / removal-restricted annular protrusion protruding from the hardening portion main body toward the stopper body-side annular protrusion. It is desirable that the inner diameter of the insertion / removal restriction annular projection is smaller than the outer diameter of the projection.

栓本体は光透過性を有し、硬化部は、栓本体を透過した光の照射を受けて硬化する光硬化性を有することが望ましい。そして、栓本体は遮光性の包装体に収納されており、使用時に包装体から取り出されて口金に装着されることが望ましい。   It is desirable that the plug body has light permeability, and the curing portion has photocurability that cures upon irradiation with light transmitted through the plug body. The stopper main body is housed in a light-shielding package, and it is desirable that the plug body is taken out from the package and used in a base when used.

硬化部は、内視鏡による施術時間を経過後に、取付受け部の挿脱方向移動を規制する硬化後状態になることが望ましい。   It is desirable that the curing portion be in a post-curing state that restricts the movement of the attachment receiving portion in the insertion / removal direction after elapse of the treatment time by the endoscope.

栓本体は、処置具挿通穴を外側から塞ぐ弁部材と、弁部材を栓本体に連結する連結部材と、弁部材が嵌合する弁部材受け部とを有することが望ましい。   The plug body desirably includes a valve member that closes the treatment instrument insertion hole from the outside, a connecting member that connects the valve member to the plug body, and a valve member receiving portion into which the valve member is fitted.

本発明の内視鏡は、体内に挿入される挿入部と、挿入部の基端に接続される操作部と、操作部の外表面に設けられ、挿入部内を挿通するチャンネルに通じる取付部と、取付部に装着される上記の栓体とを備えている。   The endoscope of the present invention includes an insertion portion that is inserted into the body, an operation portion that is connected to the proximal end of the insertion portion, an attachment portion that is provided on the outer surface of the operation portion and that leads to a channel that passes through the insertion portion. And the plug body mounted on the mounting portion.

本発明によれば、弾性材料からなる筒状の栓本体内に、経時硬化性を有する硬化部を設け、この硬化部が不可逆的に硬化して、取付部からの栓本体の挿脱方向移動を阻止するので、硬化部が硬化した後は栓体の内視鏡への再装着が不可能になる。これにより、栓体の破壊を伴わずに、使用済みの栓体の再使用が防止される。その結果、破壊により生じた破片がチャンネル内に入り込むなどのトラブルの発生が防止される。また、栓体に切り込みなどの脆弱部を形成する必要もなくなり、栓体を口部に取り付ける際に誤って脆弱部を破壊することもなくなる。さらに、栓体の改良だけで栓体を破壊することなくその再使用を防止することができ、低コスト化が図れる。   According to the present invention, a hardened portion having aging property is provided in a cylindrical plug body made of an elastic material, and the hardened portion is irreversibly cured to move the plug body from the mounting portion in the insertion / removal direction. Therefore, after the cured portion is cured, it is impossible to reattach the plug body to the endoscope. Thereby, reuse of the used stopper is prevented without destroying the stopper. As a result, it is possible to prevent troubles such as debris generated by destruction entering the channel. Further, it is not necessary to form a weak portion such as a cut in the plug body, and the weak portion is not accidentally destroyed when the plug body is attached to the mouth portion. Furthermore, it is possible to prevent the reuse of the plug without destroying it only by improving the plug, thereby reducing the cost.

内視鏡を示す斜視図である。It is a perspective view which shows an endoscope. 処置具導入部及び処置具栓を示す斜視図である。It is a perspective view which shows a treatment tool introduction part and a treatment tool stopper. 口金に処置具栓を取り付けた状態の断面を示す斜視図である。It is a perspective view which shows the cross section of the state which attached the treatment tool stopper to the nozzle | cap | die. 口金及び処置具栓を分解して示す斜視図である。It is a perspective view which decomposes | disassembles and shows a nozzle | cap | die and a treatment tool stopper. 処置具栓を収納する包装体を示す正面図である。It is a front view which shows the package which accommodates a treatment tool stopper. 処置具栓の装着開始前の状態を示す断面図である。It is sectional drawing which shows the state before mounting | wearing of a treatment tool stopper. 処置具栓の装着時に、その係合爪が口金のフランジに当接してからフランジを乗り越えるまでの状態を示す断面図である。It is sectional drawing which shows the state after the engagement nail | claw contact | abuts to the flange of a nozzle | cap | die, and it gets over a flange at the time of mounting | wearing of a treatment tool stopper. 処置具栓の係合爪が口金のフランジを乗り越えて、係合爪とフランジとが係合している状態を示す断面図である。It is sectional drawing which shows the state which the engagement nail | claw of a treatment tool stopper gets over the flange of a nozzle | cap | die, and the engagement nail | claw and the flange are engaging. 光硬化部が硬化前の状態であり、処置具栓を口金から取り外すために、処置具栓に対して引っ張り操作がなされたときの状態を示す断面図である。It is sectional drawing which shows a state when a photocuring part is in the state before hardening and a pulling operation was made | formed with respect to the treatment tool stopper in order to remove a treatment tool stopper from a nozzle | cap | die. 光硬化部の硬化により、処置具栓の再度の装着が規制される状態を示す断面図である。It is sectional drawing which shows the state by which the second mounting | wearing of a treatment tool stopper is controlled by hardening of a photocuring part. 処置具栓の取り外し前に硬化した光硬化部により、処置具栓の取り外しが規制されている状態を示す断面図である。It is sectional drawing which shows the state in which removal of a treatment tool stopper is controlled by the photocuring part hardened | cured before removal of a treatment tool stopper.

[第一実施形態]
図1に示すように、内視鏡10は、例えば気管に挿入する気管支鏡であり、気管内に挿入される挿入部11と、操作部12と、ユニバーサルコード13と、を備えている。操作部12は、挿入部11の基端部に連設されている。ユニバーサルコード13の一端部は操作部12に接続され、他端部は複合タイプのコネクタ13aを介して図示しないプロセッサ装置や光源装置などに接続されている。
[First embodiment]
As shown in FIG. 1, an endoscope 10 is a bronchoscope that is inserted into a trachea, for example, and includes an insertion section 11 that is inserted into the trachea, an operation section 12, and a universal cord 13. The operation unit 12 is connected to the proximal end portion of the insertion unit 11. One end of the universal cord 13 is connected to the operation unit 12, and the other end is connected to a processor device, a light source device, and the like (not shown) through a composite type connector 13a.

挿入部11は、その先端側から基端側に向かって順に、先端硬性部11aと、湾曲自在な湾曲部11bと、可撓性を有する可撓管部11cとに区分されている。先端硬性部11aの先端面には、鉗子等の処置具14の出口である処置具出口15や、図示は省略するが撮像窓や照明窓が設けられている。撮像窓の奥にはイメージセンサ(図示せず)などが配置され、照明窓の奥には光ファイバケーブル(図示せず)が配置されている。イメージセンサの信号線や光ファイバケーブルは、挿入部11、ユニバーサルコード13、及びコネクタ13a内を通って、プロセッサ装置、光源装置にそれぞれ接続する。   The insertion portion 11 is divided into a distal end rigid portion 11a, a bendable bending portion 11b, and a flexible flexible tube portion 11c in order from the distal end side to the proximal end side. The distal end surface of the distal rigid portion 11a is provided with a treatment instrument outlet 15 which is an outlet of the treatment instrument 14 such as forceps, and an imaging window and an illumination window (not shown). An image sensor (not shown) or the like is disposed behind the imaging window, and an optical fiber cable (not illustrated) is disposed behind the illumination window. A signal line and an optical fiber cable of the image sensor pass through the insertion portion 11, the universal cord 13, and the connector 13a and are connected to the processor device and the light source device, respectively.

挿入部11内には、処置具14を挿通するための処置具挿通チャンネル16が配設されている。処置具挿通チャンネル16の一端は処置具出口15に接続し、他端は操作部12に設けられた処置具導入部17に接続している。また、処置具挿通チャンネル16は、処置具出口15から血液等の体液や体内汚物等の固形物などを吸引するための経路としても用いられる。操作部12内には、処置具挿通チャンネル16から分岐した吸引チャンネル(図示せず)が配設されており、この吸引チャンネルは操作部12に設けられた吸引ボタン18に接続している。   A treatment instrument insertion channel 16 for inserting the treatment instrument 14 is disposed in the insertion portion 11. One end of the treatment instrument insertion channel 16 is connected to the treatment instrument outlet 15, and the other end is connected to a treatment instrument introduction section 17 provided in the operation section 12. The treatment instrument insertion channel 16 is also used as a path for sucking body fluid such as blood and solid matter such as filth from the treatment instrument outlet 15. A suction channel (not shown) branched from the treatment instrument insertion channel 16 is disposed in the operation unit 12, and this suction channel is connected to a suction button 18 provided in the operation unit 12.

吸引ボタン18は、操作部12外において負圧源(図示せず)に接続している。吸引ボタン18は、押圧操作またはその押圧操作の解除により、吸引チャンネルと負圧源との連通/遮断を切り替える。   The suction button 18 is connected to a negative pressure source (not shown) outside the operation unit 12. The suction button 18 switches communication / blocking between the suction channel and the negative pressure source by a pressing operation or release of the pressing operation.

図2ないし図4に示すように、処置具導入部17には、本発明の取付部に相当する口金20が設けられている。この口金20には、処置具14が挿通可能なディスポタイプの処置具栓(栓体)21が装着されている。処置具栓21は、処置具14により処置を行う際に体内の体液、汚物、空気等が処置具挿通チャンネル16内を逆流して口金20から外部に漏れることを防止する。   As shown in FIGS. 2 to 4, the treatment instrument introduction portion 17 is provided with a base 20 corresponding to the attachment portion of the present invention. A disposable treatment tool stopper (plug body) 21 into which the treatment tool 14 can be inserted is attached to the base 20. The treatment instrument plug 21 prevents bodily fluids, dirt, air, and the like in the body from flowing back through the treatment instrument insertion channel 16 and leaking from the base 20 to the outside when performing treatment with the treatment instrument 14.

口金20は、処置具挿通チャンネル16に通じる内部管路23を有している。口金20は、処置具導入部17の開口部17aの内部に固定された口金本体部20aと、開口部17aの手前側に突出した口金先端部20bとを有する。口金本体部20aの外周面にはパッキン24が嵌着されている。このパッキン24は、処置具導入部17の内周面との間の隙間から、体液等が漏れるのを防止する。以下、開口部17aの手前側の方向を単に「手前方向」といい、この手前方向と反対側の口金20の奥方向を単に「奥方向」という。また、口金20及び処置具栓21の各部の手前方向側の端部、端面をそれぞれ前端部、前端面といい、各部の奥方向側の端部、端面をそれぞれ奥端部、奥端面という。   The base 20 has an internal conduit 23 that leads to the treatment instrument insertion channel 16. The base 20 has a base body 20a fixed inside the opening 17a of the treatment instrument introduction part 17, and a base front end 20b protruding to the near side of the opening 17a. A packing 24 is fitted on the outer peripheral surface of the base body 20a. The packing 24 prevents body fluid and the like from leaking from the gap between the treatment instrument introducing portion 17 and the inner peripheral surface. Hereinafter, the front side direction of the opening 17a is simply referred to as “front side direction”, and the back direction of the base 20 opposite to the front direction is simply referred to as “back direction”. Also, the front side end and end surface of each part of the base 20 and the treatment instrument plug 21 are referred to as a front end part and a front end face, respectively, and the end part and end face on the back side of each part are referred to as a back end part and a back end face, respectively.

口金先端部20bは、その外径が口金本体部20aの外径よりも一回り小さく形成されており、口金側周溝を構成している。この口金先端部20bの先端には、処置具栓21と係合するフランジ25が形成されている。このフランジ25は口金側円環状突出部として機能する。これら口金側周溝と口金側円環状突出部により、口金嵌合部が構成される。   The base end portion 20b has an outer diameter that is slightly smaller than the outer diameter of the base body portion 20a, and forms a base side circumferential groove. A flange 25 that engages with the treatment instrument stopper 21 is formed at the tip of the base tip 20b. The flange 25 functions as a base-side annular protrusion. A base fitting portion is constituted by the base side circumferential groove and the base side annular projecting portion.

処置具栓21は、略円筒形状の栓本体29と、この栓本体29に設けられた略円筒状の光硬化部31とを備えている。栓本体29は、例えば透明ゴムなどの光透過性を有する弾性材料で形成されている。栓本体29は、その奥端部に開口した口金挿入穴29aと、その前端部に開口したキャップ取付穴29bとを有している。   The treatment instrument plug 21 includes a substantially cylindrical plug main body 29 and a substantially cylindrical light curing portion 31 provided on the plug main body 29. The plug body 29 is formed of an elastic material having light transmittance such as transparent rubber. The plug main body 29 has a cap insertion hole 29a opened at its back end and a cap mounting hole 29b opened at its front end.

口金挿入穴29aとキャップ取付穴29bとは、栓本体29の内部に設けられた仕切り壁33により仕切られている。この仕切り壁33には、処置具14を挿入する小穴33aが形成されている。この小穴33aは、処置具14の外径よりも小径に形成されている。   The base insertion hole 29 a and the cap attachment hole 29 b are partitioned by a partition wall 33 provided inside the stopper body 29. A small hole 33a for inserting the treatment instrument 14 is formed in the partition wall 33. The small hole 33 a is formed with a smaller diameter than the outer diameter of the treatment instrument 14.

栓本体29の内壁面の奥端部には、その周方向に沿って、フランジ25に係合する環状の係合爪35が形成されている。この係合爪35は、栓体側円環状突出部として機能する。この係合爪35の内径は、口金先端部20bの外径以上でかつフランジ25の外径よりは小さく形成されている。口金挿入孔29aは、口金側円環状突出部であるフランジ25に嵌合する栓本体側周溝として機能する。そして、栓体側円環状突出部と栓本体側周溝とにより、取付受け部としての口金受け部が構成される。この口金受け部と口金嵌合部とが嵌合することにより、口金20に栓本体29が取り付けられる。   An annular engaging claw 35 that engages with the flange 25 is formed along the circumferential direction of the inner wall surface of the plug body 29 along the circumferential direction. The engaging claw 35 functions as a plug-side annular projecting portion. The inner diameter of the engaging claw 35 is formed to be equal to or larger than the outer diameter of the base end portion 20 b and smaller than the outer diameter of the flange 25. The base insertion hole 29a functions as a plug main body side circumferential groove that fits into the flange 25 that is the base side annular projection. A cap receiving portion as an attachment receiving portion is configured by the plug-side annular projecting portion and the plug body-side circumferential groove. The plug body 29 is attached to the base 20 by fitting the base receiving part and the base fitting part.

栓本体29には、接続ベルト38を介してキャップ39が一体的に設けられている。このキャップ39の前端面には処置具14の入口となる凹部39aが形成され、奥端面にはキャップ取付穴34に嵌合する嵌合部39bが形成されている。凹部39aの底面には、キャップ取付穴29b内まで達するスリット40が形成されている。   A cap 39 is integrally provided on the plug body 29 via a connection belt 38. A concave portion 39a is formed on the front end surface of the cap 39 as an entrance of the treatment instrument 14, and a fitting portion 39b that fits into the cap mounting hole 34 is formed on the back end surface. A slit 40 reaching the inside of the cap attachment hole 29b is formed on the bottom surface of the recess 39a.

スリット40は、処置具14が未挿通の状態では、キャップ39の弾性力によって密着状態になって水密・気密状態を保持する。また、スリット40は、処置具14を挿通させた状態では、キャップ39の弾性力によって、スリット内周面が処置具14の外周面に密着した状態になり、体液等の逆流による漏れを防止する。スリット40及び小穴33aは、口金挿入穴29aに口金先端部20bが挿入されたときに、内部管路23と同軸上に配置される。このため、処置具14は、スリット40、小穴33a、及び内部管路23を通って処置具挿通チャンネル16内に挿入される。   When the treatment instrument 14 is not inserted, the slit 40 is brought into a close contact state by the elastic force of the cap 39 and maintains a watertight / airtight state. In addition, the slit 40 is in a state where the inner peripheral surface of the slit is in close contact with the outer peripheral surface of the treatment instrument 14 by the elastic force of the cap 39 in a state where the treatment instrument 14 is inserted, thereby preventing leakage due to backflow of body fluid or the like. . The slit 40 and the small hole 33a are arranged coaxially with the internal conduit 23 when the base end portion 20b is inserted into the base insertion hole 29a. Therefore, the treatment instrument 14 is inserted into the treatment instrument insertion channel 16 through the slit 40, the small hole 33a, and the internal conduit 23.

光硬化部31は、栓本体29の外壁面と内壁面との間に設けられている。光硬化部31は、筒状の硬化部本体31aと、挿脱規制円環状突出部31bとを有する。挿脱規制円環状突出部31bは、硬化部本体31aの奥端部から係合爪35に向けて突出している。挿脱規制円環状突出部31bの内径は、口金側円環状突出部であるフランジ25の外径よりも小さい。これにより、光硬化部31が硬化すると、この挿脱規制円環状突出部31bをフランジ25が乗り越えて挿入されることや、逆にフランジ25が入っている場合には抜けることがなくなる。   The photocuring portion 31 is provided between the outer wall surface and the inner wall surface of the plug body 29. The photocuring unit 31 includes a cylindrical curing unit main body 31a and an insertion / removal restriction annular projection 31b. The insertion / removal restricting annular projecting portion 31 b projects from the inner end of the cured portion main body 31 a toward the engaging claw 35. The inner diameter of the insertion / removal restricting annular protrusion 31b is smaller than the outer diameter of the flange 25, which is the base-side annular protrusion. As a result, when the photocuring portion 31 is cured, the flange 25 gets over the insertion / removal restriction annular protrusion 31b and inserted, and conversely, when the flange 25 is inserted, it does not come out.

光硬化部31は、例えば紫外光など各種波長の光の照射を受けて硬化する光硬化樹脂で形成されている。光硬化部31は、光硬化前の状態では固体状態、液体状態のいずれの状態であってもよく、前者の場合には可撓性を有している。また、光硬化部31は固体状態の場合には栓本体29と一体形成され、液体状態の場合には栓本体29内に注入される。光硬化部31は、光硬化したときに栓本体29の弾性変形、特に口金挿入穴29aの拡径変形を規制する。   The photocuring portion 31 is formed of a photocuring resin that is cured by being irradiated with light of various wavelengths such as ultraviolet light. The photocuring unit 31 may be in a solid state or a liquid state before the photocuring, and in the former case, it has flexibility. The photocuring portion 31 is integrally formed with the plug body 29 in the solid state, and is injected into the plug body 29 in the liquid state. The photocuring portion 31 regulates elastic deformation of the plug main body 29, particularly diameter expansion deformation of the base insertion hole 29a when photocured.

光硬化部31を形成する光硬化性樹脂としては、光の照射を受けて徐々に硬化し、所定時間で硬化が完了するものが用いられる。なお、ここでいう所定時間とは、例えば、1回の内視鏡検査が終了するまでの時間よりは長いが、検査後の内視鏡の洗浄・消毒処理が終了するまでの時間よりは短い時間(数時間程度)である。なお、内視鏡検査の種類や観察部位の種類に応じて検査終了時間が異なるため、これらの種類に応じて光硬化性樹脂の種類を変えてもよい。また、洗浄・消毒処理の内容によって洗浄・消毒処理時間が変わるので、処理内容に応じて光硬化樹脂の種類を変えてもよい。   As the photo-curing resin forming the photo-curing portion 31, a resin that cures gradually upon irradiation with light and completes curing in a predetermined time is used. The predetermined time here is, for example, longer than the time until one endoscope inspection is completed, but shorter than the time until the endoscope cleaning / disinfection processing after the inspection is completed. Time (several hours). Note that since the examination end time varies depending on the type of endoscopic examination and the type of observation site, the type of the photocurable resin may be changed depending on these types. Further, since the cleaning / disinfecting processing time varies depending on the contents of the cleaning / disinfecting process, the type of the photo-curing resin may be changed according to the processing contents.

図5に示すように、処置具栓21は、メーカからの出荷時には遮光性の包装体42内に収納されている。これにより、未使用の処置具栓21の光硬化部31が光硬化することが防止される。なお、包装体42は、滅菌処理が施されている。   As shown in FIG. 5, the treatment instrument plug 21 is housed in a light-shielding package 42 when shipped from the manufacturer. Thereby, the photocuring part 31 of the unused treatment instrument stopper 21 is prevented from being photocured. The package 42 is sterilized.

次に、上記構成の処置具栓21の作用、特に口金20への処置具栓21の装着及び取り外し処理について説明する。最初に処置具栓21を包装体42から取り出す。これにより、栓本体29を通して光硬化部31に光が照射されるため、光硬化部31が徐々に硬化する。   Next, the operation of the treatment instrument stopper 21 having the above-described configuration, particularly the attachment and removal processing of the treatment instrument stopper 21 to the base 20 will be described. First, the treatment instrument stopper 21 is taken out from the package 42. Thereby, since light is irradiated to the photocuring part 31 through the plug main body 29, the photocuring part 31 hardens | cures gradually.

次いで、図6に示すように、口金先端部20bの中心に対して口金挿入穴29aの中心を位置決めし、この状態で、処置具栓21を口金先端部20bに向けて押し付ける押付操作を開始する。これにより、口金先端部20b及びフランジ25が口金挿入穴29a内に挿入される。   Next, as shown in FIG. 6, the center of the base insertion hole 29a is positioned with respect to the center of the base end portion 20b, and in this state, a pressing operation for pressing the treatment instrument plug 21 toward the base end portion 20b is started. . Thereby, the base end portion 20b and the flange 25 are inserted into the base insertion hole 29a.

図7に示すように、栓本体29の内周面がフランジ25により押圧されることで、口金挿入穴29aはフランジ25の挿入に伴い次第に拡径変形する。押付操作を継続すると、さらに口金挿入穴29aが拡径変形して、係合爪35の内径がフランジ25の外径よりも大きくなる。これにより、係合爪35がフランジ25を乗り越える。   As shown in FIG. 7, when the inner peripheral surface of the plug main body 29 is pressed by the flange 25, the diameter of the base insertion hole 29 a gradually increases with the insertion of the flange 25. When the pressing operation is continued, the diameter of the base insertion hole 29a is further expanded and the inner diameter of the engagement claw 35 becomes larger than the outer diameter of the flange 25. Thereby, the engaging claw 35 gets over the flange 25.

図8に示すように、係合爪35がフランジ25を乗り越えると、口金挿入穴29aは元の形状に復元する。これにより、係合爪35がフランジ25に係合する。以上で処置具栓21の装着が完了する。   As shown in FIG. 8, when the engaging claw 35 gets over the flange 25, the base insertion hole 29a is restored to its original shape. Thereby, the engaging claw 35 engages with the flange 25. The mounting of the treatment instrument stopper 21 is thus completed.

処置具栓21の装着を含む内視鏡検査の準備が完了した後、挿入部11が患者の体内に挿入される。そして、先端硬性部11aが体内の所望の位置に到達したときに、処置具14が処置具栓21から処置具挿通チャンネル16に挿入されて各種の処置が施される。処置具14による処置が完了した後、処置具栓21が取り外される。   After the preparation for endoscopy including the attachment of the treatment instrument plug 21 is completed, the insertion portion 11 is inserted into the patient's body. When the distal rigid portion 11a reaches a desired position in the body, the treatment instrument 14 is inserted from the treatment instrument plug 21 into the treatment instrument insertion channel 16 to perform various treatments. After the treatment with the treatment instrument 14 is completed, the treatment instrument stopper 21 is removed.

最初に、栓本体29に対して手前方向に引っ張り操作がなされる。処置具栓21の装着時と同様に、栓本体29の内周面がフランジ25により押圧されることで口金挿入穴29aが拡径変形し、これに伴い係合爪35の内径も増加する。係合爪35の内径がフランジ25の外径よりも大きくなると、係合爪35がフランジ25を乗り越える。これにより、係合爪35とフランジ25との係合が解除される。   First, a pulling operation is performed toward the front side of the plug body 29. As in the case of mounting the treatment instrument stopper 21, when the inner peripheral surface of the stopper body 29 is pressed by the flange 25, the diameter of the base insertion hole 29a is deformed and the inner diameter of the engaging claw 35 is increased accordingly. When the inner diameter of the engaging claw 35 becomes larger than the outer diameter of the flange 25, the engaging claw 35 gets over the flange 25. As a result, the engagement between the engagement claw 35 and the flange 25 is released.

図9に示すように、引っ張り操作を継続すると、口金挿入穴29a内から口金先端部20b及びフランジ25が抜き出される。また、これと同時に、口金挿入穴29aは元の形状に復元する。以上で処置具栓21の取り外しが完了する。   As shown in FIG. 9, when the pulling operation is continued, the base end portion 20b and the flange 25 are extracted from the base insertion hole 29a. At the same time, the base insertion hole 29a is restored to its original shape. Thus, the removal of the treatment instrument stopper 21 is completed.

処置具栓21を包装体42から取り出してから所定時間が経過すると、光硬化部31が完全に硬化する。これにより、口金挿入穴29aの拡径変形が規制される。このため、図10に示すように、口金先端部20b及びフランジ25を口金挿入穴29a内に挿入しようとしても、口金挿入穴29aの拡径変形が規制されているため、係合爪35がフランジ25を乗り越えることができない。このため、口金挿入穴29a内への口金20の挿入が係合爪35により阻止されるので、処置具栓21を口金20に装着することができなくなる。その結果、処置具栓21の再使用が防止される。   When a predetermined time elapses after the treatment instrument plug 21 is removed from the package 42, the photocuring portion 31 is completely cured. Thereby, the diameter expansion deformation | transformation of the nozzle | cap | die insertion hole 29a is controlled. For this reason, as shown in FIG. 10, even if the base end portion 20b and the flange 25 are to be inserted into the base insertion hole 29a, the diameter expansion deformation of the base insertion hole 29a is restricted. I cannot get over 25. For this reason, since the insertion of the base 20 into the base insertion hole 29 a is blocked by the engaging claws 35, the treatment instrument stopper 21 cannot be attached to the base 20. As a result, the reuse of the treatment instrument stopper 21 is prevented.

処置具栓21の破壊を伴わずに処置具栓21の再使用を防止することができるので、破壊により生じた破片が処置具挿通チャンネル16内に入り込むなどのトラブルの発生を防止することができる。また、処置具栓21に切り込みなどの脆弱部を形成する必要もなくなるので、処置具栓21の取付時や内視鏡検査時などに、誤って脆弱部を破壊して処置具栓21が使用不能になることが防止される。   Since it is possible to prevent the treatment tool stopper 21 from being reused without destroying the treatment tool stopper 21, it is possible to prevent the occurrence of troubles such as debris generated by the destruction entering the treatment tool insertion channel 16. . Further, since it is not necessary to form a fragile part such as a cut in the treatment instrument plug 21, the treatment instrument plug 21 is used by accidentally destroying the fragile part when the treatment instrument plug 21 is attached or at the time of endoscopy. It is prevented from becoming impossible.

また、上記特許文献5に記載のように、処置具栓21及び内視鏡10にそれぞれIDタグ、タグリーダを設けるとともに、ID情報の比較を行う回路などを設ける必要がなく、処置具栓21の改良だけでその再使用を防止することができる。その結果、従来よりも低コストに非破壊で処置具栓21の再使用を防止することができる。   Further, as described in Patent Document 5, it is not necessary to provide an ID tag and a tag reader for the treatment instrument plug 21 and the endoscope 10 respectively, and it is not necessary to provide a circuit for comparing ID information. Reuse can be prevented only by improvement. As a result, it is possible to prevent the treatment instrument stopper 21 from being reused at a lower cost than in the prior art.

上記実施形態では、光硬化部31が完全に硬化する前に口金20から処置具栓21を取り外しているが、この取り外しの前に光硬化部31が光硬化した場合でも、処置具栓21の再使用はできなくなる。   In the above embodiment, the treatment instrument plug 21 is removed from the base 20 before the photocuring part 31 is completely cured, but even if the photocuring part 31 is photocured before this removal, the treatment instrument plug 21 It cannot be reused.

図11に示すように、係合爪35がフランジ25に係合している状態で光硬化部31が完全に硬化すると、この光硬化部31は、係合爪35をフランジ25に係合した状態で保持する。このため、処置具栓21を破壊しない限り、この処置具栓21を口金20から取り外すことができなる。その結果、処置具栓21は口金20からの取り外しの際に破壊されてしまうので、処置具栓21の再使用が防止される。なお、この場合には、破壊により生じた破片が処置具挿通チャンネル16内に入り込むおそれがあるので、光硬化部31が完全に硬化する前に処置具栓21の取り外しを行うことが好ましい。   As shown in FIG. 11, when the photocuring portion 31 is completely cured while the engaging claw 35 is engaged with the flange 25, the photocuring portion 31 engages the engaging claw 35 with the flange 25. Hold in state. For this reason, unless the treatment instrument stopper 21 is destroyed, the treatment instrument stopper 21 can be removed from the base 20. As a result, the treatment instrument stopper 21 is destroyed when it is removed from the base 20, so that the reuse of the treatment instrument stopper 21 is prevented. In this case, it is preferable to remove the treatment instrument plug 21 before the photocuring portion 31 is completely cured, since there is a possibility that fragments generated by destruction may enter the treatment instrument insertion channel 16.

上記実施形態では、処置具導入部17の口金20に装着される処置具栓21を例に挙げて説明を行ったが、処置具導入部17の開口部17aに直に装着される処置具栓に対しても本発明を適用することができる。   In the above embodiment, the treatment instrument plug 21 attached to the base 20 of the treatment instrument introduction part 17 has been described as an example. However, the treatment instrument stopper directly attached to the opening 17a of the treatment instrument introduction part 17 is described. The present invention can also be applied to.

上記実施形態では、処置具挿通チャンネル16に通じる口金20に装着される処置具栓21を例に挙げて説明を行ったが、例えば吸引チャンネル、送気送水チャンネルなどの内視鏡10の内部に配設される各種のチャンネルや管路に通じる口部に装着される栓体に本発明を適用することができる。   In the embodiment described above, the treatment instrument plug 21 attached to the base 20 leading to the treatment instrument insertion channel 16 has been described as an example. However, for example, the endoscope 10 such as a suction channel or an air / water supply channel is provided inside the endoscope 10. The present invention can be applied to a plug body mounted on a mouth portion that leads to various channels and pipes that are disposed.

上記実施形態では、光硬化部31として光硬化樹脂を例に挙げて説明を行ったが、光の照射を受けて徐々に硬化する各種の光硬化性材料で形成されていてもよい。また、上記実施形態では、栓本体29が透明ゴムで形成されているが、光透過性を有する各種の弾性材料で形成されていてもよい。   In the said embodiment, although the photocuring part 31 was mentioned and demonstrated as an example as the photocuring part 31, you may form with the various photocurable material which receives the irradiation of light and hardens | cures gradually. Moreover, in the said embodiment, although the plug main body 29 is formed with transparent rubber, you may form with the various elastic materials which have a light transmittance.

上記実施形態では、口金挿入穴29aの拡径変形を規制するために、栓本体29内に光硬化性の光硬化部31を設けているが、光硬化部31の代わりに、例えば湿気を吸収して硬化する材料で形成された硬化部など、経時硬化性を有する各種の硬化部を設けてもよい。なお、硬化部を湿気を吸収して硬化する材料で形成する場合には、栓本体に通気用の小孔を形成する。   In the embodiment described above, the photocurable photocuring part 31 is provided in the plug body 29 in order to restrict the diameter expansion deformation of the base insertion hole 29a. However, for example, moisture is absorbed instead of the photocuring part 31. Various hardened portions having a curable property with time, such as a hardened portion formed of a material that hardens when heated, may be provided. When the hardened portion is formed of a material that absorbs moisture and hardens, a small hole for ventilation is formed in the plug body.

上記実施形態では、気管に挿入する内視鏡10を例に挙げて説明を行ったが、例えば大腸に挿入される大腸内視鏡等の各種医療用内視鏡や、工業用途などの他の用途に使用される内視鏡などにも本発明を適用することができる。   In the above embodiment, the endoscope 10 inserted into the trachea has been described as an example. However, for example, various medical endoscopes such as a large intestine endoscope inserted into the large intestine, and other industrial applications such as an industrial use, etc. The present invention can also be applied to endoscopes used for applications.

10 内視鏡
16 処置具挿通チャンネル
17 処置具導入部
20 口金
21 処置具栓
29 栓本体
29a 口金挿入穴
31 光硬化部
DESCRIPTION OF SYMBOLS 10 Endoscope 16 Treatment tool insertion channel 17 Treatment tool introduction part 20 Base 21 Treatment tool stopper 29 Plug body 29a Base insertion hole 31 Photocuring part

Claims (9)

内視鏡の取付部に取り付けられる内視鏡の栓体であって、
弾性材料からなる筒状の栓本体と、
前記栓本体に形成され、前記取付部に嵌合し、前記取付部からの前記栓本体の挿脱方向移動を阻止する取付受け部と、
前記栓本体に内蔵され、前記取付受け部の挿脱方向移動を許容する硬化前状態と、前記取付受け部の挿脱方向移動を規制する硬化後状態に不可逆的に硬化する経時硬化性を有する硬化部と、
を有することを特徴とする内視鏡の栓体。
An endoscope plug body attached to an attachment portion of an endoscope,
A cylindrical plug body made of an elastic material;
An attachment receiving portion that is formed on the plug body, fits into the attachment portion, and prevents movement of the plug body in the insertion / removal direction from the attachment portion;
Built in the plug body and has a time-curing property of irreversibly curing in a pre-curing state that allows movement of the attachment receiving part in the insertion / removal direction and a post-curing state that restricts movement of the attachment receiving part in the insertion / removal direction A curing part;
An endoscope plug body characterized by comprising:
前記取付部は、前記内視鏡内の処置具挿通チャンネルに通じる略筒状の口金であり、
前記栓体は、処置具が挿通される処置具挿通穴を有し、前記口金に嵌合する口金受け部が前記取付受け部であることを特徴とする請求項1記載の内視鏡の栓体。
The attachment portion is a substantially cylindrical base leading to a treatment instrument insertion channel in the endoscope,
The endoscope plug according to claim 1, wherein the plug has a treatment instrument insertion hole through which a treatment instrument is inserted, and a cap receiving portion that fits into the cap is the attachment receiving portion. body.
前記口金は外側端部に口金嵌合部を有し、前記口金嵌合部は、外周面から外側に向けて突出する口金側円環状突出部と、外周面に形成される口金側周溝とを有し、
前記口金受け部は、前記栓本体の内周面に形成され、前記口金側円環状突出部に嵌合する栓本体側周溝と、前記栓本体の内周面に形成され、前記口金側周溝に嵌合する栓本体側円環状突出部とを有することを特徴とする請求項2記載の内視鏡の栓体。
The base has a base fitting portion at an outer end, and the base fitting portion has a base-side annular projecting portion projecting outward from the outer peripheral surface, and a base-side circumferential groove formed on the outer peripheral surface. Have
The base receiving portion is formed on the inner peripheral surface of the stopper main body, and is formed on the inner peripheral surface of the stopper main body, and on the inner peripheral surface of the stopper main body. The plug body for an endoscope according to claim 2, further comprising: a plug body-side annular protrusion that fits into the groove.
前記硬化部は、前記栓本体に配される筒状の硬化部本体と、前記硬化部本体から前記栓本体側円環状突出部に向けて突出する挿脱規制円環状突出部とを有し、
前記口金側円環状突出部の外径よりも、前記挿脱規制円環状突出部の内径が小さいことを特徴とする請求項3記載の内視鏡の栓体。
The hardened portion has a cylindrical hardened portion main body disposed on the stopper main body, and an insertion / removal restriction annular protruding portion protruding from the cured portion main body toward the stopper main body side annular protruding portion,
The endoscope plug body according to claim 3, wherein an inner diameter of the insertion / removal restricting annular projection is smaller than an outer diameter of the cap-side annular projection.
前記栓本体は光透過性を有し、前記硬化部は、前記栓本体を透過した光の照射を受けて硬化する光硬化性を有することを特徴とする請求項1から4いずれか1項記載の内視鏡の栓体。   The said stopper main body has a light transmittance, The said hardening part has the photocurability hardened | cured by the irradiation of the light which permeate | transmitted the said stopper main body, The any one of Claim 1 to 4 characterized by the above-mentioned. Endoscopic plug body. 前記栓本体は遮光性の包装体に収納されており、使用時に包装体から取り出されて前記取付部に装着されることを特徴とする請求項5記載の内視鏡の栓体。   The endoscope plug body according to claim 5, wherein the plug body is housed in a light-shielding package, and is taken out from the package during use and attached to the attachment portion. 前記硬化部は一定時間を経過後に、前記取付受け部の挿脱方向移動を規制する硬化後状態になり、前記一定時間は1回の内視鏡検査が終了する時間より長く、検査後の内視鏡の洗浄・消毒処理が完了するまでの時間よりは短いことを特徴とする請求項6記載の内視鏡の栓体。   The hardened portion is in a post-curing state that restricts movement of the attachment receiving portion in the insertion / removal direction after a predetermined time has elapsed, and the predetermined time is longer than the time at which one endoscopic inspection is completed, 7. The endoscope plug according to claim 6, wherein the time until the cleaning and disinfection processing of the endoscope is completed is shorter. 前記栓本体は、前記処置具挿通穴を外側から塞ぐ弁部材と、前記弁部材を前記栓本体に連結する連結部材と、前記弁部材が嵌合する弁部材受け部とを有することを特徴とする請求項7項記載の内視鏡の栓体。   The stopper body includes a valve member that closes the treatment instrument insertion hole from the outside, a connecting member that connects the valve member to the stopper body, and a valve member receiving portion into which the valve member is fitted. The endoscope plug body according to claim 7. 体内に挿入される挿入部と、前記挿入部の基端に接続される操作部と、前記操作部の外表面に設けられ、前記挿入部内を挿通するチャンネルに通じる取付部と、前記取付部に装着される請求項1から8いずれか1項記載の栓体と、
を備えることを特徴とする内視鏡。
An insertion portion that is inserted into the body, an operation portion that is connected to a proximal end of the insertion portion, an attachment portion that is provided on an outer surface of the operation portion and that leads to a channel that passes through the insertion portion, and the attachment portion. The stopper according to any one of claims 1 to 8, which is attached;
An endoscope comprising:
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