JP3123801U - Endoscope holder - Google Patents
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- JP3123801U JP3123801U JP2006003690U JP2006003690U JP3123801U JP 3123801 U JP3123801 U JP 3123801U JP 2006003690 U JP2006003690 U JP 2006003690U JP 2006003690 U JP2006003690 U JP 2006003690U JP 3123801 U JP3123801 U JP 3123801U
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Abstract
【課題】小児や乳幼児の口腔内を内視鏡で診察する際に、小児や乳幼児がたやすく口を開き、しかも口にくわえた状態で口腔内を視診することを可能にする、簡便な構造の内視鏡ホルダを提供する
【解決手段】中央に、透明な凸部50を有し、内視鏡の先端211を防護する乳房形をなした中空の吸い口20と、開口した底部12を有し、吸い口20が装着される哺乳瓶模型10と、を備え、内視鏡の先端211を凸部50に当接させた吸い口20を哺乳瓶模型10に装着し、装着された吸い口20を、口腔内を視診する患者にくわえさせる。そして、底部61及び開口端62を有し、内視鏡の先端211を防護する透明な筒状部材60を備え、吸い口20は、中央に円形孔21を有するものであって、内視鏡の先端211を底部61に当接させた筒状部材60を円形孔21に挿入し、円形孔21から突出した筒状部材の底部61により凸部50を形成してもよい。
【選択図】図2[PROBLEMS] To provide a simple structure that allows a child or infant to easily open their mouth and visually observe the mouth in the mouth when observing the mouth of a child or infant with an endoscope. An endoscope holder is provided. A breast-shaped hollow mouthpiece 20 having a transparent convex portion 50 at the center and protecting the distal end 211 of the endoscope, and an open bottom portion 12 are provided. A baby bottle model 10 to which the mouthpiece 20 is attached, and the mouthpiece 20 having the tip 211 of the endoscope in contact with the convex portion 50 is attached to the baby bottle model 10 and the sucker attached. The mouth 20 is added to a patient who is inspecting the oral cavity. And it has the bottom part 61 and the opening end 62, is equipped with the transparent cylindrical member 60 which protects the front-end | tip 211 of an endoscope, and the suction port 20 has the circular hole 21 in the center, Comprising: Alternatively, the cylindrical member 60 having the tip 211 thereof in contact with the bottom portion 61 may be inserted into the circular hole 21, and the convex portion 50 may be formed by the bottom portion 61 of the cylindrical member protruding from the circular hole 21.
[Selection] Figure 2
Description
本考案は、内視鏡の先端を防護して口腔内に挿入される内視鏡ホルダに関するものである。 The present invention relates to an endoscope holder that is inserted into the oral cavity while protecting the distal end of the endoscope.
医者が喉頭や咽頭など、口腔内を診察する際には金属製又は木製の舌圧子を片手で操作し、他方の手で懐中電灯を照らしながら視診するのが一般的である。しかしながら、口腔内を照明しながら視診するのでは、細部を明瞭に観察できないという課題がある。そこで、後方から光ファイバなどによって導かれた照明光で口腔内を照らし、照明された口腔内画像を光ファイバなどの光学部材を用いて後方に結像させる口腔内観察用ファイバスコープが提案されている(特許文献1参照)。この方法を用いれば、口腔内の微細部分であっても、両手を用いずに明瞭に観察できるという利点があるが、鮮明画像を得るためには、より高度な光学部材を用いる必要があり、ファイバスコープが割高になるという課題がある。
一方、近年は、CCDカメラの小型化、高感度化が進展し、CCDカメラを内蔵し、そのCCDカメラで撮影された画像をモニタ画面に表示するようにしたビデオスコープや、ビデオスコープに更にビデオレコーダやテレビ受像機を組み合わせ、記録を残すことや、多くの人にモニタさせるように構成した口腔内視映像システムなどが開発されるなど、デジタル技術を用いることにより鮮明で明るい画像を得る技術が目覚しく進歩している。
しかしながら実際にそれらを医療現場に適用し口腔内を視診等する場合には、口腔内外で移動操作することによる不便性から、操作性を容易にした口腔内視用小型テレビカメラのホルダが提案されている(特許文献2参照)。
On the other hand, in recent years, miniaturization and high sensitivity of CCD cameras have progressed, and a video scope that incorporates a CCD camera and displays an image taken with the CCD camera on a monitor screen, or a video scope with a video scope. Technology to obtain clear and bright images by using digital technology, such as the combination of recorders and television receivers, leaving records, and developing intraoral video systems designed to allow many people to monitor Remarkably progressing.
However, when actually applying them to the medical site and inspecting the inside of the oral cavity, a holder for a small-sized television camera for intraoral endoscopy that facilitates operability has been proposed due to the inconvenience of moving operation inside and outside the mouth. (See Patent Document 2).
今日、ファイバスコープやビデオスコープなどの内視鏡は、比較的安価に入手できるようになってきており、医療現場においても益々普及するものと思われる。しかしながら、内視鏡の先端部分は、その構造や材質、並びに安全衛生上の理由から、口にくわえさせることや、口にくわえた先端部を煮沸消毒等することは困難であり、内視鏡を用いて口腔内を診察する際には、口を開けたままの状態で行うか、マウスピースなどを用いて行う必要がある。これに対し、口腔内を診察する患者が乳幼児や小児の場合には、内視鏡の先端部分などの見慣れない物を近付けると口を閉ざす場合が多く、内視鏡を口腔内に挿入すること自体に忍耐と工夫が必要である。また、一旦口を開けても、短時間で口を閉じてしまうので、挿入された内視鏡の先端をかじられるおそれがある。さらに、異物に敏感であり、マウスピースは装着すること自体困難な場合が多い。
上記事情に鑑み、本考案は、小児や乳幼児の口腔内を内視鏡で診察する際に、小児や乳幼児がたやすく口を開き、しかも口にくわえた状態で口腔内を視診することを可能にする、簡便な構造の内視鏡ホルダを提供することを目的とする。
Today, endoscopes such as fiberscopes and videoscopes are becoming available at a relatively low cost, and are expected to become increasingly popular in the medical field. However, it is difficult to hold the distal end portion of the endoscope in the mouth or to boil and disinfect the distal end portion in the mouth because of the structure and material and safety and health reasons. When the inside of the oral cavity is examined by using a mouthpiece, it is necessary to keep the mouth open or use a mouthpiece or the like. On the other hand, when the patient who examines the oral cavity is an infant or child, the mouth is often closed when an unfamiliar object such as the tip of the endoscope is brought close to it, and the endoscope must be inserted into the oral cavity. It needs patience and ingenuity. Moreover, even if the mouth is once opened, the mouth is closed in a short time, and there is a possibility that the tip of the inserted endoscope may be bitten. Furthermore, it is sensitive to foreign matter, and the mouthpiece is often difficult to put on itself.
In view of the above circumstances, the present invention makes it possible for children and infants to easily open their mouths and observe the mouth with their mouths open when examining the mouths of children and infants with an endoscope. An object of the present invention is to provide an endoscope holder having a simple structure.
本考案の内視鏡ホルダは、中央に、透明な凸部を有し、内視鏡の先端を防護する乳房形をなした中空の吸い口と、開口した底部を有し、前記吸い口が装着される哺乳瓶模型と、を備え、内視鏡の先端を前記凸部に当接させた上記吸い口を上記哺乳瓶模型に装着し、装着された該吸い口を、口腔内を視診する患者にくわえさせることを特徴とする。
このように、口にくわえても安全な、透明な部材を用いて内視鏡の先端を防護する吸い口を形成し、その吸い口をミニチュアの哺乳瓶に装着するので、口腔内を視診する乳幼児は、違和感を持たずにその哺乳瓶を手で持ち、内視鏡の先端が収容された吸い口を口にくわえる。そこで、乳幼児に違和感を抱かせずに、口腔内の診察を円滑に行うことができる。
また、底部及び開口端を有し、内視鏡の先端を防護する透明な筒状部材を備え、上記吸い口は、中央に円形孔を有するものであって、内視鏡の先端を底部に当接させた上記筒状部材を上記円形孔に挿入し、該円形孔から突出した該筒状部材の底部により上記凸部を形成することも好ましく、上記筒状部材は、底部側の外径が漸減するテーパを有するも好ましい。
このように、吸い口部の凸部を筒状部材で形成すれば、内視鏡の先端を固定しやすく、防護も容易になる。また、筒状部材にテーパを設ければ、円形孔から底部が突出す長さは制限されるので、乳幼児が吸い口をくわえたときに底部が咽喉や咽頭にあたる恐れがない。
また、上記哺乳瓶模型は、口腔内を視診する患者に把持させる把手を備えたことも好ましい。
ミニチュアの哺乳瓶に把手がついていれば、乳幼児が持ちやすい。
さらに、上記吸い口を係止する係止部を有し、上記哺乳瓶模型に螺着される蓋を備えたことも好ましい。
吸い口が蓋に係止されるようになっていれば、蓋を外して、吸い口や筒状部材を消毒するのが容易になる。
An endoscope holder according to the present invention has a transparent mouth portion at the center, a hollow mouthpiece having a breast shape that protects the distal end of the endoscope, and an open bottom portion. A baby bottle model to be mounted; the mouthpiece in which the tip of the endoscope is brought into contact with the convex portion is attached to the baby bottle model; and the mouthpiece is inspected in the oral cavity It is characterized by having the patient hold it.
In this way, a mouthpiece that protects the tip of the endoscope is formed using a transparent member that is safe to be added to the mouth, and the mouthpiece is attached to a miniature baby bottle, so the inside of the oral cavity is inspected. The infant holds the baby bottle with his / her hand without feeling uncomfortable, and adds a mouthpiece in which the tip of the endoscope is accommodated in the mouth. Therefore, it is possible to smoothly perform an oral examination without causing the infant to feel uncomfortable.
Also, it has a bottom and an open end, and includes a transparent cylindrical member that protects the tip of the endoscope, and the mouthpiece has a circular hole in the center, and the tip of the endoscope is at the bottom. It is also preferable that the cylindrical member brought into contact is inserted into the circular hole, and the convex portion is formed by the bottom portion of the cylindrical member protruding from the circular hole, and the cylindrical member has an outer diameter on the bottom side. It is also preferable to have a taper that gradually decreases.
Thus, if the convex part of a mouthpiece part is formed with a cylindrical member, it will be easy to fix the front-end | tip of an endoscope, and protection will also become easy. Further, if the cylindrical member is provided with a taper, the length of the bottom protruding from the circular hole is limited, so there is no possibility that the bottom hits the throat or pharynx when the infant holds the mouthpiece.
Moreover, it is preferable that the baby bottle model is provided with a handle to be grasped by a patient who visually observes the inside of the oral cavity.
If a miniature baby bottle has a handle, infants can easily hold it.
Furthermore, it is also preferable to include a lid having a locking portion for locking the mouthpiece and screwed onto the baby bottle model.
If the mouthpiece is locked to the lid, it is easy to remove the lid and disinfect the mouthpiece and the tubular member.
本考案の内視鏡ホルダは、底部及び開口端を有し、内視鏡の先端を防護する透明な筒状部材と、上記筒状部材が挿脱される貫通孔を有する食品サンプルと、を備え、内視鏡の先端を底部に当接させた上記筒状部材を上記貫通孔に挿入し、該貫通孔から突出した該筒状部材の底部を、口腔内を視診する患者にくわえさせることを特徴とする。
このように、食品サンプル、例えば小児が好むコーン入ソフトクリームのサンプルに貫通孔を設け、その貫通孔から内視鏡の先端が収容された透明な筒状部材の底部を突出しているので、口腔内を視診する小児は、違和感を持たずにその食品サンプルを手で持ち、内視鏡の先端が収容された底部を口にくわえる。そこで、乳幼児に違和感を抱かせずに、口腔内の診察を円滑に行うことができる。さらに、筒状部材のみを外して、消毒することにより、繰り返し使用が容易である。
また、上記食品サンプルは、上記貫通孔の、上記底部が突出す側の内縁に、通過物の外径を規制する規制部材を有し、上記筒状部材は、該筒状部材の底部から所定の位置における外径を太くする補助部材を有することも好ましく、上記食品サンプルは、上記貫通孔の、上記底部が突出す側の内縁に、通過物の外径を規制する規制部材を有し、上記筒状部材は、底部側の外径が漸減するテーパを有することも好ましい。
このように、貫通孔の内縁に規制部材を設け、筒状部材の所定位置に外径を太くする補助部材を設けるか、あるいは貫通孔の内縁に規制部材を設け、筒状部材の底部側に、底部側ほど細径となるテーパを設ければ、貫通孔から突出す底部の長さが制限されるので、乳幼児が吸い口をくわえたときに底部が咽喉や咽頭にあたる恐れがない。
An endoscope holder according to the present invention includes a transparent cylindrical member having a bottom portion and an open end and protecting the distal end of the endoscope, and a food sample having a through-hole through which the cylindrical member is inserted and removed. And inserting the cylindrical member with the tip of the endoscope in contact with the bottom into the through-hole, and holding the bottom of the cylindrical member protruding from the through-hole to the patient who observes the inside of the oral cavity. It is characterized by.
In this way, a food sample, for example, a sample of corn-filled soft cream preferred by children, is provided with a through hole, and the bottom of the transparent cylindrical member in which the tip of the endoscope is accommodated protrudes from the through hole. A child who looks inside can hold the food sample in his / her hand without feeling uncomfortable, and put the bottom part in which the tip of the endoscope is contained in his / her mouth. Therefore, it is possible to smoothly perform an oral examination without causing the infant to feel uncomfortable. Furthermore, repeated use is easy by removing only the cylindrical member and disinfecting.
In addition, the food sample has a regulating member that regulates the outer diameter of the passing material at the inner edge of the through hole on the side from which the bottom protrudes, and the cylindrical member is predetermined from the bottom of the cylindrical member. It is also preferable to have an auxiliary member that thickens the outer diameter at the position, and the food sample has a regulating member that regulates the outer diameter of the passing material on the inner edge of the through hole on the side from which the bottom protrudes It is also preferable that the cylindrical member has a taper in which the outer diameter on the bottom side gradually decreases.
In this way, a regulating member is provided on the inner edge of the through hole, and an auxiliary member that increases the outer diameter is provided at a predetermined position of the cylindrical member, or a regulating member is provided on the inner edge of the through hole, If a taper having a smaller diameter on the bottom side is provided, the length of the bottom protruding from the through hole is limited, so that when the infant holds the mouthpiece, there is no possibility that the bottom hits the throat or pharynx.
本考案の内視鏡ホルダによれば、外郭が、小児や乳幼児が好む形をしているので口をたやすく開け、しかも口にくわえた状態で口腔内を内視鏡で視診することができるので、小児や乳幼児の口腔内診察が容易になる。また、口にくわえる部分の着脱が容易であるから、煮沸消毒等を行うことにより、繰り返し使用することができる。 According to the endoscope holder of the present invention, since the outer shape is preferred by children and infants, the mouth can be easily opened and the inside of the oral cavity can be inspected with an endoscope while being held in the mouth. Therefore, oral examination of children and infants becomes easy. Moreover, since it is easy to attach and detach the part added to the mouth, it can be used repeatedly by performing boiling sterilization or the like.
(第1の実施形態)
図1は、第1の実施形態の内視鏡ホルダに適用される内視鏡の一例を示す概略構成図である。
図1に示すように、本実施形態に用いる内視鏡200は、ヘッド部210と、接眼部230と、操作部220と、フレキシブルコード240と、により構成されている。ヘッド部210は、光を放射し、その光が照射された口腔内の被写体像を得る細径の先端211と、フレキシブルコードに接続される太径の後端212とを有する。フレキシブルコード240は、ヘッド部210と接眼部230及び操作部220とを光学的に折り曲げ自在につなぎ、図に現れない光源の光を細径の先端211に伝送する。そして、細径の先端211で取得した被写体像を接眼部230に伝送する。なお、ヘッド部210とフレキシブルコード240とはコネクタにより着脱自在に接続され、接眼部230及び操作部220とフレキシブルコード240とは固定接続される。接眼部230は、図に現れない内蔵されたレンズにより、拡大又は縮小された被写体像を肉眼で覗くことができる。操作部220は、先端211に光を伝送する光源の点滅を手動操作することができる。
本実施形態の内視鏡は、被写体像を接眼部230で直視するファイバスコープを用いているが、内視鏡は必ずしもファイバスコープである必要はなく、被写体像をCCDカメラで撮影し、撮影されたデジタル画像をモニタ画面で観察し、メモリに記録することが可能なビデオスコープを用いてもよい。
図2から図4は、第1の実施形態として示す内視鏡ホルダのそれぞれ正面図、側面図、及び平面図であり、正面図及び平面図は、内視鏡がセットされていない状態、側面図は、内視鏡がセットされた状態を示す。
図2から図4に示すように、本実施形態の内視鏡ホルダ100は、開口した底部を有するミニチュアの哺乳瓶10と、乳房形をした中空の吸い口20と、吸い口20を装着して、ミニチュアの哺乳瓶10に螺着される蓋30と、患者が把持する把手40と、内視鏡のヘッド部210を収容し、先端211を防護する透明な筒状部材60と、を備えている。
ここで、ミニチュアの哺乳瓶10は、例えばポリエチレン、ポリプロピレン、塩化ビニル樹脂、ポリスチレン、ABS樹脂などの熱可塑性樹脂を用いて、押出式、あるいは射出式のブロー成形により形成することができる。一方、吸い口20は、口にくわえたときに安全であること、煮沸消毒できることが必須要件であり、ポリプロピレン、ポリスチレン、ABS樹脂、メタクリル樹脂などを用いることができる。また、内視鏡の先端を防護する筒状部材60は、更に光透過性を有すること、噛まれても傷付かないことや変形の恐れのないことが必須要件であり、メタクリル樹脂、ホウケイ酸ガラスなどを用いることができる。ただし、上述した材料は、一例であって、必ずしもそれらに限定されず、要件を満たせば他の材料を用いてもよい。
ミニチュアの哺乳瓶10は、口部11及び底部12を有する円筒形のもので、口部11には、蓋30を回転させて螺着するためのねじ山があり、底部12には、透明な筒状部材60を挿入するための開口(図に現れない)がある。また、口部11には、対称な位置に把手40が2つあり、患者(乳幼児)は、両手で把手40をつかみ、吸い口20をくわえることができる。
図4に示すように、吸い口20は、乳房形に成形された中空部材からなり、中央に円形孔21が設けてある。また、蓋30は、円形に成形され、中央には、吸い口20が突出す大きな開口31と、開口31の周囲において吸い口20を係止する係止部32とを有する。
乳房形をした吸い口20の最大径は、蓋の開口31の径よりは大きく、蓋20の内径よりは小さくなっている。したがって、ミニチュアの哺乳瓶10に螺着される蓋30の裏側から吸い口20を嵌め込み、開口31の周囲にある係止部31に、吸い口20の最大径の部分を係止させることにより、吸い口20は蓋30に固定される。したがって、吸い口20が係止された蓋30を、ミニチュアの哺乳瓶10に螺着すれば、吸い口20をミニチュアの哺乳瓶10に装着することができる。
図5は、本実施形態の内視鏡ホルダに用いる透明な筒状部材の正面図である。
図5に示すように、筒状部材60は、一方が、丸みを帯びた底部61で、他方が、開口端62の、透明な中空容器である。本実施形態の筒状部材60は、長手方向の底部61側において、外径が、底部側61ほど小さくなるテーパが設けてあり、長手方向の開口端62側においては、外径が均一になっている。また、底部61の外径は、円形孔21の径よりも小さく、かつ開口端62の外径は、円形孔21の径よりも大きい。したがって、円形孔21に底部61から筒状部材60を挿入すれば、円形孔21から筒状部材60の底部61側の一部が突出す。
図2から図4に示すように、ミニチュアの哺乳瓶10の開口した底部12から、筒状部材60を底部61から挿入し、円形孔21に押し込めば、筒状部材60は、その円形孔21から底部61が突出して、本考案の凸部50を形成する。そのとき、筒状部材60のテーパにより、底部61側が突出す長さは制限される。
ここで、吸い口20から底部61側が突出す長さは、円形孔21の径と、筒状部材60の長手方向底部61側におけるテーパにより任意に設定することができる。ただし、長さがあまり長すぎると、乳幼児などが、吸い口20よりも底部61をくわえることになり、口腔内の視診が難しくなるので、10mm程度以下となるように設定することが好ましい。そして、吸い口20の最大径を、乳幼児が通常口にくわえる乳首よりも大きめにしておけば、患者である小児が吸い口20を口にくわえたときに、底部61が咽喉や喉頭などに当たるおそれはない。
本実施形態の内視鏡ホルダ100を用いて、口腔内の視診を行うときは、まず、図2に示すように、内視鏡のヘッド部210を、光を放射する細径の先端211が底部61に当接するまで、筒状部材60に押し込む。そして、ヘッド部210の太径の後端212が開口端62に嵌合し、筒状部材60に固定されるようにする。次に、蓋30に係合された吸い口20の円形孔21から、内視鏡のヘッド部210が収容された透明な筒状部材60の底部61を突出させる。そして、底部61が吸い口20から突出した蓋30を、ミニチュアの哺乳瓶10に螺着させる。次に、図3に示すように、内視鏡のフレキシブルコード240を、ヘッド部210に接続し、口腔内の視診準備が完了する。
準備が完了したら、患者に哺乳瓶の把手40を両手でつかませ、吸い口20を口にくわえさせる。患者が吸い口20をくわえたら、内視鏡の操作部220を操作して、細径の先端211から照明光を放射し、照明された口腔内像を接眼部230で視診し、患部や症状を特定する。なお、必要により、筒状部材の底部61を首ふりさせることなどにより、視診角度を変えることができる。
ここでは、筒状部材の底部61を首ふりさせて、視診角度を変えているが、操作部220の操作により、細径の先端211の向きを変えることやズームレンズを操作することができる内視鏡を用いてもよいし、ヘッド部210を取り替えることにより視野角を変更できる内視鏡を用いてもよい。
このように、内視鏡ホルダ100の外観がミニチュアの哺乳瓶であれば、患者である乳幼児は違和感なく、自分の両手で内視鏡ホルダ100をつかみ吸い口20を口にくわえてくれるので、外部から口腔内を容易、かつ十分に視診することができる。また、十分な長さのフレキシブルコード240を有する内視鏡を用いれば、母親に抱かれた状態での診察も容易である。さらに、口にくわえた筒状部材60や吸い口20は、取り外して、容易に煮沸消毒などが行えるので、繰り返し使用することができる。
本実施形態では、筒状部材60がテーパを持ち、吸い口20の円形孔21から突出す長さが制限された底部61が、内視鏡の先端を防護する凸部50を構成している。しかしながら、突出す長さを制限するためのテーパは必ずしも必要ではなく、外径を均一にして、底部61側の所定位置に粘着テープなどを巻いて外径を太くし、円形孔21を通過できないように構成してもよいし、底部側の所定位置を円形孔21に固定することにより、円形孔21から突出す長さを制限してもよい。その場合、筒状部材60を吸い口20に接着して固定してもよいし、あるいは一体成形して固定してもよい。
また、筒状部材60は必ずしも必要ではなく、例えばミニチュアの哺乳瓶10を、内視鏡のヘッド部210が通過する程度の貫通孔のある充実形のものとして成形する一方、透明部材により吸い口20と凸部50とを一体成形し、そこに内視鏡のヘッド部210を収容することにしてもよい。
(First embodiment)
FIG. 1 is a schematic configuration diagram illustrating an example of an endoscope applied to the endoscope holder according to the first embodiment.
As shown in FIG. 1, the endoscope 200 used in this embodiment includes a head unit 210, an eyepiece unit 230, an operation unit 220, and a flexible cord 240. The head unit 210 has a small-diameter tip 211 that radiates light and obtains a subject image in the oral cavity irradiated with the light, and a large-diameter rear end 212 connected to the flexible cord. The flexible cord 240 optically bends the head unit 210, the eyepiece unit 230, and the operation unit 220, and transmits light from a light source that does not appear in the drawing to the small-diameter tip 211. Then, the subject image acquired by the small-diameter tip 211 is transmitted to the eyepiece unit 230. The head unit 210 and the flexible cord 240 are detachably connected by a connector, and the eyepiece unit 230 and the operation unit 220 and the flexible cord 240 are fixedly connected. The eyepiece unit 230 can look into the enlarged or reduced object image with the naked eye using a built-in lens that does not appear in the figure. The operation unit 220 can manually operate blinking of a light source that transmits light to the tip 211.
The endoscope of the present embodiment uses a fiberscope that directly views a subject image with the eyepiece unit 230. However, the endoscope is not necessarily a fiberscope, and the subject image is photographed with a CCD camera. A video scope capable of observing the recorded digital image on a monitor screen and recording it in a memory may be used.
2 to 4 are a front view, a side view, and a plan view, respectively, of the endoscope holder shown as the first embodiment. The front view and the plan view are a state in which the endoscope is not set, a side view. The figure shows a state where the endoscope is set.
As shown in FIGS. 2 to 4, the endoscope holder 100 of the present embodiment is equipped with a miniature baby bottle 10 having an open bottom, a breast-shaped hollow mouthpiece 20, and a mouthpiece 20. A lid 30 screwed into the miniature baby bottle 10, a handle 40 held by the patient, and a transparent tubular member 60 that houses the head portion 210 of the endoscope and protects the distal end 211. ing.
Here, the miniature baby bottle 10 can be formed by extrusion or injection blow molding using a thermoplastic resin such as polyethylene, polypropylene, vinyl chloride resin, polystyrene, or ABS resin. On the other hand, the mouthpiece 20 is required to be safe when added to the mouth and to be boiled and disinfected, and polypropylene, polystyrene, ABS resin, methacrylic resin, or the like can be used. In addition, the cylindrical member 60 that protects the distal end of the endoscope is further required to have light transmission properties, be undamaged even when bitten, and not to be deformed. Methacrylic resin, borosilicate Glass or the like can be used. However, the above-described materials are examples, and are not necessarily limited thereto, and other materials may be used as long as the requirements are satisfied.
The miniature baby bottle 10 has a cylindrical shape having a mouth portion 11 and a bottom portion 12. The mouth portion 11 has a screw thread for rotating and screwing the lid 30, and the bottom portion 12 has a transparent thread. There is an opening (not shown) for inserting the tubular member 60. Further, the mouth portion 11 has two grips 40 at symmetrical positions, and the patient (infant) can hold the mouthpiece 20 by holding the grip 40 with both hands.
As shown in FIG. 4, the mouthpiece 20 is made of a hollow member formed in a breast shape, and a circular hole 21 is provided in the center. The lid 30 is formed in a circular shape, and has a large opening 31 through which the mouthpiece 20 protrudes and a locking portion 32 that locks the mouthpiece 20 around the opening 31 at the center.
The maximum diameter of the breast-shaped mouthpiece 20 is larger than the diameter of the lid opening 31 and smaller than the inner diameter of the lid 20. Therefore, by fitting the mouthpiece 20 from the back side of the lid 30 screwed into the miniature baby bottle 10, the locking portion 31 around the opening 31 is locked to the portion of the maximum diameter of the mouthpiece 20, The mouthpiece 20 is fixed to the lid 30. Therefore, if the lid 30 on which the mouthpiece 20 is locked is screwed to the miniature baby bottle 10, the mouthpiece 20 can be attached to the miniature baby bottle 10.
FIG. 5 is a front view of a transparent cylindrical member used for the endoscope holder of the present embodiment.
As shown in FIG. 5, the cylindrical member 60 is a transparent hollow container having one rounded bottom 61 and the other open end 62. The tubular member 60 of the present embodiment is provided with a taper in which the outer diameter is smaller on the bottom 61 side in the longitudinal direction, and the outer diameter is uniform on the opening end 62 side in the longitudinal direction. ing. Further, the outer diameter of the bottom portion 61 is smaller than the diameter of the circular hole 21, and the outer diameter of the opening end 62 is larger than the diameter of the circular hole 21. Therefore, if the cylindrical member 60 is inserted into the circular hole 21 from the bottom 61, a part of the cylindrical member 60 on the bottom 61 side protrudes from the circular hole 21.
As shown in FIGS. 2 to 4, when the cylindrical member 60 is inserted from the bottom portion 61 through the bottom portion 12 of the miniature baby bottle 10 and pushed into the circular hole 21, the cylindrical member 60 is inserted into the circular hole 21. The bottom portion 61 protrudes from the bottom to form the convex portion 50 of the present invention. At that time, due to the taper of the tubular member 60, the length of the bottom 61 protruding is limited.
Here, the length that the bottom 61 side protrudes from the mouthpiece 20 can be arbitrarily set by the diameter of the circular hole 21 and the taper on the longitudinal bottom 61 side of the tubular member 60. However, if the length is too long, an infant or the like will add the bottom 61 to the mouthpiece 20 and it will be difficult to observe in the oral cavity, so it is preferable to set the length to about 10 mm or less. If the maximum diameter of the mouthpiece 20 is made larger than the nipple that an infant usually holds in the mouth, the bottom 61 hits the throat or larynx when the child as a patient puts the mouthpiece 20 in the mouth. It is not.
When performing intraoral inspection using the endoscope holder 100 of the present embodiment, first, as shown in FIG. 2, the head portion 210 of the endoscope has a small-diameter tip 211 that emits light. Push into the cylindrical member 60 until it contacts the bottom 61. Then, the large-diameter rear end 212 of the head portion 210 is fitted into the opening end 62 so as to be fixed to the tubular member 60. Next, the bottom 61 of the transparent tubular member 60 in which the head portion 210 of the endoscope is accommodated is projected from the circular hole 21 of the mouthpiece 20 engaged with the lid 30. Then, the lid 30 with the bottom 61 protruding from the mouthpiece 20 is screwed into the miniature baby bottle 10. Next, as shown in FIG. 3, the flexible cord 240 of the endoscope is connected to the head unit 210, and the preparation for visual inspection in the oral cavity is completed.
When the preparation is completed, the patient holds the baby bottle handle 40 with both hands and holds the mouthpiece 20 in the mouth. When the patient holds the mouthpiece 20, the operation unit 220 of the endoscope is operated to emit illumination light from the small-diameter tip 211, and the illuminated intraoral image is inspected by the eyepiece unit 230, Identify symptoms. If necessary, the viewing angle can be changed by swinging the bottom 61 of the cylindrical member.
Here, the bottom 61 of the cylindrical member is swung to change the viewing angle. However, the operation of the operation unit 220 can change the direction of the small-diameter tip 211 or operate the zoom lens. An endoscope may be used, or an endoscope whose viewing angle can be changed by replacing the head unit 210 may be used.
In this way, if the appearance of the endoscope holder 100 is a miniature baby bottle, the infant who is a patient can grasp the endoscope holder 100 with his / her hands and hold the mouthpiece 20 in his / her mouth. The inside of the oral cavity can be inspected easily and sufficiently from the outside. In addition, if an endoscope having a sufficiently long flexible cord 240 is used, it is easy to make a diagnosis while being held by the mother. Furthermore, since the cylindrical member 60 and the mouthpiece 20 added to the mouth can be removed and easily boiled and disinfected, it can be used repeatedly.
In the present embodiment, the cylindrical member 60 has a taper, and the bottom 61 with a limited length protruding from the circular hole 21 of the mouthpiece 20 constitutes the convex portion 50 that protects the distal end of the endoscope. . However, a taper for limiting the protruding length is not necessarily required. The outer diameter is made uniform, and the outer diameter is increased by winding an adhesive tape or the like around a predetermined position on the bottom 61 side so that it cannot pass through the circular hole 21. The length protruding from the circular hole 21 may be limited by fixing the predetermined position on the bottom side to the circular hole 21. In that case, the cylindrical member 60 may be fixed by being bonded to the mouthpiece 20, or may be integrally formed and fixed.
The cylindrical member 60 is not always necessary. For example, the miniature baby bottle 10 is formed as a solid shape having a through hole through which the head portion 210 of the endoscope passes, while the mouthpiece is made of a transparent member. 20 and the convex part 50 may be integrally formed, and the head part 210 of the endoscope may be accommodated therein.
(第2の実施形態)
第2の実施形態の内視鏡ホルダは、第1の実施形態に較べて、内視鏡の先端を防護する筒状部材を用いる点は共通するが、本体がミニチュアの哺乳瓶ではなく食品サンプルである点や筒状部材の外径が均一で、太い点が相違する。
図6から図8は、第2の実施形態として示す内視鏡ホルダのそれぞれ正面図、側面図、及び平面図であり、正面図及び平面図は、内視鏡がセットされていない状態、側面図は、内視鏡がセットされた状態を示す。
図6から図8に示すように、本実施形態の内視鏡ホルダ110は、貫通孔115を有し、外郭がコーン入ソフトクリームの食品サンプル111と、内視鏡のヘッド部210を収容し、先端211を防護する透明な筒状部材60と、を備えている。
ここで、外郭がコーン入ソフトクリームの食品サンプル111は、例えばシリコンを用いてコーン入ソフトクリームの型取りを行い、出来上がったシリコンの型に塩化ビニルなどのプラスチックを流し込んでコーン入ソフトクリームそっくりに成形されたものに、筆などを用いて着色して形成してもよいし、コーンとソフトクリームそれぞれの色に着色されたプラスチックを射出成形により形成してもよい。一方、内視鏡の先端211を防護する筒状部材60は、口にくわえたときに安全であること、煮沸消毒できること、光透過性を有すること、噛まれても傷付かないことや変形の恐れのないことが必須要件であり、例えばメタクリル樹脂、ホウケイ酸ガラスなどを用いることができる。ただし、ここに示した材料は、一例であって、必ずしもそれらに限定されず、要件を満たせば他の材料を用いてもよい。
筒状部材60は、図5に示すように、一方が、丸みを帯びた底部61で、他方が、開口端62の、透明な中空容器である。ただし、本実施形態の筒状部材60は、第1の実施形態で説明したような底部61側のテーパはないので、外径は均一である。また、本実施形態の内視鏡ホルダ110は、第1の実施形態における吸い口20のかわりに底部61を直接くわえさせるので、第1の実施形態の底部に較べれば、その外径が大きい筒状部材を用いている。さらに、筒状部材60の底部61側の所定の位置には貫通孔115の通過を制限する補助部材63(図示されていない)が取り付けられている。
ここで、補助部材63は、例えば外径を大きくするために筒状部材60に巻きつけた粘着テープであってもよいし、筒状部材60に取り付けたリング状部材であってもよい。また、本実施形態の筒状部材60は、底部61の外径と開口端62の外径とが同じになるよう構成されているが、底部61にさらに細径の凸部を連接させると共に、底部61自体を球形にし、開口端62の外径よりもその径を大きくして、細径の凸部に内視鏡の先端211を収容するように構成してもよい。筒状部材60をそのように構成すれば、患者である小児がその底部61を口にくわえたときに、咽喉や喉頭などに当たらない。
図6に示すように、食品サンプル111の貫通孔115は、内径が筒状部材60の外径よりも大きく、ソフトクリームの頂側内縁には規制部材116(図に現れない)が設置されている。そして、規制部材116の内径は、筒状部材60に取り付けられた補助部材63の外径よりも小さくなっている。
図8に示すように、本実施形態の内視鏡ホルダ110のソフトクリームの頂側側面には、中心よりもやや下に貫通孔115があり、その貫通孔115の縁には、規制部材116が設置されている。したがって、図5で示した、丸みを帯びた底部61と、開口端62とを有する透明な筒状部材60の底部61から、貫通孔115のコーン側に挿入すると、貫通孔115の縁に設置された規制部材116が補助部材63の通過を規制するため、ソフトクリームの頂側から底部61側が突出す長さは制限される。
このように、食品サンプル111から筒状部材の底部61側が突出す長さを制限すれば、小児の咽頭や喉頭などに、口にくわえた底部61があたるおそれがない。
本実施形態の内視鏡ホルダ110を用いて、口腔内の視診を行うときは、まず、図6に示すように、内視鏡のヘッド部210を、光を放射する細径の先端211が底部61に当接するまで、筒状部材60に押し込む。そして、内視鏡のヘッド部210が収容された筒状部材の底部61を、食品サンプル111の貫通孔115に、コーン側から挿入し、ソフトクリームの頂側に突出す。次に、図7に示すように、内視鏡のフレキシブルコード240を、ヘッド部210に接続し、口腔内の視診準備を完了する。
準備が完了したら、患者に、ソフトクリームにそっくりな内視鏡ホルダ110を持たせて、筒状部材の底部61を口にくわえさせる。患者が底部61をくわえたら、操作部220を操作して、ヘッド部210の先端211から照明光を放射し、照明された口腔内像を接眼部230で視診し、患部や症状を特定する。
ここで、本実施形態の内視鏡ホルダ110においても、第1の実施形態と同様に、筒状部材の底部61を首ふりさせることにより内視鏡による視診範囲を変えたり、あるいは操作部220を操作して先端211の首ふりをさせたり、視野角調整を行い、内視鏡による視診範囲を変えることができる。
このように、内視鏡ホルダ110の外郭がコーン入ソフトクリームであるから、患者である小児は、喜んでそれをつかみ、突出した底部61を違和感なく口にくわえるので、内視鏡で口腔内を容易に診察することができる。また、口にくわえた筒状部材60は、貫通孔115から抜いて、煮沸消毒することができるので、繰り返し使用することができる。
本実施形態の内視鏡ホルダ110は、筒状部材60に補助部材63を取り付けることにより、貫通孔115の規制部材116を補助部材63が通過するのを制限し、底部61が突出す長さを規制しているが、第1の実施形態で説明したように、筒状部材60の底部側の外径が漸減するテーパを設け、規制部材116により貫通孔115から底部61が突出す長さを制限することもできる。
(Second Embodiment)
The endoscope holder of the second embodiment is similar to the first embodiment in that a cylindrical member that protects the distal end of the endoscope is used, but the body is not a miniature baby bottle but a food sample. And the outer diameter of the cylindrical member is uniform and thick.
6 to 8 are a front view, a side view, and a plan view, respectively, of the endoscope holder shown as the second embodiment. The front view and the plan view are a state in which the endoscope is not set, a side view. The figure shows a state where the endoscope is set.
As shown in FIGS. 6 to 8, the endoscope holder 110 of the present embodiment has a through-hole 115 and houses a food sample 111 having a cone-containing soft cream and a head portion 210 of the endoscope. A transparent cylindrical member 60 that protects the tip 211.
Here, the food sample 111 with corn-filled soft ice cream is made of corn-filled soft cream using, for example, silicon, and plastic such as vinyl chloride is poured into the finished silicon mold to look just like corn-filled soft cream. The molded product may be colored by using a brush or the like, or plastics colored in the colors of corn and soft cream may be formed by injection molding. On the other hand, the cylindrical member 60 that protects the distal end 211 of the endoscope is safe when held in the mouth, can be boiled and disinfected, has light transparency, and does not get damaged when bitten. It is an essential requirement that there is no fear, for example, methacrylic resin, borosilicate glass, or the like can be used. However, the material shown here is an example, and is not necessarily limited thereto, and other materials may be used as long as the requirements are satisfied.
As shown in FIG. 5, the cylindrical member 60 is a transparent hollow container, one of which is a rounded bottom 61 and the other of which is an open end 62. However, since the cylindrical member 60 of this embodiment does not have the taper on the bottom 61 side as described in the first embodiment, the outer diameter is uniform. In addition, the endoscope holder 110 according to the present embodiment directly holds the bottom 61 instead of the mouthpiece 20 according to the first embodiment. Therefore, the endoscope holder 110 has a larger outer diameter as compared with the bottom according to the first embodiment. A shaped member is used. Further, an auxiliary member 63 (not shown) that restricts the passage of the through hole 115 is attached to a predetermined position on the bottom 61 side of the cylindrical member 60.
Here, the auxiliary member 63 may be, for example, an adhesive tape wound around the tubular member 60 in order to increase the outer diameter, or may be a ring-shaped member attached to the tubular member 60. In addition, the cylindrical member 60 of the present embodiment is configured such that the outer diameter of the bottom portion 61 and the outer diameter of the opening end 62 are the same. The bottom 61 itself may be spherical, and the diameter of the bottom end 61 may be larger than the outer diameter of the opening end 62 so that the distal end 211 of the endoscope is accommodated in a narrow convex portion. If the cylindrical member 60 is configured in such a manner, the child, who is a patient, does not hit the throat or larynx when the bottom 61 is held in the mouth.
As shown in FIG. 6, the through-hole 115 of the food sample 111 has an inner diameter larger than the outer diameter of the cylindrical member 60, and a regulating member 116 (not shown in the figure) is installed on the top inner edge of the soft cream. Yes. The inner diameter of the regulating member 116 is smaller than the outer diameter of the auxiliary member 63 attached to the cylindrical member 60.
As shown in FIG. 8, the top side surface of the soft ice cream of the endoscope holder 110 of the present embodiment has a through hole 115 slightly below the center, and a regulating member 116 is provided at the edge of the through hole 115. Is installed. Therefore, when inserted into the cone side of the through-hole 115 from the bottom 61 of the transparent cylindrical member 60 having the rounded bottom 61 and the open end 62 shown in FIG. Since the regulated member 116 regulates the passage of the auxiliary member 63, the length of the bottom 61 side protruding from the top side of the soft cream is limited.
Thus, if the length which the bottom part 61 side of a cylindrical member protrudes from the food sample 111 is restrict | limited, there is no possibility that the bottom part 61 added to the mouth may hit a child's pharynx, a larynx, etc.
When performing an intraocular inspection using the endoscope holder 110 of the present embodiment, first, as shown in FIG. 6, the head portion 210 of the endoscope has a small-diameter tip 211 that emits light. Push into the cylindrical member 60 until it contacts the bottom 61. And the bottom part 61 of the cylindrical member in which the head part 210 of the endoscope is accommodated is inserted into the through hole 115 of the food sample 111 from the cone side and protrudes to the top side of the soft cream. Next, as shown in FIG. 7, the flexible cord 240 of the endoscope is connected to the head unit 210, and the preparation for visual inspection in the oral cavity is completed.
When the preparation is completed, the patient holds the endoscope holder 110 that looks just like soft ice cream and holds the bottom 61 of the cylindrical member in the mouth. When the patient holds the bottom 61, the operation unit 220 is operated to emit illumination light from the tip 211 of the head unit 210, and the illuminated intraoral image is inspected by the eyepiece unit 230 to identify the affected part and symptoms. .
Here, also in the endoscope holder 110 of the present embodiment, as in the first embodiment, the endoscopic range by the endoscope is changed by swinging the bottom 61 of the cylindrical member or the operation unit 220. Can be used to swing the tip 211 and adjust the viewing angle to change the scope of the endoscopic examination.
Thus, since the outer shell of the endoscope holder 110 is a cone-containing soft cream, the child who is a patient happily grabs it and holds the protruding bottom 61 in the mouth without a sense of incongruity. Can be examined easily. Moreover, since the cylindrical member 60 added to the mouth can be extracted from the through-hole 115 and boiled and sterilized, it can be used repeatedly.
The endoscope holder 110 according to the present embodiment limits the passage of the auxiliary member 63 through the regulating member 116 of the through hole 115 by attaching the auxiliary member 63 to the cylindrical member 60, and the length by which the bottom portion 61 protrudes. However, as described in the first embodiment, a taper in which the outer diameter on the bottom side of the cylindrical member 60 gradually decreases is provided, and the length by which the bottom 61 protrudes from the through hole 115 by the regulating member 116 is provided. Can also be restricted.
10 ミニチュアの哺乳瓶
11 口部
12 底部
20 吸い口
21 円形孔
30 蓋
31 開口
32 係止部
40 把手
50 凸部
60 筒状部材
61 底部
62 開口端
63 補助部材
100、110 内視鏡ホルダ
115 貫通孔
116 規制部材
200 内視鏡
210 ヘッド部
211 細径の先端
212 太径の後端
220 操作部
230 接眼部
240 フレキシブルコード
DESCRIPTION OF SYMBOLS 10 Miniature baby bottle 11 Mouth part 12 Bottom part 20 Suction mouth 21 Circular hole 30 Lid 31 Opening 32 Locking part 40 Handle 50 Convex part 60 Cylindrical member 61 Bottom part 62 Open end 63 Auxiliary member 100, 110 Endoscope holder 115 Through Hole 116 Restriction member 200 Endoscope 210 Head portion 211 Small diameter front end 212 Large diameter rear end
220 Operation unit 230 Eyepiece unit 240 Flexible cord
Claims (8)
Priority Applications (1)
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JP2006003690U JP3123801U (en) | 2006-05-16 | 2006-05-16 | Endoscope holder |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2006003690U JP3123801U (en) | 2006-05-16 | 2006-05-16 | Endoscope holder |
Publications (1)
Publication Number | Publication Date |
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JP3123801U true JP3123801U (en) | 2006-07-27 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2006003690U Expired - Fee Related JP3123801U (en) | 2006-05-16 | 2006-05-16 | Endoscope holder |
Country Status (1)
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JP (1) | JP3123801U (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN116807371A (en) * | 2023-08-15 | 2023-09-29 | 首都医科大学附属北京天坛医院 | Oral cavity image acquisition device |
-
2006
- 2006-05-16 JP JP2006003690U patent/JP3123801U/en not_active Expired - Fee Related
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN116807371A (en) * | 2023-08-15 | 2023-09-29 | 首都医科大学附属北京天坛医院 | Oral cavity image acquisition device |
CN116807371B (en) * | 2023-08-15 | 2023-12-22 | 首都医科大学附属北京天坛医院 | Oral cavity image acquisition device |
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