JP4122024B2 - Endoscope insertion aid - Google Patents

Description

  The present invention relates to an endoscope insertion aid used when an endoscope such as a large intestine is inserted.

  As shown in FIG. 11, the human large intestine has a rectal part 1, a sigmoid colon part 2, a descending colon part 3, a left colonic curved part 4, and a transverse colon part 5 successively, all of which are bent. There are many parts and slack. When diagnosis and treatment are performed by inserting an endoscope into such a large intestine, it is extremely difficult to insert the endoscope as it is because of bending portions and sagging. In particular, the sagging and bending of the sigmoid colon 2 is large and the sagging of the transverse colon 5 is difficult to insert.

  In order to facilitate the insertion operation of the endoscope into the large intestine, it has been proposed to use an insertion assisting tool as disclosed in Japanese Patent Publication No. 5-39612. The insertion assisting tool includes a guide tube that is externally fitted to the insertion portion of the endoscope, a balloon 8 provided on the outer periphery of the distal end portion of the guide tube, and an air supply unit that inflates the balloon 8. ing.

  The usage method of this insertion assistance tool is demonstrated using FIG. First, the insertion portion 6 of the endoscope is inserted into the intestinal tract. The guide tube 7 of the insertion assisting tool is preliminarily fitted on the proximal portion of the insertion portion 6 of the endoscope. Usually, it can be inserted from the rectum 1 to the vicinity of the sigmoid colon 2 (FIG. 12a).

  When insertion becomes difficult, the guide tube 7 is pushed along the insertion portion 6 of the endoscope (FIG. 12b), and the balloon 8 is inflated when the balloon 8 is positioned in the vicinity of the distal end of the insertion portion 6, and the intestinal wall is inflated. Hold the balloon 8 (FIG. 12c).

  In this state, the bent intestinal tract is shortened by drawing the guide tube 7 and the insertion portion 6 together toward the proximal side and dragging them together (FIG. 12d).

  Subsequently, the endoscope insertion portion 6 is again advanced to a place where the insertion portion 6 can be inserted, for example, close to the descending colon portion 3 (FIG. 12e), and then the balloon 8 is deflated along the insertion portion 6 of the endoscope. The guide tube 7 is pushed forward (FIG. 12f), and the balloon 8 is expanded again to hold the balloon 8 on the intestinal wall (FIG. 12g).

  Thereafter, the guide tube 7 and the insertion portion 6 are pulled together (FIG. 12h).

  Such an operation is repeated to shorten the bent portion of the intestinal tract and make it close to a straight line, and then advance the insertion portion 6 of the endoscope further (FIG. 12i).

According to this method, it is possible to easily advance beyond the transverse colon portion 5.
JP-A-61-284226

  An object of the present invention is to provide an insertion assisting tool for an endoscope capable of operating air supply to a balloon and exhaust to the outside.

The present invention includes a guide flexible tube having a passage through which an insertion portion of an endoscope can be inserted and having a grip portion on a proximal end side, and a balloon provided on the outer peripheral surface of the guide flexible tube; An air supply path communicating with the inside of the balloon; a gas supply means connected to the air supply path and capable of supplying gas to the air supply path; and an open path opening at the grip portion; an endoscope insertion aid which is characterized by comprising a switching means for switching the communication means and the communication and the balloon of the balloon and the release passage.

  According to the endoscope insertion aid of the present invention, air supply and exhaust to the balloon can be operated.

  A first endoscope insertion aid will be described with reference to FIG.

(Constitution)
FIG. 1 shows an appearance of an endoscope insertion aid 10. The endoscope insertion assisting tool 10 includes a guide tube 11 that fits over an insertion portion of a large intestine endoscope and guides the insertion of the insertion portion. The guide tube 11 is made of a flexible tube member formed of a flexible material. A grip member 12 made of a cylindrical member is provided at the proximal end of the guide tube 11. A balloon 13 formed of an elastic membrane member such as silicon rubber is attached and fixed to the outer periphery of the distal end portion of the tube 11 in an airtight manner. An air supply tube 14 is connected to the balloon 13. A syringe 15 for inflating the balloon 13 by supplying air to the balloon 13 is connected to the other end of the air supply tube 14. The air supply tube 14 supplies air to the balloon 13 through the internal air supply path, and constitutes an air supply path means for inflating the balloon 13, and the syringe 15 constitutes an air supply source means for the air supply. . That is, an air supply means for supplying air to the balloon 13 through the air supply path and inflating the balloon 13 is configured.

  The air supply tube 14 is disposed along the guide tube 11 in a free state outside the tube 11, and the air supply tube 14 is integrally formed along the wall portion of the tube 11. Alternatively, it may be formed by being embedded in the wall portion of the tube 11.

  A plurality of restricting members 16 are fixedly provided on the outer periphery of the balloon 13. The regulating member 16 is formed in an endless ring shape from a filament material having relatively little elongation, such as a chemical fiber or silk thread, and is coaxial with the central axis of the guide tube 11 at several locations on the outer peripheral surface of the balloon 13. Are arranged in a ring and attached. Further, an elastic material may be used as the regulating member 16, and the balloon 13 may be extended to follow an extension of a predetermined size or more in the outer circumferential direction, and may not be easily extended further. In any case, the regulating member 16 constitutes a means for preventing the balloon 13 from extending beyond a predetermined size in the outer circumferential direction.

  A spiral concavo-convex portion 17 is provided on the outer peripheral surface portion of the guide tube 11. The concavo-convex portion 17 does not need to be provided over the entire length of the guide tube 11, and in this endoscope insertion aid, the portion immediately before the balloon 13 is formed from the gripping member 12 to the portion in front of that portion.

(Function)
The basic method of using the large intestine endoscope insertion aid 10 is the same as that described in the section of the prior art (see FIG. 12). When the balloon 13 is inflated, air is fed into the balloon 13 through the air feeding tube 14 by pushing the syringe 15. At this time, even if excessive air is sent to the balloon 13, the balloon 13 prevents excessive expansion by the thread-like regulating member 16. Therefore, the balloon 13 is not excessively inflated. That is, since the maximum air supply amount into the balloon 13 is restricted even if the balloon 13 is excessively inflated, the balloon 13 is restricted from being expanded beyond a certain level. If the operation of returning the syringe 15 to the original position is performed when the balloon 13 is deflated, the balloon 13 is exhausted and the balloon 13 is deflated.

  Further, as shown in FIG. 12e, when the guide tube 11 is fixed and only the insertion portion of the endoscope is inserted, the concavo-convex portion 17 on the outer peripheral surface of the guide tube 11 is caught on the fold or anus of the intestinal wall, Since the engaging force is increased, the guide tube 11 is prevented from being inserted along with the insertion portion of the endoscope. If it is difficult to insert the guide tube 11, the guide tube 11 can be easily inserted by twisting and inserting the guide tube 11 in the spiral direction of the concavo-convex portion 17.

(effect)
According to this endoscope insertion aid, it is possible to prevent the balloon 13 from being excessively inflated. For this reason, there is no possibility that an excessive force acts on the living body.

  Since the concavo-convex portion 17 is formed on the outer peripheral surface of the guide tube 11, the concavo-convex portion 17 catches on the folds and anus of the intestinal wall and increases the engagement force, so the guide tube 11 is inserted along with the insertion portion of the endoscope. Can be prevented.

  Further, when it is difficult to insert the guide tube 11, the insertion property of the guide tube 11 can be improved by inserting the tube 11 while twisting it in the spiral direction of the concavo-convex portion 17.

  The second endoscope insertion aid will be described with reference to FIGS.

(Constitution)
FIG. 2 shows the appearance of the endoscope insertion aid 20. The endoscope insertion assisting tool 20 includes a guide tube 21 made of a flexible tube member formed of a flexible material. When inserting the insertion portion of the endoscope into the large intestine, the guide tube 21 is fitted into the insertion portion to guide the insertion of the insertion portion. A grip member 22 made of a cylindrical member is provided at the proximal end of the tube 21. The tip of the tube 21 is formed of a particularly transparent tube 23. The transparent tube 23 is bonded to the distal end of the tube portion 24 that forms the proximal end portion of the guide tube 21. The transparent tube 23 and the base end portion of the guide tube 21 may be integrally formed.

  A balloon 25 formed of an elastic membrane member such as silicon rubber is airtightly attached and fixed to the outer periphery of the transparent tube 23 that forms the distal end portion of the guide tube 21. As shown in FIG. 3, a substantially cylindrical balloon drop-off prevention member 26 is provided at the distal end of the transparent tube 23. The balloon dropout prevention member 26 has a proximal end that is thicker than the outer diameter of the transparent tube 23, and the distal end side outer peripheral surface portion is formed in a tapered shape so that the balloon 25 can be fitted and attached easily. Both the balloon 25 and the balloon drop prevention member 26 are made of a transparent material.

  Band-shaped regulating members 27a and 27b that are arranged at several places and coaxially with respect to the central axis of the guide tube 21 and do not extend beyond a certain length are fixed to the outer peripheral surface portion of the balloon 25. Yes. The restricting members 27a and 27b are formed from rubber band-like members in an endless ring shape, and both constitute restricting means for preventing the balloon 25 from extending beyond a predetermined size in the outer circumferential direction. . In addition, the band-shaped regulating member 27b on the rear end side is formed to have a length that extends larger than the regulating member 27a on the front end side. Therefore, when the balloon 25 is inflated, as shown in FIG. 3, the front end side portion is regulated to be thinner than the rear end side.

  As shown in FIGS. 1 and 4, a plurality of vent holes 28 are formed in the outer peripheral surface portion of the tube portion 24 that forms the proximal end portion of the guide tube 21, and the inside and outside of the tube 21 communicate with each other.

  Further, an air supply path 31 communicating with the inside of the balloon 25 is formed in the wall portion of the guide tube 21 from the distal end to the proximal end portion. The air supply path 31 communicates with an air supply tube 32 connected to the gripping member 22. A foot pump 33 is connected to the other end of the air supply tube 32. Thus, an air supply means for supplying air to the balloon 25 from the foot pump 33 through the air supply tube 32 and the air supply path 31 and inflating the balloon 25 is configured.

  The foot pump 33 is configured as shown in FIG. That is, a base 35 is provided, and a tread plate 37 is pivotally attached to a front end of the base 35 by a pin 36, and the tread plate 37 is attached to be freely rotatable in directions c and d in the figure. A coil spring 38 is provided between the base 35 and the foot plate 37 as an elastic biasing means, and the coil spring 38 pushes and biases the foot plate 37 in the direction c. The front end of the tread plate 37 is brought into contact with a stopper portion 40 which is a bent upper end portion of an adjustment member 39 provided on the base 33 so that a rising end position is determined.

  The adjustment member 39 is attached to an upright wall 41 that rises vertically from the rear end of the base 35. A long hole 42 extending in the vertical direction is formed in the standing wall 41, and a fixing screw 43 is inserted into the long hole 42. The screw portion 44 of the fixing screw 43 is screwed into the adjustment member 39, and is fastened and fixed to the upright wall 41 at any upper and lower positions by screwing the fixing screw 43. That is, the adjustment member 39 can be moved and fixed in the directions a and b using the fixing screw 43.

  Further, a bellows-like telescopic cylinder member 45 is provided between the base 35 and the tread plate 37, and the air supply tube 32 is connected to the telescopic cylinder member 45. Then, the treadle plate 37 is stepped, and the treadle plate 37 is pushed and rotated by applying a force in the d direction, whereby the bellows-like telescopic cylinder member 45 is compressed and the internal air is sent to the air supply tube 32. ing.

  A locking member 50 is attached to the guide tube 21. The locking member 50 is configured as shown in FIG. That is, the locking member 50 includes a short cylindrical main body member 51, which is fitted on the outer periphery of the guide tube 21 and is slidably attached in the axial direction of the tube 21. An opening 52 is formed in the side wall of the main body member 51, and a pressing member 54 is pivotally attached to the opening 52 by a pin 53 so as to be rotatable in the directions e and f. One end of the pressing member 54 is a locking end 55 that presses against the outer peripheral surface of the guide tube 21 through the opening 52, and the other end of the pressing member 54 is a rotation operation end 56.

Further, the holding member 54 receives a force in the e direction by a torsion spring 57 mounted around the pin 53, and the portion of the locking end portion 55 is pressed against the outer peripheral surface of the guide tube 21 by this force. It is engaged and fixed to the guide tube 21. Further, by applying a force in the f direction to the rotation operation end portion 56 of the pressing member 54, the pressing engagement with the guide tube 21 is released, and the locking member 50 has g, It is configured to be movable in the direction of h.
The basic method of using the large intestine endoscope insertion aid 20 is the same as that described in the section of the prior art (see FIG. 12).

  When the operator steps on the tread plate 37 of the foot pump 33, the bellows-like telescopic cylinder member 45 contracts, and the air in the telescopic cylinder member 45 is sent into the balloon 25 through the air supply tube 32 and the air supply path 31. The balloon 25 is inflated. At this time, since the expansion of the balloon 25 beyond a certain level is restricted by the belt-like restricting members 27a and 27b, the balloon 25 has a diameter larger at the proximal side than at the distal end as shown in FIG. Swell. When the operator releases his / her foot from the tread board 37, the tread board 37 is returned to its original position by the coil spring 38, and the air in the balloon 25 is discharged by the intake action of the telescopic cylinder member 45, and the balloon 25 contracts.

  Further, by adjusting the position of the adjusting member 39 of the foot pump 33 in the directions a and b, the maximum rising angle of the tread plate 37 is changed, and accordingly, the maximum extension length of the bellows-like telescopic cylinder member 45 is changed. Changes, and the amount of air sent to the balloon 25 can be adjusted by stepping on the tread board 37.

  Further, when the guide tube 21 is fixed in the intestine and only the insertion portion of the endoscope is inserted (FIG. 2e), the holding member 54 of the locking member 50 is pressed in the direction f to engage the guide tube 21. The locking member 54 is fixed to the guide tube 21 by moving the locking member 54 to the anus while releasing the engagement and releasing the pressing member 54 at that position. Since the distal end of the locking member 50 is positioned against the anus, the guide tube 21 is prevented from being inserted further. Further, when the guide tube 21 is further inserted, the locking member 50 is returned to the proximal side of the guide tube 21 so as not to obstruct the insertion, and is fixed to the guide tube 21 at the retracted position. You can do it.

  Further, the inflated state of the balloon 25 can be observed with an endoscope through the transparent tube 23. The outside of the balloon 25 can be observed through the balloon 25.

(effect)
Since the band-shaped restricting members 27 a and 27 b are used, the force is distributed more than the first endoscope insertion aid described above, and an unreasonable force is not locally applied to the balloon 25. Since the proximal side portion is restricted to a shape that swells thicker than the distal end side portion, the shape is suitable for inflating the balloon 25 and pulling the intestinal tract, and the intestinal tract can be reliably pulled. Since the balloon 25 can be inflated by the foot pump 33, the operability is better than that of the first endoscope insertion aid. Further, since the tube 23 at the distal end of the guide tube 21 is made transparent, it is possible to observe how the balloon 25 swells with an endoscope. Further, since the balloon 25 and the balloon dropout prevention member 26 are also made transparent, it is easy to observe the degree of swelling thereof, and the outside can also be observed through the balloon 25 and the balloon dropout prevention member 26.

  In this endoscope insertion aid, by attaching the locking member 50 to the guide tube 21, it is more desirable to insert only the insertion portion of the endoscope than in the case of the first endoscope insertion aid. Insertion of the guide tube 21 can be reliably prevented.

  Further, since the guide tube 21 is provided with a vent hole 28, as shown in FIGS. 12d and 12h, when the guide tube 21 is pulled to the hand side, the region formed by the anus, the guide tube 21 and the balloon 25 is used. Even if the air is confined, the air escapes from the vent hole 28 through the guide tube 21 to the outside of the body, so that the intestinal tract can be prevented from being compressed.

  Further, since the drop-off preventing member 26 is provided at the distal end portion of the guide tube 21, the balloon 25 is less likely to drop than the first endoscope insertion aid.

  Further, since the air supply path 31 is provided inside the guide tube 21, the operability is improved without being disturbed as compared with the case where the air supply tube is disposed outside the guide tube 21.

  A third endoscope insertion aid will be described with reference to FIGS. 7 to 10.

(Constitution)
FIG. 7 shows the appearance of the endoscope insertion aid 60. The endoscope insertion aid 60 includes a guide tube 61 made of a flexible tube member formed of a flexible material. A transparent tube 62 is connected to the tip of the guide tube 61 here. An extensible cylindrical coupling member 63 is attached to and attached to the transparent tube 62, and the distal end portion of the guide tube 61 is fitted to the cylindrical coupling member 63 so that the guide tube 61 A transparent tube 62 is detachably attached to the tip.

  The transparent tube 62 is provided with a transparent balloon 65 formed of a stretchable membrane member such as silicon rubber, and a silicone rubber balloon drop prevention tool 66 is provided at the tip of the transparent tube 62. The proximal end portion of the balloon drop prevention tool 66 is thicker than the outer diameter of the transparent tube 62, and the outer periphery of the distal end side of the balloon drop prevention tool 66 is tapered so that the balloon 65 can be easily attached.

  Further, a net-like regulating member 67 that does not extend beyond a certain outer diameter is fixedly provided on the wall portion of the balloon 65. That is, the restricting means for preventing the balloon 65 from extending beyond a predetermined size in the outer peripheral direction here is that the restricting member 67 is configured in a net shape, as described above for the endoscope insertion aid. Is different.

  The balloon 65 is connected to a hand switch 72 described later through an air supply tube 68.

  A gripping member 71 made of a cylindrical member is provided at the proximal end of the guide tube 61. The gripping member 71 incorporates a hand changeover switch 72 as shown in FIG. That is, the switching valve member 75 is rotatably attached to the valve main body 73 constituted by the grip member 71 by the pin 74. The valve body 73 is provided with a port a connected to the air supply tube 68 from the balloon 65, a port b connected to the relay cable 76, and an open port c opened to the outside. In addition, two types of valve passages (flow paths) 77 and 78 are formed in the switching valve member 75. The switching valve member 75 is provided with a switching operation lever 75 a that protrudes from the upper surface of the gripping member 71.

  When the switching valve member 75 is in the neutral state shown in FIG. 8, the valve passages 77 and 78 are blocked, and both the port a connected to the air supply tube 68 and the port b connected to the relay cable 76 are closed. . When the switching valve member 75 is rotated in the direction i, the first valve passage 77 connects the port a connected to the air supply tube 68 and the port b connected to the relay cable 76. When the switching valve member 75 is rotated in the direction j, the second valve passage 78 communicates the port a connected to the air supply tube 68 and the open port c opened to the outside, and the relay cable 76 Block the connected port b.

  Further, the relay cable 76 is connected to an air supply source device 79 of peripheral equipment of the endoscope.

  A locking member 80 is provided on the outer periphery of the guide tube 61. The locking member 80 is configured as shown in FIG. That is, it usually comprises a locking tube 81 that is pressed against and fixed to the outer periphery of the guide tube 61 by its own elasticity, and an elastic operation ring 82 fitted on the tube 81, and the operation ring 82 is the tube 81. Are attached and fixed to side portions in the “l” direction. By applying a force from the “k” direction to the operation ring 82, the operation ring 82 is elastically deformed in a direction extending in the “l” direction, the holding of the locking tube 81 with respect to the guide tube 61 is loosened, and the guide tube 61 is moved in the axial direction. It has become possible.

(Function)
The basic method of using the large intestine endoscope insertion aid 60 is the same as that described in the section of the prior art (see FIG. 12).

  When the surgeon rotates the switching valve member 75 of the hand changeover switch 69 in the i direction, the air from the air supply source device 79 passes through the relay tube 76 and flows through the flow path of the switching valve member 75. It is sent to the tube 68 and the balloon 65 is inflated. When the balloon 65 is inflated to a certain size or larger, the expansion of the balloon 65 is restricted by the action of the mesh-like restricting member 67 at this time.

  Here, when the switching valve member 75 is returned to the original position, the flow path connected to the air supply tube 68 is closed, and the balloon 65 maintains its state. Further, by rotating the switching valve member 75 in the direction j, the air supply tube 68 is connected to the open port c, the air inside the balloon 65 flows out, and the balloon 65 contracts.

  When the guide tube 61 is fixed and only the endoscope is inserted (FIG. 2e), the entire locking member 80 is applied to the anus while applying a force in the “k” direction to the operation ring 82 of the locking member 80. The locking member 80 is fixed to the guide tube 61 by moving and releasing the operation ring 82 at a predetermined position. This locking member 80 prevents the guide tube 61 from being inserted together with the insertion portion of the endoscope. Further, when the guide tube 61 is inserted, the locking member 80 is moved to the proximal side of the guide tube 61 and fixed at that position so as not to obstruct the insertion.

  In addition, the balloon inflated state can be observed with an endoscope through the transparent tube 62.

  Further, when the balloon 65 is damaged, it can be removed from the coupling member 63 from the guide tube 61 and the tip including the balloon 65 can be replaced with another one as it is.

  In this endoscope insertion aid, the guide tube 61 and the transparent tube 62 are coupled by fitting the coupling member 63. However, the present invention is not limited to this, and for example, shown in FIG. In this way, the coupling members 93 and 94 having the threaded portions 91 and 92 may be provided on both the tubes 61 and 62, and the tubes 61 and 62 may be coupled by screws.

(effect)
In the third endoscope insertion aid, since the net-like restricting member 67 is used, the amount of inflation of the balloon 65 can be more reliably regulated than the first endoscope insertion aid. In addition, since the hand changeover switch 72 can be used to operate expansion and contraction of the balloon 65, the operability is better than that of the first endoscope insertion aid. In addition, since the balloon 65 and the transparent tube 62 at the distal end portion are configured to be transparent, the degree of swelling of the balloon 65 can be observed with an endoscope. The same effect can be obtained with a configuration in which the balloon drop prevention tool 66 of the endoscope insertion assisting tool is simpler than the second endoscope insertion assisting tool. Since the balloon dropout prevention member 66 is provided at the distal end portion, the balloon 65 is less likely to drop out than the first endoscope insertion aid. Since the balloon 65 can be removed together with the transparent tube 62, when replacing the balloon 65, the entire portion can be replaced, and the balloon 65 can be replaced more easily than being attached to the tubes 61 and 62.

<Appendix>
1. A flexible tube for guide that is slidably fitted to an insertion portion of an endoscope, a balloon provided on the outer periphery of the tube, and an air supply path having one end communicating with the balloon. Air supply means for supplying air to the balloon through the balloon and inflating the balloon; and a regulating member provided on the balloon for preventing the balloon from extending beyond a predetermined size in the outer circumferential direction. Endoscope insertion aid.

  2. The endoscope according to claim 1, wherein the restriction member is a member formed in a ring shape from at least one string-like member disposed substantially concentrically with respect to the flexible tube. Insertion aid.

  3. 2. The endoscope insertion according to claim 1, wherein the restriction member is a member formed in a ring shape from at least one belt-like member arranged substantially concentrically with respect to the flexible tube. Auxiliary tool.

  4). The insertion for an endoscope according to appendix 1, wherein the restriction member is a member formed in a substantially cylindrical shape from a mesh-like member arranged substantially concentrically with respect to the flexible tube. Auxiliary tool.

  5. In order to enable the endoscope to observe the degree of inflation of the balloon, the distal end portion of the flexible tube and at least a required portion of the balloon are formed of a transparent material. The endoscope insertion aid according to Item.

  In the prior art, it was not possible to observe the state of balloon inflation when air was fed, but according to the method described in Appendix 5, it is possible to observe the state of balloon inflation.

  6). In order to allow the air accumulated on the hand side of the balloon to escape outside the body through the inside of the flexible tube, at least one vent hole is provided in a portion of the flexible tube located on the hand side of the balloon. The insertion assisting tool for an endoscope according to item 1, wherein the insertion aid is provided.

  In the prior art, when the balloon is inflated and the intestinal tract is brought close to the proximal side, air may accumulate between the intestinal wall on the proximal side of the balloon and prevent the intestinal tract from shrinking and straightening. However, according to this, air is prevented from accumulating on the proximal side from the balloon, and linearization of the intestinal tract is not hindered.

  7. The insertion assisting tool for an endoscope according to appendix 1, wherein an uneven portion whose outer peripheral surface is uneven is provided on an outer periphery of the flexible tube.

  8). The insertion assisting tool for an endoscope according to appendix 7, wherein the uneven portion is formed in a spiral shape on an outer periphery of the flexible tube.

  In the prior art, after pulling the intestinal tract using a tube inflated with a balloon, when only the insertion portion of the colonoscopy is further pushed (FIG. 2e), the tube is inserted along with the insertion portion of the endoscope. However, there was a problem that the intestinal tract that was handed over extended and returned to its original length, but according to the items described in appendices 7 and 8, the endoscope was inserted after the intestinal tract was handed over. When only the part is inserted, the tube is inserted together with the tube, and the intestinal tract that has been pulled forward does not extend and return to its original length.

  9. 2. The endoscope insertion aid according to claim 1, further comprising a tubular member detachably provided at a distal end portion of the flexible tube in order to facilitate exchange of the balloon.

  10. Item 9. The supplementary note 9, wherein the tubular member is movable in the longitudinal axis direction of the flexible tube and includes a locking member for locking to the flexible tube. The insertion aid for endoscopes described in 1.

  Since the prior art did not consider exchanging only the balloon, there was a problem that it was difficult to remove the balloon or attach the balloon to the tube when trying to replace the balloon. According to the ninth and tenth items, only the balloon can be easily replaced.

  11. A flexible tube that is slidably fitted to an insertion portion of an endoscope, a tubular member that is detachably provided at a distal end of the tube, a balloon that is provided on an outer periphery of the tubular member, and the balloon And an air supply means for supplying air to the balloon provided at the other end of the air supply means and inflating the air supply means. Insertion aid.

  12 A guide flexible tube that is slidably fitted to the insertion portion of the endoscope, a balloon provided on the outer periphery of the distal end portion of the flexible tube, an air supply path means communicating with the balloon, and An air supply source means provided at the other end of the air supply path means for supplying air to the balloon and inflating the balloon, and is fitted on the outer peripheral surface of the flexible tube so as to extend in the axial direction of the flexible tube. An endoscope insertion assisting device, comprising: a movable tubular member; and a locking member that enables the tubular member to be locked to the flexible tube.

  According to this, the insertion of the flexible tube is prevented by locking the locking member with respect to the tube at the anal position when the large intestine endoscope is inserted after the intestinal tract is gathered.

The perspective view which shows the external appearance of the 1st insertion assistance tool for endoscopes. The perspective view which shows the external appearance of the 2nd insertion assistance tool for endoscopes. The longitudinal cross-sectional view near the front-end | tip part of the guide tube of the 2nd insertion assistance tool for endoscopes. The cross-sectional view which follows the AA line in FIG. Sectional drawing of the foot pump of the 2nd insertion assistance tool for endoscopes. Sectional drawing of the securing member of the 2nd insertion assistance tool for endoscopes. The perspective view which shows the external appearance of the 3rd insertion aid for endoscopes. The cross-sectional view of the hand changeover switch of the third insertion support tool for endoscope. The cross-sectional view of the locking member of the third endoscope insertion aid. The perspective view which shows the modification of the coupling member of the 3rd insertion assistance tool for endoscopes. Explanatory drawing of human large intestine. Explanatory drawing of the usage method of the conventional insertion assistance tool for large intestine endoscopes.

Explanation of symbols

61, 62 ... Flexible tube 65 for guide ... Balloon 68 ... Air supply path 79 ... Air supply source device 69 ... Opening changeover switch

Claims (1)

The insertion portion of the endoscope includes an insertable passage, and guides for the flexible tube having a grip portion on the proximal side,
A balloon provided on the outer peripheral surface of the guide flexible tube;
An air supply path communicating with the balloon;
Gas supply means connected to the air supply path and capable of supplying gas to the air supply path;
A switching means comprising an open path that opens at the grip portion, and capable of switching communication between the gas supply means and the balloon and communication between the balloon and the open path ;
An endoscope insertion aid characterized by comprising:

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