JP4360934B2 - Endoscope curvature - Google Patents

Endoscope curvature Download PDF

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JP4360934B2
JP4360934B2 JP2004050594A JP2004050594A JP4360934B2 JP 4360934 B2 JP4360934 B2 JP 4360934B2 JP 2004050594 A JP2004050594 A JP 2004050594A JP 2004050594 A JP2004050594 A JP 2004050594A JP 4360934 B2 JP4360934 B2 JP 4360934B2
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coil spring
bending
wire
endoscope
wire guide
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JP2005237608A (en
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素子 川村
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Hoya Corp
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Hoya Corp
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この発明は内視鏡の湾曲部に関する。   The present invention relates to a bending portion of an endoscope.

内視鏡の湾曲部は一般に、短筒状に形成された複数の節輪を相対的に回動自在に連結して湾曲管を構成し、節輪の全部又は一部の内面に内方に向けて突設されたワイヤガイド内を通過する操作ワイヤの先端を湾曲管の先端付近に連結して、操作ワイヤを基端側から牽引することにより湾曲管が屈曲するようになっている。   In general, a bending portion of an endoscope forms a bending tube by relatively rotatingly connecting a plurality of node rings formed in a short cylindrical shape, and is inwardly connected to the inner surface of all or part of the node rings. The distal end of the operation wire that passes through the wire guide projecting toward the end is connected to the vicinity of the distal end of the bending tube, and the bending tube is bent by pulling the operation wire from the proximal end side.

しかし、そのように構成された内視鏡の湾曲部は、操作ワイヤを牽引したときに必ず基端の根元部分から曲がり始め、例えば最大湾曲角度が180°の湾曲部をその中間である90°まで屈曲させたときは、図5に破線で示されるように、湾曲部2は先側半部が真っ直ぐな棒状になった状態で大きく振れてしまって、いわゆる小回りがきかない。そのため、狭い管腔臓器内で思った通りに誘導するのが非常に困難である。   However, the bending portion of the endoscope configured as described above always starts to bend from the base portion of the proximal end when the operation wire is pulled, for example, a bending portion having a maximum bending angle of 180 ° in the middle of 90 °. 5, the curved portion 2 swings greatly in a state where the front half is in a straight rod shape, as shown by a broken line in FIG. Therefore, it is very difficult to guide as expected in a narrow luminal organ.

そこで従来は、湾曲管の長手方向における基端寄りの範囲において、隣り合う位置に配置されている各ワイヤガイド間にコイルスプリングを挟み込んでそのコイルスプリングの両端面を各々ワイヤガイドに当接させ、それらコイルスプリング内に操作ワイヤを通していた。   Therefore, conventionally, in the range near the base end in the longitudinal direction of the bending tube, the coil spring is sandwiched between the wire guides arranged at adjacent positions, and both end surfaces of the coil spring are brought into contact with the wire guides, An operation wire was passed through the coil springs.

そのように構成することにより、操作ワイヤが牽引された時にコイルスプリングの圧縮力が屈曲に対する抵抗になるので、その部分の曲がり始めが遅れて湾曲部が先側部分から屈曲を始める(例えば、特許文献1、2)。
実開昭55−143801 実開平2−55906
With such a configuration, when the operation wire is pulled, the compression force of the coil spring becomes resistance to bending, so that the start of bending of the portion is delayed and the bending portion starts bending from the front side portion (for example, patent References 1, 2).
Shokai 55-143801 2-55906

しかし、上述のように、隣り合う位置に配置されている二つのワイヤガイドの間にコイルスプリングを挟置すると、コイルスプリングの全長に対してその部分が屈曲される際のコイルスプリングの圧縮量(即ち、圧縮率)が相当に大きいため、湾曲操作による屈曲の変化に伴って圧縮抵抗が急激に増大して湾曲操作が非常に重くなり、その結果、湾曲操作性の悪化が生じると共に操作ワイヤの早期破損を招く原因になる。   However, as described above, when the coil spring is sandwiched between two wire guides arranged at adjacent positions, the amount of compression of the coil spring when the portion is bent with respect to the entire length of the coil spring ( That is, since the compression ratio is considerably large, the compression resistance increases rapidly with the change in bending due to the bending operation, and the bending operation becomes very heavy. As a result, the bending operability is deteriorated and the operation wire is deformed. Causes premature breakage.

そこで本発明は、コイルスプリングの圧縮力を抵抗として利用して湾曲部が先端部分から屈曲を始めるようにした内視鏡の湾曲部において、湾曲動作に伴うコイルスプリングの圧縮率を小さくすることにより、湾曲操作が重くならず、また操作ワイヤの耐久性も優れた内視鏡の湾曲部を提供することを目的とする。   Therefore, the present invention reduces the compression rate of the coil spring accompanying the bending operation in the bending portion of the endoscope that uses the compression force of the coil spring as a resistance so that the bending portion starts bending from the distal end portion. An object of the present invention is to provide a bending portion of an endoscope in which bending operation is not heavy and the durability of an operation wire is excellent.

上記の目的を達成するため、本発明の内視鏡の湾曲部は、短筒状に形成された複数の節輪を相対的に回動自在に連結して湾曲管を構成し、節輪の全部又は一部の内面に内方に向けて突設されたワイヤガイド内を通過する操作ワイヤの先端を湾曲管の先端付近に連結して、操作ワイヤを基端側から牽引することにより湾曲管が屈曲するようにした内視鏡の湾曲部において、湾曲管の長手方向における基端寄りの範囲において操作ワイヤにコイルスプリングを緩く被嵌して、その範囲の基端位置に設けられているワイヤガイドにコイルスプリングの基端面を当接させ、コイルスプリングの中間部分は少なくとも一つのワイヤガイド内を緩く通過する状態に配置して、上記範囲の先端位置に設けられているワイヤガイドにコイルスプリングの先端面を当接させたものである。   In order to achieve the above object, the bending portion of the endoscope of the present invention forms a bending tube by relatively rotatingly connecting a plurality of node rings formed in a short cylindrical shape, By connecting the distal end of the operation wire passing through the wire guide protruding inwardly on all or part of the inner surface to the vicinity of the distal end of the curved tube, and pulling the operation wire from the proximal end side, the curved tube In the bending portion of the endoscope that is bent, a coil spring is loosely fitted to the operation wire in a range near the base end in the longitudinal direction of the bending tube, and the wire provided at the base end position in the range The base end surface of the coil spring is brought into contact with the guide, and the middle part of the coil spring is disposed so as to pass loosely through at least one wire guide, and the coil spring is placed on the wire guide provided at the tip position in the above range. Tip surface It is obtained by contact.

本発明によれば、コイルスプリングの圧縮力を抵抗として利用して湾曲部が先端部分から屈曲を始めるようにした内視鏡の湾曲部において、湾曲動作に伴うコイルスプリングの圧縮率を小さくすることができるので、湾曲操作が重くならず、その結果、操作ワイヤも優れた耐久性を得ることができる。   According to the present invention, in the bending portion of the endoscope in which the bending portion starts to bend from the distal end portion using the compression force of the coil spring as a resistance, the compression rate of the coil spring accompanying the bending operation is reduced. Therefore, the bending operation does not become heavy, and as a result, the operation wire can have excellent durability.

湾曲管の長手方向における基端寄りの範囲において操作ワイヤにコイルスプリングを緩く被嵌して、その範囲の基端位置に設けられているワイヤガイドにコイルスプリングの基端面を当接させ、コイルスプリングの中間部分は少なくとも一つのワイヤガイド内を緩く通過する状態に配置して、上記範囲の先端位置に設けられているワイヤガイドにコイルスプリングの先端面を当接させる。   A coil spring is loosely fitted to the operation wire in a range close to the base end in the longitudinal direction of the bending tube, and the base end surface of the coil spring is brought into contact with a wire guide provided at the base end position in the range. The intermediate portion of the coil spring is disposed so as to pass loosely through at least one wire guide, and the tip end surface of the coil spring is brought into contact with the wire guide provided at the tip position within the above range.

図面を参照して本発明の実施例を説明する。
図2は内視鏡の全体構成を示しており、挿入部可撓管1の先端付近に湾曲部2が形成されて、観察窓や照明窓等が配置された先端部本体3が湾曲部2の最先端部分に連結されている。
Embodiments of the present invention will be described with reference to the drawings.
FIG. 2 shows the overall configuration of the endoscope. A bending portion 2 is formed in the vicinity of the distal end of the insertion portion flexible tube 1, and the distal end portion main body 3 on which an observation window, an illumination window and the like are arranged is the bending portion 2. It is connected to the most advanced part.

挿入部可撓管1の基端には各種操作部材が配置された操作部4が連結されていて、操作部4に配置されている湾曲操作ノブ5(上下方向用5UD、左右方向用5RL)を回転操作することにより、4本の操作ワイヤを選択的に牽引して、湾曲部2を所望の方向に所望の角度だけ屈曲させることができる。   An operation unit 4 in which various operation members are arranged is connected to the proximal end of the insertion portion flexible tube 1, and a bending operation knob 5 (5UD for up and down direction, 5RL for left and right direction) arranged in the operation unit 4. By rotating and operating the four operating wires, the bending portion 2 can be bent in a desired direction by a desired angle.

図3は湾曲部2を示しており、短筒状に形成された複数の(数個〜数十個の)節輪21を相対的に回動自在にリベット22で連結して、湾曲部の骨組みである蛇の玩具状の湾曲管が構成され、その最外面に弾力性のあるゴムチューブ製の外皮23が被覆されている。   FIG. 3 shows the bending portion 2. A plurality of (several to several tens of) node rings 21 formed in a short cylinder shape are connected to each other by rivets 22 so as to be relatively rotatable. A snake toy-shaped curved tube which is a framework is configured, and an outer skin 23 made of a rubber tube having elasticity is coated on the outermost surface thereof.

この実施例においては、各節輪21が90°ずつ交互に向きを変えてリベット22で連結されており、そのリベット22の配置位置と対応して4本の操作ワイヤ24が湾曲部2の軸線と平行方向に湾曲管の内面に沿って配置されている。   In this embodiment, the node rings 21 are connected by rivets 22 with their directions alternately changed by 90 °, and the four operation wires 24 correspond to the arrangement positions of the rivets 22 and the axis of the bending portion 2. Are arranged along the inner surface of the bending tube in a direction parallel to the inner surface of the bending tube.

各操作ワイヤ24は、各節輪21に内方に向けて突設されたワイヤガイド25内に進退自在に挿通されて最先端のワイヤガイド25に対して連結固定されており、挿入部可撓管1内においては、全長にわたってガイドコイル10内に緩く挿通されている。   Each operation wire 24 is inserted into a wire guide 25 projecting inwardly from each node ring 21 so as to freely advance and retreat, and is connected and fixed to the most advanced wire guide 25. In the tube 1, it is loosely inserted into the guide coil 10 over the entire length.

その結果、湾曲部2は、湾曲操作ノブ5によって一本の操作ワイヤ24が基端方向に牽引されると、隣り合う節輪21どうしがリベット22を中心に相対的に回動して、その操作ワイヤ24が配置されている方向の隙間が狭くなることにより、その方向(即ち、牽引された操作ワイヤ24が配置されている方向)に屈曲する。   As a result, when one operation wire 24 is pulled in the proximal direction by the bending operation knob 5, the bending portion 2 rotates relative to the adjacent node rings 21 around the rivet 22. By narrowing the gap in the direction in which the operation wire 24 is disposed, the bending is performed in that direction (that is, the direction in which the pulled operation wire 24 is disposed).

そのような湾曲部2の長手方向における基端寄りの範囲においては、各操作ワイヤ24にコイルスプリング26が緩く被嵌されている。コイルスプリング26は、例えばバネ用ステンレス鋼線をコイル状に隙間をあけて巻いたものである。   In such a range near the base end in the longitudinal direction of the bending portion 2, the coil spring 26 is loosely fitted to each operation wire 24. The coil spring 26 is, for example, a spring stainless steel wire wound in a coil shape with a gap.

そして、コイルスプリング26が配置されている範囲の最も後寄りの位置に設けられているワイヤガイド25(25A)にコイルスプリング26の基端面が当接されて、コイルスプリング26の中間部分は,図4に拡大図示されるように、複数のワイヤガイド25(25B)内を緩く通過する状態に配置され、コイルスプリング26の先端面はコイルスプリング26が配置されている範囲の先端位置にあるワイヤガイド25(25C)に当接している。   Then, the proximal end surface of the coil spring 26 is brought into contact with the wire guide 25 (25A) provided at the most rearward position in the range where the coil spring 26 is disposed, and an intermediate portion of the coil spring 26 is illustrated in FIG. 4, the wire guide is disposed so as to pass loosely through the plurality of wire guides 25 (25 </ b> B), and the distal end surface of the coil spring 26 is located at the distal end position in the range where the coil spring 26 is disposed. 25 (25C).

その結果、操作ワイヤ24が牽引された時にコイルスプリング26の圧縮力が屈曲に対する抵抗になるので、図1に示されるように、コイルスプリング26が配置されている湾曲部2の基端寄りの部分は曲がり始めが遅れて、湾曲部2が先寄りの部分から屈曲を始め、先寄りの部分が曲がり終わってから基端寄りの部分が曲がり始める。   As a result, when the operation wire 24 is pulled, the compression force of the coil spring 26 becomes resistance to bending, so that the portion near the proximal end of the bending portion 2 where the coil spring 26 is arranged as shown in FIG. The bend starts late, the bending portion 2 begins to bend from the front part, and after the front part finishes bending, the base part starts to bend.

そして、各コイルスプリング26は、複数のワイヤガイド25(25B)内を緩く通過して、各コイルスプリング26の両端位置にあるワイヤガイド25A,25Cの間において圧縮される構造なので、コイルスプリング26の全長に対してコイルスプリング26の圧縮量(即ち、圧縮率)が比較的小さいので、湾曲操作による屈曲状態の変化に伴って圧縮抵抗が急激に増大せず、良好な湾曲操作性が得られて、操作ワイヤ24も劣化しない。   Each coil spring 26 passes through the plurality of wire guides 25 (25B) loosely and is compressed between the wire guides 25A and 25C at both ends of each coil spring 26. Since the compression amount (that is, the compression ratio) of the coil spring 26 is relatively small with respect to the entire length, the compression resistance does not increase rapidly with the change of the bending state due to the bending operation, and a favorable bending operability is obtained. The operation wire 24 is not deteriorated.

なお、本発明は上記実施例に限定されるものではなく、例えば、コイルスプリング26はその途中において少なくとも一つのワイヤガイド25(25B)内を緩く通過していればよい。   In addition, this invention is not limited to the said Example, For example, the coil spring 26 should just pass the inside of at least 1 wire guide 25 (25B) loosely in the middle.

本発明の実施例の内視鏡の湾曲部が屈曲した状態の側面断面図である。It is side surface sectional drawing of the state which the bending part of the endoscope of the Example of this invention bent. 本発明の実施例の内視鏡の全体構成を示す側面図である。1 is a side view showing an overall configuration of an endoscope according to an embodiment of the present invention. 本発明の実施例の内視鏡の湾曲部の側面断面図である。It is side surface sectional drawing of the curved part of the endoscope of the Example of this invention. 本発明の実施例の内視鏡の湾曲部の部分拡大側面断面図である。It is a partial expanded side sectional view of the curved part of the endoscope of the example of the present invention. 従来の内視鏡の湾曲部が屈曲した状態の内視鏡の全体構成を示す側面図である。It is a side view which shows the whole structure of the endoscope in the state where the bending part of the conventional endoscope was bent.

符号の説明Explanation of symbols

2 湾曲部
21 節輪
22 リベット
24 操作ワイヤ
25 ワイヤガイド
25A コイルスプリングの基端面が当接するワイヤガイド
25B コイルスプリングが通過するワイヤガイド
25C コイルスプリングの先端面が当接するワイヤガイド
26 コイルスプリング
2 bending portion 21 node ring 22 rivet 24 operation wire 25 wire guide 25A wire guide with which the base end face of the coil spring abuts 25B wire guide through which the coil spring passes 25C wire guide with which the tip end face of the coil spring abuts 26 coil spring

Claims (1)

短筒状に形成された複数の節輪を相対的に回動自在に連結して湾曲管を構成し、上記節輪の全部又は一部の内面に内方に向けて突設されたワイヤガイド内を通過する操作ワイヤの先端を上記湾曲管の先端付近に連結して、上記操作ワイヤを基端側から牽引することにより上記湾曲管が屈曲するようにした内視鏡の湾曲部において、
上記湾曲管の長手方向における基端寄りの範囲において上記操作ワイヤにコイルスプリングを緩く被嵌して、その範囲の基端位置に設けられているワイヤガイドに上記コイルスプリングの基端面を当接させ、上記コイルスプリングの中間部分は少なくとも一つのワイヤガイド内を緩く通過する状態に配置して、上記範囲の先端位置に設けられているワイヤガイドに上記コイルスプリングの先端面を当接させたことを特徴とする内視鏡の湾曲部。
A wire guide is formed by connecting a plurality of node rings formed in a short cylindrical shape so as to be relatively rotatable so as to form a curved tube and projecting inwardly on the inner surface of all or part of the node rings. In the bending portion of the endoscope, the distal end of the operation wire passing through the inside is connected to the vicinity of the distal end of the bending tube, and the bending tube is bent by pulling the operation wire from the proximal end side.
A coil spring is loosely fitted to the operation wire in a range near the base end in the longitudinal direction of the bending tube, and the base end surface of the coil spring is brought into contact with a wire guide provided at the base end position in the range. The intermediate portion of the coil spring is arranged so as to pass loosely through at least one wire guide, and the tip surface of the coil spring is brought into contact with the wire guide provided at the tip position in the range. A curved portion of an endoscope as a feature.
JP2004050594A 2004-02-26 2004-02-26 Endoscope curvature Expired - Fee Related JP4360934B2 (en)

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JP5566221B2 (en) * 2010-08-23 2014-08-06 オリンパス株式会社 Wire guide member
US9968241B2 (en) 2013-02-22 2018-05-15 Ambu A/S Apparatus for maintaining a tensioned pull-wire in an endoscope
KR101503840B1 (en) 2013-04-16 2015-03-25 주식회사 엠지비엔도스코피 Flexible Endoscope with Hinge
WO2015194352A1 (en) 2014-06-18 2015-12-23 オリンパス株式会社 Bending apparatus
WO2018162556A1 (en) 2017-03-08 2018-09-13 Ambu A/S A handle for an endoscope
US11553833B2 (en) 2017-03-08 2023-01-17 Ambu A/S Handle for an endoscope
EP3513706A1 (en) 2018-01-19 2019-07-24 Ambu A/S A method for fixation of a wire portion of an endoscope, and an endoscope
EP3517017B1 (en) 2018-01-26 2023-01-18 Ambu A/S A method for fixation of a wire portion of an endoscope, and an endoscope

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