JP4500204B2 - Thread winding fixing method for coated tube for bending part - Google Patents

Thread winding fixing method for coated tube for bending part Download PDF

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JP4500204B2
JP4500204B2 JP2005133651A JP2005133651A JP4500204B2 JP 4500204 B2 JP4500204 B2 JP 4500204B2 JP 2005133651 A JP2005133651 A JP 2005133651A JP 2005133651 A JP2005133651 A JP 2005133651A JP 4500204 B2 JP4500204 B2 JP 4500204B2
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yarn
bending portion
covering tube
winding
bending
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JP2006305202A (en
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達也 島田
羊一郎 佐藤
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Olympus Medical Systems Corp
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Olympus Medical Systems Corp
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この発明は、内視鏡の挿入部に設けられる内視鏡湾曲部に被嵌される湾曲部用被覆チューブを糸巻きによって内視鏡湾曲部に固定する湾曲部用被覆チューブの糸巻き固定方法に関する。   The present invention relates to a bobbin fixing method for a bending portion covering tube in which a bending portion covering tube fitted to an endoscope bending portion provided in an insertion portion of an endoscope is fixed to an endoscope bending portion by bobbin winding.

例えば、医療用内視鏡は、体腔内等の観察部位に挿入される細長な挿入部と、この挿入部の基端側に配設された把持部を兼ねる操作部と、この操作部の側部から延出するユニバーサルコードとを備えて構成されている。   For example, a medical endoscope includes an elongated insertion portion that is inserted into an observation site such as a body cavity, an operation portion that also serves as a grip portion disposed on the proximal end side of the insertion portion, and a side of the operation portion. And a universal cord extending from the section.

前記挿入部は、先端側より硬質の金属部材等で形成した後述する先端部本体を備える先端部と、例えば上下、左右方向に湾曲自在に連接させた複数の湾曲駒を備えた湾曲部と、柔軟で可撓性を有する軟性管部とで構成されている。そして、複数の湾曲駒を連接することによって構成された湾曲部は、複数の湾曲駒と、これら湾曲駒を被う弾力性を有する例えばゴム製の湾曲部用被覆チューブとで構成している。   The insertion portion includes a distal end portion including a distal end portion main body, which will be described later, formed of a hard metal member or the like from the distal end side, and a bending portion including a plurality of bending pieces connected to bend in the vertical and horizontal directions, for example. It is comprised with the soft tube part which is soft and flexible. And the bending part comprised by connecting a several bending piece is comprised with the some bending piece and the coating tube for bending parts made from rubber | gum which has the elasticity which covers these bending pieces, for example.

前述した湾曲部を備えた内視鏡を組み立てる際、前記湾曲部に湾曲部用被覆チューブを被覆する作業は、先端部本体と湾曲駒等とを連結した後の一番最後の工程になっていた。この湾曲部用被覆チューブを、連接された湾曲駒に被覆固定するには、湾曲部に湾曲部用被覆チューブを被嵌した後、複数の材質からなる糸を湾曲部用被覆チューブの外周に巻き付けて固定する方法がとられている。   When assembling the endoscope having the bending portion described above, the operation of covering the bending portion with the bending portion covering tube is the last step after the tip body and the bending piece are connected. It was. In order to cover and fix the bending portion covering tube to the connected bending pieces, the bending portion covering tube is fitted on the bending portion, and then a thread made of a plurality of materials is wound around the outer periphery of the bending portion covering tube. The method of fixing is taken.

従来の糸巻き固定方法では、湾曲部用被覆チューブを押さえ込む最初の糸縛りに二重の絡げ部を設けていた。このため、絡げ部の糸の交差部が湾曲用被覆チューブの上被側に位置していた。そして、最終糸巻き部の端糸は糸巻き部と湾曲用被覆チューブとの間に位置し、更に中央部で糸の交差部を留置しておく必要があった。   In the conventional thread winding fixing method, a double binding portion is provided in the first thread binding that holds down the bending portion covering tube. For this reason, the crossing portion of the yarn of the binding portion is located on the upper side of the covering tube for bending. The end yarn of the final bobbin is located between the bobbin and the bending covering tube, and it is necessary to place a yarn intersection at the center.

具体的には、まず、図6に示すように、糸1に一重のループ2を作り、更に図7のように二重絡げ部3を形成する。この状態のループ2の中に、図8に示すように、内視鏡湾曲部4に湾曲部用被覆チューブ5を被覆した内視鏡6を所定の位置まで通す。湾曲部用被覆チューブ5の所定の位置で左右に出ている糸1を互いに引いて湾曲部用被覆チューブ5の上に固定する。その状態で、糸1の一端部にループ7を形成し、そのループ7を形成した糸1の上をもう一端の糸1で所定位置まで糸巻きする。所定位置まで糸巻きしたら、図9に示すように、ループ7を形成した糸1の中に巻いてきた糸1を通す。   Specifically, first, as shown in FIG. 6, a single loop 2 is formed on the yarn 1, and a double tie portion 3 is formed as shown in FIG. 7. In the loop 2 in this state, as shown in FIG. 8, the endoscope 6 in which the bending tube 4 is covered with the bending tube 4 is passed to a predetermined position. The yarns 1 protruding left and right at a predetermined position of the bending portion covering tube 5 are pulled together and fixed on the bending portion covering tube 5. In this state, a loop 7 is formed at one end of the yarn 1, and the yarn 1 on which the loop 7 is formed is wound around a predetermined position with the yarn 1 at the other end. When the yarn is wound up to a predetermined position, the wound yarn 1 is passed through the yarn 1 in which the loop 7 is formed as shown in FIG.

次に、図10に示すように、ループ7を形成した糸1の端部1a,1bを矢印方向に引き、図11に示すように、糸1の交差部8を糸巻き部9の下側の中央部に位置させる。この状態で糸巻き部9からはみ出た糸1の両端部1a,1bを切断することで一連の作業は完了する。この作業を湾曲部用被覆チューブ5に対して複数箇所行う。   Next, as shown in FIG. 10, the ends 1a and 1b of the yarn 1 forming the loop 7 are pulled in the direction of the arrow, and the intersecting portion 8 of the yarn 1 is placed below the yarn winding portion 9 as shown in FIG. Located in the center. In this state, a series of operations are completed by cutting both ends 1a and 1b of the yarn 1 protruding from the yarn winding portion 9. This operation is performed at a plurality of locations on the bending portion covering tube 5.

しかしながら、前述した湾曲部用被覆チューブ5の糸巻き固定方法では、内視鏡のオートクレーブ時に、二重絡げ部3と糸1の交差部8でピンポイント的に湾曲部用被覆チューブ5の一部を強く締付ける結果となり、湾曲部被覆チューブ5を局部的に陥没変形させるという不具合が発生していた。   However, in the above-described thread winding fixing method of the bending portion covering tube 5, a part of the bending portion covering tube 5 is pinpointed at the intersection 8 of the double binding portion 3 and the yarn 1 during autoclaving of the endoscope. As a result, the bending portion covering tube 5 was locally depressed and deformed.

この湾曲部用被覆チューブ5の糸巻き固定方法では、作業者の糸1の張り具合によって、湾曲部用被覆チューブ5を押さえ込む糸1の力が各糸1の位置でバラバラになるので、湾曲部用被覆チューブ5を必要以上に締め付けたり、必要な締め付け力が得られなかったりする。さらに、糸1と糸1との隙間を無くして糸巻きするには熟練が必要であった。また、この状態の内視鏡を高温下に曝すことにより、糸1が収縮するので、糸1が強く巻かれた部位では、湾曲部用被覆チューブ5が糸1によって損傷を与えてしまうという問題があった。   In this method of fixing the winding of the bending portion covering tube 5, the force of the yarn 1 that holds down the bending portion covering tube 5 varies at the position of each yarn 1 due to the tension of the operator's yarn 1. The covering tube 5 may be tightened more than necessary, or the necessary tightening force may not be obtained. Furthermore, skill is required to wind the yarn with the gap between the yarn 1 and the yarn 1 removed. Further, since the yarn 1 contracts when the endoscope in this state is exposed to a high temperature, the bending portion covering tube 5 is damaged by the yarn 1 at a portion where the yarn 1 is strongly wound. was there.

また、二重糸絡げ部3は糸巻き部9において最大外径となるので後工程の糸巻き表面を接着剤で平らに覆う処理を行う作業が難しくなる問題があった。   Further, since the double thread binding portion 3 has the maximum outer diameter at the bobbin winding portion 9, there is a problem that it is difficult to perform a process of covering the surface of the bobbin winding in the subsequent step with an adhesive.

この発明は、前記事情に着目してなされたもので、その目的とするところは、湾曲部用被覆チューブを内視鏡湾曲部に簡単に糸巻き固定でき、しかも糸が収縮しても、湾曲部用被覆チューブを局部的に締め付けることがなく、従来の不具合を解消できる湾曲部用被覆チューブの糸巻き固定方法を提供することにある。   The present invention has been made paying attention to the above circumstances, and the object of the present invention is that the bending portion covering tube can be easily wound around the bending portion of the endoscope, and even if the yarn contracts, the bending portion An object of the present invention is to provide a thread winding fixing method for a bending portion covering tube that can eliminate conventional problems without locally tightening the covering tube.

この発明は、前記目的を達成するために、複数の湾曲駒を連接して構成した内視鏡湾曲部に、湾曲部用被覆チューブを被嵌し、この湾曲部用被覆チューブを前記内視鏡湾曲部に糸巻き固定する湾曲部用被覆チューブの糸巻き固定方法において、前記糸を湾曲部用被覆チューブの外周に糸を複数回巻き付けて仮固定する工程と、前記糸の巻き付け側に第1のU字状誘導糸を糸に挟み込む工程と、前記糸の巻き付け側の糸の下側に第2のU字状誘導糸を載置する工程と、前記糸を前記第1及び第2のU字状誘導糸の上側に巻き付けるとともに、前記湾曲部用被覆チューブを前記内視鏡湾曲部に固定するように密に巻き付ける工程と、前記第1及び第2のU字状誘導糸を前記糸の両端部が密に巻き付けた糸の下側に位置するように引き抜く工程とからなる湾曲部用被覆チューブの糸巻き固定方法である。 In order to achieve the above object, the present invention is configured such that a bending portion covering tube is fitted into an endoscope bending portion formed by connecting a plurality of bending pieces, and the bending portion covering tube is attached to the endoscope. In the thread winding fixing method for the bending portion covering tube for fixing the winding portion to the bending portion, a step of temporarily fixing the yarn by winding the yarn around the bending portion covering tube a plurality of times, and a first U on the winding side of the yarn A step of sandwiching the letter-shaped guide yarn between the yarns, a step of placing a second U-shaped guide yarn below the yarn on the winding side of the yarn, and the first and second U-shapes of the yarn A step of winding the guide yarn on the upper side and tightly winding the bending portion covering tube on the endoscope bending portion; and the first and second U-shaped guide yarns at both ends of the yarn. Toka step of pulling out such that located under the yarn wound densely A winding method of fixing the bending portion covering tube made.

この発明によれば、湾曲部用被覆チューブの上側に二重絡げ部や糸の交差部が発生しないので、オートクレーブを掛けた時にも糸全体が均一に締まるだけで、湾曲部用被覆チューブを局部的に締め付けることがなく、湾曲部用被覆チューブに陥没変形等の不具合を発生させないで済むとともに、糸巻き固定作業も簡単であるという効果がある。   According to the present invention, since the double entangled portion and the crossing portion of the yarn do not occur on the upper side of the bending portion covering tube, the bending portion covering tube is simply tightened even when the autoclave is applied. There is an effect that it is not tightened locally, it is not necessary to cause problems such as depression deformation in the bending portion covering tube, and the thread winding fixing work is also easy.

以下、この発明の実施形態を図面に基づいて説明する。   Embodiments of the present invention will be described below with reference to the drawings.

図1〜図5は湾曲部用被覆チューブの糸巻き固定方法の手順を示すもので、11は内視鏡を示し、12は複数の湾曲駒を連接して構成した内視鏡湾曲部である。内視鏡湾曲部12には湾曲部用被覆チューブ13が被嵌されており、この湾曲部用被覆チューブ13を内視鏡湾曲部12に糸巻き固定する方法について説明する。   FIGS. 1 to 5 show a procedure of a method for fixing a winding portion of a covering tube for a bending portion. Reference numeral 11 denotes an endoscope. Reference numeral 12 denotes an endoscope bending portion configured by connecting a plurality of bending pieces. A bending portion covering tube 13 is fitted on the endoscope bending portion 12, and a method of winding and fixing the bending portion covering tube 13 to the endoscope bending portion 12 will be described.

まず、図1に示すように、糸14を湾曲部用被覆チューブ13の糸巻き固定部13aの所定の開始位置に数回巻き、糸14の一端部14aをテープ15等で湾曲部用被覆チューブ13の表面に仮固定する。次に、第1のU字状誘導糸としての所望の長さの第1の引き抜き糸16を使用し、この第1の引き抜き糸16を糸巻き固定部13aの所定の開始位置でU字型にループさせ、糸14に引き抜き糸16のループ部16aを矢印a方向に差し込む。そして、湾曲部用被覆チューブ13の外周面とこれに巻かれた糸14との間にループ部16aの一方を差し込んで第1の引き抜き糸16を固定する。   First, as shown in FIG. 1, the yarn 14 is wound several times around a predetermined start position of the thread winding fixing portion 13a of the bending portion covering tube 13, and one end portion 14a of the yarn 14 is wrapped with a tape 15 or the like. Temporarily fix it on the surface. Next, the first drawn yarn 16 having a desired length as the first U-shaped guide yarn is used, and the first drawn yarn 16 is formed into a U shape at a predetermined start position of the bobbin fixing portion 13a. The loop is made, and the loop portion 16a of the drawn yarn 16 is inserted into the yarn 14 in the direction of arrow a. Then, one of the loop portions 16a is inserted between the outer peripheral surface of the bending portion covering tube 13 and the yarn 14 wound around the outer peripheral surface, and the first drawn yarn 16 is fixed.

図2に示すように、第2のU字状誘導糸としての所望の長さの第2の引き抜き糸17を使用し、この第2の引き抜き糸17をU字型にループさせ、第1の引き抜き糸16の後端側に第2の引き抜き糸17のループ部17aを同様に矢印b方向に差し込んで固定する。次に、図3に示すように、糸14を湾曲部用被覆チューブ13の糸巻き固定部13aの規定位置まで複数回糸巻きする。   As shown in FIG. 2, a second drawn yarn 17 having a desired length as a second U-shaped guide yarn is used, and this second drawn yarn 17 is looped in a U-shape, Similarly, the loop portion 17a of the second drawing thread 17 is inserted into the rear end side of the drawing thread 16 in the direction of the arrow b and fixed. Next, as shown in FIG. 3, the yarn 14 is wound a plurality of times to a specified position of the bobbin fixing portion 13 a of the bending portion covering tube 13.

次に、第1の引き抜き糸16のループ部16aの反対側に伸びている2本の端部16bを共に保持し、矢印c方向に引き、第1の引き抜き糸16のループ部16a内に位置する糸14をループ部16aで締め付ける。次に、糸14のもう一方の糸巻き最終位置にある糸14が解けないように湾曲部用被覆チューブ13と共に手指等で押さえて、そこから伸びている糸14を100mm程度残して切断する。さらに、糸14の切断端部14bを第2の引き抜き糸17のループ部17aの中に通し、第2の引き抜き糸17のループ部17aの反対側に伸びる2本の端部17bを共に、矢印d方向に引き、糸14を第2の引き抜き糸17のループ部17aで締め付ける。   Next, the two end portions 16b extending to the opposite side of the loop portion 16a of the first drawn yarn 16 are held together and pulled in the direction of the arrow c to be positioned in the loop portion 16a of the first drawn yarn 16 The thread 14 to be tightened is tightened by the loop portion 16a. Next, in order to prevent the yarn 14 at the other final winding position of the yarn 14 from being unwound, it is pressed together with the bending portion covering tube 13 with a finger or the like, and the yarn 14 extending therefrom is cut by leaving about 100 mm. Furthermore, the cut end portion 14b of the yarn 14 is passed through the loop portion 17a of the second drawn yarn 17, and the two end portions 17b extending to the opposite side of the loop portion 17a of the second drawn yarn 17 are both arrowed. Pulling in the d direction, the thread 14 is tightened by the loop portion 17 a of the second drawn thread 17.

次に、仮固定されていた糸14の仮固定部のテープ15を外し、糸巻き固定された部位まで糸14を戻す。次に、第1の引き抜き糸16と第2の引き抜き糸17の互いに伸びている部分16a、17aの各2本を保持しながらさらに矢印c,d方向に引き抜く。そして、図4に示すように、第1の引き抜き糸16と第2の引き抜き糸17を糸巻き部分18の下側から取り外すことにより、図5に示すように、湾曲部用被覆チューブ13は内視鏡湾曲部12に対して糸4によって糸巻き固定される。この操作を湾曲部用被覆チューブ13の所定位置両端に行うことにより、湾曲部用被覆チューブ13の内視鏡湾曲部12に対する糸巻き固定作業は終了する。   Next, the tape 15 of the temporarily fixed portion of the yarn 14 that has been temporarily fixed is removed, and the yarn 14 is returned to the portion where the spool is fixed. Next, the first drawn yarn 16 and the second drawn yarn 17 are further drawn in the directions of arrows c and d while holding the two portions 16a and 17a extending from each other. Then, as shown in FIG. 4, by removing the first drawn yarn 16 and the second drawn yarn 17 from the lower side of the spool portion 18, as shown in FIG. The bobbin 4 is fixed to the mirror bending portion 12 by the thread 4. By performing this operation on both ends of the predetermined position of the bending portion covering tube 13, the bobbin fixing operation of the bending portion covering tube 13 with respect to the endoscope bending portion 12 is completed.

このように、湾曲部用被覆チューブ13を内視鏡湾曲部12に糸巻き固定することにより、従来のような糸絡げ工程がなく、さらに糸交差部が湾曲部用被覆チューブ13の表面に存在しない。従って、内視鏡をオートクレーブ下に曝すことによっても、糸全体が均一に収縮するので、湾曲部用被覆チューブ13が糸14によって局部的に陥没変形するという問題が改善される。   In this way, by fixing the bending portion covering tube 13 to the endoscope bending portion 12, there is no conventional yarn binding step, and a yarn intersection portion is present on the surface of the bending portion covering tube 13. do not do. Accordingly, even when the endoscope is exposed under the autoclave, the entire yarn contracts uniformly, so that the problem that the bending portion covering tube 13 is locally depressed and deformed by the yarn 14 is improved.

なお、この発明は、前記実施形態そのままに限定されるものではなく、実施段階ではその要旨を逸脱しない範囲で構成要素を変形して具体化できる。また、前記実施形態に開示されている複数の構成要素の適宜な組合せにより種々の発明を形成できる。例えば、実施形態に示される全構成要素から幾つかの構成要素を削除してもよい。さらに、異なる実施形態に亘る構成要素を適宜組合わせてもよい。   Note that the present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying the constituent elements without departing from the scope of the invention in the implementation stage. Moreover, various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the embodiment. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, you may combine suitably the component covering different embodiment.

この発明の第1の実施形態を示し、湾曲部用被覆チューブの糸巻き状態の正面図。The front view of the thread winding state of the covering tube for bending parts which shows 1st Embodiment of this invention. 同実施形態を示し、湾曲部用被覆チューブの糸巻き状態の正面図。The front view of the thread winding state of the covering tube for curved parts which shows the same embodiment. 同実施形態を示し、湾曲部用被覆チューブの糸巻き状態の正面図。The front view of the thread winding state of the covering tube for curved parts which shows the same embodiment. 同実施形態を示し、湾曲部用被覆チューブの糸巻き状態の正面図。The front view of the thread winding state of the covering tube for curved parts which shows the same embodiment. 同実施形態を示し、湾曲部用被覆チューブの糸巻き状態の拡大した正面図。The front view which expanded the wound state of the covering tube for curved parts which shows the same embodiment. 従来の湾曲部用被覆チューブの糸巻き状態の斜視図。The perspective view of the thread winding state of the conventional coating tube for curved parts. 同じく湾曲部用被覆チューブの糸巻き状態の斜視図。The perspective view of the thread winding state of the covering tube for curved parts similarly. 同じく湾曲部用被覆チューブの糸巻き状態の斜視図。The perspective view of the thread winding state of the covering tube for curved parts similarly. 同じく湾曲部用被覆チューブの糸巻き状態の斜視図。The perspective view of the thread winding state of the covering tube for curved parts similarly. 同じく湾曲部用被覆チューブの糸巻き状態の斜視図。The perspective view of the thread winding state of the covering tube for bending parts similarly. 同じく湾曲部用被覆チューブの糸巻き状態の拡大した正面図。The enlarged front view of the thread winding state of the covering tube for curved parts similarly.

符号の説明Explanation of symbols

12…内視鏡湾曲部、13…湾曲部用被覆チューブ、14…糸、16…第1の引き抜き糸(第1のU字状誘導糸)、17…第2の引き抜き糸(第2のU字状誘導糸) DESCRIPTION OF SYMBOLS 12 ... Endoscope bending part, 13 ... Covering tube for bending parts, 14 ... Yarn, 16 ... 1st extraction thread (1st U-shaped guide thread), 17 ... 2nd extraction thread (2nd U Character-shaped guide thread)

Claims (1)

複数の湾曲駒を連接して構成した内視鏡湾曲部に、湾曲部用被覆チューブを被嵌し、この湾曲部用被覆チューブを前記内視鏡湾曲部に糸巻き固定する湾曲部用被覆チューブの糸巻き固定方法において、
前記糸を湾曲部用被覆チューブの外周に糸を複数回巻き付けて仮固定する工程と、
前記糸の巻き付け側に第1のU字状誘導糸を糸に挟み込む工程と、
前記糸の巻き付け側の糸の下側に第2のU字状誘導糸を載置する工程と、
前記糸を前記第1及び第2のU字状誘導糸の上側に巻き付けるとともに、前記湾曲部用被覆チューブを前記内視鏡湾曲部に固定するように密に巻き付ける工程と、
前記第1及び第2のU字状誘導糸を前記糸の両端部が密に巻き付けた糸の下側に位置するように引き抜く工程と、
からなる湾曲部用被覆チューブの糸巻き固定方法。
A bending portion covering tube is formed by fitting a bending portion covering tube to an endoscope bending portion formed by connecting a plurality of bending pieces, and winding the bending portion covering tube on the endoscope bending portion. In the thread winding fixing method,
A step of winding the yarn around the outer periphery of the bending portion coating tube a plurality of times and temporarily fixing the yarn;
A step of sandwiching a first U-shaped guide yarn between the yarn winding side and the yarn;
Placing a second U-shaped guide yarn below the yarn on the winding side of the yarn; and
Winding the yarn around the first and second U-shaped guide yarns and tightly winding the bending portion covering tube to the endoscope bending portion; and
Pulling out the first and second U-shaped guide yarns so that both ends of the yarn are located under the tightly wound yarn ; and
A method for fixing a wound tube for a curved portion comprising:
JP2005133651A 2005-04-28 2005-04-28 Thread winding fixing method for coated tube for bending part Active JP4500204B2 (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH01212566A (en) * 1988-02-19 1989-08-25 Olympus Optical Co Ltd Manufacture of balloon catheter
JPH02177932A (en) * 1988-12-28 1990-07-11 Olympus Optical Co Ltd Method for fixing outer skin
JPH1066676A (en) * 1996-08-28 1998-03-10 Olympus Optical Co Ltd Endoscope
JP2000116659A (en) * 1998-10-10 2000-04-25 Ethicon Endo Surgery Inc Surgical device for forming knot

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH01212566A (en) * 1988-02-19 1989-08-25 Olympus Optical Co Ltd Manufacture of balloon catheter
JPH02177932A (en) * 1988-12-28 1990-07-11 Olympus Optical Co Ltd Method for fixing outer skin
JPH1066676A (en) * 1996-08-28 1998-03-10 Olympus Optical Co Ltd Endoscope
JP2000116659A (en) * 1998-10-10 2000-04-25 Ethicon Endo Surgery Inc Surgical device for forming knot

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