JP4536699B2 - Endoscope hood - Google Patents

Endoscope hood Download PDF

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JP4536699B2
JP4536699B2 JP2006291417A JP2006291417A JP4536699B2 JP 4536699 B2 JP4536699 B2 JP 4536699B2 JP 2006291417 A JP2006291417 A JP 2006291417A JP 2006291417 A JP2006291417 A JP 2006291417A JP 4536699 B2 JP4536699 B2 JP 4536699B2
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endoscope
space forming
distal end
forming portion
cleaning liquid
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竜也 長谷川
勇気 日向寺
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Description

本発明は、例えば内視鏡的粘膜下層剥離術(ESD)において用いられる内視鏡の先端に取り付けられ、洗浄液を噴出して患部を洗浄する洗浄液供給用チューブを備える内視鏡用フードに関する。   The present invention relates to an endoscope hood that includes a cleaning liquid supply tube that is attached to the distal end of an endoscope used in, for example, endoscopic submucosal dissection (ESD) and that sprays a cleaning liquid to clean an affected area.

従来、内視鏡の先端に外嵌される外嵌部と、内視鏡取付部の先端に設けられ周壁に貫通孔が形成された空間形成部とを有する筒状本体と、空間形成部の貫通孔に挿入して固着され患部を洗浄する洗浄液を先端から噴出させる洗浄液供給用チューブとを備え、洗浄液供給用チューブから噴出された洗浄液で患部を洗浄する内視鏡用フードが知られている(例えば、特許文献1参照)。   Conventionally, a cylindrical main body having an outer fitting portion fitted to the distal end of the endoscope, a space forming portion provided at the distal end of the endoscope mounting portion and having a through hole formed in the peripheral wall, and a space forming portion 2. Description of the Related Art An endoscope hood is known that includes a cleaning liquid supply tube that ejects from a distal end a cleaning liquid that is inserted into and fixed to a through-hole and that cleans an affected area from the tip, and that cleans the affected area with the cleaning liquid sprayed from the cleaning liquid supply tube. (For example, refer to Patent Document 1).

この内視鏡用フードは、洗浄液供給用チューブから噴出された洗浄液や患部から流れ出る血液等の液体が空間形成部内に溜まる虞がある。空間形成部内に液体が溜まると内視鏡による視野の悪化につながるという問題がある。
特許第3790866号公報
In the endoscope hood, there is a possibility that the cleaning liquid ejected from the cleaning liquid supply tube or the liquid such as blood flowing out from the affected part may accumulate in the space forming part. When liquid accumulates in the space forming part, there is a problem that the visual field of the endoscope is deteriorated.
Japanese Patent No. 3790866

本発明は、以上の点に鑑み、空間形成部内に液体が溜まり難くし、内視鏡の視野を良好な状態に維持し易くすることができる内視鏡用フードを提供することを目的とする。   The present invention has been made in view of the above points, and an object thereof is to provide an endoscope hood that makes it difficult for liquid to accumulate in a space forming portion and makes it easy to maintain the visual field of an endoscope in a good state. .

上記目的を達成するため、本発明は、内視鏡の先端に着脱自在に外嵌される筒状本体と、該筒状本体に接続され患部を洗浄する洗浄液を供給する洗浄液供給用チューブとを備える内視鏡用フードにおいて、前記筒状本体は、内視鏡の先端に外嵌される外嵌部と、該外嵌部の先端に設けられ内視鏡の先端と患部との距離を一定に維持するための空間を形成する空間形成部とを有し、前記空間形成部の周壁に、内方から径方向外方に向かって、且つ後方に傾斜して貫通し、該空間形成部内に溜まった液体を排出する複数の貫通孔が形成され、前記空間形成部の内周面は、先方に向かって次第に拡径するテーパ面であることを特徴とする。 In order to achieve the above object, the present invention includes a cylindrical main body that is detachably fitted to the distal end of an endoscope, and a cleaning liquid supply tube that is connected to the cylindrical main body and supplies a cleaning liquid for cleaning the affected area. In the endoscope hood, the cylindrical main body is provided with an outer fitting portion that is fitted on the distal end of the endoscope and a distance between the distal end of the endoscope and the affected portion that is provided at the distal end of the outer fitting portion. A space forming portion that forms a space for maintaining the space, and penetrates the peripheral wall of the space forming portion from the inside to the outside in the radial direction and inclined rearwardly, and into the space forming portion. A plurality of through holes for discharging the accumulated liquid are formed, and the inner peripheral surface of the space forming portion is a tapered surface that gradually increases in diameter toward the front .

係る発明によれば、前記空間形成部の周壁に複数の貫通孔が形成されているため、空間形成部内に入り込んだ血液や洗浄液等の液体が貫通孔から流れ出る。これにより空間形成部内に液体が溜まることを抑制し、内視鏡の視野を良好な状態に維持し易くすることができる。又、前記貫通孔は、前記空間形成部の周壁に、内方から径方向外方に向かって、且つ後方に傾斜して貫通するように形成されているため、内視鏡の先端が上方に向いている場合においても、貫通孔から空間形成部内の液体が排出され易くなる。   According to this invention, since a plurality of through holes are formed in the peripheral wall of the space forming portion, liquids such as blood and cleaning liquid that have entered the space forming portion flow out of the through holes. Thereby, it is possible to suppress the liquid from being accumulated in the space forming portion, and to easily maintain the visual field of the endoscope in a good state. Further, since the through hole is formed so as to penetrate through the peripheral wall of the space forming portion from the inside toward the radially outer side and in the rearward direction, the distal end of the endoscope faces upward. Even in the case of facing, the liquid in the space forming part is easily discharged from the through hole.

又、本発明においては、空間形成部の内周面が先方に向かって次第に拡径するテーパ面とされている。このように構成すれば、空間形成部内の液体が先方へ流れ落ち易くなる。このため、空間形成部内に液体が溜まることを抑制し、内視鏡の視野を良好な状態に維持し易くなる。 In the present invention, there is a tapered surface that the inner circumferential surface of the space forming part is gradually enlarged toward the other party. If comprised in this way, it will become easy for the liquid in a space formation part to flow away ahead. For this reason, it is easy to keep the liquid in the space forming portion and to maintain the field of view of the endoscope in a good state.

又、本発明においては、前記貫通孔の内側の開口部は、内視鏡が挿着された際に内視鏡の先端が位置する箇所に位置されていることが好ましい。空間形成部内の液体は内視鏡の先端に溜まり易い。このため、上記の如く構成することにより、内視鏡の先端に溜まった液体が前記貫通孔に流れ易くなり、効率よく空間形成部内の液体を排出させることができる。   Moreover, in this invention, it is preferable that the opening part inside the said through-hole is located in the location in which the front-end | tip of an endoscope is located when an endoscope is inserted. The liquid in the space forming part tends to accumulate at the tip of the endoscope. For this reason, by configuring as described above, the liquid accumulated at the distal end of the endoscope can easily flow into the through hole, and the liquid in the space forming portion can be efficiently discharged.

本発明の内視鏡用フードの実施の形態を図1を参照して説明する。図1は本実施形態の内視鏡用フードを示す説明的断面図である。   An embodiment of an endoscope hood according to the present invention will be described with reference to FIG. FIG. 1 is an explanatory sectional view showing an endoscope hood according to this embodiment.

本発明の実施形態の内視鏡用フード1は、内視鏡2の先端に着脱自在に外嵌される外嵌部31と、内視鏡2の先端から患部までの距離を一定に保ち、内視鏡2のチャネル内に挿入された鉗子等による治療や処置を行い易くするめの空間形成部32とを有する筒状本体3を備える。空間形成部32の内径は外嵌部31の内径よりも大きく形成されている。これにより、外嵌部31に固定される内視鏡2の視野が空間形成部32により狭められることなく、医療行為が行い易くなる。   The endoscope hood 1 according to the embodiment of the present invention has an outer fitting portion 31 that is detachably fitted to the distal end of the endoscope 2, and a constant distance from the distal end of the endoscope 2 to the affected portion. A cylindrical main body 3 having a space forming portion 32 for facilitating treatment and treatment with forceps or the like inserted into a channel of the endoscope 2 is provided. The inner diameter of the space forming portion 32 is formed larger than the inner diameter of the outer fitting portion 31. This facilitates medical practice without narrowing the field of view of the endoscope 2 fixed to the outer fitting portion 31 by the space forming portion 32.

又、空間形成部32の周壁には、内方から径方向外方に向かって、且つ後方に傾斜して貫通する複数の貫通孔32aが周方向に等間隔で形成されている。図では貫通孔32aをストレート形状としたものを示しているが、他の形状でもよく、例えば、内方から径方向外方に向かって次第に拡径するテーパ形状(ラッパ形状)としてもよい。又、空間形成部32の内周面は、先方に向かって次第に拡径するテーパ面32bとされている。   A plurality of through holes 32a are formed in the circumferential wall of the space forming portion 32 at equal intervals in the circumferential direction, penetrating from the inside to the outside in the radial direction and inclined rearward. In the drawing, the through-hole 32a is shown as having a straight shape, but other shapes may be used, for example, a tapered shape (a trumpet shape) that gradually increases in diameter from the inside toward the outside in the radial direction. In addition, the inner peripheral surface of the space forming portion 32 is a tapered surface 32b that gradually increases in diameter toward the front.

空間形成部32には後方からテーパ面32bに向かって軸方向に貫通する挿入孔4が設けられている。挿入孔4には洗浄液を供給する洗浄液供給用チューブ5が挿入され固着されている。シリンジ等により洗浄液供給用チューブ5から供給された洗浄液は、先方へ噴出し患部を洗浄する。   The space forming portion 32 is provided with an insertion hole 4 penetrating in the axial direction from the rear toward the tapered surface 32b. A cleaning liquid supply tube 5 for supplying a cleaning liquid is inserted into and fixed to the insertion hole 4. The cleaning liquid supplied from the cleaning liquid supply tube 5 by a syringe or the like is ejected forward to clean the affected part.

次いで、本実施形態の内視鏡用フード1の使用方法について説明する。   Next, a method for using the endoscope hood 1 of the present embodiment will be described.

まず、内視鏡用フード1の外嵌部31を内視鏡2の先端に外嵌させる。洗浄液供給用チューブ5は、内視鏡2の外周面にテープ等で固定する。そして、患者の口等の体孔から内視鏡2を体内へ挿入する。内視鏡2の先端が患部に近づいたら、洗浄液供給用チューブ5から洗浄液を供給し、患部に向けて洗浄液を噴出させる。   First, the outer fitting portion 31 of the endoscope hood 1 is fitted on the distal end of the endoscope 2. The cleaning liquid supply tube 5 is fixed to the outer peripheral surface of the endoscope 2 with a tape or the like. Then, the endoscope 2 is inserted into the body through a body hole such as a patient's mouth. When the distal end of the endoscope 2 approaches the affected area, the cleaning liquid is supplied from the cleaning liquid supply tube 5 and the cleaning liquid is ejected toward the affected area.

そして、内視鏡用フード1の先端を患部を包み込むように患部の周辺に押し付け、内視鏡2のチャネルに挿入された鉗子等により治療・処置を行う。空間形成部32により内視鏡2の先端と患部との距離が一定に維持されるため、医療従事者は患部の治療・処置を容易に行うことができる。このとき、空間形成部32内に血液や洗浄液等の液体が溜まることがあるが、空間形成部32の周壁に形成された貫通孔32aから溜まった血液等を排出することができ、内視鏡2の視野を良好に保つことができる。   Then, the distal end of the endoscope hood 1 is pressed around the affected area so as to wrap the affected area, and treatment / treatment is performed with forceps or the like inserted into the channel of the endoscope 2. Since the distance between the distal end of the endoscope 2 and the affected part is maintained constant by the space forming part 32, the medical staff can easily perform the treatment / treatment of the affected part. At this time, liquid such as blood or cleaning liquid may accumulate in the space forming portion 32, but the blood or the like accumulated from the through hole 32a formed in the peripheral wall of the space forming portion 32 can be discharged, and the endoscope The field of view of 2 can be kept good.

本実施形態の内視鏡用フード1によれば、空間形成部32の周壁に貫通孔32aが形成されているため、貫通孔32aから空間形成部32内の液体が流れ出る。又、空間形成部32の内周面が先方に向かって次第に拡径するテーパ面32bとなっているため、空間形成部32内の液体が先方へ流れ落ち易くなる。これにより空間形成部32内に液体が溜まることを抑制し、内視鏡2の視野を良好な状態に維持し易くすることができる。   According to the endoscope hood 1 of the present embodiment, since the through hole 32a is formed in the peripheral wall of the space forming part 32, the liquid in the space forming part 32 flows out from the through hole 32a. Moreover, since the inner peripheral surface of the space forming portion 32 is a tapered surface 32b that gradually increases in diameter toward the front, the liquid in the space forming portion 32 easily flows down to the front. Thereby, it can suppress that a liquid accumulates in the space formation part 32, and can make it easy to maintain the visual field of the endoscope 2 in a favorable state.

又、貫通孔32aが内視鏡2の後方に向かって傾斜しているため、図1(b)に示すように、内視鏡2の先端が上方に向いている場合においても、貫通孔32aから空間形成部32内の液体が排出され易くなる。   Further, since the through hole 32a is inclined toward the rear of the endoscope 2, as shown in FIG. 1B, the through hole 32a is provided even when the distal end of the endoscope 2 faces upward. From this, the liquid in the space forming part 32 is easily discharged.

又、空間形成部32内の液体は内視鏡2の先端に溜まり易いが、貫通孔32aの内側の開口部は、内視鏡2が装着された際に内視鏡2の先端が位置する箇所に位置されているため、内視鏡2の先端に溜まった液体が貫通孔32aに流れ易くなり、効率よく空間形成部32内の液体を排出させることができる。   Further, the liquid in the space forming portion 32 tends to accumulate at the distal end of the endoscope 2, but the distal end of the endoscope 2 is positioned in the opening inside the through hole 32a when the endoscope 2 is mounted. Since the liquid is accumulated at the position, the liquid accumulated at the distal end of the endoscope 2 can easily flow into the through hole 32a, and the liquid in the space forming portion 32 can be efficiently discharged.

本実施形態の内視鏡用フードを示す説明的断面図。Explanatory sectional drawing which shows the hood for endoscopes of this embodiment.

符号の説明Explanation of symbols

1…内視鏡用フード、 2…内視鏡、 3…筒状本体、 31…外嵌部、 32…空間形成部、 32a…貫通孔、 32b…テーパ面、 4…挿入孔、 5…洗浄液供給用チューブ。 DESCRIPTION OF SYMBOLS 1 ... Endoscope hood, 2 ... Endoscope, 3 ... Cylindrical main body, 31 ... Outer fitting part, 32 ... Space formation part, 32a ... Through-hole, 32b ... Tapered surface, 4 ... Insertion hole, 5 ... Cleaning liquid Supply tube.

Claims (2)

内視鏡の先端に着脱自在に外嵌される筒状本体と、該筒状本体に接続され患部を洗浄する洗浄液を供給する洗浄液供給用チューブとを備える内視鏡用フードにおいて、
前記筒状本体は、内視鏡の先端に外嵌される外嵌部と、該外嵌部の先端に設けられ内視鏡の先端と患部との距離を一定に維持するための空間を形成する空間形成部とを有し、
前記空間形成部の周壁に、内方から径方向外方に向かって、且つ後方に傾斜して貫通し、該空間形成部内に溜まった液体を排出する複数の貫通孔が形成され、
前記空間形成部の内周面は、先方に向かって次第に拡径するテーパ面であることを特徴とする内視鏡用フード。
In an endoscope hood comprising: a cylindrical main body that is detachably fitted to the distal end of an endoscope; and a cleaning liquid supply tube that supplies a cleaning liquid that is connected to the cylindrical main body and cleans the affected area.
The cylindrical main body forms an outer fitting portion that is fitted to the distal end of the endoscope, and a space that is provided at the distal end of the outer fitting portion to maintain a constant distance between the distal end of the endoscope and the affected portion. And a space forming portion to
A plurality of through-holes are formed in the peripheral wall of the space forming portion so as to penetrate from the inside toward the radially outer side and incline backward, and discharge the liquid accumulated in the space forming portion,
An endoscope hood, wherein an inner peripheral surface of the space forming portion is a tapered surface that gradually increases in diameter toward the front .
前記貫通孔の内側の開口部は、内視鏡が装着された際に内視鏡の先端が位置する箇所に位置されていることを特徴とする請求項1記載の内視鏡用フード。 2. The endoscope hood according to claim 1, wherein the opening inside the through hole is located at a position where a distal end of the endoscope is positioned when the endoscope is attached.
JP2006291417A 2006-10-26 2006-10-26 Endoscope hood Active JP4536699B2 (en)

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JP5235547B2 (en) * 2008-07-28 2013-07-10 Hoya株式会社 Endoscope hood
JP5390923B2 (en) * 2009-04-20 2014-01-15 慎也 三井 Endoscope hood
JP2011245011A (en) * 2010-05-26 2011-12-08 Masakatsu Nakamura Hood for endoscope
JP5771507B2 (en) * 2011-11-09 2015-09-02 オリンパス株式会社 Endoscope cap and endoscope unit
JP6639779B2 (en) * 2014-12-18 2020-02-05 オリンパス株式会社 Endoscope and optical adapter for endoscope
CN104656241B (en) * 2015-03-16 2017-06-30 北京京金吾高科技股份有限公司 A kind of small space visualizer

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JP3790866B2 (en) * 2002-01-15 2006-06-28 恵一郎 久米 Transparent hood with endoscope cleaning function

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