JP4566358B2 - Endoscopic biopsy forceps - Google Patents

Endoscopic biopsy forceps Download PDF

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Publication number
JP4566358B2
JP4566358B2 JP2000226489A JP2000226489A JP4566358B2 JP 4566358 B2 JP4566358 B2 JP 4566358B2 JP 2000226489 A JP2000226489 A JP 2000226489A JP 2000226489 A JP2000226489 A JP 2000226489A JP 4566358 B2 JP4566358 B2 JP 4566358B2
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Prior art keywords
forceps
drive lever
cup
endoscopic biopsy
forceps cup
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Expired - Fee Related
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JP2000226489A
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JP2002034989A (en
Inventor
輝雄 大内
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Hoya Corp
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Hoya Corp
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Description

【0001】
【発明の属する技術分野】
この発明は、内視鏡の鉗子チャンネルに挿通されて手元側からの操作によって先端の鉗子カップが嘴状に開閉される内視鏡用生検鉗子に関する。
【0002】
【従来の技術】
内視鏡用生検鉗子は一般に、一対の鉗子カップに各々駆動レバーが一体に連結形成されて、駆動レバーが支軸を中心に回動自在にシースの先端部分に支持され、シース内に挿通配置された操作ワイヤを軸線方向に進退操作することにより、鉗子カップと駆動レバーとが支軸を中心に回動して、鉗子カップが嘴状に開閉駆動されるようになっている。
【0003】
そのような鉗子カップと駆動レバーの一体部品は、以前はステンレス鋼棒材等から切削加工によって形成されていたが、それでは部品コストが著しく高いものになるので、板材からプレス加工によって形成されるようになってきている(特開平9−276285号、特開平10−24045号)。
【0004】
図9は、そのようなプレス加工による従来の内視鏡用生検鉗子の鉗子カップ3と駆動レバー5の一体部品を示している。また、図10は、鉗子カップ3部分と駆動レバー5部分との境界部分35の断面を示しており、素材の金属板材を折り返して密着させた構造になっている。
【0005】
【発明が解決しようとする課題】
使用時に一組の鉗子カップ7を生体の粘膜組織に噛みつかせると、鉗子カップ3に対しては不規則な方向に大きな力が作用して、その集中応力が鉗子カップ3の首部である境界部分35に作用する。
【0006】
すると、上述のように素材の金属板材を折り返して密着させた構造の境界部分35は横方向の曲げ力に対して弱いので、図9に矢印Aで示される横方向に境界部分35が曲がり、鉗子カップ3が横に首を振った状態に変形してしまう場合がある。
【0007】
そこで本発明は、鉗子カップと駆動レバーとをプレス加工により一体に形成して低コストでの製造が可能であり、しかも鉗子カップと駆動レバーとの境界部分が横曲げに強くて変形し難い耐久性の優れた内視鏡用生検鉗子を提供することを目的とする。
【0008】
【課題を解決するための手段】
上記の目的を達成するため、本発明の内視鏡用生検鉗子は、一対の鉗子カップに各々駆動レバーが一体に連結形成されて、駆動レバーが支軸を中心に回動自在にシースの先端部分に支持され、シース内に挿通配置された操作ワイヤを軸線方向に進退操作することにより、鉗子カップと駆動レバーとが支軸を中心に回動して、鉗子カップが嘴状に開閉駆動されるようにした内視鏡用生検鉗子において、駆動レバーが、素材平板を凹ませて形成された鉗子カップの縁部とほぼ同面に位置する残余の素材平板を鉗子カップの後端部において略90°捩じって形成されているものである。
【0009】
なお、駆動レバーが、鉗子カップの縁部の同面位置より上方と下方とにまたがっていて、鉗子カップの後半部分の左右半部のうち一方の半部は駆動レバーの上方部分に対して曲面状につながり、他方の半部は駆動レバーの下方部分に対して曲面状につながっているとよい。
【0010】
また、一対の駆動レバーの面どうしを当接させると、一対の鉗子カップの縁部どうしが当接するようにするとよい。
【0011】
【発明の実施の形態】
図面を参照して本発明の実施例を説明する。
図2は内視鏡の鉗子チャンネルに通して使用される内視鏡用生検鉗子を示しており、可撓性シース1は、例えばステンレス鋼線を一定の径で密着巻きしたコイルパイプによって形成されている。
【0012】
可撓性シース1内には、操作ワイヤ2が軸線方向に進退自在に全長にわたって挿通配置されており、操作ワイヤ2を手元側から軸線方向に進退させることによって、可撓性シース1の先端側に配置された一対の鉗子カップ3a,3bが開閉駆動される。
【0013】
可撓性シース1の手元側端部(基端部)には、操作ワイヤ2を進退操作するための操作部10が連結されており、操作部本体11とそれに対して軸線方向に進退自在なスライダー12とに各々指掛け13,14が取り付けられている。操作ワイヤ2の基端はスライダー12に連結されている。
【0014】
図3と図4は、鉗子カップ3a,3bが配置されている可撓性シース1の先端部分の側面断面図と平面断面図であり、可撓性シース1の先端に連結固着された先端支持枠4は、スリット41によって先側半部がフォーク状に大きく分割された形状に形成されている。
【0015】
一対の鉗子カップ3a,3bには、各々駆動レバー5a,5bが一体に連結形成されている。そして、スリット41を横断するように先端支持枠4の先端付近に取り付けられた支軸9が、駆動レバー5a,5bに形成された軸孔8に通されていて、一対の鉗子カップ3a,3bが支軸9を中心にして嘴状に開閉する。7は、ワッシャ状のスペーサである。
【0016】
操作ワイヤ2として、ステンレス鋼線の撚り線又は単線からなる二本のワイヤ2a,2bが可撓性シース1内に並べて配置されており、その二本のワイヤ2a,2bの先端が、可撓性シース1の先端から前方に突出して、駆動レバー5a,5bの後端付近に形成された小孔6a,6bに係合している。
【0017】
このような構成により、操作部10において操作ワイヤ2を進退操作すると、ワイヤ2a,2bの先端に連結された駆動レバー5a,5bが支軸9を中心に回動し、それによって鉗子カップ3a,3bが嘴状に開閉する。
【0018】
図1は、一体に形成されている鉗子カップ3a,3bと駆動レバー5a,5bを部品単体で示す斜視図であり、図5はその平面図、図6は一部を断面で示す側面図である。
【0019】
鉗子カップ3a,3bと駆動レバー5a,5bは、素材である一枚のステンレス鋼平板からプレス成形されており、まず素材平板を椀状に凹ませて鉗子カップ3a,3bを形成した後、鉗子カップ3a,3bの縁部とほぼ同面に位置する残余の素材平板を鉗子カップ3a,3bの後端部において90°捩じって平板状の駆動レバー5a,5bが形成されている。
【0020】
駆動レバー5a,5bは、鉗子カップ3a,3bの縁部の同面位置より上方と下方とにまたがっていて(上方部分U、下方部分D)、鉗子カップ3a,3bの後半部分の左右半部のうち一方の半部(R)は駆動レバー5a,5bの上方部分Uに対して曲面状につながり、他方の半部(L)は駆動レバー5a,5bの下方部分Dに対して曲面状につながっている。
【0021】
このように椀状の鉗子カップ3a,3bと平板状の駆動レバー5a,5bとを、90°捩じれた曲面によってつながれた形状に形成することにより、鉗子カップ3a,3bと駆動レバー5a,5bとの境界部分が、縦横いずれの方向にも通常の使用によっては変形しない十分な強度を有する。
【0022】
図7に示されるように、各駆動レバー5a,5bの一方の面は、鉗子カップ3a,3bの縁部に対して直交する鉗子カップ3a,3bの直径位置に位置しており、一対の駆動レバー5a,5bの面どうしを当接させると、一対の鉗子カップ3a,3bの縁部どうしが当接する。したがって、同じ部品を引っくり返して組み合わせればよい。
【0023】
なお、図8に示されるように、駆動レバー5a,5bの大きさ等は設計上の要請等に合わせて適宜変えればよい。また、操作ワイヤ2と駆動レバー5a,5bとの間にパンタグラフ状のリンク機構等を介在させて鉗子カップ3a,3bを開閉駆動するようにしてもよい。
【0024】
【発明の効果】
本発明によれば、駆動レバーが、素材平板を凹ませて形成された鉗子カップの縁部とほぼ同面に位置する残余の素材平板を鉗子カップの後端部において略90°捩じって形成されていることにより、鉗子カップと駆動レバーとをプレス加工により一体に形成して低コストでの製造が可能であり、しかも鉗子カップと駆動レバーとの境界部分が横曲げに強く、通常の使用では変形しない優れた耐久性を得ることができる。
【図面の簡単な説明】
【図1】本発明の第1の実施例の内視鏡用生検鉗子の鉗子カップと駆動レバーの斜視図である。
【図2】本発明の第1の実施例の内視鏡用生検鉗子の全体構成図である。
【図3】本発明の第1の実施例の内視鏡用生検鉗子の操作部の側面断面図である。
【図4】本発明の第1の実施例の内視鏡用生検鉗子の先端部分の平面断面図である。
【図5】本発明の第1の実施例の内視鏡用生検鉗子の鉗子カップと駆動レバーの平面図である。
【図6】本発明の第1の実施例の内視鏡用生検鉗子の鉗子カップと駆動レバーの一部を断面で示す側面図である。
【図7】本発明の第1の実施例の内視鏡用生検鉗子の鉗子カップと駆動レバーの略示正面図である。
【図8】本発明の第2の実施例の内視鏡用生検鉗子の鉗子カップと駆動レバーの一部を断面で示す側面図である。
【図9】従来の内視鏡用生検鉗子の鉗子カップと駆動レバーの斜視図である。
【図10】図9におけるX−X断面図である。
【符号の説明】
1 可撓性シース
2(2a,2b) 操作ワイヤ
3a,3b 鉗子カップ
5a,5b 駆動レバー
8 軸孔
9 支軸
D 駆動レバーの下方部分
U 駆動レバーの上方部分
R,L 曲面状のつながり部
[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an endoscopic biopsy forceps that is inserted into a forceps channel of an endoscope and whose forceps cup at the tip is opened and closed in a hook shape by an operation from the hand side.
[0002]
[Prior art]
Endoscopic biopsy forceps generally have a pair of forceps cups, each of which has a drive lever integrally connected thereto, and the drive lever is supported by the distal end portion of the sheath so as to be rotatable about a support shaft, and is inserted into the sheath. By operating the arranged operation wire forward and backward in the axial direction, the forceps cup and the drive lever rotate about the support shaft, and the forceps cup is driven to open and close like a hook.
[0003]
Such an integrated part of the forceps cup and the drive lever was previously formed by cutting from a stainless steel bar or the like. However, since the cost of the parts is significantly high, it is formed by pressing from a plate material. (Japanese Patent Laid-Open Nos. 9-276285 and 10-24045).
[0004]
FIG. 9 shows an integral part of a forceps cup 3 and a drive lever 5 of a conventional endoscopic biopsy forceps by such press working. FIG. 10 shows a cross section of a boundary portion 35 between the forceps cup 3 portion and the drive lever 5 portion, and has a structure in which a metal plate material is folded and brought into close contact.
[0005]
[Problems to be solved by the invention]
When a pair of forceps cups 7 is engaged with a mucosal tissue of a living body during use, a large force acts on the forceps cup 3 in an irregular direction, and the concentrated stress is a boundary portion that is the neck of the forceps cup 3. Act on 35.
[0006]
Then, since the boundary portion 35 of the structure in which the metal plate material of the material is folded and adhered as described above is weak against the bending force in the lateral direction, the boundary portion 35 bends in the lateral direction indicated by the arrow A in FIG. There is a case where the forceps cup 3 is deformed into a state where the head is swung horizontally.
[0007]
Therefore, the present invention can be manufactured at a low cost by integrally forming the forceps cup and the drive lever by press working, and the boundary portion between the forceps cup and the drive lever is resistant to lateral bending and is not easily deformed. An object of the present invention is to provide an endoscopic biopsy forceps having excellent properties.
[0008]
[Means for Solving the Problems]
In order to achieve the above-mentioned object, the biopsy forceps for endoscope according to the present invention has a pair of forceps cups in which drive levers are integrally connected to each other, and the drive lever is rotatable around a support shaft. By operating the operation wire supported by the tip and inserted and inserted in the sheath in the axial direction, the forceps cup and the drive lever rotate around the support shaft, and the forceps cup is opened and closed like a bowl. In the endoscopic biopsy forceps configured as described above, the drive lever has a rear end portion of the forceps cup on the remaining material plate positioned substantially on the same surface as the edge of the forceps cup formed by recessing the material plate. In FIG. 2, the wire is twisted approximately 90 °.
[0009]
The drive lever extends above and below the same surface position of the edge of the forceps cup, and one half of the right and left half of the forceps cup is curved with respect to the upper portion of the drive lever. The other half is preferably connected in a curved shape to the lower part of the drive lever.
[0010]
Further, when the surfaces of the pair of drive levers are brought into contact with each other, the edges of the pair of forceps cups may be brought into contact with each other.
[0011]
DETAILED DESCRIPTION OF THE INVENTION
Embodiments of the present invention will be described with reference to the drawings.
FIG. 2 shows an endoscopic biopsy forceps used through the forceps channel of the endoscope, and the flexible sheath 1 is formed by a coil pipe in which a stainless steel wire is tightly wound with a constant diameter, for example. Has been.
[0012]
An operation wire 2 is inserted through the entire length of the flexible sheath 1 so as to be movable back and forth in the axial direction, and the distal end side of the flexible sheath 1 is moved forward and backward in the axial direction from the hand side. The pair of forceps cups 3a and 3b arranged in the open / close state is driven to open and close.
[0013]
An operation portion 10 for advancing and retracting the operation wire 2 is connected to the proximal side end portion (base end portion) of the flexible sheath 1, and the operation portion main body 11 and the operation portion main body 11 can be moved forward and backward in the axial direction. Finger grips 13 and 14 are attached to the slider 12, respectively. The proximal end of the operation wire 2 is connected to the slider 12.
[0014]
FIGS. 3 and 4 are a side sectional view and a plan sectional view of the distal end portion of the flexible sheath 1 in which the forceps cups 3 a and 3 b are arranged, and the distal end support connected and fixed to the distal end of the flexible sheath 1. The frame 4 is formed in a shape in which the front half is largely divided into forks by slits 41.
[0015]
Drive levers 5a and 5b are integrally connected to the pair of forceps cups 3a and 3b, respectively. A support shaft 9 attached in the vicinity of the tip of the tip support frame 4 so as to cross the slit 41 is passed through a shaft hole 8 formed in the drive levers 5a and 5b, and a pair of forceps cups 3a and 3b. Opens and closes in a bowl shape around the support shaft 9. Reference numeral 7 denotes a washer-shaped spacer.
[0016]
As the operation wire 2, two wires 2 a and 2 b made of stainless steel wire or single wire are arranged in the flexible sheath 1, and the tips of the two wires 2 a and 2 b are flexible. It protrudes forward from the distal end of the sheath 1 and engages with small holes 6a and 6b formed near the rear ends of the drive levers 5a and 5b.
[0017]
With such a configuration, when the operation wire 2 is advanced and retracted in the operation unit 10, the drive levers 5a and 5b connected to the tips of the wires 2a and 2b rotate about the support shaft 9, thereby the forceps cups 3a and 3b. 3b opens and closes like a bowl.
[0018]
FIG. 1 is a perspective view showing the forceps cups 3a and 3b and the drive levers 5a and 5b formed as a single component, FIG. 5 is a plan view thereof, and FIG. 6 is a side view showing a part in cross section. is there.
[0019]
The forceps cups 3a and 3b and the drive levers 5a and 5b are press-molded from a single stainless steel plate as a material. First, the forceps cups 3a and 3b are formed by recessing the material plate into a bowl shape, and then the forceps The remaining material flat plate positioned substantially on the same surface as the edges of the cups 3a and 3b is twisted by 90 ° at the rear ends of the forceps cups 3a and 3b to form flat drive levers 5a and 5b.
[0020]
The drive levers 5a and 5b extend above and below the same surface position of the edges of the forceps cups 3a and 3b (upper part U and lower part D), and the left and right half parts of the latter half of the forceps cups 3a and 3b. One half (R) is connected to the upper part U of the drive levers 5a and 5b in a curved shape, and the other half (L) is curved to the lower part D of the drive levers 5a and 5b. linked.
[0021]
Thus, the forceps cups 3a and 3b and the drive levers 5a and 5b are formed by forming the hook-shaped forceps cups 3a and 3b and the flat drive levers 5a and 5b into a shape connected by a curved surface twisted by 90 °. The boundary portion has sufficient strength not to be deformed by normal use in any of the vertical and horizontal directions.
[0022]
As shown in FIG. 7, one surface of each drive lever 5a, 5b is located at the diameter position of the forceps cup 3a, 3b perpendicular to the edge of the forceps cup 3a, 3b, and a pair of drive When the surfaces of the levers 5a and 5b are brought into contact with each other, the edges of the pair of forceps cups 3a and 3b are brought into contact with each other. Therefore, the same parts may be turned over and combined.
[0023]
In addition, as shown in FIG. 8, the size of the drive levers 5a and 5b may be appropriately changed according to the design requirements. Alternatively, the forceps cups 3a and 3b may be driven to open and close by interposing a pantograph-like link mechanism or the like between the operation wire 2 and the drive levers 5a and 5b.
[0024]
【The invention's effect】
According to the present invention, the drive lever twists the remaining material flat plate positioned substantially on the same plane as the edge of the forceps cup formed by denting the material flat plate at the rear end portion of the forceps cup by approximately 90 °. As a result, the forceps cup and the drive lever can be integrally formed by press processing and can be manufactured at a low cost, and the boundary between the forceps cup and the drive lever is resistant to lateral bending and Excellent durability that does not deform in use can be obtained.
[Brief description of the drawings]
FIG. 1 is a perspective view of a forceps cup and a drive lever of an endoscopic biopsy forceps according to a first embodiment of the present invention.
FIG. 2 is an overall configuration diagram of an endoscopic biopsy forceps according to a first embodiment of the present invention.
FIG. 3 is a side cross-sectional view of an operation unit of an endoscopic biopsy forceps according to the first embodiment of the present invention.
FIG. 4 is a plan sectional view of the distal end portion of the endoscopic biopsy forceps according to the first embodiment of the present invention.
FIG. 5 is a plan view of a forceps cup and a drive lever of an endoscopic biopsy forceps according to the first embodiment of the present invention.
FIG. 6 is a side view showing a cross-section of a forceps cup and a part of a drive lever of the biopsy forceps for endoscope according to the first embodiment of the present invention.
FIG. 7 is a schematic front view of a forceps cup and a drive lever of an endoscopic biopsy forceps according to the first embodiment of the present invention.
FIG. 8 is a side view showing in cross section a part of a forceps cup and a drive lever of an endoscopic biopsy forceps according to a second embodiment of the present invention.
FIG. 9 is a perspective view of a forceps cup and a drive lever of a conventional endoscopic biopsy forceps.
10 is a cross-sectional view taken along line XX in FIG.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Flexible sheath 2 (2a, 2b) Operation wire 3a, 3b Forceps cup 5a, 5b Drive lever 8 Shaft hole 9 Spindle D Lower part U of drive lever Upper part R, L of drive lever Curved connection part

Claims (2)

一対の鉗子カップに各々駆動レバーが一体に連結形成されて、上記駆動レバーが支軸を中心に回動自在にシースの先端部分に支持され、上記シース内に挿通配置された操作ワイヤを軸線方向に進退操作することにより、上記鉗子カップと駆動レバーとが上記支軸を中心に回動して、上記鉗子カップが嘴状に開閉駆動されるようにした内視鏡用生検鉗子において、
上記駆動レバーが、素材平板を凹ませて形成された鉗子カップの縁部とほぼ同面に位置する残余の素材平板を上記鉗子カップの後端部において略90°捩じって形成され
その結果上記駆動レバーが、上記鉗子カップの縁部の同面位置より上方と下方とにまたがっていて、上記鉗子カップの後半部分の左右半部のうち一方の半部は上記駆動レバーの上方部分に対して曲面状につながり、他方の半部は上記駆動レバーの下方部分に対して曲面状につながっていることを特徴とする内視鏡用生検鉗子。
A drive lever is integrally connected to each of the pair of forceps cups, the drive lever is supported by the distal end portion of the sheath so as to be rotatable about a support shaft, and an operation wire inserted and disposed in the sheath is disposed in the axial direction. In the endoscopic biopsy forceps in which the forceps cup and the drive lever are rotated about the support shaft so that the forceps cup is driven to open and close like a bowl by
The drive lever is formed by twisting the remaining material flat plate positioned substantially on the same surface as the edge of the forceps cup formed by recessing the material flat plate at the rear end of the forceps cup by approximately 90 ° ,
As a result, the drive lever extends above and below the same surface position of the edge of the forceps cup, and one half of the left and right half of the forceps cup is an upper portion of the drive lever. An endoscopic biopsy forceps characterized in that the other half is connected in a curved shape to the lower part of the drive lever .
上記一対の駆動レバーの面どうしを当接させると、上記一対の鉗子カップの縁部どうしが当接する請求項1記載の内視鏡用生検鉗子。When brought into contact with the surface each other of the pair of drive levers, claim 1 Symbol placement endoscopic biopsy forceps the edges to each other of the pair of forcep cups abut.
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JPH09276285A (en) * 1996-04-08 1997-10-28 Kaijirushi Hamono Kaihatsu Center:Kk Cup-shaped sampling blade for treating part of treating instrument for endoscope
JPH1024045A (en) * 1996-07-15 1998-01-27 Kaijirushi Hamono Kaihatsu Center:Kk Circular sampling blade for treatment part of treatment tool for endoscope, and manufacture thereof
JP2000189429A (en) * 1998-12-25 2000-07-11 Kaijirushi Hamono Kaihatsu Center:Kk Cup-shaped sampling blade for treatment part in treatment instrument for endoscope and its manufacture
JP2000189433A (en) * 1998-12-25 2000-07-11 Kaijirushi Hamono Kaihatsu Center:Kk Cup-like sampling blade for treating section in treating device for endoscope
JP2000189435A (en) * 1998-12-28 2000-07-11 Kaijirushi Hamono Kaihatsu Center:Kk Cup-like sampling blade for treating section in treating instrument for endoscope

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