JP6402285B1 - Endoscope - Google Patents

Abstract

An endoscope according to one aspect of the present invention includes an elongated insertion portion, a mesh tube formed by braiding a thin wire into a tubular shape, and provided in a cylindrical shape inside the insertion portion, and the insertion portion The coil 22 is formed by winding a wire, the distal end portion and the proximal end portion are fixed to the structure of the insertion portion, and the distal end portion is inserted into the coil 22. A wire 24 formed by twisting strands, which is fixed to the distal end portion of the wire 22, and pulling the wire 24 toward the proximal end side of the coil 22 to apply a compressive force to the coil 22 and insert the wire And a hardness changing mechanism 20 that adjusts the bending hardness of the part, and the dimension of the gap generated in the wire of the coil 22 is set smaller than the diameter of the wire of the wire 24.

Description

  The present invention relates to an endoscope in which a linear member is inserted into an insertion portion.

  An imaging unit for capturing an optical image is provided in the distal end of an insertion part that can be inserted from the outside of the living body or structure to observe a difficult part such as the inside of the living body or the inside of the structure. The provided endoscope is used in the medical field and the industrial field, for example.

  An endoscope disclosed in Japanese Patent Application Laid-Open No. 10-276965 has a hardness changing mechanism that changes the hardness in the bending direction of a part of the insertion portion. The hardness changing mechanism section includes a coil pipe inserted into the insertion section, a wire inserted into the coil pipe, and a traction mechanism section that applies a compressive force to the coil pipe by pulling the wire. The coil pipe varies in hardness in the bending direction according to the applied compressive force. For this reason, the hardness of the portion of the insertion portion through which the coil pipe is inserted varies depending on the compressive force applied to the coil pipe.

  In the endoscope hardness changing mechanism portion disclosed in Japanese Patent Application Laid-Open No. 10-276965 described above, for example, a flexible tube portion is allowed in a state where a coil pipe is compressed by pulling a wire. If the wire is bent smaller than the bending radius, the wire or the coil pipe may be damaged. When a linear member such as a wire or a coil pipe breaks in the insertion portion, there is a possibility that these damage the outer skin of the flexible tube portion and reduce the water tightness in the flexible tube portion.

  An object of the present invention is to solve the above-described point, and in an endoscope in which a linear member is inserted into an insertion portion, it is intended to maintain the water tightness of the insertion portion even when the linear member is damaged. To do.

An endoscope according to one aspect of the present invention includes an elongated insertion portion, a mesh tube formed by braiding a thin wire into a tubular shape, and provided in a cylindrical shape inside the insertion portion, and the insertion portion A coil formed by winding a wire, the distal end portion and the proximal end portion being fixed to the structure of the insertion portion, and the distal end portion of the coil is inserted into the coil. A wire formed by twisting strands, which is fixed to the portion, and adjusting the bending hardness of the insertion portion by applying a compressive force to the coil by pulling the wire to the proximal end side of the coil A hardness changing mechanism, and the size of the gap generated in the wire of the coil is set smaller than the diameter of the wire of the wire, and the size of the gap generated between the thin wires in the mesh tube Larger than the wire diameter of the wire, and of the wire It was set to be smaller than the diameter.

An endoscope according to another aspect of the present invention includes an insertion portion formed in an elongated shape, a mesh tube formed by braiding a thin wire into a tubular shape, and provided in a cylindrical shape inside the insertion portion, A coil formed by winding a wire, the base end portion of which is inserted into the insertion portion and fixed to the structure of the insertion portion, and a distal end portion of the coil that is inserted into the insertion portion. And a fixed wire formed by twisting strands to connect the structure of the insertion portion and the insertion portion, and the distal end of the coil is fixed to the distal end of the coil. A pulling wire formed by twisting strands, and adjusting the bending hardness of the insertion portion by applying a compressive force to the coil by pulling the pulling wire to the proximal end side of the coil a hardness changing mechanism that covers the outer periphery of the mesh tube, is formed of a resin And the skin, and wherein the pulling wire greater than the dimension of the gap resulting diameter of the wire to the wire of the coil, and is set smaller than the dimension of the gap formed in the braid tube, the traction wire The diameter of the fixed wire is set larger than the size of the gap generated in the mesh tube, the diameter of the wire of the fixed wire is set smaller than the size of the gap generated in the mesh tube, and the diameter of the fixed wire is set in the mesh tube It was set larger than the size of the gap to be generated, and the hardness of the outer skin was set lower than the hardness of the strand of the pulling wire and higher than the hardness of the strand of the fixed wire .

It is a figure explaining the composition of an endoscope. It is a figure explaining the structure of a flexible tube part and a hardness change mechanism part. It is a figure explaining the structure of a hardness change mechanism part. It is a figure explaining the structure of the reticulated tube in a flexible tube part. It is a figure explaining the structure of the 1st wire in a hardness change mechanism part.

  Hereinafter, preferred embodiments of the present invention will be described with reference to the drawings. In the drawings used for the following description, the scale of each component is made different in order to make each component recognizable on the drawing. It is not limited only to the quantity of the component described in (1), the shape of the component, the ratio of the size of the component, and the relative positional relationship of each component.

  An endoscope 1 according to this embodiment shown in FIG. 1 has an elongated insertion portion 2 that can be introduced into a subject such as a human body, and has a configuration for observing the inside of the subject through the insertion portion 2. The subject into which the insertion portion 2 of the endoscope 1 is introduced is not limited to a human body, and may be another living body or an artificial object such as a machine or a building.

  The endoscope 1 of the present embodiment includes an elongated insertion portion 2 that is introduced into a subject, an operation portion 3 that is located at the proximal end of the insertion portion 2, and a universal that extends from the operation portion 3. It is mainly composed of code 4.

  The insertion portion 2 includes a distal end portion 8 disposed at the distal end, a bendable bending portion 9 disposed on the proximal end side of the distal end portion 8, and a proximal end side of the bending portion 9 and a distal end side of the operation portion 3. The flexible tube part 10 which has the flexibility which connects is connected and comprised.

  The distal end portion 8 is provided with a configuration for observing the inside of the subject. For example, an imaging unit for observing the inside of the subject optically including an objective lens and an imaging device is disposed at the distal end portion 8. Further, although not shown, the distal end portion 8 is also provided with an illumination light emitting portion that emits light that illuminates the subject of the imaging unit. Note that an ultrasonic transducer for observing the inside of the subject acoustically using ultrasonic waves may be disposed at the distal end portion 8.

  The operation section 3 disposed at the base end of the insertion section 2 is provided with an angle operation knob 6 for operating the bending of the bending section 9. An endoscope connector 5 configured to be connectable to an external device (not shown) is provided at the base end portion of the universal cord 4. The external device to which the endoscope connector 5 is connected includes a camera control unit that controls an imaging unit provided at the distal end portion 8.

  Further, the operation unit 3 is provided with a hardness change knob 21 for operating the hardness change mechanism unit 20 disposed in the flexible tube unit 10. The hardness changing mechanism portion 20 is inserted into the flexible tube portion 10 along the longitudinal direction of the flexible tube portion 10, and has a configuration in which the hardness against bending changes according to an operation input by the hardness change knob 21. . That is, the hardness changing mechanism unit 20 changes the hardness against bending of the flexible tube unit 10.

  Next, the structure of the flexible tube part 10 and the hardness change mechanism part 20 is demonstrated. As shown in FIG. 2, the flexible tube portion 10 includes a mesh tube 11 and a skin 12.

  The mesh tube 11 is formed by braiding metal fine wires such as a stainless alloy into a tubular shape. The outer skin 12 is a synthetic resin film that covers the outer periphery of the mesh tube 11. By covering the mesh tube 11 with the outer skin 12, airtightness in the flexible tube portion 10 is maintained. In other words, the mesh tube 11 is inserted into the flexible tube portion 10 having a cylindrical outer skin 12 on the outer periphery.

  Although not shown, a flex tube, which is a core material that prevents the flexible tube portion 10 from being crushed, is provided inside the mesh tube 11. The flex tube is formed by winding an elongated metal thin plate spirally around an axis along the longitudinal direction of the flexible tube portion 10. Since the width of the thin plate constituting the flex tube is narrower than the pitch width around which the thin plate is wound, the flex tube is deformed according to the bending of the flexible tube portion 10.

  In the flexible tube section 10 configured as described above, in addition to the hardness changing mechanism section 20 described above, an electric cable, a fluid, a treatment instrument, and the like for electrically connecting the imaging unit and the endoscope connector. A built-in object such as a conduit for passing through is inserted. Since the built-in components other than the hardness changing mechanism unit 20 are known techniques, the description thereof is omitted.

  The hardness changing mechanism unit 20 includes a coil pipe 22, a first wire 24, and a second wire 26, which are linear members. With respect to the members constituting the hardness changing mechanism portion 20, the direction toward the distal end portion 8 side of the insertion portion 2 is referred to as a distal end direction, and the direction toward the operation portion 3 side is referred to as a proximal end direction.

  The coil pipe 22 is a linear member formed by, for example, winding a linear wire made of metal such as a stainless alloy around a predetermined axis A parallel to the longitudinal direction of the insertion portion 2 in a spiral shape.

  A base end 22 b of the coil pipe 22 is held by a coil fixing portion 23 fixed to the operation portion 3. A space having a predetermined inner diameter centered on a predetermined axis A is provided in the coil pipe 22. A first wire 24 described later is inserted into the coil pipe 22.

  The first wire 24 is a linear member that is inserted into the coil pipe 22 and formed by twisting metal linear strands. The first wire 24 is formed by twisting together strands made of, for example, a stainless alloy.

  When the first wire 24 is pulled in the proximal direction, the distal end 24a of the first wire 24 inserted through the coil pipe 22 is applied with a force in a direction in which the coil pipe 22 is compressed along the axis A. The coil pipe 22 is engaged with the tip 22a.

  Specifically, the tip 24 a of the first wire 24 protrudes in the tip direction from the tip 22 a of the coil pipe 22. A connecting portion 25 having an outer shape larger than the inner diameter of the coil pipe 22 is fixed to the tip 24 a of the first wire 24. That is, the relative movement of the distal end 24 a of the first wire 24 in the proximal direction with respect to the distal end 22 a of the coil pipe 22 is restricted by the connecting portion 25.

  Further, the connecting portion 25 is fixed to the tip 22a of the coil pipe 22 by an adhesive, soldering or brazing. That is, the tip 24 a of the first wire 24 is fixed to the tip 22 a of the coil pipe 22. The tip 24a of the first wire 24 may be directly fixed to the tip 22a of the coil pipe 22 by an adhesive, soldering, brazing, or the like without using the connection portion 25.

  As described above, the base end 22 b of the coil pipe 22 is fixed to the operation unit 3 by the coil fixing unit 23. Therefore, when the first wire 24 is pulled in the proximal direction, the tension applied to the first wire 24 is transmitted to the distal end 22a of the coil pipe 22, and a force for compressing the coil pipe 22 in the direction of the axis A is applied. . By applying a compressive force to the coil pipe 22, a resistance force against bending deformation generated by the coil pipe 22 is increased. The greater the compressive force applied to the coil pipe 22, the greater the resistance to bending deformation produced by the coil pipe 22.

  The proximal end 24 b of the first wire 24 is connected to a traction mechanism unit 30 that pulls the first wire 24 in the proximal direction and applies tension to the first wire 24.

  The traction mechanism unit 30 is well known and will not be described in detail. In the present embodiment, as an example, the traction mechanism unit 30 includes a hardness changing knob 21 that rotates with respect to the operation unit 3, and a first wire 24. And a wire holding portion 30a that moves forward and backward in the direction along the axis A according to the rotation of the hardness changing knob 21.

  A cam groove 21 b is carved on the inner peripheral surface of the hardness changing knob 21. The wire holding portion 30a is disposed in the operation portion 3 so as to be movable back and forth in the direction along the axis A. The wire holding portion 30a is provided with a cam pin 30b that slidably engages with the cam groove 21b. By the engagement of the cam groove 21b and the cam pin 30b, the wire holding portion 30a moves forward and backward in the direction along the axis A according to the rotation of the hardness changing knob 21. The traction mechanism unit 30 of the present embodiment configured as described above can change the tension applied to the first wire 24 according to the turning operation of the hardness changing knob 21 by the user.

  The second wire 26 is a linear member formed by twisting metal linear strands. The second wire 26 is formed by twisting strands made of, for example, a stainless alloy.

  The second wire 26 is fixed to the constituent member of the insertion portion 2 in a state where the rotation of the distal end 26 a is restricted, and the proximal end 26 b is fixed to the distal end 24 a of the first wire 24. That is, the second wire 26 is arranged on the distal end side with respect to the first wire 24.

  Specifically, the distal end 26a of the second wire 26 is fixed to the wire fixing portion 28 of the frame member 9a disposed at the proximal end of the bending portion 9 of the insertion portion 2 in a state where the rotation around the axis A is restricted. Has been. The distal end 26a of the second wire 26 is fixed to the wire fixing portion 28 by, for example, an adhesive, soldering or brazing.

  Further, the base end 26b of the second wire 26 is fixed to the connection portion 25 by, for example, an adhesive, soldering, brazing, or the like. The distal end 24a of the first wire 24 and the proximal end 26b of the second wire 26 are each fixed to the connecting portion 25 such that the central axes thereof are located on the axis A.

  Note that the base end 26b of the second wire 26 may be directly fixed to the distal end 24a of the first wire 24 without using the connecting portion 25, for example, by an adhesive, soldering, brazing, or the like.

  By fixing the distal end 26a of the second wire 26 to the frame member 9a of the bending portion 9, the position of the distal end 24a of the first wire 24 in the flexible tube portion 10 is maintained within a predetermined range. That is, the range in which the tip 22 a of the coil pipe 22 can move within the flexible tube portion 10 is determined by the second wire 26. For this reason, when the first wire 24 is pulled in the proximal direction by the traction mechanism unit 30 or when the flexible tube unit 10 is repeatedly bent, the coil pipe 22 is only within a range determined by the second wire 26. It is held movable.

  As described above, the resistance to bending deformation of the coil pipe 22 changes according to the tension applied to the first wire 24 by the traction mechanism unit 30. Therefore, the hardness with respect to the bending in the range where the coil pipe 22 of the flexible tube portion 10 is disposed changes depending on the resistance force against the bending deformation of the coil pipe 22. With the configuration described above, the hardness changing mechanism unit 20 changes the hardness of at least a part of the insertion unit 2.

  As described above, the hardness changing mechanism unit 20 included in the endoscope 1 of the present embodiment is the coil pipe 22, the first wire 24, and the second wire that are linear members inserted into the flexible tube unit 10. A wire 26 is provided. Further, the flexible tube portion 10 surrounding the periphery of these linear members includes a mesh tube 11 formed by braiding thin wires into a tubular shape, and an outer skin 12 covering the outer periphery of the mesh tube 11.

  The diameter D1 (see FIG. 3) of the wire constituting the coil pipe 22 described above is the maximum dimension C1 (hereinafter referred to as a mesh) of the largest gap generated between adjacent thin wires in the mesh tube 11 partially shown in FIG. Larger than the clearance dimension C1 of the tube 11). In other words, the gap dimension C1 of the mesh tube 11 is smaller than the diameter D1 of the wire of the coil pipe 22.

  Further, the diameter D2 (see FIG. 3) of the first wire 24 is larger than the gap dimension C1 of the mesh tube 11. In other words, the gap dimension C 1 of the mesh tube 11 is smaller than the diameter D 2 of the first wire 24.

  Further, the diameter D3 (see FIG. 5) of the strand 24c of the first wire 24 is smaller than the diameter D1 of the strand constituting the coil pipe 22. Furthermore, the diameter D3 of the strand 24c of the first wire 24 is the maximum dimension in the gap between the strands constituting the coil pipe 22, that is, the strand that is generated when the coil pipe 22 is bent most according to the bending of the flexible tube 10. It is larger than the dimension C2 of the gap between the lines (hereinafter referred to as the gap dimension C2 of the coil pipe 22).

  In other words, the gap dimension C2 of the coil pipe 22 is smaller than the diameter D3 of the strand 24c of the first wire 24.

  The hardness of the outer skin 12 is lower than the hardness of the strand 24c of the first wire 24, and the strand 24c has a strength to pierce the surface of the outer skin 12. However, as described above, the gap dimension C2 of the coil pipe 22 is smaller than the diameter D3 of the strand 24c of the first wire 24. Therefore, even if the strand 24c breaks, the end of the broken strand 24c is the coil pipe. The wire 24 c does not protrude outward through the gap 22, and the strand 24 c does not pierce the surface of the outer skin 12.

  The diameter of the second wire 26 described above is smaller than the diameter of the first wire 24, but larger than the gap dimension C <b> 1 of the mesh tube 11. In other words, the gap dimension C <b> 1 of the mesh tube 11 is smaller than the diameter of the second wire 26.

  The strand (not shown) of the second wire 26 has a smaller diameter than the strand 24c of the first wire 24. The strand of the second wire 26 is made of a material having a lower tensile strength than the strand 24c of the first wire 24. The diameter of the second wire 26 is smaller than that of the first wire 24.

  And the hardness of the strand of the 2nd wire 26 is lower than the hardness of the outer skin 12, and the strand of the 2nd wire 26 has the intensity | strength which does not pierce the surface of the outer skin 12. For example, even if the element wire of the second wire 26 is abutted from the direction orthogonal to the surface of the outer skin 12, the second wire 26 is buckled and deformed without piercing the outer skin 12.

  Here, the gap dimension C <b> 1 of the mesh tube 11 is smaller than the diameter of the wire of the coil pipe 22. Therefore, for example, when the flexible pipe portion 10 is bent to be smaller than a predetermined bending radius while the coil pipe 22 is compressed by pulling the first wire 24 by the pulling mechanism portion 30, the coil pipe 22 is bent. Even if broken, the wire constituting the coil pipe 22 does not protrude outside the mesh tube 11. Therefore, in the present embodiment, when the coil pipe 22 is broken, the strands of the coil pipe 22 can be prevented from coming into contact with the outer skin 12, and the outer skin 12 can be prevented from being damaged.

  Further, the maximum dimension of the gap generated between adjacent thin wires in the mesh tube 11 is smaller than the diameters of the first wire 24 and the second wire 26. Therefore, even if the first wire 24 or the second wire 26 is cut, the first wire 24 or the second wire 26 does not protrude outside the mesh tube 11. Therefore, in the present embodiment, when the first wire 24 or the second wire 26 is cut, the first wire 24 or the second wire 26 can be prevented from coming into contact with the outer skin 12, and the outer skin 12 can be prevented from being damaged.

  Since the diameters of the strands constituting the first wire 24 and the second wire 26 are smaller than the maximum dimension of the gap formed between adjacent thin wires in the mesh tube 11, the cut first wire 24 or second wire 26 is If frayed, some strands may penetrate the mesh tube 11 and contact the outer skin 12. However, in this embodiment, the diameter D3 of the strand 24c of the first wire 24 is smaller than the diameter of the strand constituting the coil pipe 22, so that the end of the broken strand passes outside through the gap of the coil pipe 22. Since the hardness of the wire constituting the second wire 26 is lower than the hardness of the outer skin 12, damage to the outer skin 12 is prevented even if the single wire contacts the outer skin 12.

  As described above, according to the endoscope 1 of the present embodiment, the coil pipe 22, the first wire 24, and the second wire that are linear members inserted through the insertion portion 2 of the hardness changing mechanism portion 20. Even when the wire 26 is broken, the outer skin 12 covering the outer periphery of the insertion portion 2 can be prevented from being damaged, and the water tightness of the insertion portion 2 can be maintained.

  And, when any of the coil pipe 22, the first wire 24, and the second wire 26, which are linear members inserted through the hardness changing mechanism, is damaged, a problem such as the inability to change the hardness appears. It is possible to detect abnormalities while maintaining watertightness, and to repair before problems occur due to water immersion inside the endoscope, thus minimizing the impact on the endoscope. It becomes.

  According to the present invention, in an endoscope in which a linear member is inserted into an insertion portion, the water tightness of the insertion portion can be maintained even when the linear member is damaged.

  The present invention is not limited to the above-described embodiment, and can be appropriately changed without departing from the gist or concept of the invention that can be read from the claims and the entire specification. An endoscope with such a change is also applicable. Moreover, it is included in the technical scope of the present invention.

  This application is filed on the basis of priority claim of Japanese Patent Application No. 2017-94241 filed in Japan on May 10, 2017, and the above disclosure is included in the present specification and claims. Shall be quoted.

  As described above, the present invention is suitable for an endoscope in which a linear member is inserted into an insertion portion.

Claims (6)

An elongated insertion portion;
Formed by braiding a thin wire into a tubular shape, and a reticulated tube provided in a cylindrical shape inside the insertion portion;
A coil formed by winding a wire, the distal end portion and the proximal end portion being fixed to the structure of the insertion portion, and being inserted into the inside of the coil, the distal end portion being inserted into the insertion portion. A wire formed by twisting strands fixed to the distal end of the coil, and pulling the wire toward the proximal end of the coil to apply a compressive force to the coil and to bend and harden the insertion portion. A hardness changing mechanism for adjusting the thickness,
With
The dimension of the gap generated in the wire of the coil is set smaller than the diameter of the wire of the wire, and the dimension of the gap generated between the fine wires in the mesh tube is larger than the diameter of the wire of the wire, And set smaller than the diameter of the wire,
An endoscope characterized by that. The endoscope according to claim 1 , wherein a dimension of a gap generated between the thin wires in the mesh tube is set smaller than a diameter of the coil and a diameter of an element wire in the coil . The endoscope according to claim 1 , wherein the gap generated in the wire of the coil is a gap generated when the coil is in a natural state . The endoscope according to claim 1 , wherein the gap generated in the element wire of the coil is a gap generated when the coil is in a curved state following the curvature of the insertion portion . The endoscope according to claim 1 , further comprising an outer skin made of resin that covers an outer periphery of the mesh tube, wherein a hardness of the wire of the wire is set higher than a hardness of the outer skin . An elongated insertion portion;
Formed by braiding a thin wire into a tubular shape, and a reticulated tube provided in a cylindrical shape inside the insertion portion;
A coil formed by winding a wire, the base end portion of which is inserted into the insertion portion and fixed to the structure of the insertion portion, and a distal end portion of the coil that is inserted into the insertion portion. And a fixed wire formed by twisting strands to connect the structure of the insertion portion and the insertion portion, and the distal end of the coil is fixed to the distal end of the coil. A pulling wire formed by twisting strands, and adjusting the bending hardness of the insertion portion by applying a compressive force to the coil by pulling the pulling wire to the proximal end side of the coil A hardness changing mechanism,
An outer skin formed of a resin covering the outer periphery of the mesh tube;
With
The diameter of the wire of the pulling wire is set larger than the size of the gap generated in the wire of the coil and smaller than the size of the gap generated in the mesh tube,
Setting the diameter of the puller wire to be larger than the size of the gap formed in the mesh tube;
The diameter of the wire of the fixed wire is set smaller than the size of the gap generated in the mesh tube,
Setting the diameter of the fixed wire larger than the size of the gap formed in the mesh tube,
The hardness of the outer skin was set lower than the hardness of the wire of the pulling wire and higher than the hardness of the wire of the fixed wire,
An endoscope characterized by that.

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