JPH01300939A - Ultrasonic diagnostic apparatus for body cavity - Google Patents

Ultrasonic diagnostic apparatus for body cavity

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Publication number
JPH01300939A
JPH01300939A JP13312788A JP13312788A JPH01300939A JP H01300939 A JPH01300939 A JP H01300939A JP 13312788 A JP13312788 A JP 13312788A JP 13312788 A JP13312788 A JP 13312788A JP H01300939 A JPH01300939 A JP H01300939A
Authority
JP
Japan
Prior art keywords
center
ultrasonic
ultrasound
tip
body cavity
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP13312788A
Other languages
Japanese (ja)
Other versions
JP2758169B2 (en
Inventor
Tsuguhisa Sasai
笹井 嗣久
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Olympus Corp
Original Assignee
Olympus Optical Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Olympus Optical Co Ltd filed Critical Olympus Optical Co Ltd
Priority to JP63133127A priority Critical patent/JP2758169B2/en
Publication of JPH01300939A publication Critical patent/JPH01300939A/en
Application granted granted Critical
Publication of JP2758169B2 publication Critical patent/JP2758169B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

PURPOSE:To improve the insertion easiness and operability with respect to the body cavity, by inclining the center of the rotary shaft of an ultrasonic vibrator with respect to the center of an insert shaft. CONSTITUTION:An illumination lens 3, an objective lens system 4, an air and water feed nozzle 5 and a suction port 6 are provided to the leading end hard part 2 provided to the leading end 1 of an insert part and an ultrasonic vibrator 7 is provided to the leading end of the leading end hard part 2. The rotary body 8 for rotating the ultrasonic vibrator 7 is arranged so that the center-of- rotation axis B thereof is inclined by an angle theta in a direction wherein the objective lens system 4 is not arranged with respect to the center A of the insert shaft of an endoscope. A leading end cover 9 filled with an ultrasonic transmitting medium is provided around the rotary body 8.

Description

【発明の詳細な説明】 〔産業上の利用分野〕 本発明は、体腔内への挿入部に超音波振動子を設8Jで
被検対象体を超音波走査する体腔内超音波診断装置に関
するものである。
[Detailed Description of the Invention] [Industrial Application Field] The present invention relates to an intrabody cavity ultrasonic diagnostic apparatus that includes an ultrasonic transducer in an insertion portion into a body cavity and performs ultrasonic scanning of a subject to be examined using an 8J. It is.

〔従来の技術〕[Conventional technology]

体腔内超音波診断装置は、挿入部の先端に超音波振動子
を設け、この超音波振動子からの超音波を挿入方向中心
軸に対して直交方向にラジアル走査するための回転子を
回転自在に設けている。この回転子の周囲には超音波伝
達媒体を充満させ、更にそれらの周囲には超音波入出射
窓である先端カバーを設けている。特願昭62−294
025号の体腔内超音波診断装置では、この超音波入出
射窓である先端カバーを挿入部先端の外周面より挿入方
向中心軸寄りに形成(7ている。
The intrabody cavity ultrasound diagnostic device has an ultrasound transducer installed at the tip of the insertion section, and a rotor that can rotate freely to radially scan the ultrasound from the ultrasound transducer in a direction orthogonal to the central axis in the insertion direction. It is set up in The area around the rotor is filled with an ultrasonic transmission medium, and a tip cover, which is an ultrasonic input/output window, is provided around the rotor. Patent application 1986-294
In the intracorporeal ultrasound diagnostic apparatus of No. 025, the tip cover, which is the ultrasonic input/output window, is formed closer to the center axis in the insertion direction than the outer circumferential surface of the tip of the insertion section (7).

第4図および第5図に、特願昭62−294025号の
体腔内超音波診断装置の挿入部を示す。体腔内超音波診
断装置の挿入部先端1′の先端硬質部2′には、照明レ
ンズ3′、対物レンズ系4′。
4 and 5 show the insertion section of the intrabody cavity ultrasonic diagnostic apparatus disclosed in Japanese Patent Application No. 62-294025. An illumination lens 3' and an objective lens system 4' are disposed on the rigid end portion 2' of the insertion section distal end 1' of the intracorporeal ultrasound diagnostic apparatus.

送気送水ノズル5′および吸引口6′が設けられている
。先端硬質部2′の先端には、超音波振動子7′を組み
込んだ回転子8′を設け、これをカバー9′で覆りでい
る。また、観察手段として先端硬質部2′内に固体撮像
素子10′を内装し、ライトガイドファイバ15′で伝
送された照明光により、像を撮像できるようになってい
る。
An air/water supply nozzle 5' and a suction port 6' are provided. A rotor 8' incorporating an ultrasonic vibrator 7' is provided at the tip of the hard tip portion 2', and is covered with a cover 9'. Further, as an observation means, a solid-state image sensor 10' is installed inside the rigid tip portion 2', and an image can be captured using illumination light transmitted through a light guide fiber 15'.

このように、挿入部先端1′内に、固体撮像素子10’
と、超音波振動子7′を回転させる回転子8′の、図示
しない回転軸を内装すると、固体撮像素子10’が挿入
部先端1′の径に対して占める割合が大きく、超音波振
動子7′の回転軸中心が観察光学系の中心軸側とは、挿
入軸中心に対して反対側に位置することとなる。つまり
、超音波振動子7′の回転軸中心として設けられている
先端カバー9′は、その外周の少なくとも一方側は、先
端硬質部2′の外周より内周に入り、段部14′を形成
する。さらに、第5図に示すように、超音波振動子の走
査する超音波断層像の診断部位と、固体撮像素子10′
で撮像できる対物レンズ系の視野範囲とが離れているの
で、超音波振動子を病変部に近づけると、光学像に対す
る超音波断層像の位置関係がつけづらくなっていた。
In this way, the solid-state image sensor 10' is placed inside the insertion section tip 1'.
If a rotating shaft (not shown) of a rotor 8' that rotates the ultrasonic transducer 7' is installed, the solid-state image sensor 10' occupies a large proportion of the diameter of the insertion section tip 1', and the ultrasonic transducer The center of rotation axis 7' is located on the opposite side of the center axis of the observation optical system with respect to the center of the insertion axis. In other words, at least one side of the outer periphery of the tip cover 9', which is provided as the center of the rotational axis of the ultrasonic transducer 7', goes inward from the outer periphery of the hard tip portion 2', forming a stepped portion 14'. do. Furthermore, as shown in FIG.
Since the field of view of the objective lens system that can be imaged is far away, when the ultrasound transducer is brought closer to the lesion, it becomes difficult to determine the positional relationship of the ultrasound tomographic image to the optical image.

〔発明が解決しようとする課題〕[Problem to be solved by the invention]

このように、体腔内超音波診断装置の挿入部先端で、超
音波振動子を被う先端カバーが偏心したかたちで先端硬
質部に取付けられ、段部を形成しているものでは、体腔
内のように複雑に屈曲したり、狭い部位が存在する場合
には、先端カバーは狭い部位などへは、簡単に挿入する
ことができるが、先端硬質部の部分では、段部が形成さ
れているため、この段部が体壁に引掛るなどして挿入性
が悪く、患者に苦痛を与えることとなった。また、超音
波振動子を病変部に近づけると、光学像に対する超音波
断層像との位置関係がつけづらいものとなり、この超音
波断層像とを関連づけるための操作が困難となり、その
位置関係を関連づけるために、病変部から超音波振動子
を離すと、鮮明な像を与えることができないなどという
ことがあった。
In this way, at the tip of the insertion section of an intracorporeal ultrasound diagnostic device, the tip cover that covers the ultrasonic transducer is attached eccentrically to the hard part of the tip, forming a step, which prevents the inside of the body cavity. If there is a complicated bend or a narrow area, the tip cover can be easily inserted into the narrow area, but the hard part of the tip has a step. However, this stepped portion caught on the body wall, making insertion difficult and causing pain to the patient. Furthermore, when the ultrasound transducer is brought close to the lesion, it becomes difficult to establish the positional relationship between the optical image and the ultrasound tomographic image. Therefore, if the ultrasound transducer is moved away from the lesion, it may not be possible to provide a clear image.

本発明は、上記の点を解決するために、挿入部の挿入性
が良く、また操作性の良い体腔内超音波診断装置を提供
することを目的としたものである。
SUMMARY OF THE INVENTION In order to solve the above-mentioned problems, it is an object of the present invention to provide an intra-body cavity ultrasonic diagnostic device that has an insertion section that has good insertability and is easy to operate.

〔課題を解決するための手段および作用〕本発明による
体腔内超音波診断装置は、超音波振動子を回転させて走
査するときの回転軸中心を挿入軸中心に対して傾けて配
置したものである。この、超音波振動子の回転軸中心を
挿入軸中心に対して傾けて配置することで挿入部先端の
段部をなくし、滑らかな形状とすることができ、また、
光学視野内に、超音波診断部位を確認することができる
[Means and effects for solving the problems] The intrabody cavity ultrasound diagnostic apparatus according to the present invention is arranged so that the center of the rotation axis when rotating and scanning the ultrasound transducer is inclined with respect to the center of the insertion axis. be. By arranging the rotation axis of the ultrasonic transducer at an angle with respect to the insertion axis, the step at the tip of the insertion section can be eliminated and a smooth shape can be achieved.
The ultrasound diagnostic site can be confirmed within the optical field of view.

C実施例〕 以下、第1図乃至第3図を用いて本発明を説明する。C Example] The present invention will be explained below using FIGS. 1 to 3.

第1図に、本発明の第1実施例を示す。体腔内超音波診
断装置の挿入部先端lの先端硬質部2には、照明レンズ
3.対物レンズ系4.送気送水ノズル5.吸引口6が設
けられている。照明レンズ3の内側には、ライトファイ
バーが配設され、内視鏡光源装置等からの照明光を導き
、体腔内を照診するようになっている。また、先端硬質
部2内には、固体撮像素子が配設され、対物レンズ系4
で結像された像を電気信号に変換し、観察モニタ等で画
像として表示し体腔内を観察できるようになっている。
FIG. 1 shows a first embodiment of the present invention. An illumination lens 3 is attached to the rigid tip portion 2 of the insertion portion tip l of the intracorporeal ultrasound diagnostic device. Objective lens system 4. Air and water supply nozzle 5. A suction port 6 is provided. A light fiber is disposed inside the illumination lens 3 to guide illumination light from an endoscope light source device or the like to examine the inside of the body cavity. Further, a solid-state image sensor is disposed inside the hard tip portion 2, and an objective lens system 4 is provided.
The image formed by the device is converted into an electrical signal and displayed as an image on an observation monitor, etc., so that the inside of the body cavity can be observed.

この先端硬質部2の先端に超音波振動子7を設けるが、
このとき、超音波振動子7を回転させる回転子8の回転
中心軸Bは、内視鏡の挿入軸中心Aに対して、対物レン
ズ4の配置されていない方向に角度θだけ傾けて配置す
る。そして、この回転子の周囲には超音波伝達媒体を充
満させた超音波入出射窓である先端カバー9を設けてい
る。超音波振動子7の回転軸は、挿入軸中心に対して、
角度θだけ傾いた状態で回転され、超音波の走査を行い
、超音波断層像を得ることができる。
An ultrasonic vibrator 7 is provided at the tip of this hard tip portion 2.
At this time, the rotation center axis B of the rotor 8 that rotates the ultrasonic transducer 7 is tilted by an angle θ in the direction in which the objective lens 4 is not arranged with respect to the insertion axis center A of the endoscope. . A tip cover 9, which is an ultrasonic input/output window filled with an ultrasonic transmission medium, is provided around the rotor. The rotation axis of the ultrasonic transducer 7 is relative to the center of the insertion axis.
It is rotated while being tilted by an angle θ, performs ultrasonic scanning, and can obtain an ultrasonic tomographic image.

このように、超音波振動子の回転軸中心を挿入軸中心に
対して傾けて設置することで、挿入部先端1の先端硬質
部2の先端側の形状を滑らかな形状としている。つまり
、第4図に示した従来例のように、先端硬質部2′の対
物レンズ系4′の先端側にできていた段部を形成するこ
とがなくなる。
In this way, by installing the ultrasonic transducer with the center of its rotational axis inclined with respect to the center of the insertion axis, the shape of the distal end side of the rigid distal end portion 2 of the distal end of the insertion portion 1 is made to be a smooth shape. That is, unlike the conventional example shown in FIG. 4, there is no need to form a step on the distal end side of the objective lens system 4' of the rigid distal end portion 2'.

このように、挿入部先端1の形状を段差や出張りpない
滑らかな形状とすることができるので、挿入部を体腔内
に挿入させる際に、挿入部先端にできた段部が体腔内で
引掛り、患者に苦痛を与えるということがなく、体腔内
への挿入性を向上させることができる。
In this way, the shape of the tip 1 of the insertion section can be made smooth without any steps or protrusions, so that when the insertion section is inserted into the body cavity, the step formed at the tip of the insertion section does not move inside the body cavity. It does not get caught and cause pain to the patient, and it is possible to improve the ease of insertion into the body cavity.

つぎに、第2図および第3図を用いて本発明の他の実施
例を示す。なお、第1図と同一部材には同−付号を符し
、説明を省略する。
Next, another embodiment of the present invention will be shown using FIGS. 2 and 3. Note that the same members as in FIG. 1 are denoted by the same numerals, and their explanations will be omitted.

第2図は、本発明の第2実施例を示し、挿入部先端1の
挿入軸方向の断面図を示す。体腔内に挿入された挿入部
先端1は、体腔内の病変部12の像を、対物レンズ系4
で、固体撮像素子10に結像し、固体撮像素子10は、
対物レンズ系4で結像された像を電気信号に変換し、信
号ケーブル11で、観察モニタ等に電気信号を伝送し、
画像表示を行うようにしている。
FIG. 2 shows a second embodiment of the present invention, and shows a sectional view of the insertion portion distal end 1 in the direction of the insertion axis. The distal end 1 of the insertion section inserted into the body cavity captures an image of the lesion 12 inside the body cavity using the objective lens system 4.
The image is formed on the solid-state image sensor 10, and the solid-state image sensor 10 is
The image formed by the objective lens system 4 is converted into an electrical signal, and the electrical signal is transmitted to an observation monitor or the like via a signal cable 11.
I am trying to display an image.

この実施例において、先端硬質部2の先端側に設ける超
音波振動子の回転的中心B′は、挿入軸中心A′に対し
て、対物レンズ系4の側にθ′だけ傾けて配置する。
In this embodiment, the rotational center B' of the ultrasonic transducer provided on the distal end side of the rigid distal end portion 2 is inclined by θ' toward the objective lens system 4 with respect to the insertion axis center A'.

このように、超音波振動子の回転軸中心B′を、挿入軸
中心A′に対して対物レンズ系4側に傾げることにより
、対物レンズ系4の視野内に、超音波断層像の面が入っ
てくるようになり、また、病変部12に対して超音波診
断子を近づけやすくなり、超音波断層像がとり易くなる
。つまり、この実施例では、挿入部先端lの先端カバー
9内に設けた超音波振動子の回転軸中心を挿入軸中心を
A′に対して対物レンズ系4側に傾けることによって、
病変部12に対して超音波振動子をより近づけることが
でき、より病変部12に近い位置で超音波断層像を有す
ることができる。
In this way, by tilting the rotation axis center B' of the ultrasonic transducer toward the objective lens system 4 side with respect to the insertion axis center A', the plane of the ultrasonic tomographic image is placed within the field of view of the objective lens system 4. In addition, it becomes easier to bring the ultrasound diagnostic device closer to the lesion 12, making it easier to take ultrasound tomographic images. That is, in this embodiment, by tilting the rotation axis center of the ultrasonic transducer provided in the tip cover 9 of the insertion section tip l toward the objective lens system 4 side with respect to A',
The ultrasound transducer can be brought closer to the lesion 12, and an ultrasound tomographic image can be obtained at a position closer to the lesion 12.

第3図に、本発明の第3実施例を示す。第3図(81は
前方斜視型の体腔内超音波診断装置を示しこの実施例で
は、挿入軸中心A″に対して、超音波振動子の回転軸中
心B″を、対物光学系13とは反対側に傾けて配置する
。このように、超音波振動子の回転軸中心A″を、挿入
軸中心B″に対して、対物光学系13の視野方向とは反
対側に傾けた体腔内超音波診断装置の使用状態を第3図
山)に示す。図では体腔内超音波診断装置の挿入部先端
1が十二指腸まで挿入されている。十二指腸のような部
位では、その臓器内が狭く、挿入部先端1の操作性が悪
く、思うような部位の超音波断層像を得ることができな
くなっている。したがって、この実施例では、このよう
な部位に用いられる前方斜視型の体腔内超音波診断装置
の挿入軸中心A″に対して、先端カバー9内に設けられ
た超音波振動子の回転軸中心B″を角度θ″だけ、対物
光学系13とは反対側に傾けて配設している。したがっ
て図示するごとく、体壁に対して直交するような状態で
超音波断層像を有ることができる。つまり従来の、挿入
軸中心の方向と、超音波振動子の回転軸中心どが一敗す
る場合には、十二指腸のように狭く体壁の図示したよう
な部位に対して直交する超音波診断層を得ることは、挿
入部先端の操作性が悪いので困難であったが、この実施
例のように、挿入軸中心A″に対して、超音波振動子の
回転軸中心B″を対物光学系13とは反対側に傾けるこ
とで、対物光学系13の視野を防げることなく、図示す
るような体腔内の部位に対しても、直交するような鮮明
な、超音波断層像を有ることができる。
FIG. 3 shows a third embodiment of the invention. FIG. 3 (81 indicates a front perspective type intrabody cavity ultrasound diagnostic device; in this embodiment, the rotational axis center B'' of the ultrasonic transducer with respect to the insertion axis center A'' is different from the objective optical system 13. In this way, the rotational axis center A'' of the ultrasonic transducer is tilted to the opposite side to the viewing direction of the objective optical system 13 with respect to the insertion axis center B''. The state of use of the ultrasound diagnostic device is shown in Figure 3 (Figure 3). In the figure, the distal end 1 of the insertion section of the intracorporeal ultrasonic diagnostic device has been inserted into the duodenum. In a region such as the duodenum, the interior of the organ is narrow and the operability of the tip 1 of the insertion portion is poor, making it impossible to obtain an ultrasound tomographic image of the desired region. Therefore, in this embodiment, the rotation axis center of the ultrasonic transducer provided in the distal end cover 9 is set to B'' is tilted by an angle θ'' to the side opposite to the objective optical system 13. Therefore, as shown in the figure, an ultrasonic tomographic image can be obtained in a state perpendicular to the body wall. In other words, if the conventional direction of the center of the insertion axis and the center of the rotation axis of the ultrasonic transducer fail, ultrasound diagnosis can be performed perpendicular to the narrow body wall area like the duodenum as shown. It was difficult to obtain a layer due to the poor operability of the tip of the insertion part, but as in this example, the rotation axis center B'' of the ultrasonic transducer was aligned with the insertion axis center A'' by the objective optical system. By tilting it to the opposite side from the system 13, it is possible to obtain a clear ultrasonic tomographic image that is perpendicular to the region in the body cavity as shown in the figure, without blocking the field of view of the objective optical system 13. can.

〔発明の効果〕〔Effect of the invention〕

以上説明したように、本発明は、体腔内超音波診断装置
の挿入軸中心に対して、挿入部の先端に設けられた超音
波振動子の回転軸中心を傾けて配設することによって、
体腔内のように複雑に屈曲していたり、臓器内が狭い場
合でも、体腔内への挿入性、および超音波断層像をとる
ための操作性の良い体腔内超音波診断装置を提供するこ
とができるものである。
As explained above, the present invention provides the following advantages: by arranging the rotation axis center of the ultrasonic transducer provided at the tip of the insertion section at an angle with respect to the insertion axis center of the intracorporeal ultrasound diagnostic device,
It is possible to provide an intrabody cavity ultrasound diagnostic device that is easy to insert into a body cavity and easy to operate to take ultrasound tomographic images even when the interior of a body cavity is complicatedly curved or the interior of an organ is narrow. It is possible.

【図面の簡単な説明】[Brief explanation of the drawing]

第1図は本発明の第1実施例を示す挿入部先端の拡大図
、第2図は本発明の第2実施例を示す挿入部先端の拡大
図、第3図は本発明の第3実施例を示しくPl)は挿入
部先端の拡大図、(b)は体腔内超音波診断装置を体腔
内に挿入した図5第4図および第5図は従来の体腔内超
音波診断装置を示し、第4図は挿入部先端の拡大図、第
5図は第4図中のY−Y断面を示す図である。 1 ・−・−・挿入部先端   4−・対物レンズ系7
−・−超音波振動子  8 ・・−回転子A、A’、A
″−・−・挿入軸中心 B、B’、B″ ・・−・・−回転軸中必衰4 図 \               / \ +5’        I 1’ 箸5 図
FIG. 1 is an enlarged view of the distal end of the insertion section showing the first embodiment of the present invention, FIG. 2 is an enlarged view of the distal end of the insertion section showing the second embodiment of the present invention, and FIG. 3 is the third embodiment of the present invention. As an example, Pl) is an enlarged view of the tip of the insertion section, and (b) is a diagram showing the intrabody cavity ultrasound diagnostic device inserted into the body cavity.Figures 4 and 5 show the conventional intrabody cavity ultrasound diagnostic device. , FIG. 4 is an enlarged view of the distal end of the insertion portion, and FIG. 5 is a view showing a YY cross section in FIG. 4. 1 ・−・−・Insertion tube tip 4−・Objective lens system 7
-・-Ultrasonic vibrator 8...-Rotor A, A', A
″−・−・Insertion axis center B, B′, B″ ・−・・−Essential loss in rotating shaft 4 Figure \ / \ +5' I 1' Chopsticks 5 Figure

Claims (1)

【特許請求の範囲】 体腔内への挿入先端部に超音波振動子を設け、この超音
波振動子を回転させ超音波入出射窓から超音波を入出射
させて超音波走査する体腔内超音波診断装置において、 前記超音波振動子の回転軸中心を挿入軸中心に対して傾
けて配置したことを特徴とする体腔内超音波診断装置。
[Claims] Intrabody cavity ultrasound scanning in which an ultrasound transducer is provided at the distal end of insertion into a body cavity, and the ultrasound transducer is rotated to input and output ultrasound through an ultrasound input/output window. An intrabody cavity ultrasonic diagnostic apparatus, characterized in that the ultrasonic transducer is arranged such that the rotational axis center of the ultrasonic transducer is inclined with respect to the insertion axis center.
JP63133127A 1988-05-31 1988-05-31 Ultrasonic diagnostic device in body cavity Expired - Fee Related JP2758169B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP63133127A JP2758169B2 (en) 1988-05-31 1988-05-31 Ultrasonic diagnostic device in body cavity

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP63133127A JP2758169B2 (en) 1988-05-31 1988-05-31 Ultrasonic diagnostic device in body cavity

Publications (2)

Publication Number Publication Date
JPH01300939A true JPH01300939A (en) 1989-12-05
JP2758169B2 JP2758169B2 (en) 1998-05-28

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Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002238836A (en) * 2001-02-16 2002-08-27 Asahi Optical Co Ltd Duodenum endoscope

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS56152635A (en) * 1980-04-28 1981-11-26 Olympus Optical Co Ultrasonic diagnosis apparatus
JPS60234646A (en) * 1984-05-07 1985-11-21 松下電器産業株式会社 Ultrasonic probe

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS56152635A (en) * 1980-04-28 1981-11-26 Olympus Optical Co Ultrasonic diagnosis apparatus
JPS60234646A (en) * 1984-05-07 1985-11-21 松下電器産業株式会社 Ultrasonic probe

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002238836A (en) * 2001-02-16 2002-08-27 Asahi Optical Co Ltd Duodenum endoscope

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