JPWO2014157479A1 - 内視鏡下外科手術装置 - Google Patents
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Abstract
Description
図1は、第1の実施形態に係る内視鏡下外科手術装置を示した概略構成図である。図1に示すように、本実施形態の内視鏡下外科手術装置10は、患者の体腔内を観察する内視鏡100と、患者の体腔内の患部を検査又は処置するための処置具200と、内視鏡100及び処置具200を体腔内に案内する外套管300と、を備える。
次に、本発明の第2の実施形態について説明する。以下、第1の実施形態と共通する部分については説明を省略し、本実施形態の特徴的部分を中心に説明する。
次に、本発明の第3の実施形態について説明する。以下、第1及び第2の実施形態と共通する部分については説明を省略し、本実施形態の特徴的部分を中心に説明する。
次に、本発明の第4の実施形態について説明する。以下、第1〜第3の実施形態と共通する部分については説明を省略し、本実施形態の特徴的部分を中心に説明する。
次に、本発明の第5の実施形態について説明する。以下、第1〜第4の実施形態と共通する部分については説明を省略し、本実施形態の特徴的部分を中心に説明する。
次に、本発明の第6の実施形態について説明する。以下、第1〜第5の実施形態と共通する部分については説明を省略し、本実施形態の特徴的部分を中心に説明する。
次に、本発明の第7の実施形態について説明する。以下、第1〜第6の実施形態と共通する部分については説明を省略し、本実施形態の特徴的部分を中心に説明する。
Claims (9)
- 体壁を貫通して体腔内に挿入されるガイド部材と、
前記ガイド部材の内部に設けられ、前記体腔内を観察するための内視鏡を進退自在に挿通可能な内視鏡挿通路と、
前記ガイド部材の内部に設けられ、前記体腔内の患部を検査又は処置するための処置具を進退自在に挿通可能な処置具挿通路と、
前記処置具挿通路に挿通された前記処置具が進退移動しても前記内視鏡に対する前記処置具の相対位置の変化が検出されない不感帯領域と、前記不感帯領域以外の領域であって前記処置具が進退移動したときに前記処置具の相対位置の変化が検出される感帯領域とを有し、前記感帯領域において前記ガイド部材に対する前記処置具の移動量を検出する検出手段と、
前記検出手段によって検出された前記処置具の移動量に応じて前記内視鏡によって得られる観察画像の範囲を変化させる制御手段と、
を備える内視鏡下外科手術装置。 - 前記処置具挿通路の内部で前記処置具の進退移動に連動して移動可能であり、且つ前記処置具の進退移動に連動して移動するまでに前記不感帯領域に対応する遊び部を有する連動部材を備え、
前記検出手段は、前記連動部材の移動量を検出することによって前記処置具の移動量を検出する請求項1に記載の内視鏡下外科手術装置。 - 前記処置具の外周部には、前記処置具の軸方向に沿って周期的に配置され前記感帯領域に対応する目盛領域と、前記目盛領域以外に配置され前記不感帯領域に対応する非目盛領域とが設けられ、
前記検出手段は、前記処置具が進退移動したときに前記目盛領域を光学的、磁気的、又は電子的に読み取ることによって前記処置具の移動量を検出し、且つ前記非目盛領域では前記処置具の移動量を検出しない請求項1に記載の内視鏡下外科手術装置。 - 前記検出手段は、
前記観察画像上における前記処置具の移動量を算出する算出手段と、
前記算出手段で算出した前記観察画像上における前記処置具の移動量を実際の移動量に変換する第1の変換手段と、
前記処置具の実際の移動量が所定範囲以下の場合に前記処置具の実際の移動量を0とする第2の変換手段と、
を備える請求項1に記載の内視鏡下外科手術装置。 - 前記制御手段は、前記処置具の移動量に比例して前記内視鏡によって得られる観察画像の範囲を変化させる請求項1〜3のいずれか1項に記載の内視鏡下外科手術装置。
- 前記制御手段は、前記検出手段の検出結果に基づき、前記内視鏡挿通路に挿通された前記内視鏡を進退移動させる内視鏡移動制御手段である請求項1〜5のいずれか1項に記載の内視鏡下外科手術装置。
- 前記制御手段は、前記検出手段の検出結果に基づき、前記内視鏡によって得られる観察画像の倍率を変更するズーム制御手段である請求項1〜6のいずれか1項に記載の内視鏡下外科手術装置。
- 前記内視鏡は、光軸方向に移動可能なズームレンズを有する内視鏡であって、
前記ズーム制御手段は、前記検出手段の検出結果に基づき、前記ズームレンズを光軸方向に移動させることで前記観察画像の倍率を変更する光学ズーム制御手段を含む請求項7に記載の内視鏡下外科手術装置。 - 前記ズーム制御手段は、前記検出手段の検出結果に基づき、前記内視鏡で得られた観察画像を電子的に変倍処理することで前記観察画像の倍率を変更する電子ズーム制御手段を含む請求項7又は8に記載の内視鏡下外科手術装置。
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JP6023872B2 (ja) | 2013-03-29 | 2016-11-09 | 富士フイルム株式会社 | 内視鏡手術装置 |
DE112014004014B4 (de) | 2013-09-03 | 2023-12-14 | Fujifilm Corporation | Endoskopisches chirurgisches Gerät und Überrohr |
DE112014004019B4 (de) | 2013-09-03 | 2024-02-29 | Fujifilm Corporation | Endoskopisches chirurgisches Gerät und Überrohr |
WO2015033906A1 (ja) | 2013-09-03 | 2015-03-12 | 富士フイルム株式会社 | 内視鏡下外科手術装置及び外套管並びに外装管 |
WO2015033904A1 (ja) | 2013-09-03 | 2015-03-12 | 富士フイルム株式会社 | 内視鏡下外科手術装置及び外套管 |
JP6259528B2 (ja) | 2014-09-30 | 2018-01-10 | 富士フイルム株式会社 | 内視鏡用外科手術装置 |
CN108968892B (zh) * | 2018-07-26 | 2020-07-10 | 武汉楚精灵医疗科技有限公司 | 一种肠镜下盲区监测的系统及方法 |
CN111248848B (zh) * | 2020-02-07 | 2022-07-12 | 青岛大学附属医院 | 一种消化道病变内镜定位装置 |
CN112450858B (zh) * | 2020-11-26 | 2022-09-02 | 苏州法兰克曼医疗器械有限公司 | 一种手持便携式高清电子鼻咽喉镜 |
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CN105072976B (zh) | 2017-05-17 |
US10595709B2 (en) | 2020-03-24 |
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WO2014157479A1 (ja) | 2014-10-02 |
US20160015254A1 (en) | 2016-01-21 |
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EP2979619B1 (en) | 2018-10-31 |
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