US3822697A - Envelope of an endoscope - Google Patents

Envelope of an endoscope Download PDF

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Publication number
US3822697A
US3822697A US34297373A US3822697A US 3822697 A US3822697 A US 3822697A US 34297373 A US34297373 A US 34297373A US 3822697 A US3822697 A US 3822697A
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Prior art keywords
connection tube
endoscope
envelope
portion
flange
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O Komiya
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Olympus Corp
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Olympus Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131Accessories for endoscopes
    • A61B1/00135Oversleeves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes

Abstract

An envelope fitted to an endoscope provided with a flexible connection tube used in observing the stomach and liver, thereby enabling said flexible connection tube to have the same function as a rigid connection tube used in observing the abdominal and breast cavities.

Description

United States Patent 1 1 1111 Komiya July 9, 1974 ENVELOPE OF AN ENDOSCOPE 2,990,830 7/l96l Hett 128/4 [75] Inventor: Osamu Komiya, Tokyo, Japan [73] Assignee: Olympus Optical Co. Ltd., Tokyo, Primary Examiner L11Cie Laudenslager Japan Attorney, Agent, or FirmFlynn & Fr1shauf [22] Filed: Mar. 20, 1973 [21] App]. No.: 342,973 ABSTRACT [52] US. Cl. An envelope fitted to an endoscope provided with a [51] hit. Cl A6lb 1/00 flexible connection tube used in observing the stoml Field Of Search /1 16, ach and liver, thereby enabling said flexible connec- 6, 1310- 26, 2144 tion tube to have the same function as a rigid connection tube used in observing the abdominal and breast [56] References Cited cavities.

UNITED STATES PATENTS 1,087,845 2/19l4 Stevens 128/2144 UX 3 Claims, 2 Drawing Figures ENVELOPE OF AN ENDOSCOPE BACKGROUND OF THE INVENTION This invention relates to an envelope fitted to an endoscope provided with a flexible connection tube so as to attain the broader application of said endoscope.

An endoscope provided with a flexible connection tube is mainly used in observing the stomach and liver. On the other hand, observation of the abdominal and breast cavities is effected by a special endoscope fitted with a rigid connection tube, generally known as a laparoscope or thoracoscope. With such a special type of endoscope, a connection tube is not allowed to be flexible due to requirements of application, but can only be linearly inserted into the abdominal or breast cavity, and is consequently accompanied with the drawback of obstructing the full observation of, for example, the lateral and back sides of the liver. Further, the abdominal and breast cavities readily present a strong physiological reaction to the insertion of an endoscope. Therefore, the aforesaid endoscope provided with a flexible connection tube, particularly a type fitted at the foremost end with a flexible bendable section presents difficulties in being inserted up to the point where a desired object of observation is located, when the abovementioned physiological reaction is also taken into consideration.

SUMMARY OF THE INVENTION This invention has been accomplished as a means for resolving such difficulties, and is intended to provide an envelope which enables an endoscope bearing a flexible connection tube to be smoothly conducted up to an object of observation such as the abdominal and breast cavities, thereby permitting an easy examination of any part of said cavities which has hitherto obstructed the application of the conventional laparoscope or thoracoscope.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a sectional view of an envelope embodying this invention, showing the condition in which said envelope is fitted to an endoscope; and

FIG. 2 shows the flexed state of the bendable section of the connection tube of an endoscope.

DETAILED DESCRIPTION OF THE. INVENTION There will now be described by reference to the appended drawings an endoscope envelope according to this invention, together with a trocar.

Referring to FIG. 1, reference numeral 1 shows the abdominal wall of the human body. Reference numeral 2 denotes a trocar located outside of the abdominal wall 1 with the forward end of the cylindrical member 3 of said trocar 2 inserted into the abdominal cavity through the prescribed cut out portion of the abdominal wall 1. The trocar 2 has an O-ring 4 fitted to the inside of that rear end of the cylindrical member 3 which is disposed outside of the abdominal wall 1. To the side wall of the rear end of the cylindrical member 3 is fitted a stop screw 5 whose end projects through the cylindrical member 3. At the center of that periphery of the cylindrical member 3 which is disposed outside of the abdominal wall 1 is provided a piston holder 6 to project outward. In said holder 6 is received a slidable piston 8, which is always urged only in one radial direction by having its inner end contacted by a compression spring 7 disposed in the bottom portion of said holder 6. The outer end portion of said piston 8 constitutes a rod 9 of smaller diameter which projects outside of the holder 6 through an opening cut out in the end face thereof. The projecting end of the rod 9 is fitted with a grip 10. Depression of the grip 10 permits the sliding of the piston 8 against the force of the spring 7. The piston 8 has a through hole 11 bored crosswise, which. when the piston 8 is normally urged outward by the compression spring 7, does not communicate with the cylindrical member 3, but when the piston 8 is depressed inward from above against the force of the compression spring 7, communicates with said cylindrical member 3.

An endoscope envelope 14 according to this invention is fitted to the distal end portion 12a of the connection tube 13 of the endoscope 12. The envelope 14 includes a rigid cylindrical tube member or pipe 15 having a slightly larger inner diameter than the outer diam eter of the distal end portion 12a so as to permit its slidable insertion and obstructing the flexibility of the connection tube 13, and a flange 16 having an appreciably larger diameter than that of said rigid cylindrical tube member 15 and integrally constituting the rear end thereof. Said flange 16 has a round cylindrical cavity 17 so as to surround the connection tube 13. In said cavity 17 is received a ring packing 18 made of rubber or flexible synthetic resin, the inner wall of said packing 18 surrounding the connection tube 13 in close contact therewith. Outside of the packing 18 is disposed a tightening plate spring 19. Against the outer surface of said plate spring 19 abuts the end of a tightening screw 20 inserted into the cylindrical cavity 17 of the flange 16. Accordingly, operation of said tightening screw 20 enables the seal of the connection tube 13 by the packing 18 to be controlled through the action of the plate spring 19, offering convenience in attaining the harmless seal of the connection tube. Further, the seal between the envelope 14 and connection tube 13 is effected by an O-ring 21 received in the flange 16 so as to surround the connection tube 13.

The envelope 14 constructed as described above is fitted, as shown in FIG. 1, to the endoscope 12. For observation of the abdominal cavity, the connection tube 13 and the outermost end of the cylindrical tube member 15 of the envelope 14 firmly supporting said connection tube 13 are inserted into the abdominal cavity through the cylindrical member 3 of the trocar 2 and the through hole 11 of the piston 8. When the distal end portion 12a of the endoscope 12 approaches an object of observation, for example, a liver 22, then the stop screw 5 of the trocar 2 is tightened to fix the envelope 14 to the trocar 2. Thereafter, the tightening screw 20 of the envelope 14 is loosened to release the connection tube 13 from the envelope 14. At this time, the distal end portion 12a of the endoscope 12 and that portion of the connection tube 13 which follows said distal end portion 12a are drawn nearer to the liver 22. When the distal end portion 12a reaches a desired position, then the screw 20 is tightened to fix the connection tube 13 to the envelope 14. Under such condition, the bendable section of the connection tube 13 is flexed, as shown in FIG. 2, by external operation so as to bring the distal end portion 12a to the back of the liver 22 for observation.

As mentioned above, that portion of the connection tube 13 of the endoscope 12 which is surrounded by the rigid cylindrical tube member 15 can be as easily introduced up to an object of observation in the abdominal cavity as the conventional rigid laparoscope with the bendable section of said connection tube 13 still prevented from being flexed. Accordingly, application of the envelope 14 of this invention enables an endoscope provided with a flexible connection tube and hitherto used only in the observation of the stomach to be available for all internal examination Without using any special observation means like the prior art laparoscope or thoracoscope.

With the conventional endoscope, the trocar is provided with a piston to prevent the leakage of internal air or carbon dioxide when the distal end portion of the endoscope is inserted into or pulled off from the abdominal cavity, said piston directly applying pressure to the connection tube. However, the envelope of this invention absorbs said piston pressure fully to prevent the internal organs from being damaged thereby. lt will be obvious that the envelope of this invention may be safely inserted into the abdominal cavity without using the aforementioned trocar depending on the condition of an object of observation.

What is claimed is:

1. An endoscope envelope for attaining the insertion of an endoscope having a flexible connection tube,

4 comprising:

a rigid pipe into which said connection tube is slidably inserted and which supports at least that portion of said connection tube which is to be intro duced into the human body so as to obstruct the flexibility of said portion, said rigid pipe including a first portion adapted to be inserted into the human body, said first and second portions being concentrically connected; and

fixing means disposed outside of the human body to removably attach said rigid pipe to said connection tube.

2. The endoscope envelope according to claim 1 wherein said fixing means comprises a flange having a hollow portion and abutting against said second portion; a seal member received in said hollow portion to surround said connection tube; and a tightening screw inserted into the flange from the outside to control the condition of the seal member and to also fix the flange to said connection tube 3. The endoscope envelope according to claim 2 wherein said fixing means includes a plate spring disposed between the seal member and tightening screw.

UNITED STATES PATEN'IQ OFFICE L QERTIFICATE 0F CORRECTION A J; Patent No. e22,697 Dated July 9, 1374 It is certified that error appears in the above-identified patent end that said Letters Patent are hereby corrected as shown below:

Column 4 line 8, after "human body" insert -and a second portion adapted to remain outside of the human body-.

Signed and sealed this Si'h day. of November 1974 (SEAL) Attest: I

MCCOY M. GIBSON .JR. C. MARSHALL DANN Attesting Officer Commissioner of Patents FORM PC4050 (0 59) UsCOMM-DC 60376-P59 9 US. GOVERNMENU PRINTING OFFICE: {SIS 0-366-334.

Claims (3)

1. An endoscope envelope for attaining the insertion of an endoscope having a flexible connection tube, comprising: a rigid pipe into which said connection tube is slidably inserted and which supports at least that portion of said connection tube which is to be introduced into the human body so as to obstruct the flexibility of said portion, said rigid pipe including a first portion adapted to be inserted into the human body, said first and second portions being concentrically connected; and fixing means disposed outside of the human body to removably attach said rigid pipe to said connection tube.
2. The endoscope envelope according to claim 1 wherein said fixing means comprises a flange having a hollow portion and abutting against said second portion; a seal member received in said hollow portion to surround said connection tube; and a tightening screw inserted into the flange from the outside to control the condition of the seal member and to also fix the flange to said connection tube.
3. The endoscope envelope according to claim 2 wherein said fixing means includes a plate spring disposed between the seal member and tightening screw.
US34297373 1973-03-20 1973-03-20 Envelope of an endoscope Expired - Lifetime US3822697A (en)

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Cited By (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4066071A (en) * 1975-08-15 1978-01-03 Nagel John G Extension pull through device to allow for easier passage of flexible fiber endoscope
US4267828A (en) * 1979-06-22 1981-05-19 Olympus Optical Co., Ltd. Endoscope having an extension guide for observation
US4633869A (en) * 1985-12-23 1987-01-06 Arthrex Arthroscopy Instruments, Inc. Tension retaining device for surgical procedures
FR2608911A1 (en) * 1986-12-30 1988-07-01 Wolf Gmbh Richard Endoscope intended to examine the trump of fallope
US4779611A (en) * 1987-02-24 1988-10-25 Grooters Ronald K Disposable surgical scope guide
EP0396882A1 (en) * 1989-05-12 1990-11-14 Richard Wolf GmbH Fixing device for holding fascia-holding-threads, with a conical seal for laparoscopy
EP0726784A4 (en) * 1992-11-17 1996-04-03 Worldwide Optical Trocar Licen Visually directed trocar and method
US5720761A (en) * 1993-11-16 1998-02-24 Worldwide Optical Trocar Licensing Corp. Visually directed trocar and method
US5779624A (en) * 1996-12-05 1998-07-14 Boston Scientific Corporation Sigmoid splint device for endoscopy
WO2000047263A2 (en) * 1999-02-12 2000-08-17 Karl Storz Gmbh & Co. Kg Device for introducing an intubation tube into the trachea
US6152871A (en) * 1996-03-22 2000-11-28 Sdgi Holdings, Inc. Apparatus for percutaneous surgery
US6176823B1 (en) * 1996-03-22 2001-01-23 Sdgi Holdings, Inc. Fixture for supporting a viewing element within a cannula
US20030040656A1 (en) * 2001-08-27 2003-02-27 Endius Incorporated Apparatus for adjustably supporting an endoscope
US20030195519A1 (en) * 1995-03-27 2003-10-16 Thomas Zdeblick Methods and instruments for interbody fusion
US20030212308A1 (en) * 2002-05-13 2003-11-13 Everest Vit Tube gripper integral with controller for endoscope or borescope
EP1342457A3 (en) * 1996-02-22 2004-01-14 SDGI Holdings, Inc. Methods and instruments for interbody fusion
US20040024383A1 (en) * 2002-07-31 2004-02-05 Mark Doyle Clutch for stabilizing and adjusting a probe in laparoscopic surgery
US6695772B1 (en) 2001-11-26 2004-02-24 Visionary Biomedical, Inc. Small diameter cannula devices, systems and methods
US20040153089A1 (en) * 1995-03-27 2004-08-05 Thomas Zdeblick Methods and instruments for interbody fusion
US20050234464A1 (en) * 2001-09-19 2005-10-20 Brannon James K Endoscopic bone debridement
US20070293721A1 (en) * 2004-03-29 2007-12-20 Pinhas Gilboa Endoscope Structures And Techniques For Navigating To A Target In Branched Structure
US20090254131A1 (en) * 2004-05-07 2009-10-08 Jeffrey S. Roh Systems and methods that facilitate minimally invasive spine surgery
US20100018732A1 (en) * 2008-07-28 2010-01-28 Caterpillar Inc. Cooling system packaging arrangement for a machine
US20120083739A1 (en) * 2010-10-05 2012-04-05 Nelson Brian D Retainer for immobilizing an implanted catheter during stylet retraction, and stylet holder for use with same
US8452068B2 (en) 2008-06-06 2013-05-28 Covidien Lp Hybrid registration method
US8473032B2 (en) 2008-06-03 2013-06-25 Superdimension, Ltd. Feature-based registration method
TWI505845B (en) * 2013-09-11 2015-11-01
US9575140B2 (en) 2008-04-03 2017-02-21 Covidien Lp Magnetic interference detection system and method
US10076387B2 (en) 2015-06-18 2018-09-18 Medtronic, Inc. Medical device implantation and positioning system

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1087845A (en) * 1913-07-16 1914-02-17 James H Stevens Salvarsan-needle.
US2990830A (en) * 1959-11-30 1961-07-04 American Cystoscope Makers Inc Medical instrument with focusing telescope

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1087845A (en) * 1913-07-16 1914-02-17 James H Stevens Salvarsan-needle.
US2990830A (en) * 1959-11-30 1961-07-04 American Cystoscope Makers Inc Medical instrument with focusing telescope

Cited By (57)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4066071A (en) * 1975-08-15 1978-01-03 Nagel John G Extension pull through device to allow for easier passage of flexible fiber endoscope
US4267828A (en) * 1979-06-22 1981-05-19 Olympus Optical Co., Ltd. Endoscope having an extension guide for observation
US4633869A (en) * 1985-12-23 1987-01-06 Arthrex Arthroscopy Instruments, Inc. Tension retaining device for surgical procedures
FR2608911A1 (en) * 1986-12-30 1988-07-01 Wolf Gmbh Richard Endoscope intended to examine the trump of fallope
US4779611A (en) * 1987-02-24 1988-10-25 Grooters Ronald K Disposable surgical scope guide
EP0396882A1 (en) * 1989-05-12 1990-11-14 Richard Wolf GmbH Fixing device for holding fascia-holding-threads, with a conical seal for laparoscopy
EP0726784A1 (en) * 1992-11-17 1996-08-21 Worldwide Optical Trocar Licensing Corporation Visually directed trocar and method
EP0726784A4 (en) * 1992-11-17 1996-04-03 Worldwide Optical Trocar Licen Visually directed trocar and method
US5720761A (en) * 1993-11-16 1998-02-24 Worldwide Optical Trocar Licensing Corp. Visually directed trocar and method
US20030195519A1 (en) * 1995-03-27 2003-10-16 Thomas Zdeblick Methods and instruments for interbody fusion
US7300440B2 (en) 1995-03-27 2007-11-27 Warsaw Orthopedic, Inc. Methods and instruments for interbody fusion
US7985258B2 (en) 1995-03-27 2011-07-26 Warsaw Orthopedic Inc. Methods and instruments for interbody fusion
US20040153089A1 (en) * 1995-03-27 2004-08-05 Thomas Zdeblick Methods and instruments for interbody fusion
US7621958B2 (en) 1995-03-27 2009-11-24 Warsaw Orthopedic, Inc. Methods and instruments for interbody fusion
US20100125333A1 (en) * 1995-03-27 2010-05-20 Thomas Zdeblick Methods and instruments for interbody fusion
EP1342457A3 (en) * 1996-02-22 2004-01-14 SDGI Holdings, Inc. Methods and instruments for interbody fusion
US6176823B1 (en) * 1996-03-22 2001-01-23 Sdgi Holdings, Inc. Fixture for supporting a viewing element within a cannula
US6152871A (en) * 1996-03-22 2000-11-28 Sdgi Holdings, Inc. Apparatus for percutaneous surgery
US5779624A (en) * 1996-12-05 1998-07-14 Boston Scientific Corporation Sigmoid splint device for endoscopy
WO2000047263A3 (en) * 1999-02-12 2000-12-14 Storz Karl Gmbh & Co Kg Device for introducing an intubation tube into the trachea
US6743166B2 (en) 1999-02-12 2004-06-01 Karl Storz Gmbh & Co. Kg Apparatus for introducing an intubation tube into the trachea
WO2000047263A2 (en) * 1999-02-12 2000-08-17 Karl Storz Gmbh & Co. Kg Device for introducing an intubation tube into the trachea
US20050085689A1 (en) * 2001-08-27 2005-04-21 Endius Incorporated Apparatus for adjustably supporting an endoscope
US6821243B2 (en) * 2001-08-27 2004-11-23 Endius Incorporated Apparatus for adjustably supporting an endoscope
US7431693B2 (en) 2001-08-27 2008-10-07 Zimmer Spine, Inc. Method for adjustably supporting an endoscope
US20030040656A1 (en) * 2001-08-27 2003-02-27 Endius Incorporated Apparatus for adjustably supporting an endoscope
US20050234464A1 (en) * 2001-09-19 2005-10-20 Brannon James K Endoscopic bone debridement
US8382762B2 (en) 2001-09-19 2013-02-26 James K Brannon Endoscopic bone debridement
US7445595B2 (en) * 2001-09-19 2008-11-04 James Kevin Brannon Endoscopic bone debridement
US6695772B1 (en) 2001-11-26 2004-02-24 Visionary Biomedical, Inc. Small diameter cannula devices, systems and methods
US20110237897A1 (en) * 2002-04-17 2011-09-29 Pinhas Gilboa Endoscope Structures And Techniques For Navigating To A Target In Branched Structure
US8696548B2 (en) * 2002-04-17 2014-04-15 Covidien Lp Endoscope structures and techniques for navigating to a target in branched structure
US20100160733A1 (en) * 2002-04-17 2010-06-24 Pinhas Gilboa Endoscope Structures And Techniques For Navigating To A Target In Branched Structure
US20030212308A1 (en) * 2002-05-13 2003-11-13 Everest Vit Tube gripper integral with controller for endoscope or borescope
US6830545B2 (en) * 2002-05-13 2004-12-14 Everest Vit Tube gripper integral with controller for endoscope of borescope
US6805664B2 (en) * 2002-07-31 2004-10-19 Tiva Medical, Inc. Clutch for stabilizing and adjusting a probe in laparoscopic surgery
US20040024383A1 (en) * 2002-07-31 2004-02-05 Mark Doyle Clutch for stabilizing and adjusting a probe in laparoscopic surgery
US20070293721A1 (en) * 2004-03-29 2007-12-20 Pinhas Gilboa Endoscope Structures And Techniques For Navigating To A Target In Branched Structure
US7998062B2 (en) * 2004-03-29 2011-08-16 Superdimension, Ltd. Endoscope structures and techniques for navigating to a target in branched structure
US20090254131A1 (en) * 2004-05-07 2009-10-08 Jeffrey S. Roh Systems and methods that facilitate minimally invasive spine surgery
US8221427B2 (en) * 2004-05-07 2012-07-17 Stryker Spine Systems and methods that facilitate minimally invasive spine surgery
US9575140B2 (en) 2008-04-03 2017-02-21 Covidien Lp Magnetic interference detection system and method
US8473032B2 (en) 2008-06-03 2013-06-25 Superdimension, Ltd. Feature-based registration method
US10096126B2 (en) 2008-06-03 2018-10-09 Covidien Lp Feature-based registration method
US9659374B2 (en) 2008-06-03 2017-05-23 Covidien Lp Feature-based registration method
US9117258B2 (en) 2008-06-03 2015-08-25 Covidien Lp Feature-based registration method
US8452068B2 (en) 2008-06-06 2013-05-28 Covidien Lp Hybrid registration method
US8467589B2 (en) 2008-06-06 2013-06-18 Covidien Lp Hybrid registration method
US9271803B2 (en) 2008-06-06 2016-03-01 Covidien Lp Hybrid registration method
US10285623B2 (en) 2008-06-06 2019-05-14 Covidien Lp Hybrid registration method
US20100018732A1 (en) * 2008-07-28 2010-01-28 Caterpillar Inc. Cooling system packaging arrangement for a machine
US9113949B2 (en) 2010-10-05 2015-08-25 Medtronic, Inc. Cannula system and method for immobilizing an implanted catheter during catheter anchoring
US20120083739A1 (en) * 2010-10-05 2012-04-05 Nelson Brian D Retainer for immobilizing an implanted catheter during stylet retraction, and stylet holder for use with same
US10098658B2 (en) 2010-10-05 2018-10-16 Medtronic, Inc. Cannula system and method for immobilizing an implanted catheter during catheter anchoring
US9498248B2 (en) * 2010-10-05 2016-11-22 Medtronic, Inc. Retainer for immobilizing an implanted catheter during stylet retraction, and stylet holder for use with same
TWI505845B (en) * 2013-09-11 2015-11-01
US10076387B2 (en) 2015-06-18 2018-09-18 Medtronic, Inc. Medical device implantation and positioning system

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